Method for the treatment of patients with irritable bowel syndrome
The invention relates to medicine, gastroenterology. Influence of electromagnetic field of millimeter range in scan mode and/or shinirovanie on biologically active points. The frequency of exposure from 52 to 78 GHz. Output power from 3·10-9up to 3·10-7W/cm2. In the course of 7-10 procedures. The method increases the duration of remission.
The invention relates to medicine, in particular gastroenterology, namely for the treatment of functional disorders of the intestine, manifested as irritable bowel syndrome, and can be used in medical institutions.
The urgency of the problem is that from year to year there has been a continuous increase in the number of patients with functional disorders of the intestine, namely irritable bowel syndrome. Especially this disease affects people of working age (30-40 years), with women three times more often that especially emphasizes the social importance of this issue.
Known medical treatment for irritable bowel syndrome. With hypertonicity of the muscular apparatus of the colon: debrincat, Gasum, reasec, smectite. For normalization of neuropsychic activity - roditeli, fenazepam, trioxazin, azafen (Grigoriev, P. J., Yakovenko A. C. “Clinical gastroenterology”. - M.: MIA, 2001; Malenkovich L. N., Yakhontova O. I. Clinical enterology”. - SPb; Hippocrates, 2001). Also used sulfa drugs (sulgin, rice); derivative nitrofurans (furazolidone, furadonin); metronidazole (trichopol); derivatives oksihinolina (nitroxoline); hydrology (nevigramon); Interix (Loginov A. S., Parfenov, A. I. “bowel Disease”. - M.: Medicine, 2000).
However, the use of pharmacological agents is complicated by the presence of side effects such as dyspepsia, changes in the blood picture, extrapyramidal disorders, neurological symptoms, cardiac arrhythmias, allergic reactions, and do not forget about the high cost of medicines.
Known physiotherapeutic methods for correction of functional disorders of the colon, for example:
the method of electrophoresis of novocaine, calcium chloride, zinc sulfate (Bogolyubov C. M., Ponomarenko, N. “Total therapy”. - M - SPb, 1997; Loginov, A. S., Parfenov, A. I. “Disease CLASS="ptx2">method palaterme (Biryukov, A. A. “Physical factors in the treatment of irritable bowel syndrome”, thesis for the degree of doctor of Sciences. - M., 1990);
method balneotherapy (Bogolyubov C. M., Ponomarenko, N. “Total therapy”. - M - SPb, 1997; Lukomski, I. C., Stach, E. E., Ulasik B. C. Physiotherapy. Therapeutic exercise. Massage”. - Minsk: “Vysheishaya school”, 1999);
method inductothermy (N. Fadeeva.And., Maksimov, A. I., “fundamentals of physiotherapy in Pediatrics”. - Nizhny Novgorod, 1997; Lukomski, I. C., Stach, E. E., Ulasik B. C. Physiotherapy. Therapeutic exercise. Massage”. - Minsk: “Vysheishaya school, 1999).
To carry out the specified physiotherapeutic procedures for the correction of functional disorders of the colon has advanced a number of contraindications: coronary heart disease, atherosclerosis of vessels of a brain and heart, acute and chronic diseases of liver, gallbladder and appendages, hyperthyroidism, gout, violation of the integrity of the skin, skin diseases. However, these methods of treatment of irritable bowel syndrome do not allow to efficiently solve the problem, so there is a need for new effective methods is - the method of electrotherapy, which the patient is exposed to a sinusoidal modulated currents (SMC) low power. First of all sinusoidal modulated currents have a pronounced analgesic effect, improve circulation, tissue tropism, the functional state of the Central nervous system, etc. Procedures are performed on the devices of type “Amplipulse”, the carrier frequency 5000 Hz, modulated by a low frequency, is subjected, in addition, there are three types of modulation that provides the set of currents for the five genera. The most often used device “Amplipulse-4”. Apply normal tissue strip of light materials, easy to absorb water (gauze, flannel, bike, flannelette) for exposure to low-frequency currents. These pads pre-moistened with tap water, the electrodes are placed in the pocket strip and placed on the skin of the patient. Connect the ITC is consistently using II and III or III and IV delivery of 7 min each current modulation frequency of 50 Hz, a modulation depth of 100%. The total treatment time is 14 min, the course of treatment - 10 sessions. The current intensity is adjusted until the patient under electrodes sensations of vibration (Bogolyubov C. M., Bonomo litura. Massage”. - Minsk: “Vysheishaya school, 1999; Filimonov P. M., Minushkin O. N., Pavlova N. In. and other “Bioamplifier in the treatment of patients with chronic constipation”. “Problems of balneology, physiotherapy and physical therapy”, 2002, №2).
