MD1064Z - Method for treating lower extremity varicose veins dilatation - Google Patents
Method for treating lower extremity varicose veins dilatation Download PDFInfo
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- MD1064Z MD1064Z MDS20160024A MDS20160024A MD1064Z MD 1064 Z MD1064 Z MD 1064Z MD S20160024 A MDS20160024 A MD S20160024A MD S20160024 A MDS20160024 A MD S20160024A MD 1064 Z MD1064 Z MD 1064Z
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Abstract
Description
Invenţia se referă la medicină, în special la o metodă combinată de tratament al bolii varicoase a membrelor inferioare. The invention relates to medicine, in particular to a combined method of treating varicose veins of the lower limbs.
Boala varicoasă este o maladie cronică ce se caracterizează prin dilatarea permanentă a venelor şi dereglări trofice ale ţesuturilor înconjurătoare. Cauzele apariţiei acestei maladii sunt sedentarismul persoanelor, care au un metabolism lent şi înclinaţie spre stagnare de lichide, greutatea supraponderală, factorii ereditari. Venele dilatate apar, de obicei, odată cu înaintarea în vârstă. Pereţii venelor scad în elasticitate şi în capacitatea de a se contracta. Cel mai frecvent sunt afectate venele membrelor inferioare. Conform unor statistici medicale din SUA, Marea Britanie, Rusia, boala varicoasă a membrelor inferioare afectează până la 20% din populaţie. Varicose veins are a chronic disease characterized by permanent dilation of the veins and trophic disorders of the surrounding tissues. The causes of this disease are the sedentary lifestyle of people who have a slow metabolism and a tendency to fluid stagnation, overweight, hereditary factors. Dilated veins usually appear with age. The walls of the veins decrease in elasticity and ability to contract. The veins of the lower limbs are most often affected. According to medical statistics from the USA, Great Britain, Russia, varicose veins of the lower limbs affect up to 20% of the population.
În fazele iniţiale când sunt afectate venele profunde pacienţii nu prezintă acuze. Ulterior pacienţii acuză greutate în picioare, oboseală precoce, distensie, apoi dureri moderate sau pronunţate în cazul apariţiei tromboflebitei, edeme nesimetrice, crampe musculare. Dacă nu se intervine cu tratamente, mai târziu apar dereglări trofice care la primele etape se caracterizează prin hiperpigmentarea pielii şi induraţie locală a stratului subcutanat. În stadiile tardive se dezvoltă ulcere trofice şi tromboflebite cu pericol de tromboembolie. In the initial stages when the deep veins are affected, patients do not present any complaints. Later, patients complain of heaviness in the legs, early fatigue, distension, then moderate or pronounced pain in the event of thrombophlebitis, asymmetric edema, muscle cramps. If no treatment is provided, trophic disorders later appear, which in the early stages are characterized by hyperpigmentation of the skin and local induration of the subcutaneous layer. In the late stages, trophic ulcers and thrombophlebitis develop with the risk of thromboembolism.
Principalele momente patogenetice sunt: insuficienţa valvulară a sistemului venos; obstacole în refluxul venos, schimbări degenerative în peretele venelor, dereglări în sistemul de coagulare a sângelui (formarea trombelor cu obliterarea venulelor), dereglări de hemodinamică venoasă, şuntarea sângelui prin anastomozele artero-venoase (cu dereglări de trofică a ţesuturilor) ş.a. The main pathogenetic moments are: valvular insufficiency of the venous system; obstacles in venous reflux, degenerative changes in the vein wall, disorders in the blood coagulation system (thrombus formation with obliteration of venules), venous hemodynamic disorders, blood shunting through arteriovenous anastomoses (with tissue trophic disorders), etc.
Se cunoaşte metoda de tratament în dilatarea varicoasă a venelor membrelor inferioare, care include aplicarea lipitorilor pe traiectul venelor dilatate, pe zonele hepatice, renale şi suprapubiene. O cură de tratament poate include de la 8 până la 14 şedinţe cu aplicarea de la 2 până la 5 lipitori (în medie 3…4). There is a known method of treatment for varicose veins of the lower limbs, which includes the application of leeches along the path of the dilated veins, on the hepatic, renal and suprapubic areas. A course of treatment can include from 8 to 14 sessions with the application of 2 to 5 leeches (on average 3…4).
Dezavantajul acestei metode constă în perioada mai îndelungată de tratament şi aplicarea mai multor lipitori la o şedinţă. The disadvantage of this method is the longer treatment period and the application of multiple leeches in one session.
