worldwide, there are approximately 200 million patients with chronic liver diseases, about 14 million. of these, they have cirrhosis of the liver, but there are much more frightening figures according to the world health organization . hepatitis c and as you know it is they viral hepatitis that is the number one factor in the development of cirrhosis and liver cancer. today the film crew of the medical secret plus program at the minsk scientific and practical center for surgery, hematology and transplantology to reveal the secrets of our patient liver. first, my throat started to hurt. i went to a therapist.

then to laura to the endocrinologist endocrinologist. i sent gasta to the enterologist here on the ninth. here i was examined and this tarologist revealed my dangerous bad disease. and what kind of disease did you find yourself a tumor ? it turned out that i have problems with the liver, quite serious. well, i won't hide. strictly speaking, hepatitis c is transformed, either fibrosis, or the appearance of hepatocillary-caccinam is possible. in fact, that's what i found. moreover, a multifocal lesion was found. that is, several foci were submerged, and i was sent for a consultation in transplantation, so that some could explain. that is, what to do with the main one initially. i was in general and ship, but i will not leave me. here alexei evgenievich

supervised this process. he said that let's work step by step, we will analyze the medical history of our heroes and draw conclusions so as not to replenish the sad statistics of liver diseases. level mortality in the development of liver failure remains high, despite modern advances in intensive care. the world health organization predicts that in the near future the number of people suffering from liver diseases will double; we invite you to learn more about yourself and your liver in our leader in the world of health and liver disease will be the doctor and pathologist alexei evgenievich shcherba all liver diseases are divided into focal diffuse focal are tumors. these are benign processes, parasitic processes and diffuse - when the whole organ is affected. uh, his entire parenchyma. we call it that, and this includes hepatitis, fibrous cirrhosis, that is, only a part of them are infectious. this is only a part of them and almost

half. e, only infectious, and everything else is other reasons. speaking of diffuse liver damage, experts identify the following risk factors h. you do not drink alcohol smoking unhealthy diet genetic abnormalities long-term use of strong drugs or antibiotics viruses autoimmune hepatitis cirrhosis acute weight loss or obesity, while i must clarify that this list is much longer, but knowing it, even it is possible to resist the disease of our hero boris aleksandrovich, 59 years old, and protect yourself from hepatitis. he could not, just as he could not save himself from cirrhosis, but his things and dr. alexei evgenievich did everything possible so that today the patient himself was discharged from the hospital

. the situation is not easy, but from any difficult situation there is always enough efficient exit. and this is the case. so what is this patient what is the problem? and what has been done to ensure that he still was today, our patient already has, uh, a good day in the treatment process. today he is ready to be discharged. uh, but it all started many months before. until this day, it all started when due to viral hepatitis. it happened to him. uh, developed a liver disease that we call growth. and this cirrhosis became an indication for liver transplantation, that is, other options. they also didn't exist because had cirrhosis. eh, it was not easy there, but he had some peculiarities and it took some preparation. uh, in order to be able to carry out this operation for him with the greatest effect, and the operation went well , he had a difficult postoperative period, but we coped with all

the problems. he endured everything patiently. uh, and now, uh, they are being discharged at home. yes, boris alexandrovich is also an anesthesiologist. and although dr. shcherba quite optimistically told his medical history, everything began much more complex and dramatic. however. listen for yourself. well, about the fact that i have hepatitis c by my mother, where it worked. i don’t know, maybe for some, maybe even professional, maybe some working moments, but these are not provable, let’s say, so i didn’t actually treat him. that is, when i perepadi c asked what, like alpha interferons, the absolutely exorbitant cost of a course of treatment and with a poor result. in general, the course of treatment yes, for the price it is for foreign citizens for our citizens. it's here now, it's been a long time. at i have had hepatitis for 20 years already. so std is about 25,000 dollars, and then whoever the whole thing was forgotten, but it doesn’t hurt, an affectionate killer.