The closest in technical essence to the proposed method of treatment is a method of treating pain syndromes method of reflexology by the effects of radiation on acupuncture points, which is the impact on the corporal and/or auricular points pulsed electromagnetic radiation in the infrared range with a wavelength of 0.85-0.95 microns and density of the radiation power of 8-10 mW/cm2when the stepwise change of the pulse frequency from 3 to 5, 8 and 10 Hz and in the reverse order to the original in every 7-13 sec. For 0.5-10 min with repeated exposure over a 1-15 procedures. The effect on corporeal point is carried out for 3-10 min at auricular points for 0.5 to 5.0 min (patent RU №2066174 C1 from 10.09.1996 year).
The disadvantages of this method are late analgesic effect (5-6 days), a short period of remission (2-3 months), the presence of an extended list of contraindications: acute inflammation, frequent senesta, and General contraindications for physiotherapy.
The technical result of the proposed method for the treatment of irritable bowel syndrome is the extension of the remission period.
This technical result is achieved by the fact that exposure is carried out on biologically active points E36, Rp6, R1, F4 electromagnetic field millimeter-wave band, a frequency generation from 52 to 78 GTZ, in scan mode and/or sweep, act remotely, output power from 3·10-9up to 3·10-7mW/cm2procedures carried out for 20-30 min, daily, treatment 7-10 procedures.
The electromagnetic field of millimeter range can not have on a patient's damaging effects, because this type of radiation refers to non-ionizing.
Millimeter wave therapy based on the principles of selection of an individual therapeutic frequencies by influence on biologically active points of the electromagnetic field in the millimetre range.
Millimeter wave frequency generation from 52 to 78 GHz, output power from 3·10-9up to 3·10-4mW/cm2have low penetrating power in the body (up to 1 mm). Together the conformational rearrangement in different structural elements of the skin and first of all the receptors and nerve conductors fat cells. Due to the procedures millimeterwavelength therapy preference is given to impacts on biological active points. It is assumed that the absorption of millimeter waves is mainly due to the mechanism of biological resonance and mainly fabrics, rich water.
Under the influence of millimeter wave therapy specified technical characteristics changes the activity of the autonomic and neuroendocrine systems, which improves trophic tissues, the acceleration of reparative processes and the enhancement of nonspecific resistance of the body to restore homeostasis. Millimeter waves selectively affect the membranes of blood cells, resulting in improved rheological parameters of blood, increases the content of humoral factors of immunity, antioxidants and biologically active substances. Millimeter wave therapy stimulates hematopoiesis. One of the possible mechanisms of action of this physical factor is the activation of opioid receptors, primarily enkephalins that can have a positive impact on pain syndrome, reparative conforming under the influence millimeterwavelength therapy activation of the antioxidant system of the body, it blocks the process of lipid peroxidation, plays an important role in the pathogenesis of the disease and its exacerbations.
Thus, the millimeter wave therapy has a positive impact on adaptogenic and stress hormones, coagulation potential of blood, lipid peroxidation and other metabolic processes. Therapeutic effect of this therapy is carried out in different ways, chief of which is the release of endogenous biologically active substances produced by the body in the same amount and in those compositions that are needed by the body for optimal treatment. The effectiveness of endogenous biologically active substances is much higher than the impact of exogenous pharmacological agents and not an example of the latter they are completely safe, which is important for the patient.
Description of method of treatment
For the procedures used apparatus IIM therapy “AMT-COVERT-04-02” (registration number 97/17-145) domestic production, which gives the opportunity to work in the entire frequency range from 52 to 78 GHz mode sweep and scan (scan step 200, 50, or 10 MHz and the scan time from 1 to 60 seconds). The device has 6 levels of power flux density: Level III - 3·10-7W/cm2
Level IV - 3·10-6W/cm2
V level - 3·10-5W/cm2
VI level - 3·10-4W/cm2
The patient is on the couch in the supine position. After preparing the apparatus for operation, the mouthpiece of the emitter-waveguide is set at a distance of 0.5-1.5 cm above selected for stimulation of biologically active point total exposure (E36 or Rp6). The work carried out in the scan mode with a step 200, a scan time of 10 seconds. In the frequency range from 52 to 78 GHz. Exposure corresponds to 1 or 3 to level. Then in the mode sweep is conducted impact on 1-2 symptomatic of biologically active points (F4, a, R1) for 5 min each, the power of impact does not change. The total time of the procedure 20-30 minutes the Course of treatment is 7 to 10 daily procedures.
Example No. 1. Patient S., 38 years old, came with complaints of recurrent pain in the epigastrium and left hypochondrium, constipation, rumbling in the stomach, increased irritability, poor sleep, skin itching and weeping, localized on the back surface of the brushes. Considers himself sick about 10 years. Recent aggravation lasts about six months. Sick PE the Oia of the colon. The eczema. Chronic adnexitis.
On examination: skin and organs of the thorax without features. Abdomen palpation soft, moderately painful in the area of the projection of the descending and sigmoid colon.
Abdominal ultrasound: signs of dyskinesia biliary diseases.
