everything changes very quickly time goes by imperceptibly minutes days of the year we never have enough time to stop and think about those who are waiting for us at this very

moment it is worth remembering those without whom we will be so lonely on this earth it's time to say you know mom , i miss or listen , dads, right now, without delay, you need to say. i'm here, i'm here appreciate the time spent with your loved ones.

over the past 100 years, medicine has taken a huge step forward, but we no longer get sick, we forgot smallpox, what is the plague, we know how transplant heart to transplant everything that can be transplanted this led to the fact that during the twentieth century, the average life expectancy on the planet increased from 35 to 60 years, medicine has advanced very far in solving a variety of problems related to human health, but, alas, she has not decided all of them are standing in front of her today. a challenge no smaller than a century ago is still unconquered. glad, previously unknown viruses arise synovial regularity antibiotics lose their power new habits and lifestyle bring new diseases. at the same time, we are at the epicenter of the genetic revolution, intensively studying the structure of the brain. we rely on big data and robots. we are waiting for breakthroughs in the fight against aging and that's it. this is not possible without information.

he is their digital technology. at the moment we have done 3d modeling of myoseptectomy. as you can see, the model is in the middle section of the myocardium. a-a real-time model in real size. yes, this is the maximum . this is the objective cross section that we are trying to achieve along with the anomalous moves and this myocardium prevented the exit of blood from the left ventricle in the mouth, respectively, the patient had syncopal dizziness, that is, loss of consciousness. and it could end in sudden death. now it was out of control. now we are correcting the situation, in addition to this disease of hypertrophic cardiopathy. the patient also has ischemic heart disease, multiple lesions of the coronary arteries, two shunts. we kind of already did. now we will make the third

noise. most often, people learn about this disease by accident. it's good if you're at the doctor's office often it is she who is behind sudden cardiac death. today we know about hypertrophic cardiomyopathy, more we know how to treat it. innovation is not in the hands of a model whose patient is currently being operated on by the surgical team. ah, in my hand i get a model of a partition wall and what fragments are needed now for this operation. that is, this model is being prepared for operation. yes, but yes, that is, it is sterilized. she was absolutely sterile, and before that she was, as it were, modeled on a computer and printed on a 3d printer. farther. here it was processed. if here you pay attention. there are needles here.

these are the ideas of these corners so that you can already control the depth for sure. uh, let's say the myocardium during excision. first, is it possible to do without it at all? well, it means that the main uh function of this model is that surgeons already know exactly where and how much to excise during the operation. uh, let's tell me, take septa-feeding cards, yes, yes, hypertrophied cards, and the main method of treating this disease with blood flow obstruction. in the left ventricle , more understandably, this is the excision of excess tissue, a hypertrophied interventricular septum. the operation increases the useful filling volume of the left ventricle. if we did not have this method, which, of course, is still the last word. an analysis was carried out

regarding the fact that before such operations until 2017 were performed without computed tomography without e, already building 3d models. uh, there are about 40% of all operations, and the operation ended precisely with mitral valve replacement. that is, uh were uh, pathology, well, as if the operation itself is technically very difficult, that you need to feel already such a line, uh, which is acquired with experience, how deep you need to dry out. if the seichelles net is too much, yes, then there will be a defective septum rod, that is, a hole in the heart. these are so complicated too. if it is not enough, then it will be, 39. yes, that is, the hypertrophic picture is still a genetic disease, yes, which, uh, seems to be progressing. that's it with age, that is, people who are not completely carried out with the course of the outflow tract. i'm already better then no, there is no guarantee that it will not grow again, as it were. moreover, a quarter

of such patients after valve replacement are said to have prosthetic dependent complications, and 10% die from such complications. in addition, the quality of life is worse, because patients are forced to take blood-thinning drugs all their lives so that thrombo does not occur, gentlemen. we continue to operate a circle on the map of the hand. so vladimir vladimirovich came to the circle and proposed the idea that there is such a pathology, hypertrophic cardiopathy, there is 3d modeling. so we need to somehow combine this and use it in our coordination. well, you can say yes, because, well, in the west there are such technologies. uh, but specifically for hypertrophic cardiomyopathy, there is no such thing, that is, uh, to say that they are no or other screams.

there is no such specific modification of this operation, but they use silicone imprints as training. that is, a type of rehearsal, but unfortunately, these are very expensive models. there, well, they cost a lot of money to train on them, that is, we ca n’t just afford it. therefore, here is the developed method of virtual terrain vladimir vladimirovich which dr. artyom says will not be thrown away by this doctor andrushchuk, one of the initiators of the idea, creative inspirer and implementer. i wanted to say how this idea got infected in general 3 years ago, the head of the x-ray department or yena tatyana valerievna sent me a photo from the international sympto-small and 3d printed heart we then had a large the problem, the real problem, with the patients we've operated on with a hypertrophic pattern of apathy. we have

changed the mitral valve in half of these patients. that's how it would be offered in germany, uh, hmm, to our young man, yes, to a mechanical prosthesis, and we understand that this is not optimal at all. yes at this at this disease it is possible to operate successfully. eh, i know for sure. how much to remove the necessary tissue, while the neutral valve becomes normal or close to normal in its function, you understand and you don’t need to change it, you understand, and uh then for in order to understand how much you need to cut off no more and no less without doing bad, without making, in general, fatal outcomes from well , if there is too much excess tissue, yes, or m-m inexhaustible less i had the idea that such a printed heart each patient can be tried somehow to print and cut off on it. that piece