Problema pe care o rezolvă invenţia propusă este majorarea eficienţei tratamentului, micşorarea timpului de tratament, creşterea duratei remisiei. Acest obiectiv se realizează prin aceea că metoda de tratament al bolii varicoase include prescrierea unui anumit regim alimentar şi a dietei, sanarea intestinului, indicarea unei reţete fitoterapeutice şi aplicarea acupuncturii. The problem solved by the proposed invention is to increase the efficiency of treatment, reduce the treatment time, and increase the duration of remission. This objective is achieved by the fact that the method of treating varicose veins includes prescribing a certain food regimen and diet, cleansing the intestines, prescribing a phytotherapeutic recipe, and applying acupuncture.
Esenţa invenţiei constă în aceea că se indică o dietă fără produse de natură animală, bogată în cereale, boboase, fructe şi legume, timp de o lună, concomitent se indică un amestec de 4…6 plante sub formă de pulbere, luate în proporţii egale şi selectate în dependenţă de patologiile concomitente, şi anume pentru îmbunătăţirea troficii, cu efect antiedemic, hepatoprotector, expectorant, antiinflamator, cardiotonic, antiaritmic, antispastic, antihistaminic şi diuretic, care se administrează câte o linguriţă de ceai de 4 ori pe zi, cu 20 min înainte de mâncare, timp de 1…1,5 luni, apoi peste două săptămâni de la administrarea plantelor se efectuează hirudoterapia în regiunile venelor dilatate şi cu schimbări trofice ale pielii, în regiunile de proiecţie a pancreasului, ficatului şi rinichilor, de asemenea în punctele bioenergetice de proiecţie a organelor menţionate pe traiectul coloanei vertebrale cu aplicarea a 3…5 lipitori la o şedinţă, timp de 1…2 ore, se efectuează 8…12 şedinţe, de 2 ori pe săptămână, totodată, concomitent cu hirudoterapia în dependenţă de patologiile concomitente se efectuează acupunctura în punctele meridianului splinei/pancreasului: RP2, RP3, RP6, RP8, şi/sau punctele meridianului ficatului: F2, F3, F8 şi/sau punctele meridianului rinichiului: R3, R4, R6, R7, R10. The essence of the invention is that a diet without animal products, rich in cereals, berries, fruits and vegetables, is indicated for a month, simultaneously a mixture of 4...6 plants in powder form is indicated, taken in equal proportions and selected depending on the concomitant pathologies, namely for improving trophism, with anti-edema, hepatoprotective, expectorant, anti-inflammatory, cardiotonic, antiarrhythmic, antispasmodic, antihistamine and diuretic effects, which is administered one teaspoon 4 times a day, 20 minutes before meals, for 1...1.5 months, then two weeks after the administration of the plants, hirudotherapy is performed in the regions of dilated veins and with trophic changes of the skin, in the projection regions of the pancreas, liver and kidneys, also in the bioenergetic projection points of the mentioned organs on the spine with the application of 3...5 leeches at one session, for 1…2 hours, 8…12 sessions are performed, 2 times a week, at the same time, simultaneously with hirudotherapy, depending on the concomitant pathologies, acupuncture is performed in the spleen/pancreas meridian points: RP2, RP3, RP6, RP8, and/or the liver meridian points: F2, F3, F8 and/or the kidney meridian points: R3, R4, R6, R7, R10.
Avantajele invenţiei constau în aceea că toate remediile folosite sunt 100% naturale. Regimul alimentar reglează ritmul digestiei, iar dieta permite ca organismul să se elibereze de toxine, îmbunătăţeşte digestia şi normalizează metabolismul. Plantele sunt folosite într-o proporţie determinată în prealabil şi stimulează funcţiile organelor afectate, având calităţi de dezintoxicare, metabolice, laxative, coleretice, hepatoprotectoare, imunomodulatorii ş.a. Dezintoxicarea se stimulează prin 3…4 proceduri de hidrocolonoterapie. În cazul prezenţei contraindicaţiilor se pot folosi laxative: Folium sennae, rădăcină de rubartă. The advantages of the invention are that all the remedies used are 100% natural. The diet regulates the rhythm of digestion, and the diet allows the body to free itself from toxins, improves digestion and normalizes metabolism. The plants are used in a previously determined proportion and stimulate the functions of the affected organs, having detoxification, metabolic, laxative, choleretic, hepatoprotective, immunomodulatory, etc. qualities. Detoxification is stimulated by 3…4 procedures of hydrocolonotherapy. In the presence of contraindications, laxatives can be used: Folium sennae, rubarta root.
