and on the belarus 24 tv channel they live in the south of belarus in the morning the sun rises at dawn , the sonorous cry of the cranes is heard, native will hug and meet no better, the villages get tremendous pleasure. from every passing day, coaxing a dude to himself on a chair, a good reception was so good for me on the stop was to lie down. i was asleep. eh, kind to me is welcome. i’m not a foster acid of some wild chews and instill this love of life in their families and friends 10 daughters and three sons. can you imagine how many cousins ​​it is. family woman. these are the people i already relatives, watch the draft policy on belarus 24 tv channel. in

our last program, we introduced you to a unique method of relieving a person from pain, chronic, intolerable, exhausting, disabling and breaking. yes, even such pain is now within the power of doctors. true, surgeons call this method of interthecal therapy, analogous drugs, and in just a couple of minutes we will show the final stage of the operation and proceed to setting up the equipment. in the meantime, meet a young woman who literally died 3 months ago from pain, since we had it already 3 months ago in july. yes, even before the operation, you were more disturbed, where i remind you, remember that it’s good in your legs, that is, remember that you put a test stimulator. yes, a test electrode and a program was selected, in principle, it was easier for you to get up on the test program. we have delivered to you.

wooden stimulator and 3 months have already passed. that's something has changed since then or not, the pain in the legs is gone completely, the pain in the sacrum is gone partially. now i can do more work than i did before the operation. although some side effects effects. maybe there is something he does not like, something else effects. no, no, no, yes, so , where were you, there was some kind of twitching, right? and now they are a little bit. yeah. when i drive and sometimes when i get tired, well, i did some great work, that is, in principle, well, we can slightly reduce the stimulation parameters for you so that these effects go away, but in this case, some kind of pain syndrome may appear. that is, you must understand this, so we are now programming the device a little with you and look at effect. if there are any questions, you will then be there in a week or two at the entrance. we will look at you once again agreed that we

are talking about a pump with a power engineer. it can be morphine, it can be ordinary, depending on the nature of the pain, but in general, this whole technique has an extremely personalized approach. after all, even equipment settings are carried out for a specific patient. in the case of our heroine. everything was exactly like this, she was 29 years old, when the child was born, i did not yet know that i had such a disease. what, excuse me? and what? what, what kind of disease disease a karlov's cyst is a very large cyst that some people have at a small stage and no one knows about it. and it has progressed for me. she has been progressing for over 10 years. i did not know about it, christina was ill, it seemed that she was intimately familiar with this disease. yes, nowhere did they hear or see small echoes that i did not know that the cyst from orlov's sacs in the region of the nerve roots filled with liquid is associated with this disease. typically, these cysts

are found in the sacral spine. along the posterior nerve hooks, very often the disease proceeds without symptoms and is accidentally diagnosed by ultrasound . right here in this hospital. i was offered an operation not to remove such a cyst can not be removed. and i was offered to connect it to the dural sac so that it circulates and does not grow and press the nerve endings further. otherwise, i might just not go anymore. listen, you are a doctor. i am not a doctor but i have been with this disease for more than three years and i already know a lot about it. so you were offered an operation lived an operation. i am agreed, they gave me time to think, but i still agreed, they did it here, several doctors did it, and they made me connected to the dural sac right away for the first

year. i thought it was even worse. i had even worse pain, but then, uh, somehow i realized that after all, it didn’t grow, and well, the pain still remained severe pain, and i had a lot of contraindications and heels can’t be loaded, you can’t lift heavy, you can’t lift two- three, a kilogram more still can not be lifted. and well, the pain is still left doing homework was difficult. i have already become disabled. i have been on disability for more than 2 years and then i arrived. well , anyway, i went quite often to other doctors and came here for consultations, italy petrovich offered me just such an operation. about unique personalities breaking stereotypes, we are examples of our own experience to realize that well, uh, one person, as

