shava accuses russia of being out of work and demanding help from the authorities, but this is not the most serious problem caused by sanctions due to a ban on the operation of the enterprise, the likelihood of a large-scale environmental disaster is growing. in the baltic the fact is that the company stopped servicing pumps at treatment facilities equipment - this has exhausted the service life of fecal water leakage, perhaps in many settlements on the polish coast, official warsaw has not yet responded to calls for caution in matters of infrastructure safety objects if the situation does not change. it 's only a matter of time before sewage ends up in the waters of the baltic sea innovations in technology, as well as advances in the field of food and product processing are not

accidental belagro. name the most delicious country exposure. however, the exhibition is also a rich business program. yearly. it is marked by high-level visits to the current belagro, sow delegations from a number of russian regions, as well as other foreign guests. more information my colleagues have 15 hours. i say goodbye to you on this, have a nice day. disease the secret that we will reveal today is not well known, but this does not prevent it from

occupying the eighth place among the most common oncological diseases in the world - esophageal cancer. what have you heard about him. so the hero of our today's issue did not know about esophageal cancer until the moment when he declared himself in the most unpleasant way. such a feeling is when there is no pain, no more, but you just eat a few times to eat a little bit once, a second, a third, and then it doesn’t go any further. uh, from what food is filled im bad to breathe then. somewhere in december of the eighteenth year it happened. so rough food and watery food did not pass, if possible in more detail. here you come to the kitchen, open the refrigerator

we prepare, for example, dinner there, lunch or something else, we sit down to eat. when you start to eat, she gets stuck, as if everything in the throat and the cottage did not pass. yes, you are starting to worry. well, i thought somehow it would go away on its own, as not a single cancer goes away on its own, and cancer of the esophagus, in addition to everything, is considered one of the most aggressive malignant neoplasms in the world, according to the international agency for research on cancer in 2020, the incidence was 50 cases per 100,000 deaths per year 35. belarus is no exception in this list. the ratio of morbidity to mortality. the esophagus is about 88%, a large number of fairly high rates. this is despite the introduction of modern methods. diagnosis of the treatment of this disease is determined by the relevance of this problem.

despite the fact that cancer of the esophagus, of course, is inferior in frequency. e in cancer, by the way, in the world the highest risk zones are in the asian region from the north of iran to the northern and central regions of japan and china, the geographical factor is so high the incidence of morbidity is largely due to the peculiarities of nutrition, in these territories, according to scientists, a very high risk of developing esophageal cancer in endemic areas is associated with a deficiency of vegetables and fruits and, accordingly, vitamins and other trace elements in the diet. in addition, it is assumed that the risk of developing esophageal cancer is increased in in connection with the consumption of very hot tea drinks in earlier central asia and mate in south america , suggestions have been made about the possible role of oral consumption of some forms of tobacco, for example, backing as well as opium examines the role of human papillomavirus and contamination.

nutrition with carcinogenic fungi, while chronic esophagitis remains the main risk factor for developing esophageal cancer. one of the most common causes of chronic esophagitis is the gastroesophageal reflex leading to damage to the evidence, the lining of the esophagus, due to exposure to the acid-pectic factor. the so-called reflex esophagitis, other causes are more rare here, include infections of the plamerovna syndrome, characterized by the development of chronic esophagitis due to iron deficiency with fibrous changes in the mucous membrane of the esophagus, uh, as well as a number of other symptoms. a rare cause is telos or local palmar-plantar keratoderma - this is a hereditary disease transmitted from generation to generation in an autosomal dominant way, these patients have abnormal mucosal squamous epithelium, esophagus and the risk of developing esophageal cancer in these patients is 10 times higher than e in the rest of the population to our hero

programs for 67 years. and why did this disease happen to him? we are unlikely to find out and yet , do not ask him himself about possible risk factors. i could not. i'm here for the first time. i took an umbrella from her for the first time from a vein. that is, you didn’t encounter anything at all before me. that's 67 years old. i have not come across this issue no. disposable and zones are placed, it is necessary to take blood from a vienna in order to take tests for everything else. i used to have such diseases to alcohol. well, i would say, if everything is in moderation, then do no harm, i think, some there is understanding. this is when there are guests to drink a couple of bukala, good wine, or there is exactly so much to drink there. if there is no cognac, there are 150 vodkas there, well, in the company at the table there are from the holidays. there are all sorts of

guests coming and i willingly believe our hero, but you are a stubborn science, after conducting many studies, scientists have come to the conclusion that even small and occasional alcohol consumption increases the risk of certain types of cancer, a possible cause has been established. genetic factors polymorphism of genes encoding an enzyme that cleaves this metabolite greatly increases the accumulation of aldehydes in tissues this fact significantly increases the risk of cancer of the upper respiratory tract and upper gastrointestinal tract. although the logical factors are quite different depending on the location, if it is relevant to the hilar esophagus, then there is a whole range. hmm etiological factors, as a rule, this is chronic thrombocytosis traumatization - this is alcohol. in

