RU2431455C2 - Method of treating typical mild and moderate climacteric syndrome - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: invention concerns medicine, endocrinology, neurology. In women suffering climacteric syndrome, procedures of electrically induced sleep are carried out in one hour or one hour and a half after meals. Duration of a procedure is 30 minutes. In 30 minutes, it is followed by gravitational action in a direction from a head to lower extremities. Rotary speed is 32 rpm. The rotary speed is increased by 1 turn with each following session to 36 rpm. The maximum rotary speed is maintained to the end of the therapeutic course. A session involves muscular exercises of power 10 Wt gradually increased to 50 Wt to the end of the therapeutic course. Duration of a procedure is 10-12 minutes; the total therapeutic course is 10-15 days, 1 session a day.

EFFECT: invention allows providing minimum vestibular reactions and negative action on cerebral circulation with the greatest hypergravities at a level of small pelvic organs and lower extremities, improving metabolic processes, preventing venous hyperemia.

2 ex

Description

The invention relates to medicine, and more specifically to methods of treatment using gravitational therapy of menopausal syndrome of a typical form of mild to moderate degree.

Known effects of balneotherapy (radon, iodine-bromine, pearl, oxygen and other baths) [1].

The disadvantage of this method in a small number of specialized hospitals.

Known transcerebral exposure to the electric field of the UHF [2]. The disadvantage of this method in the duration and low effectiveness of treatment.

The effect of novocaine electrophoresis in the region of the superior cervical sympathetic ganglia is known [3].

The disadvantage of this method is the high degree of irritation of the skin, individual intolerance to drugs or galvanic current, therefore, the lack of effectiveness of treatment.

Known effects of electric [4].

The disadvantage of this method in the duration of the procedure and the lack of effectiveness of treatment.

The aim of the invention is to increase the effectiveness of treatment.

This goal is achieved by the fact that 30 minutes after electric sleep, a gravitational effect is applied to the patient in the head-lower limbs direction, the rotation speed is 32 rpm, with an increase in the number of revolutions from the second session by 1 revolution with each subsequent session up to 36 rpm and maintaining the maximum number of revolutions until the end of the course of treatment, a muscle load of 10 watts with a gradual increase to 50 watts by the end of the course of treatment, the duration of the procedure is 10-12 minutes, the general course of treatment is 10-15 days for 1 session daily.

Comparison of the proposed method with others known in the field of medicine, showed its compliance with the criteria of the invention.

The method is implemented as follows.

The procedures are carried out an hour and a half after eating.

The patient is placed on a couch or bed, lying down, taking a comfortable pose and relaxing. By the fronto-mastoid technique, electrodes are fixed, a frequency of 40 to 60 Hz is used, the duration of the procedure is 30 minutes. There should not be any unpleasant sensations during the procedure. After the electric sleep procedure, the patient rests for 30 minutes, and then a gravitational effect is carried out.

The patient is placed on a centrifuge lodgement in a horizontal direction, the head is on the axis of rotation, the legs are on the periphery. The chest bodice is fixed on the chest of the patient. Due to the location of the head on the axis of rotation and the complete restriction of its movement, the minimum of vestibular reactions and negative effects on the blood circulation of the brain is ensured with the greatest value of gravitational overloads at the level of the pelvic organs and lower extremities. To improve the course of metabolic processes, as well as to prevent venous congestion, the patient, on the instructions of the doctor, works in the ankle joints, alternately pressing the pedals of the foot simulator located at the end of the centrifuge lodgement. This ensures an adequate outflow of venous blood from the muscles of the lower leg and vessels of the pelvis, which prevents the development of venous congestion and venous hypertension in the lower half of the human body and solves the problem of venous return of blood to the heart. The intensity of the muscle load is selected individually and ranges from 10 to 50 watts. A continuously variable centrifuge gearbox provides a smooth change in rotation speed in the range from 0 to 45 rpm. In order to adapt to overload, gravitational therapy is started with a minimum therapeutic dose of 32 rpm (up to 1.5 G) for 2 sessions. Then, the number of revolutions is increased by one with each subsequent session to 36 rpm (2 G) and the maximum number of revolutions is maintained until the end of the course of treatment. The duration of the procedure is 10-12 minutes. Procedures are carried out once a day, daily. The general course of treatment is 10-15 days, depending on the severity of the climacteric syndrome.

