A method of treating functional tubal infertility

 

(57) Abstract:

The invention relates to medicine, and is intended for the treatment of functional tubal infertility. Interact with 5-7 days of the menstrual cycle by electrical stimulation of the fallopian tubes of rectangular pulses with bringing the electrode to the posterior vaginal fornix. Conduct impact Autonomous electrostimulator, the casing of which are stimulating electrodes, the frequency of 0.28 to 0.39 Hz, 2-3 Hz and 36-50 Hz for 20-25 minutes, once a day, in the course of 10-12 treatments. The method allows to increase the effectiveness of treatment functional tubal infertility.

The invention relates to medicine, namely to physiotherapy and gynecology.

There is a method of restoring functional status of the fallopian tubes, including the effects on the cervix rectangular pulses of 2 MS with a frequency of 70-80 Hz, ranging from 10-12 day cycle 4-5 days in a row, and then up to 24-25 day cycle every other day [1].

The disadvantages of this method is the need for intrauterine injection electrode, which requires the creation of additional aseptic conditions and carrying out these procedures, the doctor-gynecologist. The power supply unit from the mains voltage CSOs institutions.

Closest to the claimed method (prototype) is a method of treating functional tubal infertility, including, beginning with 5-7 days of the menstrual cycle, electro effects of monopolar rectangular pulses with a frequency of 12.5 Hz in continuous mode and amperage, causing the patient a tingling sensation, and a weak vibration under the anode located on the sacrum. The cathode was introduced in the posterior vaginal vault [2], the duration of one procedure 5 min, daily 2-3 treatments at the rate of 20-30 procedures.

The disadvantages of this method is the use of a single frequency, which is known to reduce the performance impact. In addition, the use of two electrodes, one of which is superimposed on the sacrum, and the second is injected into the posterior vaginal vault with gynecological mirrors, creates some discomfort during the procedure and eliminates the use of the method outside the medical institution. In some cases, one course corresponding to one of the menstrual cycle, is not enough, but the prototype is not indicated on the possibility and advisability of repeat courses of treatment.

The aim of the invention is to restore functional with the 5-7 days of the menstrual cycle by electrical stimulation in the fallopian tube of rectangular pulses with the creation of the one electrode to the posterior vaginal fornix.

Distinctive features of the proposed method is the impact of the Autonomous electrostimulator [3], on the body which are both electrode, the complex frequency in the range of 0.28 to 0.39 Hz, 2-3 Hz 36-50 Hz, for 20-25 minutes, once a day, at the rate of 10-12 procedures. If necessary, the course may be repeated up to 3 times.

The rationale for distinguishing features. The impact of the Autonomous electrostimulator allows you to conduct therapy in inpatient, outpatient, and home with full electrical safety, because the supply voltage and the operating voltage of the Autonomous electrostimulator does not exceed 4.5 V, and the current pulse is not more than 10 mA. The location of the both electrodes on the housing of the pacemaker helps to make the procedure more comfortable for the patient and medical staff, creates the opportunity to perform the procedure the patient after instruction and eliminates the need intrauterine injection electrode overlapping the second electrode on the sacrum. Using the stimulation of complex frequencies in the range of 0.28 to 0.39 Hz, 2-3 Hz and 36-50 Hz and flow at this stimulating pulses packs allows the stimulation of the various processes is their refractory period to 20 seconds. Holding stimulation for 20-25 minutes, once a day is sufficient for effective stimulation of the relatively slow-twitch smooth muscles of the fallopian tubes, while the positive effect lasts for hours, which eliminates the need for a 2-3 day procedures. High efficiency impact, the accumulation of therapeutic effect from procedure to procedure allows to reduce, compared to the prototype, the duration of the course of 10-12 treatments. The ease of use, security of the proposed method of treatment and no side effects therapy allows, if necessary, repeat courses of treatment up to 3 times (for 3 menstrual cycles).

The method is carried out in the position of a patient lying on the back or on the side. With the introduction of the pacemaker, the patient should relax. The health professional carrying out the procedure, or the patient take Autonomous electrostimulator in hand and smoothly enter the posterior wall of the vagina until it stops in the rear arch. After 20-25 min of the Autonomous electrostimulator smoothly remove, wash under running water, dry with a clean cloth and placed in the case to the following procedure. Procedure carry out rednikov).

