Method for treating the cases of paranasal sinusites

FIELD: medicine.

SUBSTANCE: method involves determining availability of acute or chronic inflammatory process, inflammation form and stage. Acute inflammatory process being detected in paranasal sinuses of exudative form in catarrhal stage, treatment with extraweak electromagnetic field is administered at the following frequencies: 1.5; 2.5; 2.9; 53.5; 57.0; 75.5; 910.0 Hz in combination with quantum therapy in red light matching the electromagnetic field and directed to nose area in frequency, daily, 4-5 sessions per course. Acute inflammatory process being detected in paranasal sinuses of exudative form in serous stage, treatment with extraweak electromagnetic field is administered at the following frequencies: 2.5; 2.9; 1.7; 1.75; 9.4; 57.0; 58.0; 73.5; 522.0; 4900.0 Hz in combination with quantum therapy in blue and green light matching the electromagnetic field and directed to nose area in frequency, daily, 5-6 sessions per course. Acute or chronic inflammatory process being detected in paranasal sinuses of exudative form in purulent stage, treatment with extraweak electromagnetic field is administered at the following frequencies: 2.5; 2.9; 57.0; 58.0; 53.5; 727.0; 787.0; 802.0; 880.0; 11000.0 Hz in combination with quantum therapy in blue, green and red light matching the electromagnetic field and directed to nose area in frequency, daily, 6-7 sessions per course.

EFFECT: enhanced effectiveness of treatment.

 

The invention relates to medicine and can be used in otorhinolaryngology in the treatment of inflammatory diseases of the paranasal sinuses.

Inflammatory diseases of the paranasal sinuses paranasal sinusitis (PNS) are the most common inflammatory diseases in the pathology of ENT organs. Despite advances in medical science, the number of PNS is constantly increasing. In the pathogenesis of PNS plays a significant role infectious lesions of the mucous membrane with the development of inflammatory edema and infiltration, depending on the degree of toxicity of the infectious agent and violations of the reactivity of the organism. In the future, with the development of the inflammatory process in the lumen of the affected paranasal sinus exudate appears. The main directions in the treatment of disease are: 1) inhibition of microbial flora antibacterial drugs entered the interior and local; 2) the impact on the inflammatory focus physical methods.

Antibacterial treatment of acute and chronic rhinosinusitis is still not fully solved the problem. The use of antibiotics in the initial stages of treatment is carried out without microbiological research, therefore, is empirical, which leads to the growth of antibiotic-resistant forms of microorganisms.

Thus, finding new the drug-free non-invasive methods of influence on the inflammatory lesion becomes even more urgent.

As a result of research on scientific medical and patent literature identified various ways of influencing the inflammatory process, with special preference is given to the influence of physical factors.

So, Aiyyo et al. in the work manual physical therapy of diseases of ear, nose and throat. - Kiev, 1981. - 208 S. describes the anti-inflammatory action of ultraviolet radiation (UVR). In the course of low-dose exposure of ultraviolet irradiation on the skin, patients may receive the ultraviolet erythema, which is a physiological reaction that causes the activation of many of the components of biological protection. For optimal anti-inflammatory effect UFOs required direct contact of the emitter and rehabilitated tissue. The disadvantage of this method is the impossibility of direct penetration of UV rays into the lumen of the affected sinus.

On the bacteriostatic and anti-inflammatory effect of ultraviolet irradiation in the treatment of paranasal sinusitis pointed Oven et al. in the work of UV laser in otorhinolaryngology (JUNGB. - 1993. No. 1. - P.50-53), also noting the high skin sensitivity to this type of impact.

The disadvantages of this method are: 1) the sensitivity of the skin and mucous membranes by UV-exposure, which even may cause burns, especially when the summation of the dose of laser radiation; 2) given the high sensitivity of the cilia of the ciliated epithelium of the mucous membrane of the nasal cavity and paranasal sinuses, laser irradiation can also lead to their destruction.

