Method of treating chronic tonsillitis in children

FIELD: medicine.

SUBSTANCE: invention refers to medicine, particularly to paediatrics, namely to otorhinolaryngology, and may be used in treating chronic tonsillitis in children's health centres, in-patient hospitals, polyclinics. The low-power laser light covers projections of palantine tonsils, namely an anterior lateral neck surface below a mandibular angle to the right and to the left. The laser light is generated at wavelength 0.89 mcm, constantly variable frequency 10 to 1,500 Hz by AZOR 2K-02 apparatus in the contact, stable mode. The exposure length is 1 minute per a field at pulse power 2-3 Wt/pulse daily; the therapeutic course is 7-8 procedures in 5-10-year-old children. The exposure takes 2 minutes per a field at pulse power 4-5 Wt/pulse daily within the therapeutic course making 9-10 procedures. Each physiotherapeutic procedure is preceded by tonsillar lacunae irrigation with sterile 0.9% normal saline using a Hartmann cannula. The method is safe by selecting laser light conditions in the children of various age groups.

EFFECT: method enables higher clinical effectiveness in chronic tonsillitis, prolonging remission, reducing a recurrence and complication rate, lowering the need for medical treatment, improving the quality of life in children and adolescents.

2 ex

 

The present invention relates to medicine, in particular to Pediatrics, namely, otorhinolaryngology, and can be used in children's medical and health institutions, hospitals, clinics.

The problem of chronic tonsillitis is the most important in modern clinical medicine. This is confirmed by data on the prevalence of the disease among all population groups regardless of age (Evelake et al., 1999; Wetalked, 2000), development of complications of other organs and systems, negatively affecting the quality of later life.

The prevalence of chronic tonsillitis reaches the level of 10% among adults and 15% among children: 2-3% of infants, 6-7% of preschoolers, 8-9% of students (Mirbagheri, Wristcuff, 2007; Tigershark, 1999; Hemmecke).

In the group of dispensary observation otolaryngologist patients in this category range from 64 to 79% of all patients (Tigershark, Vggallery, 2009).

Constant interest in this problem is not only due to high prevalence of chronic tonsillitis and mainly occurs in children, adolescents and young (most productive) age, but also by the fact that according to the who, more than 100 medical conditions can be associated with x is onionskin tonsillitis.

Currently, this problem went beyond otolaryngology and is extremely important in the clinic of children's diseases.

Especially of great interest to specialists in many fields of medicine are rational therapy of chronic tonsillitis in children.

Depending on the clinical form of chronic tonsillitis apply conservative or surgical treatment (Mirbagheri, Wristcuff, 2007).

In the conservative treatment of chronic tonsillitis in children tested dozens of medicines, schemes and methods of treatment, but most patients the effect of this treatment is temporary, the disease often recurs. Often during exacerbation of chronic tonsillitis is necessary to apply and antibiotics, however frequent, unreasonable and uncontrolled use of antibiotics in pediatric practice leads to mutations of pathogens resistant to many chemotherapeutic agents that reduce the immunological reactivity of the child's body. In addition, involving the use of antibiotics has increased the number of patients suffering from intolerance to drugs, which limits the use of medicinal substances and does in some cases impossible treatment.

Enter the listed circumstances have created preconditions for intensive research and development of new methods of treatment of chronic tonsillitis in children.

There is a method of treatment of chronic tonsillitis in children, including a push-up language with a metal spatula, the subsequent impact on the Palatine tonsils and the posterior pharyngeal wall scattered radiation of the infrared laser with a diameter of a light spot 30-50 mm at an average power density of 1-2 mW/cm2with an exposure of 10 minutes this Treatment is recommended for 10-15 days (Cherednichenko YU.N., Zonation DI, A.A. Deribas Practical guide to laser therapy in clinical practice (guidelines). Novosibirsk, Institute of General pathology and human ecology SB RAMS, 1994, p.39).

The disadvantage of this method is the lack of antibacterial effect, reducing the effectiveness of the treatment. Furthermore, the method is applied too long (2 weeks), which is inconvenient for the patient.

