Method for conservative treatment of external colonic fistulas
SUBSTANCE: patients keep a diet with reducing an amount of liquid taken up to 1.5l a day that is compensated by the intravenous administration of solutions an amount and composition of which depends on a degree of water-electrolyte disturbances. Additionally, after bandage removal, the wound and edges of the fistulous passage is 5% potassium permanganate, which is then washed with 3% hydrogen peroxide. A mouth of the fistula and the wound edges are dried. That is followed by an aeration of the mouth of the fistula with a cooled plasma flow of nitrogen monoxide at a depth of 0.5cm in the therapeutic mode of 2000 mg/m3 and exposition of 1.5min. The mouth of the fistula and the wound edges are treated with a plasma flow of nitrogen monoxide in the concentration within the contact area with the wound surface of 1500 mg/m3 and time of exposure of 20 seconds per each 1 cm2 of the surface. The mouth of the fistula and the wound edges are dried. The mouth is packed with the gauze swab. The fistulous wound is exposed to EHF waves with the pure noise spectrum and the provided integral power on the wound surface of 1.5 mcWt along the perimeter of the mouth at 15mm from the fistulous passage for 30 minutes. The swab is removed. The mouth and the surrounding skin is treated with zinc paste and covered with gauze swabs. The further bandages are performed in the similar way as the bandage wets with the intestinal contents, but no more than 2 times a day and at least once every 3 days.
EFFECT: safe and effective conservative treatment of the intestinal fistulas at any phase of the wound process that enables avoiding risks of surgical intervention and general anaesthesia by rapid reduction of skin maceration and perifocal inflammation surrounding the mouth and prevents them, stimulates the growths of granulocyte tissue and epithelisation of the fistuous wound.
The invention relates to surgery, and in particular to methods of treatment of intestinal fistula.
Despite advances in modern medicine, the treatment of external intestinal fistulas remains a topical problem in abdominal surgery [Vicin B. A., Blagica E. M. Formed and unformed external intestinal fistulas. - Novosibirsk: Nauka. - 1983. - 142 S.; Makarenko, T. P., Bogdanov, A. C. Fistulas of the gastrointestinal tract. - M.: Medicine. - 1986. - 144 S.; Bazayev A. C. Optimizing the treatment of patients with external intestinal fistulas. Dis. ... Dr. med. Sciences. - N. Novgorod, 2004. - 322 S.; Kanshin N. N. Immature intestinal fistula and purulent peritonitis (surgical treatment). - M.: Profile, 2007. - 160 S.].
Persons with this pathology are one of the most difficult categories of patients. The vast majority of them have signs of serious disorders of homeostasis, there are significant violations of water-electrolyte balance and acid-base balance, anemia, hypoproteinemia, wound exhaustion, failure of the immune system. Against this background, in many cases, there is persistent, finally docked abdominal inflammatory process. As a result of prolonged antibiotic therapy is the selection of the existing microbiota, marked activation and growth vysokochastotnoi nosocomially, in the wound develops a biofilm process. These moments determine the very limited effectiveness of a number of actions on prevention of surgical infection, including use of antibiotics, antiseptics and sanitizing procedures. This increases the risk of any reconstructive interventions aimed at closure of the fistula, as well as General anesthesia.
As with most surgical diseases, the complex treatment of patients with intestinal fistula includes General and local therapeutic measures. In the basis of total treatment (in addition to compliance with the basic modern principles of treatment of purulent-septic diseases) is the struggle with developing due to the loss of intestinal contents disorders of water, electrolyte and protein metabolism, maintain homeostasis using infusion therapy, reinforced parenteral and enteral nutrition. Local treatment involves the reduction of inflammatory process in the tissue surrounding the fistula, protect them from exposure to intestinal discharge, reduction, or termination of losses intestinal contents [Bogomolov N. And., Smolyakova N. Y., Bogomolov N. N., Smolyakov Y. N. Device for blocking and treatment of intestinal fistula. A. C. RF 2224554 C1, CL AM 27/00, AM 31/00. Appl. 1.06.02. Publ. 27.02.04; Kanshin N. N. Immature intestinal fistula and purulent peritonitis (surgical treatment). - M.: Profile, 2007. - 160 S.].