Până în present au fost descoperite circa 300 substanţe biologic active în secretul din glandele lipitorilor. Unele dintre ele sunt: hialuronidaza - ferment ce catalizează reacţia de descompunere hidrolitică şi depolimerizare a acidului hialuronic; substanţe histaminice - produc dilatarea vaselor sangvine; hirudina - inhibitoarea trombinei; bacteria simbiont (Aeromonas hidrophyla) cu activitate proteazică - este foarte agresivă faţă de alţi microbi, este un imunostimulator puternic; colagenaza - descompune ţesuturile aderenţiale şi cicatriciale; colisterinesteraza - acţiune antisclerotică; prostanoidele - inhibă agregarea trombocitelor; inhibitor al factorului XII (Hagheman) - acţiune antitrombotică; substanţe biologic active din grupul prostaglandinelor - efect hipotensiv; substanţe similare endorfinelor. So far, about 300 biologically active substances have been discovered in the secretion of leeches' glands. Some of them are: hyaluronidase - an enzyme that catalyzes the reaction of hydrolytic decomposition and depolymerization of hyaluronic acid; histamine substances - cause dilation of blood vessels; hirudin - a thrombin inhibitor; symbiotic bacteria (Aeromonas hydrophyla) with protease activity - it is very aggressive towards other microbes, it is a powerful immunostimulator; collagenase - breaks down adherent and scar tissues; cholesterol esterase - antisclerotic action; prostanoids - inhibit platelet aggregation; factor XII inhibitor (Hagheman) - antithrombotic action; biologically active substances from the prostaglandin group - hypotensive effect; substances similar to endorphins.
Rezultatul invenţiei constă în reglarea indicilor hemodinamici şi a tranzitului intestinal, ameliorarea circulaţiei sangvine periferice cu îmbunătăţirea troficii ţesuturilor, scăderea edemelor, dispariţia crampelor musculare. Hirudoterapia este destul de simplă, accesibilă în aplicare, puţin costisitoare. În baza rezultatelor obţinute, putem concluziona că metoda propusă este destul de eficientă în tratamentul bolii varicoase a membrelor inferioare şi poate fi o alternativă la metodele de tratament aplicate. The result of the invention is the regulation of hemodynamic indices and intestinal transit, improvement of peripheral blood circulation with improved tissue trophism, reduction of edema, disappearance of muscle cramps. Hirudotherapy is quite simple, accessible in application, not expensive. Based on the results obtained, we can conclude that the proposed method is quite effective in the treatment of varicose veins of the lower limbs and can be an alternative to the applied treatment methods.
Metoda se efectuează în felul următor: după consultaţie şi stabilirea diagnosticului, pacientului i se propune un regim alimentar, timp de o lună: dejun 07.00 - 07.30, prânz 13.00 - 14.00, cină 18.30 - 19.00; prescrierea dietei, care conţine produse alimentare uşoare în digestie, uscate, calde, picante, amare şi astringente în cantităţi mici sau moderate. Acestor calităţi corespund următoarele produse alimentare: lactate - unt (grăsimea nu mai puţin de 82%), chefir, caş; fructe - mere, pere, prune, cireşe, vişine, persici, banane, mai rar grepfrut; se exclud - pepene verde, citrice, nuci, ananas, avocado, cocos; dulce - miere de albine, zahăr: 1…2 linguriţe pe zi; leguminoase - fasole, mazăre, soia, năut, linte, bob; cereale - toate, fiind excluse grâul şi orezul; legume: toate, fiind excluse roşiile, castraveţii, vinetele şi cartofii; ouă - unul fiert bine la 2…3 săptămâni; condimente - turmeric zilnic câte 1/3 linguriţă de 3 ori pe zi până sau în timpul mesei sub formă de infuzie pe apă rece sau fierbinte sau se presoară pe mâncare. Este necesar de avut zilnic în alimentare condimente picante - piper negru, piper roşu, ardei iute, muştar, hrean, ceapă, usturoi. The method is carried out as follows: after consultation and diagnosis, the patient is offered a diet for a month: breakfast 07.00 - 07.30, lunch 13.00 - 14.00, dinner 18.30 - 19.00; prescription of a diet, which contains easy-to-digest, dry, warm, spicy, bitter and astringent foods in small or moderate quantities. The following food products correspond to these qualities: dairy products - butter (fat not less than 82%), kefir, cottage cheese; fruits - apples, pears, plums, cherries, sour cherries, peaches, bananas, less often grapefruit; excluded - watermelon, citrus fruits, nuts, pineapple, avocado, coconut; sweet - honey, sugar: 1...2 teaspoons per day; legumes - beans, peas, soybeans, chickpeas, lentils, grains; cereals - all, excluding wheat and rice; vegetables: all, excluding tomatoes, cucumbers, eggplants and potatoes; eggs - one well-boiled egg every 2…3 weeks; spices - turmeric daily 1/3 teaspoon 3 times a day before or during meals as an infusion in cold or hot water or sprinkled on food. It is necessary to have spicy spices in the diet daily - black pepper, red pepper, chili pepper, mustard, horseradish, onion, garlic.