Example. Patient I., 23, was treated in the gynecological Department of the Tomsk scientific research Institute of balneology and physiotherapy, history N 1316. Diagnosis at admission: secondary infertility. Complaints on admission to the absence of pregnancy within 2 years. From the anamnesis: in childhood suffered measles, mumps, varicella. Menstruation is 13 years, 3-4 days, after 28 days, moderate, and sometimes painful. Sex life of 16 years, pregnancy 1 in 20 years, outside of marriage, which ended in metabrom in 10 weeks, which was complicated by acute inflammation of the uterine appendages. The outpatient treatment (antibiotics, sulfonamides, electrophoresis with lidsay). At the age of 21 married during the year, did not use contraception because she wanted a child. Pregnancy has not occurred, and therefore appealed to the antenatal clinic. The survey, which revealed that infertility is due to a functional failure of the fallopian tubes. When receiving a satisfactory condition. From internal organs revealed no pathology. Palpation of the abdomen is soft, clubbritney. Gynecological examination: external genitals correctly formed vagina free, cervix clean. The uterus is ignesti, palpation sensitive, the sizes are not increased. Ultrasound: uterus in the centre, the contours of her smooth, homogeneous structure, dimensions HH mm, M-echo h mm right Ovary HH mm, left HH mm, the structure is not changed. Geographical research: visually observed polymorphism eographically waves, POLYCRETE. The amplitude is somewhat reduced (0,04 cm). Anakata 0,131 with, the decaying limb 0,658, duration eographically wave 0,789 C. analysis of a blood: a hemoglobin - 124 g/l, erythrocytes - 4,6X1012/l, leucocytes - 6,2x109/l, ESR - 12 mm/h

Produced kamagraviagra pertusaria: R-pipe - 102,2 mm RT.art., R-max - 130,3 mm RT.art., R-base - 66,7 mm RT.article Asymmetry - 0,49. Analysis of basal body temperature revealed a two-phase cycle.

Treatment is appointed in accordance with the claimed method. Autonomous electrostimulator was introduced on the back wall of the vagina until it stops in the rear arch. Influenced by the complex frequency of 0.28 Hz, 2 Hz and 36 Hz. The exposure duration of 20 min, daily, in the course of 12 treatments. At discharge: gynecological examination the uterus is located in the center of the pelvis, the size is not increased, the mobility of its appendages recovered, painless, not enlarged. Ultrasuede corresponds to the phase of the cycle. The right ovary HH mm, left ovary HH mm, the structure is not changed. Eographically study: regular waves, policriti unit, the wave amplitude of 0.07 cm, duration eographically wave 0,760, bakrota 0,126 with, the decaying limb - 0,634 C. analysis of a blood: a hemoglobin - 130 g/l, erythrocytes - 4,8x1012/l, leucocytes - 4,5x109/l, ESR - 10 mm/h was compartable: R-pipe - 90,2 mm RT.art., P-maximum - of 99.7 mm RT. Art., R-base - 55,3 mm RT.article Asymmetry is 0.27. In the analysis of basal body temperature revealed the preservation of the 2-phase cycle. After 4 months of pregnancy, which ended urgent delivery of a healthy child.

The advantages of the proposed method lies in the possibility of a secure treatment in inpatient, outpatient, and home. The location of the both electrodes on the housing of the pacemaker helps to make the procedure more comfortable for the patient and medical staff, creates the opportunity to perform the procedure the patient after instruction and eliminates the need intrauterine injection electrode overlapping the second electrode on the sacrum. Using the stimulation of biologically active frequencies allows , fallopian tubes, the positive effect lasts for hours, which eliminates the need for a 2-3 day procedures and reduces the duration of the course of 10-12 treatments.

Sources of information

1. Davydov, S. N., Zorkin A. A., Litinsky B., Treatment of functional infertility by electrical stimulation of the cervix. Health. - 1972. - N6. - c.15-18.

2. The Strugatsky C. M., Arslanian K. N., Sati O. A. and other intensive medicamentous treatment of functional tubal infertility. Questions balneology, physiotherapy and exercise therapy.-1994.- N2. -S. 24-26.

3. Baking centuries , Agafonnikov C. F., Dambai, Church and other Autonomous electrostimulator of humans and animals., Tomsk. - 1995. - 130 C.

A method of treating functional tubal infertility, including impact with 5-7 days of the menstrual cycle by electrical stimulation of the fallopian tubes of rectangular pulses with bringing the electrode to the posterior fornix of the vagina, characterized in that act Autonomous electrostimulator, the casing of which are stimulating electrodes, the frequency of 0.28 to 0.39 Hz, 2-3 Hz and 36-50 Hz for 20-25 minutes, once a day, in the course of 10-12 treatments.

 

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