Method and device for training human respiratory system

FIELD: medicine; medical engineering.

SUBSTANCE: method involves applying diaphragmatic respiration with resistance to expiration. Overpressure equal to the resistance is created at inspiration stage. Breathing is carried out in usual pace in alternating A-type cycles as atmospheric air inspiration-expiration and B-type cycles as exhaled gas inspiration-expiration. Time proportion of breathing with exhaled gas to atmospheric air respiration is initially set not greater than 1. The value is gradually increased and respiration depth is reduced as organism adaptation to inhaled oxygen takes place, by increasing the number of B-type cycles and reducing the number of A-type cycles. Device has reservoir attached to mouth with individually selected expiration resistance. The reservoir has features for supporting gas overpressure at inspiration stage equal to one at expiration stage.

EFFECT: enhanced effectiveness of treatment; reduced volition effort required for training; improved operational functionality characteristics.

4 cl, 2 dwg

 

The invention relates to medicine, in particular to methods of breathing workout man by periodic use for breathing hypercapnic and hypoxic gas environment in the prevention and treatment of various diseases, as well as devices for their implementation.

The essence of a way of breathing exercise described in /1/, is performing relatively short (~30 minutes), but daily repeatable procedures respiratory hypercapnic and hypoxic gas mixture with a concentration of carbon dioxide (CO2in 20-150 times higher, and oxygen (O2- on 5-20 % less than in atmospheric air.

For the formation of such a mixture is used, the trainer /2/containing linkable to your mouth through the breathing tube capacity-1 with tailor-resistance to exhalation-inhalation and covering its capacity-2, a cavity which is connected with the cavity of the container 1 and with the atmosphere. Resistance to exhalation-inhalation in the form of trap, formed by a layer of water with the adjustable height on the bottom of the vertically mounted “outside” part of the capacity-1 and installed it with a gap “internal” with holes in the bottom. The volume of water poured on the period of the next workout, 10-20 ml tank capacity-2 is selected depending on the desired end is Tracii CO 2in the inhaled gas mixture. So, if capacity is 500, 1000, 1500 cm3this concentration can reach 1,5; 2,5; 5,0%, respectively, whereas in the atmospheric air, it is approximately 0.03 per cent.

Breathing through the simulator after the capture of the tip of the breathing tube through the mouth, lips by the following sequence /1, page 17/: calm, shallow breath (lungs filling no more than 70-80%), a small breath (no more than 5) - uniform slow exhalation (no more than 70-80 % of the volume of the lungs) is again calm, shallow breath, etc. Exhaled gas and inhaled the mixture of air with exhaled gas, barbotine pass through the layer of water trap, which creates some resistance as the exhalation and the inhalation. In the implemented thus the principle of “return” of breathing, i.e. breath exhaled gas injection of atmospheric air, progressing to respiratory muscles and the respiratory center of the human brain that sets the frequency and depth of breathing depending on the condition of the body, configured to maintain a higher, close to a multiyear average concentrations of CO2in the lungs and blood, than that characteristic of the “aging” (patient's) body, the rate of return O2hemoglobin blood cells tissue increases and the processes of metabolism in which organisme normalized. And the main factor in improving the impact of training with the simulator described method is hypercapnia, i.e. increased in comparison with atmospheric air content of CO2in the inhaled gas mixture. It is assumed that created by the simulator hypoxia, i.e. a reduced content of O2in the mixture of asbestos, plays much less of a positive role than hypercapnia, and hydraulic resistance of the exhalation-inhalation is useful only as a physical activity for the development of respiratory muscles /1, / 16/.

The disadvantages of the method /1/ can be attributed to the need to breathe with the breath and the movements of the exhalation phases, which requires considerable willpower to overcome the inherent nature of the reflex to breathe with a “normal” frequency of Pn16-18 min-1.

The disadvantages of the trainer /2/ include the need for almost constant employment of the attention and hands, since even a small deviation from alignment and vertical “external” and “internal” components of the capacity-1 leads to a substantial and adverse change in the hydraulic resistance of the breath (exercise mode); due to the mentioned, has very limited compatibility workouts with other activities, for example, even with light domestic work; the presence of significant noise associated is by bubbling through water seal gas; the dependence of resistance to breath from time to time (within each phase of the exhalation-inhalation in the form of an initial surge in relation to subsequent values at 16-18 %, due to the physics of gases passing through the hydraulic seal; within each workout in the form of a gradual uncontrolled changes caused by contact with hydraulic lock together with exhaled gas saliva and other secretions of the body and the subsidence of the water splashing on the walls of the vessel-1).