There is a method of treatment of chronic tonsillitis in children, which is as follows: reorganization of the tonsils is carried out by exposure to physical factors and therapeutic agents. As a remedy drug use Malavet, and treatment is carried out in three stages: first by ultrasonic reorganization of the tonsils within 3-10 minutes using an aqueous solution of the drug Malawi in a dilution of 1:5, then the low-frequency phonophoresis within 5-15 minutes with Malavita in intelligence the Institute of 1: 2, after what sick carry out rinsing the mouth with a solution of Malavita in a dilution of 1:20. The treatment for 10-15 days (RF Patent 2152773, priority from 18.02.1999). The disadvantage of this method is its complexity (three stages) and duration (10-15 days), lack of effectiveness.

For the prevention and treatment of chronic diseases of ENT-organs (including chronic tonsillitis) is widely used alkaline and oil inhalation, inhalation of herbs and medicines, the ultrasound on the projection of the Palatine tonsils, the sinusoidal modulated currents (SMC-therapy) (Motorin CENTURIES, 1991; Slobodyan L.M. et al., 1993), and ultraviolet radiation (UVR) of the mucous membrane of the pharynx (overgrown A.N., Karachevtseva T.V. Prophylactic use of ultraviolet rays // Manual physiotherapy and physioprophylactics childhood diseases. - S-155). However, these treatment methods have their drawbacks: inhalation methods have predominantly local effect; aromatherapy has limitations in the conduct associated with individual intolerance of essential oils; frequent intolerance electric current, expressed irritation under the electrodes causes a negative reaction of rebenka; ultraviolet irradiation throat may occur photodynamic effect (p is bridalwave) cells with ultraviolet rays, what can cause tissue damage in overdose, as well as when carrying out this procedure, you may experience difficulties associated with the need to pre-determine the photosensitivity of the skin.

The closest in technical essence to the present invention is a method of treatment of chronic tonsillitis in children through laser and irrigation therapy, which is that advanced patient enter Zinnat in the number of 125-250 mg per dose 2 times a day for 5-7 days on oral background laser and irrigation therapy, and for irrigation therapy using 2% solution of ascorbic acid after irrigation which are laser therapy: impact 20 on tonsils and additionally for 5 min in the submandibular region (RF Patent 2110301, priority from 30.01.1997). The disadvantage of this method is the use of antibiotics for systemic effects of Zinnat (cefuroxime), which limits its application in the treatment of chronic tonsillitis in children with antibacterial intolerance.

The technical result of the proposed method of treatment is to increase the effectiveness of treatment of chronic tonsillitis in children, the prolongation of the remission period, reducing the frequency of exacerbations, reducing the need for medication (prescription of antibacterial therapy), lucchina the quality of life of children and adolescents.

This technical result is achieved by acting on the area of projection of the Palatine tonsils, namely on the anterolateral surface of the neck below the angle of the mandible to the right and left low-energy laser radiation in the infrared range, the wavelength of 0.89 μm. in the mode of constantly changing frequency from 10 to 1500 Hz from the apparatus AZOR 2K-02", 1 minute on the field pin is stable when the pulse power is 2-3 W/imp. daily at the rate of 7-8 procedures children 5-10 years; 2 minute on the field, contact, stably when the pulse power is 4-5 W/imp., every day on the course

9-10 procedures children 11-18 years. Thus, before each treatment physiotherapy pre-lavage is carried out lacunae of the tonsils sterile physiological sodium chloride solution (0.9% sodium chloride solution) cannula Hartmann.

DESCRIPTION of METHOD of TREATMENT

After a preliminary survey of children with chronic tonsillitis begins a course of treatment. Sick child lavage is carried out lacunae of the tonsils sterile saline (0.9% sodium chloride solution) using a cannula Hartmann then begin the influence of low-energy laser radiation in the infrared range of wavelength of 0.89 μm., in the mode of constantly changing frequency from 10 to 1500 Hz from the apparatus AZOR 2K-02" on the area of projection of the Palatine tonsils, and what about the anterolateral surface of the neck below the angle of the mandible to the right and to the left for 1 minute on the field, contact stably when the pulse power is 2-3 W/imp. daily, at the rate of 7-8 procedures children 5-10 years; 2 minute on the field, contact, stably when the pulse power is 4-5 W/imp. daily, at the rate of 9-10 procedures children 11-18 years.

EXAMPLE 1.

Boy Elijah 3., 17 years, was in outpatient treatment in the outpatient Department and the Department of rehabilitation to Children's city clinical hospital №13 of them. Noffilative with a diagnosis of Chronic tonsillitis, compensated form.