În dependenţă de prezenţa complicaţiilor sau bolilor concomitente se vor folosi următoarele plante: 1. Edem - coada-calului, troscot, mătase de porumb 2. Plăgi trofice - schinduf, gălbenele, sunătoare. 3. Pigmentarea pielii - schinduf, păpădie, armurariu. 4. Patologie pulmonară - tei, captalan, potbal. 5. Patologie cardio-vasculară - talpa-gâştei, păducel, lavandă. 6. Patologie gastrică - turmeric, muşeţel, sunătoare. 7. Patologie renală - pol-pala, anghinare, cozi de cireşe. Acestea se administrează în modul următor: se iau din grupul respectiv 4…6 plante, în proporţii egale, care se macină la râşniţa de cafea, după care se amestecă, apoi acest amestec de pulberi se administrează câte o linguriţă de ceai de 4 ori pe zi, cu 20 min înainte de mâncare. Plantele se vor folosi cel puţin 1,5 luni. Depending on the presence of complications or concomitant diseases, the following plants will be used: 1. Edema - horsetail, coltsfoot, corn silk 2. Trophic wounds - fenugreek, marigold, St. John's wort. 3. Skin pigmentation - fenugreek, dandelion, milk thistle. 4. Pulmonary pathology - linden, captalan, coltsfoot. 5. Cardiovascular pathology - goosefoot, hawthorn, lavender. 6. Gastric pathology - turmeric, chamomile, St. John's wort. 7. Renal pathology - pol-pala, artichoke, cherry tails. These are administered in the following way: 4...6 plants are taken from the respective group, in equal proportions, which are ground in a coffee grinder, after which they are mixed, then this mixture of powders is administered one teaspoon 4 times a day, 20 minutes before meals. The plants will be used for at least 1.5 months.
Hirudoterapia se începe peste două săptămâni de la administrarea plantelor. Aplicarea lipitorilor se face în modul următor: se acţionează pe punctele locale (regiunile cu venele dilatate şi cu schimbări trofice ale pielii), generale (regiunile de proiecţie a pancreasului, ficatului şi rinichilor) şi bioenergetice de proiecţie a organelor menţionate pe traiectul coloanei vertebrale. Terapia cu lipitori se efectuează de la 8 până la 12 şedinţe, de 2 ori pe săptămână, se aplică câte 3…5 lipitori la o singură şedinţă, până la saturaţia deplină a acestora (1…2 ore). În timpul şedinţei de hirudoterapie, se efectuează şi acupunctura în dependenţă de diagnosticul de bază (punctele meridianului splinei/pancreasului: RP2, RP3, RP6, RP8 şi/sau punctele meridianului ficatului: F2, F3, F8 şi/sau punctele meridianului rinichiului: R3, R4, R6, R7, R10). Hirudotherapy begins two weeks after the administration of the plants. The application of leeches is done in the following way: local points (regions with dilated veins and trophic changes in the skin), general (projection regions of the pancreas, liver and kidneys) and bioenergetic points of projection of the mentioned organs along the spine are acted on. Leech therapy is performed from 8 to 12 sessions, 2 times a week, 3…5 leeches are applied in one session, until their full saturation (1…2 hours). During the hirudotherapy session, acupuncture is also performed depending on the basic diagnosis (spleen/pancreas meridian points: RP2, RP3, RP6, RP8 and/or liver meridian points: F2, F3, F8 and/or kidney meridian points: R3, R4, R6, R7, R10).
