Method of conservative treatment of functional ovarian cysts

FIELD: medicine.

SUBSTANCE: method involves exposure on acupuncture points. For this purpose, from the 5th-7th menstrual day the acupuncture points E 36 (2), GI 4 (2), Rp 6 (2), E 28 (2), I 4 (1) are exposed. The exposure is performed by means of needles for 10-20 minutes. After the needles are removed, an underbelly is exposed to a variable electrostatic field. The exposure is enabled by Chivamat 200 apparatus. A labile procedure is used. For this purpose, the 5-minute exposure of frequency 190 Hz, intensity 80 %, pulse/pause length - 2/1. For the following 5 minutes, the exposure characteristics are as follows: frequency 50 Hz, intensity 80 %, pulse/pause length - 2/1. The therapeutic course is 7-10 procedures.

EFFECT: method reduces time of treatment, is easy-to-implement.

2 cl, 2 ex

 

The invention relates to medicine, namely to gynecology, acupuncture and physiotherapy, and can be used for conservative treatment of functional ovarian cysts.

Follicular cysts and cyst of a yellow body are functional tumor formations ovaries, they represent the most common surround the pathology of the ovaries and are found in 7.8% of clinically healthy women and 52.3% of women with complaints of lower abdominal pain or menstrual disorders. The long existence of cysts along with a disturbance of the hormonal profile is a bad prognostic sign for the development of pathological conditions of the endometrium, occurring in 63% of cases. Conservative treatment and surgical rehabilitation of functional cysts at the present time are not always efficient because the cysts continue to recur. Therefore, the development of new and improvement of existing methods of treatment of ovarian cysts remains an urgent task.

The known method puncture sclerotherapy of ovarian cysts using a solution of 36% "Aguila" 96° alcohol in the ratio of 1:20. (Vakula EA Puncture sclerotherapy of ovarian cysts // abstract. dis... Kida. the honey. Sciences - 2003. 22). However, this tactic surgical intervention requires expensive equipment, art is transient location of the patient. Surgery is stressful for the body in the form of pronounced postoperative pain syndrome of endogenous intoxication, an active focal inflammatory reactions, emotional instability, and prolonged postoperative rehabilitation. Moreover, the operation can be a cause of re-education of cysts (petřín J.V. Morphofunctional peculiarities of functional ovarian cysts hormonal Genesis // abstract. dis... Kida. the honey. Sciences - 2007. - 24 S.).

There is a method of treatment of ovarian cysts, including anti-inflammatory treatment (voltaren), antibiotic therapy (vilprafen, metronidazole), antiviral therapy (Viferon, Panavir) and DANCE therapy. DENS-therapy was performed daily for 30 minutes for 10 days and treated gynecological areas - abdomen, lumbar region, inner thighs, outer surface of the legs, hands, feet, liver projection (Nikolaev I.N. New approaches to diagnosis and treatment retention cysts of the ovaries and restore reproductive function // abstract. dis. on saisc. academic step. Kida. the honey. Sciences. 2006. - p.9).

However, this method of treatment has contraindications and side effects associated with nonsteroidal anti-inflammatory and antibacterial drugs.

Most b is izkuyu to the present invention is a method of treating ovarian cysts by asking leeches on point, used in Zhen-JIU therapy on the vault of the vagina in an amount of from 6 to 50 per session, number of sessions per course from 31 to 150 by the day (Zhikhareva, PS, Stasov V.G. Way to remove ovarian cysts are conservative by // RF Patent for the invention №2104685, IPC A61H 39/00, A61B 17/42, A61K 35/10, Publ. 20.02.1998,).

However, this method is not sufficiently high efficiency of treatment (72%), in addition, the treatment is very long, the method is limited in application due to the complexity of procedures and psychological unacceptable to some patients.

The purpose of the invention is the increased efficiency of treatment, reducing treatment time, the simplification method.

This goal is achieved by the fact that they have an impact on acupuncture points E 36 (2), GI 4 (2), Rp 6 (2), E 28 (2), I 4(1) needles, starting with 5-7 days of the menstrual cycle. The depth of insertion of the needle is provided to sensations (feelings of bloating, passage of electric current, gravity), the exposure time is 10-20 minutes After removal of the needles to affect a variable electrostatic field on the lower abdomen using the apparatus of the Hivamat 200" labile method: 5 min frequency of 190 Hz and an intensity of 80%, the ratio of pulse duration/pause - 2/1, then 5 min at 50 Hz, an intensity of 80%, the ratio of pulse duration/pause - 2/1. Treatment 7-10 procedures.