it were, passed away that night, and i remained alive. i use my husband’s remedy there and distribute bread, of course, so every one of you did this, yes with that's what you're dealing with negativity. ah, even in this form, it’s as if you’re just surprised that it really can still affect from the side, like they said something bad and bad in the hospital, so she wo n’t last 4 months on you. and if it lives, then you will water the plants. i see that he really likes what those families need, then, i don't even know how to call it emotions. ah, some kind of satisfaction. i don’t see that i will have a life, because everyone in the future is in a wheelchair. you are not striving for your goal, then nothing will have to be persistently ashamed to persevere. e, so you want to go to this, watch the program to break stereotypes on belarus 24 tv channel. they called

from primorsky, a man from moscow showed up interested in the murder of semyon , it looks like a cop. try not to take risks. if something happens to you, i will not forgive myself this prosecutor's office. they've already been informed. he has a close relationship with a homeowner, and in the authorities he won’t stroke the saying for such a thing. look at me. i shudder when i hear kirill's name i wind up business in russia i'm going home to austria, marry me and we'll go together. you said that you have a person who solves problems. well, yes, it is quite possible to trust him, call him. let him come to the office. urgently. watch the tv series smile of a mockingbird on belarus 24 tv channel. so, we are in his operating room, it is here

that intrathecal therapy with analgesic drugs takes place, operating surgeon vladimir vladimirovich alexei ovets. the catheter is placed together where the spinal cord is absent so as not to inadvertently injure and create to the person a problem with an exit. a serious problem of injury to the spinal cord, this is a difficult situation taking place below the level of the l2 vertebra, now a special fixing device is being placed for the catheter so that the person does not go anywhere, the campaign of life moves, there are

all sorts of situations and so that the catheter does not come out with the movements of the body, does not migrate it is fixed nowhere. and we already have a pump there, now you see the pump, yes, open it. now you open the pump. you can look at it. which will be implanted into the theme. according to which 5 6 7 8 9 10 m should serve, in fact, the service life is also individual. it can last 6 years and 10 or even more after which it is replaced with a new one. this procedure takes 30-40 minutes. while the subcutaneous pocket is being formed. now vladimir vladimirovich will fill the device with a drug. yes, that is, the driver of the drug will directly enter the pump, then only after that

it will be implanted into a person already charged with the drug. the pump is so solid. i thought it would be smaller half the pump for children. and they are more likely to be treated for spasticity syndrome. uh, an introduction to entropically baclofen. here it is two times less than 20 ml. this is a 40 ml pump. and it’s understandable that children have less subcutaneous tissue , and therefore less equipment, but its minus is that it requires more frequent refueling, that is, for children, the dosage of drugs is less, respectively, and refueling is also less common, and for adults, such a small pump costs because if refueling will be done very often high risk of infection by ingestion of microorganism development photographed pumps, as applied to patients with infantile cerebral. this is also a separate big topic. the use of baclofen to relieve spasticity caused by cerebral palsy has changed the course and the prognosis of this serious disease. maclofen belongs to the group of centrally acting merilaxants,

a drug that reduces muscle spasm. due to the complication most often, this infectious complication is less likely to form, well, the infection session, as a result, in this case, may be the development of meningitis. although in our practice. we haven't observed meningitis yet, but it's theoretically possible, and in second place is the formation of pressure sores more often in the area of ​​implanted neurostimulators , or in this case, uh, bleeding is even rarer, and the most rare, like it got sunburnt, it or quaria, and hmm, various complications, associated with trauma to the central nervous system i lead implanted equipment. but taking into account our experience, and taking into account the sterile conditions of the operating room and the correctness of the operation technique of such complications. we practically don't have it, by the way, he says, not only about the favorable features of a single patient, but also about the high professionalism of surgeons, they themselves are

