Method for stretching invaginate in conservative way

FIELD: medicine.

SUBSTANCE: method involves beginning disinvagination with mask narcosis by pumping air into large intestine under X-ray control. The invaginate remaining unstretched, the air is discharged from the intestine by massaging abdomen along the large intestine and pressing abdomen flanks. Next to it, air is pumped into the large intestine and invaginate stretching is carried out with an additional coercion by squeezing invaginated head out towards the neck part. No success being achieved, the procedure is repeated with mask narcosis to eight times. The invaginate remaining unstretched, endotracheal narcosis is given to the patient and myorelaxant drug of transitory action is introduced. Air volume introduced into the intestine is increased. The invaginate-stretching procedure is repeated with endotracheal narcosis to five times.

EFFECT: enhanced effectiveness of treatment.

 

The invention relates to medicine, namely to pediatric surgery, and can be used for conservative treatment of intussusception in children.

Similar to the proposed method is conservative method of unfolding invaginata in children, in which the colon pumps air under pressure and invaginate short shrift. If invaginate not dealt performed surgery and is performed intraoperative dezinformatsia (Bagirov GA Emergency surgery of children. Medicine, M., 1983. - 164-183).

The disadvantage of this method is that not in all cases is the smoothing of invaginate during injection of air into the colon. However, when performing the operation in 80-90% of cases invaginate spread quite easily.

The known method of conservative unfolding invaginata hands through the anterior abdominal wall under intravenous anesthesia without injection of air into the colon. The method consists in the fact that after the onset of General anesthesia is determined by invaginate in his stomach and spread his hands by "emptying is just" through the anterior abdominal wall without air injection into the intestine (bushmelev VA, Abramova N.E. Conservative treatment of acute intestinal intussusception. // In the book: Modern problems of surgical aid to children of early age. Proc. Dokl., M., 1981. - S-80).

Under the headed the remainder of this method is under intravenous anesthesia is not complete relaxation of the muscles of the anterior abdominal wall, the colon is spasams condition, there is no additional factor in the unfolding of the air, which is blown into the colon under pressure, a low percentage of the unfolding invaginata.

The closest one is way conservative dezinformatsia, including laryngeal mask anesthesia, the injection of air into the rectum under pressure and visual radiological control. Amount of input in terms of mask anaesthesia air is 250-340 cm3per kilogram of body weight, with intracolonic pressure reaches 200 mm Hg Then the patient is transferred to endotracheal anesthesia and injected muscle relaxants short steps in a dosage of age. After relaxation of the muscles of the anterior abdominal wall and diaphragm volume introduced into the rectum of the air increases by 10-20% relative to the volume of air. (Patent RF №2223047, M CL 7 And 61 In 17/00, TPMF, No. 4, 2004).

The disadvantage of this method is free exit of air from the anus after manipulation without additional physical effects, so the release of the colon from air incomplete. In the intestinal lumen remains the volume of air that supports the intestine in an inflated condition, i.e. spadine gut does not occur the result and the impact of subsequent feed air can be low and invaginate not always cracks down on the first attempt. There is no "rocking", namely the losing and swelling of the intestines, which helps reduce muscle spasm in the neck of invaginata. During injection of air into a bloated gut requires less intracolonic pressure on the head invaginata percussion, wind wave is less intense than when spasams the gut.

The objective of the invention is improving the efficiency of conservative unfolding invaginata.

The task is achieved by performing several attempts conservative dezinformatsia under the mask and endotracheally anesthesia. Start dezinformatsia under mask anesthesia with injection of air into the colon under radiological control. If this is unsuccessful transfer of the patient for endotracheal anesthesia and injected muscle relaxants short steps, allowing you to increase the amount of insertion into the rectum of the air. At the end of each procedure let the air out through the vent tube. Additionally, during the release of air forcefully remove air from the intestine through the stomach massage along the colon and compression of the right and left flanks of the abdomen in the direction towards each other so that the formed skin-muscle crease on the middle line. Then pump air into the colon and carry out the smoothing Inva is hinata additional physical effects: the hands covering invaginate so, to the phalanges Bros. was on his head, and the Palmar surface at the level of the neck, flexing his fingers, squeeze the head invaginata towards the neck, while the hands remain motionless, to monitor the condition of invaginata. When nenapravlenie invaginata again let the air and forcefully remove air from the intestines, repeat the procedure for unfolding invaginata under mask anesthesia up to 8 times, under endotracheal anesthesia up to 5 times.