In biology and medicine is known about the bio-stimulating, immunomodulating and anti-inflammatory actions of the red coherent light. Similar action has low intensity non-coherent red light that detail Leemore and Appearancea in the work Comparative effect of helium-neon laser and low-intensity non-coherent red rosette on the function of lymphocytes of patients with chronic tonsillitis (news otorhinolaryngology and logophilia. - 1997. No. 2 (10). - P.71). This same opinion Aiyyo et al. (Guide to physical therapy of diseases of ear, nose and throat. - Kiev, 1981. - 208 S.), who described the action of infrared radiation, which occupies an area of the spectrum with wavelengths from 780 nm to 1 μm. After effects comes the expansion vessel and accelerate blood circulation, increases the activity of the metabolic processes of enzymatic reactions and phagocytosis. The disadvantages of this method is the increased sensitivity of the mucous membranes of ENT organs to the infrared effect, so it cannot be used in acute exudative especiallyh processes located in closed cavities.

In patent literature methods impact on the affected inflammation of the paranasal sinuses, close to the claimed invention, not found.

The closest in technical essence to the claimed method of treatment of paranasal sinusitis is a method of microwave therapy described Vpolicy article Modern methods of physiotherapy in diseases of the ear, nose and throat (SSR. - 1974. No. 1. - C.11-15) using electromagnetic fields of super-high frequency of the order of from 300 to 300,000 MHz supplied to the patient through contact emitters. The author notes the anti-inflammatory effect of this treatment that helps improve the performance of local and General the immunological reactivity of the organism.

This method of treatment of inflammatory diseases of the paranasal sinuses taken as a prototype.

The disadvantages of this method are:

1) used range microwave is a very large frequency range, the effects may not occur in exudative processes, since thermal effect of the field can cause heating of the discharge in the lumen of the affected sinus. The greatest therapeutic effect is achieved only in catarrhal and hyperplastic inflammation of the sinuses;

2) malefic what is the quality of chronic disease, since thermal effect of microwaves when swelling or transudate in the cavities can cause overheating of the tissues and the contents of the sinuses;

3) the procedure is carried out only by the contact method;

4) the possibility of damage to the mucosa of the affected sinus.

The aim of the invention is to achieve a stable clinical effect of non-invasive effects in the treatment of paranasal sinusitis.

The objective is achieved by acting on the projection area of the inflamed paranasal sinuses color svetkomplect and weak electromagnetic field.

The proposed method is as follows.

After diagnosis, the purpose of which is the detection and localization PNS: moneymusic - frontal sinusitis, maxillary sinuses sinusitis, ethmoiditis or polysinusitis - lesion group paranasal sinuses, clarifying the nature of the flow: an acute or chronic process and forms of the inflammatory process: exudative, productive, alternative, mixed and stage of exudative form: catarrhal, serous, purulent (classification Besperebojnogo modification Wetpanty, 1974), determine tactics of treatment CAMP in combination with light color therapy, choose for this patient needed fixed frequency SAMP and color used in color therapy, determine the zone in which the effects. In connection with anatomofunctional features of the paranasal sinuses (SNPS) in clinical practice monotonocity are extremely rare.

When the diagnosis of acute polyserositis exudative form, catarrhal stage prescribe the influence of weak electromagnetic field the following frequencies: 1,5; 2,5; 2,9; 53,5; 57,0; 58,0; 75,5; 910,0 in combination with quantum therapy in red, coinciding in frequency with the electromagnetic field and aimed at the area of the nose and paranasal sinuses. The proposed options were the most effective in the treatment of this disease.

When the diagnosis of acute polyserositis, exudative form, serous stage prescribe the influence of weak electromagnetic field the following frequencies: 2,5; 2,9; 1,7; 1,75; 9,4; 57,0; 58,0; 73,5; 522,0; 4900,0 Hz in combination with quantum therapy blue and green colors, coinciding in frequency with the electromagnetic field and aimed at the area of the nose and paranasal sinuses. These fixed frequency in combination with the use of blue and green colors give the opportunity to get the best results of treatment of this stage of inflammation in SNPS.