The diet of patients with intestinal fistula should include enteral (if kupirovannom paresis of the intestine), parenteral nutrition. The principles of enteral nutrition are the predominance of mechanically gentle, easily digestible, high-calorie food with restriction of carbohydrates. Recommend to seek alternation during the day, relatively dense a protein rich meals with low-calorie liquid meals, inhibiting the secretion of gastric glands and the pancreas and not exciting bile formation and bile.
To protect the skin from the action of intestinal detachable use of physical, mechanical and biochemical methods.
Known methods of treatment of intestinal fistula, including the use of topical dressings, temporary obturation of the fistula and the application of active aspiration in order to relieve the purulent-destructive processes in the wound, eliminating the maceration around her. However, these methods are not always effective and have several disadvantages. Introduction to the fistulous passage of the obturator increases the size of the defect of the intestinal wall. The use of active suction systems increases the size of the fistulous course, the increased loss of fluid and electrical is Ritov, which further leads to the formation of Gorovenko fistula and expansion of the volume of surgical intervention.
Physical methods based on the application of paste of Lassara, glue BF-2, BF-6, silicone pastes, polymer films and other means, are applied to the skin around the external opening of the fistula [Kanshin N. N. Immature intestinal fistula and purulent peritonitis (surgical treatment). - M.: Profile, 2007. - 160 S.; Ishchenko O. C. Use of fibrin glue in the treatment of patients with immature intestinal fistula. Abstract. dis. ... candles. the honey. Sciences. - M., 2011].
There is a method of treatment of immature fistulas, including obturation cavity or wound with fistula polymeric material [Reschen offers excellent opportunities for Days, the Rationale of treatment in patients with postoperative external intestinal fistulas in its formative stages. Dis. ... candles. the honey. Sciences. - Saratov, 2003. - 162 C.]. The disadvantage of this method is that the obturator prevents the overgrowth of granulation tissue and narrowing of the fistulous course, which further leads to the formation of Gorovenko fistula, which requires complex surgery.
There is a method of treatment of immature fistulas, including the use of vacuum aspirator [Bazayev A. C. Optimizing the treatment of patients with external intestinal fistulas. Dis. ... Dr. med. Sciences. - N. Novgorod, 2004. - 322 S.].The disadvantage of this method is the fact, when establishing the vacuum in fistulous course content is delivered through drainage, therefore, may increase the loss of fluid and electrolytes. In some cases recommend the return of the intestinal contents are evacuated through the drain-foam system, and a vacuum suction device into the lumen of the colon through performed distal to the fistula probe [Bazayev A. C. Optimizing the treatment of patients with external intestinal fistulas. Dis. ... Dr. med. Sciences. - N. Novgorod, 2004. - 322 S.].
Known therapeutic efficacy of exogenous nitric oxide (NO) in the treatment of several diseases, which is based on the properties of endogenous NO as polyfunctional physiological regulator and is as follows:
- normalization of microcirculation due to vasodilation, antiplatelet and anticoagulant actions NO;
- bactericidal activity as their own, and mediated by peroxynitrite, formed in the tissues in the interaction of NO with superoxide anion;
- induction of phagocytosis of bacteria by neutrophils and macrophages;
activation of antioxidant protection;
- improvement of nerve conduction (neurotransmission);
- regulation of specific and nonspecific immunity;
direct induction of proliferation of fibroblasts, growth of blood vessels, collagen synthesis, formation and maturation of granulation tissue, proliferation of the epithelium;
- modulation of apoptosis and prevention of pathological scarring.
When using the apparatus "Plason" therapeutic effect is carried out by supplying to the biological tissue gas streams of different temperatures, but with the same content in a stream of nitrogen oxide (NO) [Kruglov, E. E., Nalivkin A. E., Mashkov, A. E., Nasedkin A. N., Golubovsky, A. a Method for the treatment of intestinal fistula. A. C. RF 2233123 C2, CL AV 17/00, A61K 33/08, OR 1/00. Appl. 12.09.02. Publ. 27.07.04; Sweden) O. C. I. Klimenko, Physical methods in complex treatment of purulent diseases of soft tissues. // Sibir. the honey. review. - 2009. No. 5. - S. 55-58].