Exemplu Example
Pacientul N., anul naşterii 1950, s-a adresat pentru consultaţie şi tratament în cabinetul de hirudoterapie, secţia reabilitare medicală şi medicină fizică a Spitalului SM al MAI. Acuzele: dureri, edeme în regiunea membrelor inferioare, crampe musculare. Obiectiv: vene dilatate în regiunea gambelor preponderent pe stânga, dereglări trofice şi edeme în regiunea articulaţiei talocrurale. A fost indicat următorul tratament: regim alimentar şi dietă, plante medicinale: anghinare, coada-calului, salvie şi roiniţă, după metoda descrisă. Peste două săptămâni a revenit din nou pentru hirudoterapie şi acupunctură. Schema aplicării lipitorilor: 1 şedinţă - regiunea articulaţiei genunchiului partea medială (2 lipitori); a II-a şedinţă - regiunea ficatului şi a ombilicului (3 lipitori); a III-a şedinţă - regiunea articulaţiei talocrurale din ambele părţi (4 lipitori). După a III-a şedinţă edemele au scăzut, a dispărut senzaţia de greutate în membrele inferioare. A IV-a şedinţă - regiunea fosei poplitee (3 lipitori); a V-a şedinţă - regiunea lombară şi sacrală (3 lipitori); la şedinţele VI-IX lipitorile au fost aplicate pe membrele inferioare lângă venele varicoase. După a IX-a şedinţă au dispărut edemele, crampele musculare, pe traiectul venelor nu se palpau focare de induraţie, culoarea pielii din regiunea articulaţiei talocrurale aproape s-a normalizat. Pe parcursul tuturor şedinţelor s-a efectuat acupunctură (pe meridianele indicate mai sus). Datorită combinaţiei metodelor naturale de tratament: regim alimentar, dietă, fitoterapie, hirudoterapie şi acupunctură s-a obţinut un rezultat bun. Prin metoda propusă au fost trataţi 50 de pacienţi cu boala varicoasă a membrelor inferioare în cadrul spitalului MAI. În urma studierii rezultatelor obţinute, putem concluziona că metoda propusă este destul de eficientă în tratamentul bolii varicoase a membrelor inferioare şi este o alternativă la metodele de tratament aplicate. Patient N., born in 1950, went for consultation and treatment in the hirudotherapy office, medical rehabilitation and physical medicine department of the SM Hospital of the Ministry of Internal Affairs. Complaints: pain, edema in the lower limbs, muscle cramps. Objective: dilated veins in the calf region, mainly on the left, trophic disorders and edema in the talocrural joint region. The following treatment was indicated: food regimen and diet, medicinal herbs: artichoke, horsetail, sage and lemon balm, according to the described method. Two weeks later, he returned again for hirudotherapy and acupuncture. Leech application scheme: 1st session - medial knee joint region (2 leeches); 2nd session - liver and navel region (3 leeches); 3rd session - talocrural joint region on both sides (4 leeches). After the 3rd session, the edema decreased, the feeling of heaviness in the lower limbs disappeared. The 4th session - the popliteal fossa region (3 leeches); the 5th session - the lumbar and sacral region (3 leeches); at the 6th-9th sessions, the leeches were applied to the lower limbs near the varicose veins. After the 9th session, the edema and muscle cramps disappeared, no foci of induration were palpable along the vein path, the skin color in the talocrural joint region almost normalized. During all sessions, acupuncture was performed (on the meridians indicated above). Thanks to the combination of natural treatment methods: diet, nutrition, phytotherapy, hirudotherapy and acupuncture, a good result was obtained. 50 patients with varicose veins of the lower limbs were treated with the proposed method at the MAI hospital. After studying the results obtained, we can conclude that the proposed method is quite effective in the treatment of varicose veins of the lower limbs and is an alternative to the applied treatment methods.
1. Каменев Ю., Каменев О. Вам поможет пиявка. С.Пб., ЗАО "Весь", 2006, p. 85-87 1. Kamenev Yu., Kamenev O. The leech will help you. С.Пб., ЗАО "Весь", 2006, p. 85-87
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| Ablatia endovenoasa. Un tratament eficace al bolii varicoase fara internare, in regim ambulator. Esthetiq Magazine. Cluj-Napoca № 6, 2011, p. 14-16 * |
| Morrison N. Laser treatment of the incompetent saphenous vien. In: Gloviczki P., editor. Handbook of venous disorders: guidelines of the American Venous Forum. 3rd ed. London: Hodder Arnold, 2009, p. 418-428 * |
| Каменев Ю., Каменев О. Вам поможет пиявка. С.Пб., ЗАО "Весь", 2006, p. 85-87 * |
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