Further development of the method /1/ is a way of breathing training /3/focused on the gradual transfer of the organism to multiple consumption drop About2atmospheric air or the so-called endogenous respiration. According to /3/ the breath is carried out mainly through the mouth with a full diaphragmatic (abdominal) breathing lasting 1-2 s; exhale in the process of training gradually lengthened and is mnogoportsionnoj when the resistance of 10-50 mm of water. Art. (with an optimum at 22-35 mm water. Art.); each such portion except the last exhaled in equal mode for 4-5 with subsequent relaxation of the diaphragm and pushing the abdomen forward for 0.5-1.0; the last portion of the exhaled with a moderate preload belly, and then without a pause, breath; 25-35 days training and the achievement of the duration of respiratory acts more than 20 seconds after each expiration is emnd for 0.5-1.0 second portion of the air is moderate strain of the muscles of the mouth, throat and neck with pripodnyatym chest, and then the relief of muscular tension and the movement of the abdomen forward relaxation of the diaphragm. Respiration is estimated as performed predominantly through the mouth, because the duration of the cycle “inhale-exhale” is determined mainly by the time of expiration, in this case through the mouth. Describes the training mode is performed using the simulator-inhaler /4/. The main factor in improving the impact of respiratory training on the way to /3/ is no longer hypercapnia, as in method /1/, and diaphragmatic breathing with the presence of resistance to exhalation. Resistance to breath too, but its usefulness is not accented; this factor along with hypercapnia and hypoxia inhaled gas mixture is considered to be a supporting, facilitating the achievement of the main technical result: the patient's transfer to the reduced consumption of atmospheric oxygen. Breath holding is excluded.

The exception to the way /3/ breath somewhat simplifies training conditions, but only slightly. Moreover, the lack of method /1/associated with the need to breath with the movements of the exhalation phases that require a lot of willpower to overcome the inherent nature of the reflex to breathe with the normal frequency Fnin the way /3/ even worsened, because lengthening this article is whether even greater, and the structure of the respiratory movements became much more complicated. As for the simulator-inhaler /4/, the disadvantages of repeated shortcomings of the trainer /2/because, as it turned out, the sources /2/ and /4/ describe the same device.

The method of breathing exercise, taken as a prototype of the invention, as the method /3/, is focused on the gradual transfer of the organism to endogenous respiration (reduced consumption of atmospheric oxygen) and is characterized by the following, see /5, page 7-9/ and /6/: the basis of training is diaphragmatic breathing predominantly through the mouth, similar to that described in /3/ (such as /5, 6/ about the need to “moderate tension of the muscles of the mouth, pharynx and neck with pripodnyatym chest after each breath for 0.5-1.0 second portion of the air” is not States); every breath is carried out for a time of 1.5-2.0 directly with atmospheric air and only the nose; each exhalation is through tailor the resistance of the trainer /5, page 7-9/ (let's call it the trainer /5/) only the mouth, extremely economical, with increasing as the duration of exhalation in the process of training and duration of training (up to 1 hour and more). The main factors health effects of breathing training method /5, 6/, as by way of /3/, are considered to be diaphragmatic breathing and resistance is the exhalation. Resistance to inhalation excluded as permissible only in sports practice and some rehabilitation procedures /5, page 19/. Optimal resistance to exhalation, tailor-made depending on the initial duration of the respiratory act, which depends, in turn, from the vital capacity of the lungs, is selected from experimentally proven number corresponding to the volume of fill in the simulator of water at 10.0, 11.5, 12.0, 12.5 ml. And to breathe through the resistance of the simulator, exceeding the maximum of the above, it is forbidden; it is believed that it is better to breathe through the resistance, a few less optimal /6/.