The novelty of the method lies in the fact that:

- Additionally, during the release of air forcefully remove air from the intestine through the stomach massage along the colon and compression of the right and left flanks of the abdomen in the direction towards each other so that the formed skin-muscle crease on the middle line of the abdomen.

- Then pump air into the colon and carry out the smoothing of invaginata with additional physical effects wrists, covering invaginate so that the phalanges Bros. was on his head, and the Palmar surface at the level of the neck, flexing his fingers, squeeze the head invaginata towards the neck, while the hands remain motionless, to monitor the condition of invaginata.

When nenapravlenie invaginata again let the air and forcefully remove air from the intestines, and then repeat the procedure of unfolding invaginata under mask anesthesia up to 8 times, under endotracheal anesthesia up to 5 times.

Forced venting allows for re-feeds to create a more strong air wave, which, passing through spacemouse the intestines, contributes to a more effective smoothing of invaginata. Each subsequent attempt unfolding with a new wave of air flow causes additional progress in his oral direction, and the losing and expansion of the intestine in the field of invaginata like "rocking" it also contributes to smoothing. The pulsation of the air with his destruction and new supply additionally helps to relieve the muscle spasm in the neck of invaginata. Effectiveness of conservative dezinformatsia promotes a massaging effect on the abdomen of the patient during the forced removal of air and purposeful manual impact on invaginate hands of the physician in air-filled intestines.

The mechanical pressure of the fingers on the head of invaginata and increasing the pressure of the air in invaginate relaxes muscles in its neck, thereby creating favorable conditions for the unfolding.

The essential features of the invention allows to increase by 20% the number of patients with intussusception of the bowel, cured conservative method.

The method carries out the I in the following way.

Bloodless treatment was performed under General anesthesia, pre-assigning a pretreatment for 30 minutes in a dosage of age. General anesthesia was performed inhalation mask anesthesia halothane + nitrous oxide + oxygen semi path for infants and semi - senior patients. Then in the rectum was introduced olive, connected with pear Richardson through a PVC pipe, and blows air into the volume 250-340 cm3per kilogram of body weight of the patient, while anal sphincter maximum clasped hands. Smoothing was carried out under x-ray screen with the use of an image intensifier TUBE.

Distribution of pneumatic wave is well defined on the screen of the Tube, it is possible to visualize the shape of intussusception, have a clear head invaginata and its dimensions. After unfolding invaginata clear the air passage into the small intestine. After pneumatic dezinformatsia removed the air from the intestines and defined stomach. In the absence of invaginata the patient was transferred to the Department of pediatric surgery and after recovery from anesthesia was given to drink a suspension of barium to control the patency of the gastrointestinal tract. The appearance of the chair with barium testified to the restoration of transit and the elimination of the obstruction.

If the procedure is and the unfolding invaginata was unsuccessful, I disconnected the PCV tube from olive, through the venting tube has released the air from the intestines and additionally forcibly removed the air from the bowel massage the abdomen along the colon and compression of the flanks of the abdomen in toward each other so as to form a skin-muscle crease on the middle line. After you release the air from the intestine (anterior abdominal wall to become stuck), re-blows air into the rectum. Created intracolonic pressure of 200 mm Hg and by palpation determined invaginate. Brush both hands clasped invaginate the cervix, while the phalanges were on its head. Then the doctor, flexing his fingers, he squeezed the head invaginata towards the neck, hands remained motionless, with intracolonic pressure was maintained on the maximum numbers of 200 mm Hg

If dezinformatsia has been unsuccessful, then remove the air from the intestine in the manner described above, and again repeated attempts unfolding according to the described method. Such attempts we were up to 8 times.

If invaginate could not stretch after repeated attempts (up to 8 times) under mask anesthesia, x-ray study performed tracheal intubation and was transferred to the patient endotracheal anaesthesia with controlled breathing manual ways the om after administration of short-acting muscle relaxant (ditilin) intravenously in a dosage of age. Anesthesia was performed by former oxy-ferrous-ftorotanovom mixture. Then again did attempt unfolding invaginata under endotracheal anesthesia by the method described above with the air supply, the subsequent forced release of the intestine from air massage of the abdomen and conduct manual impact on invaginate with the maximum number of retries up to 5 times. The number fed into the bowels of the air was increased by 10-20% relative to the input with mask anesthesia.

Clinical examples.

EXAMPLE 1.

