A method of treating hypotension uterus

 

(57) Abstract:

The invention relates to medicine and is intended for treatment of hypotension uterus after abortion. Abdominal - vaginally effect packs bipolar asymmetric pulses with alternating periods of excitation in 1C and relaxation in 1 s, pulse repetition rate 10 Hz, with ischemia and increased rates of 20% from the specified value. The method allows to increase the effectiveness of treatment of hypotension uterus.

The invention relates to medicine, in particular to the gynecologist, and can be used for the prevention of complications after medical abortion.

Well-known way to achieve uterotonic effect for the prevention of endometritis caused by the contractile activity of the uterus after childbirth and abortion using drugs (oxytocin, methylergometrine) [Ailamazyan E. K. et al. On the mechanism of action of oxytocin on the contractile activity of the uterus // Herald of the Russian Association of obstetricians and gynecologists." 1995, No. 4, - n-96-105].

However, it has certain disadvantages: the possibility of allergic reactions and side effects - abdominal pain is them to offer is the use of interferential currents on the four-electrode technique [Strugatsky Century M et al. Interferential currents - alternative uterotonic drugs after caesarean section // Questions of balneology, physiotherapy and physical culture. - 1993, No. 6, - n-40-41].

However, the implementation of the uterotonic effect of interferential therapy prevents the presence of the liquid contents in the uterus. In addition, interferencefree characterized by technological complexity and the complexity of procedures in connection with the frequent need to change the localization of the electrodes during exposure to achieve the desired sensations flapping in the deep pelvis.

The objective of the invention is a method of treating hypotension uterus, which can be applied in the presence of the liquid contents in the uterus and is more simple to implement.

This object is achieved by the impact of packs asymmetric bipolar electric pulses both positively and negatively inverted, which are exposed to alternating periods of excitation (1) and relaxation (1), with a frequency of 10 Hz, with ischemia and increased rates of 20% from the specified value, abdominal-vaginally. The intensity ranges from 0 to ω.

Treatment daily for 3 days. Use domestic hardware-software complex “Andro-Gin”, intracavitary and plate electrodes of this device.

The method of treatment. Position of patient: lying on back, legs bent at the knee joints and divorced. Intracavitary electrode is introduced into the posterior vaginal fornix. The plate electrode have a contact in the suprapubic area. Impact - “stimulation”; choice “intraoral”; polarity - positive and negative (10 min); mode 3; frequency 10 Hz deviation 20%; excitation 1; pause 1 second Indicators individually desired amplitude determined by the sensations of the patient (expressed, but painless vibration under the plate electrode extending into and contraction of the muscles of the anterior abdominal wall). The total duration of the procedure 20 minutes Daily. Course of 3 treatments.

The following examples illustrate the proposed method.

Example 1. Patient S., 1977, p., outpatient map No. 18524/2.

Turned in the absence of bleeding after curettage of the walls of the uterus. From the anamnesis: 11.10.02 produced interrupt non-developing pregnancy in cf is ka two-horned shape. The cavity of the right horn extended to 1,2/1,3/1,4 cm due to blood clots and elements of the decidual tissue. Clinical diagnosis: a two-horned uterus. State after termination of missed abortion. Hematometra.

14.10.02 started electropulse therapy. Used APK Andro-Gin”. Treatment method: Position the patient lying on his back, legs bent at the knee joints and divorced. Intracavitary electrode was inserted in the posterior vaginal vault. The plate electrode had contact in the suprapubic area. Impact - “stimulation”; choice “intraoral”; polarity - positive and negative (10 min); mode 3; frequency 10 Hz deviation 20%; excitation 1; pause 1 second Indicators individually desired amplitude was determined by the sensations of the patient. The total duration of the procedure 20 minutes Daily. Course of 3 treatments.

During treatment, the patient had the appearance of bleeding from the genital tract. According to TE from 16.10.02: the uterus somknuti. Previously identified blood clots and the remains of the ovum in the uterine cavity is not defined.

Example 2. Patient W., 1982, p., outpatient map No. 20525/2.

