The method of treatment of chronic prostatitis different etiology
(57) Abstract:The invention relates to medicine, and urology. Carry out the antibiotics, effect of laser radiation on the reflex zones on the system su Jok. The wavelength of 0.63 µm. The power density of 2 mW/cm2. Time 2 min per zone. Assign omnic 0.4 mg per day. The way relieves dysuria. 1 Il. The invention relates to medicine, namely to urology.Chronic prostatitis is one of the most common urological diseases, poorly treated, is prone to frequent relapses, significantly reduces the quality of life of patients, primarily due to disorders of sexual function and dysuria, which accompanies prostate more than half of the cases.The mainstay of treatment of chronic prostatitis of any etiology is antibacterial therapy in combination with various methods of pathogenetic effects (C. N. Tkachuk, A., Gorbachev, L. I. Golanski. Chronic prostatitis. - M., 1984). Antibiotic therapy due to the type of pathogen, and pathogenetic events in any etiology of prostatitis are similar. One of the most effective methods of pathogenetic cured is via the urethra or rectum is invasive and the risk of developing complications; contraindicated in cases of haemorrhoids, and the location of the fiber on the perineum has a less pronounced effect.In addition to local application of laser radiation and irradiation of blood, perhaps the use of lasers in reflexology. All biological systems are very sensitive to laser radiation. Cells partially reflect the laser beam and partially absorbed, and this applies to both infrared and red radiation. There is a phenomenon of optical resonance at the cellular level. When irradiated by the laser part of the cells are killed and these cells then occurs ultraweak emission of photons, which may extend along the energy meridians, if the laser influence on biologically active points (BAP). In addition, the laser can affect the biopolymers DNA and RNA protein. Thus, the laser acupuncture produces diverse effects on the body.Described many ways in laser acupuncture, when the focused laser beam impinges on the point acupuncutre (O. L. Tiktinsky, I. F. Novikov, V. C. Mickle. Diseases of the genital organs in men), 1984). However, laserpuncture requires a clear and precise knowledge of the BAHT, which is rare among urologist prostate cancer by affecting seed tubercle electric current (RF patent 2007715 C1), but he, first, invasive, and secondly, is aimed primarily at correcting sexual dysfunction. Auth. Holy NN 1162429 and 1146849 aimed at correcting one of the complications of chronic prostatitis - impaired spermatogenesis, which will entail infertility.Also known is a method of treatment of chronic uretroprostatit (ed. St. N 1130345) be by electrophoresis, with the goal of shortening the treatment time. However, this method requires sophisticated equipment, invasive, painful, fraught with complications.Described is a method of treatment of chronic prostatitis and sexual disorders by massage of the prostate, drug therapy and psychotherapy, characterized in that, in order to fully resolve the inflammatory process and restore the function of the prostate, the patient is injected intramuscularly proteolytic enzymes (ed. St. N 486750), and a method of treatment of chronic prostatitis by massage of the prostate and irrigation of the bladder and urethra, characterized in that, with the aim of reducing the duration of treatment, massage and washing are performed simultaneously with the continuous supply and extraction antiseptic liquid (ed. St. N 679210). However, in both etiee close to the claimed is a Method for the treatment of chronic nonspecific prostatitis by impact of physical factors on the prostate gland, characterized in that, with the aim of lengthening the period of remission, effect of continuous monochromatic laser light with a wavelength of 0,632 μm, when the duration of exposure 5-8 min and the energy density of 0.5 to 6.0 mW/cm2(ed. St. N 1091396), we adopted for the prototype. However, in the prototype also does not specify the date of termination dysuria, which basically reduces the quality of life for prostate, and the emphasis is on the subjective improvement of sexual function. In addition, the prototype involves conducting manipulation through the rectum, which is invasive and, therefore, unsafe.The proposed method is based on the influence of the laser beam on the reflex zones, which are easily identified, in combination with taking omnic inside that allows to quickly arrest the dysuria and increases the effectiveness of treatment of chronic prostatitis.In recent years, much attention is paid to the blockers of adrenergic receptors, which are considered as a promising drug for the treatment of BPH.1-adrenergic receptors are localized mainly in the region of the bladder neck, prostatic Department urethra, capsule and stroma of the prostate; through them Preparata omnic, which is a blocker of strictly local action - 1 - adrenergic receptors results in relaxation of smooth muscles of the prostate, removal of spasm, facilitating the outflow of secretions and inflammatory exudate and mild dysuria.The method is as follows.After a thorough clinical, laboratory, bacteriological and radiological examination, allowing to establish a detailed diagnosis, the patient treatment.In case of nonspecific prostatitis apply unidox, nolitsin on manufacturer's recommended scheme. In tuberculous prostatitis appoint tuberculostatic.Additionally, in both cases, the prescribed daily intake of omnic at a dose of 0.4 mg for 10-14 days and conduct impact red laser beam (wavelength 0.63 μm, the power density of 2 mW/cm2) on the correspondence zones on the system su-Jok for 2 min each for 5 to 7 days. Correspondence zones shown in the drawing. Treatment effectiveness was evaluated both subjective symptoms and objective criteria (analysis of a secret of a prostate, uroflowmetry).Under our supervision there were 8 patients in age from 24 to 32 years. All p is Uriah, first and foremost, nocturia, after 5 days of dysuria was controlled in all patients, however, given the incomplete reorganization of the secret of the prostate by that time, as well as saving some changes on urological, treatment continued until 10 to 14 days.Example 1. Patient D., 28 years. Chronic nonspecific prostatitis affects about 2 years, repeatedly received treatment with satisfactory, but always incomplete effect. Relapses occurred after 3-5 months.When receiving complains of almost constant aching pain in the perineum, discomfort during prolonged sitting, discomfort during urination, frequent urination (7 times during the day and 3-4 times a night), decreased libido, erection.Status genitalis: the testes and epididymis by palpation without pathology; per rectum: USD free. Prostate normal size, slightly flattened, testovaty consistency, the groove is slightly smoothed. The surface is uneven. Palpation moderately painful.In the prostate secretion leukocyte 50-60 in the field of view, lecithin grains a bit. Bacteriological examination detected the growth of Staphylococcus aureus. If uroflowmetry volume machevo is under antibiogramme, and omnic 0.4 mg per day, and laser therapy for su-Jok.Already on day 2, the patient noted a subjective improvement after 4 days dysuria was controlled completely through 10 days gone and other complaints. In the prostate secretion leukocyte 6-8 in the field of view, increased the number of lecithin granules. Growth of pathogenic flora is not revealed. The volume of the bladder increased to 310 ml, the average rate of urination to 16.4 ml/S. long-term results have been traced for 6 months - the results achieved stable, no recurrence of the disease.Example 2. Patient K., 24 years. In obscurologists Department for acute epididymitis was performed epididymectomy left, histological examination detected tuberculosis. The patient was transferred to the urogenital clinic NIIT.Upon receipt complained of increased painful urination, weak pain in the scrotum on the left, periodically - drawing pain in the perineum.Status genitalis: left appendage removed, palpable plotnovato scars. The right testicle is not changed, the appendage in the tail area was increased up to 1.5 cm thick, lumpy. Per rectum: USD free. Prostate round, finely tuberous, elastic consistence, slabosolenaja.The patient was diagnosed with bilateral tuberculous epididymitis, after epididymectomy left. Tuberculosis of the prostate, Bq+.On a background of reception of tuberculostatics was appointed omnic 0.4 mg daily and laser therapy in the corresponding zones of the su-Jok. 4 days later the patient noted improvement in health, 8 days have been completely cropped prostatic complaints, however, given the massive destruction, the treatment was continued for up to 14 days. By this time urination free painless, nocturia no significant improvement uroflowmetric indicators, the secret of the prostate also positive trend is the decline in the number of cells up to 18-20 in sight.Thus, the holding of pathogenetic therapy according to the proposed scheme made it possible to quickly and reliably to arrest one of the most severe symptoms of urological diseases - dysuria; contributed to the rapid achievement of high causal effect of treatment. The method of treatment hronicheskogo exposure to laser radiation of the red region of the spectrum, the wavelength of 0.63 µm with a power density of 2 mW/cm2on the reflex zones on the system su Jok for 2 min on a zone and assign omnic at a dose of 0.4 mg per day for 10-14 days.
SUBSTANCE: method involves carrying out hernia removal in intralaminar way. Posterior longitudinal ligament defect is covered with Tacho-Comb plate after having done disk cavity curettage. Subcutaneous fat fragment on feeding pedicle is brought to dorsal surface of radix and dural sac.
EFFECT: enhanced effectiveness of treatment; reduced risk of traumatic complications.