There is a method of treatment of intestinal fistula, including the installation of drainage and drug therapy with exposure through the distal end of the drainage installed at a distance of 0.2-1.0 cm from the fistula, air-gas stream of nitrogen monoxide (NO therapy) from the apparatus "Plason" in therapeutic mode for 2-3 minutes daily for a course of 6-10 sessions [Kruglov, E. E., Nalivkin A. E., Mashkov, A. E., Nasedkin A. N., Golubovsky, A. a Method for the treatment of intestinal fistula. A. C. RF 2233123 C2, CL AV 17/00, A61K 33/08, OR 1/00. Appl. 12.09.02. Publ. 27.07.04].
The disadvantage of this method is the need for drainage of the fistula using x-ray control, it is impossible to perform in conditions of dressing, or laparoscopic method that cannot be used in the dressing daily, due to the bulkiness of the device is s and in some cases the lack of specially trained personnel.
It is known the use of EHF-therapy for the treatment of several diseases. The basis of the correction and restoration of impaired functions through the use of EHF-therapy on the principle of impact on its own information management system of the organism, the principle of "imposing" the body lost in the disease process of a healthy rhythm. Consider that under pathological conditions external EHF-radiation affecting arteriovenus the body, they mimic the signals produced by the body, helping it to quickly and efficiently resolve the alteration. Cells and organs weakened organism, not able to restore the disturbed homeostasis, can be normalized external EHF-radiation and continue to function normally. One of the mechanisms of action of waves EHF in the treatment of wounds is an increase in connective tissue, mainly due to the formation of collagen fibers.
There is a method of treatment of trophic ulcers of the lower extremities based on these principles, which hold local effects on waves EHF spectrum type of "white noise" for 10-15 minutes and an additional influence on biologically active points [Malchukov C. A., Polyakov, A. G., Anisimov, S. I., E. Efimov, I., Karnaukhov A. C. EHF-therapy of low-intensity noise radiation. N. Novgorod: Publishing house of the Nizhny Novgorod state University. N. And. Lobachevsky, 2002. - S. 68-69]. The total duration of the session up to 30 minutes, and the duration of the course depends on the effectiveness of treatment and includes 10-12 sessions.
The last two ways are taken as prototypes.
The aim of the present invention is a safe and effective treatment of intestinal fistula using only conservative methods, which avoid the risks of surgery and General anesthesia.
The goal is to reach a set of measures including diet, medication restorative therapy and local treatment - the treatment of the wound and the edges of the fistulous course of a 5% potassium permanganate solution and 3% hydrogen peroxide solution, processing and plugging fistulous stroke zinc paste, the effect on fistula exogenous nitric oxide (NO) is obtained by using domestic air plasma apparatus "Plason", and local irradiation fistulous wound millimeter waves EHF spectrum type of "white noise" in the frequency range 53,57-78,33 GHz using the "AMFIT-0,2/10-01").
The proposed method is as follows.
For the entire period of treatment of the patient with external colonic fistula prescribe a diet with restriction of the total volume of fluids you drink 1.5 liters per day, which compensate for intravenous R. the cross-sections, the number and composition of which depend on the extent of violations of water-electrolyte disorders. After removal of the dressing from the wound and the edges of fistulous stroke treated with 5% potassium permanganate solution, which is then washed with 3% hydrogen peroxide solution, dried up sinus tract opening and the edges of the wound, provide aeration fistulous openings at a depth of 0.5 cm cooled plasma stream of nitrogen monoxide using a commercially available apparatus "Plason" ("Scalpel-coagulator-stimulator air plasma SXIT/NO") in therapeutic mode 2000 mg/m3with an exposure time of 1.5 min, then treated fistulous opening and the wound edges plasma stream of nitrogen monoxide concentration in the zone of contact with the wound surface is 1500 mg/m3and the exposure time is 20 seconds for each 1 cm2surface drain fistulous opening and the wound edges, hole plugging gauze cloth, the region of the sinus tract wounds irradiated waves EHF spectrum type of "white noise" and provided integral power on the surface of the wounds of 1.5 µw along the perimeter of the fistulous openings at a distance of 15 mm from the edges of the fistulous course within 30 minutes after the horn nozzle using a commercially available apparatus "AMFIT-0,2/10-01", the cloth is removed, fistulous opening and the skin around it is treated with zinc pasta, cover with a gauze cloth and, subsequent ligation carry out exactly the same as getting wet dressings intestinal contents, but not more than 2 times per day and at least once in 3 days.
