Method for rehabilitation in patients with autoimmune thyroidism and diffuse intoxic goiter
FIELD: medicine, balneotherapy.
SUBSTANCE: during remission period patients should be affected with balneological factor of Belokurikha health resort due to providing the baths with native thermal low-mineralized alkaline waters at increased content of silicic acid at 36-37 C at radioactivity concentration being 0.14-0.3 kBq/l. Baths should be conducted by the following scheme: the 1st d - 5 min, the 2nd d - 8 min, the 3d d - 10 min, the 4th d - the rest, the 5th d - 12 min, the 6th d - 15 min, the 7th d - the rest, the 8th d - 15 min, the 9th d - 15 min, the 10th d - the rest, the 11th d - 15 min, the 12th d - 15 min, the 13th d - the rest, the 14th d - 15 min, there are 10 procedures totally from 1 to 5 p.m. Additionally, in the morning it is necessary to take fresh-water circulatory shower, manual surface massage, rational psychotherapy for psychological correction of emotional sphere by combining the above-mentioned procedures with daily promenades both in the evening and in the morning per 60-120 min, each. The method enables to achieve euthyroidism and decrease goiter's size, prolong remission terms, increase inspecific body resistance and normalize oxygenation and trophic processes in peripheral tissues, vascular tonicity and homeostasis.
EFFECT: higher efficiency of rehabilitation.
3 cl, 2 ex, 2 tbl
The invention relates to medicine, in particular to balneotherapy, and relates to methods of rehabilitation of adults with diseases of the thyroid gland (thyroid gland).
It is well known that thyroid pathology is the most frequent in the structure of endocrine diseases, with the steady increase in prevalence over the last decade (Dedov I.I., Troshina E.A., Antonov S. and others, 2002).
The possibility of rehabilitation of patients with autoimmune thyroiditis (AIT) and diffuse non-toxic goiter (DOP) resort factors are still not used.
In this regard, we have had important climatic and balneological factors of the resort Belokurikha in rehabilitation activities.
There is a method of rehabilitation of children with functional disorders of the thyroid gland, including the use of balneotherapy. The method consists in the fact that conduct physical therapy and baths with 0,9-1,1%-s ' solution of pantogematogen in the number of 450-500 per procedure at a temperature of 36-37°8-10 minutes, 13-15 hours, every other day, alternating with manual massage of a collar zone, in the course of 10-12 treatments (Stepanenko, NP, Dostovalov O.V. Method of rehabilitation of children with functional disorders of the thyroid gland. Application for invention No. 2000131804/14, M. CL. 7 And 61 N 33/00, And 61 N 7/00, TPMF - No. 22. - 2003. - S).
However, at Asano, what pathology of the thyroid gland, this method of rehabilitation provides a therapeutic effect. The method is not sufficiently specific. Consequently, as a result of treatment in the nearest time possible exacerbation and recurrence of the disease, with the need to re-rate recovery (requiring additional patient cost) and shortening of the period of remission.
The closest to therapeutic entity is a method of rehabilitation of children with autoimmune thyroiditis (AIT) and diffuse non-toxic goiter (DOP). The method consists in carrying out therapeutic physical training, massage, destination homeopathic drug "Tiraspol and total artificial baths: radon concentration of 0.75 kBq/l (AIT; or bromine with iodine content of 10 mg/l and bromine 25 mg/l) in the case of DOP, the temperature of 36-37°8-10 minutes, from 13 to 15 hours, every other day, alternating with manual massage of a collar zone in the amount of 8-10 procedures for the course. The total duration of treatment is 16-20 days (Stepanenko N, Levitsky E.F., Kondratiev H., Shakhova S. a Method of rehabilitation of children with autoimmune thyroiditis and diffuse non-toxic goiter. Patent No. 2223739, M. CL. 7 And 61 N 33/00, No. 02, a 61 K 35/00, TPMF. No. 5. - 2004. - S).
However, the described method of rehabilitation has drawbacks:
1) there are no criteria for the selection of patients for applying this method is;
2) use common artificial radon baths with a concentration of 0.75 BCF/l, without the characteristics of the composition and mechanism of action;
3) not conducted a study of the functional state of the body;
4) do not specify the composition of the homeopathic drug "Tiraspol" and the scheme of its destination, respectively, each disease (autoimmune thyroiditis, DOP);
5) the method does not forecast the duration of remission and the need for repeated courses.
The objective of the invention is the prolonged period of remission in autoimmune thyroiditis and diffuse non-toxic goitre with maintenance of normal function (arteriosa) and size of the thyroid gland.
This object is achieved in that during the period of remission on the thyroid gland affect its health factor of the resort Belokurikha. In the balneotherapy native thermal reconsiderate waters stimulate the apoptotic reactions, the alignment regulation in cellular and extracellular structures of the thyroid gland.
The method of rehabilitation of patients with autoimmune thyroiditis and diffuse non-toxic goiter involves performing manual massage of a collar zone and radhastami baths. In the period of remission in patients affected by health factor of the resort Belokurikha, spending baths native thermal brackish alkaline water and with a high content of silicic acid at a temperature of 36-37° With radioactivity concentrations of 0.14 to 0.3 kBq/l, daily walks in the morning and evening for 60-120 minutes Additionally spend the morning fresh circular shower in the morning - manual of surface massage. Also conduct rational psychotherapy for psychological correction of the emotional sphere.
