SU1064958A1 - Method of treatment of patients ill with urate and urate-oxalate ureterolithiasis - Google Patents

Description

The invention relates to medicine, in particular, to urology, and can be used in the treatment of urolithiasis in POLYCLINICS, hospitals and sanatoriums and resorts.

There is a known method of removing ureteral stones by applying induction therapy to the projection of the kidney and ureter with an intensity of 180–200 mA on the projection of the renal pelvis, sinusoidal modulated currents with a modulation depth of 100% and a frequency of 20–30 Hz, and a current of 45–45 mA 1 J.

However, this method does not provide for the dissolution or obesity of urate and urate-oxalate stones.

Closest to the present invention, there is a method for treating patients with oral and urate-oxalate ureterithiasis using medicinal solvent stones, for example, maurlita. Magurlite is prescribed 2-3 g -3 times a day under the control of urine pH for 3-8 months 2.

The disadvantage of this method is that it does not give a pronounced stimulating effect of smooth muscles; upper urinary tract and therefore a low percentage of the discharge of ureteral stones.

The purpose of the invention is to reduce the duration of treatment.

The goal is achieved by the fact that, when implementing the method of treating patients with urate and urate oxalate ureterolithia, the magulite is additionally taken once to receive 600-1500 MP of drinking boiled water and act with sinusoidal modulated currents on the projection area of the stone in the ureter in the neurotransmitter; , lY kind of work with a frequency of 40-60 Hz, modulation depth of 70-90%, force. ; current 20-50 mA for duration. procedures of 3-5 minutes, with the duration of the pulse and pause of each type of work, set respectively 1-2 s 1-2 s; 4-5 s, 4-5 s; 2-3 s, 4-5 s, and also affect ultrasound on the projection area of the stone in a meter with an intensity of 0, 7 W / cm-, and in the shul mode, it is labile with a duration of procedure 5-7 NffiH, and the effect is alternated with Current and ultrasound every other day.

A method for treating patients with urate and urate-oxalate ureterolithiasis is carried out as follows.

The patient takes MakhUR daily 1–3 g 2–3 times a day, under urine pH of urine (pH 6.2–6.7)) before each patient; Drinking boiled water 20–22 ° C, in the amount of 600–1500 MP for 20–30 min before the SMT and ultrasound procedure.

Sinusoidal modulated currents1. (SMT). Amplipulse-ZT apparatus. A 7x10 cm plate electrode is placed on the appropriate side of the anterior abdominal wall above the fold, on the calculus projection area in the ureter (according to urograms V. A wet hydrophilic sponge cloth pad is placed under the electrode. The plate electrode is fixed with an elastic bandage or pressed with a sand bag 1 1, 5 kg.

The second electrode of a cylindrical shape, cavity size of 8.5x2.0 cm, was eaten with vaseline oil or 0.5% hydrocortisone ointment into the rectum (for men) or into the vagina (for pregnant). The mode of operation of the device is not direct, first I work, modulation depth is 70-90%, frequency 40-60 Hz, pulse duration 1-2 s, pause 1-2 s, current up to 20-50 mA, procedure duration 3- 5 min, then | 1 type of work (dressing - pauses modulation depth 70-90%, frequency 40-60 Hz, pulse duration 45 s, pause 4-5 s, current up to 20-50 mA, duration procedure 3- 5 min and after that 1 type of work, modulation depth: 70-90% / frequency 40-60 Hz, duration, impulse 2-3 s, pause 4-5 s, current up to 20-50 mA, duration npon & 3-5 minutes fjyptat Procedure performed every other day , for a course of treatment Yu12 procedures.

 For the procedure after pre-emptying the intestine and flushing the rectal ampoule with warm WATER, using a cleansing enema, lay the back or the back on a rubberized couch. Then, they ate the rectum of the anus and rectum and the abdominal electrode and smeared it with Vaseline oil or 0.5% hydro hyionic ointment. The cavity electrode is pressed tightly against the mucous membrane of the anterior wall of the intestine, closer to the Antero-lateral creusa & After the procedure, an oil mixture of 10 ml heated with 38-40 ° C and 10 ml of vaseline oil or fish oil and 10 MP Vishnevsky ointment are introduced into the rectum.

A woman, for exerting a SM7 fit, is placed on her back on a rubberized or rubberized, her gynecological chair, ashrocked legs are spread in CTopotffiE and injected with an BOSE electrode smeared with basil oil or 0.5% hydrocortisone ointment, into vlagalnny. Electrode

tightly pressed to the vaginal anterior wall of the vagina above the projection of the location of the stone in the lower third of the ureter. Ultrasound from the UT-103 domestic apparatus. Cavity emitter IUT 0.88-1-5. The pulse mode of the device is 4 ms. The intensity of the ultrasound is 1 (: a 0.4 0, 7 W / cm, the duration of the procedure is 5-7 min. The procedures are released every other day, during free CMT days, the course of treatment is 10-12 procedures.

For the procedure of ultrasound, the patient is placed on his side on a couch, cuck or knee or flush position. The anus, the rectum and the radiator are smeared with vase oil or 0.5% hydro-hydroxaphene paper. The emitter from the ultrasound device is inserted into the rectum so that its radiating surface is installed above the location of the stone in the ureter. After switching on the device, slow, sliding, longitudinal movements are made in one direction from the level of the middle third of the rectum to the anus by its radiator. , tightly clamping its radiating surface to the mucous membrane of the anterior wall of the rectum, closer to the antero-lateral-side / b edge of the intestine, according to the place of irrojection of the affected ureter (labile technique), After the procedures administered into the rectum heated to 38- 40 with hydrochloric mal mixture of co-hundred conductive vazelinovgo oil or fish oil in an amount of 10 ml and ointments VishnevsA th 10 ml.

