The way vibro-therapy neuro forms of vasomotor rhinitis

 

(57) Abstract:

The invention relates to medicine, otorhinolaryngology. Impact vibration massage 50 Hz on the front third of simultaneously lower and middle turbinates within 1.5 to 2.0 minutes On biologically active points, 12 G, 14 G, E 36, PC 3, PC 15, 120 G, VG 25 during the 30-40 affect the vibration frequency of 50 Hz. The method reduces the time of treatment.

The invention relates to medicine, namely to otorhinolaryngology.

It is known that the characteristic of vasomotor rhinitis is a triad of symptoms: difficulty in nasal breathing, heavy liquid (watery) allocation, paroxysmal sneezing.

Currently, there are a variety of therapeutic, polufinalistka and surgical methods for the treatment of neurovegetative form vasomotor rhinitis, the most common of which are: ultrasonic disintegration, laserodestruction, electrocautery, cryotherapy, cauterization of the mucous membrane of the nasal Concha various chemical agents, vasoconstrictor drops, blockages in the region of the nasal Concha of various drugs, physiotherapy. However, each of these methods of imoca, and the main thing is often accompanied by the violation of the integrity of the mucous membrane of the nasal Concha, which acts as a barrier that prevents the penetration of infection, and has a wide receptor area and an important neuro-reflex connections with the organs and systems of organism (L. B. Dainiak, 1966; E.V Piskunov, 1986).

In the pathogenesis vasomotor rhinitis importance is given to the change of the autonomic nervous system, but is particularly pronounced local violations tone of smooth muscles of the vessels of the mucous membrane of the nasal Concha, leading to difficulty in nasal breathing and other functional disorders of the nasal cavity (Y. P. Rich, 1990; O. C. Mareev, V. Century Chebrov, 2001).

The prototype of the present invention is the invention of "a Method of treating neuro forms of vasomotor rhinitis. The method is as follows. In the bow to the front end of the bottom, and then the middle nasal Concha is supplied to a light stop bead vibrating nozzle device. The exposure time for each nasal sink 1.5 min. treatment 8-10 treatments, once a day. The frequency of oscillation of the nozzles 50 Hz (Patent of the Russian Federation 2099039 of 20 December 1997). However, the disadvantage of this method cachestatus vibrating massage of the mucous membrane of the nasal Concha, in the result, the percentage of good results below and shortened the length of remission in chronic process in comparison with the proposed method. In order to enhance the clinical effect of the present invention proposes a method of complex treatment: combination of local endonasal vibrating massage of the mucous membrane of the nasal Concha with vibration reflex massage of biologically active points (BAP). This significantly increases a wide range of therapeutic manifestations of low-frequency vibro-therapy, which is manifested as local changes: removing the swelling of the mucous membrane of the nasal cavity, the restoration of vascular and neuromuscular structures of the nasal Concha, local tissue trophism, functions of the nasal cavity and regulatory reflex mechanism of the mucous membrane of the nasal cavity with the organs and body systems and General: normalization of the autonomic nervous system, immune mechanism, which stimulates the immune response and increase the resistance of the organism. However, in this method, unlike the former, it is proposed vibration massage at the same time lower and middle turbinates, and therapeutic effeot vibro-therapy may be used alone as monotherapy and as an alternative medicinal treatment of vasomotor rhinitis.

Therapeutic dosage vibro-therapy does not render harmful influence on the body and can be used even in patients with different concomitant diseases (ulcer, autonomic dysfunction blood pressure, liver disease, etc. (A. A. Rodionenko, A. J. Kramer, 1986)).

The object of the invention is a new method of complex treatment of vasomotor rhinitis, including local endonasal vibration massage turbinates, combined with the overall low-frequency vibration reflex massage of biologically active points (BAP).

The technical result of the claimed invention, one of the leading causes of neuro forms of vasomotor rhinitis is a disorder of the autonomic nervous system, manifested vegetative-vascular dystonia, i.e., a violation of the tone of the vascular system of the entire body, but in neuro form vasomotor rhinitis, in addition to changes in vascular tone the entire body, prevails violation of the smooth muscle tone of blood vessels of the mucous membrane of the nasal Concha, which is locally manifested by difficulty in nasal breathing. Therefore, to normalize the autonomic nervous system, we applied the General point is also used regional (specific) point (PCS, PC 15, GI 20, 25 VG) is used in the treatment of rhinitis and, in particular, with vasomotor rhinitis (Gabaa lovsan "Traditional and modern aspects of Oriental reflexology", M, 1992, S. 133, 134, 153, 155, 451).

