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“गर्भाशयात गाठ? गर्भाशय काढावं लागतं? | आरोग्यावर बोलू काही” | Dr. Mansi Medhekar

#UterineFibroid #Fibroid #Hysterectomy #UterusHealth #WomensHealth #Gynecology #WomenHealth #HealthTips #HealthAwareness #DrMansiMedhekar #ArogyaVarBolUYa #MarathiHealth #HealthNews

गर्भाशयात गाठ झाली म्हणजे गर्भाशय काढावंच लागतं का? गर्भाशयात गाठ होण्यामागची कारणं काय असतात? प्रत्येक गाठीसाठी सर्जरी करणं गरजेचं असतं का? गर्भाशय न काढता इतर कोणते उपचार करता येतात? गर्भाशयातील गाठींबाबतचे असेच महत्त्वाचे प्रश्न आणि त्यांची उत्तरं या व्हिडिओमध्ये डॉक्टरांकडून जाणून घ्या.

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#Fibroids
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Transcript
00:00The fibroids are completely wrong.
00:02They don't get the fibroids.
00:03They are getting the fibroids.
00:06In my sonography,
00:09they have seen some of the fibroids.
00:12If you have a fibroids,
00:14if you are in a hospital or a hospital,
00:17if you have a fibroids,
00:18then you can get the fibroids.
00:21In my sonography,
00:23I have seen fibroids in the past,
00:24but I think,
00:24all fibroids can be found in the family.
00:28Fibroids are not good for the treatment.
00:29If you take a baby and your baby, if you have any problems, then do you think about it?
00:34This is fibroids without surgery treatments.
00:37In the past, this is how common you get there.
00:47Hello everyone, I have been talking to you with a lot of people.
00:51I see a lot of fibroids.
00:55This is a common problem with fibroids, but the name of fibroids is the most important thing to do with
01:02the surgery.
01:05If you have any questions, this is Dr. Manasi Medhikar.
01:12Dr. Manasi Medhikar is from the hospital and research center.
01:15Dr. Manasi Medhikar is from the hospital.
01:22Dr. Manasi Medhikar is from the hospital.
01:34Dr. Manasi Medhikar is from the hospital.
01:37Here are high risk obstetrics, laparoscopic, pynecological and infertility related surgeries.
01:44but the same things will help você cos out and it will help you.
01:58Dr. Manasi Medhikar is from the hospital or toxin hospital,
02:03Okay, so what are fibroids exactly?
02:08Do you have a lot of fibroids?
02:09Do you have a lot of fibroids?
02:11Fibroids are very common.
02:13Fibroids are very common.
02:19Most of the time, non-cancerous.
02:23They are very common.
02:26In the past, in the past, we have 70% percent.
02:38In the past, in the past, we have 70% percent.
02:39In the past, in the past, we have 70% percent.
02:44But we have to treat it or operate it.
02:48In the past, we have to manage it medically or surgically.
02:56In the past, we don't have to manage it.
03:00If you have the correct treatment for the correct time,
03:02then you will be able to get the right solution.
03:06Okay.
03:07But what are the main causes?
03:10I mean, either lifestyle or genetics?
03:12What are the problems of fibroids?
03:14Fibroids are very common.
03:17One is a lifestyle disorder.
03:19But the most common cause is genetics.
03:22If you have the right choice,
03:24if you have the right choice,
03:25the right choice, the right choice,
03:27the right choice, the right choice,
03:28which is fibroids?
03:29If you have fibroids,
03:30then you have to be able to get a fibroids.
03:31So, fibroids are very common.
03:34We have to do hormone-dependent tumors.
03:36I mean, if you have any hormonal imbalance in your body,
03:39or a thyroid problem,
03:41there are polycystic ovaries,
03:42so that there is no estrogen hormone,
03:45so that it is not a estrogen hormone.
03:45I mean, the estrogen hormone is a fibroids.
03:48And if there is fibroids and there is fibroids, there is fibroids.
03:53The reason is lifestyle disorders.
03:57If there is no pain or a lot of pain,
04:01I have to take care of it.
04:03I have to take care of it.
04:04I have to take care of it.
04:05If there is estrogen, there is fibroids.
04:11So, the lifestyle disorders, multifactorials and smokers can be given fibroids.
04:17So, lifestyle disorders, genetics and hormones
04:20are the combination of fibroids.
04:23If there is fibroids risk, it is given to you.
04:25Ok.
04:26And if you have fibroids, there are symptoms that you avoid,
04:31and then you have to be a big person.
04:34Same as fibroids, there are symptoms that you avoid?
04:40There is no problem with fibroids.
04:42There is no problem with fibroids.
04:43For birth, we have one of fibroids.
04:46Before we speak, there is one of fibroids.
04:46But not a problem with this.
04:48It is mainly because of the bloodstream.
04:52There is a bleeding.
04:54It is anemia that with the bloodstream is more likely.
04:57It is less likely to be!