Patient L., 2 years and 8 months, was admitted to the clinic of pediatric surgery after 25 hours of diseases. Ill 2.04.96, when I woke up from pain in the abdomen, which were cramping in nature and remained during the day. Double-vomiting. Parents called an ambulance and the child was taken to the clinic. When entering the child's condition is moderate, the body temperature 36,6°the skin clean, pale pink color. The pulse of 98 beats per minute. The belly of the usual form, symmetrical. On palpation there is anxiety. Examined in terms of drug-induced sleep. In the right upper quadrant is defined granulomas education 6×4 cm, moderately mobile, painful. By rectal examination pathology was not detected. A blood test when postplan and: er. - 3,8×10 /l, HB - 124 g/l Leukocytes to 8.3×109/l, uh - 1, p/I - 4, I - 57, l - 29, m - 9, ESR - 10 mm/h

The patient has no clinical signs of peritonitis allowed to spend in the x-ray Cabinet pneumotachography. With the introduction of air into the intestine in the region of the hepatic angle is determined by the head invaginata. With a further increase in intracolonic pressure to 200 mm Hg invaginate freely moves up to the dome of the caecum. However, to fully straighten invaginate failed. The air is removed from the bowel massage the abdomen along the colon and compression of the flanks of the abdomen in toward each other. When the anterior abdominal wall was stuck again blows air into the colon to a pressure of 200 mm Hg, the volume of air was 3640 cm3and by palpation determined invaginate in the abdomen. With both hands clasped invaginate so that the Palmar surface was at the level of cervical invaginata, and phalanxes of fingers on his head. Supporting intracolonic pressure 200 mm Hg, bent fingers, delving into the abdominal cavity to the thickness of invaginata, and were trying to bump his head towards the neck, the brush remained motionless. Invaginate decreased in size, but not completely rigid. Again remove the air from the intestine through massage and with whom Alenia flanks of the abdomen in toward each other. Then he repeated the attempt to straighten invaginate, pumping air into the colon to a pressure of 200 mm Hg, and with the help of manual treatment by manual extrusion. Again invaginate decreased in size, but not completely rigid. Only 6 attempts to inflate the colon, pre-release air by forced its removal massage and chiropractic benefits through the anterior abdominal wall invaginate was straightened. The patient was transferred to the Department of pediatric surgery for further observation. Upon recovery from anesthesia the patient is given a suspension of barium through the mouth. A day later received the chair and the child was discharged home in good condition. Recovery.

EXAMPLE 2.

Patient P., 4 months was admitted to the clinic of pediatric surgery 12.08.98, after 25 hours from the onset of the disease. Ill 11.08.98, when on the background of General well-being appeared paroxysmal abdominal pain, vomiting, bleeding from the rectum in the form of raspberry jelly. Child ambulance was brought to the clinic. State upon receipt of moderate severity, the body temperature of 36.4°C. the heart rate of 122 beats per minute. The skin is clean, normal colors. Abdomen moderately swollen, palpation is defined by pain in the right abdomen. Clearly define education in the abdominal cavity due to the active voltage is agenie muscles cannot. The patient is examined under anesthesia. In the right upper quadrant is defined granulomas education 3×4 cm, maglalatik consistency, sedentary. Rectal rectal is determined by the blood on the glove.

In General, the analysis of blood: er. - 3,2×1012/l, HB - 116 g/l, MDL. at 10.3×109/l, p/I - 8, I - 72, l - 16, m - 4, ESR - 10 mm/h