Fresh circular shower spend 3 minutes in the morning when the temperature of 35-36°With, a course of 10 treatments a day.
Manual superficial massage of a collar zone is carried out on 15 minutes, a course of 10 treatments, daily from 8 to 10 hours.
Rational psychotherapy is performed under soothing music for 25 min, the course of 15 treatments daily from 10 to 12 hours.
Baths are conducted: 1 day, 5 minutes, 2 day 8 min, day 3 - 10 min, day 4 - rest day 5 - 12 min 6-15 min, day 7 - rest day 8 - 15 min, 9 - day - 15 minutes, day 10 - rest day 11 to 15 minutes, day 12 to 15 minutes, day 13 - rest day 14 - 15 min, only 10 procedures from 13 to 17 hours.
The novelty of the method consists in the following:
- act health factor of the resort Belokurikha;
- selected sequence of procedures, the most favorable for therapeutic effects;
- selected modes for carrying out procedures;
- it is proposed to use rational psychotherapy.
As a result of exposure balneological factor of healing waters resort Belokurikha happen bioinformat the district (apoptotic) reactions at the level of cellular and intercellular structures of the thyroid gland.
Himicheski composition of the water is hydrocarbonate-sulphate-sodium, low salinity of 0.3 g/l, pH 9,18, with a high content of silicic acid (78 mg/l) and fluoride (15,1 mg/l). The water contains calcium (3,17 mg/l), magnesium (0.27 mg/l), chloride (19.1 mg/l), and trace elements - lithium (0.7 mg/DM3), manganese (0,00141 mg/DM3), titanium (0,0028 mg/DM3), lead (0,0014 mg/DM3and in Addition to other chemical substances in water are dissolved and free gases: nitrogen (95%), radon, helium (0,54), argon, xenon, krypton, neon. The amount of radon directly in the wells is 5.5 to 8.2 NCI/DM3and admission procedures 3,9-4,6 NCI/DM3.
Of the total radiobiology it is known that alpha-irradiation reconsiderate waters cells compared to gamma-irradiation leads to a much larger formation of hydrogen peroxide (20 times), which in the system with thyroperoxidase promotes the oxidation of iodide in thyrocytes to active forms. Consideration must be given:
1) the thyroid gland is able to selectively absorb iodine against a concentration gradient; 2) the driving force of iodine "pump" is the transmembrane potential difference due to the different concentrations of sodium ions, with Na, K - ATP - ASE; and 3) under the influence of water increases the capture of iodine, speeds up the process of pinocytosis, proteolysis and secretion of thyroglobulin. To ncentrate iodine in the thyroid gland has a direct effect on the proliferation of thyrocytes, while thyroid stimulating hormone (TSH) is the main controlling factor.
Thus, sufficient iodine, the alignment of apoptosis of thyrocytes lead subsequently to maintain normal thyroid size and arteriosa.
As a result of fresh circular shower with a temperature of 35-36°and hand superficial massage of a collar zone is stimulation of capillary blood flow; contractility, tone microvessels and their blood, which improves oxygenation and trophic processes in peripheral tissues. Increases metabolism, vascular permeability in local areas of the vascular bed with the phenomena of stagnation. As a result, increases the nonspecific resistance of the organs and tissues of the whole body, to adverse environmental factors.
This preventive effect on vascular tone and homeostasis have radhastami baths. Increased formation of hydrogen peroxide, as noted above, leads to the stimulation of the synthesis of nitric oxide in the body. Against this background, improves coronary local vascular blood flow (in particular, the thyroid gland, pelvic and others), i.e. increases the effectiveness of the treatment.
The method is as follows.
When entering the sanatorium is the patient falls on the initial reception to the endocrinologist. This involves a clinical examination, the study of sanatorium-resort card patient's place of residence, clarification of the diagnosis and its compliance with the indications for treatment at the resort Belokurikha. Then individually assigned to treatment with the corresponding records in sanatorium-resort book. On the first day balneological procedures are not carried out, since it is necessary to create the mood for the perception of the treatment, to relax and adapt to the climate. Recommended walks.
The next day, and later in the morning (8-10 hours) in the medical Department patients undergoing fresh circular shower for 3 minutes, a day, a course of 10 treatments. Shower is released in a separate cabin, the temperature of 35-36°C.
After therapist is performed manually superficial massage the neck area, on a course of 10 treatments 15 minutes. Massage uses specially equipped rooms in residential buildings. Collar zone includes the region from C7to Th7-8spine, the area of the shoulder blades and shoulders. After warm-up strokes for 5 minutes are surface kneading of the skin, subcutaneous tissue and muscles pie and scatter movements for 10 minutes, then the patient cover and allow to soak for 5-10 minutes.
From 10 to 12 hours a day patients after consultation of the psychotherapist take sessions psychotherapeutische held in the big room with the prescribed exercise equipment (chairs for patients table, video), psychotherapeutic unit. At the beginning of the conversation psychotherapist creates the mood for the session, then the soothing music is relaxation for 25 minutes, in the course of 15 treatments.