04:59It is more likely to be cold.
05:00Sometimes fibroids are very big.
05:02You can boost the bloodstream.
05:04You can spill the bloodstream.
05:06In study has год哲, pota or heftiness, fibroids most often
05:12They keep constipation, the incomplete passage of the zool,оки
05:20tearы of stultAcc indigenous bodies will come to enlightenment because
05:24the swelling falls pain It
05:29compressors out the nerves Even
05:30if there is a лишь pain
05:33I have never had any symptoms of the population in the 20s to 30s,
05:36but it can be taken into the hospital, fibroids.
05:40But some of the common symptoms are that you have to have a bleeding,
05:44and have a pain, a pain, a pain, a pain, a pain,
05:49and a pain, so those symptoms will not be taken for you.
05:52Okay, so that you have to know that it is a bleeding,
05:55then there is a cost, but you have to have some problems, Shaktat.
05:59If you think of bleeding, fibroids are a major cause of fibroids
06:05But the rest of the body can be used as a bleeding
06:08First of all, there is a hormonal imbalance that we have already discussed
06:12Thyroid, estrogen, PCOS
06:15And then there is a adenomyosis and endometriosis
06:18With adenomyosis and endometriosis, there is internal bleeding
06:23Wall of the uterus
06:25There is a lot of bleeding in the hospital
06:26There is a lot of bleeding and pain
06:31Another common cause is endometrial polyps
06:35There is a lot of blood in the hospital
06:39There is an endometrial hyperplasia
06:43There is a lot of swelling outside the hospital
06:49And there is a lot of bleeding in the hospital
06:51There is a lot of bleeding
06:55This can be done completely and it can be done with pre-cancerous lesions
06:58There is a lot of bleeding
07:00There is a lot of bleeding
07:01Fibroids are the most common cause of bleeding
07:03But the rest of the body can be done with this
07:06Because it can be done with risks and investigation
07:10And it can be done with his treatment
07:13If there's symptoms, we know that we could go to doctor and treatment
07:19But
07:19Do you have any symptoms of fibroids?
07:32and this gives us a quantity, a size
07:34You give it how many fibers have asked 550 gills
07:37in those Waldorf 계절 units
07:38it could be number 2 fibers
07:41Number of fibroids, which means they are not all the same.
07:44But, multiple fibroids, they are not all the same.
07:49And third, the location.
07:52In the field, fibroids are not all the same.
07:55From the outside, the small fibroids are not all the same.
07:58So, with 5cm, the your fibroids are all the same.
08:02But then, the other fibroids are all the same.
08:07So, it depends on your fibroids.
08:11What is the number, size and exactly fibroids in Garba Pishwit is located in the same place
08:17How does fibroids have a diagnosis?
08:20Is there a ultrasound or a ultrasound option?
08:24When there are symptoms given or symptoms given patients
08:29Gynecologists examine their examination
08:31They have a lot of symptoms
08:33They can be found in the hospital
08:35They can be found in the hospital
08:37They can be found in the hospital
08:38They can be found in the hospital
08:42When there are symptoms of the hospital
08:46In the hospital, we can detect the sonography
08:49The sonography is clearly shown in the number of fibroids
08:52The location of fibroids
08:55We have advanced ultrasonic 3D sonography
08:59In the 3D sonography, we can integrate AI
09:04The 3D picture and photography
09:07The doctors don't exactly know the fibroids
09:11They can cut the fibroids
09:14In the 3rd sonography, there are large fibroids
09:18They can be found in the location
09:21Then we can also do MRI
09:22The MRI is detailed, MRI pelvis, contrast and plane
09:28So we can do the exact location and size
09:31These are the main examination factors
09:35The sonography and MRI
09:37So we can do the fibroids details
09:44The most important thing is
09:45The study of the lung
09:45The body is also dangerous
09:47The size of the lung
09:51The size of the lung
09:52The size of the lung
09:53So actually this is important
09:55Size and location
09:56But if we have to choose the location
09:59If fibroids are in the back of the body, the body grows, and the body grows, usually there are symptoms.
10:08There are small fibroids in the back of the body, then there are 100% symptoms.
10:14And if you have a doctor, you don't have to worry about it.
10:16So, it is difficult to diagnose the body, I think there are investigations, the sonography and the MRI.
10:23But fibroids are outside, but it is late to detect the disease.
10:27I mean, if the fibroids are growing, it's not growing because it's growing because it's growing a lot.
10:34What is the problem? When we grow up, we don't have symptoms, but the size is a little bit.
10:42If we grow up, we need to take a small fibroids, so we need to pick up the detection.
10:48So, size and location are important, but we need to detect the location.
10:53So, this is one of the most important points.
10:56On the outside, we have a patient who has 10 cm fibroids.
11:01We can imagine 10 cm in 3D, but there is a big fibroids.
11:06So, on the outside, we are fast growing and we need to look at the size.
11:10We need to detect the detection.
11:12So, size and location and numbers.
