Method for treating chronic inflammation of small pelvic organs in women of reproductive age along with hormone-dependent neoplasms of reproductive organs

FIELD: medicine, gynecology.

SUBSTANCE: iodine-bromine baths should be indicated along with interference currents at abdominal-sacral application of electrodes daily at frequency ranged 0-100 Hz twice daily per 20 min both 1 h before and 1 h after the bath mentioned for 10 d.

EFFECT: higher efficiency of therapy.

2 ex

 

The invention relates to medicine, gynecology, and may find application in the resort and non-resort rehabilitation therapy women of reproductive age with chronic inflammation of the pelvic organs and benign hormone-dependent formations genitals that do not require surgical treatment or after it (organ-preserving surgery: conservative myomectomy, coagulation foci of endometriosis and others).

Chronic inflammatory diseases of the pelvic organs are often combined with genital endometriosis and uterine myoma or precede them (Summary A.N., Davydov, A.I. Endometriosis. Clinical and theoretical aspects. - M.: Medicine. - 1996. - 330 S.; Valeeva E.M., Vasilevskaya LN. Uterine fibroids. - M.: Medicine. - 1981. - 97 C.). Due to these aggravating moments the treatment has a positive effect not only on the principal but also on comorbidities and not have a negative impact on the state of the functional systems involved in the pathological process.

From preformed physical factors, which have found application in this group of patients, known alternating magnetic field of low frequency, however, proved only its anti-inflammatory effect (Valeeva E.M., Vasilevskaya, L.N., Uterine fibroids. - M.: Medicine, 1981, p.101).

There is a method of treatment HOT and dobrock the quality hormone-dependent entities genitals radon and iodobromide waters as public baths and vaginal irrigation, providing anti-inflammatory and analgesic effect, a positive effect on the nervous and endocrine systems (Valeeva E.M., Vasilevskaya, L.N., Uterine fibroids. - M.:Medicine, 1981, s-120).

However, the disadvantage of this method is its relatively low efficiency associated with the insignificance of trophic and defibrotide effects.

The objective of the invention is a more effective way to treat HOT in women of reproductive age, which can be used if they have a hormone-dependent entities of the genital organs (fibroids, genital endometriosis)that do not require surgical treatment or after it (conservative myomectomy, coagulation foci of endometriosis).

This object is achieved by a method involving the use of interferential currents with abdominal-sacral the electrodes frequency from 0 to 100 Hz every day, 2 times a day for 20 minutes, at the rate of 20 procedures in a complex with communal iodobromide baths on a course of 10 treatments.

Practically the method is as follows. The treatment begins with a 5-7 day of the menstrual cycle, it is held daily in the following sequence: interference therapy - General odabrana bath - interference therapy, with one hour interval between treatments within 10 working days.

Methodology interference therapy. sportsouth apparatus "Interdean ID". Strip 7×7 cm, moistened with water, have paravertebral at the level of S1-S2: right black, left red. Similar gaskets have the right red, left - black from the middle line of the abdomen, the upper edge at the level of the navel. Frequency from 0 to 100 Hz. Current - to feel painless vibration deep in the pelvis. The automatic mode. Duration 20 minutes, 2 times a day: one hour before and one hour after the total odabrani baths. Course of 20 treatments.

The technique for applying a common odabrani bath: in the bath with a volume of 200 l pour tap water t 37°C, add 100 ml of 10% solution of potassium iodide, 100 ml of 25% solution of sodium bromide and 2 kg of salt. Position of patient: lying on your back, the water level is up to the armpits. Daily, for 15 minutes in the interval between the interference therapy. Course of 10 treatments.

This method of treatment is more effective than known as, along with a positive influence on the endocrine, nervous and cardiovascular system, has a pronounced anti-inflammatory, analgesic, and trophic defibration effect and is easier and more affordable to implement in the resort and non-resort setting.

The method is illustrated by the following examples.