The trainer /5/received a prototype of the invention, similar to simulator-inhaler /4/, differing from the latter only by the lack of capacity-2, intended for the formation of a mixture of exhaled gas and atmospheric air. The need for it has disappeared due to the fact that the breath is now directly with the atmospheric air, the nose. However, to prevent uncontrolled improve the resistance to breathing due to contact with water seal together with exhaled gas saliva and other secretions of the body during exercise in the /6/ on the need for a thorough cleaning of small holes “outer” part of the vessel 1 and periodic (every 20 min) water exchange in the simulator is asked to pay special attention.

As you can see, the composition and sequence of breathing method /5, 6/ are very close to the way /3/. Formally, the only change is that the phase of inhalation of a mixture of atmospheric air with exhaled gas through the resistance is replaced by the inspiratory phases only atmospheric air without resistance. Therefore, although the training mode through the specified replacement and has become somewhat easier than the way /3/, the main disadvantage of this method /3/ - need to breathe with the movements of the exhalation phases that require a lot of willpower to overcome the inherent nature of the reflex to breathe with the normal frequency Fnin the method prototype remained. The same left and disadvantages of the trainer /5/. So, the above optimal dosage pour in the simulator of water correspond to the experimentally obtained resistance to exhalation with pulsations in the range of about 36-43, 38-45, 39-46, 40-47 mm water. Art.

Object of the invention is to provide a method for training of the respiratory system with no less than the prototype, Wellness efficiency, requiring, however, a smaller load in respect of willpower and device for implementation with fewer disadvantages.

The technical result is achieved by the use of the invention is to provide (while maintaining the Wellness of efficiency at the level of the prototype method) being the aqueous reduction of willpower, required during training and in the application simulator with improved performance characteristics: quiet; does not require permanent employment attention and hand-holding in the working position; suitable for combining training with other activities, including light housework; no time-dependent resistance to exhalation pressure on the breath).

This technical result is achieved in that in the method of training the human respiratory system by diaphragmatic breathing predominantly through the mouth with tailor-resistance to exhalation is equal to this resistance, the excess pressure of the exhaled gas create, and on the inhale, the breath is carried out in a “normal” pace with alternating cycles of the form A - “inhale atmospheric air exhale and loops In - breath exhaled gas - exhale”, the relation q=TIn/TAndtime TInbreath exhaled gas to the time TAndbreathing atmospheric air during the period of training, initially not exceeding 1, with the increase in the number of completed training, as adaptation to the lack of inhaled oxygen, gradually, avoiding discomfort, due to the increase in the number of loops In and reduce the number of loops (including in the course of the next workout) increase in the limit is about q> >1, and the depth of breathing is reduced. (Breathing is assessed as performed predominantly through the mouth due to the fact that the ratio q = TIn/TAndis mainly determined by the time TInbreathing with the mouth, not TAndbreath by breath by the nose).

This technical result is also achieved by the fact that in the breathing simulator containing linkable to the mouth of the capacity to tailor the resistance to exhalation, this tank is made with possibility of mounting on the head and automatically maintain a positive gas pressure during inhalation is equal to the resistance to exhalation. It can be done, for example, in the form attached to the mouth airtight providepulmonary membrane or elastic shell, the necessary clamping force which is formed by a weight acting on her cargo.

That clearly was the essence of the proposed method workout, consider briefly the content presented in the /5/ the new theory (model) of the breathing process, because it (theory, the model became the basis for the transition from fashion /3/ method-prototype /5, 6/. It also provides a basis for transition from the prototype method to prepositional.

