well, in transplantation, for some to explain, that is, what to do with the main one, initially i was generally incurable, but i didn’t abandon me, they didn’t leave me. here alexei evgenievich oversaw this process. he said that let's work step by step, we will analyze the medical records of our heroes and draw conclusions so as not to replenish the sad statistics of liver diseases, alas, the mortality rate 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 about yourself and your liver. more 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 tumors. these are benign processes,

parasitic processes and diffuse - this is when the entire organ is affected. uh, his entire parenchyma is what we call it, and that includes hepatitis, fibrosis and cirrhosis, that is, only some of them are infectious. this is only a part of them and almost half, uh, only infectious, and everything else is other reasons. speaking of diffuse liver damage, experts identify the following factors. risk, alcohol abuse smoking unhealthy diet, genetic abnormalities long-term use of strong drugs or antibiotics viruses autoimmune hepatitis cirrhosis sudden weight loss or obesity. however , i must clarify that this list much more, but knowing it, even it is possible to resist the disease of our hero boris aleksandrovich, 59 years old, and save yourself from hepatitis. he could not save himself from cirrhosis, but his personal doctor alekseev

evgenievich did everything possible so that today the patient himself was discharged from the hospital with a healthy liver. the life story is the story of the disease, with which we will now introduce you to our esteemed colleague , the situation is not easy, but from any difficult situation. there is always a fairly effective way out. and this is the same case, so what what kind of problem is this for the patient? and what has been done to ensure that he still was today, our patient already has 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, a liver disease developed, which we call it. and this cirrhosis became an indication for liver transplantation, that is, other options. also, they weren’t there, because cirrhosis was not simple, they were there, but he had

features and it took a certain 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 not a simple postoperative period, but we coped with all the problems. he endured everything patiently. eh, and now 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 complicated and dramatic. however. listen for yourself. well, the fact that i have hepatitis is due to where it started. i dont know, perhaps on the market, maybe even professional opportunities, some working moments, but we can’t prove this, let’s say, and i didn’t actually treat him. that is, when i asked you to go c, why, 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 foreigners for our citizens. it 's here now, it's been a long time. i've had hepatitis for 20 years already. here's st yes 100, that's about 25,000 dollars, and then whoever the whole thing was forgotten, but it doesn't hurt, an affectionate killer wind up, nothing hurts, nothing bothers you live and live, in general, on average, 75-80% of patients with chronic viral hepatitis c are cured after a full course of antiviral therapy, treatment, as a rule, they require hospitalization and are carried out on an outpatient basis. such a treatment regimen is accepted all over 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 fully responded to therapy, the likelihood of developing cirrhosis decreases tenfold, alas, ours. 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 vile deed,

even getting caught in courses here. i heard hepatitis c is treated. that is , i had courses in transplantology so that i am engaged in my professional activities. yes, yes, we learned in advanced training courses that there is some kind of key. what is the name of the treatment, that there are direct antiviral drugs and turned to kropotkin by the 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 hepaticcellular carcinoma is possible. as a matter of fact, that's what they found out in me. i tried a milliary carcinoma. a simple thing and liver cancer is the most common primary malignant tumor of the liver, about 600 are diagnosed annually in the world. thousand cases of the main causes of hypocellular carcinoma are chronic viral hepatitis b and c cirrhosis of the liver regular consumption of hepatocarcinogens,

which are found, for example, in spoiled peanuts less common causes, parasitic diseases of the liver, two high-tech endovascular operations were performed called hype chemobarization of the hepatic arteries that feed the tumor, and we have reached the level, acceptable for further treatment more or less radical on readiness. yes, these are my big colleagues. not bowed. well, along with colleagues, not you, because the main character came out, but how would, yes, they brought it to a level at which it is already possible, uh, some kind of radical treatment. that, in fact, is what happened to me, as a result, the jewish expectation was set. i did not find any otselov 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 aleksandrovich 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 liver damage. patient 5 on april 21, an angiography of the celiac trunk and hepatic arteries was performed on a diagnostic study, an extended structure was revealed - an extended lesion of the 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. yes, yes, our hero is caused by an extended lesion of his own hepatic artery, its narrowing, the so -called stenosis. how did you manage it was performed balloon angioplasty using a minimally invasive technique, this image shows the diameter of this balloon is only 2 1/2 mm. so, when the structure was enlarged, even the nocturnal artery