After lunch, from 13 to 17 hours in the medical Department is balneotherapy. In a separate cabin to prepare the bath, picking up water at the patient from a special device and checking the temperature. The procedure is controlled by the nurse. The patient is immersed in water, reclining on his right side on his shoulders, and within the appointed time resting quietly. After the bath, 10-15 minutes after resting in the hall medical offices, patients go to their room. The treatment is carried out in accordance with prescribed courses of treatment.
Walking on the street for 1-2 hours in the morning and in the evening held in the resort according to the marked routes (specify length in meters), at a slow pace walk with stops to explore the surroundings.
The use of balneotherapy waters resort Belokurikha compared to the influence of artificial radhastami baths allowed us to obtain new results, which are as follows:
1. The combined effect of the used factors shown in synergy enhances the action of each, thereby increasing the effectiveness of rehabilitation.
2. General radhastami baths spend NAT the main thermal brackish with a high content of silicic acid alkaline waters, temperature 36-37°With radioactivity concentrations of 0.14 to 0.3 kBq/l, 2.5-5 times smaller compared to the prototype (against 0,75 kBq/l in the prototype), which has more pronounced stimulating effect. Low doses of radon better stimulate the processes occurring at the cellular and intracellular level.
3. The effect of balneotherapy aligns pathogenetic mechanisms and inhibits the development of the pathological process.
4. The resulting balneology happens to 4-5 procedure and stopped to 8-10 tub.
5. Significantly prolong remission up to 8-12 months, particularly as a result of repeated courses of rehabilitation.
The study included 65 patients (men and women) aged from 18 to 50 years of age and older with autoimmune thyroiditis (AIT) and diffuse non-toxic goiter (DOP) in the state of arteriosa.
For each patient, before and after rehabilitation (8-12 months) by the present method, evaluated the macrostructure of the thyroid gland using palpation-a visual method of determining the size of goiter by who (1994) and ultrasonic (ultrasound), the study of the functional state of the thyroid gland (as well as prolactin). The results showed that the proposed method of rehabilitation has a pronounced stimulating effect in low thyroid function, supports within normal limits available autres and blade processornum action (table 1).
The dynamics of the investigated parameters
|Diagnosis||The average volume of a thyroid gland (US)||Free T4||TSH||Total T3||Total T4||ATTG||Prolactin|
|Before the treatment|
|Autres||DOP (36 persons)||11,93±1,05||of 13.75±0,66||1,62±0,42||1,54±0,04||94,22±to 3.73||21,83±of 6.49||372,03±26,49|
|AIT (29 persons)||14,56±1,03||to 11.79±1,40||2,63±0,57||1,56±0,07||93,66±5,31||479,39±441,04||503,90±29,74|
|After the treatment|
|Autres||DOP (36 persons)||11,30±1,16||14,09±0,69||1,60±0,22||1,70±0,05||91,48±of 4.44||30,48±6,47||356,89±24,39|
|AIT (29 persons)||14,38±1,18||12,35±1,44||1,70±0,24||1,45±0,07||88,30±5,23||43,85±19,32||480,7± 29,39|
Given the dynamics of the functional state before and after rehabilitation demonstrate pronounced corrective effect of the proposed method, resulting in the stimulation of the biosynthesis of thyroid hormones, adequate body of iodine.
For comparison presents the results of diagnostic parameters of the main and control groups.
The control group consisted of 40 patients with the same pathology, held a rehabilitation course, according to the prototype. As can be seen from the comparison in the study group received more pronounced stimulating effect of the proposed method of rehabilitation (table 2).
|Diagnosis||The average volume of the thyroid gland||Free T4||TSH||Total T3||Total T4||ATTG||Prolactin|
|The main group|
|Before the treatment||DOP (36 persons)||11,93±1,05||of 13.75±0,66||1,62±0,42||1,54±0,04||94,22±to 3.73||21,83±of 6.49||372,03±26,49|
|After the treatment||DOP (36 persons)||11,30±1,16||14,09±0,69||1,60±0,22||1,70±0,05||91,48±of 4.44||30,48±6,47||356,89±24,39|
|AIT (29 persons)||14,38±1,18||12,35±1,44||1,70±0,24||1,45±0,07||88,30±5,23||43,85±19,32||480,17±29,39|
|The control group|
|Before the treatment||DOP (20 persons)||15,90±1,16||to 13.09±0,69||4,60±0,22||1,95±0,05||91,48±of 4.44||30,48±6,47||356,89±24,39|
|AIT (20 persons)||16,38±1,18||12,35±1,44||3,70±0,24||1,45±0,07||88,30±5,23||43,85±19,32||480,17±29,39|
|After the treatment||DOP (20 persons)||15.62 wide±1,95||13,19±1,20||3,93±2,12||2,00±0,11||92,73±9,75||2,16± 13,77||322,35±59,96|
|AIT (20 persons)||16,20±2,42||12,48±1,64||3,17±0,26||1,51±0,11||89,00±10,96||45,82±13,12||470,00±21,16|
Example No. 1. Aksenova VG, 51, first entered the SCRs in 2000 with a diagnosis of Withfunny Struma of 2 degrees, AIT (autres). Of comorbidities were noted: hypertension 2 degrees, risk 2, NK 1; chronic cervicalgia. Family history burdened by pathology of the thyroid gland, hypertension. On the account at the endocrinologist about a year, passed the examination, the course immunostimulating therapy for 6 months. About GB carried out the correction of HELL.