The described method was applied in the surgical Department of the branch №5 of FCGU "1586 Military clinical hospital of the Ministry of defense of the Russian Federation.
The present method was treated group of patients (n=12), clinical observation has shown high efficiency of the method when using the recommended treatment options. Complications were not, in all cases, were able to achieve closure of intestinal fistula using the proposed method, without the need to perform surgery and General anesthesia.
In the application of this method revealed the following advantages:
- fast relief processes of maceration of the skin and perifocal inflammation around the fistulous openings and further their prevention;
- stimulation of the growth of granulation tissue and accelerate epithelization fistulous wound;
- the possibility of application of the method at any phase of wound healing;
the method reduces the time of inpatient treatment and to avoid surgical intervention in this category of patients;
- how easily available, easy to perform, does not require large financial cost of implementing the method and the training of personnel.
a Method of conservative treatment of external colonic fistula, including the appointment of a special diet with restriction of the total volume of fluids you drink 1.5 liters per day, which compensate for intravenous solutions, the number and composition of which will depend on the extent of violations of water-electrolyte disturbances, characterized in that after removal of the dressing from the wound and the edges of fistulous stroke treated with 5% potassium permanganate solution, which is then washed with 3% hydrogen peroxide solution, dried up sinus tract opening and the edges of the wound, provide aeration fistulous openings at a depth of 0.5 cm cooled plasma stream of nitrogen monoxide using a commercially available apparatus "Plason" ("Scalpel-coagulator-stimulator air plasma SXIT/NO") in therapeutic mode 2000 mg/m3with an exposure time of 1.5 min, then treated fistulous opening and the wound edges plasma stream of nitrogen monoxide concentration in the zone of contact with the wound surface is 1500 mg/m3and the exposure time is 20 seconds for each 1 cm2surface drain fistulous opening and the wound edges, hole plugging gauze cloth, the region of the sinus tract wounds irradiated waves EHF spectrum type of "white noise" and provided integral power on the surface of the wounds of 1.5 µw along the perimeter of the fistulous openings at a distance of 15 mm from the edges of the fistulous course within 30 minutes cerebrospinal nozzle using a commercially available apparatus "AMFIT-0,2/10-01", the cloth is removed, fistulous opening and the skin around it is treated with zinc pasta, cover with a gauze napkins, subsequent ligation carry out exactly the same as getting wet dressings intestinal contents, but not more than 2 times per day and at least once in 3 days.
SUBSTANCE: invention refers to medicine, namely to thoracic surgery, and can be used to close defects of the lower one-third of the oesophagus. A laparotomy and a sagittal diaphragmotomy are performed. The oesophageal wall defect is closed with a single-layer uninterrupted absorbable mass suture. The suture is started from the proximal end of the defect with the first knot tightened into the oesophageal lumen. A fundoplication cuff is created with covering the suture with the stomach. One of the gastric walls is fixed by interrupted sutures surrounding the closed oesophageal defect to form a cavity between the closed oesophageal defect and the gastric wall. The cavity is filled with Coletex ADL hydrogel tissue. The fundoplication cuff is fixed by interrupted sutures circularly to the diaphragm. The pleural spaces, mediastinal and subphrenic space are drained.
EFFECT: method provides reducing the time of recovery, reducing a probability of postoperative complications and faster rehabilitation by forming the reliable sutures, long bactericidal effect on the suture area, dividing the pleural space and abdominal cavity.
SUBSTANCE: endoresection of an intraocular new growth is followed by covering the scleral bed surface with a photosensitising gel (PS gel) containing 0.1% monoethylene diamine monoamide chlorine adipate e6. The PS gel exposure makes 3 minutes. Thereafter, the scleral bed is exposed to laser light at a wave length of 662 nm, light dense of 60 J/cm2, with the fields of 4 mm in diameter in an air medium with the exposure covering the 1.5 mm surrounding tissues. The exposure is circle-wise from the periphery to the centre and covers the adjoining fields by 5% of the area.
EFFECT: avoiding the tumour cells remained viable on the scleral bed after the endoresection of the intraocular new growth, eliminating recurrences of tumours and metastases in the remote postoperative period.
