RU2106134C1 - Method for discontinuity of pregnancy at early terms - Google Patents

Abstract

FIELD: medicine, gynecology. SUBSTANCE: method deals with acupuncture upon corporal points of total, segmentally and local action and upon extrameridional points by making additional impact with electric current of constant and alternating polarity at inhibition and stimulation modes. Also, acupuncture is performed for auricular paired points AT: 28, 55, 58. EFFECT: higher efficiency.

Description

 The invention relates to medicine and can be used to terminate early pregnancy.

 A known method of terminating an early pregnancy is surgical abortion. An analysis of the consequences showed that with a gestational age of 7-8 weeks, artificial abortion causes fewer complications than with a gestational age of 5-6 weeks [1].

 The disadvantages of this method include all those that are inherent in invasive procedures: a possible injury to a woman’s body, surgical and / or hormonal.

 A known method of abortion using vacuum aspiration, which is currently called the "regulation of menstruation", "mini-abortion", "mini-aspiration" [2].

 Early abortion with vacuum aspiration is an easy operation. The well-being of patients during termination of pregnancy and after is quite satisfactory. No hospitalization required.

 However, the disadvantages of this method include all those that are inherent in invasive procedures.

 A known method of abortion in the first trimester using analogues of prostaglandins [3].

 The advantage of using prostaglandins compared with surgical abortion is the ability to avoid mechanical trauma and the development of ischemic-cervical insufficiency, which during subsequent pregnancies can contribute to the formation of habitual miscarriage.

 The use of vaginal suppositories of certain types of prostaglandins is effective enough for abortion, however, the general effect of prostaglandins on physiological functions has not yet been adequately studied. Thus, both surgical and drug methods of abortion do not exclude a woman’s body injury, surgical and / or hormonal.

 In this regard, methods of terminating pregnancy at the expense of the body's own reserves, without a traumatic invasion of physiological functions by it, seem to be justified. Such opportunities are presented by a method of abortion by the method of acupuncture, which has no side effects and is not able to lead to injury to the body.

 To date, only a few unproven attempts to use acupuncture for abortion are known [4].

 This method is the closest, however, it was inevitably doomed to conflicting results, since it implies the absence of objective unification of the gestational age at the time of the procedure.

 Classical acupuncture did not allow abortion for religious reasons, therefore acupuncture for abortion is the realization of the needs of Western medicine using this ancient Eastern method.

 The essence of the proposed method lies in the fact that abortion of early pregnancy is carried out by acupuncture in corporal paired points E 36 and RP 6, while additionally acupuncture in corporal paired points R 11, Gi 4, Gi 11, P 7, VB 34, V 60 non-meridian houses, as well as unpaired VC 2, VC 3, VC 4 with additional exposure to electric current with constant and varying polarity in the modes of braking and excitation, and they also acupuncture in auricular paired points AT 22, AT 23, AT 28 , AT 55, AT 58.

The differences in the proposed method of abortion is not only that acupuncture is carried out at additional relatively well-known points, but also in the direction and depth of the needles: until the intended sensations (bursting, chunk) are received, needles 5-7 of a size are inserted at right angles to the skin surface depending on the thickness of subcutaneous fat 4 in terms VC and VC 3 and VC at the point 2 and the pair R 11 needle size 8-10 introduced before reaching the deposition zone predpuzyrnoy fiber - deep 30-40 ^o angle to the skin surface in the n board to each other, until the secondary sensations provided.

 In the remaining points of the needle are inserted according to the usual method, until the appearance of the intended sensations, with the exception of points VB 34, V 60 and docks, which have the features of the introduction. At point VB 34, size 5-7 needles are inserted at an angle in the direction of point E 36 until secondary sensations are provided. At point V 60, the needles are inserted in the direction of the point R 3 (5) tai-si until a repeat of the intended sensations from the inside of the lower leg is obtained. At the point of the dock, needles of 2-3 sizes are inserted until the intended sensations are obtained and stimulated to varying degrees of severity of ascending irrigation along the lower leg.

 Thus, in addition to the classical effects on the point (before the appearance of the intended sensations), this technique also uses deep (before the appearance of the secondary sensations) tendon (point VB 34) reflexes and reflexes from the aponeurosis (points VC 2, paired R 11), the mechanism of which finally not yet clear.

