RU2127104C1 - Enuresis treatment method - Google Patents

Abstract

FIELD: medicine. SUBSTANCE: method includes reflex-correcting therapy course. This therapy is performed by mechanical compression and petrissage of radicular and reflex zones in tissues of back and sacrolumbar region. Then series of blows with palm is delivered in the direction from vertebral column center to periphery. Force effect is rendered on reflex-dependent skin receptors of actuation and control of pelvis organ function, and mechanical pressure is applied to points on head, in Broca's area. Complex of physical actions is combined with course of breathing and physical Yoga exercises, with complex of exercises in squatting and walking on the spot and with tapping on vertebral column. Use may also be made of hot water bag application to loin, as well as of hot baths up to the waist which must be continued for one month longer after time of treatment is over. In addition, infusion of medical herbs is taken. Species of medical herbs contains sweet clover, milfoil, wild marjoram, plantain, nettle, dandelion, lady's mantle, and dead nettle at the following relation of components by mass: 1:2:2:4:2: 2:2:2. EFFECT: enhanced therapeutic efficiency. 3 cl, 2 ex

Description

 The invention relates to medicine and can be used in the treatment of urinary incontinence in children and adults.

 There is a method of drug treatment of enuresis by using substances acting on the autonomic innervation of organs: drugs that excite the central nervous system, psychotropic drugs, hormonal drugs (B. Laskov et al. "Enuresis", "Medicine". M., 1975. , p. 68-82).

 The disadvantage of the drug method of treating enuresis is its lack of effectiveness.

 There is a method of treating enuresis by a complex effect on the patient's body by conducting conditioned reflex therapy in combination with drug therapy and physiotherapy (A.Ya. Kreimer and others. "Clinic and complex therapy of diseases of the nervous system", "Medicine", M., 1967 , p. 381).

 The disadvantage of this method is also its insufficiently high therapeutic efficacy.

 It is known that a disease associated with urinary incontinence occurs as a result of a violation of the connection between the central nervous system and the sphincter of the bladder, as well as if this connection is not established after birth. The reason for the violation of this connection is the compression of the lumbar and sacral thickenings of the spinal cord. To treat the disease, it is necessary to eliminate the violation of blood supply to the lumbar and sacral thickenings and restore the reflex connection between the central nervous system and the sphincter of the bladder.

 The present invention is to increase the therapeutic effect of the treatment of enuresis.

 The essence of the invention is as follows.

 In the process of complex exposure to the patient's body, they conduct a course of reflex-corrective therapy (RCT) by mechanically compressing and kneading the radicular and reflex zones in the tissues of the back of the lumbosacral region, followed by a series of strokes of the palm by the tenar hypotenar region from the center of the spine to the periphery , then carry out a force effect on the location of the reflex-conditioned skin receptors of inclusion and regulation of the function of the pelvic organs, as well as mechanical nada pouring on points on the head in the Broca area, and this complex of physical effects is combined with a course of breathing and physical exercises of Yoga aimed at improving the function of the spinal cord, intervertebral ganglia and restoring the connection between the central nervous system and pelvic organs, with a set of squat exercises, aimed at stretching the spine, walking in place, tapping the spine, as well as using a heating pad on the lower back, hot baths on the belt for a period exceeding the treatment time for 1 month, and taking an infusion of medicinal plants, containing a collection including herbs of sweet clover, yarrow, oregano, large plantain, common nettle, medicinal dandelion, cuffs, calendars, with the following ratio of components by weight: 1: 2: 2: 4 : 2: 2: 2: 2.

 As physical exercises additionally carry out a stand on the shoulder blades.

 To improve the function of the muscles of the spine and its elasticity, an additional vibration pad or vibro massager is additionally used.

 The method is as follows.

 Assign outpatient CT, which is carried out mainly twice a week at the same hours, which contributes to the accumulation of a positive result, disciplines the patient and debugs the normal actions of the functional structures of the whole organism.