SUBSTANCE: endoresection of an intraocular new growth is followed by covering the scleral bed surface with a photosensitising gel (PS gel) containing 0.1% monoethylene diamine monoamide chlorine adipate e6. The PS gel exposure makes 3 minutes. The residual gel is taken off. An active portion of one needle electrode is intraocularly applied on the scleral bed in parallel with the retinotomy border at 0.5-0.7 mm. The second electrode is applied in parallel to the first one at 3-4 mm to the centre of the scleral bed. That is followed by performing an electrochemical lysis (ECL) at the current intensity of 5 mA for 10 seconds. The electrodes are gradually moved along the scleral bed surface first circle-wise, in parallel to the retinotomy border, then from the periphery to the centre. The ECL covers the entire area of the scleral bed at the current intensity of 5 mA for 10-15 seconds in each position of the electrodes. That is followed by intraocular photodynamic therapy (PDT) along the entire area of the scleral bed with involving the 1.5 mm surrounding tissues. The patient is exposed to laser light at a wave length of 662 nm, power density of 60 J/cm2, by fields of 4 mm in diameter, circle-wise from the periphery to the centre, and involving the adjoining fields by 5% of the area.
EFFECT: avoiding the tumour cells remained viable on the scleral bed after the endoresection of the intraocular new growth, eliminating recurrences of tumours and metastases in the remote postoperative period.
SUBSTANCE: invention refers to medicine, namely to vascular surgery and concerns treating vascular dysplasia. That is ensured by a contrast phlebography of an angiodysplastic lesion by a percutaneous administration of 76% urografin heated to 36.4-37.6°C. That is followed by administering a sclerosing preparation an amount of which (Vsc) is calculated empirically by derived formula Vsc=Vug·0.8, wherein Vug is an amoung of urografin required for visualising a vascular pattern of angiodysplasia. Further, a finger compression of angiodysplasia is performed for at least three minutes.
EFFECT: method enables calculating precisely the required and adequate amount of the sclerosing preparation that provides the effective treatment of angiodysplasia, including difficult ones with minimum side effects.
SUBSTANCE: invention refers to medicine, namely to surgery. A polyethylene tube is inserted into a mesentery. A solution containing proserine in a dose of up to 50 mg is introduced through the inserted tube. A synovial fluid 2 ml dissolved in normal saline 10 ml is additionally administered along the enteroenteroanastomosis.
EFFECT: method provides preventing peritoneal adhesions following the abdominal surgical operation by administering the preparations promoting better peristalsis and slide of the intestinal loop in the abdominal cavity.
SUBSTANCE: upon completion of the surgical intervention, before the abdominal wall closure, microirrigators are inserted through counteropenings into the hypochondria. An end of the right microirrigator is fixed with an interrupted catgut suture to a stump of the resected stomach; an end of the left microirrigator is fixed at an upper level of the abdominal cavity with the interrupted catgut suture. Drain tubes are inserted through the counteropenings in the iliac regions into the small pelvis. The surgical intervention is terminated with treating the whole abdominal cavity with 50 ml ozonised normal saline 1000 mcg/l. Then 10 minutes later, the abdominal cavity is treated with metronidazole 100 ml. From the 1st to 5th postoperative day, metronidazole 200 ml is administered in the form of 24-hour infusion through a portable infusion device via the right microirrigator. Through the left microirrigator, 50 ml ozonised normal saline 1000 mcg/l is administered once a day. A course of standard intravenous antibiotic therapy is prescribed into the patient.
EFFECT: reducing an incidence rate of postoperative infectious-inflammatory complications in the given category of patients due to the specific regimen of the antibacterial therapy and the ozone therapy.
SUBSTANCE: invention refers to medicine, namely to surgery and can be used in treating lymphorrhea following femoroinguinal lymphadenectomy for skin melanoma. Polysorb MP sterile powder is insufflated into the prepared postoperative wound cavity in the wound edge diastasis. The powder is spread with a dry gauze swab along the whole surface of the wound pocket. That is followed by tight wound tamponade. As the dressing is soaked, Polysorb MP is completely evacuated, and the other dressing is applied until lymphorrhea is terminated.
EFFECT: method provides terminating lymphorrhea in the given category of patients by generating the complexes of silicone oxide and tissue liquid proteins, which create an occlusion of lymphatic vessels lumen.
