Non-drug treatment methods for gynecological diseases - Causes, symptoms and treatment. MF.

Non-medicamentous treatment of gynecological diseases

Non-drug treatment includes:

• general massage,
• "collar zone" massage,
• underwater hydromassage,
• balneotherapy.

From hardware physiotherapy shows endosonal electrophoresis with vitamin B1, central electroanalgesia from the 5th-6th day of the menstrual cycle( 8-10 procedures).

Acupuncture sessions are performed after 1-2 days according to the scheme:

• 1st session - exposure to AT 51, 23, 28, 56( permanent button needles for 8-10 days) or TA daily for the same time - G14, TR 5, GI 1 1, E 36( toning up to 5 min);
• 2nd session: VG 1 1, V 11, V 43( toning up to 5 min);
• 3rd session: VG 4, V 2 3( toning up to 5 min);
• 4th session: V 25, V 31, V 33( toning up to 5 min);
• 5th session: VG 2, VG ​​4, F 12, RP 9( toning up to 5 minutes);
• 6th session: RPA, MC 6;
• 7th session: RP 6, VC 4;
• 8th session: R 5, R 6, R 12( dispersion up to 30-40 min);
• 9th session: G14, E36, C10( variance up to 40 min);
• 10th session: R 7, V 23, V 32( toning z to 5 min).

Treatment depending on the severity of the premenstrual syndrome

For mild forms of the disease, the sequence of treatment effects is as follows:

• aerotherapy;
• balneotherapy( coniferous, iodine-bromine, valerian, sage baths);
• hydroaeroionotherapy;
• general franklinization;
• central electroanalgesia, electrosleep;
• galvanization( anodic, endonasal).

After 6-8 weeks( break) - a course of total calcium electrophoresis( according to S. B. Vermel), balneotherapy( pearl, foamy, oxygen, nitrogen, radon baths), sanatorium treatment.

In the severe form of premenstrual syndrome treatment is carried out in two stages:

• Stage 1 - exposure to the adrenal gland by microwave deci-centimeter range, inductothermia, total quartz;
• Stage 2 - the holding of three therapeutic courses of physiotherapy is identical to the mild form of premenstrual syndrome.

Physiobalneotherapy

Physiobalneotherapy includes therapeutic muds, ozocerite, paraffin( "panties", vaginal tampons), sulfide baths, irrigation.

The laser therapy on the abdomen is carried out with the help of infrared laser, devices "Uzor" and AFDL-2, scanning technique, frequency - 300 pulses / min, exposure - 128 s, course - 10 sessions. A helium-neon laser( wavelength 0.63 μm, power density up to 100 mW / cm2) is used as a scattered beam into reflexogenic zones( exposure - 5-10 min.) Or by a focused beam through an optical fiber using an intrauterine technique.

With concomitant ovarian hypofunction, the use of only a helium-neon laser is more advisable.

Non-medicamentous detoxification of

Modern methods of non-drug detoxification are an integral part of complex therapy in the acute period of salpino-oophoritis.

Exchange plasmapheresis:

Can be performed in a discrete and continuous manner. The reinfusion of the exfused erythrocytes is carried out using native plasma or its components, fresh frozen plasma, dextrans, Ringer's solution as plasma-substituting solutions. The device PF-05 is used for blood exfusion. The number of sessions is 3-4 per course. It is advisable to combine the method with the UFOK;contraindicated in cardiovascular, pulmonary insufficiency, severe hypotension, anemia, hypoproteinemia, hemostasis violation.

Ultraviolet irradiation of blood( UFK):

It is carried out with the "Izolda" device MD73M, which allows to select the UV spectrum, dosage irradiation, provides sterility of blood sampling and return. For photomodification of blood, it is possible to use the PMK-1 apparatus.

The procedure of extracorporeal UFMC followed by autotransfusion: 50 ml of isotonic sodium chloride solution, 5000 units of heparin are taken into a 500 ml bottle;produce blood from the vein at a rate of 2-3.5 ml per 1 kg of the patient's weight. As a preservative, it is possible to use a gliggicira or tsitroglucofosfata - 50 ml in a standard vial. The amount of heparin administered once intravenously before surgery is also 5000 units. Blood is taken with a peristaltic pump;passing through the system through a quartz cuvette, it undergoes irradiation. Having recruited the required volume upon return( speed 30-40 cap / min), the blood is again irradiated and returned to the vein. The irradiation time is 15-20 min, the number of UFOK sessions is from 2 to 10( on average 3.0 + 0.4) with an interval of 3-5 days. More frequent procedures are undesirable because of short-term immunosuppression, preceding immunostimulation and possible cumulation of the suppressive effect in the photomodification of autoblood.

Extracorporeal hemosorption( HMS):

Carried out with the help of a special portable hemoperfusion system. The technique includes hemodilution in the pre-absorption period, pharmacological stimulation of transcapillary exchange during proper hemosorption, hemodilution in combination with pathogenetic therapy in the near post-absorption period. The duration of HMC from 40 to 90 minutes, the volumetric rate is 60-120 ml / min, the total volume of sorbed blood in one session is 4000-18000 ml. Access to the vascular system of the patient is performed by catheterization of large venous trunks. As hemosorbents, various grades of nitrogen-containing activated carbon SKN( spherical carbonate) are used. The course of treatment is 2-4 sessions of HMS.

Best results are noted after removal of the focus of purulent infection. The method improves hematological parameters and eliminates endogenous intoxication.

Laser Therapy:

Intravenous laser blood irradiation( VLOK) is used as an immunostimulant in the body with a variety of clinical effects.

Method: any laser apparatus generating a helium-neon laser( wavelength 0.63 μm) with a glass fiber microsvet light( diameter 200-400 μm) inserted into the vein of the patient is used. The power flux density is from 0.15 to 16 mW / cm2;Exposure of VLOK - 30-60 min, procedures are carried out daily, the course - 3-5 days. In acute salpingitis and exacerbation of chronic with intoxication, the use of a helium-cadmium laser( GCR) is shown: the wavelength is 444.6 nm, and the power density is 130-150 mW / cm2.Irradiation is carried out in parallel intensive therapy by affecting both inguinal areas( disseminated fasciculus), lateral vaginal arches, external shed( focused beam).Exposure of irradiation of one field is 30-90 seconds. The total time of the procedure is up to 20-30 minutes( depending on the divergence of the beam), the course is 15-20 sessions daily. When performing dynamic laparoscopy in some patients, a good effect is observed when using an ultraviolet laser( wavelength 0.337 μm / s with directly affected adnexa and uterus).