When the diagnosis of acute and chronic polyserositis, exudative form, purulent stage prescribe the influence of weak electromagnetic field the following frequencies: 2,5; 2,9; 57,0; 58,0; 53,5; 72,0; equals 787.0; 802,0; 880,0; 11000 Hz in combination with quantum therapy blue, green and red colors, coinciding in frequency with the electromagnetic field and aimed at the area of the nose and paranasal sinuses. Testing data of EMP frequencies in combination with the proposed colors light therapy can help to achieve good therapeutic effect in the treatment of purulent stage of paranasal sinusitis.

Treatment exercise apparatus AMY ELKA-H quantum remote console with infrared, red, blue and green LEDs. The device developed by the Institute of radiometeorologicheskikh research the Academy of natural Sciences and the all-Russian Center for disaster Medicine Protect (RF patent No. 2202822, publ. in BI No., 27.04.2003), it provides the effect on the organs of ultra-weak electromagnetic fields in the range 0.1-1000000 Hz in combination with exposure to colored light, coinciding in frequency with the electromagnetic field. The proposed method is illustrated by the following examples.

Example 1

Patient P., born in 1973, case history No. 557, was admitted to the ENT Department 19.09.2003, complaining of severe headaches, mucopurulent nasal discharge, difficulty in nasal breathing, General weakness, malaise. 20 days ago, I had a respiratory infection, these complaints appeared 5 days ago. While the study found: palpation of the front wall Veracel is the shaft of the sinuses is determined soreness; when the front rinoskopii - mucosa of the nasal cavity moderately hyperemic and edematous, the nasal septum deviated to the left, middle nasal Concha swollen right, middle of the bow on the right is closed. After anemizatsii in the middle of the nasal passages exudate is not detected. In General the nasal passages mucopurulent exudate.

These additional studies: x-ray of the paranasal sinuses in the frontal projection - wall breach transparency of both maxillary sinuses.

General analysis of blood from 20.09.03 RKF. HB - 109 g/l, CPU - 0,9, Ayr. - 4,9×1012g/l L - 4,7×109g/l, e - 3, P - 4, p - 51, Limp. - 36, M - 6.

Based on the survey data and objective of the inspection was diagnosed with Acute polysinusitis the exudative form, catarrhal stage.

Accordingly the General condition of the patient and the diagnosis was treated using the following frequencies: 1,5; 2,5; 2,9; 53,5; 57,0; 58,0; 75,5; 910,0 Hz, chosen by us for the treatment of exudative form, catarrhal stage of inflammation of the paranasal sinuses: in combination with quantum therapy in red, coinciding in frequency with the electromagnetic field and focused on the nose and the projection of the paranasal sinuses.

The treatment was carried out as follows: the apparatus AMY ELKA-H installed at a distance of 20-25 cm from the face of the patient, and external quantum usher is and with colored LEDs at a distance of 4-5 cm from the nose with a projection on the paranasal sinuses. Session duration was 16 minutes. The treatment was carried out daily.

In the process of treatment on day 2 were stopped headache, improved the General condition of the patient and nasal breathing, decreased the number of discharge from the nose. Palpation of the front wall of the maxillary sinus was painless. When the front rinoskopii phenomena hyperemia of the mucous membrane of the nasal cavity is decreased, middle of the bow opened, in General the nasal passages exudate is not detected. On the 5th day of treatment nasal breathing is restored. Objectively: mucous membrane of total nasal passages pink, no swelling, middle and lower nasal turbinates normal size. The patient was discharged from hospital on day 5 of recovery.

Example # 2

Patient M., 19 years old, medical history, No. 408, entered the D/s ENT Department 02.07.2003 with complaints of headache, difficulty in nasal breathing, profuse mucous discharge from the nose.