Given the lack of complications from abdominal cavity (peritonitis), the patient exhibited evidence to pneumotachography. Child after sedation in the age dosage 30 minutes later was transferred to the x-ray Cabinet. Under the mask anesthesia halothane-oxygen-ferrous mixture into the rectum, put the tip with olive on the end connected to the cylinder Richardson and pressure gauge. Pumping air into the intestine in the amount of 620 cm3and when intracolonic pressure of 50 mm Hg is installed ileo-colon form intussusception. Diagnostic pneumatologie with a further injection of air passed into treatment. Air volume amounted to 950 cm3and intracolonic pressure of 200 mm Hg While invaginate descended in the right iliac region, but the full unfolding has not come. After emptying from air massage of the abdomen along the colon and compression of the flanks of the abdomen in toward each other when the front br what's the wall was stuck, again blows air into the colon to a pressure of 200 mm Hg, the volume of air in this case amounted to 1020 cm3and by palpation determined invaginate in the abdomen. Both hands covered invaginate so that the Palmar surface was at the level of cervical invaginata, and phalanxes of fingers on his head. Supporting intracolonic pressure 200 mm Hg, bent fingers, delving into the abdominal cavity to the thickness of invaginata and were trying to bump his head towards the neck, the brush remained motionless. Invaginate decreased in size, but not completely rigid. Again remove the air from the intestine through massage and compression flanks of the abdomen in toward each other. Then he repeated the attempt to straighten invaginate, pumping air into the colon to a pressure of 200 mm Hg, and with the help of manual treatment by manual extrusion. Again invaginate decreased in size, but not completely rigid. Such attempts conservative dezinformatsia held 8 times. However, to achieve full unfolding invaginata failed. The child in the x-ray Cabinet translated into endotracheal anaesthesia and artificial ventilation of the lungs. Intravenously introduced short-acting muscle relaxant (ditilin). Achieved complete muscle relaxation and conducted another attempt races the management of intussusception air, injected into the rectum cylinder Richardson. When reaching the introduced air to volume of 1160 cm3then there has been increased by 140 cm3(12%), and intracolonic pressure of 200 mm Hg attempt unfolding. Invaginate decreased in size, but not completely rigid. Again remove the air from the intestine through massage and compression flanks of the abdomen in toward each other. Then repeated the attempt unfolding invaginata, pumping air into the colon to a pressure of 200 mm Hg and using manual treatment by manual extrusion. Again invaginate decreased in size, but not completely rigid. With only 4 attempts discharge of air in the colon, pre-release air by forced its removal massage and chiropractic benefits through the anterior abdominal wall invaginate was straightened. The air freely passed into the small intestine. Like formation in the abdominal cavity is not defined. After extubation the patient was transferred to the Department of pediatric surgery. In subsequent child is given a barium per os to prevent possible recurrence of the disease or forms of small bowel intussusception. The patient's condition significantly improved, the feeling is not suffered, recovered a good appetite. 10 hours later obtained a chair with barium and on the 3rd day the patient was discharged with vyzdorovlenie the M.

The method was successfully used in 37 patients of the children's surgical Department at Regional perinatal centre core.

The conservative way of unfolding invaginata, including laryngeal mask anaesthesia and injects air into the colon under radiological control, characterized in that the first attempt of the conservative dezinformatsia under mask anesthesia with injection of air into the colon under radiological control, when no smoothing of invaginata let the air from the intestine through the vent tube, then optionally remove the air from the intestine through the stomach massage along the colon and compression of the right and left flanks of the abdomen in toward each other so as to form a skin-muscle crease on the middle line, then pump air into the colon and carry out the smoothing invaginata additional physical effects, including invaginate wrists so that the phalanges were placed on his head, and the Palmar surface at the level of the neck and flexing his fingers, squeeze the head invaginata towards the neck, to monitor the condition of invaginata and not smoothing invaginata remove the air from the intestine in the manner described above, and repeat the procedure for unfolding invaginata under Mason the m anesthesia up to 8 times, further, when no smoothing of invaginata transferred to the patient endotracheal anesthesia, impose a short-acting muscle relaxant, increase the amount of air introduced into the intestine, and repeat the procedure for unfolding invaginata under endotracheal anesthesia up to 5 times.



 

Same patents:

FIELD: oncology.

SUBSTANCE: invention provides a chemotherapy method that can be used in treatment of patients with widespread abdominal tumors. When performing laparotomy, sub-peritoneal infiltration with autoblood solution containing chemical agent is effected on zones of tumor infiltrates (supraperitoneal paraaortic tissue) and root of mesentery region.

EFFECT: expanded tumor treatment possibilities.

FIELD: medicine, arthrology.

SUBSTANCE: the present innovation deals with treating arthritis of different etiology. For this purpose one should introduce medicinal preparation into articular cavity and immediately after introduction one should periodically change spatial articular position at the interval of 20-30 min. The present innovation provides efficient and safe treatment of arthritis due to steady distribution of medicinal substance along the whole area of articular surface.

EFFECT: higher efficiency of therapy.

1 cl, 2 ex

FIELD: medicine, in particular, rectal dosed transportation of medicinal drugs into straight intestine.

SUBSTANCE: dosing apparatus has casing adapted for introduction into hollow organ and made in the form of continuous rod. Cavities for treating ointments on cylindrical outer part of rod are formed as slots. Rear end of rod has reduced diameter in comparison with maximal diameter of rod. Guiding pipe loosely put onto said end has outer diameter exceeding maximal diameter of casing. Figures are applied in equally spaced relation along length of pipe. Flexible cord with round restricting member is fixed at rear end of rod.