Application of low-frequency vibro-therapy in the treatment of neuro forms of vasomotor rhinitis is an alternative medicinal treatment, as it is based on the restoration of the vascular tone of the mucous membrane of the nasal Concha not only due to the direct local impacts of low-frequency endonasal (intranasal) vibromassage, but due mediated reflex effects on biologically active points, with a broad therapeutic effect. An important aspect of the proposed method is its high clinical efficiency and effectiveness. When using method does not require the appointment of a number of drugs, which up to the present time widely used in practice in the treatment of neurovegetative form vasomotor rhinitis, especially vasoconstrictor, desensitizing drugs affecting the autonomic nervous system, which often leads to severe side effects, but ill is used and in those cases, when contraindicated widely used drugs in vasomotor rhinitis.

However, the proposed method of treatment is an alternative to the widely used polufinalistka and surgical methods of treatment, which greatly injured mucosa of turbinates, which has a powerful reflexogenic zone.

In contrast to common methods of treatment proposed method in a short time eliminates the disease, and for long-existing processes induces long-term remission.

The proposed method of treatment gives long-lasting clinical effect, reduces treatment time compared to known methods for 3-4 days, can be used both in hospital and in the outpatient environment, cost-cheap - does not require large financial costs in the application.

The objective is achieved by the fact that the effect of low frequency vibration massage of biologically active points of common actions contributing to the normalization of the autonomic nervous system, specific regional point of the nasal cavity, as well as on the mucous membrane of the nasal Concha, resulting in the restoration of the tone normalnie nasal breathing.

The method is as follows. First is the low-frequency vibration massage points in General or restorative actions located in the brush - GI 2, GI 4 and Shin - S 36. Then specific regional points of the nasal cavity, located on the face near the nose, which are the projection of the major branches of the trigeminal nerve, or branches: unamerican - PC 3, PC 15 and Meridian - GI 20, 25 VG. Mainly used biologically active points of the paired - symmetric except for the front point RS and VG 25. During one session using three or four points. After vibration of the BAT is held endonasal low-frequency vibration massage, for which the nozzle vibration apparatus is introduced into the cavity of the nose and under visual control is set to a light emphasis on the region of the anterior third of the lateral parts of the lower and middle turbinates. The time of vibration for each BAT is 30 - 40, nasal turbinates from 1.5 to 2 minutes treatment 8-10 treatments, once a day. Vibration massage is carried out with the help produced by domestic industry portable electromassage device "Fit-M with the set of nozzles. The device operates from a voltage is C, the oscillation amplitude of 0.2-0.5 mm

Example. Ill C. C. A., 37 years suffers neurovegetative form vasomotor rhinitis in three years. Upon examination of the nasal cavity nasal breathing is difficult. The lower and upper swollen nasal turbinates. The mucous membrane of the nasal Concha pale pink with cyanotic shade. In the lower nasal passages watery mucous discharge. Patients received a course of low-frequency vibro-therapy: vibratory BATH at 30 C and lower and middle turbinates in each half of nose for 1.5-2 minutes Just spent 10 treatments. After the treatment of complaints from the patient no nasal breathing became free, lower and middle nasal turbinates reduced in volume, the mucous membrane was pale pink, no detachable. When viewed through 6 and 12 months of relapse did not occur, nasal breathing remained free, discharge is not detected, the mucous membrane is pale pink in color.

The proposed method of treatment used in 17 patients with autonomic form of vasomotor rhinitis. The method is simple in practical use, easily and safely tolerated by patients, noninvasive, long-lasting restoration of nasal breathing b is A method for the treatment of neurovegetative form vasomotor rhinitis, including the effects of vibration massage 50 Hz on the front third of the lower and middle turbinates, treatment 8-10 sessions, wherein the act of vibrating massage 50 Hz on biologically active points of G/2, G/4, E 36, RS 3, RS 15, G/20, 25 VG during the 30-40 on each on the front and a third at the same time lower and middle turbinates within 1.5 to 2.0 minutes

 

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FIELD: medicinal cosmetology.

SUBSTANCE: at first, one should perform target psychological tuning up for the work with a certain patient. Then, at the fist stage it is necessary to remove articular blocks, relax muscular-ligamentous apparatus of body joints with light swingings of patient's head and limbs. Moreover, one should apply long smoothing movements for limbs. The first stage should be finished with respiratory exercises. Then comes relaxing massage of jugular area and hands, plastic impact upon facial fasciae and muscles, massage of biologically active points and linear facial massage. Then one should do the complex of strengthening exercises for the neck and face. At the same time, one should concentrate patient's attention upon coming feelings in jugular and facial areas. Complex of strengthening exercises for the face and the neck should be performed every day. The present innovation enables to maintain daily tonicity of facial myofascial layer well.

EFFECT: higher efficiency.

1 cl, 4 ex

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