To conduct electrical stimulation of the points, serial devices "Elita-4" and "Diaton" are used. In the modification of the author, a passive electrode combined for three devices is connected to the needle at point VC 3, the effect on the other points is differentiated:
- swing (apparatus "Elite-4") - paired points Gi 4, Ci 11, VB 34 and dock;
- excitation (apparatus "Diaton") - points VC 3, VC 2 and paired points R 11;
- braking (apparatus "Diaton") - in two stages: first paired points P 7 and V 60, then paired points E 36 and RP 6.

 Permanent aural button needles are placed on both sides without additional impact during corporal acupuncture: at the points AT 22, AT 23 and AT 28 - with a delay of menstruation up to 3 days; additionally to the points AT 55 and AT 58 - with a longer delay. Needles are left for a period before the onset of menstruation and another 2-3 days against its background.

 During the procedure, the patient forms certain sensations in the lower abdomen, serving as a guideline for individualizing the strength of the impact, the continuation or completion of the session. At first, the waves come with a feeling of heaviness, as if something heavy were placed on the lower abdomen, gradually stabilizing locally in the center. Only after rearrangement of the brake electrodes from points P 7 and V 60 to E 36 and RP 6 do the sensations of heaviness diverge to the side of the fan throughout the lower abdomen, do peculiar sensations of filling, fullness, fullness arise, at the height of which the usual premenstrual sensations characteristic of a particular patient appear . At the end of the increase in sensations in the lower abdomen, the procedure ends.

 The proposed mechanism of action: the reconstruction of premenstrual regression of the corpus luteum of the ovary with the help of its vegetative block and the reaction of rejection of the mucosa (decidual membrane) along with the fetal egg.

 The most difficult to predict group are non-pregnant and in the presence of uterine fibroids. In previously pregnant women, especially those giving birth, menstruation comes or does not come more dependent on the duration of pregnancy. If pregnancy has reached or exceeds three weeks, then menstruation does not occur, pregnancy progresses, and it often happens that the fetal egg freezes, slows down for some time in its development, so that during a bimanual examination by a gynecologist, the uterus is increased in proportion to the actual period, and with ultrasound the size of the fetal egg does not correspond to gestational age, resembling an undeveloped pregnancy. However, the death of the fetus does not occur, and the development of the fetal egg after a while comes into line with the norm. The subsequent course of pregnancy and childbirth, if a woman leaves the pregnancy, remains without consequences.

 If the period allows, then usually menstruation begins within the first three days, sometimes within the next few hours after the procedure. In some cases, a delayed reaction is noted (on the 4th, 5th, 10th day after the procedure), and in this case the procedure is repeated three days after the initial one. Most often, the need for a second procedure arises in connection with the phase of the lunar cycle, under the new moon.

 Certain rare cases of the effectiveness of acupuncture with periods obviously exceeding a three-week pregnancy, in the presence of gestosis, probably only indicate the initial hormonal predisposition of the woman's body to miscarriage.

 There were no other complications besides those characteristic of the method of acupuncture itself. In some cases, women suffering from premenstrual syndrome noted a subjective deterioration in well-being during the new moon, which, however, may be unrelated to acupuncture.

 There has never been a more abundant discharge than with normal menstruation, according to the type of uterine bleeding. There were also no cases of progressive pregnancy if, after acupuncture, menstruation went away like menstruation. Rare cases of hemorrhage were noted instead of menstruation after acupuncture, when the pregnancy progressed, however, the nature of the discharge (light blood) does not allow them to be confused with menstruation.

 Documentary evidence of the effectiveness of the proposed method of abortion can serve as a patient’s registration cards.

Claims (1)

 A method of abortion of early pregnancy, based on acupuncture in corporal paired points E 36 and RP 6, characterized in that it additionally carry out acupuncture in corporal paired points R 11, Gi 4, Gi 11, P 7, VB 34, V 60, extramediated dock s and unpaired VC 2, VC 3, VC 4 with additional exposure to electric current with a constant and changing polarity in the modes of braking and excitation, and they also acupuncture in auricular paired points AT 22, AT 23, AT 28, AT 55, AT 58.