Upon receipt of a complaint on dry skin, puffy face in the morning, fatigue, interrupted sleep, "lump" in the throat and other control AD - 150/100. Palpation: the thyroid gland tight elastic, lively, smooth, painless, degree 2 (according to who). On the ultrasound volume of the gland 21 ml, the structure is heterogeneous, hypoechoic density, with smooth contours. Immunological studies (ELISA): TSH level=1,6; free. T4=13; total T4=107; total T3=1,2; prolactin=456.
Fresh circular shower was performed for 3 minutes in the morning, the temperature 35-36°With, in the course of 10 treatments every other day. Manual surface massage Vorotnikova conducted for 15 minutes, daily, at the rate of 10 treatments (with 8 to 10 hours). Classes in rational psychotherapy were daily, and 25 minutes (from 10 to 12 hours) - 15 procedures. Twice a day have been walking for two hours.
Conducted total baths: 1 day, 5 minutes, 2 day 8 min, day 3 - 10 min, day 4 - rest day 5 - 12 min 6-15 min, day 7 - rest day 8 - 15 minutes, day 9 - 15 min, day 10 - rest day 11 to 15 minutes, day 12 to 15 minutes, day 13 - rest day 14 - 15 min, only 10 treatments with 13 hours to 17 hours.
6-7 days of treatment, the patient had the appearance of vitality, sleep, and overall well-being. At discharge: the thyroid gland by palpation more elastic; control AD - 130/80.
The survey repeated course of treatment (12 months) showed by palpation of the thyroid gland became elastic, movable, degree 2 (according to who). On the ultrasound volume of the gland 18 ml, the structure is homogeneous, hypoechoic density, with smooth contours. Immunological studies (ELISA): TSH level=1,2; free. T4=16; total T4=98; total T3=1,9; prolactin=421. During the year the patient was feeling well, without a sharp deterioration of health.
Example No. 2. Proskuryakova T.A., 45 years, for the first time entered the SCRs in 2000 with a diagnosis of Diffuse nontoxic Struma of 2 degrees (subclinical hypothyroidism). Of comorbidities were noted: chronic iron deficiency anemia (hemoglobin 104); chronic cervicalgia. History otagos the n previous stay in the North for 10 years, numerous stress. On the account at the endocrinologist was not, was examined in the sanatorium.
Upon receipt of a complaint on brittle hair, dry skin, swelling of the face, weakness, dizziness, discomfort in the neck when swallowing, and others, monitoring AD - 100/60. Palpation: the thyroid gland is a soft, mobile, surface smooth, painless, degree 2 (according to who). On the ultrasound volume of the gland 19 ml, homogeneous structure, with areas of Hyper - and hypoechoic density, with smooth contours. Immunological studies (ELISA): TSH level=5,4; free. T4=9,6; total T4=134; total T3=0,9; prolactin=583.
Were assigned to the treatment in accordance with the claimed method.
Fresh circular shower was performed for 3 minutes in the morning, the temperature 35-36°With, in the course of 10 treatments every other day.
Manual surface massage the neck area was performed for 15 minutes, daily, at the rate of 10 treatments (with 8 to 10 hours).
Classes in rational psychotherapy were daily, and 25 minutes (from 10 to 12 hours) - 15 procedures.
Conducted total baths: 1 day, 5 minutes, 2 day 8 min, day 3 - 10 min, day 4 - rest day 5 - 12 min 6-15 min, day 7 - rest day 8 - 15 minutes, day 9 - 15 min, day 10 - rest day 11 to 15 minutes, day 12 to 15 minutes, day 13 - rest day 14 - 15 min, only 10 treatments with 13 hours to 17 hours. Twice a day were walking one to two hours.
At 4-5 days of treatment, patsie the TKA noted less fatigue, increased appetite, improvement in overall health. At discharge: the thyroid gland by palpation soft; control AD - 110/70, hemoglobin 117.
The survey repeated course of treatment (12 months) showed visually the thyroid gland has become less noticeable, mobile 1 degree (who). On the ultrasound volume of the gland 17 ml, the structure is homogeneous, normal density, with smooth contours. Immunological studies (ELISA): TSH level=2,2; free. T4=14; total T4=112; total T3=1,9; prolactin=256. During the year the patient felt stable: resistant to stress, without marked fluctuations in blood pressure.