11:14The number is also important.
11:15If we don't have a small one or two cm fibroids, we don't have to trust.
11:19But we need to trust 4-5 cm fibroids.
11:21So, it is everything, all 3 factors, we need to consider treatment.
11:29Okay.
11:31And then, do we need to conceive the fibroids in pregnancy?
11:36Or do we need to conceive the same problem?
11:41Do we need to conceive the same problem?
11:59So, we need to know the implantation.
12:01So, we need to know the implantation effect.
12:04And if there is a fibroids growth, we need to be a big problem.
12:08So, if there is a fibroids growth, we usually don't have to be a problem, we need to be a
12:25problem.
12:25So, when we have a sonography in pregnancy, we need to know that there are fibroids.
12:31So, in this situation, there is no panic in this situation.
12:34There is no panic in this situation.
12:35Because 90% of the cases have fibroids.
12:38There is no problem in pregnancy.
12:40So, when we have fibroids, we need to know that there is no problem in pregnancy.
12:47So, there is no problem in pregnancy.
12:57So, while I have fibroids, Daytona pain isssa aged, then we need to know that there is no problem in
13:05pregnancy.
13:08To make anything worse, there need to be a other experience in empowerment.
13:16When you have a child, a child is not the same.
13:20Normally, a child is not the same as a child, but if a child is not the same, then a
13:24child is the same as a child.
13:27So, they can feel that she can feel transverse and feel that they can feel that they can deliver.
13:34So, these are the main problems in the pregnancy.
13:38Rarer problems are premature labor, as well as the delivery of the pregnancy.
13:44In the pregnancy, when the war and fibroids are bleeding during the pregnancy,
13:50it will not be a delivery of the delivery.
13:52But this is the preterm labor that we have to do with the bleeding.
13:56We already know that fibroids are risk-wared.
14:00Doctors already know that.
14:01But we often ask that these problems don't have to come,
14:05or that they don't have to come, or that they don't have to come.
14:09So, when patients have given fibroids and pregnancy,
14:14we already contemplate that these problems are going to happen,
14:18and that they don't have any treatment for the future.
14:23So, pregnancy and fibroids are a very delicate situation.
14:2690% of the time, we don't have any problems.
14:30We don't have any problems.
14:31We don't have any problems.
14:32And the size of the body will be reduced,
14:35because the body will keep the body.
14:38But if there are problems, then it will be manageable.
14:42Okay.
14:43But I always think that fibroids are going to be able to do this,
14:46and how can we monitor them?
14:49Like I said earlier,
14:51fibroids' treatment depends on the number of fibroids,
14:54location of the fibroids, and the size of the fibroids.
14:57So, first of all,
14:58we have to learn more about the symptoms of fibroids.
15:02If there are symptoms, then we can observe and observe.
15:05If there are symptoms,
15:07or fibroids,
15:08or fibroids are not good enough,
15:10then we can also do symptoms.
15:12Then it will increase for the treatment.
15:14If there are symptoms,
15:15or fibroids are on the side of the fibroids,
15:17then it will change its size.
15:19If there are 5 cms,
15:21then we can't do any of this.
15:22I usually observe. But what do you mean to observe?
15:26I have to do a regular follow-up.
15:29I have to do a doctor and a sonography.
15:30I always say that the patient is small.
15:33I observe.
15:33For 5 years, I have to do a big one.
15:37This is the problem.
15:38When you tell many doctors,
15:40you don't know how to treat a sonography,
15:42you observe.
15:44There is a chance that you have to do a regular follow-up.
15:48You have to do a regular follow-up.
15:52If you tell them,
15:54you don't know how to treat a doctor,
15:56we don't have to do a regular follow-up.
15:58We have to do a regular follow-up.
16:01We have to do a regular follow-up.
16:02We have to do a regular follow-up.
16:05We have to do a regular follow-up.
16:08Observation is a part of treatment,
16:10depending on the symptoms,
16:13size and location.
16:14Okay.
16:15There is a problem with surgery and operation.
16:20So, what can we do with fibroids without surgery?
16:24This is a very interesting question.
16:25And very relevant in today's age.
16:28Fibroids are often in the back of the hospital.
16:31If fibroids are completely burnt,
16:34they will burn the blood of the fibroids.
16:35They will burn the blood of the fibroids.
16:37The surgical treatment is the only treatment.
16:39If you have the biggest problem,
16:40it will burn the blood of the fibroids.
16:41But sometimes it happens that there are some exams,
16:45that they are outside,
16:47that they are not fit for the patient surgery.
16:50So, there are other options available.
16:53What are the other options?
16:54The medicines of goya are available.
16:57Usually, if goya shrinks the fibroids,
17:00it will shrink 20 degrees.
17:01If you have 10 cm fibroids,
17:03it will be 20-month.
17:04If you have 10 cm fibroids,
17:04it will be 20-month.
17:06The fibroids of goya is temporary treatment.
17:17It is a temporary, but very effective method of controlling the fibroids.
