A method of treating dysmenorrhea in women of reproductive age

 

(57) Abstract:

The invention relates to medicine, and is intended for the treatment of dysmenorrhea in women of reproductive age. Exercise effects on fronto-occipital and abdomino-sacral techniques simultaneously sinusoidal modulated current, IV come work frequency in the range from 25 to 35 Hz, a modulation depth of 70-80% and a variable low-frequency magnetic field induction to 30 MT, lasting 12-15 minutes, every day, on the course of 10-12 treatments. The method allows to increase the effectiveness of treatment of dysmenorrhea in women of reproductive age.

The invention relates to medicine, in particular to gynecology and physiotherapy, namely the treatment of dysmenorrhea, and can be used in hospital, clinics.

Dysmenorrhea is a cyclic pathological process in which menstruation is accompanied by severe pain, emotional-mental, autonomic-vascular, metabolic and endocrine disorders and other emotional changes. All this leads to exhaustion of the nervous system, the development of asthenic conditions, reduced memory and ability to work.

The leading factor in the etiopathogenesis of this condition, according to some researchers, is the synthesis of prostaglandins PGE 2 and PHS 2A, which are powerful stimulants of the contractile activity of the myometrium (E. A. Magefilename. Contraception and women's health. M, 1998; 2: 29-39). High levels of prostaglandins leads to increased contractile activity of the uterus, vascular spasm and local ischemia. Violation of the hemodynamics of the pelvic organs in the form of hypertension and vascular spasm or prolonged vasodilation and venous stagnation contributes to the hypoxia of the cells, the accumulation of allogenic substances, irritation of nerve endings and the occurrence of pain (Harold R., Barton Century In the book. Reproductive endocrinology, edited by S. S. K. Jena R. B. Jaffe, M. 1998. 1: 212-239).

Despite the availability of a wide Arsenal of drugs used for the treatment of dysmenorrhea, all they keycreate (ibuprofen, aspirin, indomethacin) have little effect, are poorly tolerated by patients, causing severe allergies and have many contraindications.

Widely used in recent drug Rapten rapid potassium salt of diclofenac, also does not solve the problem of treatment of dysmenorrhea and has a number of shortcomings (both economic and psychological): requires long-term therapy (3 to 6 cycles), poor tolerance, the presence of a large number of side effects as nausea, epigastric pains, dizziness, allergic reactions and the high cost of drugs.

The closest in technical essence to the proposed method of treating dysmenorrhea in women of reproductive age is a method of treating a sinusoidal modulated current according to the method of electrosleep, patients with ovarian dysfunction inflammatory Genesis (copyright certificate № 1426598).

Way to be administered in the fact that the patient was laid on the bed and put a rubber mask electrode of the device, “Electrosleep 4T”, which is attached to the apparatus Amplipulse 4”. View current is sinusoidal modulated (ITC), the kind of work III, the modulation depth of 50-75%, the frequency of 80-100 Hz, ASD appearing expressed, but napoletani vibrations. Procedure duration 10-15 min, treatment 9-12 procedures. The disadvantage of this method is: a short period of remission, no direct effects on peripheral link the regulation of menstrual and reproductive function.

The technical result of the proposed method of treatment of dysmenorrhea is the increase in the duration of the remission period due to the possibility to have a direct impact both Central and peripheral levels of specific functions of the female body and the target organs, the absence of adverse reactions with increasing therapeutic effect.

This technical result is achieved by the fact that exercise effects on fronto-occipital and abdomino-sacral techniques simultaneously sinusoidal modulated current, IV come work frequency in the range from 25 to 35 Hz, a modulation depth of 70-80% and a variable low-frequency magnetic field with an induction of a magnetic field of 30 MT, lasting 12-15 minutes daily, at the rate of 10-12 procedures.

The rationale of these parameters.

As a result of clinical and physiological studies was the mouth of the LEM from the apparatus of Sedation” fronto-occipital and abdomino-sacral techniques has expressed multicomponent impact not only on the cerebral cortex (the anterior and posterior hypothalamus), but on the limbic system and proptions region. Improvement of cerebral neiroleptikami, activation of limbic structures, reducing the level of prostaglandins is the main in the normalization of the functional state of the anterior and posterior hypothalamus, the elimination of vegetative-vascular disorders, emotional disorders, and therapeutic effect. It was also found that the combined use of the ITC and the magnetic field on fronto-occipital and abdomino-sacral techniques due vzaimootmenyaemogo help change phenomena hypertension, vascular spasm, vasodilation and venous stasis.

Description of method of treatment.

The procedure is performed in the position of the patient lying on his back. The sinusoidal modulated current and alternating low-frequency magnetic field is supplied from the apparatus of Sedation” (Nizhny Novgorod, Russia) fronto-occipital technique with suboccipital lymphadenopathy location of the magnetic inductor) with the following parameters: AC mode, the duration of the half period is 1:1.5, IV rod works, the depth of modulation of 70-80%, the frequency of 25-35 Hz, induction of the magnetic field of 30 MT. The duration of the procedure for 12-15 minutes, every day, on the course of 10-12 treatments.

Examples of the method.

Example 1. Patient P., 20 years.

Diagnosis at admission: primary dysmenorrhea.

Complaints at admission: painful menstruation, headache, dizziness, weakness, insomnia.