Palpation in the area of projection of the front wall of the maxillary sinus moderately painful. When the front rinoskopii determined by a pronounced hyperemia and edema of the mucous membrane of the nose, the lower swollen nasal turbinates, total nasal passages are narrow and contain a large amount of slimy exudate.

Additional surveys: OAK HB 121 g/l, er. - 3,9×1012L - 7,2×109CPU - 0,9, E - 4, P - 4, P - 57, L - 30, IS - 5, ROHE - 10 mm/h

On the radiograph SNPS - parietal violation of the transparency of both the maxillary and ethmoid sinuses. After diagnostic puncture of the right maxillary sinuses sinus was obtained a transparent mucous exudate. On the basis of the above was diagnosed with Acute bilateral polysinusitis the exudative form, serous stage.

The treatment was performed according to the method developed by us for therapy appropriate nosology group frequencies: 2,5; 2,9; 1,7; 1,75; 9,4; 57,0; 58,0; 73,5; 522,0; 4900,0 Hz in combination with quantum therapy blue and green colors, coinciding in frequency with the electromagnetic field and aimed at the nose and the projection of the paranasal sinuses.

The treatment was carried out for 6 days a week, the duration of the session - 20 minutes. On day 3 of treatment, the condition has improved, nasal breathing recovered. When the front rinoskopii mucosa pink, edema regressed, lower nasal turbinates decreased exudate in the nasal cavity no. The patient was discharged on day 6 of recovery.

Example # 3

Patient D., 41 year history No. 8272/515, was admitted with a diagnosis of chronic polyserositis exudative form, purulent stage (bilateral purulent maxillary sinuses sinusitis and right-sided frontal sinusitis). Hospitalized for 6 days from the beginning of exacerbation with the complaint and a headache, the difficulty of nasal breathing, mucopurulent nasal discharge, weakness, malaise, fever up to 37,3°C. From the anamnesis it is established that the patient is suffering from chronic sinusitis for over 2 years, the frequency of exacerbations - 2-3 times a year, their duration is up to 3 weeks. During exacerbations were treated with antibiotics. During the inspection set: palpation of the front walls of the maxillary sinuses and the right frontal sinus is determined by the pain; when the front rinoskopii - the mucous membrane of cavity of nose swollen, total nasal passages are narrowed, the lower enlarged nasal turbinates in the nasal passages has a mucopurulent exudate, after anemizatsii - in the average of the forward course there is a strip of purulent exudate. Other ENT organs are not changed.

These additional tests: complete blood count: HB - 150 g/l; er - 4,8×10 g/l; L - 5,7×109; E - 1; P - 7; P - 71; L - 16; M - 5; CP to 0.9, ESR - 10 mm/h

On radiographs of the paranasal sinuses in the frontal projection of the detected homogeneous darkening of the maxillary and right frontal sinuses.

Produced diagnostic puncture of the right maxillary sinus, during which the purulent exudate, which is taken for bacteriological examination. Microbiological examination detachable from the right maxillary sinus revealed: Streptococcus hemolyticus - 106sensitive to methicillin, rifampin, cefuroxime, cifoperazone, doxycycline, ciprofloxacin. The survey allowed us to detect: exacerbation of chronic polyserositis exudative form, suppurative stage.

Was applied therapeutic tactics that have been developed for this form of the disease: CAMP with frequencies- 2,5; 2,9; 57,0; 58,0; 53,5; 727,0; 787,0; 802,0; 880,0; 11000 Hz in combination with quantum therapy blue, green and red colors, coinciding in frequency with the electromagnetic field and aimed at the area of the nose and paranasal sinuses.