Comparative analysis is the prototype showed, the proposed technical treatment differs from the well-known fact that starting with 5-7 days of the menstrual cycle exercise effect on acupuncture points E 36 (2), GI 4 (2), Rp 6 (2), S 28 (2), I 4 (1) needles within 10-20 min after the removal of the needles to affect a variable electrostatic field on the lower abdomen using the apparatus of the Hivamat", labile method: 5 min - frequency of 190 Hz and an intensity of 80%, the ratio of pulse duration/pause - 2/1, then 5 min - frequency of 50 Hz, an intensity of 80%, the ratio of pulse duration/pause - 2/1, and the course of treatment consists of 7-10 procedures.

Thus, this method meets the criteria of the invention of "novelty."

The analysis of patent and scientific literature showed that the proposed method of treatment differs not only from the prototype, but also on other technical solutions in this and related fields. The authors have not found a method of treatment, which would include the proposed modes. Namely, the combined effect of the needles at the acupuncture and physical therapy according to the proposed scheme allows to achieve this goal is to increase the effectiveness of treatment, to reduce the treatment time, to simplify the method.

The proposed technical treatment can be used both inpatient and outpatient conditions.

Thus, this method corresponds to Crete is the third invention of "inventive step" and "industrial applicability".

The method is as follows.

The treatment includes the impact of needles on acupuncture points, and physical impact on the proposed zones alternating electrostatic field using the apparatus of the Hivamat 200", Germany (registration certificate of Ministry of health of the Russian Federation No. 99/65 from 14.05.1999,). The exposure parameters: frequency generated by the field device, the ratio between the pulse duration and the duration of the pause between pulses, the intensity is a measure of the magnitude of the vibration in the tissues of the patient in percentage of the maximum possible under the given frequency values and the ratio between the pulse duration and pause.

Acupuncture performed starting with 5-7 days of the menstrual cycle, daily or every other day. The impact of exercise on the acupuncture points E 36 (2), GI 4 (2), Rp 6 (2), E 28 (2), I 4(1). The depth of insertion of the needle is provided to sensations (feelings of bloating, passage of electric current, gravity), the exposure time is 10-20 minutes After removal of the needles carried out the impact of varying the electrostatic field on the lower abdomen using the apparatus of the Hivamat 200". Influence carry out manual applicator or by using special gloves for labile technique. Modes of exposure: 5 min - frequency of 190 Hz and an intensity of 80%, the ratio of pulse duration/pause is /1, then 5 min - 50 Hz, an intensity of 80%, the ratio of pulse duration/pause equal to 2/1. Treatment 7-10 treatments. Repeat treatments 2-3 times (in the following menstrual cycles).

Example 1. Patient-and UP, 18 years.

Complaints dragging pain in the abdomen, occasionally irregular periods. According to UZI (21 day menstrual cycle): M-the echo of 11 mm, the right ovary - dimensional formation of the yellow body 32 mm, left ovary - 24-21-26 mm with 2 follicles to 5 mm.

Diagnosis: retention cyst of the right ovary.

Treatment was performed as described above, starting from 5th day of the menstrual cycle, daily wrought needles on acupuncture points E 36 (2), GI 4 (2), Rp 6 (2), E 28 (2), I 4(1). The depth of insertion of the needle is provided to sensations (feelings of bloating, passage of electric current, gravity), the exposure time is 10 minutes After removal of the needles carried out the impact of varying the electrostatic field on the lower abdomen using the apparatus of the Hivamat 200 handheld applicator for labile technique. Modes of exposure: 5 min - frequency of 190 Hz and an intensity of 80%, the ratio of pulse duration/ pause - 2/1; then 5 min - 50 Hz, an intensity of 80%, the ratio of pulse duration/pause - 2/1. Treatment 7 procedures.