 During the course of reflex-correcting therapy, paravertebral force is applied to the spine and lumbar region at the site of sympathetic trunk projection sequentially at different tissue depths with different strengths by mechanical compressive and kneading effects on the radicular and reflex zones in the back tissues until bands of persistent hyperemia appear, after which fixes the effect by hitting the palm of the tenar-hypotenar region in the direction from the center of the spine to the periphery. Next, a force is applied to three points on the pubis and two above it and to points on the head in the Broca area. As a result of CT, an effect on the disturbance of the structures conducting the neuro-informational impulse from the brain to the periphery and vice versa occurs. At the same time, trophism of the nervous tissue, the conductivity of the nerve impulse are restored and the function of the innervated organ improves.

 Assign a set of general health events held daily at home.

The course of Yoga exercises, aimed at restoring the function of the conductors of the spinal cord and intervertebral ganglia, consists of the following exercises:
- sit on your heels, having previously knelt. The back is straight, the left hand grasps the brush with the right behind the back. Take a little breath. Leaning slowly (the back remains flat), touch the rug with your forehead. While tilting, exhale smoothly. Stay in this position for 10-15 seconds. Slowly straighten up - a smooth breath. Return to starting position. A sharp exhale through the mouth. Perform 5-8 times twice a day;
- lie belly on the mat, legs together, hands placed under the shoulders with palms down. Tear the chest from the floor, tilt the head to the maximum back, press the stomach to the floor. To be in this position for 10-15 seconds, then return to its original position by touching the forehead of the floor. Relax for 15-20 seconds. During the exercise, breathe shallow with small pauses for inspiration and expiration;
- lie belly on the mat. Hands on the back of the head, elbows on the rug, legs together. Without bending your knees, tear the pelvis off the floor. Remain in this position for 5-15 seconds. Return to starting position. Relax. Perform 5-8 times in the morning and evening. Breathe shallow with slight pauses in inspiration and exhalation;
- starting position: lie on your back on the mat, hands at the seams, legs straighten. With your left hand, grab the lower third of the right lower leg, pull the foot with the heel to the inguinal fold of the left leg, put the knee to the side, leave the leg at the level of the inguinal fold, release and soak for 5 seconds. Return the leg to its original position. Then the same thing with the other leg: the right arm is the left leg. Perform 5-8 times in the morning and evening. Superficial breathing through the nose;
- starting position: lie with your back on the mat, hands at the seams, legs together, straight. With emphasis on the elbows, tear off the cervicothoracic region from the floor, tilt the head back (lie down with the crown of the head on the floor). Thoracic arch bend as high as possible above the floor. Stay in this position for 5-10 seconds. Return to the starting position, and bend the head to the chest and remain in this position for 5-10 s. The breath is calm, shallow. Perform 8-10 times in the morning and evening;
- starting position: lying on your back, hands at the seams. Bend the right leg at the knee, with the right hand, grasp the lower third of the right lower leg and pull the leg as close to the back as possible, without taking the foot off the floor. Turn to the left side, bend towards the chest, stomach forward, the leg in the knee extends as far as possible and creates a semicircle. Hold in this position for 3-5 seconds. Return to the starting position, repeat 5-8 times, then with the other leg. Superficial breathing through the nose;
- get on all fours, straighten your arms at the elbows (when performing this exercise, monitor this constantly). At the count of times, bend your head, pulling your chest with your chin, arch your back, stay in that position for 3-5 seconds, then slowly bend your back, tilt your head back to your back as much as possible, also stay in that position for 3-5 seconds. Perform morning and evening 5-10 times, shallow breathing through the nose;
- from the position on all fours (kneeling) to straighten the legs, taking the position of "emphasis on the hands and toes" (legs in the knees straight). Then, without changing the position of the arms and legs and without displacing them, bend, touching the stomach with the floor, do not bend your elbows, surface breathing, through the nose. Perform 8-10 times in the morning and evening.

Squatting exercise for stretching the spine is performed as follows:
- starting position: legs at shoulder width, arms at the seams, back straight. Squat slowly, without lifting your heels off the floor, arms as low as possible, forward. Stand up slowly, back straight. From the third squat, spring a little in the lap. Exercise to perform 10-12 times. Make sure that the housing does not deviate to the side, forward or backward.