17:26The next option is the uterine fibroids embolization.
17:31What do you do with uterine fibroids embolization?
17:33What is the uterine fibroids?
17:34Why do you have a small tube?
17:37It will be a small tube.
17:37The tube is in x-ray guidance.
17:40The tube is in x-ray guidance.
17:41The tube is in x-ray guidance.
17:43The fibroids are in the fibroids.
17:45The tube is in the x-ray guidance.
17:55The tube is in x-ray guidance.
17:56The tube is very difficult.
17:59The tube is in x-ray guidance.
17:59The surgery is what we can avoid.
18:00The surgery is in x-ray guidance.
18:03The treatment we can reduce the size of the treatment.
18:07The third one is HIFU.
18:10High-intensity focused ultrasound.
18:13MRI-guided ultrasound is a big fibroids, and it is a big part of the fibroids
18:18So, the ultrasound, MRI-guided, is highly focused ultrasound waves in the center
18:24What is happening?
18:26The fibroids are a heat generated
18:29And the heat generated is reduced
18:32And it will shrink over a period of 3-6 months
18:35But in these two treatments, there is a simultaneous hormonal treatment
18:40But finally, if there are 30 years old, I have HIFU
18:44So, there are hormones active in the last 20 years
18:47So, eventually, there will be a certain surgery
18:51But these new treatments are available
18:53Proper selection of the patient
18:56So, it will be possible to do HIFU
18:58Or to do uterine fibroid embolization
19:02So, there will be proper patient selection
19:04Age, size, location
19:06So, as a team, we decide to do that
19:09This patient will not be suitable for any treatment of the patient
19:12So, there are pros and cons
19:14We will explain to them
19:16We will explain to them
19:17That the patient will be able to understand
19:19That they will be able to understand
19:20Regular follow-up
19:22Okay
19:22Now, Dr. Monsi, if they have fibroid embolization
19:26So, after fibroids, you can only see the uterus
19:37But with bachelorette, you can also irritate the uterus
19:39And the uterus can only be in the gut
19:41The two can be advanced laparoscopy surgeries
19:43It can be done with robotic surgeries, so we can operate with robots as a surgeon, but the patient is
19:52a robot and the surgeon operates with a machine.
19:57The fibroids are the same as the quantity of fibroids and the quantity of fibroids are the same as 45
20:04or 45.
20:06The fibroids may not be able to grow. In this situation, we have the first option to get a gutter.
20:14But if there are 21 years old, 25 years old, 30 years old, and 35 years old, then the fibroids
20:22are the same as the uterus and we can conserve the uterus.
20:27This is called robotic myomectomy. Myo is the medical language of fibroids.
20:33We can do the uterus and we can do the healing of fibroids.
20:40If the fibroids are the same as the body of fibroids, then there is no problem.
20:47There is a new technology called hystroscopic fibroids removal.
20:52What is the hystroscope?
20:53I can tell you, there is a small pencil on the doorbine that uses the pain of the body of
20:56the body.
20:58I mean when you use the body of the body of the body of the body of the body of
21:00the body of the body of the body of the body,
21:00there is fibroids in the camera.
21:03And there is a lot of strips in my hand.
21:05So this is actually a stitula surgery.
21:08It means there is no pain, there is no pain and there is no pain.
21:11And there is a recovery.
21:11recovery. So these are the three things that we recommend. One is the conservative methods
21:17such as HIFU and uterine fibro dembolization. It is appropriate for laparoscopic robotic
21:24myomectomy. And the third is the hysteroscopic myoma removal. Hystroscope means that you
21:29need to know how to move your body to the back of your body. So this is a very new
21:36technology
21:36and it is not available. And it saves the uterus. I mean you can save the uterus.
21:43But suppose if you are married and you don't have a baby. But if you have a fibro dembolization
21:50and you don't have a baby with a baby, what do you think about it?
21:56So in fact, when the infertility patients have fibro dembolization
22:02and we have a fibro dembolization surgery, laparoscopic, open surgery, robotic surgery.
22:09But there are certain reasons for surgical principles. What is the reason?
22:14As far as possible, number one, as far as possible, it is minimally invasive.
22:18I don't have a foot, I don't have a foot, I don't have a foot, I don't have a robotic.
22:21I don't have a foot, I don't have a foot, I don't have a foot, I don't have a foot,
22:22I don't have a foot.
22:22Number two, when the electric current, when we have a blood vessel, bleeding, it will be minimal.
22:31So there will be damage in the uterus.
22:34The third is the stich.
22:37I do stitch the fibro dembolization, and I don't have stitches.
22:40So we have advanced, newer suture materials.
22:45So the stitches will be a foot, and I don't have any surgery for it.
22:50And then we have adequate recovery period.
22:53But I am sure the patient will inform that this surgery will be able to get a foot in two
22:58months.
22:59I don't have a foot in two months.
23:03My husband will use the stich.
23:05I need to take care of the surgery.