SUBSTANCE: placenta hydrolyzate 1 ml mixed with lanolin 30 g before the procedure is applied on an anterior abdominal wall of a patient lying on his/her back in the projection of adhesions. That is followed by phonophoresis generated by UZT-1.07F ultrasonic therapeutic apparatus and sounded by an emitter of the diameter of 4 cm of the intensity of 0.4-0.6 W/cm2. The exposure mode is continuous; an emitter velocity is 1-1.5 cm/sec. The length of procedure is 5-7 minutes. The therapeutic course is 10 procedures.
EFFECT: reduced progression of abdominal adhesions and their manifestations by evident anti-inflammatory effect, reduced pain syndrome, higher adaptive body reserves.
3 tbl, 2 ex
SUBSTANCE: method for local wound healing involving using a biological dressing which is applied on a wound surface. The biological dressing contains a polymer base of a hydrophobic perforated silicone film coated with a layer of human collagen type I and human diploid cells. The biological dressing is square-shaped and contains the diploid cells in the form of the characterised live cells of M-20 human fibroblasts at the level of passages No. 20-33 in the form of cell monolayers of 70-80% saturation density prepared at a starting density of (4-5)×104 cells per 1 cm2 of the dressing and culturing in a nutrient medium with fibrinolytically active plasma added. Vast injuries may require placing a desired number of the line-on-line dressings on the wound surface. Preferentially, the dressing is applied from the 1st-2nd post-injury day.
EFFECT: improving repair processed in the wound and reducing time of healing.
4 cl, 4 ex, 1 tbl, 3 dwg
SUBSTANCE: at the first stage a puncture of the right femoral artery or the right radial artery by Seldinger is performed with further successive catheterisation of the mouth of superior and inferior mesenteric arteries. After that, infusion of 0.5 ml of a 15% solution of xantinol nicotinate and 1.0 ml of a 2% lidocaine solution, diluted in 20.0 ml of a 0.9% solution of sodium chloride is performed. Introduction is carried out under X-ray control.
EFFECT: prevention of endotoxinemia development in the said category of patients due to reduction of spasm of the microcirculatory bed of the small intestine wall, and reduction of oedema and ischemia of the intestine mucosa, blocking the passage of nerve impulses to the intestine wall, which results in reduction of the intestine atony and reduction of translocation of endotoxins from the intestine lumen into the bloodstream.
SUBSTANCE: with the underlying conventional drug therapy, the patient is exposed to millimetre-wave electromagnetic emission at the molecular spectrum frequencies of oxygen emission and absorption spectra with the exposure localised within the xiphoid appendix. The exposure time is 3 minutes continuously within one session. The output emissive power is 500 mcW at the power density on the skin surface of 17.4 mcW/cm2. A distance of the exposure point and an object is specified to be equal to 4 cm. The therapeutic course makes 7-10 sessions, one session a day.
EFFECT: higher therapeutic effectiveness in patients with angina or arterial hypertension ensured by the antihypertensive and antianginal effect resulted from the specified mode of the terahertz exposure.
SUBSTANCE: invention refers to experimental medicine and immunology, and can be used for the assessment of the millimetre-range electromagnetic wave (EHF) effect within a three-component model of cytostatic exposure. That is ensured by a thymus exposure in the group of animals to the millimetre-range electromagnetic wave (EHF) effect at wavelength 5.6 mm for 2 weeks every 1-2 days. A single exposure of the physical factor makes 1-2 minutes for 2 weeks every 1-2 days. That is followed by simulating a surgical intervention by opening and closing a peritoneum. On the seventh postoperative day, the animals are exposed to three-fold fractionated external gamma exposure in a single dose of 2.5 Sv every single day. Thereafter, cyclophosphan is administered intraperitoneally in a dose of 4 mg/100 g of animal's body weight. On the 14th day after the cytostatic is administered, the animals are killed to examine their blood and immune competent organs. That is combined with determining a thymus cellularity (TC) in 106cell./100 mg of its weight, a functional lymphocyte activity in a nitroblue tetrazolium test (NTT) in units, a spleen antibody-forming cell (AFC) count according to N.K.Erne in cells/"чП", apoptosis in an annexin test (AT), %, blood serum circulating immune complex (CIC) in units. That is followed by calculating a physical factor effect index (FI) by formula:
EFFECT: method provides the objective assessment of the millimetre-range electromagnetic wave (EHF) effect within the three-component model of the cytostatic exposure.