According to /5, page 11-28/ oxygen from the lungs to the cells of the body by the blood itself is not transferred, but only an oxidant lipid film or surfactant, OK is waushara in the pulmonary capillaries, air bubbles, falling from the alveoli through the “gap” between alveolectomy. The introduction of air bubbles in the capillaries is provided by podsushiwauschego effect originating in the pulmonary veins, when after systole reveals the cavity of the left ventricle of the heart. Oxidation of surfactant occurs when electrical discharges between the red blood cells with large surface electric charges, and the endothelial cells of the capillaries with the transfer of electronic excitation energy of the adjacent cells. The resulting electronic excitation of erythrocytes leads after some time to a new similar class in another point of the circulatory system, where it excited the other adjacent cells, etc. with education in themselves necessary for life-sustaining oxygen. Moreover, the smaller the dimensions of each are surrounded by a surfactant bubble of air with oxygen, which supports an oxidation reaction of the surfactant in the regular electrical discharge, the lower the excitation energy of the erythrocyte, the more effective it is, this energy (instead of oxygen), is carried through the bloodstream and the more supply the body with oxygen. This condition satisfies diaphragmatic breathing, in which the “gap” between alveolectomy, through which the capillaries are “squeezed” named HSS is Riki air, minimum. But to the intensity of the transition of such bubbles from the alveoli into the capillaries and transfer excitation energy to the cells, and the cells did not decrease, but rather increased, in the alveoli must create some excess gas pressure. In the way /5, 6/ this is achieved by creating a resistance to exhalation. It is clear that the longer exhale than inhale, the better the relative share of time on the transition of bubbles of air from the alveoli into the capillaries increases. And a negative differential pressure in the alveoli at all harmful, because the introduction of air bubbles from the alveoli into the capillaries it prevents; in the way /5, 6/ he is excluded due to the transition to the breaths nose directly by atmospheric air. Finally, breathing with prolonged exhalation leads to the fact that the concentration of CO2in the alveoli of the lungs is maintained constantly high: approximately the same as when breathing in methods /1, 3/. Respiratory training in such conditions leads to the fact that in the light begins more and more intense generation of molecules O2that causes the same process of excitation of red blood cells and cells of the body, as and when breathing ambient air. Ultimately, this (trained, adapted to endogenous respiration mode), the body in the sense the Le samosnabzheniye oxygen so activated, what becomes able to go on life support for some time (tens to hundreds of minutes or more) with zero consumption of atmospheric oxygen,

From this it follows that the essence of the proposed method lies in the transition from the creation of the described conditions for the development of endogenous respiration at the expense of long term expirations through “passive” resistance to the creation of the equivalent conditions due to the much simpler, “return” breathing in “normal” rate at the same pressure as on the exhale and the inhale.

The proposed method of breathing exercise will now explain with examples the use of the above-mentioned variants of the simulator of Fig. 1,2.

In Fig. 1 mark: 1 - gastight provideproperty shell covering the mouth region of the face of the obturator 2, mounted on the head strap 3; 4 - pipe with tube 5 connected to the cavity surface 2 and is used to connect a pressure gauge, not shown, in the selection of the required pressure under the membrane prior to or during exercise. Note that the characteristic volume - pressure”, for example, spherical rubber shell has consistently four sections with special properties: with increasing pressure up to a maximum, with the decrease of pressure from the decree of the frame maximum to a minimum, with almost constant pressure or region “plateau” and, finally, with increasing pressure up to break the shell. Shell of different forms and have different characteristics, but in the simulator of Fig. 1, to minimize its size during exercise in any case it is advisable to use the field “plateau” from the beginning when as a smaller amount, not exceeding, for example, the breathing capacity of the lungs (about 350 cm3). Have also in mind that provideproperty shell is made of a material or coated material, not shown, eliminating the release of toxic gases.

In Fig. 2 in addition to the elements 4, 5 for a similar purpose indicated: 6 - impermeable elastic membrane bellows with covering the mouth region of the face of the obturator 7, fastened on the head two side, symmetrically with respect to a person located, flexible cords 8 “beads” 9; 10 - floating end of the bellows 6, made in the form of a rigid plate with two side slits for detachable connection with the cords 8; 11, 12 - guides for cords 8, connected with a hollow vertically moved under the force of gravity of the piston 13 in box 15 (guides 11 are part of the obturator 7); 15 - water, pour in the piston 13 to give it the necessary weight; 16 - stopper for sealing p is losti piston 13; 17 is placed on the back of the head proomega plate elements 12-16 (the size and configuration of the pads is such that the elements 12 and 16 are held on the head without the support of the hands).