Example No. 1. Patient C., born in 1971, outpatient map No. 2377/03. Diagnosis: Chr. bilateral salpingo-oophoritis in the PE the iodine remission. Peritoneal pelvic adhesions. External genital endometriosis. Dysmenorrhea. Infertility 1. Vegetative-vascular dystonia of hypotonic type. Emotional lability.

Turned 5.09.00 with complaints about the absence of pregnancy within 2.5 years of regular sexual intercourse without contraception in marriage, irregular menses (cycle 21-34 days), increased irritability and tearfulness, unstable blood pressure (reduction to 90/60, when working 110/70 mm RT. Art.). From the anamnesis: menstruation is 15 years, 3 days after 21-32 days, moderate, without pain. Sexual life is 19 years old, married with 25 years (husband of 34 years, semen without pathology). For the first time has addressed to the gynecologist in 1998, after 1.5 year of regular sexual intercourse without contraception, with complaints about the absence of pregnancy. Hysterosalpingography (1999) diagnosed with chronic salpingo-oophoritis, two-way valve sanjoanense, adhesions in the pelvis. Outpatient underwent a course of physical therapy: 30 procedures TNC (currents supersonic frequency) with no effect. 11.05.00 order to clarify the diagnosis made laparoscopy (fibrolysis on both sides, coagulation foci of endometriosis, hydrotubation), hysteroscopy (removal of endometrial polyp), diagnostic curettage of the endometrium (histological study No. 896: ferro-fibrous polyp of endometrium, the mucous body match the late stage of cell proliferation). After laparoscopy pregnancy was not guarded.

05.09.00 started electro-balneotherapy. Daily for 10 days was used 3 times in the following sequence: interference currents - shared bath - interferential currents with the interval between treatments 1 hour. Methodology interference therapy (apparatus "Interdean ID"): strip 7×7 cm moistened with water had paravertebral at the level of S1 - S2 right black, left red. Similar strips were placed on the right red, left - black from the middle line of the abdomen, the upper edge at the level of the navel. Frequency from 0 to 100 Hz. Current - to feel painless vibration deep in the pelvis. The automatic mode. Duration 20 minutes. The procedure was performed 2 times a day, an hour before and an hour after General odabrani baths. Methodology total odabrani bath: in the bath with a volume of 200 l was poured tap water t 37°C, was added 100 ml of 10% solution of potassium iodide, 100 ml of 25% solution of sodium bromide and 2 kg of salt. Position of patient: lying on your back, the water level is up to the armpits. Duration 15 minutes. Treatment consisted of 10 General baths and 20 treatments interference. The result was the improvement in the emotional state, stabilization of blood pressure, palpation: softening and increasing elasticity with echnik structures. Menses were regular, after 28 days. During therapy, as well as in the period of its aftereffect (2 months after treatment) the patient is offered a thorough mechanical contraception, after the abolition of which, in the first menstrual cycle, pregnancy. 11.11.01 born live, full-term boy weighing 4280,, 55 see for 2.5 years after the birth of menses for 5 days moderate and painless, cycle - 28 days.

Example No. 2. Patient K., 1969 R., outpatient map No. 20402/02. Diagnosis: Chr. endometritis. Peritoneal pelvic adhesions. Uterine fibroids. Chronic pelvic pain. Dysmenorrhea. Infertility 1. Emotional lability.

