RU1777869C - Method for treatment of female infertility of inflammatory genesis - Google Patents

Abstract

Usage: in gynecology. SUMMARY OF THE INVENTION: hydrogen sulfide balneotherapy is carried out in a 2-phase rhythm in the early stages after acute or exacerbation of chronic inflammation of the appendages against the background of trypsin phonophoresis. Phonophoresis is carried out on the supra-inguinal regions using the mobile method in a pulsed mode, generation with a power of 0.2-0.4-0.6 W / cm2, duration 6-10 minutes, for a course of 10 procedures. Positive effect, prevents relapse and restores reproductive function. 2 tab.

Description

The invention relates to medicine, namely to gynecology, and can be used to treat female infertility in sulfide resorts.

A method is known for treating female infertility, which in a large majority of women is associated with a past or ongoing inflammation of the uterus.

Closest to the invention is a method of treating female infertility with inflammatory genesis by hydrogen sulfide balneotherapy and phonophoresis of vitamin E.

However, the known method is used in women with chronic inflammation of the appendages or with residual effects of an inflammatory process.

The purpose of the invention is the prevention of relapse of inflammation of the internal genital organs and the restoration of the reproductive function of women.

This goal is achieved by the fact that against the background of trypsin phonophoresis, bagcheaprocedures are performed in a 2 "phase rhythm in the early stages after acute or exacerbation of chronic inflammation of the uterine appendages

The method is carried out as follows.

After minimal adaptation (1-2 days), patients undergo phonophoresis of trypsin (or chymotrypsin) - in dimexide, namely: trypsin 0.2; dimexide -30.0; diphenhydramine 1.0; lanolin 40.0, peach oil 100.0.

Phonophoresis is carried out on the suprapubin-inguinal region using the mobile method in a pulsed mode of generation with a power of 0.2-0.4-0.6 W / cm2, duration from 6 to 10 minutes

From the 3rd day of their stay at the resort, hydrogen sulfide balneotherapy is started in the form of vaginal irrigation of 100-150 mg / l at a water temperature of 38-40 degrees, 10-15 minutes and subsequent (after 15-20 minutes) shared baths with varying concentrations of hydrogen sulfide in 2-phase rhythm 50 150 50

with

with

VI VI VI о о о ю

rv / i gorodorodp, ia course of treatment up to 10 procedures

Example p. Sick D., 31 years old. Diagnosis: subspoo inflammation of the appendages. Dysmenor. Infertility P. For the first time, acute inflammation of the appendages 4 months ago, was treated about a hospital. After 2 months, an exacerbation with an infectious-toxic component occurred, was re-treated in a hospital, and active antibacterial therapy was carried out; after 2 weeks of treatment in a hospital, she was sent to the institute's clinic. Interest in pregnancy pays attention, 1- pregnancy ended with / a 1 year ago. In the last 3 months, he noted painful menstruation and constant pain in the lower abdomen.

During examination: infiltrative-adhesive changes in the appendages on the background of a moderate decrease in HB, dysproteinemia with an increase in alpha-one-globulin, alpha-one-AT 2.1 g / l are expressed.

ceruloplasmin 0.34 g / l with a low content of alpha-two globulins, with pronounced changes in the pelvic WG, indicating ischemia and congestion in the pelvic basin. Bacterioscopy of cervical secretions revealed cocco-rod-shaped flora, Kondida mushrooms and white blood cells in large numbers

The patient was treated with the proposed method.

Scheme vacation procedures are shown in table. 1.

The patient suffered well treatment. The next menstruation passed on time, without pain. From the side of gynecological status and laboratory test data, a positive dynamics was noted: the proteinogram normalized, alpha-one-globulin-AT 1.7 g / l, ceruloplasmin decreased to 0.28 g / l. The result of lechichiosis is evaluated at two points (at maximum - which corresponds to a significant GOL1 improvement).

According to long-term results after 1 year: no complaints, no recurrence of inflammation, menstrual function normalized, 2-phase cycle. Treatment efficacy

during the studies, it was evaluated using a 3-point system, where 3 points - a significant improvement - the complete disappearance of all complaints; 2 points - improvement - normalization of laboratory data with

residual signs of inflammation; 1 point - a slight improvement - positive dynamics of subjective and objective data.

A total of 128 patients were examined, of which

treatment by the proposed method was carried out in 31 women (with subacute inflammation of the appendages - 17, with incomplete remission after exacerbation of the chronic inflammatory process - 9, with primarily chronic

the course of the inflammatory process - 5), the best results in patients with subacute inflammation of the appendages, 6 of which were discharged practically healthy (Table 2). Thus, carrying out hydrogen sulfide balneotherapy in a gentle mode of shared baths (2-phase rhythm) against the background of trypsin phonophoresis allows for the phased rehabilitation of the reproductive function of women who underwent acute or exacerbation of chronic inflammation of the uterine appendages no more than 4 weeks ago. As can be seen from the table. 2 comparative treatment efficacy, the proposed method is almost healthy - are

Claims (1)

19.3% with a significant improvement of 41.9%. SUMMARY OF THE INVENTION A method for the treatment of female infertility with inflammatory genesis, including hydrogen sulfide balneotherapy, which includes, in order to prevent relapse and restore reproductive function, balneotherapy is carried out in a two-phase rhythm in the early stages after acute or exacerbation of chronic inflammation of the uterine appendages against the background of trypsin phonophoresis. Table 1 t-h-i