From the anamnesis it is known that the patient is suffering from dysmenorrhea 5 years, concerning which were carried out repeated courses of medical treatment with a short-term effect. Given the above, underwent a course of treatment: the influence of the sinusoidal modulated current and alternating low-frequency magnetic field is supplied from the apparatus of Sedation” fronto-occipital and abdomino-sacral techniques with the following parameters: AC mode, the duration of the half period is 1:1.5, IV rod works, the depth of modulation of 75%, a frequency of 25 Hz, the magnetic field of 30 MT. The procedure duration is 12 minutes daily for a course of 10 treatments.

As a result of treatment disappeared emotional-psychic and vegetative-vascular SS="ptx2">

Positive dynamics of the patient's condition along with the subjective sensations also confirmed the special studies.

The positive dynamics of cerebral hemodynamics installed according to rheoencephalography (REG), which was characterized by improving the blood vessels to one or both sides of Ri with 0,078 to 0.1 Ohm, normalization of vascular tone /T from 22.2% to 18%, improving venous outflow Di with 75,7 to 64.5%. The performance of Doppler ultrasound (USDG) testified correction of the original violations of increasing the linear velocity of blood flow and improve blood flow in the vertebrobasilar system.

The results rheovasography (RVG) vessels of the pelvic organs, held in the dynamics of treatment, showed a more differentiated character of the pulse waves. Quantifying indicators of rheogram was characterized by an increase eographical index from 0.4 to 0.7 Ohms, reduced vascular tone from 72 to 54.5%, indicating the improvement of regional blood flow by improving blood flow, restoration of venous outflow.

According to thermography pelvic indicated the disappearance of the phenomena of differentials between.

Example 2. Patient S., 28 years.

Diagnosis at admission: secondary dysmenorrhea. Chronic bilateral salpingo-oophoritis in remission.

Complaints at admission: painful menstruation, headaches, fatigue and irritability, instability of mood,

From the anamnesis it is known that the patient pain during menstruation for 8 years, has repeatedly instructed courses symptomatic drug therapy with a short-term positive effect. After a preliminary examination started a course of treatment, were used simultaneously impact of the ITC and the magnetic field on fronto-occipital and abdomino-sacral techniques, the mode variable, IV rod works, the depth of modulation 80%, a frequency of 35 Hz, the magnetic field of 30 MT. The procedure duration is 15 minutes daily in the course of 12 treatments.

Tolerability is good, negative reactions were observed. After the treatment disappeared fatigue, weakness, headaches, improved sleep, stopped the pain during menstruation.

In evaluating the performance of special methods of investigation also revealed positive dynamics of the patient.

As blood vessels Ri amounted to ensure 0,069 Ohm, after - 0.1 Ohm; normalization of vascular tone /T to 20%, and after - 17.3 per cent; improving venous outflow Di to 73.5 percent, after - 64,2%.

According to the data of Doppler ultrasound was noted improvement in cerebral hemodynamics due to the significant reduction in the phenomenon of arteriospasm and venous discirculatory. There were signs of development of collateral circulation in the basins of the carotid arteries, reducing venous discirculatory in the vertebrobasilar system.

Regional hemodynamics were evaluated according to rheovasography. A qualitative assessment of reogram testified more differentiated character of the pulse waves, the loss of additional teeth on systolic and diastolic parts of the waves. Quantifying indicators of rheogram was characterized by an increase eographical index from 0.6 to 1.4 Ohms, Di amounted to treatment 84%, after - 69,9%, which showed improvement of regional blood flow due to restoration of venous outflow, normalization of vascular tone and increase blood flow.

The proposed method for the treatment of dysmenorrhea in women of reproductive age was tested on 55 patients aged 19 to 38 years older for the purpose steel painless). Improving the hemodynamics of the pelvic organs with the reduction of the phenomena of differentials between was one of the main criteria for achieving a therapeutic effect in 79% of patients. The positive effect on psycho-emotional sphere, vegetative-vascular disorders. Long-term results of treatment testified to the conservation of treatment results for 1,5-2 years.

The proposed method for the treatment of patients with dysmenorrhea simple, accessible, does not require high material costs and does not cause adverse reactions.

A method of treating dysmenorrhea in women of reproductive age by sinusoidal modulated current, characterized in that exercise effects on fronto-occipital and abdomino-sacral techniques simultaneously sinusoidal modulated current, IV come work frequency in the range of 25-35 Hz, a modulation depth of 70-80% and a variable low-frequency magnetic field induction to 30 MT, lasting 12-15 minutes, every day, on the course of 10-12 treatments.

 

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FIELD: medicine.

SUBSTANCE: through puncture opening in proximal and distal directions one should perform osseous tunnels being coaxial to osseous log to connect, thus, the cavity of osseous cyst with medullary canal. Through the parts of healthy bone at the distance of 1-2 cm against cyst's edge in oblique direction one should implant rigid electrodes at the angle of 45 deg. against its center by applying beck's needles with dielectric covering. Subcutaneously one should implant elastic electrodes in projection of lesion focus and connect an electrostimulating unit to cutaneous ends of electrodes. Onto intraosseous electrodes one should supply impulse current of negative polarity, and onto elastic ones - of positive polarity at 10-20 mcA power and frequency of 0.5 Hz, of total duration and front of rectangular impulses cut being 200 mcsec, not more.. One should affect with impulse electric currents on the 24-h basis till complete covering the osseous defect observed.

EFFECT: higher efficiency of therapy.

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