A method of treating threatening condition pregnancy

 

(57) Abstract:

The invention relates to medicine, in particular to obstetrics, and for the treatment of threatening state of pregnancy. For this pregnant by the method of ultrasound pre-determine the direction of the location of the placenta and medical-gymnastic activities carried out: in the first half of the day for pregnant women with right-sided lateralization of the placenta, in the second half of the day for pregnant women with left-sided lateralization of the placenta, the number of movements on the side of the location of the placenta twice the number of movements on the opposite side, in the middle of the day (12-16 h) for pregnant women with ambilateral the location of the placenta, the number of movements on the right and left sides equally, followed by a session of therapy and psychological correction, moreover, psychological correction carried out by the method of guided visualization in combination with the fine work. The method allows to increase the effectiveness of the treatment, as it takes into account the lateralization of the placenta in a pregnant woman. 2 C.p. f-crystals.

The invention relates to medicine, namely to obstetrics, and will find application in the normal course b is udaetsya with a frequency of from 10 to 30% and has no tendency to decrease. It is on the miscarriage account for 50% of stillbirths and 70% of early neonatal and child mortality. Providing the woman a safe pregnancy and childbirth is one of the aspects of reproductive health of the nation. This purpose is usually carried out "prenatal" hardening pregnant, which includes a special program of swimming, gymnastics and aerobics, special breathing practices, tempering nutrition, emotional nurturing of the fetus (O. the common, "Ego", 1, 2000). Known methods of treatment of miscarriage with the use of drugs: indomethacin (patent 2008003, 1994) or ozonated saline (patent 2086242, 1997 ). The disadvantages of these methods is their invasiveness and the additional load on the body.

A prototype of the proposed method is selected, the Method of prevention of habitual abortion", by N. Shishkov.N., described in the book "Psychoprophylaxis in obstetrics and gynecology" (Kyiv, "Health", 1967, S. - 227-229).

The essence of the prototype is that pregnant women with a history of miscarriage, conduct health activities General nature in combination with physiotherapy, hypnotherapy, therapy. Polosa low efficiency, due to the fact that they do not take into account the lateralization of the placenta of a pregnant woman, while this figure is of great importance in the nature and characteristics of the course of pregnancy, and methods aimed at the prevention of complications.

This disadvantage is eliminated in the claimed invention.

The task of the invention is to increase the efficiency of the method, reducing the number of complications for mother and fetus.

This object is achieved in that a pregnant woman by the method of ultrasound pre-determine the direction of the location of the placenta and with regard to the lateralization appoint dosed physical load: in the first half of the day for pregnant women with right-sided lateralization of the placenta and in the second half of the day for pregnant women with left-sided lateralization of the placenta, the number of movements on the side of the location of the placenta should be two times the number of movements on the opposite side, in the middle of the day (12-16 hours) for pregnant women with ambilateral the location of the placenta, the number of movements on the right and left sides equally, followed by a session of therapy and psychological correction; the Dolphin therapy sessions are conducted for 20-25 minutes directional visualization in combination with the fine work while pregnant with right-sided lateralization of the patients draw, and with ambilateral location and left-hand location of the placenta - molded from clay.

Our many years of studies on the morphological and functional asymmetries of the system "mother-placenta-fetus" (Poroshenko A. B. 1984-1999; Orlov, C. I. , 1985-1989; batsheva T. L., 1988-1999) shows the effect of placental lateralization of chronotype pregnant on the level of total and regional blood flow, blood pressure, physical and mental condition. These studies formed the basis for the selection of aggregate characteristics of the present invention.

Due to the fact that when threatened state of pregnancy is impaired utero-placental blood flow, its normalization is performed with the help of physical activity. However, usually it is done without regard to the location of the placenta and biorhythms pregnant, which leads to low effectiveness of training, and sometimes leads to deterioration pregnant. We have proved that the intensity of hemodynamic processes are more pronounced on the side of the location of the placenta and to normalize the blood flow in the uterine-placental vascular bed should be dosed physical load, taking into account that f is have two times greater than on the opposite side, only under these conditions it is possible to achieve the required normalization of blood flow.

In all periods of gestation, the preferred dynamic exercises that are performed while sitting or lying down, with alternate movement, keeping a certain rhythm. For example, if right-sided location of the placenta pregnant carries two light pull knee to chest on the right, then one to the left and so on

We found that acrophase daily biorhythms mother and fetus also depend on the lateralization of the placenta, so it is advisable for pregnant women with the right lateralization of the placenta to stimulate hemodynamic circuit with the help of physical activity in the first half of the day (12 hours), for pregnant women with left lateralization of the placenta during the second half of the day (16-20 hours) and in the middle of the day (12-16 hours) at ambilateral the location of the placenta.