particular, alcohol causes chronic trauma, damage, mucous esophagus, and smoking in turn with nicotine. nicotine activates nicotinic acetylcholine receptors, which promote active activity, that is, damage and smoking promotes proliferation, which at some point becomes uncontrolled and leads to the development of such a vicious circle. in addition, there is a virus eciology, but here again is related precisely to the damage to our next hero , ivan mikhailovich, 43 years old. and he is also a patient. he's got a tumor in his esophagus and like ours he doesn't know where she came from. we tried to go over the main risk factors together. and

one of them still found alcohol, like all people on holidays. smoking smoked. after the operation, i stopped smoking and smoking normally, nothing tragic happened. and the doctors also spoke, or maybe you read somewhere about the connection between smoking and alcohol. well, as if it was read like this on tv, every time it shows. perhaps i should dispel the doubts of ivan mikhailovich. it has long been established that smoking is one of the factors that cause gastrointestinal reflux reflux of acidic stomach contents into the esophagus is normal muscular valve, the lower esophageal sphinter located at the border of the stomach of the esophagus prevents this process when smoking the lower esophageal sphinker

weakens. which leads to the reflux of acidic stomach contents into the esophagus, acidic gastric juice causes damage to the esophageal mucosa, the determinant of exposure can lead to cancer, such are the harsh medical secrets. we set off on an expedition through the clots of our blood, sat down in the light, collapses along its trajectory, betrayal of being from as a result we are trying to replace the mouse with horseshoes, which has gone up to its outflows, it has infected our indiscriminate future, when we follow its history with a name of standing and rave. it was a ruinous mess on the top of the city, seen here as a chance for a calibrian fortress, wasting its strategic importance and giving the second traditions a new inhabitant. surprise, surprise

the mind with a project in perth bypassing belarus 24 on tv channel. the comfort of many belarusians depends on their work. everything seems to be just water splashing, but behind this is the hard work of our adjusters serving fountains, which all in the city work in total in the city of minsk, we operate 2,500 transformer substations, almost all of this is shown here. there are people here. whose quality standards are synonymous with safety and order. any emergency is eliminated within two hours will not. thanks to those golden hands of the workers for whom this work is being done. this is a matter of life. this is

the topographer 2.0 program, me or m-m our staff. can look in this program. what events have been over the past day, that is, well, in terms of turning off part of some to study geography while passing through the university and found out that a specialization in landscaping was opening and for some reason they told me so beautifully about this specialization that i wanted to go to study it, see project one day on belarus 24 tv channel. plus in the republican scientific and practical center of oncology and medical radiology named after alexandrov to reveal some of the secrets of esophageal cancer among oncological diseases, esophageal cancer in terms of prevalence ranks 8

place, and the mortality from it reaches 80%. we have already learned about some of the causes that cause esophageal cancer in turn, the symptoms and methods of diagnosis. now we will examine a patient with tumors of the esophagus, that is, the manufacturer because of the phage. gas copies for cancers of the esophagus, as well as proper. for any cancer of the upper gastrointestinal tract. these are paramount. well, the most accurate diagnostic options using this procedure. we can first detect the process, and write its boundaries, size, localization, take a biopsy for morphological confirmation, therefore, let's just say there are options. ah, examination, uh, let's say, the same x-ray, but these are variants of, let's say, a preliminary assessment. that is, if, for example, there is widespread tumor processes, this will be visible; if these are some early types of cancers, this will not be visible and often, let's say, all early forms of

malignant processes are at the first stages. they hmm without symptoms. nevertheless, these symptoms are there, although not at the initial stage, the primary symptoms include dyspania, oh, which we have already discussed today. this difficult passage of food through the esophagus is caused by narrowing of the lumen of the organ, a growing tumor, but sometimes it depends on the spasm of the overlying sections of the esophagus. in addition, the manifestations of a tumor of the esophagus include pain and a feeling of fullness behind the sternum, regurgitation of food. almost all of these symptoms indicate a fairly large distribution. the process through the esophagus of the russian stopped going through the cave. well, it ’s like a feeling, what a feeling, when there is no pain, no more, but you just eat several times, well, to eat a little bit once , the second third and then it doesn't

go any further. uh, why does the esophagus fill up with them bad breath then. this is something we haven't talked about yet. these are the medical secrets, yes, that is, it would seem like she turns out that this is not all. it would just seem that food stops passing through the esophagus. whether it is an occasion to address to the doctor i shall remind. this is a sign of a far-reaching process, but no, our people are fearless, they endure to the last, and the second hero of our program, ivan mikhailovich, is no exception. you do you feel that food is not going well with your actions? well, i thought it would go away on its own, i ate liquid such liquid food for how long. well, in february, he turned to the doctors, because the weight had already begun. as they say, lose in the majority. the cases increase gradually