Turned in the absence of bleeding pic is 1.02 blood selection was lacking. According to transvaginal ultrasound from 12.11.02: the uterus posteriorly declined. The size of the uterus: 6,0/5,1/7,8 see the uterus expanded to 1.1 cm due to blood clots and elements of the decidual tissue. Clinical diagnosis: Condition after termination of pregnancy. Hematometra.

12.11.02 started electropulse therapy. Used APK Andro-Gin”. Treatment method: Position the patient lying on his back, legs bent at the knee joints and divorced. Intracavitary electrode was inserted in the posterior vaginal vault. The plate electrode had contact in the suprapubic area. Impact - “stimulation”; choice “intraoral”; polarity - positive and negative (10 min); mode 3; frequency 10 Hz deviation 20%; excitation 1; pause 1 second Indicators individually desired amplitude was determined by the sensations of the patient. The total duration of the procedure 20 minutes Daily. Course of 3 treatments.

During treatment, the patient had the appearance of bleeding from the genital tract, which is preserved in the day of the study (14.11.02). According to TE from 14.11.02: the Size of the uterus: 5,6/4,4/7,8 see the uterus expanded to 0.8 cm by liquid blood and clots. 15.11.02 blood selection stopped. 16.11.02 on danarta No. 20370/2.

From the anamnesis: 30.10.02 produced interrupt non-developing pregnancy 9-10 weeks. 31.10.02 - 3.11.02 the allocation of scarce blood. According to transvaginal ultrasound from 3.11.02: the uterus is expanded to 1.0 due to blood clots. Assigned antibacterial and uterotonic therapy (“Oxytocin” 1.0/m). Amplification of bleeding has not occurred. 4.11.02 made vacuum-aspiration of the uterine cavity. 5.11.02 blood selection was lacking. According to TE: the uterus enlarged to 1.5 cm by liquid blood and clots. The introduction of a uterotonic drug funds - without effect. 6.11.02 blood selection is missing. The body temperature of 36.7. Rectal temperature 36,8. The clinical analysis of blood from 6.11.02 - without signs of inflammation. Clinical diagnosis: Status after termination of missed abortion, vacuum aspiration of the contents of the uterine cavity. Hematometra.

6.11.02 started electropulse therapy. Used APK Andro-Gin”. Treatment method: Position the patient lying on his back, legs bent at the knee joints and divorced. Intracavitary electrode was inserted in the posterior vaginal vault. The plate electrode had contact in the suprapubic area. Impact - “SecState 10 Hz; deviation 20%; excitation 1; pause 1 second Indicators individually desired amplitude was determined by the sensations of the patient. The total duration of the procedure 20 minutes Daily. Course of 3 treatments.

During treatment, the patient had the appearance of bleeding from the genital tract, which persisted for 2 days. According to TE from 11.11.02: the uterus somknuti.

To treat hypotension uterus 8 women held electric stimulation. All patients therapy was scheduled for discharging hematometra incurred after termination of pregnancy. 4 people pregnancy was underdeveloped. Four before treatment suffered repeated intrauterine intervention (curettage of the uterine cavity 1, the vacuum-suction 1, Bagirova cervical canal 2). Only 3 women have children. All patients immediately before the commencement of physiotherapy according to TE the uterine cavity was expanded by 0.8-1.9 cm due to blood clots and elements of the decidual tissue. Control TE directly after the 3 procedures electropulse therapy showed: in 6 patients the uterus somknuti, 1 partially emptied, after 2 days somknuti, 1 without dynamics. The patient with no is, is Gustav and elements of the decidual tissue) were scraping the walls of the uterus (according to histological studies: the remains of the ovum). The postoperative period was uneventful.

A method of treating hypotension uterus after abortion by electric stimulation, characterized in that the abdominal-vaginally effect packs bipolar asymmetric pulses with alternating periods of excitation in 1 with and relaxation in 1 s, pulse repetition rate 10 Hz, with ischemia and increased rates of 20% from the specified value.

 

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