As a result of the proposed method of exposure to increased gravity, together with low-frequency pulsed electrotherapy (electrosleep), an increase in the effectiveness of treatment of patients with menopausal syndrome of mild and moderate severity is achieved. As a result of the impact, the functional state of the subcortical-stem formations located near the base of the brain is altered, namely, the thalamus, hypothalamus, pituitary, reticular formation of the brain stem, and the limbic system. They improve the vegetative provision of various body functions, normalize the trophic functions of the nervous system. There is also a movement of blood, as the most dynamic medium, from the upper body to the lower limbs and pelvis. This helps to reduce preload on the heart by depositing part of the blood in the resistive vessels of the lower extremities. Blood circulation, microcirculation and tissue trophism improves, collateral circulation develops, blood oxygenation increases, blood formation is stimulated. Blood supply to the pelvic organs improves. Lipid, carbohydrate, mineral and water metabolism, hormonal function of the thyroid, pancreas, sex glands, adrenal glands and pituitary gland changes towards normalization. Along with this, active muscle work by the lower extremities leads to the disclosure of an additional number of functioning capillaries, the accumulation of metabolic products, which have a pronounced vasodilating effect in the aftereffect, which ultimately leads to a decrease in the total peripheral resistance of blood vessels to blood vessels. All this contributes to the reduction or disappearance of the neurovegetative and psychoemotional manifestations of menopausal syndrome of a typical form of mild to moderate degree, as well as the prevention of complications that may be accompanied by menopause syndrome. Thus, they increase the effectiveness of the treatment of patients with menopausal syndrome of mild to moderate degree, improve their quality of life and prevent the complications that may be associated with menopause syndrome.

Clinical example: patient A., 48 years old, diagnosis: menopausal syndrome, a typical form of mild severity. Complained of hot flashes to the head and upper half of the body, increased sweating, headaches, palpitations, irritability, decreased performance, rapid fatigability, and menstrual dysfunction. According to the results of the examination, it was found: in the blood - a decrease in progesterone levels, an increase in the level of LH and FSH; Ultrasound of the pelvic organs is normal. The treatment was carried out: electrosleep - fronto-mastoid technique, frequency 60 Hz, exposure time 30 minutes, after 30 minutes gravity therapy - 32-36 rpm, muscle load 20-50 watts. The number of procedures 10, were carried out 1 time per day, daily. After the treatment, the patient's condition improved significantly, had no complaints, menstrual cycles resumed.

Patient M., 54 years old, diagnosis: menopause syndrome is a typical form of moderate severity. Complaints of hot flashes to the head and upper body up to 15 times a day, excessive sweating, increased pressure up to 150/90 mm Hg, frequent headaches, periodic chills, tachycardia, general weakness, tearfulness, sleep disturbance, lack of menstruation within six months. The survey was conducted: blood - a decrease in progesterone, estradiol, an increase in LH and FSH, an increase in CL-HDL; according to REG - an increase in peripheral vascular resistance and the phenomenon of difficulty in the outflow of venous blood; according to the ultrasound scan of the main arteries of the head - stenosis in the basins of the internal carotid arteries is not more than 30%; Ultrasound of the pelvis is normal. The treatment was carried out: electrosleep - fronto-mastoid technique, frequency 60 Hz, 30 minutes; after 30 minutes, gravity therapy - 32-36 rpm, muscle load of 20-50 watts. The treatment was carried out daily (except weekends) 1 time per day, a course of 12 procedures. After treatment, the patient's condition improved, hot flashes, sweating, tearfulness, weakness disappeared, blood pressure decreased to 120/80 mm RT. Art., analyzes: blood - progesterone, estradiol is normal, LH and FSH have decreased to the upper limit of the norm, a decrease in HDL-C and an increase in LDL-C; REG - elimination of deficiency of blood supply to the brain against the background of improved venous outflow; USDG is the development of collateral circulation in the basins of the internal carotid arteries.

The method is advisable to use for the treatment of menopausal syndrome of a typical form of mild to moderate severity in medical and preventive and sanatorium institutions of the city and region, as well as in the educational process for students, interns, residents and doctors.

Information sources

1. A woman. Obstetric and gynecological problems, O.I. Lineva, V.V. Pavlov, 1998, p. 344-345.

2. Gynecology: The Newest Handbook, Ed. L.A. Susloparova, 2004, p. 644-650.

3. Technique and methodology of physiotherapeutic procedures, ed. V.M. Bogolyubova, 2002, p. 44-57.

4. Menopause, Crimean ML, 1989, S. 215-228.

Claims (1)

A method of treating menopausal syndrome of a typical form of mild to moderate degree by successive exposure to an electric sleep, characterized in that 30 minutes after the electric sleep, a gravitational effect is applied to the patient in the head-lower limbs direction, the rotation speed is 32 rpm, with an increase in the number of revolutions from the second session 1 revolution with each subsequent session up to 36 rpm and maintaining the maximum number of revolutions until the end of the course of treatment, 10 W muscle load with a gradual increase to 50 W by the end of the course treatment, the duration of the procedure is 10-12 minutes, the general course of treatment is 10-15 days for 1 session daily.