The simulator of Fig. 1 operates as follows. Before beginning a workout, the shutter 2 from the shell 1 by means of a belt 3 is fixed on the face overlapping the mouth area. Then run 2-3 preparatory cycle diaphragmatic breathing with inhalation of atmospheric air by nose - exhale mouth in order provideproperty the shell 1 is swelled up to the extent not hindering the breath of his mouth only, and that the pressure in the bellows was set equal to a pre-selected value. Such a selection may be made according to the test, similar to those proposed in /6/, for example, by replacing one shell to another of the one supplied with the simulator set them with three or four different characteristics “volume - pressure (the pressure in the “plateau” with control manometer connected to the inlet 4). In the future, all cycles diaphragmatic breathing type And run in a “normal” pace, in sequence, which will be described below. Here we only note that the excess pressure on the breath is automatically maintained equal to the resistance (pressure) on the exhale, not only thanks to the efforts of the compression of the shell 1, but also through the I direct oral communication with the cavity of the shell 1. The presence between the mouth and the pressure vessel even a short breathing tube (duct), in fact pneumatic throttle, would have led to a substantial violation of the equality of pressures on the exhale and the inhale.

The simulator of Fig. 2 operates as follows. Before beginning a workout pad 17 with elements 12-16 is located on the back of the head and the skirt 7 of the bellows 6, held one hand over the end plate 10, is pressed against the face of the overlapping region of the mouth. The other hand is the connection plate 10 with the cords 8. For this purpose the ends of them with beads 9 are inserted into the side slot of the plate 10 and there due to the tensile force due to gravity of the piston 13, is fixed; the piston 13 after connecting cord 8 to the plate 10 when fully compressed bellows 6 is in the lowest position, some not reaching the bottom (restrictive) end of the box 14. Upon completion of the above transactions during breathing by the nose, the obturator 7 (with bellows 6) is held in the original predetermined position without using your hands. Next run 1-2 preparatory cycle diaphragmatic breathing with inhalation of atmospheric air by nose - exhale mouth, so that the bellows 6 swollen to the extent not hindering the breath of his mouth only, and that the piston 13 has risen to the highest position, not reaching Mack the distribution panel is minimal possible. In the future, all cycles diaphragmatic breathing type And run in a “normal” pace, in sequence, which will be described below. The piston 13 and the plate 10 do while reciprocating motion. Moreover, the pressure on the breath is automatically maintained equal to the pressure on the exhale, not only by the force of gravity of the piston 13 is transmitted to the bellows through the cords 8, but also through direct oral communication with the cavity of the bellows 6. Selection of the necessary pressure in the bellows 6 (controlled by a manometer connected to the outlet 4) is carried out by changing the amount of water poured into the cavity of the cylinder 13.

The simulator of Fig. 1, as we can see, in General drawbacks of the simulator prototype: it is silent in operation, has not depending on the position in space and time resistance to exhalation pressure on the breath, and breathing training due to the lack of employment attention and hands can be combined with other activities such as light housework. The simulator of Fig. 2 has, in principle, the same advantages as when you want to perform the exercise lying down or reclining, box 14 with the piston 13 can be deployed relative to the plates 17 with the guide 12 in a vertical or close to it (items, providing the opportunity, the drawing is for simplicity not shown).

Respiratory cycles of the form A - “inhale atmospheric air exhale and cycles of the species In - breath exhaled gas - exhale” can be broken into podzilla type C1, C2, C3, C4where C1- “inhale atmospheric air by the nose, exhale with the mouth in a closed vessel under pressure”, C2- “inhale gas from the named vessel mouth exhale in the same capacity of mouth”, C3- “inhale gas from the named vessel mouth, exhale into the atmosphere by the nose”, C4- “inhale atmospheric air by the nose, exhale into the atmosphere by the nose”. In Lite mode-1 workout (assuming that capacity from exhaled gas filled) used sequence C3-C1-C3-C1- ...when 1 breath atmospheric air has 1 breath exhaled gas with high concentration of CO2and lowered About2. In a more challenging mode-2 training sequences are used C2-C3-C1-C2-C3-C1-... and/or C2-C4-C2-C4- ... when 1 breath atmospheric air have 2 of breath exhaled gas. In an even more intense mode-3 training sequences are used C2-C3- -C1-C2-C3-C1-... and/or trudged 3ts2-C4-Trudged 3ts2- -C4-...when 1 breath atmospheric vazduhoplovaca 3 breaths exhaled gas, and so In General is a sequence (N-1)C2-C3-C1-(N-1)C2-C3-C1-... and/or N2-C-N2-C4- ... when 1 breath atmospheric air are N breaths of the gas mixture with high concentration of CO2and low O2. These sequences of respiratory cycles can vary in any combination, including multiple repetitions of cycles of the form C2and C4so in General, N should be understood as averaged over the training time, the number of the breaths of the gas mixture from the tank with the exhaled gas to 1 breath atmospheric air. And gradually, in the measure of individual capabilities, increasing the number N of time TAndbreathing atmospheric air during the period of training is reduced, the time TInbreath exhaled gas during the same period increased and the ratio q=TIn/TAndalso increases in the limit - up q>>1 (for example, up to q≈ 100).