23:13And the other thing is, I don't have to take care of it, back to you.
23:18But for me, I get to take care of the surgery.
23:19And again, if I get married and a toddler, I eat my therapist, I'm not going to take care of
23:23it.
23:23Then, I have to take care of it.
23:28Because it's done with a artery.
23:30I have to take care of it.
23:31And for sure, I feel, I'm going to that soon.
23:33It can be a tear in the face
23:35So, I plan to make a big fibroids surgery
23:39when the patient is pregnant
23:41So, the fibroids is in the past
23:44It is clear that if you have treatment
23:45you can have symptoms of your symptoms
23:50So, fibroids can be treated with treatment?
23:54Fibroids, as I said, are estrogen based tumour
23:56Estrogen is used to fuel and petrol
23:59So, fibroids are used to estrogen
24:02Estrogen is a big hormone in our body
24:07So, in the body of the body, we do not have the estrogen
24:12Estrogen is a big hormone
24:14Estrogen is a big hormone
24:14Estrogen is a big hormone
24:15If you do not have the estrogen
24:17We do not have the estrogen
24:18If we take a 12-year-old surgery
24:20or a 20-year-old or a 15-20 years
24:25We have only fibroids
24:28Because it is an estrogen-based tumour
24:30But it is a lifestyle-based tumour
24:34Your lifestyle is poor
24:35Your sleep cycle
24:36Your exercise
24:38Your diet is poor
24:39You can create a root cause of this lifestyle
24:44You don't want to address it
24:45You don't want to treat it
24:46So it is possible
24:48So whenever you have a fibroid surgery
24:50I don't know if you have a fibroid surgery
24:52You can improve your lifestyle
24:53You can have a fibroid surgery
24:54You can have a smoking
24:55You can have a baby
24:57You can have a baby
25:00You can have a baby
25:01You can have a baby
25:02You can have a baby
25:03You can do healthy
25:04These things
25:05As we explain the patient
25:06And the regular monitoring
25:08The difficulty is very low
25:10But in 2015-2020
25:12The genetic factors
25:14are more likely to be a genetic factor
25:16Right
25:16And in the beginning
25:18It is a heavy flow
25:19People avoid it
25:21To avoid it
25:22To avoid theストra
25:22And they stop
25:25A lot of people
25:26Why can't you do that?
25:28Because the disease
25:29What can you face to have a problem?
25:31For the science
25:32When your system has heavy bleeding
25:33You can also consider the disease
25:37You can have a doctor
25:39If you have continuous bleeding
25:54Your body and your blood vessels carry oxygen
25:59The oxygen remains in your body
26:09First of all, the organs are not necessary to be affected by your case, skin, muscles,
26:17like hair fall, skin dull, dry, your muscles weak,
26:23getting tired, getting tired, getting breathless,
26:27all of these things can be affected.
26:29If you don't want to be affected by the other organs,
26:33like heart, lungs, liver, kidney,
26:37all of these things can be affected.
26:38Secondly, if you neglect fibroids,
26:41then what happens?
26:42If you get tired and get tired,
26:46then the muscles will be weak.
26:48Therefore, in the operation,
26:49the pain of the pain,
26:52the pain of the pain,
26:53being persistent.
26:55So, the complications risk has come,
26:57the risk of surgery is come,
26:59the recovery of surgery is also.
27:01Because if your body has not been saved,
27:05Surgical recovery, pain, all the chances are going to happen
27:09So, we know that if you have gynecological symptoms,
27:14you don't have to eat it, but you don't have to eat it.
27:18So, Dr. Bariswa, what happens when you have a lifestyle,
27:21you get a lot of stress.
27:23So, what happens when you eat your lifestyle,
27:25you don't have to be cut-to-cut.
27:28So, what happens when you have fibroids?
27:31So, what happens when you eat your lifestyle?
27:33Yes, it is important.
27:34As I have already mentioned,
27:36the body needs healing.
27:38So, when you eat your body, you eat your food.
27:40So, the food is the most important factor.
27:43So, if you have something like physical, mental, stress,
27:46then the food is going to be affected.
27:48So, the food is going to be affected.
27:51So, when you eat your food,
27:52you eat your food,
27:54you eat your fat level.
27:56So, when you eat your fat body,
27:58you eat your fat,
27:59you eat your fat,
28:02you eat your fat,
28:02you eat your fat,
28:04you eat your fat,
28:05you eat your fat.
28:06So, the fat is stored in your fat.
28:07And I have to say,
28:09that I have to say,
28:09that fibroids are related to other problems.
28:12Like, heart disease,
28:14blood pressure,
28:15diabetes,
28:16thyroid,
28:16they are related to everything.