'an. vitae: the boy from the 1st pregnancy going on in the background of anemia in the second half. Childbirth 1st term, stimulation of labor activity. Birth weight - 3750,, height - 52 cm, estimation on Apgar scale - 7/8 points. The neonatal period without features. On breastfeeding up to 4 months. Early development age. Immunizations - on the calendar. Illness: in the first year of life is an acute respiratory disease twice with 1 to 3 years - stomatitis, acute respiratory disease 1-2 times per year; from 7 to 15 years - a deviated septum nose without dysfunction, adenoids III, sore throat twice, adenotomy in 12 years; 15 to 17 years with acute respiratory viral infection 2 times per year, chronic tonsillitis - acute 1 time per year.

'an. morbi: ill for 2 years. Conducted courses of conservative treatment (which Romania gaps of the tonsils antiseptic solution and was administered homeopathic remedies), without effect. In the last 6 months worried about the sore throat breath.

The General condition in the initial examination satisfactory.

St. lokalis: submandibular lymph nodes are not enlarged. The mucous membrane of the oropharynx pink, anterior Palatine arch hypermonogenic, the edges of the front palatal arches swollen, Palatine tonsils loose, hypertrophy of the II degree. When pressed with a spatula tonsil movable from gaps highlighted caseous contents.

Complete blood count within normal limits, leukocyte index of intoxication in normal - 1,22 (normal to 1.6+0,5).

Microbiological study (swab from the throat) selected microbial Association with a predominance of gram-positive flora - Enterococcus faecalis - a rare growth, Staphilococcus aureus, dense growth, fungi of the genus Candida is a rare growth.

Biochemical blood test rheumatoid factor, C-reactive protein in normal limits; antistreptolysin-O - (asle-O) - 387 u/ml (normal range 0-200).

Cytological examination of the content of the lacunae of the tonsils (impression smears) revealed degenerative changes of lymphoid elements, a moderate amount of mixed bacterial flora.

After the survey started a course of conservative treatment, which included washing the gaps of the Palatine tonsils sterile saline (0.9% solution of chlorine is IDA sodium) via cannula Hartmann, with consequent impacts on the area of projection of the Palatine tonsils, namely, the anterolateral surface of the neck below the angle of the mandible to the right and to the left, low-energy laser radiation in the infrared range, the wavelength of 0.89 μm, in the mode of constantly changing frequency from 10 to 1500 Hz from the apparatus AZOR 2K-02" 2 minute on the field pin is stable when the pulse power is 4-5 W/imp. daily, in the course of 10 treatments.

During the treatment deterioration in the patient's condition was not, physiotherapy was well tolerated.

On the 10th day after treatment testing.

In General, the analysis of blood changes are not recorded. Leukocyte index of intoxication in normal - 1.0 (normal to 1.6+0,5).

Cytology content gaps of the tonsils (impression smears) revealed hyperplasia of lymphoid tissue, clusters of squamous cells.

Microbiological analyses (a smear from a throat) revealed no growth of microorganisms.

In the biochemical study of blood indicators of rheumatoid factor, C-reactive protein in normal, antistreptolysin-O (asle-O) decreased to 186 u/ml (normal range 0-200).

Pharyngoscope - mucosa of the oral cavity pink, tonsil with bows, wide gaps, available.

In the follow-up after 1, 3, 6, 12 months after the treatment the patient had no complaints.

EXAMPLE 2

<> Girl Alina H., age 8, was in outpatient treatment in the outpatient Department and the Department of rehabilitation Children's city clinical hospital №13 of them. NF Filatov with a diagnosis of Chronic tonsillitis, compensated form.

'an. vitae: the girl from 2 pregnancies, 2 births in the period. Birth weight 3250,, height - 50 cm, estimation on Apgar scale - 8/9 points. Breastfeeding up to 6 months. Early psychomotor development without features. Preventive vaccination calendar. Of illness - frequent acute respiratory viral infections, chickenpox.

'an. morbi: the diagnosis of chronic tonsillitis installed a year ago. Received treatment in the form of mouthwashes throat antiseptic solution, without effect.

He complained of a sore throat, rare cough, purulent tube in the tonsils. The child's condition is satisfactory.