was subsequently installed a metal mesh stand, a prosthesis, which held it like a frame. prospect restored blood flow, achieved optimal results, 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 that a transplant was carried out, what else can happen, but immediately after the operation, he needed the help of doctors in the postoperative period, some vascular and billiard complications arose. but in our center in our department, we have accumulated a wealth of experience, as more than 800 food transplants have already been performed, in more than 10 years. e 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. what is the role of youth in the religious life of the country, but in fact, when you go to the temple, but among the people almost. well, age, our youth. it is especially noticeable in the temple and also especially noticeable in church life in general. what experience is necessary to go through in order to realize the deep meaning of the faith ? what should a believer do to get closer to god on a hat? yes, it’s better for them to be jesus through the fault of being faithful to him with a word and christian men.

and we are already deciding whether to invite him into our hearts or not. look, spiritual and educational projects on tv channel belarus 24. dance is the pulse of movement breathing is the rhythm of life. fashion illustrations the art of conveying fashionable ideas in a visual form the road a spoon for dinner cutlet new theatrical forms author's reading of classical works the search for sacred meaning every week we are in a new place, watch the fashion for culture project on

wednesdays on belarus 24 tv channel. minsk scientific and practical center for hematology and transplantation surgery, to reveal the secrets of liver disease, but we have already told you the history of the disease of 59-year-old boris aleksandrovich, an anesthesiologist , the liver, which required replacement. it turned out that i have problems with the liver. serious enough. i won't hide. strictly speaking, that is, hepatitis c is transformed, either fibrosis, or the appearance of a hepatocillary operation is possible. as a matter of fact, what they found out in me is that if hepatitis became the trigger for liver disease in our hero, then c in many of them friday beer will be the trigger, and some

people find that if they drink alcohol. the second day or 2 days a week on weekends are strong drinks, then liver diseases will change them most inevitably, because cumulative matters, that is, accumulation by effect. in 5-10 years. many of these people can develop fibrosis and cirrhosis of the liver. that is, it is not necessarily a reaction. here and now it’s completely backfired to respond much later, decades later. that's just how it happens there is later, but not a decade of 5-10 years, and liver disease is already manifested and the question immediately arises. how to prevent the development of the disease for people who do not have risk factors and liver disease is impossible to understand with confidence, 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 , obesity, which abuse alcohol

must be followed. dual diagnostic plan developed by the treating a hepatologist, therefore, if you do not have hepatitis, and you do not abuse alcohol, but are overweight or have diabetes, do you know? you are at risk liver dislikes being overweight liver dislikes. 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 of them. and all this leads to the appearance of excess weight, then to fatty hepatosis in the common people, fatty liver and fatty liver, as well as alcohol. in five to ten years, maybe lead to cirrhosis of the liver. and i want to say that cirrhosis of the liver, as a result of fatty hepatosis, is in technologies that drink little alcohol. non-alcoholic theology also accounts for up to 20% of indications for transplantation, so

what we eat. the value of being in a normal weight healthy lifestyle healthy eating is very important and here i would like to make a reservation. convinces that our liver is in danger and must be protected daily. what is right with hepatoprotectors, they say, only they cleanse the liver of toxins and toxins. all this flow of information is no it has nothing to do with scientific data and misleads you for the sole purpose of acquiring and using it for life with virtually no good 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 live 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 calculated on uninitiated people who do not watch the medical secret plus program and understand the processes that occur in the liver, because the liver itself performs the function of cleansing the body of toxins that enter it with food or are 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, which does not need cleaning, the main thing is not to interfere. this is an absolute and often dangerous profanity. 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. er, patients who come to us for a different reason, the second big area that

we deal with in times of surgery. this is surgery of the liver, bile ducts of the pancreas, and this patient had tumor diseases that were located in a difficult place in the liver itself and according to standard formal signs. could the patient be denied? surgical care and taking risks and not taking risks is not the same as not taking 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 e-resection, that is, the removal of a section of a large vein of the liver and its prosthesis with the same area from an e-from a donor. and this operation went well technically, she