you need to explore is no longer by touch. yes , you can no longer feel the touch with a scalpel, and we made the first heart out of e, latex. we had it printed in germany, we got help from her sponsors, uh, who did it for the center. for free, yes, and uh, absolutely repeated, well, all the structures we really saw, it 's real hmm to see the whole structure of the heart in your hands with such rapture and fire in your eyes. doctor. androshchuk talks about his brainchild, he created it, but he is proud. i think each of you. we have already improved in the future, reducing the cost of printing, making it not uh, let's say. not from a rubber-like material, but already from cheap plastic, and i don’t print the whole heart, but only our area of ​​​​interest, and then we began to conduct without sawing this

plot. uh, with a crowbar or uh, say, with a saw, but did they begin to carry out virtual operations? i am already operating, uh, a virtual 3d model, also operating virtually and having the result of an ideal between the ventricular septum and the fragment that needs to be excised, all this has gone through certain stages so that we now do not see what you saw. let's start the morning together, in order to prepare the right breakfast , first of all, you need to buy the right products. and, of course, what kind of breakfast without vegetables will we bake too big the size indicates that the vegetable is overripe; it is not worth eating such fruits. let's do the exercises of the body weight completely on one leg and

take a little. who how much can ah exercise free time workouts doin, i like to play football games. this is an active game. here we represent it charging football and get useful tips. if there are few muscles, then there will be less strength, there will be many muscles, it will be harder to carry oneself, you can find some middle ground in which the athlete will be comfortable and will not experiment, because the harmony of taste gives us saturation. watch the breakfast of champions program on belarus 24 tv channel. you know me better than anyone. and i and you love the doctoral, come on, listen from the hunger strike blocked.

uh-huh. therefore, you will have to leave like a sheep. which day i have been pregnant for almost 6 weeks, watch the tv series swallow's nest on belarus 24 tv channel. the model used by belarusian surgeons, a copy of the heart for each patient is created individually. a three-dimensional model helps not only determine the plan for the upcoming operation, but also control the volume of

surgical intervention. as an information model for its printing , computed tomography data is used in order to obtain the 3d model itself. can we get the source material, that is , our source is the format, daikon, what is it? this is a lot of pictures of the human body. yes, for example, from the chin to the navel on a ct scan or on a tomograph. mri approximately the difference between cuts from one and a half to 0.2.05 mm. here it turns out quite accurate uh sections of human scans. then these all sets of scans, their number can actually reach several thousand. here it is loading. you already have programs for specifically 3d modeling to generalize, as it were, the

information that diagnostics gives us. yes, yes it is. that is. uh, having, here is the very database of all uh, ct mri scans. e, we load it into the program and already create a 3d model directly, before transferring images, a virtual 3d model, which is necessary for printing, actually took up to 20 hours, dr. artyom did not optimize the process. this allows prepare a model in just an hour. then e is carried out a virtual operation on a excision. uh, let's say the output tract of the left ventricle. what it is planned already in this operation and uh, then it is already being created. partition model that we want to get after the real operation and 3d model of the fragments that need to be removed during the real operation again. now

the printing process is underway, that is, here you can open it to see, that is, the blue table itself is, well, the surface on which it begins. here is the fixation of the model from above. that's yes, and you see, here is the device. uh, let 's just say, it melts the plastic guides and leads along the table. that is, the information is transmitted by a formula that was modeled on a computer, but i really want to see it, but i’m not you, you can also look at this brown color from above. i see that first they create a contour, that is, the so-called support layers, because, well, the model cools down for quite a long time, exactly at 23:30, but in order for it not to fall apart during the printing process, special ones are created, such as support layers, here . well, they are also temporary, and then

the partition wall itself is printed layer by layer. and then you already know everything about the fragment that the miracle will print, the printer will go straight to the operating room, so that it is no longer virtual. and really help to perform the operation in the next step. after printing, the implantation of the heads is already underway. and uh and formation. here it turns out at the output already say. here is such a model, and it turns out that further this model is sterilized and is already sterile fed to the operating surgeon. fragments are obtained from the heart and pierces them. e. here here for the model. and it turns out that these needles serve us exactly those landmarks already 100% yes? eh, how much? well, let's say you need a network

to completely fill it. that is, if it was not filled, yes, the space that the blood and expel, yes, that is, as if in this case it interferes with the heart fully. well, let's say pump blood. here is this piece, yes, that is, our task is it, but in order not to run out of too much or too little are used here. modern medicine can also make homo sapiens centenarians. yes maybe because that the future is already here the future is today. in our program, only the most pressing topics

and questions. let's figure it out. why do we need these psychological settings. what are the boundaries of our self and where are we real stars and experts psychotherapists, in fact, i am a well-deserved artist. i am a very bad artist. to me very many consider it strange and crying. yes, you see on the street ask around. i thought that if i suddenly have some outlines for the crown , then my talent has become less than it is, they will teach me to safely resolve any conflict situations. we continue to dislike. i'm not insisting in any way. watch the program to understand and neutralize on the tv channel.

today, in the role of early birds on the tv channels of belarus , one of the satellites of the tv channel belarus 24 so on the calendar we have today, september 21, on the clock, of course, 6:00.