A method of treating secondary pancreatitis in children at the resort
The invention relates to medicine and for the treatment of children suffering from secondary pancreatitis. Exposed mud applications on the epigastric region temperature 36° with elongation of a single exposure to 15-20-25 minutes depending on age, through the day, the course of 8-10 treatments. Mud applications is performed in conjunction with a drink of carbon dioxide chloride-hydrocarbonate-sulfate sodium-calcium mineral water at a dose of 3-5 ml per kg of body weight. The method allows to reduce the main symptoms of the disease due to exposure to pathogenic components of the disease, normalizing the function of regulatory systems, providing anti-inflammatory action. 3 table.
The invention relates to medicine and for the treatment of children suffering from secondary pancreatitis.
Diseases of the pancreas (PJ) occur in children more often than are diagnosed. Persistent abdominal pain should guide the physician in relation to pancreatitis. Early diagnosis and treatment help prevent chronic process in the mud.
Closest to the claimed is a well-known application of the mud t=38-40° (Manual physiotherapy and physioprophylactics kindergartens who showed what peloids t=38-40° not shown to children due to edema of the pancreas (PJ), because they cause increased secretions mud and increase swelling. This gave us the basis to reduce the temperature of the mud up to 36°.
The technical result of the method of treatment of chronic pancreatitis in children at the resort is to achieve remission during the year, the disappearance of clinical symptoms of the disease already on the background of the monthly treatment.
The essence of the invention lies in the fact that children on the epigastric region impose mud temperature 36° with extended exposure time 15-20-25 minutes, hoping to slow the warming of the area of impact. This method does not cause a sense of discomfort and skin irritation.
It is known that peloids have antispasmodic, anti-inflammatory effect, eliminate stasis in the vessels, reduce spasm of the gall bladder and pancreatic ducts, improve the function of the autonomic nervous system, mobilize adaptive and compensatory reactions, aimed at stimulation of bioprocesses.
The method is as follows: the intake of mineral water carbon dioxide chloride-hydrocarbonate-sulfate intothree the URS child has mud on the epigastric region within 15 minutes children up to 7 years, and 20 minutes for children under 12 years of age and 25 minutes for children up to 15 years, the treatment course of 8-10 treatments a day.
The method is illustrated by the following example.
Observation 1. In-WA Inna, 13 years old, medical history, No. 784, was admitted to the hospital 28.12.2002, was discharged 27.01.2003 was Admitted with complaints of recurrent pain in the abdomen, nausea, was treated repeatedly with no effect.
From history: from the 1st pregnancy. At an early age grew and developed normally.
Illness: chicken pox, rubella.
Heredity is not burdened.
In the overall development did not lag behind. Admission: General condition is satisfactory, the shape is correct, the food is satisfactory. Palpable all groups of peripheral lymph node size to pea, painless. In the lungs and heart without features. Pulse 82 beats per minute, BP - 90/60 mm RT.article.
Tongue coated dirty tinge. The abdomen is soft, painful epigastric, so Kera, daffara, Map.
Liver, spleen not enlarged. Chair 1 time in 2-3 days. Symptom of Pasternack negative.
Ultrasound from 06.01.03 - gall bladder 88×71 mm sediment, wall up to 5 mm PI 18×16×20 mm, heterogeneous echo-positive. what the PCD emissions. Flat foot posture.
Coprogram from 13.01.03 - moderate increase in fiber, fatty acids a large amount. A significant amount of starch. All of these indicators from 13.01.03 significantly improved disappeared all the pathological elements of the feces, leaving only a moderate amount of intracellular starch.
The RTP before treatment - 1:80 dilution). After treatment of 1:320.
Urine analysis after multiple studies remained normal. Lipase before and after treatment was within normal limits.
Several was raised amylase blood to 10.0 before treatment and after treatment (average of 8.9 g/CL).
Diagnosis: secondary chronic pancreatitis in the phase of incomplete remission, chronic gastroduodenitis.
In the clinic the child received nutritional therapy (table No. 5), carbon dioxide chloride-hydrocarbonate-sulfate sodium-calcium mineral water (salinity of 4.5 g/L. Pyatigorsk source No. 24), exercise therapy, therapeutic tyubazhi during the month, while the child received a “cold" mud temperature 36° on the area of the mud every other day for 20 minutes at the reception, 8 procedures for the course.
After treatment has come polyangular with parents) the child does not hurt, feels well.
Observation 2. B s semen, 8 years old, the case history No. 24. Was admitted to the hospital 04.01.2002 with complaints of recurrent pain in the abdomen, burping rotten, moderate nausea, unstable chair. Sick 2 years.
Born from 2nd pregnancy. Childbirth and pregnancy proceeded normally. Well developed. Moved varicella. Heredity is not burdened.