recovering, but also not smooth postoperative period with complications. in this case, we regard the complication as a possible scenario when an error is in no way, of course, not an error. because if a patient comes to the operation weakened and he is forced to endure a major traumatic operation, the body cannot e. uh, nee doesn't do it perfectly and doesn't tolerate such an operation perfectly, so complications are possible, but complications. uh, too. she's already in the resolution phase. is and soon we'll see it, we 'll see it's a good story, optimistic, history, of course yes, when there was no light in the tunnel at the end of the tunnel, and in the near future. 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 why she ended up here and whether there was a chance not to become a patient of hepatologists of transplantologists, her throat hurt, and it stinged like that, so i came comfortably uncomfortable, so i started with the clinic, and then the endocrinologist sent enteroll's gosts here. here is the diagnostic center and here after all the examinations that brought me out of this e tumor. well, when you found out how you were somehow frightened in your diagnosis, you were upset. of course, you yourself understand how unpleasant it was, painfully insulting. these words are most often heard after my question about a person's reaction to a diagnosis that doctors make to him. but i will not tire of

repeating that resentment is a destructive feeling. yes, we can't always manage with your 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? with me why. yeah well, that's just the job i worked for. i believe that all the time with bleach. i think something she gave me and did a disservice . yes, yes, on the one hand , water chlorination 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 carcinogenic substances, 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 in the ward. she came in, the climbing doctor, and we couldn't help but ask his opinion on the case history. ivanna's bile duct was found to have a tumor. this problem required very large liver resection surgery. 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 conventional operations it needs to be done with only one bile duct, then in this case the number of these bases was done five with

five very small ducts or not. this feature was anatomical too, but that especially the gold that the resection was sufficiently dilated and we had to recede the segmental ducts of the liver. it is difficult to transport by hepatic drainage. complicated large operation very late ended with the use of microsurgical technique. my teacher gave me interesting pieces to play. i also played classical jazz pieces. somehow i liked the sound. this is such a synthesis of an ancient asian instrument and the european first sound, is it a moment

of some kind of uncertainty, or what? and of course, when it works out, it's, well, here it is. nice it pleases. these are my native instruments. i love him and treat him with tenderness and warmth. so the dulcimer is the ancestor of the piano, because the piano harpsichord clavichord materials from which they can be made have a very huge spectrum starting. here, from a tree there, ending there with some nuts and from the same coconuts, but to extract sounds separately, see the sound project in a case on our tv channel. real professionals and masters of their craft one of the only

brands with its hobbies. belarus who is engaged in leather jackets, and we collect them here one leather jacket is collected by six people at once. we were the first in belarus who grow lavender on such a scale and share their experience and secrets of a good mood, and the peculiarity of our brand is that we are not afraid to do it. we just do we try to grow even more new varieties to produce so that we do not offend them, so that they enjoy our work. watch the belarusians in the project on our channel. you watch the medical mystery 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 , a game in which we turn back time, whatever you do in this life with the expectation of good health in old age. or there was not a single thought at all, but old age, and aged. in fact, i probably would have tried. do not think about the bad do not sin. but more to believe in god that is, as it were, this feeling of something the unlived 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, i probably would have been more actively 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, if i took care of my health, so there would most likely be no other hepatitis. that is if you had previously paid attention to the disease, to yourself, to your condition and pasted those steps that you have already taken, then everything would be completely different . 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 not predictable sometimes. she twists

the plots so much that you simply cannot survive without the intervention of professionals, especially when you are a child. you don't. and for a year he was not guilty of anything, before his body a part, as if our work is help. hey, our kids. that's when we said this liver transplant this and that, that is, the disease does not sit on anyone not adults, nor children fortunately. children get sick less often. ah, and we need to perform liver transplantation in children, we have somewhere around 10-12 times a year, but about the same number of 15 can be 20 times during the year. we perform complex operations on the liver, bile ducts and pancreas, even though 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 perform with success with such such children. here's an example of what i wanted to show you, moving closer to the computer. yes, an example of this is the performance of a liver transplantation from a related donor, when for a child we transplant only some part. 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.

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nature 24 hello everyone. you are looking at the project of the sportkadr agency of styles. this means that the most relevant hot sporting events under discussion are ahead. for example, tennis, for example, the us open showed that no one benefits from the suspension of athletes who, well, can not influence the geopolitical context in any way. russians. belarusians. they performed brilliantly on the courts. new york, stopped a step away from the title fights for men, sobolenko for women, in comparison with wimbleton, where representatives of the two countries. we did not see the us open turned out to be much more intense and gripping.