EFFECT: increased efficiency in transporting of high-density medicinal drugs, in particular, treating ointments, immediately to point of application.

2 cl, 2 dwg

FIELD: medical procedures.

SUBSTANCE: patients preliminarily undergo endoscopic papillo-sphincterotomy, whereupon stone in common bile duct is dissolved and removed by way of supplying stone-dissolving therapeutic mixture, in particular 1:1 solution of diethyl ether in olive oil, directly to bile stone. Therapeutic mixture creates, in the lumen of bile duct, hydrostatic pressure 200 mm water head. More specifically, 120 ml of therapeutic mixture is supplied during one day at a rate of 10 drops/min, while performing 5 to 16 daily sessions of stone-dissolving therapy.

EFFECT: increased efficiency in removal of sparingly soluble stones in common bile duct.

2 ex

FIELD: medicine, medicinal parasitology.

SUBSTANCE: the present innovation deals with affecting the helminthes with curative mixture made out of eucalyptus leaf at addition of eucalyptus essential oil. Curative mixture at the quantity of 1 l at 40-42 C should be daily introduced into patient's rectum with enemas for 5-7 d at intestinal keeping for 15-20 min. Before introducing the curative mixture it is necessary to apply purifying enema. The method suggested provides removal of different types of helminthes at excluding toxic action upon human body.

EFFECT: higher efficiency of helminthic removal.

3 ex

FIELD: medicine.

SUBSTANCE: method involves forming urinary bladder from retained walls after having done subtotal resection. 20-40 ml of physiologic saline and 10 ml dioxidine is introduced at the twenty first day after surgical operation for 2-3 h 3-4 times a day to cause marked vesical tenesmus. Spasmex is applied at a dose of 20 mg 3 times a day during 12 weeks.

EFFECT: enhanced effectiveness of treatment.

FIELD: medicine.

SUBSTANCE: method involves introducing cauterizing necrotizing composition like paste containing silver nitrate and dextrane into uterine cavity. Paste contact to target tissue is supported during time enough for reaching chemical necrosis. Then cauterizing composition is brought in contact with deactivating agent like aqueous solution of sodium chloride and removed from the uterine cavity later on. It is proposed to protect non-target tissue by supplying protection agent to it and carrying out previously described steps.

EFFECT: enhanced effectiveness of cauterization controlled in time and action intensity degree; avoided other tissue injuries.

30 cl, 8 dwg

FIELD: medicine, surgery, coloproctology.

SUBSTANCE: one should introduce gelatin-based colloids: gelatinol or gelofusin and crystalloids at 1:1 ratio at total volume of 40-50 ml/kg patient's body weight daily; additionally, since the 2nd to the 7th d after operation it is necessary to conduct enteral nutrition in the form of hypercaloric mixtures by increasing their volume at higher rate of injection starting from 25 ml/h/kg body weight on the 2nd and 3d d up to 100 ml/h on the 6th-7th d. The present innovation enables to improve nutrition of intestinal endothelium, decrease pathogenic and conditionally pathogenic microflora, prevents appearance of postoperational intestinal paresis and restores its function in more shortened terms.

EFFECT: higher efficiency.

1 ex, 3 tbl

The invention relates to medicine, obstetrics and anesthesia, and can be used for delivery of women with preeclampsia in the second half of pregnancy

The invention relates to medicine, in particular to vascular surgery

FIELD: medicine.

SUBSTANCE: the present innovation deals with stimulation and achieving orgasm in women. The innovation consists of a stimulating element in the form of a belt with a relief surface, a connective ring applied onto a penile subcoronary groove and a tightening device. The stimulating element should be fixed with its one end upon a penile subcoronary groove, and with its other end - with a tightening device. At frictions the stimulating element bends round female pubis, provides reciprocation and constant contact with female erogenous areas in clitoris region that provides stimulating effect and additional stimulation of clitoris in women.

EFFECT: higher efficiency of stimulation.

7 cl, 9 dwg

FIELD: medicine.