at first, barely noticeable delays appear, when solid food passes through the esophagus, the patient, as it were, feels a solid food lump that moves along the esophagus, the narrowing progresses and soon the patient is forced to drink solid food with a sip of water or refuse to take second courses in further, after a few weeks or months , semi-liquid food ceases to pass, and then liquid, but such a consistent development of the master is not always observed. sometimes as a result of tumor decay or medical treatment. the patency of the esophagus is partially or completely restored, the improvement of the condition does not last long and soon the dysphagia begins to progress again, but, in order not to be unfounded, right now we will look into the endoscopy room. and you will see with your own eyes what despogia is. now we have entered the esophagus and actually we see the picture. already with a violation of the passage of contents through the esophagus, against the background of a completely

passable esophagus, we see the proximal border of the tumor process. let's just say, according to the characteristics, the process is more of a mixed character here, it is not only infiltrative processes, and it really squeezes the clearance very decently, in fact, to people who will observe this picture. it's not entirely clear. and here it is not surprising because already the differentiation of the walls of education. she is very complex. that is, these are all extended, tumor processes, reaching in fact, to the borders with the stomach, the picture is not the most encouraging, but quite sobering. if you notice the slightest disturbance in the passage of food, do not expect complete blockages. contact your doctors. this will possibly save your life. well, here is what we have, that is, starting from the food to the gastric junction, the lumen does not

straighten out, but the tumor tissue is determined with infiltration with a predominantly infiltrative type of growth with areas of necrosis of fibrin overlay with manifestations. here is a broad statement. for example immediately. wow it didn’t go at all, hike. apparently, with a very tight fit, even the lymph nodes are a pair of subphagic, but this is our assumption, but most likely it is. biopsy, actually , there was already a percentage of the patient has already been examined, yes, the diagnosis is verified. it is written. often such patients are still formed with various internal suppositories. it is quite possible that medicine can be hidden here as well. but he is all that we are now seeing

is a complication of esophageal cancer, and this is just a picture. can you imagine suffering this patient. after all, you don’t need to be a doctor to understand that this voluminous process causes unbearable pain; moreover, such a neglected process can cause bleeding , rapid weight loss and an unbearable cough, the fistula that the doctor showed us - this confirms you in fact, if we regard the proximal border of the tumor, how approximate from the region of 30 cm. here are the incisors, then this is well. a little more than half of the esophagus we have is affected by a cool processor. what i want to say is that most likely the patient has long there were symptoms not necessarily as pronounced as now, but let's say, uh, for a long time, the first complaints appeared a long time ago and now, then, let's say, we had to act a little more actively in terms of our diagnostic examination. apparently

, he did not, alas, but if you are dear viewers or your loved ones have similar symptoms, do not guess on your health to make a diagnosis. we only need one study. first of all, it is recommended to perform an esophagus gastroduo adenoscopy with a biopsy. this is the most informative research method for cancer of the esophagus, allowing direct visualization of the tumor. determine the size, localization and macroscopic type, assess the risk of complications, bleeding, perforation, and also obtain material for morphological examination to determine the prevalence of tumors, additional research methods are used: computed tomography of the chest of the abdomen, ultrasound examination of the abdominal cavity, chest x-ray, bronchoscopy, video, laparoscopy, and video, thoracoscopy laboratory examinations pat ct to

conducted a study of the poet-kataymu combined with computed tomography. so in this case, this accumulation of radiopharmaceuticals is as follows. you see, that is, as if on a computed tomography, it is clear that here is the expansion of the esophagus. here i have such a fat fat man, yes, yes, yes. everything belongs to the atrium, that's all, right. that is, as it were, yes here here, well, since this is a built-in emission tomography. here you can also see the accumulation. only this one crap also in the altered lymph nodes. this means that the lymph nodes are affected, and now you can see where they are accumulating, yes, then everything here is all right, there is an accumulation of radiopharmaceuticals, in principle, they are visible on ordinary computers. there is a chart. right here right here. here, but here we see such a more visual picture that it is clear that there are indeed accumulations of this drug, where it is more active . we can say that this is the most optimal and these methods of research and findings. that is, it is the most modern method

or is there already others who can give more information. in general, none of any of the techniques is absolutely a technique that complements each other. that is, there is no such thing that it cannot be said that some technique is the most perfect, the most wonderful. brain training is considered successful if during it you used not only knowledge, but also, oddly enough, intuition, as far as i remember mistakes here. no, that is, under the beard. we have an assumption rams to our ram we will return. yes, they looked at you. which acid is found in kefir 1 2 3, i need an answer. my friends. well, how is it? that's