After 3 treatments the pain stopped. After treatment by ultrasound (day 22 of the menstrual cycle) - regressivity right ovary, the dimensions of the right ovary 26-13-26 mm, left ovary - 24-10-20 mm with yellow body.

Next month treatment is repeated, starting from the 7th day of the menstrual cycle was carried out by exposure to needles at points E 36 (2), GI 4 (2), Rp 6 (2), E 28 (2), I 4(1). The depth of insertion of the needle is provided to sensations (feelings of bloating, passage of electric current, gravity), the exposure time is 10 minutes After removal of the needles carried out the impact of varying the electrostatic field on the lower abdomen using the apparatus of the Hivamat 200"using a hand-held applicator, labile method: 5 min - frequency of 190 Hz and an intensity of 80%, the ratio of pulse duration/pause - 2/1; 5 min - 50 Hz, an intensity of 80%, the ratio of pulse duration/pause - 2/1. Treatment 7 procedures.

After treatment: no complaints. Control ultrasound after 3, 6 and 12 months - ovaries without pathology. The patient was observed during the year - recurrence of the formation of cysts was not.

Example 2. Patient Islands V.E., 21 years.

Complaints of lower abdominal pain of whining and pull character constant, worse after exercise, frequent delays menstruation. According to UZI (21 day menstrual cycle): M-the echo 10 mm, the right ovary 52-43-38 mm with liquid up to 48 mm in diameter, the left ovary 24-19-26 mm

Diagnosis: a functional ovarian cyst.

Treatment was performed as described above: n the beginning from the 7th day of the menstrual cycle daily, wrought needles on acupuncture points E 36 (2), GI 4 (2), Rp 6 (2), E 28 (2), I 4(1). The depth of insertion of the needle is provided to sensations (feelings of bloating, passage of electric current, gravity), the exposure time is 20 minutes After removing the needles were exposed variable electrostatic field on the lower abdomen using the apparatus of the Hivamat 200" labile technique, using gloves. Modes of exposure: 5 min - frequency of 190 Hz and an intensity of 80%, the ratio of pulse duration/pause - 2/1; 5 min - 50 Hz, an intensity of 80%, the ratio of pulse duration/pause - 2/1. Treatment 10 treatments.

After 5 treatments, the patient noted a decrease in pain in the lower abdomen, to the end of the 1st course of treatment is complete relief of pain. According to the ultrasound cyst reduction of up to 30 mm

In the next menstrual cycle had a second course of treatment: starting with the 5th day of the menstrual cycle affected needles on acupuncture points E 36 (2), GI 4 (2), Rp 6 (2), E 28 (2), I 4(1). The depth of insertion of the needle is provided to sensations (feelings of bloating, passage of electric current, gravity), the exposure time is 20 minutes After removing the needles were exposed variable electrostatic field on the lower abdomen using the apparatus of the Hivamat 200" labile technique, using gloves. Modes of exposure: 5 min - frequency of 190 Hz, intens who want to make the 80%, the ratio of pulse duration/ pause - 2/1; 5 min - 50 Hz, an intensity of 80%, the ratio of pulse duration/pause - 2/1. Treatment 10 treatments.

After 2 courses of treatment - complete regression of the cysts. The control ultrasound after 3 months ovaries without pathology. The patient was observed within 7 months of relapses was not.

This method of treatment was used to treat functional ovarian cysts, 23 girls aged 14 to 19 years with follicular cysts and cyst of a yellow body. All girls cysts was observed in the last 3-4 months by ultrasound scan. The size of the cysts ranged from 3.0 to 6.0 cm (average size of 3.7-3.8 cm).

Efficacy of treatment was evaluated by clinical data (presence of pain, menstrual irregularities) and ultrasound.

As a result of treatment showed positive by clinical data. 19 girls (82,6%) showed a significant improvement of the General condition, decrease in pain after 2-3 treatments, the disappearance of pain after 4-5 treatments.

By ultrasound after the first course of treatment, reducing the size of the cysts in 2 times was observed in 86,96% of patients, the disappearance of the cysts in 13% of girls. After 2-3 courses of treatment, the disappearance of cysts was observed in 21 patients (91.3 percent). R is Sedivy (cyst) observed during the year in 3 people.

