SU1323107A1 - Method of treatment of genital endometriosis - Google Patents

Abstract

This invention relates to gynecology. The purpose of the invention is to reduce the number of relapses. Patients produce vaginal irrigation with iodine-bromine water. Then, general iodide-bromine baths are prescribed. The treatment is carried out in the first half of the day. The course of treatment consists of 12-14 procedures. with 1C oo

Description

to

The invention relates to medicine, namely to gynecology.

The purpose of the invention is to reduce the number of relapses,

The method is carried out as follows.

After examination, the patient is treated with vaginal irrigations and general iodine-bromine baths. Vaginal irrigation is carried out at a water temperature of ZZ-Zb C for 10-15 minutes. Then, a common iodine bromine bath of the same temperature is administered. The duration of the total baths depends on the general condition of the patients, individual tolerance, and the state of the cardiovascular system. After 3-4 procedures, the duration of total baths is increased to 5 minutes. The treatment is carried out at the same time of the first half of the day. Vaginal irrigation is carried out with a hose to drain the used water. A tank with a capacity of 40 liters is located at a height of no more than 150 cm from the floor. Vaginal irrigation is carried out with a tip with a slow water flow. The consumption of iodine-bromine water averages 8-10 liters per procedure. The treatment is carried out for two days. Examination revealed a functional impairment. hypothalamic-pituitary-ovarian system according to hypolutheinism type. A daily study of the content of gonadotropic and steroid hormones in the blood revealed that the level of basal secretion of gonadotropic hormones was normal and did not exceed 6.7 PC / ml for LH and 4.2 pc / ml for FSH. At the same time, the peak cyclic secretion of LH fell on the 20th day of the cycle and did not exceed 42 pc / ml. The content of prolactin in the blood, 902 pc / ml, Uroven.estradiol in the 1st and 2nd phases of the cycle averaged 74.2 and 86.4 ng / ml, respectively. The peak cyclic secretion of estradiol occurred on day 21 and corresponded to 458 ng / ml. Progesterone secretion in Phase 2 was slightly reduced to 8.2 ng / ml. A laparoscopic study revealed the P-A degree of dissemination of external specimen, yellow body with stigma in the right ovary, and patency of both fallopian tubes.

For 6 months, the patient underwent hormonal correction of norethys20

25

pp with a break on the third day, all over the place without a stimulating effect. go on a course of 12-14 procedures. After priring, after 1 g was admitted for treatment in the procedure, the patient rests

chair or lying on the couch for 1-1.5 hours

CNIICF, where from the 6th day of the menstrual cycle the treatment by the proposed method was carried out. Irrigation was carried out in a hyine-bentine 35 cologic armchair with a lowered spinwater, which is analogous to the supply and discharge hose to drain the native Khadyzhensky source. For used water. The water temperature of its preparation was first prepared in a tank brought to 35 ° C. Use solution: 100 g of a special vaginal tip of iodide and 250 g of potassium are dissolved in 1 l of water. Nick. The water flow is slow. Pa one

irrigation consumed 8 liters of water. The duration of the procedure was 10 minutes. Then, after 15 minutes, the patient passed into the bath department, where they were mixed with lake salt, 5 took a common iodine-bromine bath. The temperature of the water in the bath is 35 ° C. The duration of the first 4 procedures was 40 minutes, and the next 15 minutes. In total, the course of treatment includes 12 consecutive 50 consecutive procedures, two days with one day break. After the procedures, the patient rested lying in bed for 1-1.5 hours.

Treatment of the patient was tolerated and passable. Due to impaired function, 55 well, no balneoreaction was observed, there was a rational activity of the ovaries, you were in the first menstrual cycle following the tests of the functional diagnostics of the patient in the nastostomy, 3 courses were carried out - saw pregnancy ending with the term clostylbegid without stimulating childbirth.

The prepared solution is stored in a dark bottle with a ground in stopper. Then, 2 kg of sea water is dissolved in a bath (200 l) with tap water.

until dissolved. From the dark flask, 100 ml of the prepared solution is added.

