RU2064297C1 - Method for treating enteritis - Google Patents

Abstract

FIELD: medicine. SUBSTANCE: method involves carrying out manual therapy of the vertebral column at the D12-L5 level with force of 15-25 kg/sm² applied during 12-15 procedures. EFFECT: enhanced effectiveness of treatment.

Description

 The invention relates to medicine and can be used in the treatment of enteritis.

 A known method for the treatment of enteritis, including physical effects (thermal, electric, mud) 1.

 However, the known method is not effective enough and cannot be applied in the acute period and at the height of exacerbation of chronic enteritis.

 The goal is to increase the effectiveness of treatment.

This goal is achieved by the fact that as a physical impact apply manual impact on the spine in the area D ₁₂ L ₅ with a force of 15 25 kg / cm ² for 12 15 sessions.

 In the occurrence of enteritis, a significant role is played by the nature of the blood supply to one or another part of the small intestine (in particular, the relatively reduced blood supply in the ileum), the nature of the binding of the bacterial agent or its toxin to the epithelial cells of the small intestine (for example, cholera toxin binds to the epithelial cell quickly and irreversibly , unlike the E. coli toxin, it stimulates the activity of cell adenylate cyclase, which causes constant secretion of isotonic fluid). The regulation of intracellular adenylate cyclase can also be carried out by efferent nerve mechanisms. Thus, acting on the efferent part of the innervation of the small intestine, it is possible, on the one hand, to restore and improve the blood circulation of individual sections of the small intestine, and, on the other hand, to regulate the nature of metabolic processes in enterocytes, especially those damaged as a result of fixation of microbial, viral and toxic agents.

 In connection with the foregoing, the use of manual therapy, which restores the efferent link of organ conservation, for enteritis is indicated.

 The method is as follows.

 Upon receipt of the patient, determine the nature of the onset of the disease. Enteritis usually begins acutely, diarrhea, nausea, vomiting, pain in the upper abdomen, headache, weakness appear. Pallor, dry tongue, bloating, swelling of the stool up to the development of muscle cramps, lowering blood pressure and bradycardia are noted.

 In the case of a chronic course of stool disorder, flatulence, pain with radiation to the region of the heart and accompanied by palpitations, shortness of breath.

 Fatigue, decreased performance, decreased appetite, trophic disorders (brittle bones, dry skin) are noted.

 A coprological study is carried out: the fecal reaction is acidic; microscopy reveals mucus, a large amount of plant fiber and unchanged muscle fibers, neutral fat and fatty acids.

 An X-ray study reveals changes in the relief of the mucous membrane (flattening and thickening of the folds of the mucosa) and impaired motor-evacuation function of the intestine, gas accumulation in the intestine and an increase in fluid in the lumen of the small intestine, a fine-spotted relief of the mucosa is noted, alternation of areas of decreased intestinal tone is characteristic (expansion of its lumen ) with places of increased (narrowing of the lumen of the intestine).

Then, a spinal and radiological examination of the spine is performed, and if vertebral displacement is detected at the level D ₁₂ - L ₅ , manual therapy is performed with an effort of 15 25 kg / cm ₂ d for 12 15 sessions.

 Manual therapy is carried out as follows: the interphalangeal joint of the third finger of one hand is placed under the spinous process of the displaced vertebra, the fingers of the other hand are located on the patient’s body, and the tenor-hypotenor region of this hand is placed on the back of the first hand’s hand and the movement is simultaneously accompanied by the appearance of a characteristic “crunch” restoration of the position of the vertebra. After a course of manual therapy, the patient’s general condition, heart activity, gastrointestinal tract are examined, coprological and radiological studies are performed.

 23 patients with acute enteritis and 13 patients with chronic enteritis were treated.

 In the group of patients with acute enteritis, 5 patients with dysenteric enteritis, 6 patients with salmonella enteritis, 6 patients with viral enteritis, 6 patients with enteritis with foodborne toxin infection were treated.

 The performed manual therapy made it possible to completely remove patients with acute enteritis and 11 patients with chronic enteritis, in 2 patients with chronic enteritis with a long history of the disease and gross morphological changes of the small intestine, it was possible to double the period of remission.