Thus, the proposed method of conservative treatment of functional ovarian cysts has high efficacy and good tolerability. In addition, this treatment method has no side effects, as it is not associated with the medication, has no contraindications, affordable, well compatible with other therapeutic interventions, simple to perform, requires no special equipment Cabinet.

1. Method of conservative treatment of functional ovarian cysts, including the impact on acupuncture points, characterized in that, starting with 5-7 days of the menstrual cycle, exercise effect on acupuncture points E 36 (2), GI 4 (2), Rp 6 (2), E 28 (2), I 4 (1) needles within 10-20 min after the removal of the needles to affect a variable electrostatic field on the lower abdomen using the apparatus of the Hivamat 200" labile method: 5 min - frequency of 190 Hz and an intensity of 80%, the ratio of pulse duration /pause - 2/1, then 5 min - 50 Hz, an intensity of 80%, the ratio of pulse duration/pause - 2/1.

2. The method according to claim 1, characterized in that the course of treatment consists of 7-10 treatments.



 

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1 ex, 4 tbl

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4 cl, 2 ex, 2 tbl

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4 cl, 2 ex, 2 tbl

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3 ex

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2 ex, 3 tbl

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2 ex

FIELD: medicine.

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3 tbl

FIELD: medicine.

SUBSTANCE: invention relates to medicine, functional diagnostics. Spectrum of dynamic series of cardiointervals is registered. Power in series ranges and total spectrum power (TP) are measured. Normative values of total spectral power and power in series ranges, averaged on large quantity of examinations in standard conditions of registering, are determined. Measurements are carried out in ranges 0.003-0.004 Hz, 00062-0.0072 Hz, 0.010-0.014 Hz, 0.0163-0.0173 Hz, 0.023-0.029 Hz, 0.031-0.035 Hz, 0.039-0.041 Hz. Parametre Sj - ratio of power for each of mentioned above ranges to total spectrum power (TP) in % is determined. Power of LF, HP, LF/HF is determined. Each parametre depending on its value is related to one of four conventional groups. Each group is given a weighting coefficient k from 0 to 4. By value of sum of weighting coefficients (k) normal or reduced adaptive abilities are determined. Treatment of various types of reduction of adaptive abilities is carried out by exposure of biologically active points to EHF-radiation.

EFFECT: method makes it possible to carry out treatment in accordance with determined type of reduction of adaptive abilities.

7 cl, 8 tbl, 5 ex

FIELD: medicine.

SUBSTANCE: invention relates to medicine, namely to physiotherapy, endocrinology. Method includes carrying out complex balneologic treatment, which includes carrying out radon therapy with radon concentration 1.5 kBq/l. Every second day vaginal irrigations with radon water are carried out for 15-20 minutes, using 15-20 l per 1 irrigation. Radon baths are carried out every second day, with average absorbed dose during 10 minute procedure being 0.161 millirem, water temperature - 37°C, exposure -10-15 minutes. A course includes 8-10 baths. Rectal microclysters from radon water are performed, using 150 ml per 1 microclyster, drop-by-drop, at rate 120-150 drops per minute, every second day. A course includes 8-10 procedures. Reflex therapy is carried out by tonic impact on points RN 6-4, KI 11-12, BM 46, and inhibitory impact- on points BL 23, BL 25-34, DU 2-4. Interference therapy is performed by impact on projection of cervical sympathetic plexus, or vertebral artery via water-fabric compresses with 10 cm diametre. One electrode of the first canal is placed above Th5-6, projection paravertebrally on the right side. The second electrode of the first canal is placed above C2-3 projection from the contralateral side. One electrode of the second canal is placed above Th5-6 projection from the left side. The second electrode of the second canal is placed above C2-3 projection from contralateral side. Impact is performed with current intensity 30-50 mA, which is selected individually, by sensations, frequency 90-100-90 Hz in automatic mode with 15 second duration. Procedures are performed daily. A course includes 8-10 procedures. Interference therapy is carried out 60-80 minutes before carrying out radon procedures.

EFFECT: method increases treatment efficiency and patients' life quality due to reduction of anxiety and depression manifestations, improvement of functional activity of brain, restoration of dophamine ergetic control of prolactin secretion, restoration of cyclicity of menstrual function and fertility.

2 ex

FIELD: medicine.

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.

4 dwg

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