And women ultrasound procedure is released through the vagina. Therefore, the patient is placed on his back on a rubberized couch or a rubberized gynecological chair, widely divorced T; legs to the side and inject the radiator, lubricated with Vaseline May Scrap or 0.5% hydrocortisone ointment, into the vagina. The radiating surface of the radiator is tightly pressed to the mucous membrane of the anterior cTisHKH of the vagina above the projection of the location of the stone in the lower third of the ureter. and slow sliding, longitudinal movements in one direction from. the posterior vaginal fornix, to the level of the outer part of the urethra of the corresponding side of the vagina, closer to its anterior-lateral margin, the stone is expelled from the ureter. If irritation of the vaginal mucosa is present, tampons with syntomycin emulsion are inserted after the procedure for 2 to 3 hours. CMT procedures are performed on odd days and ultrasound on even days.

Primer p. Free at 9 o'clock, he eats breakfast, at 9.40 min he is determined by the pH of urine and if pH is 6.2-6.7, then he takes 2 g of mahurlite and 1000 MP

boiled water. At 10 hours, a cleansing enema is performed with warm water. At 10.10 minutes in the treatment room, sinusoidal and modulated currents are applied using the output pulse apparatus. For this purpose, the following operating mode is first set: unaltered mode J type of work, modulation depth 90% frequency 40 Hz duration

0 pulse 1s, pause 1 s, Current strength 20 mi. Then impose a plate electrode the size of 7x12 cm, on. the corresponding side of the anterior abdominal steak over the bosom, on the region of the projection of the affected ureter and fixed with elastic intram. The patient is laid on its side on a rubberized couch. The mucous membranes of the anus, the rectum and the cavity electrode of a cylindrical form are lubricated with vaseline oil. A cavity electrode, 8.5x2.0 cm in size, is inserted into the rectum and tightly pressed against the mucous membrane of the anterior-lateral wall of the rectum, to the projected area of the affected ureter. Turn on the AmplipUlie-ST device and carry out the procedure for 5 minutes. Then, they operate at the type of work, modulation depth 90%, frequency 40 Hz, pulse duration, pause 4c, POWER of current up to -20 mA, duration of procedure 5 min and after that type of work, modulation depth 90%, frequency 40 Hz duration

5 impulses 2s, a pause of 5 s, a current of 20 mA, continue the procedure for 5 min. T,

The rtocne procedure in the rectum is injected with a warm oil mixture of 10 ml of vaepine oil and 10 ml Vishnevsky ointment, warmed by g. After that, the patient lies in bed for 1 hour. For a course of treatment, 1012 procedures, every other day.

I

Magurlite patient takes after lunch and dinner for 2g.

On the day of the patient, after breakfast, taking 2 mg of maghurl and drinking water, do a cleansing enema and perform an ultrasound procedure. The device UZT-103, cavity emitter IUT 0,88-1-5. Set the pulse mode (4 ms), the intensity of 0.7 W / cm2. The duration of the procedure is 7 minutes. For this, the patient is placed in the knee-elbow position. Anus, rectum and holovka. The radiator is lubricated with vaseline butter. The emitter is inserted into the rectum so that its radiating surface is set above the location of the stone in the ureter. After switching on the device, mediating sliding longitudinal movements are performed in one direction from the level of the middle third of the rectum to the level of the anus by its radiator, tightly pressing its radiating surface of the mucosa of the anterior wall of the rectum, closer to the anterior-lateral edge of the intestine, corresponding to the projection of the affected ureter. After the procedure, the ointment is injected into the rectum to an oil mixture, consisting of vaseline or fish oil 10 MP and 10 ml of Vishnevsky. After that, the patient lies in bed for 1 hour. For a course of treatment, 10-12 procedures every other day. After lunch and dinner, the patient takes Magurlite. The proposed method of treatment was applied and tested on 60 patients in military and urate-oxalate ureterolithiasis aged from 20 to 6.0 years, with disease duration from 6 months to 5 years. In patients with stones, they were localized mainly in the steel section of the ureter, in its narrowest part. After treatment of patients with a prematus of F1M with a tetssob, improvements in subjective and functional data and analyzes were noted. as well as noted the discharge of stones ... The proposed method of treating patients with urate or urate-oxalate ureterolithiasis of low localization allows to dissolve the tartan stones to salt crystals or reduce the size {X: g them with a follow-up painless uterine stones, without surgical treatment, increase the number of cases with ureteral stones, without surgical treatment, increase the number of cases from ureteric stones, without surgical treatment, increase the number of cases from ureteric stones, without surgical treatment, increase the number of cases with ureteric stones, without surgical intervention, and the number of cases with ureteric to concretions and reduce the time of treatment large. In particular, the number of cases with dissolution and discharge of calculi in the application of the proposed method is observed in 95% of patients, and in case of prototype use, in 58.3% of patients. Consequently, the proposed method of treatment contributes to the discharge of calculus 1.5 times more. Than the prototype. In addition, the treatment line for and the use of the proposed method is reduced to 24 days, and with the use of the phototype, the patient jocTb treatment is 72-192 days.

Claims (1)

The proposed method of treating patients with urate or urate-oxalate 5 ureterolithiasis of low localization allows to dissolve urinary stones to salt crystals Or reduce their size with subsequent painless elimination of ureteral stones, 10 ka, without surgical intervention, increase the number of cases with calculus and reduce the time of treatment painful In particular, the number of cases with dissolution and waste of concrements in the application of the proposed method is observed in 95% of patients, and when using the prototype - in 58.3% of patients. Therefore, the proposed method of treatment contributes to the selection of standards in 1.5 times more than the prototype. In addition, the treatment time when using the proposed method is reduced to 24 days, and when using the prototype, the duration of treatment is 72-192 days.