 Walking in place with knees raised high is performed for 5 minutes, preferably several times a day.

 For 5 minutes put a heating pad on the lower back.

 One and a half to two minutes are tapped on the spine in order to restore microcirculation of the spinal cord.

 Additionally, to improve the function of the muscles of the spine and its elasticity, a vibration pad or vibro massager is used.

Hot baths to the waist are prepared with water temperatures up to 41 - 43 ^o C.

Older children are assigned exercises called "shoulderstand", which are performed as follows:
- lie on the mat on your back, stretching out to your full height. Slowly raise your legs, then the hips and body to an upright position. Firmly resting on the floor with elbows and with both hands, support the back. Press chin to chest. The occipital part of the head, neck, shoulders should be pressed to the floor. Breathe slowly and evenly. Focus on the thyroid gland. Try to keep the body from swaying. For beginners, stay in this position for no more than a minute. Gradually, the time can be increased to 10 minutes. To return to the starting position, lower your legs very slowly, without sudden movements.

 The infusion of medicinal herbs is prepared as follows.

 1 Tablespoon of the collection, including herbs of sweet clover, yarrow, oregano, large plantain, common nettle, medicinal dandelion, cuffs and cloves with a weight ratio of 1: 2: 2: 4: 2: 2: 2: 2, it is necessary pour 600 g of hot water for 5-6 hours. Boil for 10 minutes. 2 hours to soar. Add 100 g of boiling water. Strain. Drink 100-150 g 3 times a day 20 minutes before meals.

 The infusion of medicinal herbs helps restore the conductivity of capillaries in the lumbar region and regulates vascular tone.

 The effectiveness of the method is illustrated by examples.

 Example 1

 Patient V., 10 years old. Suffers from enuresis, the so-called primary stage, from the day of birth. Involuntary urination at night is observed in recent years 2-3 times a week. The diet and hygiene have no effect. The child is nervous, emotional, touchy.

 The treatment was prescribed using a course of reflex-correcting therapy. The course of PKT was conducted on an outpatient basis twice a week. Additionally, the patient was prescribed a set of general health measures, including physical exercises and taking infusions of medicinal herbs that were performed at home on their own.

 The phenomena of enuresis stopped after 16 sessions of RCT. The state of the nervous system has improved. Bedwetting was no longer observed.

 Example 2

 Patient Y., 5.5 years old. Suffers from enuresis of the so-called primary stage. Involuntary urination is observed nightly. The sleep is restless. Irritable. Treatment by a neurologist did not give results.

 Assigned treatment by the proposed method.

 Conducted 7 sessions of RCT. Home appointments have been fulfilled. Bedwetting stopped. It is recommended to continue homework for another month. Relapse of the disease was not observed.

Claims (3)

 1. A method of treating enuresis, which includes a complex effect on the patient’s body, characterized in that they conduct a course of reflex-corrective therapy by mechanically compressing and kneading the radicular and reflex zones in the tissues of the back of the lumbosacral region, followed by a series of strokes of the palm by the tenarhypotenar region in the direction from the center of the spine to the periphery, then a force is applied to the points on the pubis and above it, corresponding to the location of the reflex-caused skin receptors of inclusion and regulation of the function of the pelvic organs, as well as mechanical pressure on the points on the head in the Broca area, and this set of physical effects is combined with a course of breathing and physical exercises of Yoga aimed at improving the function of the conductors of the spinal cord, intervertebral ganglia and restoring the connection between the central nervous system and pelvic organs, with a set of squat exercises aimed at stretching the spine, walking in place, tapping the spine, and also with changing the warmer on the lower back, hot baths to the waist for a period exceeding the treatment time by 1 month, and taking an infusion of medicinal plants containing a collection of herbs, including sweet clover, yarrow, common oregano, large plantain, nettle, common dandelion grass, cuffs and crypts with a ratio of components by weight of 1: 2: 2: 4: 2: 2: 2: 2.  2. The method according to claim 1, characterized in that, as physical exercises, an additional stand on the shoulder blades is prescribed.  3. The method according to claim 1, characterized in that it additionally acts on the spine by means of a vibro-pillow or vibro-massager.