LITERATURE

1. Yu Mishustin. The system of natural health recovery “Key to health” (developed under the arms. MD, academician A.A. Nenasheva). - , Samara, “Paracelsus”, 1997.

2. Trainer breathing individual TDI-01. Passport and application instructions. - , Samara, “Paracelsus”, 1997.

3. SCI Frolov. The method of training of the respiratory system. Description of what bretania to patent RU 2123865 from 12.01.98.

4. Inhaler Frolov. The description of the patent SU 1790417 from 23.01.91.

5. SCI Frolov. Log in to the century young. Endogenous medicine without alternatives. -M., “TRIAD Plus”, 2002.

6. SCI Frolov. Trainer TDI-01. Instruction on breathing from 05.11.2001. Author's methodological recommendations from 08.11.2001 (available as a paid application for the book /5/ free to Passport IMPF 93041 TOS and instructions for use of TDI-01 company “Dynamics” - the manufacturer of the simulator, Novosibirsk, 2002).

1. The method of training the human respiratory system by diaphragmatic breathing predominantly through the mouth with tailor-resistance to exhalation, characterized in that is equal to this resistance, the excess pressure of the exhaled gas create, and on the inhale, the breath is carried out in a usual pace with alternating cycles of the form A - “inhale atmospheric air exhale and loops In - breath exhaled gas - exhale”, the relation q=TV/TAtime Per breath exhaled gas to the time TAndbreathing atmospheric air during the period of training, initially not exceeding 1, with the increase in the number of completed training, as adaptation to the lack of inhaled oxygen, gradually, avoiding discomfort, due to the increase in the number of loops In and reduce the number of cycles of the form A, including during ceremnoy training, increases, and the depth of breathing is reduced.

2. Breathing simulator to implement the method according to claim 1, containing attachable to the mouth of the capacity to tailor the resistance to exhalation, wherein the container is configured to automatically maintain a positive gas pressure on the inhale, equal to the resistance to exhalation.

3. Breathing exerciser according to claim 2, characterized in that the said container is made in the form attached to the mouth airtight elastic-deformable shell.

4. Breathing exerciser according to claim 2, characterized in that the said container is made in the form attached to the mouth of the elastic membrane, the necessary clamping force which is formed by a weight acting on her cargo.



 

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SUBSTANCE: device has curved flexible air-conducting tube and mask segment. The mask segment is shaped to completely fit to the area above the laryngeal orifice. Supporting member has a set of thin flexible ribs branching out from core member stretching from opening area. Having the air duct device mounted, the flexible ribs thrust against the pharyngeal side of cricoid laryngeal cartilage immediately under the esophagus. The mask segment is fixed and thrusts against hard surface without injuring soft esophageal tissues. Versions of present invention differ in means for fixing around the laryngeal orifice of a patient.

EFFECT: enhanced effectiveness of lung ventilation in unconscious state.

14 cl,8 dwg

FIELD: medical engineering.

SUBSTANCE: device has curved tube, cover, shield, metal cylinder, flexible plate and curved wire. Flexible curved tube is attached to one shield side and ring-shaped bead pressed with the cover is on the other side. One end of metal cylinder is beveled at an angle of 45° and the other one has thin rim. The flexible plate is shaped as the beveled cylinder base. The curved wire is attached to the plate with one end. The flexible tube has oval opening in the maximum curvature region, which area is equal to trachea cross-section area. Metal cylinder is enclosed in the flexible tube and rests with its rim upon the ring-shaped bead of the shield. The plate is mounted on the beveled base and attached to external surface of the cylinder with the other wire end.

EFFECT: enhanced effectiveness in creating voice; wide range of functional features; accelerated rehabilitation period.

1 dwg

FIELD: medical engineering.