modestly silent about this, but we know that a refueling kit is being opened. well, for refueling, respectively, the same as when refueling on an airplane yes, space technology. yes, but this is already an outpatient procedure most often for wrinkles, given that it is a drug? narcotic for him, it is carried out in a hospital, because it cannot be passed on an outpatient basis. just not so much to whom, that's what they call treatment spasticity, that is, most often i still have spasticity and more often in children, because after e-e to correct a violation in children's sabbal paralymism in adults , these are often various post-traumatic forms of spasticity, fasting, stroke, stroke, the principle of action is the same as primorfinia output. in the hospital, a test is performed, a

small dose of the drug is administered interthecally, in this case, morphine, in general, bacon is more likely to have an effect. if the patient is satisfied with this effect, yes, we are already raising the question of direct implantation of a system for interthecal gasoline, if we are talking about a morpheme, its feature is that it can far beyond the injection site of all other pioo, ed remain in the cerebrospinal fluid for a shorter time of such a device. uh, one of the fillings lasts from 2 to 5 months, depending on the rate of administration of drugs, the rate of consumption, then the patient comes to the gas station individually. yes. eh, of course. yes, of course, each patient is selected individually in the hospital. drug after surgery. and what about anesthetics? the introduction

of switching on the apparatus is carried out in the conditions of the intensive care unit, because there may be violations of cardiac respiratory activity if the anesthetic goes high enough to the level of the cervical spinal cord or wait for the medulla oblongata. he would have a respiratory disorder, so the pump is turned on in intensive care. imagine what structures doctors have to deal with, this is aerobatics, i must tell you and our doctors put this kind of intervention on stream, one of the most striking examples is, and our patient, and our paralympic belarusian champions alexander three putin who is worth an analgesic stimulant and it was very significant when, after replacing the battery, he jumped with a parachute after 2 weeks, you know, easy element of the boy on the other hand, he is skydiving. i

don't. it's such a stimulus to life. there is a problem with him. he is ah, well, a health problem, let's say, and with a pain syndrome, which we helped him occupy, and he not only was he able to jump with a parachute. he 's at the paralympics. she didn’t win a bronze medal for this on the previous one, in my opinion, i’m afraid i’m afraid to make a mistake, but it definitely became, and the troikers are such medical olympic stories in the operating room of the republican scientific and practical center. about the legs and neurosurgery, however, the operation. the technical part of the implantation of the hmm pump independently and the catheter into the spinal canal has already come to an end. now the next step is to program the pump to select an effective and safe dose. anesthetic, which will save a person from such suffering. in general, no less important

stage than the one that actually these two stages. they're both equally important without uh normal implantation. it is hardly, probably, possible to pick up the dose and without, uh, normal programming, we will also not achieve it at all, because, therefore, the next stage is no less important, it will be tomorrow. so the catheter pumps are implanted next in line ; pump programming in accordance with the required estimated volume of medication per day is additionally provided for and the dose and the frequency of administration of the medicine to relieve the manifestation of pain are being programmed ; now we will sign the pump for several manipulations to sign, they are all half-direct simple passport data for patients, passport data for the doctor, as well as something for the pump, so we will not perform this function now. well, there is a technical feature here, so that after filling with a medical preparation it should not be stopped for more than 48 hours, so

just in case it is turned on at a minimum titration. a purely technical patient is not there will still be no therapeutic effect at first, and tomorrow such high-quality programming with e. hmm, with a therapeutic effect , it was easier to find on what dose of the patient such medicine is easier. of course, we all expect her to get rid of the very cause of pain, but while scientists around the world are working to find solutions for people with chronic pain. they can't wait, they need relief today, and modern medicine can make homo sapiens a long-liver. yes, because the future is already here, the future is today.

far from the bustle of the city, here are your roots and your strength. go ahead to come to you. slow down and enjoy the moment, and the direction will tell the elements every step of unity with nature. its wild ancient yelnya

belarus inspires yes , anya, you know what i would say, good satchel in belarus i would also say that. this morning on tv channels. i take one of the satellites. belarus 24. marianna morenkova and anna filore meet you in full combat readiness. yes, today we see off the last one.