SUBSTANCE: method involves releasing functional blocks by applying manual therapy approach and stabilizing lumbar vertebral column segment with new motor stereotype being formed excluding bending and extending the lumbar vertebral column segment in any plane and twisting as well by means of physical training exercises aimed at developing the following motor skills. It is rotation from prone to lateral recumbent position with transition to sitting position, transition from sitting position to standing position carried out concurrently with lumbar vertebral column segment stabilization as a result of conjugate static stress of torso muscles. Torso position is kept unchanged so that line connecting acromial clavicular articulations skin projection points and line connecting greater femur trochanter skin projection points are to be arranged in frontal plane and distance between acromial clavicular articulations skin projection point and greater femur trochanter skin projection point on both body sides be of minimum value. Body mass gravity center projection and supporting area center are to be superimposed. Exercises with pole are additionally included into the training complex together with exercises aimed at developing motor skills like rotation from dorsal to lateral recumbent position on horizontal plane, rotation from dorsal to lateral recumbent position with transition to sitting position, sitting down on chair, transition from vertical to horizontal position and other motor skills enabling one to develop lumbar vertebral column segment stability principle when leaving car or making bows.

EFFECT: enhanced effectiveness in compensating functional insufficiency of vertebral column ligaments.

10 cl

FIELD: medicine.

SUBSTANCE: method involves making child relax on incompletely pumped-in ball of 120 cm large diameter. The child is laid on the ball in prone position. One methodologist fixes child shoulders on ball surface with arms placed symmetrically along corps. The other methodologist fixes lower extremities on ball surface and draws them apart as relaxation comes in fulfillment, making slow sways to and fro, from right to left and in circle. Child head is turned every several sways to one or other side and then exercises are done for symmetrically stretching extremities and torso of the child with the same force in the same horizontal plane, step-by-step beginning from upper extremities and shoulder girdle during 3-5 s with a force equal to 3-5 kg in primary school age children and 6-8 kg in secondary school age children. Then lower extremities are stretched in initial dorsal position. Muscle tone normalization is carried out 2-3 times a week in courses of 10-12 procedures during 5-10 min.

EFFECT: normalized muscle tone; enhanced effectiveness of physical rehabilitation in late residual stage.

2 cl

FIELD: neurology.

SUBSTANCE: patient receives daily medicinal massage of vertebral column region including elements of acupressure and manual therapy of thoracocervical portion of vertebral column, the latter having been preliminarily cooled with compresses. These techniques are alternated and repeated 2-3 times, after which medicinal massage of extremities is effected including elements of acupressure from knee across back surface of thigh and extremities are cooled with compresses to -18°C during 1-3 min, after which lymph drainage is performed from knee toward pelvis and from foot toward knee and this procedure is repeated 2-3 times. Treatment course comprises 1 to 6 weeks, while using diet composed of freshly squeezed grapefruit and pomegranate juices taken at ratio 1:1. In acute case, cooling compresses are placed onto the head, cervical zone, and backbone region of patient.

EFFECT: enhanced treatment efficiency and increased probability of survival of post-stroke patient.

5 cl

Massage hoop // 2288692

FIELD: medical engineering.

SUBSTANCE: device has several tubes connected in series with massage members placed thereon. The tubes and members for connecting them are manufactured from material possessing low thermal conductivity. Tube cavities are insulated from each other and tightly sealed openings are available in them for filling one of adjacent tubes with hot and another one with cold liquid. The massage members are projections manufactured from high thermal conductivity. Working surface of the massage members has projections of various shape for increasing massage effectiveness. The tubes filled with cold liquid and tubes filled with hot liquid are painted in different colors.

EFFECT: enhanced effectiveness of treatment.

3 cl, 2 dwg

Massage hoop // 2288692

FIELD: medical engineering.

SUBSTANCE: device has several tubes connected in series with massage members placed thereon. The tubes and members for connecting them are manufactured from material possessing low thermal conductivity. Tube cavities are insulated from each other and tightly sealed openings are available in them for filling one of adjacent tubes with hot and another one with cold liquid. The massage members are projections manufactured from high thermal conductivity. Working surface of the massage members has projections of various shape for increasing massage effectiveness. The tubes filled with cold liquid and tubes filled with hot liquid are painted in different colors.

EFFECT: enhanced effectiveness of treatment.

3 cl, 2 dwg

FIELD: medical engineering.

SUBSTANCE: method involves making massage on the whole body or some its parts. Massage is carried out by means of devices designed as a ball, diadem, bracelet, flange sheet, cap, feet-lining member manufactured from uniform semi-thin and semi-rough fiber merino wool. Fleece wool is not to be shorter that 70 mm and to have vegetable impurities up to 1% and mineral impurities up to 2.5%, humidity 10-19%, residual fat 0.5-1.15%, mass share of residual free alkaline is not greater than 0.27%. Washed, dried and mature wool is carded with instruments provided with card sliver having 12-15 mm long curved teeth. Massage is carried out by stroking skin in combination with Likov cosmetics on superlanoline substrate during 20-30 min.