Psychogenic gestational stress is always accompanied by, and often is the initiator of many forms of perinatal pathology and threatened abortion. In this regard, psycho-correction at gestational disorders are no less important than drug therapy.

The complex correction threatening with the Oh, that allows you to achieve a state of relaxation. This fine work shall also take into account the lateralization of the placenta. For pregnant women with right-sided location of the placenta as a fine work is carried out drawing for pregnant women with left-sided and ambilateral the location of the placenta - clay modelling. Emphasis is placed on the free expression of the pregnant woman.

Dolphin therapy in many countries effectively used in the treatment of some childhood neuroses, autism, delayed psychomotor and speech development (D. Nathason, 1978, 1996). However, targeted work with pregnant women, and especially the development of serious methodological approaches to therapy during pregnancy have never been implemented.

The detailed implementation of the method described in clinical samples.

Example 1.

Pregnant-VA I. C., 24 years old, medical history, 1432, 29 - 30 weeks of pregnancy.

The diagnosis of threatening preterm birth.

When obstetric examination: cervix length of 2 cm, softening at the periphery of the outer jaws ignores the tip of your finger. Uterus in a tonus. Ultrasonic examination of the sites of local CLASS="ptx2">

Using conventional ULTRASOUND studies (ultrasound diagnostic apparatus SONOACE-4800 with Doppler unit, the firm "Madison", Korea, reg. 93/68 (convex probe 3.5 MHz) determine the direction of the preferential location of the placenta is on the right. For treatment of threatened status pregnant visit the Dolphinarium in the first half of the day (10 - 11 hours), where on a special platform at the pool runs under the supervision of an instructor exercises according to the method of A. A. Lebedev (1962). Thus the multiplicity of exercises on the right side two times more than the left. The duration of training is 15-30 minutes. After physical exercises are Dolphin therapy in combination with musical stimulation: the pool runs dolphins and pregnant with them communicates 20-25 minutes. Then the pregnant woman begins to practice art therapy: under the supervision of a psychologist engaged in drawing. The course comprises ten sessions.

After treatment with the objective of obstetric examination: status unchanged. The uterus is soft. When ultrasonic and mahalovideogames examination of uterine activity is not logged. Childbirth in the first term through the birth canal. Born repapered was uneventful. Discharged on day 7.

Example 2.

Pregnant N-VA E. C., 26 years old, medical history, 453, gestational age 34 weeks.

The diagnosis of threatening preterm birth. When obstetric examination the cervix is softened, cut to 1.5 cm, outer jaws passes finger to the inner throat. Palpation of the uterus is easily excitable. Ultrasonic examination of the sites of local reduction of the myometrium. If mechanotherapy - sredneimportnaja activity of the myometrium. Using conventional ULTRASONIC studies identify pregnant side location of the placenta is left. For treatment of threatened status pregnant in the second half of the day (17-18 hours) visit the Dolphinarium, where on a special platform at the pool runs under the supervision of an instructor exercises according to the method of A. A. Lebedev (1962). Thus the multiplicity of the exercises on the left side is two times more than on the right (i.e., four Maha left leg have two Mach right leg). The duration of training is 15-30 minutes. After carrying out physical exercises are Dolphin therapy in combination with musical stimulation for 20-25 minutes. After talking with the dolphins pregnant begins to practice the art the e end of treatment with the objective of obstetric examination status unchanged. The uterus is in good shape only to palpation. On ultrasound sites of local contractions of the myometrium are not rendered. If mechanotherapy contractile uterine activity is not logged. Childbirth in the first term through the birth canal. Born live, full-term female child weight 3300 kg, length 51 cm, with rating on a scale of Apgar 8-9. The post-operative period was uneventful. Discharged on day 7.

Example 3.

Pregnant And society E. P., 22-year history of 733. Gestational age 35-36 weeks.

The diagnosis of threatening preterm birth.

When obstetric examination the cervix is 1 cm, soft, dilation 2 see the Uterus in a tonus. Ultrasonic examination of the sites of local reduction of the myometrium. If mechanotherapy - sredneimportnaja contractile activity of the myometrium.

Using conventional ULTRASONIC studies determine the direction of the location of the placenta - ambilateral.

For treatment of threatened status pregnant (in the middle of the day 14-15 hours) visit the Dolphinarium, where on a special platform at the pool performs the exercise by the method of A. A. Lebedev (1962). When this ratio upegui). The duration of training is 15-30 minutes. After carrying out physical exercises are Dolphin therapy in combination with musical stimulation that lasts 20-25 minutes. After talking with the dolphins pregnant begins to practice art therapy: under the supervision of a psychologist sculpts with clay. Treatment pregnant is ten sessions.

After treatment with the objective of obstetric examination status unchanged. The uterus is soft. On ultrasound sites of local contractions of the myometrium are not rendered. If mechanotherapy contractile uterine activity is not logged.