The effect obtained from using the proposed method, which consists in the following:
1. Maintaining arteriosa and normal thyroid size.
2. Achieving arteriosa and reducing the size of the goiter.
3. The prolonged period of remission up to 8-12 months, the feasibility of repeated courses of balneotherapy.
4. The enhancement of nonspecific resistance of local factors defenses.
5. Normalization oxygenation and trophic processes in peripheral tissues, vascular tone and homeostasis.
6. Psychological correction of the emotional sphere.
1. The method of rehabilitation of patients with autoimmune thyroiditis and diffuse non-toxic goiter, including hand massage and radhastami baths notable in the period of remission in patients affected by health factor of the resort Belokurikha, spending baths native thermal brackish alkaline waters with a high content of silicic acid at a temperature of 36-37°With radioactivity concentrations of 0.14 to 0.3 kBq/l, bath conduct: 1 day, 5 minutes, 2 day 8 min, day 3 - 10 min, day 4 - rest day 5 - 12 min, day 6 - 15 min, day 7 - rest day 8 - 15 minutes, day 9 - 15 min, 10 day vacation, day 11 to 15 minutes, day 12 to 15 minutes, day 13 - rest day 14 - 15 min, only 10 procedures from 13 to 17 h, optionally in the morning, spend the fresh circular shower, hand superficial massage, rational psychotherapy for psychological correction of the emotional sphere, combining with ejednevnymi walks in the morning and evening for 60-120 minutes
2. The method according to claim 1, characterized in that the fresh circular shower spend 3 minutes in the morning when the temperature of 35-36°With, a course of 10 treatments a day.
3. The method according to claim 1, characterized in that manual superficial massage of a collar zone is carried out on 15 minutes, a course of 10 treatments daily from 8 to 10 p.m.
4. The method according to claim 1, characterized in that the rational psychotherapy is performed under soothing music for 25 min, the course of 15 treatments daily from 10 a.m. to 12 p.m.
FIELD: psychotherapeutical methods.
SUBSTANCE: method can be used for correcting weight of the human body. When analyzing anamnesis and performing questioning, disorders of eating behavior associated with emotional discomfort are revealed. After conclusion of contract, three psychotherapeutical sessions are performed comprising rational psychotherapy making patient realize the problem. Active positive, socially significant motivation to achieve final effect is formed, namely decrease of the weight by predetermined number of kilos over a given period of time according to a diet agenda. In the first psychotherapeutical session, patient is immersed into trans state and suggestion session is carried out. Second psychotherapeutical session is carried out using neurolinguistic program. Governed by psychotherapist, patent imagine "a part of personality". After that, psychotherapist comes into communication with this "part of personality", activates patient's attention on desired result, and fixes arising physiological reactions by means of tactile contact. Further, relationship with some physical sensations corresponding to negative or positive response and their appearance in the "part of personality" is outlined when tactile contact is fulfilled. Patient is given proposal to choose new behavior ways and physician receives agreement from the "part of personality" to be responsible for this function, which agreement is tracked by physician after physiological manifestations and fixed by a conventional tactile contact. Physician proposes then to patient new ways of reacting in stress situations. Patient analyses them and chooses at least three most reliably achievable ways and "part of personality" assumes responsibility for automatic realization of these new ways of eating behavior in the further patient's life. Positive response from the "part of personality" concludes the second physiotherapy session. In the third session, "anchor" technique of neurolinguistic programming is used involving formation of indifferent, neutral, and calm attitude to food upon stress.
EFFECT: achieved stable long-term decrease of the weight by way of forming new rational eating behavior stereotype.
4 cl, 2 ex
FIELD: psychotherapeutical methods.
SUBSTANCE: method can be used for correcting weight of the human body. When analyzing anamnesis and performing questioning, disorders of eating behavior associated with strengthened response to external stimuli are revealed: a kind of food, advertising of foodstuff, and kind of the person accepting food. When disorders are revealed, rational psychotherapy is performed in order to make patient realize the problem. Active positive emotional and voluntary motivation to achieve final effect is formed, namely decrease of the weight by predetermined number of kilos over a given period of time. Principal representative information perception system (visual, aural, kinesthetic) in patient is determined. Thereafter, formula of change in eating behavior stereotype in waking state is composed in order to normalize eating behavior. Patient is then immersed into trans state and first session of indirectly imposed suggestions is carried out involving repetition of composed formula comprising categories of visual objects, aural impressions, and tactile sensation. 50% of the session time is devoted to principal representative information perception system and other 50% to secondary representative systems. In the second session, patient is immersed into trans state and suggestion of stimulation of early satiation to prevent overeating is performed. Treatment course comprises 3-4 sessions carried out with 3-5-day intervals and additional supporting treatment over a 3-month period including 1 session weekly repeating the first session. Method allows achievement of stable decrease of the weight for a long period of time by way of forming new rational eating behavior stereotype depending on type of eating behavior disorder. Effect is further enhanced owing to use of categories of predominantly representative information perception system in patient.
EFFECT: enhanced weight loss efficiency.
2 cl, 2 tbl, 2 ex
SUBSTANCE: method involves training patients in groups formed with age, length of service and disease type taken into account. Treatment comprises basic training program including cognitive theoretical material combined with practical tasks. The following topics like digestion and metabolism; causes, pathogenesis and symptoms of diabetes mellitus; emergency states associated with diabetes mellitus; hypo- and hyperglycemia; self-control; compensated diabetes mellitus; physical activity during diabetes mellitus; diabetes mellitus complications; diabetes and alcohol; insulin preparations and insulin therapy are sequentially studied within a training course. Practical training includes training behavior under particular circumstances usable for training child skills and additional exercises given in facultative mode. Additional information is given for fixing the acquired skills by reviewing experience received in basic lessons. Fairy tales therapy is applied in tutorial process by letting children create fairy world of diabetes where they live and are able to rule over it. Art therapy is applied for creating disease image. Dance therapy is used for mastering historical events in diabetes mellitus development by staging those historical events.