Example 1: Sick M, Diagnosis; external genital endometriosis PA, degree of spread. Infertility 1,

At hysterosalpingographic research it is established: both pipes

affect. Examination revealed a functional impairment. hypothalamic-pituitary-ovarian system according to hypolutheinism type. A daily study of the content of gonadotropic and steroid hormones in the blood revealed that the level of basal secretion of gonadotropic hormones was normal and did not exceed 6.7 PC / ml for LH and 4.2 pc / ml for FSH. At the same time, the peak cyclic secretion of LH fell on the 20th day of the cycle and did not exceed 42 pc / ml. The content of prolactin in the blood, 902 pc / ml, Uroven.estradiol in the 1st and 2nd phases of the cycle averaged 74.2 and 86.4 ng / ml, respectively. The peak cyclic secretion of estradiol occurred on day 21 and corresponded to 458 ng / ml. Progesterone secretion in Phase 2 was slightly reduced to 8.2 ng / ml. A laparoscopic study revealed the P-A degree of dissemination of external specimen, yellow body with stigma in the right ovary, and patency of both fallopian tubes.

For 6 months, the patient underwent hormonal correction of norethis.

Example 2. Patient; E. Diagnosis: condition after bilateral resection of the oticus of endonitoid cysts.

On admission for histological examination, endometrioid ovarian cysts. Complaints at admission: persistent aching pain in the lower abdomen and in the lumbosacral region, impaired mekstru, function by type of hyperpolymenorrhea, primary infertility, naropaia sleep, irritability, tearfulness. Tests of functional diagnostics testified to dysfunction of ovarian function as hypolutheinism. In the clinical analysis of blood, there was a decrease in gtmoglobin to 60 units, an increase in the number of leukocytes to 9600, ycKopnfutc ESR to

mm / h In the case of vaginal examination, the pumping of aggenemetry corresponds to TByi jiiuix reflex zones (10,8,7,10 - before treatment and 12,12,14,12 after the course). The test data of functional diagnostics, studied in several menstrual cycles after treatment}) and, testified to the improvement of function, and the condition of the ovaries. Thus, the continuity of the moisture, gi and cervix pathology was not found. The body of NMTKH and the left lumen of the appendages are not separately (sonored because of sharply painful) postoperative infiltration in the arch. Right ovary sharply diseased and enlarged (3.0x2.5x x5 cm).

Pp. 6th day mem1stra; n1nogo nikla

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The poi i phase increased by 4 days, and iodide-bromine treatment was carried out (1 dy 0n temp –– by 0.2 s. Poka.zatey fi 36 ° C. At the beginning, the patient was administered -1 t pupil phenomenon indicated

vaginal irrigation lasts for 15 minutes by reducing estrogen-irogestnnost. After 10 min - general ron ratios. Clinically this

a bath of the same temperature continued in the improvement of the menstrual

10 minutes After receiving the procedures of the function that had become dormant, the sick person rested lying in bed. Course

Claims (1)

a duration of 5 days. Sick finished the course of treatment with a significant improvement. In the baking of the year, she was under the control of the dynasty. State b (ITH1 good, complaints; e predit:) Ja la, re1 disease is not marked. I Formula of invention The treatment was 1A consecutive procedures, two dt1 times with a day break. The treatment of the patient was well tolerated. During the first 5 procedures, a certain amount of pain was noted in the area of the uterus appendages, which itself passed after an hour and a half rest. Marked} n, 1e gleps were regarded as physiological balneoreaction. Beginning from the middle of treatment, improvement in general condition, mood, and normalization were noted. A vaginal examination showed a positive dynamics, which manifests itself with some delimitation of the uterus. vniipi Order 2892/6 Circulation 595 Subscription Production.-polygraph, pre-e, Uzhgorod, st. Project, 4 and less painful reaction to palpation. After the treatment, the patient's condition and mood become more significant. Sleep is completely normalized. In clinical ana.pizakh blood and urine pathology was not revealed. During vaginal examination, the body of the uterus clearly contoured in the midline. Its dimensions are normally 11s, round, consistency is usual, palpation is painless, arches are expressed on both sides, the right EID1P is reduced by two times. In the left vault, infiltration was not determined, but the ovary was edematous, somewhat painful, measuring 3.0x, 0x3.0 cm. The analgesic effect of iodine upoMHoii) yuda indicates higher 25 5function, which has become dead, is 0 five a duration of 5 days. Sick finished the course of treatment with a significant improvement. In the baking of the year, she was under the control of the dynasty. State b (ITH1 good, complaints; e predit:) Ja la, re1 disease is not marked. I Formula of invention A method of treating genital endometriosis by means of vaginal irrigation and general baths, characterized in that iodine-bromine water at 35-36 ° C, the duration of the procedure is 10-15 minutes for vaginal irrigation and general treatment to reduce the number of relapses. .