1 tbl, 3 ex
SUBSTANCE: impact with a pulsed low-intensity electromagnetic field by means of the INFIT apparatus is performed at the background of standard treatment, an impact duration is 15 minutes; the course of treatment constitutes 10 daily procedures. Additional sessions are carried out daily on the platform coordination, balance, strength (COBS) for 25 minutes; the course of treatment constitutes 10 sessions. The said session is carried out 2 hours after the impact with the pulsed low-intensity electromagnetic field.
EFFECT: method makes it possible to improve the muscular tone, realise correction of present motor skills and form new ones.
SUBSTANCE: invention refers to agents for non-invasive microwave energy supply in therapy. A system for microwave energy application to a tissue comprises a signal generator at a frequency within the range of 5 GHz and 6.5 GHz, an irradiator comprising one or more microwave antennas, and a contact area with the tissue with the microwave antenna configured to emit polarised electromagnetic radiation so that an electrical field component of electromagnetic radiation is parallel with the outer layer of skin, a vacuum source coupled with the contact area with the tissue, a cooling source and a controller configured to control the signal generator, vacuum source and cooling source. The system can comprise a fluid chamber arranged between the microwave antenna and the tissue, and a cooling plate between the cooling chamber and the tissue. Also, the system can be presented to generate an energy loss density profile which has a peak energy loss density within a layer of the target tissue. In the microwave energy supply device in the system, a cooling fluid between a cooling element and a microwave energy supply unit has a dielectric constant greater than that of the cooling element. According to the other version, the device comprises a vacuum chamber configured to lift the tissue with the target area, and contacting the tissue with the cooling plate with the cooling plate presented to contact the skin surface above the target area, to cool the skin surface and to separate the skin tissue from the microwave energy supply unit. In a damage formation system, in the first tissue layer, microwave energy from the antenna forms a damage extending within the peak energy loss. According for the other version, a vertical wave structure is generated in the first layer with a distance from a peak constructive interference to the skin surface being more than a distance from the peak constructive interference to an interface of the first and second layers. In a temperature increase system of at least a part of the tissue structure below the interface of a dermal layer and a sub-dermal layer, there is an energy supply unit and a unit for heat removal from the skin surface and at least a part of the upper dermal layer.
EFFECT: using the invention enables to extend the range of aids for microwave therapy.
19 cl, 51 dwg
SUBSTANCE: method involves a dietary therapy, taking mineral water in an amount of 100-150 ml, 3 times a day and exposure to a physical factor. What is used is the Pevzner's diet No. 5. Karachinskaya chloride-hydrocarbonate sodium gas-free mineral water of total mineralisation up to 3 g/dm3, at a temperature of 38-40°C is taken 30-40 minutes before a meal. The physical factor represents a magnetic laser therapy and an EHF therapy. The contact magnetic laser therapy covers three zones sequentially at a frequency of 5 Hz: an epigastric zone and the right and left upper hypochondria along the midclavicular lines, for 4 minutes for each zone within the course of 10 procedures. The EHF therapy involves combined exposure on two projection zones: in the right hypochondrium and on the sternum generated by a broadband noise emitter at an emission frequency of 40-63 GHz, for 20 minutes, every day within the course of 10 procedures.
EFFECT: method provides more effective rehabilitation treatment following endoscopic cholecystectomy ensured by the early integrated therapeutic exposure.
2 ex, 4 tbl
SUBSTANCE: invention refers to therapeutic systems for releasing energy into the target point. A therapeutic system comprises a therapeutic module for induction heating of the target zone which is made with the possibility of measuring the temperature in the measurement field of the target zone, and a control module for therapeutic module control which is made with the possibility of creating a prior estimate of the induction heating before the energy releases basing on the measured temperature, the successive energy releases are divided by a cooling period. The control module is additionally made with the possibility of prior estimating the cooling period basing on the estimate of the induction heating before the energy releases and with the possibility of adjusting the cooling period basing on the cooling period estimate. Machine readable medium of the system contains a computer programme which is saved on it and, when implemented, order the therapeutic module to perform successive energy releases and includes instructions to create a prior estimate, adjustment of the therapeutic module and creation of prior estimate of the cooling period before the energy releases.