EFFECT: enhanced effectiveness in preventing diabetes mellitus complications.
3 dwg, 1 tbl
FIELD: medicine, psychotherapy.
SUBSTANCE: one should analyze anamnesis, perform rational psychotherapy and curative psychotherapeutic impact in patient's active state. Moreover, one should diagnose individual disadaptive cognitive-behavioral style of patient's psychological reactions to negative factors, with the help of which the patient process these negative factors, and, also, accompanying mimics and pantomimics. At the first stage of curative psychotherapeutic impact one should develop adaptive patient's integrative reactions to negative factors being contrast against disadaptive and being ahead by time of appearance with the help of a card, in the left side of which there is a text containing information on detected disadaptive cognitive-behavioral style, and in its right-hand part - text that contains opposite information about adaptive cognitive-behavioral style. Moreover, left-hand part should be deleted, patient should repeat it impressively, in one's mind, by imaging negative images along with mimics and pantomimics of disgust, and right-hand part should be spoken expressively loudly by strengthening it with positive images and combining it with adequate pronounced mimics and pantomimics. After learning the text one should cut the left-hand part of the card ff and throw and keep the right-hand part. At the second stage one should neutralize disadaptive cognitive-behavioral style with physical exercises, manipulations and pharmacological preparations that lead to negative feelings. At the third stage it is necessary to prepare a patient to apply developed adaptive integrative reactions under conditions of modeling the contact with negative factors with the help of successively performed visualization and role trainings. Therapy course consists of 7-10 seances of 1-2 h duration.
EFFECT: higher efficiency of therapy.
FIELD: medicine, anesthesiology, resuscitation.
SUBSTANCE: after introducing depolarizing myorelaxants, before the stage of intubation one should introduce additional quantity of brietal, its dosage being 0.45 mg/kg. The present innovation enables to provide stabilization of hemodynamic parameters.
EFFECT: decreased risk of introduced narcosis.
13 dwg, 1 tbl
SUBSTANCE: method involves selecting signals showing patient consciousness level and following evoked auditory potentials as responses to repeating acoustic stimuli, applying autoregression model with exogenous input signal and calculating AAI index showing anesthesia depth next to it.
EFFECT: quick tracing of unconscious to conscious state and vice versa; high accuracy of measurements.
9 cl, 3 dwg
FIELD: medicine; therapy of neurosis, psycho-emotional disorder, hypertension and cardiopathy of different etiology.
SUBSTANCE: method of correction of psycho-physical condition of patient during sleep is based upon simultaneous influence of light and sound signals during period of sleep when patient has dreams. Light signal pulses are used with frequencies within 0,5-3,5 Hz. Intensity of influence of sound signals is chosen in such a way not to interrupt physiological dream. Light and sound signal influence is carried out during time interval being equal to full cycle of change in dream phases. Effective working range of sound signals is chosen within 1000-4000Hz frequency range. As sound signals, different music melodies can be used. Device has timer, pulse light signal source to generate pulses at frequencies within 0,5-3,5 Hz, sound signal reproduction unit, decoder for conversing sound signals from digital form to analog on and light and sound signal control unit made for controlling level of sound signals and form of their amplitude modulation as well as for setting time intervals for generation of light and sound signals at different modes of influence. Device can additional have sound signal store unit made in form of re-recording removable digital unit. Light and sound signal control unit can be made for selection sound signals followed by fixing during period of influence. Sound signals reproduction unit loudspeaker can have effective frequency range of 1000-4000 Hz. Red color light signal source can be used as a light signal source.
EFFECT: widened store of aids and means for correction of psycho-physical condition of patient.
10 cl, 2 dwg
FIELD: medicine, physiotherapy.
SUBSTANCE: at the first stage, one should affect with magnetic field upon vertebral reflexogenic areas - volar surfaces - located at colored plates as straps. At the second stage, one should affect with magnetic field upon the area of vertebral column that helps to improve psychoemotional state in patients.
EFFECT: higher efficiency of therapy.
2 cl, 1 ex
FIELD: medicine, narcology.