He complained of abdominal pain, increasing for 1 to 2 days before and, especially, on day 1 of menstruation, with irradiation in rectum; in heavy and prolonged (up to 8-9 days) menstruation; in the absence of pregnancy during the 13 years of regular sexual life in marriage without protection; increased irritability, tearfulness. Menstruation from the age of 11, was installed immediately, at 11-12 days, rich, sharply painful to the 1st day, after 28-30 days. With 16-17 years of menstruation on 7 -8 days. Sexual life is 19 years old, husband of 38 years, healthy. Pregnancy was never guarded. In 1992 (2 years after marriage) hysterosalpingography diagnosed adhesions in the pelvis, bilateral sanjoanense, C is optimost fallopian tubes. Many times medical and sanatorium-resort treatment (radon baths, gynecological irrigation and mud) with a little improvement in terms of reduced pain, but pregnancy does not occur. Three times (1993, 1994 and 1996) laparoscopy in occasion of adhesions in the pelvis without effect. During the third laparoscopy to restore the patency of the fallopian tubes failed and they were removed. From 1996 to 2001, made 8 attempts of in vitro fertilization and embryo transfer (IVF and embryo transfer) without effect. In 2002, when ultrasound diagnosed with uterine fibroids (D node - 1 cm), chronic endometritis (echographically: endometrium heterogeneous structure, with portions of the seal in the basal layer).

30.06.03 started electro-balneotherapy. Within 10 days the patient received General iodobromide baths according to the following procedure: into a tub with a capacity of 200 l was poured tap water t 37°C, was added 100 ml of 10% solution of potassium iodide, 100 ml of 25% solution of sodium bromide and 2 kg of salt. Position of patient: lying on your back, the water level is up to the armpits. Every day for 15 minutes. Course of 10 treatments. An hour before and an hour after bathing conducted interference therapy (apparatus "Interdean ID") by the following procedure: strip 7×7, moistened with water, had paravertebral at the level of S1-S2, right black, left red. Ana is ulichnye strip disposed on the right red, left - black from the middle line of the abdomen, the upper edge at the level of the navel. Frequency from 0 to 100 Hz. Current - to feel painless vibration deep in the pelvis. The automatic mode. Duration 20 minutes. Course of 20 treatments. Already in the process of treatment, the patient noted a decrease pain, improve mental and emotional state. Directly after a course of therapy with a two-handed study determined the softening and elasticity of adhesive structures, increasing the excursion of the uterus. Positive dynamics of sonographic pattern of the endometrium without negative impact on the myomatous site, so when ultrasound from 08.09.03 endometrium without visible pathology associated with uterine fibroids without changes. In November 2003, after appropriate training conducted by IVF and embryo transfer. Pregnancy that is progressing.

In the gynecological Department of the NC AG and P the RAMS in this way treated 30 women aged from 24 to 40 years with chronic inflammation of the pelvic organs and hormone-dependent formations genitals that do not require surgical treatment. 8 of them after myomectomy and/or electrocoagulation of endometrioid heterotopy, removal of endometriotic ovarian cysts). Most of them (26 people) complained of pain in the lower abdomen and lumbosacral region FS is offered by the intensity growing on the eve or in the early days of menstruation, unstable mood, irritability. 70% (21 women) suffered from infertility: equally primary and secondary, only three of them had children. In 10 (30%) of those surveyed identified or other allergic reactions to medications, food or household chemicals. Therapy was started with 5-7 days of the menstrual cycle and conducted her daily for 10 days. Clinical response to treatment were adequate. After comprehensive treatment of General iodobromide baths, and interference currents all patients noted improvement in emotional state, 91,8% - mild or significant reduction of pain, 38.9% of pregnancy. The duration of monitoring of patients after treatment ranged from 1 month to 3 years. During this time, the treatment results were stable, exacerbation of chronic inflammatory diseases of the pelvic organs was not a woman. It is particularly important that the accompanying fibroids and/or genital endometriosis have not undergone negative dynamics, which is confirmed by sonographic studies; previously operated on for Lomonosovsky formations genital recurrence of the disease was not.

Thus, the proposed method of treatment gives a higher positive and lasting is to function effectively in comparison with the known.

A method of treating chronic inflammation of the pelvic organs in women of reproductive age with hormone-dependent entities of the genital organs, including iodobromide baths, characterized in that it further designate interferention currents with abdominal-sacral the electrodes frequency from 0 to 100 Hz every day, 2 times a day for 20 minutes for an hour before and an hour after a bath within 10 days.



 

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