Admission: General condition is satisfactory, the skin is clean, and the regular color. Peripheral lymph nodes are not enlarged.
Vesicular breathing in lungs. Heart sounds clean, rhythmic, heart rate 92 beats / min, BP - 90/60 mm RT.article.
Tongue coated at the root of dirty-white bloom, dry.
The abdomen is soft, painful epigastric, including daffara, the projection of the bladder, unstable chair. Liver, spleen not enlarged. Urination free, painless.
Diagnosed with chronic gastroduodenitis, remission, chronic pancreatitis, incomplete remission.
In the clinic the child received nutritional therapy (table No. 5), carbon dioxide chloride-hydrocarbonate-sulfate sodium-calcium water of low salinity (4.5 g/l), exercise therapy, therapeutic tyubazhi in tx2">After treatment of abdominal pain, nausea passed; improved General condition. Significantly according to the RTP increased activity of trypsin in Calais with 1:10 to 1:320 (breeding), came to normal lipase has changed coprogram from 4 to 3 (points).
Ultrasound is almost normal decreased gall bladder, significantly decreased the sludge in the gallbladder. The child has gained weight 2 kg, gone are the symptoms of chronic intoxication. Normal appetite, no pain in the abdomen. Thus, a single treatment of the patient in the clinic with the use of cold mud and mineral drinking water source No. 24 contributed to the onset of remission. Six months later, the questionnaire method has been established that the disease was not.
Testing of the proposed method was carried out in conditions of Pyatigorsk clinic GNIIT. The trial was conducted in 2 groups of patients. In one group (control) had 19 people in the main group of 26 children.
According to the results of treatment of children proposed and known methods revealed the advantages of the first manifested in achieving sustained therapeutic effect. A method is suggested for use in medical practice for children.
Pairs#177;0.5, and P=0.05, body respectively with 14,15 up of 13.58, P=0.05.
Almost did not decrease the swelling of the tail mud.
The amylase in the blood decreased significantly, with 8,76±0,38 up to 7.2±of 0.54, P<0,05. Coprogram (known way) has not changed, with the proposed method was significantly improved from 9.7±0,86 to 8,071±of 0.55, P<0,05.
Neither hot nor cold dirt on the lipase activity was not affected, indicating stability of the enzymatic activity of the mud when the proposed treatment methods.
Thus, the proposed method, i.e. “cold” mud temperature 36° for 15-20-25 minutes has the advantage of hot mud that 73% had no pain in the stomach, 42.3% of pain so daffara, 46.1 per cent respectively including Kera, from 30.7 per cent in the so - Mayo-Robson, 50% - in the area of the Map, i.e. the dynamics of clinical symptoms had a distinct advantage over the hot mud. The method used for pancreatitis for the first time.
All the patients for the reliability of the studied immunological. It was very revealing. The CEC were elevated in all patients 2-3 times, as evidenced by the intensity of the immune system. Before treatment, the CEC were 62,34±3,1% after treatment 55,82±1,8, P=0.07, i.e., the decrease was only slight, inaccurate as when famous groups was dramatically reduced IgM, before treatment 0,67±0,04, after treatment, the proposed method has improved little by little to 0.78±0.04 mg/ml, but significantly, P=0.02 (norm-1,11-of 1.85 mg/ml) and in the treatment of well-known way, he almost never changed before treatment was 0,91±0.25 mg/ml after treatment 7,44±0,28, P=0,08.
Thus, our data indicate that chronic pancreatitis in children immunity tense and even after the treatment has only a small tendency to normalization.
A method of treating secondary pancreatitis in children at the resort, including the effects of mud applications on the epigastric region, characterized in that the dirt is released temperature 36°, the elongation of a single exposure to 15-20-25 min, depending on age, through the day, the course of 8-10 treatments, in combination with a drink of carbon dioxide chloride-hydrocarbonate-sulfate sodium-calcium mineral water, at a dose of 3-5 ml per kg of body weight.
FIELD: medicine, in particular, physiotherapy.
SUBSTANCE: the tampon has an envelope filled with mud, head with the recess built in the cavity of the rear section of the envelope, limiter placed on the recess of the tail, socket screwed in the threaded section of the tail and two electrodes. One of them is installed in the cavity of the head, and the other - in the cavity of the tail. The electric wire is positioned in the cavity of the envelope in the longitudinal axis. One end of it is connected to the head electrode, and the other - to one of the terminals of the socket. The wire couples the tail electrode to the second terminal of the socket. The electric cord with a plug connects the socket to the current source. The electrodes are positioned opposite each other. The electric wire is placed in a non-conducting tube.
EFFECT: facilitated procedure of use.