EFFECT: invention allows for improved accuracy of energy releasing into the target zone.
10 cl, 2 dwg
SUBSTANCE: invention refers to therapeutic devices for releasing energy into the target point. A therapeutic system comprises a therapeutic module made with the possibility of successive releases of energy into the target zone, the successive releases are divided by a cooling period, a thermometer module made with the possibility of measuring the maximal temperature in the measurement field placed beyond the focus of the released energy, and a control module made with the possibility of adjusting the cooling period depending on the measured maximal out-of-focus temperature during the period of energy releasing before the cooling period. Machine readable medium of the system contains a computer programme saved on it and including the instructions which, when implemented, order the therapeutic system to perform successive energy releases, measurements of maximal temperature and adjustment of cooling period basing on the measured maximal out-of-focus temperature during the period of energy releasing before the cooling period.
EFFECT: invention allows for improved accuracy of energy releasing into the target zone for more exact setting of the cooling period.
3 cl, 2 dwg
SUBSTANCE: learners are affected by electromagnetic radiation of extremely high frequency with the modulations of frequency range from 43 GHz to 44 GHz. Simultaneously with the electromagnetic radiation 0.2 g of caffeine is administered. This combined effect is carried out for 20 minutes in the morning hours daily as a course of 5 procedures.
EFFECT: effective recovery of mental capacity, long-lasting maintenance of the results achieved, easy in performing.
SUBSTANCE: invention refers to medicine, namely to the detection of abnormal temperatures of biological object's internal tissues, and may be used for the noninvasive early identification of a cancer risk. An applicator array comprises a first wave guide segment filled partially or completely with a dielectric, having one closed end and an opposite open end contacting with a biological object, a first electromagnetic wave excitation system built into the first wave guide between the closed end of the first wave guide and the dielectric, connected to a first input of a microwave radio thermometer, a second wave guide segment filled partially or completely with the dielectric, having one closed end and the opposite open end contacting with the biological object, built into the first wave guide, as well as a second electromagnetic wave excitation system built into the second wave guide between the closed end of the second wave guide and the dielectric, connected to a second input of the microwave radio thermometer. Besides the applicator array, the measuring device for temperature changes comprises a calculator coupled with temperature sensors and the microwave radio thermometer.
EFFECT: using the invention enables higher sensitivity of the method for the radio temperature measurement applicable for cancer detection.
15 cl, 12 dwg
SUBSTANCE: invention refers to hyperthermia equipment. An apparatus comprises an electromagnetic energy transmission facility for targeting the energy, comprising at least one conductive metallic electrode material in the form of a coating or a mesh wire; a flexible carrier surface is coated with the conductive metallic electrode material. The coated flexible carrier is porous and allows for a through water and sweat transport. The conductive metallic electrode material makes the flexible carrier in the form of the mesh wire; it is porous and allows for the through water and sweat transport via the flexible carrier. The metallic electrode material is not isolated from the skin; it is opposite to at least one counter electrode or one oppositely charged capacitor electrode, or the coated flexible carrier or mesh wire consists of the number of positive and negative sections or the number of positive and negative electrodes that represent an array of alternating positive and negative sections or an array of positive and negative electrodes. The electromagnetic energy transmission facility is attached to a radio-frequency source providing radio frequencies within the range of 10 kHz to 50 MHz.
EFFECT: using the invention enables higher and easier usability of the apparatus.
11 cl, 4 dwg
SUBSTANCE: preparatory, therapeutic and rehabilitation stages are performed. The preparatory stage involves analysing the previous medical history taken by at least three specialists: a psychologist, a psychotherapist and an ozone therapy specialist. The therapeutic stage involves a rational psychotherapy with feeding biological self-regulating system information in various forms and congestion, as well as in a strict sequence of brain activity rhythms. At the rehabilitation stage, the patient performs unassisted home psychotherapeutic sessions according to the individual program with the use of players.
EFFECT: method enables providing the higher therapeutic effectiveness by enhancing the individual patient's ability to recognise positive possibilities and rehabilitation in the line with the health lifestyle by the integrated treatment, activation of individual's ability training to rehabilitate.