SUBSTANCE: device has measuring unit 1 having inlet and outlet tubes 2 and 3 and electronic unit for processing signals. The device has control valve 4 mounted on inlet tube 2. The electronic unit for processing signals has absolute pressure gage 5 mounted on xenon entry to the measuring unit, standardizing amplifier 6 of absolute pressure, the first differential pressure gage 7, the first standardizing amplifier 8 of differential pressure, the second differential pressure gage 9, the second standardizing amplifier 10 of differential pressure, switch 11, multiplier 12, analog-to-digital converter 13, digital xenon discharge flow indicator 14, voltage-to-frequency converter 15, xenon quantity counter and digital xenon quantity indicator. The measuring unit has at least two parallel capillary tubes. Capillary tubes inlet is connected to the inlet tube and the outlet is connected to the outlet tube.

EFFECT: improved operation characteristics.

7cl, 1 dwg

FIELD: medical engineering.

SUBSTANCE: device has chamber for accumulating carbon dioxide, bite-board and respiratory pipe. The chamber is manufactured as cylinder having conic bases arranged one in the other smoothly movable one relative to each other. The respiratory pipe with bite-board is available on one of external cylinder tips and single-acting valve with choker is available on the other tip allowing rotation for making resistance to expiration. Reservoir for collecting condensate is mounted on cylindrical surface the external cylinder. Pipe for taking air samples is available on distal external cylinder part cone base.

EFFECT: smoothly controlling expiration resistance and carbon dioxide concentration; enhanced effectiveness in separating air flows.

2 dwg, 1 tbl

FIELD: medical engineering.

SUBSTANCE: device has sensing elements built in into mask body so that, when being put on, all required sensing elements are set on patient. The mask has soft flexible material on its perimeter holding the sensing elements inside for making contact with patient skin and making tight sealing. Sensing elements are also available on mask body and corresponding straps or caps. The sensing elements are usable for controlling electromyogram, electroencephalogram, electro-oculogram and electrocardiogram, superficial blood pressure, temperature, pulse, blood oxygen, patient position, patient activity level, sound and patient gas pressure in the mask.

EFFECT: wide range of functional applications.

31 cl, 7 dwg

FIELD: medicine; medical engineering.

SUBSTANCE: method involves applying diaphragmatic respiration with resistance to expiration. Overpressure equal to the resistance is created at inspiration stage. Breathing is carried out in usual pace in alternating A-type cycles as atmospheric air inspiration-expiration and B-type cycles as exhaled gas inspiration-expiration. Time proportion of breathing with exhaled gas to atmospheric air respiration is initially set not greater than 1. The value is gradually increased and respiration depth is reduced as organism adaptation to inhaled oxygen takes place, by increasing the number of B-type cycles and reducing the number of A-type cycles. Device has reservoir attached to mouth with individually selected expiration resistance. The reservoir has features for supporting gas overpressure at inspiration stage equal to one at expiration stage.

EFFECT: enhanced effectiveness of treatment; reduced volition effort required for training; improved operational functionality characteristics.

4 cl, 2 dwg

FIELD: pulmonology, intensive care, and reanimation techniques.

SUBSTANCE: two bronchial tubes are used, one being led through translaringal (nasobronchial or orobronchial) way into right or left bronchus and the other tube through trancheostomic hole led into principal bronchus on the opposite side thereby disengaging lungs below trachea bifurcation.

EFFECT: enabled access to respiratory tract of patient with damaged segment of trachea disconnected from respiration act in order to provide most favorable conditions for performing selective pulmonary ventilation.

1 dwg, 2 tbl, 3 ex

FIELD: urology.

SUBSTANCE: treatment course including 15-20 daily procedures consisting of 30-min respiration with hypoxic gas mixture is proposed. Oxygen level in such hypoxic gas mixture is stepwise lowered from one to the next session during first 4-7 days of normobaric hypoxic therapy from 16-17% to 12%. Normobaric hypoxic therapy is included into complex therapy of disease in decayed acute phase or unstable remission phase, or normobaric hypoxic therapy is employed when principal treatment is completed in case of severe progress of disease or before principal treatment course in case of asymptomatic clinical course or in remission phase.

EFFECT: prolonged remission period, reduced doses of drugs, increased fertility in patients.

5 cl, 3 tbl, 3 ex

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