St. lokalis: submandibular lymph nodes are not enlarged. Pharyngoscope - mucous pink, wet, anterior Palatine arch swollen, hypermonogenic, fused with nebnymi tonsils, Palatine tonsils II degree, when pressed with a spatula from the gaps highlighted caseous contents.

Clinical analysis of blood within normal limits, leukocyte index of intoxication in normal - 1,12 (normal to 1.6+0,5).

Microbiological research is the research Institute of the contents of the lacunae of the tonsils (swab from the throat) selected microbial associations: Enterococcus faecalis - single colonies of Streptococcus viridans isolated colonies of Staphylococcus aureus - a thick growth.

Biochemical blood test rheumatoid factor, C-reactive protein in normal limits; antistreptolysin - 0-428 u/ml (normal range 0-200).

Cytological examination of the content of the lacunae of the tonsils (impression smears) revealed copious amounts of mixed bacterial flora, a picture of moderate inflammation, lymphoid elements of varying degrees of activity.

Given the minimal effect of the previously held therapy, the child is assigned to the following treatment: after washing the gaps of the Palatine tonsils sterile saline (0.9% sodium chloride solution) cannula Hartmann was conducted impact on the area of projection of the Palatine tonsils, namely the anterolateral surface of the neck below the angle of the mandible to the right and to the left, low-energy laser radiation in the infrared range, the wavelength of 0.89 μm, in the mode of constantly changing frequency from 10 to 1500 Hz from the apparatus AZOR 2L-02", 1 minute on the field pin is stable when the pulse power is 2-3 W/imp. every day, on a course of 8 treatments.

During the treatment the deterioration in the condition of the child was not, the procedure was well tolerated, adverse reactions were noted.

A visible improvement in the condition of the child was on the 4 th day: complaints of sore throat, cough not b is lo, when washing the gaps of the Palatine tonsils in the wash fluid purulent tubes not observed.

On the 8th day was held control tests:

In General, the analysis of blood changes are not recorded, leukocyte index of intoxication - 0,96 (normal to 1.6+0,5).

Biochemical blood test rheumatoid factor, C-reactive protein in normal limits; antistreptolysin-O - fell to 219 u/ml (normal range 0-200).

Cytology content gaps of the tonsils (impression smears) revealed hyperplasia of lymphoid tissue, minimal signs of inflammation, the presence of squamous cells.

Microbiological analyses (a smear from a throat) revealed no growth of microorganisms.

In the follow-up after 1, 3, 6, 12 months after treatment, the girl had no complaints. If pharyngoscopy mucosa of the oral cavity pink, Palatine tonsils diminished in volume, wide gaps, available.

The proposed method for the treatment of chronic tonsillitis was applied in 60 children aged from 5 to 18 years. The treatment results in the proposed method, all children showed good tolerability of treatments, adverse reactions were noted. By the end of treatment all patients improved health, there was a positive dynamics of clinical symptoms, improved the status of clisis the second membrane of the oropharynx.

Follow-up observations performed in terms of 1, 3, 6, 12 months after treatment, testified about the persistence of therapeutic effect of this method.

This method of treatment helps to reduce the frequency of exacerbations, the regression of clinical symptoms of chronic tonsillitis.

The proposed method for the treatment of chronic tonsillitis in children is effective, safe, simple and quick in the practical implementation.

The method of treatment of chronic tonsillitis in children through exposure to physical factors, characterized in that the projection area of the tonsils, namely the anterolateral surface of the neck below the angle of the mandible to the right and to the left, effect of low-energy laser radiation in the infrared range, the wavelength of 0.89 μm, in the mode of constantly changing frequency from 10 to 1500 Hz from the apparatus AZOR 2K-02", 1 minute on the field, contact, stably when the pulse power is 2-3 W/imp. daily, at the rate of 7-8 procedures children 5-10 years; 2 minute on the field, contact, stably when the pulse power is 4-5 W/imp. daily, at the rate of 9-10 procedures children 11-18 years, whenbefore each treatment physiotherapy lavage is carried out lacunae of the tonsils sterile saline solution is 0.9% sodium chloride solution by cannula Hartmann.