Ultrasound of the pelvic organs: signs of chronic adnexitis without exacerbation, adhesions pelvic organs.
Treatment was performed with the apparatus millimeterwavelength therapy “AMT-04-02”. The main biologically active point total exposure is E36, which was operated in sweep mode with a step 200, a scan time of 10 seconds, in the range 52-78 GHz, 1 power level. The exposure time was 20 minutes After which the mode sweep was conducted impact on symptomatic biologically active points Rp6, F4 for 5 min each at level 1 power. During alternated side impact - left and right through the day.
Portability procedures good. Pain and rumbling in the stomach began to subside after the 2nd and disappeared after the 4th treatment. After 3 treatments steadily improved sleep and mood. The chair recovered after the 5th treatment. After the 7th procedures itching disappeared, konkle colon. Observation of the patient during the subsequent years indicate persistent therapeutic effect millimeterwavelength therapy. Supportive treatment was performed after 6 months in the same operating mode, the number of procedures amounted to 3.
Example No. 2. Patient K., 44 years old, came with complaints of pain in the right iliac region, increased flatulence, feeling of bloating, constipation, external and internal chronic hemorrhoids, instability of mood, irritability.
Pale skin, clean. The chest without features. The abdomen is soft, moderately painful in the right hypochondrium and the area of the projection of the transverse, descending and sigmoid colon. Notes bloating across the surface.
Ultrasound of abdominal organs: signs of biliary dyskinesia and chronic pancreatitis.
Diagnosed with irritable bowel Syndrome. Dysfunction of the colon. Chronic cholecysto-pancreatitis. External and internal chronic hemorrhoids. Dystonia.
The procedure was performed with the apparatus millimeterwavelength therapy “AMT-04-02” in scan mode with a step 200, the exposure time is 10 seconds, at level 3 on symptomatic BAHT F4, R1 5 minutes for every 1 power level.
Pain syndrome was arrested after 3 treatments; bloating disappeared, the chair was normalized after the 5th treatment. The mood and feel better after the 3rd treatment. In the next six months, the patient's health is stable, a chair normal daily pain syndrome was not observed. After emotional stress simultaneously noted the attack cramping pain in the left iliac region, which were stopped on their own without receiving drug therapy and additional applications millimeterwavelength therapy.
The proposed method of correction of functional disorders of the colon was used in 110 patients of working age from 20 to 60 years.
As a result of application of the proposed method for the correction of functional disorders of the large intestine was noted positive dynamics in the clinical course of the underlying disease in 72.7% of patients ranging from 2-4 procedure, the rest of 27.3% from 5-6 treatments improved psycho-emotional state, normalized stool, stopped rumbling in the stomach. Subjective positive dynamics of persistent, stored up to 6-8 months when stable p is of irritable bowel syndrome of physiological pathogenetical. When applying this method in medical practice, the response of the organism to the influence manifests itself in 2-3 days from the start of treatment, the clinical effect is persistent. The reduction of treatment time 3-6 days compared with the prototype.
Especially noteworthy is the increase of the remission period up to 6-8 months after the 1st treatment after this period it is recommended to conduct a short course (3-4 treatments to restore the effect. The method allows for not only the treatment of patients with functional disorders of the colon, but also the prevention of diseases of the gastrointestinal tract in the spring and autumn period.
The proposed method can be performed in patients with concomitant diseases, such as coronary heart disease, atherosclerosis of vessels of a brain and heart, dystonia, chronic liver disease, gall bladder, ovarian, skin and allergic diseases. When applying this method, adverse reactions and complications were found.
Early analgesic effect, contactless methods of operation, simplicity of procedures, high efficiency even in the presence of comorbidity, there is no need to use more the ICA, the hospital, sanatorium, at home, at the bedside) make this a method of treating irritable bowel syndrome is the most optimal.
Method for the treatment of patients with irritable bowel syndrome, including the impact on biologically active points of the electromagnetic field, characterized in that the impact of exercise on biologically active points of a series E36, Rp6, R1, F4 electromagnetic field millimeter-wave band, a frequency of 52 to 78 GHz in scan mode and/or sweep, act remotely, output power from 3·10-9up to 3·10-7W/cm2procedures spend 20-30 minutes daily, at the rate of 7-10 procedures.
SUBSTANCE: method involves administering diet with high content of nutrient fibers and restricted amount of ordinary hydrocarbons, animal fats and meat broth. Massage is done with manual massage machine Acupress being four-roller bronze or ebonite massage instrument operating along small intestine during 5-6min and then with movements across the abdomen from left to right during 3-4 min. The like movements are done with two-roller bronze or ebonite massage instrument operating along large intestine meridian symmetrically relative to the right and left arm during 4-5 min. All massage movements are done slowly. Procedures are given daily in the morning on empty stomach, before dinner and before going to bed.
EFFECT: enhanced effectiveness in treating chronic constipation cases.