RU2145244C1 - Method for treating the cases of chronic prostatitis - Google Patents

Abstract

FIELD: medicine. SUBSTANCE: method involves applying low frequency pulsating magnetic field having 30 mTesla induction and 50 Hz frequency in complex therapy of prostatitis. EFFECT: enhanced effectiveness of treatment; alleviated pain syndrome; normalized secret properties. 1 tbl

Description

 The invention relates to medicine, namely to urology, is intended for the treatment of patients with chronic prostatitis.

There are a number of physiotherapeutic methods of treatment used in the complex treatment of chronic prostatitis, such as:
UHF-therapy, DDT, electrophoresis, inductothermy, etc. (Clinical physiotherapy. Prof. Orzhevsky A.I., 1987).

 The disadvantages are the presence of many contraindications (violations of pain and thermal sensitivity, acute infectious diseases, purulent-inflammatory diseases, etc.), some complexity and high cost of the equipment.

 Closest to the proposed method is inductothermy - an electrotherapy method taken as a prototype (Chronic prostatitis. Tkachuk, Gorbachev, 1989).

 It is based on the principle of electromagnetic induction, in which the patient's body is exposed to a high-frequency (13.56 MHz) or ultra-high-frequency (0.68 MHz) electromagnetic, mainly magnetic field. Under the influence of a magnetic field in nearby tissues, organisms induce an electromotive force of induction, creating eddy currents in them, which cause a thermal and oscillatory effect.

 The prototype method is carried out using the device IKV-4 and the inductors attached to them, which are installed on the projection area of the prostate gland in the perineum.

 The disadvantages of the prototype method are: the presence of contraindications (violation of pain and thermal sensitivity, acute infectious diseases, purulent-inflammatory diseases), the inconvenience associated with the use of inductor cable, as well as the complexity and high cost of the equipment.

 The aim of the proposed invention as a method is to increase the effectiveness of the treatment of chronic prostate.

 The goal is achieved by the prototype method by exposing the prostate gland to a high-frequency (13.5 MHz) or ultra-high-frequency (40.68 MHz) magnetic and electromagnetic field, and according to the proposed method, the goal is achieved by applying a low-frequency (50 Hz) pulsed magnetic field to the projection area prostate gland in the perineum, exposure time of 15-20 minutes, daily for 10-12 days.

 SUMMARY OF THE INVENTION

 The proposed method for the treatment of chronic prostatitis using a pulsed magnetic field of low frequency, the location of the magnetic field source so that the magnetic field lines are oriented to the prostate gland. This is carried out as follows: the patient sits on a chair of our design, to the seat of which a magnetic field source is fixed below. This arrangement of the magnetic field source provides an impact on the prostate gland of a pulsed magnetic field by induction of 30-35 mT.

In the dynamics of treatment with a pulsed magnetic field, we examined 24 patients with chronic prostatitis aged 18 to 46 years who previously underwent outpatient and inpatient treatment without effect. For an objective assessment of the therapeutic effect of a pulsed magnetic field, other physiotherapeutic methods of treatment have not been used. The effectiveness of the impact was evaluated by the following parameters:
1. Patient complaints (pain and discomfort in the perineum, discharge from the urethra, decreased potency and libido, etc.).

 2. Palpation of the prostate gland.

 3. Laboratory data: (the number of leukocytes and lesetin grains in the secretion of the prostate gland).

 4. Maximum urination rate.

 Here are some examples.

 Patient R.A. For 30 years he was admitted to the hospital with complaints of discomfort in the perineum, the presence of urethra emitted during straining and a decrease in spontaneous and adequate erection.

Sick for about 4 years. Repeatedly took courses of inpatient and outpatient treatment. The prostate gland is slightly enlarged, the interlobar groove is preserved, painless. Analysis of the secretion of the prostate gland: white blood cells - a large number, lecithin grains - 10-12 in n / a. The maximum urination rate of 10 ml / sec. Ultrasound circuits of the prostate are fuzzy. The echostructure is sealed, heterogeneous. Dimensions 5.6 x 3.3 x 5.8 cm. Residual urine 13.4 cm ³ . Diagnosis: chronic prostatitis. The complex treatment includes 10 sessions of magnetotherapy. As a result of the therapy, after 5-6 sessions, discomfort and pain in the perineum ceased to bother. By the end of the course of treatment, sexual function significantly improved, and discharge from the urethra ceased to bother. In the secret of the prostate gland of leukocytes - 8-10 in s / s. Letetzin grains 16-18 in the field. The maximum urination rate of 15 ml / sec. Ultrasound showed a decrease in the size of the prostate gland 5 cm x 3.3 x 5.3 cm. There is no residual urine.

 Conducting magnetotherapy courses has significantly improved the effectiveness of antibiotics.

 Patient S.L. 26 years. Complaints of pain in the perineum, frequent urination, feelings of incomplete emptying of the bladder and the presence of discharge from the urethra. Sick for about 2 years, the disease is associated with frequent hypothermia. Repeatedly treated. Objectively: the external genitalia are developed normally. The prostate gland of normal size, dense consistency, smooth surface, interlobar groove is pronounced. Analysis of the secretion of the prostate gland: white blood cells - 25-30 in the field of view, a large amount of leetcin grains. Diagnosis: chronic urethroprostatitis. The complex treatment includes antibiotics, vitamins, immunostimulants and 10 sessions of magnetotherapy. As a result of the therapy, the above complaints completely ceased to bother. Discharged with recovery.

 The use of a pulsed magnetic field of a low frequency positive effect on the state of the nervous system. We give an example.

 Patient A.M. 23 years old. Complaints of decreased potency, premature ejaculation, general weakness. He has previously undergone treatment courses.

 The prostate gland is enlarged mainly due to the right lobe of dense consistency, smooth surface, somewhat painful on palpation, interlobar groove preserved.

 Hemodynamics is not stable. AD-100/70 mm Hg P5-78 beats

 Analysis of the secretion of the prostate gland: white blood cells - a large number, lecithin grains - a large number. The maximum urination rate of 122 ml / sec.

 Diagnosis: Chronic prostatitis. Psychogenic impotence.

 Complex therapy was carried out with the inclusion of 12 sessions of low-frequency pulsed magnetotherapy. As a result of treatment, the patient's sexual function significantly improved (spontaneous erections appeared and premature seed eruption stopped), blood pressure stabilized within 120/80.

 Analysis of the secretion of the prostate gland: leukocytes - 12-14 p / s, lecithin grains in large quantities. The maximum urination rate of 15 ml / sec. Discharged with recovery.

 Dynamics of treatment: 24 patients who received complex treatment using a low-frequency pulsed magnetic field are shown in the table.

Distinctive features of the proposed method from the prototype:
a) according to the prototype, inductothermy is conducted by a high-frequency 13.50 MHz or ultra-high-frequency magnetic and electromagnetic field, and by the proposed method a low-frequency (50 Hz) pulsed magnetic field.

 b) with inductothermy, the mechanism of action is reduced to the formation of heat, and according to the proposed method, physicochemical phenomena in biological fluids, biocolloids of blood elements come to the fore.

Claims (1)

 A method for the treatment of chronic prostatitis, including exposure to a magnetic field of 30 to 35 mT induction on the projection area of the prostate gland, characterized in that the exposure is carried out by a pulsed magnetic field with a frequency of 50 Hz on the perineum for 15 to 20 minutes, for a course of 10 to 15 procedures.

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