RU2377002C2 - Method of medical mud action on projection regions of human organs - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely to physiotherapy. An enclosed tampon applicator is filled with homogenised native mud of Tambukan lake containing (wt %): crystal skeleton 15.0÷25.0, colloid complex 10.0÷20.0 and mud solution - the rest. Then the tampon applicator is placed in a light- and gas-tight enclosure and heated to 36 - 40°C. Then the applicator is pulled out of the light- and gas-tight enclosure. The heated applicator is placed on projection of a human organ, then covered with a hot-water bottle pre-heated to temperature at least 50°C. The procedure takes 30 minutes and lower.

EFFECT: method improves regenerative clinical effectiveness ensured maximum preservation of therapeutic properties of the prepared medical mud.

9 cl, 2 ex

Description

The invention relates to medicine, namely to the field of mud therapy, and can be used in rehabilitation treatment and rehabilitation of patients with various non-infectious diseases, namely diseases of the musculoskeletal system, gynecological diseases, urological diseases, as well as diseases of the oral cavity.

There is a method (Spa treatment in Pyatigorsk of children with infectious nonspecific rheumatoid arthritis. - Guidelines, 1967, 22c.) Treatment of juvenile rheumatoid arthritis by the application of mud from Lake Tambukan to the affected joints.

The disadvantage of this method should be recognized as its low efficiency, due to not optimal conditions for applying applications.

Known (RU, patent 2268705) is a method of treating children with impaired neuroendocrine system. According to a known method, therapeutic sludge sulphide Tambukan mud is used according to the following method. Younger schoolchildren (7-10 years old) are prescribed dirt in an amount of 3-5 kg, a temperature of 39 ° C, for 8 minutes, 8 procedures per course. Moreover, in the first procedure, an applique “socks” is prescribed, in the second - “boots”, in the third - “stockings”, in the fourth - an application for the cervical-collar zone, in the fifth - for the lumbar region, in the sixth - for the cervical-collar region and the lumbar region, in the seventh and eighth procedures - on the cervical-collar zone and the thymus region.

The known method is not effective enough due to the use of dirt is not the optimal composition and quality, and also because of the non-optimal technology of application.

As the closest analogue can be used (Uyanaeva A.I. et al. “Bulletin of regenerative medicine”, 2006, No. 1, p.21-24) a method of exposure to therapeutic mud, including Tambukanskaya, placed in an applicator package on the necessary area of the body, placing a thermocompress on it, heated to a temperature of 45-50 ° C, providing heating of the therapeutic mud application and skin of the required area. When the skin is heated, the active substances of the healing mud penetrate the body and have the necessary therapeutic effect. The procedures are carried out every other day for a course of 12-16 procedures.

The disadvantage of this method should recognize its inadequate effect.

The technical problem solved by the implementation of the developed technical solution is to develop an improved method of rehabilitation treatment and rehabilitation of patients with various non-infectious diseases, preferably diseases of the musculoskeletal system.

The technical result obtained by the implementation of the developed method consists in increasing the efficiency of the rehabilitation treatment and rehabilitation of patients.

To achieve the specified technical result, it is proposed to use the developed method for treating with therapeutic mud on the projection area of a human organ. The developed method includes the following operations: placing the applicator containing the prepared therapeutic mud of Lake Tambukan in an additional light and gas impermeable shell, heating the applicator in the additional shell to a temperature of 35-45 ° C, releasing the applicator from the additional shell, applying a heated applicator to the organ projection area a person with a thermal heating pad placed on top, while the procedure for exposure to therapeutic heated mud located in the applicator is carried out for no more than 30 minutes . In a preferred embodiment, the preheated applicator is applied to a heating pad that matches the area of the applicator and is preheated to a temperature of 50 ° C. The area of the applicator used is usually not more than 1000 cm ² . Advantageously, the applicator is heated to a temperature of 37-39 ° C. But with a concomitant pathology of the cardiovascular system and an active pathological process, the temperature of the applicator should be no more than 37 ° C. To increase the effectiveness of the action of dirt when placing the applicator on a diseased area of the body, a heating pad heated to 50 ° C is placed on top. To preserve heat, it is advisable to wrap the area of application of the mud applicator with oilcloth and a blanket. In an advantageous embodiment of the method, the procedure is carried out for 15-20 minutes. Procedures can be performed daily or every other day in alternation with other balneophysioprocedures. In addition to balneophysiotherapy, it is possible to use additional joint development within 15 minutes. In a most preferred embodiment of the method, homogenized mud is used containing particles not exceeding 0.2 mm in size. In this case, the used mud contains a mud solution, a crystalline skeleton and a colloidal complex in the following ratio of these components (wt.%):