28:18When the patient says,
28:19that I don't have a virus,
28:21that I am stressed out,
28:23that I am very stressed out,
28:24that I have a job profile,
28:25that I have 12,
28:2612,
28:2712,
28:278,
28:278,
28:298,
28:298,
28:308,
28:3210,
28:3314,
28:3314
28:3314,
28:5114,
28:5715,
28:5814,
28:5815,
28:5815,
28:5815,
28:5816,
28:5915,
28:59If you don't have food, you don't have food, so you can switch to fruits and salads
29:03So you help your healing, these are anti-oxidants, they are mineral and multivitamins
29:08So your body is very important in healing
29:11So your lifestyle is a little bit different, we can improve in small steps
29:17And if you need to lose your money, you don't have any chance to lose your results
29:23So your lifestyle is very important to balance your lifestyle
29:28So your lifestyle is very important
29:31So your lifestyle is very important, so your lifestyle is very important
29:36So where is your lifestyle?
29:40Fibroids are two main things, one is non-cancerous
29:44When you do it, it is less than 1 in 1 lakh
29:481 in 1 lakh, 1 lakh fibroids are more than 1 lakh cancer
29:54So what is your lifestyle?
29:56When you do it, it is difficult to detect it
29:58If your lifestyle is bad, you may have cancer
30:00So it is a myth that a lot of fibroids are more than 1 lakh cancerous
30:06It is a complete myth, fibroids can be very rarely cancerous
30:10And if you do it or not, fibroids equal to removal of the uterus
30:15It is not true that the fibroids are more than 2 lakhs
30:18You may have new surgeries, new instrumentation
30:23You may have better technologically, better camera systems, lens systems, 3D camera systems, robotic systems
30:32So what happens is that the patient's surgery and recovery are fast
30:37So it is not necessary that you need surgery
30:40There are uterus-preserving surgeries which are available
30:44Because our technology is very badly
30:46So it is more than a few times
30:47There are painful treatments in the past
30:49So we are still worried about patients
30:51But these are also minimally invasive treatments
30:54What happens when you do it, you do it
30:56For 10 years of treatment, do you have to be different from it?
30:59Yes, it is different from it
31:00You have to be different from it
31:01For 10 years of treatment, there are no camera systems
31:02So many cameras are different from it
31:05You have to be different from it
31:06You have to be different from the patient's awareness
31:07You have to be able to take the regular check-up
31:11check-up can be included in corporate health check-ups, employees, health check-up
31:18included.
31:18So, they are given awareness.
31:20When the patient is given, there are options.
31:25First, there is only one option for uterus card.
31:27Then, there are options for patients.
31:30So, we are doing tailor-made.
31:31One patient, one gastrointestinal, one gastrointestinal, one gastrointestinal,
31:35one gastrointestinal, another gastrointestinal,
31:38one gastrointestinal, other fibroids are used in treatment.
31:41So, we are being taken in tailor-made treatment.
31:43If you are doing that, there are small cuts.
31:46During the time, you are doing the cut-slap and stitches,
31:49but then you have to use glue.
31:50So, there are no stitches.
31:52Skin-over stitches, it doesn't glue,
31:54you can glue it.
31:55It takes medical-graded glue,
31:57you can glue it.
31:59It is not the stitches, you can't put it.
32:01You can't put it as needle-pricks.
32:04So, this is a new concept.
32:05There is a robotic system that we can control the patient's body of pressure and instruments.
32:14For robotic surgery, there is no pain in the patient's hands.
32:20So all these new systems, new technology, and the pain and bleeding.
32:26For the surgery, for the surgery, patients are bleeding very well.
32:31We need to keep the surgery, but we don't have to worry about it.
32:36We have 10 mL and 20 mL.
32:39We don't have to worry about it.
32:42We have to worry about the stitches.
32:43I have to say that there are modern stitches.
32:45Sometimes we need to glue.
32:48We have to worry about the dressings.
32:50We have to worry about the patient's hands.
32:52So there is no restriction of your lifestyle.
32:55If you are going to bed rest, you are not going to sleep, you are not going to sleep.
32:59You are not going to sleep, you are not going to sleep, you are not going to sleep.
33:00These restrictions are not going to sleep.
33:01But if you are going to take a laparoscopic surgery, you need to take a laparoscopic surgery,
33:06you need to take a laparoscopic surgery.
33:06So the patient can take a normal activity and take a full-blown exercise.
33:12So the recovery period is very short.
33:15The bleeding is very less.
33:16And if you are going to have a lot of patients, you don't have to be a lifestyle effect.
33:20You don't have to worry about the work and you don't have to worry about it.
33:25So all these developments are going to be accepted.
33:29And the patient's luggages are going to be ready for surgery and treatment.
33:33They don't have to worry about it.
33:35So this has changed a lot.
33:37So during the quarantine, this will then take a lot of changes and take a lot of lives to others.
33:42And another important question gets to the Fibroids.
33:45Could it be a particular age?
33:50How about a particular age that is involved?
33:53Fibroids are mainly 20-20
33:56Maximum 35-25
34:01Usually, when the body is growing,
34:05the fibroids will shrink
34:09It will not operate
34:11So, usually, we don't give this
34:15So, there are 60-70% of fibroids that grow and grow, but they are rare, usually 20-50%
34:24of the body will grow, because they are hormone-dependent, so that your hormones will grow.