SUBSTANCE: the present method deals with forming negative conditioned reflex to alcohol due to hypnosis, impact onto reflexogenic areas and coding. Moreover, all the stages of therapy should be carried out individually by applying nondirective psychotherapy at every stage by making samples for disgust or neutral attitude to alcohol. At the first stage of therapy, one should perform individual psychotherapy directed for positive formulation of positive therapeutic result by a patient. Then comes a seance of nondirective psychotherapy and placebo-procedure to detect alcoholic dosages. At the second stage, one should perform individual psychotherapy directed for revealing the perspectives of new behavior, again it is necessary to carry out the seance of nondirective psychotherapy. At the third stage, one should conduct the seance of individual psychotherapy to detect new feelings in a patient followed by the seance of nondirective psychotherapy. At the fourth stage, after carrying out the seance of nondirective psychotherapy one should teach a patient to apply autogenic training directed for maintenance of desired state: a patient has the task to use alcohol at the dosage indicated by a patient at the first stage of therapy. Next day, at the fifth stage of therapy, one should control patient's feeling followed by the séance of nondirective psychotherapy, coding the dosed alcohol intake at the dosage indicated by a patient at the first stage of therapy, due to hypnotic impact by applying an aggressive phonogram with possibility to remove the code by a patient himself/herself. Simultaneously, it is necessary to affect cerebral reflexogenic areas with impulse current and closed eyes with light impact, and, also, the impact with odor. Then comes the task for a patient to drink alcohol in the dosage indicated at the first stage of therapy for 2-4 mo and perform maintenance therapeutic seance and that of autogenic training. Moreover, reflexogenic impact should be performed for the following cerebral points: Bai-khuey, Bai-shen', Chen-lin, Nao-kun, Pan-lyan'-tsuan'. Code removal should be fulfilled due to an inert safe substance as a capsule or a tablet of strange shape and color. Seance of maintenance therapy and autogenic training should be carried out with the help of laser disc or audiocassette labeled with the same odor applied earlier during patient's coding.
EFFECT: higher efficiency of therapy.
3 cl, 3 ex
FIELD: medicine, psychotherapy.
SUBSTANCE: while analyzing patient's anamnesis and psychological peculiarities it is necessary to diagnose individual disadaptating cognitive-behavioral style by detecting peculiarities of its concepts, tendencies and associations to conduct rational psychotherapy. One should form the motivation to alternative behavior and hypnotherapy, moreover, to exclude possible resistance the procedure of hypnotizing should be suggested for a patients as exercises on creativity development. Moreover, at the first stage of hypnotherapy, a patient should be put into the stage of hypnotic trance due to tasks imitating creative self-studying and causing cognitive exhaustion and provoking the process of auto-suggestion of hypnotic phenomena. Out of them, the phenomena corresponding to the deepest stage of hypnotic trance should be induced with suggestion of support disappearance due to suggestion to imagine the light flow coming from beneath and replacing this support followed by visualization of more distanced images. At the second stage, one should perform hypnosuggestion of adaptive cognitive-behavioral style, for deepened curative impact it is useful to imitate the contact with patient's subconscious "ego" part by applying contact technique with touching patient's head with a hand and, due to earlier obtained diagnostic information. One should speak on behalf of subconsciousness on complete understanding the causes of present problems, agreement to refuse from disadaptating concepts and tendencies. Then one should finally fix adaptive cognitive-behavioral style by suggesting the patient to accept it completely. At the third stage one should perform dehypnotizing and fix curative information with patient's subconsciousness by causing amnesia of a seance. Therapy course includes 7-10 individual seances at duration of 1-2 h followed by dynamic survey. If necessary, one should fix the effect obtained due to maintenance seances. The method enables to overcome patient's latent resistance to the process of hypnotic induction to teach a patient to apply auto-hypnosis, meditation or deep relaxation.
EFFECT: higher efficiency of therapy.
SUBSTANCE: method involves applying massage in combination with physical training exercises executed by patient on massage table and alternated with relaxation stages. When the patient executes physical training exercises, the masseur places hands on stressed muscles for setting permanent tactile contact and controlling muscle work. Muscle stress is controlled with counteraction applied by the masseur by reducing it when noticing muscle overstress signs. Massage is continued in relaxation stages under uninterrupted tactile muscle operation control.
EFFECT: enhanced effectiveness of treatment.
SUBSTANCE: the present innovation is indicated to be applied during the phase being before the headache, migraine, in particular, due to applying the pressure, at least, locally onto one or more veins at external side of one's head to restrict circulation in veins. The device contains means for supplying the pressure designed with possibility to supply the pressure within the range of 0.01-0.03 N/sq. mm. The innovation provides accurate limits of impact to decrease circulation during the phase being before the headache.
EFFECT: higher efficiency.
10 cl, 11 dwg
FIELD: medicine, in particular, massaging by means of masseur's foot.
SUBSTANCE: method involves providing lying of patient in prone position with extended legs and arms extending along patient's body; providing mechanical action upon patient's body portions by sole part of masseur's foot, with massaging being performed in the following sequence: upper limbs, shoulder girdle, body's rear part, body's front part, thigh front surface, rear part of feet, pelvis, rear surface of lower limbs and foot. Massaging is performed with the use of force sufficient for providing plastoelastic compressive, shear, tensile and torsional deformations of patient's inner soft tissues relative to bone of portion under massaging procedure. When massaging action is applied to front surface of hand, forearm and arm, masseur's foot fixes patient's arm position. When massaging action is applied to front part of patient's body, patient takes dorsal position.
EFFECT: increased efficiency and reduced time for performing massaging procedure.