Crystalline skeleton 15.0 ÷ 25.0 Colloid complex 10.0 ÷ 20.0 Mud solution rest

Advantageously, an applicator shell permeable to the biologically active components of the therapeutic mud is used. This allows you to not destroy the specified shell during the procedure. Preferably, a tissue cover of the applicator made of a nonwoven fabric is used.

The therapeutic mud of Lake Tambukan is a plastic thick colloidal substance of black and gray color. Therapeutic mud is viscous, sticks tightly to the skin. It consists, as noted above, of the liquid phase (mud solution), crystalline skeleton and colloidal complex. It is most preferable to use the therapeutic mud of Lake Tambukan containing a mud solution, a crystalline skeleton and a colloidal complex in the following percentages:

I. Mud solution 63.39, consisting of water and dissolved salts, with their content from the total mass of dirt:

Water 56.2 Dissolved salts 7.19

II. The crystalline skeleton of 21.45, consisting of a calcium-magnesian skeleton and a silicate skeleton, with their content from the total mass of dirt

Calcium Magnesian Skeleton 2.75 Silicate skeleton 18.7

III. The colloidal complex is 14.93, containing sulphurous iron in an amount of 0.93 percent of the total mass of dirt.

The crystalline skeleton of Tambukan mud consists of small particles of clay and sand that are slightly soluble in water, it contains a significant amount of calcium carbonate and calcium sulfate. The structure of the crystalline skeleton of mud is rather thin, which is of great importance in assessing its healing properties.

The colloidal fraction binds all particles of the crystalline skeleton and imparts plastic properties to dirt. The content of colloids in Tambukan mud is high and reaches 20% of its volume. The colloidal hydrosulfide of iron, which is always present in this mud, gives it a black color.

Organic matter plays an important role in the colloidal complex of Tambukan mud - a nutrient medium for biological processes that continuously occur in mud sediments.

The physicochemical and therapeutic properties of Tambukan mud are largely determined by biochemical substances, which are the product of the vital activity of microorganisms.

Biochemical processes transform the very substance of the mud and cause the appearance of various compounds of carbon, nitrogen, sulfur, iron, phosphorus and silicon.

Of particular importance are the groups of microorganisms that cause the precipitation of hydrous oxide of sulfur, participating in the decomposition of organic substances. Denitrifying, nitrifying and thionic bacteria also play a significant role.

Hydrogen sulfide - an important component of dirt is formed due to the activity of sulfate-reducing microorganisms.

The presence of methane, ammonia and other gases is also significantly associated with the vital activity of microflora.

The organic substrate of Tambukan mud, as well as other silt mud, is associated with the vital activity of various micro- and macroorganisms. The decomposition products of organic substances and their subsequent synthesis are always in significant amounts of mud.

The main part of the organic matter of Tambukan mud is composed of humic acids and substances of humino-lignin.

Humic substances are formed in therapeutic mud from dead plant and animal organisms as a result of biological and biochemical processes. These processes occur in conditions of limited air intake. First, microbes decompose organic residues into simple compounds, and then synthesize new, complex formations. Humic acids and bitumens have high physiological activity, and their presence in the mud enhances its healing properties.

Tambukan mud is highly plastic, has a high heat capacity and relatively low heat transfer. These properties make it very convenient with the application method of mud therapy. The content of mineral salts in the mud, including such active chemical elements as iron, strontium, lithium, manganese and zinc, as well as the presence in the mud of organic compounds - humic acids and bitumen - make the mud chemically active, directly acting on the skin and mucous membranes shell. The presence of hydrogen sulfide, carbon dioxide and methane in the mud significantly increases this active effect.