34:31Okay, so now, I think there are so many patients.
34:34So, I think that there are many patients that have multiple patients, that there are complicated treatments, but they can
34:42safely go outside.
34:44So, I think that there are many patients that come from this, and I think that there are many patients
34:47that come from this.
34:47So, I think recently, this patient has come from 30 years, and there are multiple fibroids, and there are deep
34:53-seated fibroids.
34:54I mean, there are food, food, food.
34:56So, what do you think of multiple?
34:58More than three.
34:59More than three means multiple.
35:01So, in particular, there are five fibroids, but they don't have a lot of locations.
35:05So, normally, if we have multiple fibroids, we have to cut the fibroids, and we don't cut the fibroids.
35:11We can't cut the fibroids.
35:12We also cut the fibroids in multiple locations, but we have to cut the fibroids in multiple locations.
35:19And that we have to cut the fibroids.
35:19And when we have the bottom line of the bowel where we are able to keep the organ, we have
35:23to cut the fat.
35:25In this situation, we have a very good technique.
35:30We have a lot of water in Durbini.
35:32We have a lot of water in Durbini.
35:34We have a lot of water in Durbini.
35:36We have two main sets of fibroids.
35:41We have to block a clip temporarily.
35:46So we have to dissect the nurse and we have to block a clip.
35:49And then we have to go for 20 minutes.
35:51We have to block a fibroids.
35:53We have to block all fibroids and make 5 incisions.
35:58And we have to block a single bleeding.
36:01We have to block a single blood.
36:04And then we have to stitch the same.
36:07And then we have to take a clip.
36:09And we have to stop bleeding.
36:11And we have to do no bleeding.
36:12We have to do that for the patient's surgery.
36:15But this is a different surgery.
36:19So we have different techniques.
36:21In fibroids, when there is bleeding, we have to do no bleeding.
36:25We have to do no bleeding.
36:28So we have to block it temporarily.
36:30So we have to block the patient's surgery.
36:31And we have to preserve the uterus.
36:33And we have to do bleeding.
36:35So in these cases, we have to do bleeding.
36:40So we have to do bleeding.
36:40So we have to do bleeding.
36:41And we have to do bleeding.
36:41This is a new technique.
36:43And we have to do these patients in the same way.
36:46And we have to block the blood pressure.
36:49We have to block the blood pressure.
36:52We have to block the blood pressure.
36:53So this is a very difficult way.
36:54So it can break the blood pressure.
36:59In this situation, there are stitches where there are additional barriers.
37:03There are a sheet that is dissolved and will place it.
37:09We will place it.
37:13There is no place where we don't have to get rid of it.
37:14We will have to get rid of the fibrosis or the scissor.
37:20There is no place where we don't have to get rid of it.
37:23So, first of all, the adhesion barrier can be removed, so that it can be removed from the wound, and
37:29it can be removed from the wound.
37:31So, these two new techniques are used in fibroids in surgery, which can be removed safely, and can be operated
37:42safely, and can be removed from the wound.
37:43And there are no complications in pregnancy, so it can be removed from the wound.
37:48And there are no complications in fibroids in surgery for cancer.
37:53So, you need to ask fibroids, if you have to get a cancer, do you have to get a cancer?
38:01So, as I've already mentioned, fibroids in surgery are not difficult for cancer, but it can be difficult to get
38:08a chance of a 100% full proof.
38:11Especially when patients observe fibroids, they do not operate or treat, they observe,
38:18they do some sonography, fibroids size, etc.
38:21If you are asked to say that fibroids make many cancers, one is that fibroids make it worse,
38:30and the other is that fibroids keep it all, normally fibroids keep it all,
38:35but if you have cancer, you have to keep it all, size and size.
38:41In these two situations, we have to use fibroids treatment.
38:46If there is a doubt about cancer, there are certain tests,
38:50there is a blood test, LDH, that there is MRI,
38:53so we have to do a little doubt about cancer,
38:56so if there is a doubt about cancer, then we have to go completely back to fibroids.
39:00There are only fibroids, but there are only fibroids, so we have to go back to fibroids.
39:05And if this fibroids convert into cancer, it can be used in the body,
39:11and usually they don't like the bone, directly the lung or the brain.
39:16So, when we think about fibroids can be used in particular fibroids cancer,
39:22then we have a full body PET scan.
39:24But in PET scan, it can be used in the body, so we have to get rid of it.
39:29So, the idea was that if it is already needed or not needed.
39:33So, there are treatments available,
39:34there is chemotherapy, there is surgery,
39:37so we have to get rid of it, and if it is,
39:40then we can get rid of it, then we can get rid of it.
39:42So, we have to try monitoring,
39:45to get rid of it, and to get rid of it,
39:48and to get rid of it, then we can get rid of it.