start hepatitis c nothing hurts, nothing bothers you live and live, in general, on average 75-80% of those with chronic viral hepatitis c are cured after a full course of antiviral therapy, treatment, as a rule, does not require hospitalization and is carried out on an outpatient basis. this treatment regimen is accepted throughout the world. the course of treatment can last from six months to a year, even in those patients who have been treated but have not responded to therapy in full, the likelihood of developing cirrhosis decreases tenfold, alas, our roy boris alexandrovich, due to various circumstances, could not get into the statistics of those cured and, as the hero himself said, the silent killer of hepatitis c did his dirty work, falling for courses from here. i heard hepatitis and are being treated. that is , i had courses in transplantology so that i am engaged in my professional activities. yes, yes, we learned at refresher courses that there is some kind of

key that is being treated, that there are direct antiviral drugs and turned to kropotkin's conditioningists. they took me to work. and that it turned out that i have problems with the liver, quite serious. well, i won't hide. as a matter of fact, that is, and hepatitis c is transformed, either fibrosis, or the appearance of hepatocillary is possible. as a matter of fact, that’s what they found in me. i tried milliary carcinoma colloquially liver cancer is the most common primary malignant tumor of the liver annually in the world, about 600 are diagnosed. thousand cases of the main causes hypocellular carcinoma chronic viral hepatitis b and c cirrhosis of the liver regular ingestion of hepatocarcinogens, which are found, for example, in spoiled peanuts less common causes, parasitic liver diseases have not been performed two high-tech endovascular operations called hype chemobilization of the

hepatic arteries that feed the tumor, and we reached a level acceptable for further treatment of a more or less radical organism on readiness. yes, it is my colleagues who bow with colleagues. and you, because you are the main character. well , as it were, yes, they brought it to a level to which, perhaps already, uh, some kind of radical treatment. here, in fact, what happened to me was put in the end in the forest of waiting. and i didn’t find any cells outside the liver. and on the sixteenth of march 16, i had a transplant and i feel myself. i feel pretty good now. now boris alexandrovich is doing well, but his path to a healthy, albeit not his, liver was not at all easy in terms of finding the cause of ischemic damage to the liver on april 5 , 21, the patient underwent angiography of the celiac trunk and hepatic arteries. a

diagnostic study revealed an extended structure of an extended lesion of his own hepatic artery. this is the feature of a very complex intervention. it lies in the fact that this is not only a diagnostic procedure, but it allows you to eliminate the cause. what is the reason for our hero, the reason for the extended defeat of his own hepatic artery, its narrowing, the so -called stenosis? how are you with this managed, a balloon angioplasty was performed using a minimally invasive technique, this image shows the diameter of this balloon is only 2 1/2 mm. that's when the structure was expanded yet the nocturnal artery was subsequently installed stand metal mesh prosthesis, which as a frame held. the lumen stopped the blood flow, achieved the optimal result, eliminated the cause of ischemic damage. the history of the disease of our hero boris alexandrovich at

each stage built more and more difficult obstacles for our doctors. and it would seem transplantation was performed, which can still happen, but immediately after the operation he needed more help from doctors in the postoperative period, some vascular and billiard complications. but in our center in our department, a wealth of experience has been accumulated, since more than 800 food transplants have already been performed. e more than 10 years with these complications. we managed to cope and at present boris alexandrovich is ready for discharge in a completely satisfactory condition in good health, and i think in a good mood. broadcast 24/7 is a project in which

there will be a place for a brief review on important topics, the outgoing weeks about the unique rituals and original culture of belarus. in addition, we will take a walk with our guides and learn a couple of unusual belarusian words. we will immediately cut off a per-shag of bread, an onion of a kranyukha of bread, cut it off, and you and don’t forget to appreciate the work of people who make bread with gratitude - they raised it for you, and you chewed it. we talk about the most important thing, watch the broadcast 24/7 every friday evening. about the weather in particular and about the climate on the planet in in general, the level of the caspian sea is subject to fluctuations with a period of 20 o 30 years. that is, it

periodically rises, periodically decreases drinks from this beautiful glass , and we can use lead in some countries, crystal is prohibited for such urgent problems. e of the current issyk-kul, again, according to literary sources, is certainly the littering of the coast with garbage. here, the most important thing is not the bottle, which lies in the forest, but the person who left it there and threw it away, watch the teleborometer on belarus 24 tv channel. group of the medical mystery plus program at the minsk scientific and practical center for surgery of hematology and transplantation to reveal the secrets of liver disease, but they already

told you the case history of 59-year-old boris aleksandrovich, an anesthesiologist , the liver, which required replacement it turned out that i have problems with the liver, enough serious. well, i won't hide. strictly speaking, that is, hepatitis c is transformed, either fibrosis, or the appearance of hepatocillary-causative is possible. as a matter of fact, what was discovered with me, if hepatitis became the trigger for our hero’s liver disease, c then for many this very trigger will be friday beer, and some people believe that if they drink alcohol every second day or strong drinks 2 days a week on weekends, then their liver diseases name. most of them are inevitable, because the cumulative value matters, that is, the accumulation of the effect in 5-10 years. many of these people can develop fibrosis and liver growth. that is, it is not necessarily a reaction. here and now quite completely backfire and respond much later later, there decades. that's