 The method is confirmed by the following examples.

 Example 1. Patient S., aged 10, was admitted with complaints of vomiting, tenesmus, stool 4 times a day, mushy with an admixture of mucus and blood. Complaints of cramping periodic abdominal pain. On examination, the tongue is covered with a white coating, the abdomen is slightly swollen, painful on palpation, abdominal reflexes are reduced.

 Coprology: fecal reaction is acidic, with microscopy, the presence of leukocytes and red blood cells.

 Serology: passive hemagglutination reaction (RNGA) 1: 200.

 With n graphs: flattening of the folds of the mucosa, areas of expansion and narrowing of the intestinal lumen.

Spine and palpation of the spine. The following deviations of the position of the vertebrae were found; D ₁₂ to the right, L ₁ to the right, L _{5 to the} left.

Perform manual exposure by establishing the interphalangeal joint of the third finger of one hand under the spinous process of the displaced vertebra, the fingers of the other hand are located on the patient’s body, and the tenor-hypotenor area is located on the rear of the first hand, produce simultaneous movement with both hands until a characteristic “crunch” of restoration of position vertebra with a force of D ₁₂ 20 kg / cm ² , L ₁ 15 kg / cm ² , L ₅ 25 kg / cm ² . Conducted 12 sessions of manual therapy. Pain in the abdomen, tenesmus disappeared. The abdomen is not swollen, the abdominal reflexes are live, the stool is 1 2 times a day of usual consistency. Coprology: red blood cells, white blood cells, no mucus, acidic reaction. Serology: RNGA 1: 100. When radiography: folds of the mucous membrane of the usual configuration, normalization of motor-evacuation function of the small and large intestine. The patient was discharged in satisfactory condition. Follow-up for 3 years no relapse.

Example 2. Patient Oh, 25 years old, was admitted with complaints of paroxysmal abdominal pain, flatulence, profuse foamy stools of brown-green color with an admixture of mucus. -38 ^o , pale skin, retardation of the patient, vomiting, tongue is overlaid. ECG: QRS 0.11 sec, T / R 1/5, ST segment depression. Sowing stool: Salmonella 10 ⁵ . RIGA 1: 400. IgG - 28.6% IgA 17.4%
Spine and X-ray examination of the spine. The following deviations of the position of the vertebrae were found: D ₁₂ , L ₃ , L ₅ , perform manual exposure with a force of 18, 15, 20 kg / cm ² , respectively, for 15 sessions.

 After the treatment: there is no abdominal pain, mucus is the usual color and consistency. On palpation, the abdomen is painless. ECG: QRS 0.07 sec. T / R 1/3, DRS conventional configuration. Sowing feces of salmonella is not sown. RIGA 1: 100 immunoglobulins within normal limits.

 The patient was discharged in satisfactory condition. Follow-up for 4 years - no relapse.

 Example 3. Patient L., 33 years old, was admitted with complaints of upset stool, abdominal pain, flatulence, pain in the heart, shortness of breath. The patient notes increased fatigue, dry skin, brittle hair. Koprology acid reaction, the presence of a large number of fatty inclusions. When fluoroscopy: thickening of the folds of the mucosa, impaired motor-evacuation function of the intestine.

A palpation study of the spine was performed and a change in the position of the vertebrae was found: D ₁₂ , L ₁ , ₃ , L ₅ , manual exposure was performed with an effort of 20, 18, 18, 25 kg / cm ² for 14 sessions.

 After a course of manual therapy, abdominal pain, flatulence, pain in the heart do not bother the patient. A chair of usual consistency 1 2 times a day. Coprology: mucus and fatty inclusions were not detected, the reaction is acidic. An X-ray examination of the folds of the mucosa without pathology normalizes the motor-evacuation function of the small intestine.

 The patient was discharged in satisfactory condition, no relapse during the 5-year follow-up observation.

Claims (1)

A method of treating enteritis, including physical exposure, characterized in that the vertebral displacement is detected at the level of D ₁₂ L ₅ , a manual effect is carried out aimed at restoring the position of the displaced vertebrae with an effort of 15-25 kg / cm.