The apparatus AMY ELKA-H was installed at a distance of 20-25 cm from the face and bypass led is on 4-5 cm from the nose area. Duration of treatment - 20 minutes, the procedure was carried out on a daily basis. Treatment consisted of 6 treatments with daily monitoring of patient's condition and dynamics of clinical manifestations (local headache, nasal discharge and the condition of nasal breathing). On the third day of treatment, the condition has improved significantly, headache and runny nose was gone, nasal breathing recovered. Puncture of the maxillary sinus held on the 4th day, wash liquid was transparent, its microbiological examination revealed no growth of bacterial and fungal flora. When the front rinoskopii signs vos is Alenia decreased: the mucosa of the nasal cavity was pink, swelling of the lower turbinates decreased exudate in the nasal cavity is not detected. After the disappearance of clinical signs of disease on the 6th day from the beginning of treatment the patient was discharged from hospital with recovery.

In the ENT clinic of Rostov state medical University the proposed method, the treatment of 20 patients aged from 19 to 53 years with uncomplicated forms of acute and chronic exudative inflammation of the paranasal sinuses, 7 of them with sharp, 13 with chronic processes. Isolated lesions of the maxillary sinus was present in 2 cases, combined (including the defeat of the frontal and ethmoid) - 18.

The course of treatment depended on the duration of the disease, the intensity of the current and the prevalence of inflammation in the paranasal sinuses, the clinical manifestations and ranged from 5 to 7 procedures performed on a daily basis. The treatment process was monitored by clinical evaluation that includes examination of ENT organs, x-rays of the sinuses, diagnostic puncture of the maxillary or trypanophobia frontal sinus, the microbiological flora of the affected paranasal sinuses in the dynamics, General blood and urine tests.

The analysis of the results showed that the majority of patients after the second session therapy significantly improved the General condition and nasal respiration is the decreased or disappeared local pain, no feeling of heaviness in the area of inflamed sinuses, decreased edema and hyperemia of the mucous membrane of the nasal Concha. All patients were discharged from the hospital on 6-7 day.

Thus, the proposed method improves the quality of treatment. A positive therapeutic effect is observed without prescription medications, especially antibiotics, corticosteroids, giposensibiliziruyuschey funds. therapeutic effect is due to the use of the device exposure to radiated electromagnetic information-wave signals, a matching (or close) with the individual signals of the healthy organs and systems.

Compared with the prototype of the inventive method provides:

1) improving quality of care by conducting non-medical therapy;

2) apparatus use;

3) enhancement of therapeutic effect due to the combination effects of ultra-weak electromagnetic field and light, selected colors, coinciding in frequency with the electromagnetic field;

4) how accessible and easy to use, can be used both in hospitals and polyclinics.

A method for the treatment of paranasal sinusitis, providing the impact on patterns of inflamed paranasal sinuses physical factors, featuring the the action scene, initially, when examining a patient to determine the presence of starogo or chronic inflammatory process, forms and stages of inflammation; in the presence of paranasal sinuses acute inflammation, exudative forms of catarrhal stage appoint the impact of ultra-weak electromagnetic field the following frequencies: 1,5; 2,5; 2,9; 53,5; 57,0; 58,0; 75,5; 910,0 Hz in combination with quantum therapy in red, coinciding in frequency with the electromagnetic field and focused on the nose, every day, on the course of treatment 4-5 sessions; in the presence of paranasal sinuses acute inflammation, exudative form serous stage appoint the impact of ultra-weak electromagnetic field the following frequencies: 2,5; 2,9; 1,7; 1,75; 9,4; 57,0; 58,0; 73,5; 522,0; 4900,0 Hz in combination with quantum therapy blue and green colors, coinciding in frequency with the electromagnetic field and aimed at the nose, every day, on the course of treatment 5-6 sessions; in the presence of paranasal sinuses acute or chronic inflammation, exudative forms of purulent stage appoint the impact of ultra-weak electromagnetic field the following frequencies: 2,5; 2,9; 57,0; 58,0; 53,5; 727,0; 787,0; 802,0; 880,0; 11000 Hz in combination with quantum therapy blue, green and red colors, coinciding in frequency with the electromagnetic field and aimed at the area of the nose, daily treatment 6-7 sessions.



 

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4 cl, 3 dwg

FIELD: medicine; medical engineering.