just what happens later, but not decades of 5-10 years, and already liver disease manifests itself and the question immediately arises. how to prevent the development of the disease in people who do not have risk factors, liver disease can not be understood, it is impossible to be sure, doctors just need to periodically undergo control studies at least once a year for people who are at risk, who suffer from chronic viral diseases, diabetes mellitus and obesity who abuse alcohol is necessary follow an individual diagnostic plan developed by the attending hepatologist. therefore, if you have hepatitis and you do not abuse alcohol, but are overweight or have diabetes. know you are at risk of liver do not like excess weight liver does not like. uh, what we call in the professional and in the community insulin resistance. it occurs when a

person, when a person consumes a lot of calories from food and spends little. and all this leads to the appearance of excess weight, then to fatty hepatosis in the common people obesity liver and fatty liver as well as alcohol. after five to ten years can lead to cirrhosis of the liver. and i want to say that in technologies that drink little alcohol, cirrhosis of the liver as a result of fatty hepatosis, non-alcoholic theology also accounts for up to 20% of indications for transplantation, so what we eat matters to be in normal weight, a healthy lifestyle is healthy nutrition is very important. and here i would like to make a reservation, we are constantly being convinced that our liver is in danger and must be protected daily. what is right hepatoprotectors, they say, only they cleanse the liver of toxins and toxins. all this flow of information has nothing to do with

scientific data and misleads you with the sole purpose of acquiring and using it for life without any serious reason. often questionable preparations of the liver, has a very high regenerative capacity and liver cells are able to divide. or it is correct to say to be updated every 300 days and thanks to the genetic ability to do. this is 150 times the food. ours is technically able to survive 120 years, if the liver is healthy, it does not require any pills, it does not need to be cleansed in any way liver cleansing is a myth designed for uninitiated people who plus do not understand the processes that occur in the liver, because the liver itself performs the function of cleansing the body of toxins entering it with food or formed as a result of metabolism in the body. the liver is not a sitachi from which toxic substances

pass and which needs to be cleansed. the liver is a complex biochemical plant. if you want, who does not need cleaning, the main thing is not interfere. this is an absolute and often dangerous profanity. and so another case. another case history from a patient and if i may say a few words about what brought her to the clinic, this is a patient who is one of many. eh, patients who come to us for a different reason, the second big area that we deal with in ordominal surgery is surgery of the liver of the bile ducts of the pancreas, and this patient had a tumor disease that was located in a difficult place in the liver itself and according to standard on formal features. it would be possible to refuse surgical care to the patient not to take risks and not to take risks, not to say not to take risks at all. well, that means the patient does not put any

chance on a radical one. uh, cure and to improve the prognosis of life. and during the operation in this case, as in many others. in such cases, our skills that we use during transplantation came in handy. she had a need for resection, that is, the removal of a section of a large vein of the liver and its prosthesis with the same section from e-e from from a donor. and this operation went well technically, she is recovering, but also not a smooth postoperative period with complication. but in this case, we regard the complication as possible scenarios when an error is not an error in any scenario. because if a patient comes to the operation weakened and he is forced to endure a major traumatic operation, the body cannot e. uh, not ideally endure does not cope and does not

ideally endure such an operation, so complications are possible, but complications. uh, also it is already in the resolution phase. is her we'll see about it soon and it's a good story, an optimistic story. yes, when there was no light in the tunnel at the end of the tunnel, and soon. yes, she is out. well, he will spend some more time, but he has already named a critical period. meet this is nadezhda ivanovna exactly her story. dr. shcherba just told us, but patients always have their own vision of the problem, we will find out from her herself why she ended up here and whether there was a chance not to become a patient of hepatologists transplantologists got a sore throat, and it stinged like that, so it was comfortable and uncomfortable, so i started from the clinic, and then the endocrinologist sent guests here to the enterologist

diagnostic center and here after all the examinations that brought me this cookie well, when did you find out about i was somehow frightened and upset about my diagnosis. at what time, of course, you yourself understand how unpleasant it was, painfully insulting. these words are most often heard after my question about the reaction of a person to a diagnosis that he doctors put, but i will not tire of repeating that resentment is a destructive feeling. yes, we can not always control our emotions. but even if you are overtaken by resentment, look around, take a deep breath and move on. let it not become your brake on the way to health. why did this happen to you? hmm with me why. yeah well, that just went through the work in which i worked. i believe that