fun. or, as they say, a scissor kick, they managed to figure out that the question is how many points will a team score in basketball if its player makes a free throw, test your erudition together with the heroes of our intellectual projects on belarus 24 tv channel. scientific and practical center of oncology and medical radiology named after alexandrov to reveal the secrets of cancer esophagus, esophageal cancer is a malignant tumor that comes from the lining of the esophagus. among oncological diseases, the tumor of this organ takes the eighth place in terms of prevalence. we have already told you how esophageal cancer manifests itself. why does it occur and how to diagnose it in the queue for treatment? we are in one of the operating rooms of the oncology center to

find out how practically new ones are formed from the affected organ in russia. at the moment, the surgical method of treatment is the main attraction for cancer, the esophagus, and the esophagus. this is an organ that is located in three anatomical regions. this is the neck. this is the chest and abdomen. okay, a length of up to 40 cm is enough, and therefore, when a radical operation is performed, which requires the removal of the entire esophagus, the question arises of how to replace it? how to restore uh, normal normal passage of what is called the passage of food from the upper sections. e to the bottom, that is, itself, where the digestion of food is directly digested. and this problem seems to be one of those the key most commonly used for plastic surgery of the esophagus

is the stomach at the moment. this is the most suitable organ for plastic surgery of the esophagus. she's esophagus. this is the only radical method of treatment, while the esophagus is removed and an artificial one is formed from the stomach, which is connected. the rest of the esophagus, since the healthy part connects to the stomach, patients can eat naturally to connect the esophagus to the stomach. in some cases, you can use part of the small or large intestine. an important point is removal of the lymph nodes of the esophagus, for their further examination under a microscope for the presence of malignant cells in them. it consists mainly of two stages. that is, the first is abdominal. this is when the stomach is mobilized in the cavity of the stomach. here, he is mobilized in order to give

him mobility, you can move him to the chest and neck. this is such a reconstructive operation. it turns out such a reconstructive operation. well , the peculiarity of this operation is that the mobilization of the stomach should be in order to preserve as much as possible good blood supply in the stomach, since it remains only on two vessels. this is the right gastric artery and the right gastric omental artery, and this is the whole complexity of this operation and the subsequent outcome, so the main task this is the abdominal stage, at which the stomach is mobilized very carefully, preserving all the communicants, and here i must say a few words in support of

early diagnosis if the affected area is small, instead of open surgery, the doctor may recommend minimally invasive. well , no matter what method of surgical intervention is offered for the next doctor, only one operation is indispensable. unfortunately, the majority of patients, more than 50%, come to us in the third and fourth stages. therefore, we have to not only operate, but also supplement the treatment with radiotherapy chemistry, and our task now is to optimize the treatment. we are currently implementing a scientific protocol in order to to improve the results of our treatment additional chemo and radiation therapy can be used in addition to surgery and either or combination of therapies can be used alone without surgery , but is currently only recommended for people who cannot tolerate major surgery due to a general

condition, however however, the last word in the choice of tactics remains with you and your attending physician . well, then he said, you have to live on your own, you have to fight, plus doctors. can win together? and you believe, i am absolutely one hundred percent. you maintain a normal lifestyle. you don't smoke smoke. here is this habit, yes, i didn’t get it, but i so wanted them to smoke, well, you understand that i was much less than a cigarette, i calmly had enough. now i'm smoking this pack. for three days the doctor came and said, listen, my dear, we'll quit or it will be bad for you to quit. the doctor says quit , because you are well preserved. you

have, as it were, a pleasant look. yes, you could have been good at throwing. one day alone prominent russian oncogeneticist professor evgeny naulich eminent in conversation. about the causes, cancer said, if tomorrow we wake up in a world where no one smokes, the number of new cases of cancer will be reduced by 30%. impressive numbers, a. imagine if these 30% include you or your loved ones, however. we have very little time left, and i have only one question for our second hero, how, despite the complexity of the situation in which ivan mikhailovich found himself, he retained such an enviable calmness. the main thing is not to panic equally peacefully weigh. here are less experiences. the more you worry, the more, it seems to me, that's all. spiritual

difficulty, and so, when you weigh everything and analyze it, it's okay, it seems, as it is not. life goes on not as scary shorts as it is drawn, we drew this devil in the face of esophageal cancer as realistically as possible, but aerobatics is not not to be afraid, as it seems to me, but to know about your illnesses and not fall spirit and find the motivation to fight for life, who if we remember the famous defense munchausen to pull yourself out of the swamp by the hair is a good idea, especially if you heard your address is not a comforting diagnosis. take care of yourself and your loved ones.