The bacteriostatic and bactericidal action of dirt is of particular importance in such treatment methods, when the dirt is in direct contact with the mucous membranes of the intestines, vagina, always rich in bacterial flora.

According to its physicochemical and biological properties, Tambukan mud significantly exceeds the mud of other deposits and is a highly effective therapeutic agent.

After filling the applicator shell with homogenized therapeutic mud, it is necessary to isolate the surface of the therapeutic mud from contact with the external environment. For this purpose, the filled applicator sheath is placed in a light- and gas-tight additional sheath (for example, polymer films laminated with aluminum foil).

It was experimentally established that the use of therapeutic mud homogenized to a particle size of not more than 0.2 mm with crushed large mechanical inclusions significantly increases the physiotherapeutic effect of the application by increasing the area of interaction of the active substances with the patient’s skin or mucous membrane.

In the future, the essence and advantages of the developed method will be disclosed using examples of implementation. Studies were conducted in the Stavropol Regional Hospital for war veterans in 2006-2007. 40 patients volunteering for treatment. Patients were admitted with various diseases.

1. Patient K., 11 years old, diagnosis: Juvenile rheumatoid arthritis: oligoarthritis, seronegative, slowly progressive course, R-stage II art., Activity I-II art., FSB-2a. Complaints of pain in the knee joints, more left, stiffness in the morning. Sick for about 6 years, when a swelling appeared in the left knee joint, the temperature increased. After treatment - remission. Exacerbation after 4 years, when both knee and ankle joints were involved in the process, despite treatment, remission was not achieved. Upon admission to the clinic - proliferative changes in the ankle and right knee joints, exudative - in the left (2 points). ESR - 13 mm / h, GB - 124 g / l, sialic acids - 230 units, S-RB - 1, RF - 0.17 KS - 19.3 μmol / s, CEC - 30 units, lysozyme - 9 μg / ml, HrG - 18.29, IgA - 2.52, IgM - 1.69 mg / ml. ECG - impaired repolarization in the anterior septal department.

The patient received mud applications according to the developed method using homogenized mud of Lake Tambukan, on both knee and one ankle joint. The temperature of the preheated mud was 38-39 ° C, the exposure time of 15 minutes every other day, 10 procedures. The treatment was easily tolerated, pain in the joints and stiffness disappeared, proliferative changes in the ankles, in the left knee joints decreased, the effusion decreased from 2 to 1 point, joint mobility improved. ESR - 2 mm / h, GB - 120 g / l, sialic acids - 200 units, S-RB - 0, RF - 0.17 KS - 20.1 μmol / s, CEC - 10 units, lysozyme - 3 , 5 μg / ml, IgG - 15.3, IgA - 2.41, IgM - 1.69 μg / ml, ECG - normal.

Thus, after the course of treatment, a positive clinical effect is noted, including in the joint with exudative changes, the activity of the inflammatory and immunological process has decreased, the ECG has normalized.

When treating patients using the prototype method, the overall effectiveness was lower, especially in the presence of signs of exudative inflammation in the joints, cardiovascular pathology, and immune disorders. We give one of the observations.

Example 2. Patient P., 24 years old. Diagnosis: Oligoarthritis, seronegative, slowly progressing course, R-stage II stage, activity I, FSB - 26. Complaints of joint pain, stiffness in the morning for 30 minutes, limitation of mobility in the joints of arms and legs. Sick for 4 years, the onset of the disease - after a sore throat with fever, swelling of the knee joints. After a year, the disease worsens with the involvement of the ankle joints, small joints of the hands, and wrist. ESR - more than 40 mm / hour. Treated with prednisone and then NSAIDs. Contractures of large joints of the arms and legs developed. Upon admission to the clinic of contracture of all major joints (except the shoulder and wrist) with a predominance of proliferative-fibrous changes, an increase in local temperature (1 point) over the right knee joint. ESR - 12 mm / h, GB - 110 g / l, CA / G - 1.3, sialic acids - 200 units, S-RB - 0.5 units, RF - 0.5 units, OP - 1 7, HSC - 0.037, 17 CS - 22.4 μmol / s, CEC - 30 units, lysozyme - 9 μg / ml, IgG - 18.4, IgA - 2.4, IgM - 1.72 mg / ml ECG - sinus bradycardia.