Childbirth in the first term through the birth canal. Born live, full-term female child weight 4100 kg, length 58 cm, with rating on a scale of Apgar 9 -10 points. The post-operative period was uneventful. Discharged on day 7.

The effectiveness of the claimed method of complex treatment of threatened status of pregnancy was assessed as in process control and diagnostic screening of pregnant women and birth outcomes. The final survey showed that this method was able to provide the physiological course of pregnancy without mm pregnancy and 65 - with impending preterm delivery) 72 births occurred in a period, proceeded normally without complications in childbirth and the postpartum period. All children were born at term with estimation on Apgar scale 8-9. Thus, the claimed method is more effective in comparison with the known and has a number of advantages:

Has no complications and contraindications.

- Can improve the psychosomatic health of pregnant women and newborns without the use of drugs.

1. A method of treating threatening state of pregnancy by conducting recreational activities in conjunction with therapeutic exercises and therapeutic effect, wherein the pre-pregnant by the method of ultrasound to determine the direction of the location of the placenta and medical-gymnastic activities carried out: in the first half of the day for pregnant women with right-sided lateralization of the placenta, in the second half of the day for pregnant women with left-sided lateralization of the placenta, the number of movements on the side of the location of the placenta in two times the number of movements on the opposite side, in the middle of the day (12-16 h) for pregnant women with ambilateral rasprostaniteley and psychological correction.

2. A method of treating threatening condition pregnancy under item 1, characterized in that the sessions of Dolphin therapy spend 20-25 minutes - 10 lessons.

3. A method of treating threatening condition pregnancy under item 1, characterized in that the psychological correction carried out by the method of guided visualization in combination with the fine work, while pregnant with right-sided lateralization of placenta draw, and with ambilateral location and left-hand location of the placenta - molded from clay.

 

Same patents:

The invention relates to a device performing the physical strain on the muscles of the lower limbs of a person in the process of training of athletes involved in skating, skiing, Jogging species in athletics, football, in the rehabilitation of patients after surgery on the lower limbs, in the treatment of cerebral palsy in children, when working in zero gravity, and can be used in sports, medicine, space exploration and other human activities that require physical exertion on the muscles of the lower extremities of a person

Device for training // 2206356
The invention relates to the field of sports and is designed to stretch and increase the flexors and extensors of the lower extremities athletes, particularly in sports martial arts

The invention relates to medicine, in particular to neurosurgery, neurology, traumatology and orthopedics
The invention relates to the field of medicine and is intended for the prevention and treatment of bronchial asthma

The invention relates to fitness equipment, namely, to a training device for rehabilitation and posture correction, and can be used in medical and health institutions

The invention relates to an improved device intended to restore the equilibrium of the human body

Belt adjustment // 2202391
The invention relates to exercise devices for exercising the torso, face and spine to strengthen and stimulate the activity of internal organs

The invention relates to a device performing the physical strain on the muscles of a person in the process of training, rehabilitation, when working in zero gravity, and can be used in sports, medicine, space exploration and other forms of human activity, where there is a load on the muscle man
The invention relates to medicine, in particular to surgery, and can be used for the treatment of abdominal cavity with peritonitis

The invention relates to the field of health and is used for the treatment of hemorrhoids and other diseases in the pelvic area in which the treatment process requires the introduction into the anus rectum medicinal ointments
The invention relates to the field of medical equipment, namely to endoscopy
The invention relates to medicine, in particular to cancer, and can be used for the treatment of patients with fibrocystic breast disease and breast cysts
The invention relates to medicine, Oncology, and surgery may be used to hold intraperitoneal chemotherapy
The invention relates to medicine and can be used for sclerotherapy cysts of the liver and kidneys
The invention relates to medicine, namely to a gastroenterologist, and for the treatment of acute pancreatitis
The invention relates to medicine, in particular to surgery, and can be used for combination of sanation of abdominal cavity

The invention relates to medicine, in particular to surgery, and can be used to treat abscesses in the abdominal cavity and retroperitoneal space
The invention relates to medicine, in particular to surgery, and can be used for the surgical treatment of hydatid liver

FIELD: medicine, surgery, coloproctology.

SUBSTANCE: one should introduce gelatin-based colloids: gelatinol or gelofusin and crystalloids at 1:1 ratio at total volume of 40-50 ml/kg patient's body weight daily; additionally, since the 2nd to the 7th d after operation it is necessary to conduct enteral nutrition in the form of hypercaloric mixtures by increasing their volume at higher rate of injection starting from 25 ml/h/kg body weight on the 2nd and 3d d up to 100 ml/h on the 6th-7th d. The present innovation enables to improve nutrition of intestinal endothelium, decrease pathogenic and conditionally pathogenic microflora, prevents appearance of postoperational intestinal paresis and restores its function in more shortened terms.

EFFECT: higher efficiency.

1 ex, 3 tbl

Up!