EFFECT: enhanced effectiveness in increasing organism adaptation capabilities.

8 cl, 5 dwg

FIELD: medicine.

SUBSTANCE: method involves testing basic qualities during prolonged period like swiftness, strength, endurance and speed-and-force characteristics of pupils. The obtained results are compared with reference values. Test value deviations from the reference values are detected in age groups. Condition abilities are evaluated. The condition abilities are evaluated using integral indices of physical fitness. Normal and predisease or pathologic states are to be determined. Physical training lessons influence is estimated under natural training lesson conditions using physical condition index and hemodynamic components of cardiovascular system with orthostatic tests for determining adaptive organism reserves being applied. Low physical training capacity level with 55-95 points being detected and physical state level being equal to 0.375-0.525, hemodynamic changes of arterial blood pressure being greater than 20% when compared to norm, heart beat rate increment and load index deviation being greater than 20%, aerobic-anaerobic training of bioenergetics is to be increased with additional acyclic training exercises inclusion. Physical loading intensity is selected within 60-75% limits when compared to maximum with regularity in week cycle not less than 3 times a week. Motor mode is added with static force loading which intensity is set within 60-70% limits when compared to maximum. Training types are corrected with physical development indices taken into account estimated by using somatometric and physiometric indices of age-specific development. If at least one value of the indices violates the limits of statistical mean control values, physical training exercises for restoring body build proportionality are to be included into training. Prescribed exercises dose is increased if physical fitness index obtained earlier before training exercises type correction is not lower than the statistical mean control values in age-specific pupil group.

EFFECT: high accuracy of estimates.

5 cl, 2 dwg, 7 tbl

FIELD: medicine, manual therapy.

SUBSTANCE: the present innovation deals with treating patients with neurological manifestations of hernias and protrusions of lumbar intervertebral disks in acute, subacute periods and as prophylaxis in the period of remission. The innovation could be applied both as independent method and in combination with other therapeutic methods (application of lumbo-sacral corset, different variants of medicinal therapy). The impact should be fulfilled by taking into account pathological mechanisms as the foundation of the disease. The main point is the reconstruction of regional outflow of venous blood out of lumbo-sacral segments and spinal radicles, internal and external vertebral venous plexuses, lymph out of lymphatic vessels of epidural space and perivertebral lymphatic plexuses, and, also, out of osseous and muscular-ligamentous structures of vertebral column, inferior limbs and reconstruction of arterial blood inflow to lumbo-sacral segments and spinal radicles, and, also, to osseous and muscular-ligamentous structures of vertebral column, inferior limbs. The innovation enables to shorten terms of therapy up to 1-1.5 mo, prevent the relapses during remission period and, also, prevent the lesions of motor apparatus of manual therapeutist and decrease physical loading upon it during a seance. Thus, on both sides of patient's body it is necessary to carry out postactivation strain (PAS) of muscular-ligamentous apparatus of vertebral column at tension and fluctuating shift of dural sac in epidural space, along with simultaneous dynamic vascular compression of internal and external vertebral venous plexuses, lymph vessels of epidural space and perivertebral lymph plexuses, along with the strain of cicatrices and adhesions of epidural space, PAS of muscular-ligamentous apparatus of inferior limbs, pelvis at homogeneous dynamic compression of intramuscular and main venous, lymph vessels to conduct manipulations at spinal motor segment (SMS) by taking into account the evolution of myofixation of patient's motor apparatus from generalized myofixation till local one, moreover, PAS should be fulfilled at amplitude of 15-90°, due to applying patient's self-resistance and sport weighting compounds and means starting from patient's peripheral departments of the body and finishing with lumbar department of vertebral column, firstly, it is necessary to fulfill PAS of muscular-ligamentous apparatus of cervical, the upper thoracic departments of vertebral column, suprabrachii at tension and fluctuating shift of dural sac in flexion, lateroflexion and rotation; then - anterior groups of muscular-ligamentous apparatus of shin, femur, talocrural and knee joints in flexion and activation and paravertebral muscles at tension and fluctuating shift of dural sac in extension, and, also, piriform muscles and muscular-ligamentous apparatus of gluteal areas, hip and knee joints in abduction and activation of paravertebral muscles at tension and fluctuating shift of dural sac in extension, after that - posterior groups of muscular-ligamentous apparatus of shin and talocrural joints in extension, then - sacro-tuberal ligaments and muscular-ligamentous apparatus of gluteal areas and hip joints in flexion, and also, sacro-osseous, sacro-iliac ligaments and muscular-ligamentous apparatus of gluteal areas and hip joints in adduction, after that - internal groups of muscular-ligamentous apparatus of femur and hip joints in abduction, then - posterior groups of muscular-ligamentous apparatus of shin and talocrural joints in extension, thigh, gluteal areas, knee and hip joints in flexion, after that - iliac-lumbar muscles, anterior groups of muscular-ligamentous apparatus of thigh and hip joints in extension and at last - muscular-ligamentous apparatus of thoracic, lumbar departments of vertebral column, pelvis and iliac-lumbar ligaments at tension and fluctuating shift of dural sac in rotation in bending and neutral vertebral positions, the impact upon cervical and thoracic departments of vertebral column should be finished with manipulations, upon pelvis - due to mobilizations or manipulations upon sacro-iliac joints, followed by pressing myofascial trigger points of loins, pelvis and inferior limbs, at the end of therapeutic course while passing into inferior restricted vertebral myofixation should be carried out target manipulations upon healthy lumbar SMS from both sides, therapeutic course lasts from 5 to 15 seances depending upon manifestation picture of clinical manifestations and against the tempo of myofixation evolution in patient's motor apparatus carried out at 1-3-d-long intervals depending upon the ability of muscular-ligamentous apparatus to be recovered after physical loading.

