RU2214813C1 - Method for treating the cases of biliary duct dyskinesia in children - Google Patents

Abstract

FIELD: medicine. SUBSTANCE: method involves administering slightly mineralized mineral water in age-specific doses in usual mode, soft water baths, and then, local whirl vibration hydromassage applied to liver area and to zone between the seventh and eleventh thoracic vertebrae in paravertebral way by making spiral movements from the right side. Then, the patient takes phyto douche containing melissa, Mentha piperita L., Silybum, Echinocea purpirea L. decoctions. The total treatment course is 8-10 procedures long. EFFECT: enhanced effectiveness of treatment.

Description

 The invention relates to medicine, namely to physiotherapy, and can be used to treat biliary dyskinesia in children.

 Biliary dyskinesia accounts for about 80% of gastroenterological pathology in schoolchildren (O.B. Yeshukova et al., 1998). The most common hypomotor variant of biliary dyskinesia, in which there is hypokinesis of the gallbladder with hypertonicity of the sphincter of Oddi. This creates the conditions for impaired passage of bile and cholestasis (O.A. Kuramshina et al., 1999). Untreated forms of biliary dyskinesia in the future can lead to the development of cholecystitis, cholelithiasis.

 Currently, balneological factors are widely used in the treatment of pathology of the biliary tract in children: the use of mineral water inside and for tububes, circular showers, various baths, including vibration ones.

 The most famous method is A.Ya. Kraimer, consisting in the combined use of mineral water inside and local vibration therapy (A.Ya. Kramer Vibration as a treatment factor, Tomsk, 1972, 260 p.).

 The author carried out a vibrational effect from the Volna-1 apparatus according to a stable technique (the patient is in the bath motionless) in a common fresh bath in the region of the rectus abdominis muscle, at the lower edge of 7-11 ribs on the right. The oscillation frequency is 100 Hz, the sound pressure is 4.5-6 thousand bar. The procedure was carried out no earlier than 1-1.5 hours after breakfast. The duration of the procedure is 8-10 minutes. Vibration therapy was carried out daily or every other day, on a course of 12-15 procedures.

Mineral water "Essentuki-17" refers to carbon dioxide-chloride-bicarbonate-sodium water with a total salinity of 11-13 g / dm ³ . Water was used 3 times a day, 30 minutes before meals, in age dosages.

 This method of treating biliary tract pathology in children has several disadvantages: the Volna apparatus is bulky, requires additional devices (such as a tripod, a set of nozzles, etc.), which is laborious to operate. A stable technique is not entirely acceptable in children's practice, as it is very difficult for a child to remain motionless during the proposed temporary exposure.

 The use of Essentuki-17 mineral water in children with biliary tract pathology is not entirely justified, because waters of medium mineralization remain for a long time in the intestine, where they are hardly absorbed and, irritating the mucous membrane, increase peristalsis, therefore, aggravate the course of biliary dyskinesia. In addition, bottled water during storage and transportation partially lose their healing and taste.

 This treatment method is adopted as a prototype.

 The purpose of the invention is the development of a method for the treatment of biliary dyskinesia in children using mineral water of low mineralization, sulfate-chloride, magnesium-calcium-sodium composition and vortex vibration-vacuum hydromassage with further phyto-shower.

This goal is achieved by assigning to the patient ingestion of low-mineralization mineral water, sulfate-chloride, magnesium-calcium-sodium composition 3 times a day, 30 minutes before meals, room temperature, at age dosages, and the patient additionally takes a fresh bath at a water temperature of 37 ^o C for 5-7 minutes, followed by a local vortex vacuum vibro-hydro projection on liver and segmental innervation zone of 7 to 11 thoracic vertebrae on the right paravertebral labile procedure lane sliding helical motion apparatus, at a water pressure of 1.5-2 atm, and a water temperature of 37 ^o C. After the patient gets up in the hydromassage bath and receives fitodush for 2-3 minutes. After this, the skin is easily soaked in order to keep the phytoplag on the body. The course of treatment is 8-10 procedures, daily or every other day.

 The inventive method for the treatment of biliary dyskinesia in children is technologically simple, easily tolerated by children. It allows you to influence the links of the pathogenesis of the disease: the production of bile by the liver cells increases, its composition improves, the spasm of the smooth muscles of the ducts is removed, which helps to empty the gall bladder and improve the flow of bile into the intestine, and conditions are created to eliminate stagnation.

 The claimed method treated 56 children with biliary dyskinesia of the hypomotor type. The method can be recommended in practical healthcare.

 Example 1

 Patient E., 10 years old, was undergoing spa treatment from 12/31/2001 to 01/14/2002 with a diagnosis of type 1 diabetes mellitus, moderate course. Hypomotor biliary dyskinesia. On admission, pain in the right hypochondrium during palpation was noted, the liver +1 cm, the edge is dense, painless, positive symptoms of Ortner and Kera. In the biochemical analysis of blood at admission - bilirubin 20 mmol / l, dysproteinemia. With ultrasound of the abdominal organs - the gall bladder is distended, spasm of the sphincter of Oddi. The patient received local mineral water 3 times a day, 100 ml 30 minutes before meals for 21 days, as well as a local whirlwind vibration-vacuum hydromassage followed by a phyto-shower on the projection of the liver and the segmental zone of innervation from 7 to 11 thoracic vertebrae paravertebral to the right 8 At discharge, palpation of the abdominal organs is painless, the liver is not enlarged. Biochemical analysis of blood and ultrasound data of abdominal organs at discharge without pathology.

Local mineral water is dripped from a depth of 300 m, emerges from cavernous leached dolomites. The water is clean, clear, without color and odor. The total salinity of the water is 1.8-2 g / dm ³ ; according to the chemical composition, it refers to sulfate-chloride, magnesium-calcium-sodium water. The reaction of the water is neutral. The mass concentration of biologically active components (bromine, iodine, etc.) does not reach the threshold values of balneotherapy conditions (balneological conclusion on the mineral water of the well 16/79 dated 11/19/98, 14/501).

 Vibration therapy was carried out using a vortex vibratory-vacuum whirlpool device developed by Professor Yu.A. Knyshe at the Samara State Aerospace University (USSR patent for invention 1276340).

The composition of the collection for phyto-shower: medicinal melissa 1 part, peppermint 2 parts, milk thistle extract 2 parts, purple echinocia 1 part. The collection is prepared in a pharmacy, the shelf life in finished form is 2 days at + 4 ^o C. These herbs have an antispasmodic, immunostimulating, hepatoprotective effect.

Claims (1)

A method for the treatment of biliary dyskinesia in children, including the use of mineral water inside at age dosages, 30 minutes before meals, 3 times a day for 21 days, a total fresh bath with t ^o water of 37 ^o C, for 5-7 min, vibration hydromassage, characterized in that water of low salinity, sulfate-chloride, magnesium-calcium-sodium composition is used as mineral water, after taking a fresh bath, a local vortex vibration-vacuum hydromassage is carried out on the liver projection and segmental zones innervation from 7 to 11 thoracic vertebrae paravertebral to the right according to a labile technique - moving the apparatus in spiral movements - at a water pressure of 1.5-2 atm, then the patient gets up in the bath and takes a phytodus for 2-3 minutes, after which the skin is easily wet, in order to preserve the phytocloak on the body, the course of treatment is 8-10 procedures, daily or every other day, and for the phyto-shower use an infusion of herbs of the following composition, including: lemon balm - 1, peppermint - 2, milk thistle extract - 2, echinocia purpurea - 1.