SUBSTANCE: the present innovation deals with non medicinal body sanitation and could be applied to purify one's body against toxins due to the intake of cholagogue species and application of thermal procedures as daily baths and sauna. Moreover, purification should be conducted at salt-free vegetarian diet. Decoctions of cholagogue species should be prescribed a half hour before meals, for baths one should use brine sodium-chloride mineral water at bromine and iodine ions content, as for sauna it should be prescribed on the 1st, 2nd and 3d d. Moreover, additionally it is useful to prescribe abdominal massage on the 2nd, 3d and 4th d, intestinal enemas with herbal decoctions after breakfast on the 2nd, 3d and 4th d, after lunch on the 1st, 2nd and 3d d and tubing on the 4th d along with a honey-juice diet. On the 5th d after breakfast one should perform 2 intestinal enemas at 15-20-min-long interval. Course lasts for 6 d. The method could be supplemented with daily seances of phytoaromatherapy, spinal massage, training in swimming pool and curative physical culture. The method to normalize body functions due to restoring metabolism with natural factors at minimal quantity of contraindications.
EFFECT: higher efficiency of body purification.
4 cl, 3 ex
SUBSTANCE: method involves applying postisometric relaxation of sacrospinal, sacrotuberal and sacroiliac ligaments. Prostate massage and sacrospinal, sacrotuberal and sacroiliac ligaments mobilization is carried out daily in transrectal access. The total treatment course is 10-12 procedures long, each procedure being 6-8 min long.
EFFECT: enhanced effectiveness of treatment.
FIELD: medicine; cosmetics; medical engineering.
SUBSTANCE: method involves checking skin state, giving massage treatment with infrared radiation in remote infrared spectrum zone being used, ozone massage, low frequency wave massage, low frequency vibration wave massage and ultrasonic massage, cleansing skin, giving skin care and introducing nutrients into the skin. Device has units for acting with low frequency waves, infrared radiation in remote infrared spectrum zone, low frequency vibration waves and ultrasound, cleansing skin, checking skin state, and working key unit, presentation unit, memory unit, power supply unit, unit for initiating skin cleaning and skin care.
EFFECT: enhanced effectiveness of treatment.
17 cl, 9 dwg, 3 tbl
FIELD: medical engineering.
SUBSTANCE: device has base manufactured as polymer plate having cells arranged in rows and treatment members insertable into the cells with their fitting end surfaces and having projecting ends making contact with patient body. The plate is manufactured from silicon rubber and the treatment members are from pretreated amber and/or from stone containing silicon having projecting ends of various shapes. At least two types of interchangeable stones differing in projecting end shapes.
EFFECT: enhanced effectiveness of treatment.
8 cl, 9 dwg
FIELD: medicine, urology, nephrology.
SUBSTANCE: the present innovation deals with prescribing the massage, physical exercises, the mode to restrict lifting of heavy things, medicinal therapy and application of special bandage. Massage should be conducted by stages beginning from vertebral and lumbar areas followed by abdominal massage, then comes manual renal reposition to finish the course with a complex of special physical exercises with the help of a masseur at a course of 10 procedures, each procedure lasts for 60 min, also, after the 5th and the 10th seances one should perform renal US-survey to visualize organ reposition. Massage of vertebral, lumber and abdominal areas includes fold's stroking, stretching and rolling. Renal manual reposition should be carried out by "lifting" and "shaking" lumbar area. After massage a patient should do a complex of special exercises with the help of a masseur. Then, after exercises, a patient should put on a bandage onto lumber area in initial position at recommendation to remove the bandage in 1 h. When the course is over a patient should be prescribed to fulfill recommended complex of physical exercises at home independently during 1 yr. The innovation enables to obtain more stable curative result.
EFFECT: higher efficiency of therapy.
2 cl, 24 dwg
SUBSTANCE: method involves applying exercises done from initial position with facial muscles being relaxed. Frontal belly of epicranial aponeurosis is stimulated by directly treating the muscle with finger pressure and concurrently stretching the muscle upward. Occipital belly of epicranial aponeurosis is stimulated concurrently with frontal belly including finger pressure applied to the muscle at its beginning - the superior nuchal line - and concurrently stretching the muscle upward. Lateral belly of epicranial aponeurosis is stimulated by pressing it at the place of its attachment to auricle skin and concurrently stretching it upward in the case of anterior auricular muscle; at the places the superficial parietal artery and posterior auricular artery branches pass with concurrently stretching it upward in the case of superior auricular muscle; 1 cm far from its attachment place to auricle base, at the place of maximum action applied to the posterior auricular artery with concurrently stretching it upward in the case of posterior auricular muscle. Temporal muscle is stimulated by pressing three points of the muscle with fingers and concurrently stretching it upward. Then the same points are acted with concurrently stretching the muscles backward.
EFFECT: enhanced effectiveness in influencing face and head muscles tonus and activating their innervation and blood circulation.
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.
FIELD: physiotherapy and health resort treatment.
SUBSTANCE: before treatment, condition of vegetative nervous system is examined and, when initial vegetative tonus is regarded as sympathicotonia and hypersympathicotonia, galvanization of collar region according to Shcherbak and common-use pearl bathes are recommended. When initial vegetative tonus is regarded as vagotonia, microwave therapy and common-use radon bathes are recommended.
EFFECT: increased treatment efficiency due to improved vegetative nervous system condition as well as general hemodynamic and biochemical and hormonal investigation characteristics.
5 cl, 7 tbl, 3 ex