EFFECT: higher efficiency of complex therapy.

24 dwg, 3 ex

FIELD: exercising equipment for children, in particular, recovery of muscular and articulation balance and shape in children's neurology, traumatology and orthopedics.

SUBSTANCE: recovery exerciser for children has upper and lower horizontal cross-pieces fixed on vertical column for movement and fixing in vertical plane. Bushings and pressure head are provided at free ends of cross-pieces. Vertical cylindrical cross-pieces are inserted into bushings. Cantilevered bars are detachably secured on vertical cylindrical cross-pieces. Cantilevered bars are equipped with replaceable heads for securing of patient's body, chest and limbs. Each of said heads is positioned for rotation and fixation relative to bar axis, movement along bar and fixation thereof. Limb fixation head may be made in the form of flat wooden member with openings for positioning of patient's legs, or it may be alternatively made in the form of two flat wooden sections, each of said sections being fixed on axis for turning relative to axis in horizontal plane, each of said sections being provided with supports for patient's knees and within each of said sections being formed openings for passage of feet. Flat wooden member has inclined surface with adjustable inclination angle, and pressure member. Patient's body fixation head may be made in the form of trough or wooden base which may be rocked relative to axis of bar. Angle of rotation of trough or base may be fixed relative to axis of bar. Trough may consist of two sections rotating one relative to another in vertical plane.

EFFECT: wider operational capabilities, compact construction and increased efficiency in recovery of muscular and articulation balance.

7 cl, 6 dwg

FIELD: medicine, narcology.

SUBSTANCE: one should detect satisfaction insufficiency syndrome due to performing genetic analysis by the presence of, at least, one of the genes coding the exchange of neuromediators being the constituents of human satisfaction system. One should compensate satisfaction insufficiency due to performing, at least, one complex of physical exercises. Moreover, in case of availability of pathological gene allele of dopamine D2 receptor and/or protein gene of reverse dopamine capture in patient one should apply the complex of physical exercises including those to provide sedative effect, and in case of availability of pathological gene allele of dopamine-beta-hydroxylase protein one should apply the complex of physical exercises including those that induce an activating effect. In case of availability of pathological gene allele of dopamine D2 receptor and/or protein gene of reverse dopamine capture one should apply additional food biologically active additives based upon amino acids being the precursors of neuromediators, such as taurine, D-, L-phenylalanine in combination with 5-hydroxytryptophan, hypericin and vitamin B6, and in case of pathological gene allele of dopamine-beta-hydroxylase protein one should additionally apply food biologically active additives based upon amino acids being the precursors of neuromediators, such as: taurine, tyrosine and/or dimethylaminoethanol, lecithin and group B-vitamins. The present innovation enables to take into account pathological disease mechanism.

EFFECT: higher efficiency of prophylaxis.

14 cl, 5 ex

Up!