 

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1 tbl, 2 ex

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely to psychiatry and drug addiction, and may be used for detoxification-infusion therapy of the patients used psychotropic cannabis products. That is ensured by the infusion intravenous drop-by-drop sequential administration of drugs. A mixture containing 5% glucose 200 ml, 25% magnesium sulphate 10 ml and 4% potassium chloride 10 ml are administered. That is combined with the additional bolus administration of 5% vitamin B1 2 ml. That is followed by introducing a mixture containing 0.9% normal saline 200 ml and 20% piracetam 10 ml. That is added with the bolus administration of 5% vitamin B6 10 ml. Then, a mixture containing rheopolyglucin 200 ml, 5% ascorbic acid 5 ml and 1% nicotinic acid 1 ml is administered. Then, a mixture containing 0.9% normal saline 200 ml and 2.4% aminophylline 5 ml is administered. The procedure is performed twice a day for 10 days.

EFFECT: method provides the higher therapeutic effectiveness and reduced length of the therapy, as well as the presented method is reproducible easily.

1 ex

Heamostatic match // 2501556

FIELD: medicine, pharmaceutics.

SUBSTANCE: invention refers to chemical-pharmaceutical industry, and represents a haemostatic agent used in small cuts, characterized by the fact that it is represented in the form of a match with its head having the following formulation, wt %: sodium chloride - 0.58 - 0.71; ε-aminocaproic acid - 2.14 - 3.25; purified water - 60.93 - 73.98; aluminium potassium sulphate - 19.65 - 32.84; lanolin - 1.77 - 2.92.

EFFECT: invention provides creating the agent which has the non-burning haemostatic agent when applied on the small cuts.

10 ex

FIELD: medicine, pharmaceutics.

SUBSTANCE: invention refers to pharmaceutical industry, namely to a preparation for prevention and treatment of osteoporosis and bone fractures. A method for prevention and treatment of osteoporosis and bone fractures involving the administration of male bee brood, D-group vitamin or vitamins, and/or active metabolites thereof, a calcium compound taken in certain proportions. The preparation for prevention and treatment of osteoporosis and bone fractures consisting of male bee brood, D-group vitamin or vitamins, and/or active metabolites thereof, a calcium compound taken in certain proportions.

EFFECT: preparation and method for treatment enable enhancing the mechanism of uniform recovery of mineral bone density and bone tissue retention ensured by maintaining the androgen level.

3 cl, 1 tbl, 21 dwg, 2 ex

FIELD: medicine, pharmaceutics.

SUBSTANCE: invention refers to pharmaceutical industry, namely to an agent for treating atypical osteoporosis with normal or increased bone mineralisation with cavitary lesions in trabecular bones in overweight and metabolic syndrome. The method of treating atypical osteoporosis with normal or increased bone mineralisation with cavitary lesions in trabecular bones in overweight and metabolic syndrome involving administering male bee brood, D-group vitamin or vitamins, and/or active metabolites thereof. A preparation of treating atypical osteoporosis with normal or increased bone mineralisation with cavitary lesions in trabecular bones in overweight and metabolic syndrome, containing male bee brood, D-group vitamin or vitamins, and/or active metabolites thereof taken in certain proportions.

EFFECT: preparation and method of treating promote body calcium distribution: reducing mineralisation of the soft tissue, vessels and other organs, as well as cavity filling in the trabecular bone.

3 cl, 8 dwg, 4 ex

FIELD: medicine, pharmaceutics.

SUBSTANCE: present invention refers to a pharmaceutical composition of such an active agent, as sucralfate for treating disorders, e.g. gastric ulcers, duodenal ulcers, acute gastritis, symptomatic chronic gastritis, gastropathy caused by the intake of anti-inflammatory agents, gastroesophageal reflux disease characterised by the fact that is contains one or more phospholipids.

EFFECT: invention refers to using phospholipids in a combination with the above active agents when administered orally for the purpose of improving the taste of the preparation, and to using phospholipids in a combination with the above active agents when administered orally for the purpose of treating disorders, including gastrointestinal irritation, for the synergetic enhancement of the anti-ulcer effect.

19 cl, 15 ex

FIELD: medicine.

SUBSTANCE: material comprises synthesized material having hydroxyapatite structure and additional ytterbium and erbium ions or ytterbium and thulium ions according to known formula. The material is compositionally equivalent to human skeletal bone tissue and biocompatible with it.

EFFECT: wide range of use in investigating tissue behavior in different fields of surgery and traumatic surgery.

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