SUBSTANCE: method involves applying variable electromagnetic field excited by amplitude-modulated signal having carrier frequency in 100-1000 kHz bandwidth and modulating frequency in 10-8000 kHz bandwidth, and irradiation with low intensity quasi-monochromatic radiation of visible and proximal infrared wavelength bandwidth with small spectrum width. Two action elements are used when performing the treatment. The first one is vaginal action element having inductive transmitter of resonant type emitting electromagnetic oscillations with carrier frequency belonging to 100-1000 kHz bandwidth amplitude-modulated in 10-8000 kHz bandwidth and low intensity quasi-monochromatic radiation of visible and proximal infrared wavelength bandwidth with small spectrum width. The treatment is carried out concurrently and in continuous mode. The device has power supply source, sinusoid signal oscillator and vaginal action element having dielectric casing. The casing encloses inductive transmitter winding. The sinusoid signal oscillator has active oscillator with inductive transmitter winding being concurrently used as inductive element of oscillatory circuit of the active oscillator. Low frequency oscillator is additionally available. Its output is connected to active oscillator circuit via modulator. Control tract has in series connected amplitude detector, DC amplifier and indicating unit. An additional supracutaneous treatment element has active oscillator, inductive transmitter winding concurrently serving as active oscillator inductance element, modulator, which input is connected to low frequency oscillator output and its output is connected to active oscillator circuit. The control tract has in series connected amplitude detector, DC amplifier and indicating unit. M photodiodes are connected in series via timer and acoustic indication element.

EFFECT: enhanced effectiveness of treatment.

5 cl, 4 dwg

FIELD: medicine.

SUBSTANCE: method involves treating organism with rotating magnetic field. Action mode I has magnetic field intensity of 1.7-3.4 mTesla units giving comfortable organism state. Mode II has magnetic field intensity of 2.9-5.8 mTesla units. Mode III has magnetic field intensity of 0.6-2.3 mTesla units giving discomfort organism state. The treatment is spread over the whole organism by applying modes I-III in any succession order with mode I selected at the beginning and end. Exposure time is equal to 5-10 min in each mode depending on initial organism state. The number of sessions is selected from 3 to 20 in manner individual for each organism.

EFFECT: enhanced effectiveness of treatment.

3 dwg, 1 tbl

FIELD: medical engineering.

SUBSTANCE: device has three concentric inductance coils arranged in mutually perpendicular relation to each other, control unit producing signals for controlling feeding voltage of winding of each inductance coil. The control unit has PC with software installed and interface unit and three-channeled power amplifier. The PC is connected to the power amplifier for controlling voltage on each coil. The power amplifier is used for supplying voltage to coil windings. Coil windings are arranged turn-by-turn in a way that turns of the same number intersect.

EFFECT: enhanced effectiveness of treatment.

5 dwg

FIELD: medicine; medical engineering.

SUBSTANCE: method involves acting upon pathological cells and tissues with constant and/or low frequency alternating electromagnetic field of 1 to 100 mTesla units large intensity and frequency of 1 to 1000 Hz. The device has means for producing constant and/or low frequency alternating electromagnetic fields permeating working space.

EFFECT: enhanced effectiveness in treating pathological tissues without harmfully influencing healthy cells.

19 cl, 5 dwg, 5 tbl

The invention relates to medical equipment and can be used for the treatment of various etiologies methods magnetotherapy

The invention relates to medical engineering, in particular to a device for physiotherapeutic exposure to optical radiation and magnetic field on biological object

FIELD: medicine; medical engineering.

SUBSTANCE: method involves acting upon pathological cells and tissues with constant and/or low frequency alternating electromagnetic field of 1 to 100 mTesla units large intensity and frequency of 1 to 1000 Hz. The device has means for producing constant and/or low frequency alternating electromagnetic fields permeating working space.

EFFECT: enhanced effectiveness in treating pathological tissues without harmfully influencing healthy cells.

19 cl, 5 dwg, 5 tbl

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