The patient was treated with mud applications according to the developed method for knee and ankle joints, 38-39 ° С, 15 minutes, every other day, 10 procedures with additional massage of the joints. The treatment was easily transferred, joint pain decreased, stiffness in the morning less pronounced, free movement in the joints.

At the same time, the temperature above the right knee joint increased by 0.8 ° C and the pain in it during palpation increased. ESR - 10 mm / h, GB - 106 g / l, sialic acids 220 units, S-RB - 2 units, RF - 0.5 units, 17 CS - 20.6 μmol / s, CEC - 30 units ., LI3 - 14 μg / ml, IgG - 18.8, IgA - 2.55, IgM - 1.82 mg / ml. ECG - sinus tachycardia, impaired repolarization processes in the anterolateral wall of the left ventricle. The result of the treatment is unchanged.

Thus, subjectively, the patient's condition improved, but exudative manifestations in the joint became more pronounced, activity indicators increased, ECG worsened, the immunological status did not change.

Treatment according to the proposed methodology (6 procedures) was performed in 20 patients with juvenile juvenile disease (main group), in the control group (10 procedures - prototype) there were 18 patients. Groups are representative by gender, age, duration of disease, and severity of the process.

The treatment was successful for 16 patients of the main group, 3 patients felt a slight improvement, 1 without a change in condition. In the control group for 12 patients, treatment was successful, 4 patients felt improvement, 2 without any change in condition.

Therefore, the use of pre-homogenized mud containing finely divided mineral inclusions has a more effective therapeutic effect. The use of previously prepared applicators increases the usability of dirt, namely, after the procedure, the patient does not need to be subjected to water procedures. As follows from the above examples, the absence of water procedures immediately after a mud treatment session also contributes to a more effective treatment, since even when using warm water to wash off the dirt, a slight cooling of the part of the body exposed to the dirt occurs. It can be assumed that the active substances that passed through the shell to the skin also remain on the patient’s body surface for a longer time, which also contributes to a more effective treatment. It was also experimentally established that the use of an additional light- and gas-tight casing also helps to increase the effectiveness of treatment by eliminating the reduction of useful components of the mud during heating, as well as during the storage of dirt. Those. all the essential features associated with maintaining the maximum number of therapeutic properties of dirt, namely the use of an applicator, the use of an additional light and gas impermeable shell, the use of a heating pad as an additional heat source, eliminating ineffective procedures when lowering the temperature, make it possible to realize the indicated technical result, namely, increasing the efficiency treatment.

Claims (9)

1. The method of treating mud with a projection of a human organ, characterized in that the tampon-applicator shell is pre-filled with homogenized native mud of Lake Tambukan, placed in an additional light and gas-tight shell and heated to 36-40 ° C, the applicator is removed from the light - and a gas-tight shell and a heated applicator is placed on the projection area of a human organ, placed on top of a heating pad, previously heated to a temperature of at least 50 ° C, while the procedure is carried out for not above 30 min, using homogenized native mud of Lake Tambukan containing mud solution, crystalline skeleton and colloidal complex in the following ratio of these components, wt.%:
crystalline skeleton 15.0 ÷ 25.0 colloidal complex 10.0 ÷ 20.0 mud solution Rest 2. The method according to claim 1, characterized in that the pre-applicator is applied to a heating pad that matches the area of the applicator and is preheated to a temperature of 50 ° C. 3. The method according to claim 1, characterized in that the area of the applicator used is not more than 1000 cm ² . 4. The method according to claim 1, characterized in that with the concomitant pathology of the cardiovascular system and the active pathological process, the temperature of the applicator is not more than 37 ° C. 5. The method according to claim 1, characterized in that the procedure is carried out for 10-30 minutes 6. The method according to claim 1, characterized in that the procedures are carried out daily or every other day. 7. The method according to claim 1, characterized in that they use homogenized dirt containing particles not exceeding 0.2 mm in size. 8. The method according to claim 1, characterized in that use the applicator shell, permeable to biologically active components of the therapeutic mud. 9. The method according to claim 1, characterized in that they use a tissue sheath of the applicator made of non-woven fabric.