39:51So, we have to follow-up,
39:53and then we can get rid of it,
39:55and then we can get rid of it, and then we can get rid of it.
39:57Okay.
39:58And when we started our discussions,
40:00that we have to do the same thing,
40:02so suppose if we have to get rid of it,
40:05then we can get rid of it,
40:07and we can get rid of it.
40:09So, genetics, I don't know,
40:11are influenced by external factors.
40:13I mean, my family has a history of diabetes,
40:16and my exercise, my diet,
40:20my sleep,
40:20so I don't have diabetes,
40:23and I don't have a problem,
40:24but I don't have a problem.
40:26So, it doesn't have fibroids.
40:28If you tell me that you have a family history of fibroids,
40:31then you have to get rid of it,
40:33need sopa,
40:34need sopa,
40:35need sopa,
40:35need sopa,
40:35need sopa,
40:36need sopa,
40:36need sopa,
40:37need sopa,
40:37need sopa,
40:37need sopa,
40:38need sopa,
40:40the reason why I've been doing so,
40:41don't worry about it.
40:42I did very high chance.
40:43I mean,
40:43there are many different types of genes,
40:44that people would be passing on.
40:45But if we can't pass on,
40:47or not,
40:47we could talk that many different genes work,
40:50or different genes work in
40:51mysterious ways.
40:52So, I think there are new shows
40:53that our young genetics work.
40:54However,
40:55I think we can find out,
40:58that we can find out
40:59that we can't get the fibroids and genes across.
41:01We also have genetic history and genetic testing to understand how many patients come from breast cancer and genes.
41:11We will test and detect that if the genes are positive, then we will do treatment.
41:17We also have fibroids, but we don't guarantee that it will come from each particular genes.
41:23We will do research.
41:24We will do research.
41:26And so we have such new treatments.
41:30It is not painful.
41:32But we don't have treatment.
41:33We don't have patients to do it.
41:37We don't have patients to do it.
41:38We don't have patients to do it.
41:38I don't have patients to do it at home.
41:44We don't have infections, acidity, etc.
41:50We don't have patients to do it.
41:53We don't have patients to eat junk food.
41:57We don't have to eat soda, idli, etc.
42:01We don't have to eat gas.
42:03We don't have to eat constipation.
42:05We don't have to eat meat.
42:07We don't have to eat biscuits in our country.
42:09We don't have to eat foods.
42:09It's very common.
42:10This is something we would expect to eat normal diet, fruits, salads, juices, right with recovery.
42:18This is not in food outside and junk food,
42:21the patients are not in weight.
42:23Because patients use pain killers, antibiotics,
42:26and they may have to do it.
42:27It is possible to have acidity to be able to get acidity.
42:30So, I would like to use the food.
42:33And in the moment, I would like to use the new protocols
42:37that if the patient needs to start the activity,
42:41the recovery is fast and the pain is less.
42:44Actually, I would like to use the surgery
42:46to be in bed, which means
42:49to be left and right turn,
42:51and to be out of bed.
42:56I encourage the activities outside the bed.
43:00So, in the activity,
43:01you can use the activity to be able to get a lot of work.
43:05You cannot do the work.
43:07You cannot do the work.
43:09You cannot do the work.
43:10You cannot do the work.
43:11You cannot do the work.
43:12It is active.
43:14In the normal activity,
43:16you can do the work every 15-15 months.
43:18You can do the activity every single exercise.
43:22You cannot do the work.
43:22Okay.
43:23Now, we started talking about the work.
43:26If there are heavy flow,
43:28there are symptoms of heavy flow.
43:32But, how can we do the heavy flow?
43:33Normally, there are many times.
43:37How can we do the heavy flow?
43:39You are feeling the flow.
43:42You can go into the work.
43:44Until then, you have no need to wear the洗濯.
43:46And, you have to wear 4 pads.
43:48There is suddenly a bed,
43:50And, when the pads are stained with that,
43:52then you are stained with the destroys.
43:53Okay.
43:54Then, you have to carry it.
43:55Little, little, you have to carry it.
43:57And then, you have to get away the pain.
43:59But, it doesn't have the bleeding.
43:59This is not the one we have to worry about with pain.
44:02Not just by comparison between the person who is carrying on.
44:08The other people are not saying that the person's flow is changing, the person's flow has to change the person's
44:15flow,
44:16It has to change the person's flow, we have to change the person's flow.
44:18Normally I use 3 pages, I use 6, but I use 6 pages.
44:21The person's flow changes too.
44:27can be spotting. So there is a cycle of the changes that we have to change.
44:33I have to do bleeding normally from 28 to 25 to 25 to 25 to 25 to 25.
44:39So in your cycle you will change that in my body and if you change the changes
44:45you will be able to do doctor.
44:47Okay, now when you are in your flexor, you will face your face.
44:51What is your message?
45:02Please take care of yourself, your health is a priority for your health, so please take care of yourself, your
45:15health is a priority.
45:16Thank you very much for inviting us.

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