all the time with bleach. i think something she gave me and did a disservice. yes, yes, on the one hand, chlorination of water saved humanity from the risk of infectious diseases and epidemics, on the other hand, scientists in the seventies and eighties discovered that chlorinated water contributes to the accumulation of carcinogens , moreover, among the population that consumes chlorinated drinking water. especially from superficial sources were identified in the case of cancer of the esophagus, rectum, breast, larynx, and liver disease, that is, it is not necessary to work with chlorine in order to become its victim, when we talked with our heroine, she entered the ward to treat the doctor, and we could not help but ask his opinion about the medical history of ivanovna in the bile duct, a tumor was found. this problem required a very large

liver resection. well, not just a resection of the liver, the main difficulty was that with the remaining part of the liver it was necessary to impose what are called anastomoses so that the bile from the remaining part of the liver could be cut off into the intestine. and if in ordinary operations this needs to be done with only one bile duct, then in this case the number of these main ones was done five with five very small ducts or not. this feature was anatomical too, but what was especially gold, that the resection was quite extended and we had to retreat to the liver. it's complicated. well, in principle, hepatic drainage. complicated large operation very late ended with the use of microsurgical technique. dacha is a great

place for both work and recreation, my dear, insect, there is absolutely nowhere for you to live, but don't be upset. today we will build a house for you. oh, how convenient it is to do overalls, you can crawl on your knees, it’s best to do a shelf on your knees, because when you kneel, the load on your back is reduced, an unforgettable unity with nature to turn a home for insects. first, at their convenience instead. secondly, in an aesthetically pleasing object, in my opinion, this is the most common question and the most correct solutions. i always thought that you need to dig potatoes with a shovel, and you are so skillful, you took the villas, you feel the aroma of lavender, a real antidepressant. we are sitting with you

purple lavender blossoms. and to us it somehow to say everything is a little bit lavender, watch the dacha project on our tv channel an expedition to the patches of our ukraine. and here we are, the mansion of dedeno, that near the new york area you decided to wrap up the prick of his miners and investigate her history , the name of the originality and the back curling of the beard. dozhin's image. holy and the sheaf full of pistons, not god's beard. so they said on ve. u support day of reaping, let's give the second traditions a new bait gesture, let's say my heart. what are your thoughts

on the project on the pirates on our tv channel? you are watching the doctor's secret plus program. and today we reveal secret liver diseases. we have very little time left. by tradition, i asked our heroes a question so that they would change in their lives. if you could turn back time game we turn back time so that you don't do good health in old age in this life. or there was not a single thought at all, but old age, a aged to be exact. do not think about the bad do not

sin. but more to believe in god that is, as if this feeling of something not lived exists. it's just that this whole life is stressful. all this is imbalance , it was impossible to do this. you just had to follow in the footsteps of the commandments of god, so that you change in your life in your attitude to your health and to those fans who, unfortunately, have already tormented you. well, probably, activia would be looking for a way to treat the same hepatitis c. i think that if, well, in principle, these drugs appeared about seven eight years ago. and if i took care of my health, so hepatitis, most likely, everything else was not there. that is, if you previously paid attention to the disease, to yourself, to your

condition and stuck those steps that you later took, then everything would be completely different. i remember the cure of hepatitis c gives a 90% guarantee that there will be no development of cirrhosis or hepatociliary carcinoma? that is, it is a disease, as if warned, in fact, of course, to learn from the mistakes of other ideal scenarios for the development of life, but life itself, alas, is often unpredictable. sometimes. she twists the plots so much that without the intervention of professionals you simply cannot survive, especially when you are a child, you are not a year old, you are not guilty of anything, it is a part of your body, as if our work is help. hey, our kids. so when we talked about liver transplantation, this and this disease does not sit, no adults, no children, fortunately. children get sick less often. uh, and we need to perform liver transplantation in children, we have somewhere 10-12 times per

year, but about the same amount of 15 can be 20 times during the year. we perform complex operations on the liver, bile ducts and pancreas, despite the fact that we are not a pediatric facility. it’s just that we have very expert skills and knowledge in the treatment of these diseases and in working on these organs, but we are proud of this function, because we are glad that we can apply our knowledge not only to adults and the ability to but also children and liver transplants. we also carry out with success such children and here's an example of that i wanted to show you well, i'm moving closer to the computer. yes , an example of this is the implementation of liver transplantation from a related donor, when we transplant only some part for a child. this is called the left lateral section of the liver. it has a size of approximately 250

, weight 250-300 g is only 20% of the total, and the volume of the liver, but it is precisely it that is needed so that it fits in the small tummy of a six-month-old child. this is the last transplant we did 8 days ago.

and throwing blue lakes to the sky of the early ones, which corrected the races of the mlesse , for our