SU1526692A1 - Method of treatment of genital endometriosis - Google Patents

Abstract

This invention relates to gynecology. The purpose of the invention is to reduce the time of treatment and prevent allergic reactions in the treatment of genital endometriosis. The needles are inserted into symmetric corporal and auricular acupuncture points, leaving the needles for 20-50 minutes, the procedures are carried out daily for 12 days, starting 6-7 days before the onset of menstruation, the duration of needle exposure is increased, starting from 20 minutes for the first 6 procedures for 5 minutes followed by a decrease in the duration, starting with 7 procedures, while during 3, 9, 11 procedures after inserting the needles into the corporal points, vacuum massage of the paravertebral and lumbosacral areas for the care of the back-meridian, meridian my evogo bladder and zones Zakharyin-Guesde genitals of labile manner a negative pressure of 80-200 mmHg for 5-8 minutes, during 4 and 8 procedures, these zones are stimulated with a needle beam of medium intensity with a frequency of 140-180 beats per minute for 7-10 minutes, and during 6, 10, 12 procedures, irritation is performed areas of the sternum and along the front-meridian with a beam of needles of weak intensity with a frequency of 120-160 beats per minute for 2-3 minutes, followed by insertion of needles into auricular points. The method reduces the treatment time by 3-4 times and prevents the development of allergic reactions. 1 dw., 2 tab.

Description

vacuum paraverte massage is performed on the lumbosacral zones along the back middle meridian, the bladder meridian and the Zakharyin-Ged zones of the genitals by a labile technique with a negative pressure of 80–200 mm Hg. during 5-8 minutes, during time A and 8 procedures, these zones are stimulated with a needle-beam of medium intensity with a frequency of 1 AO-180 beats per minute for 7-10 minutes, and during 6, 10, 12 procedures the wire t irritation of the sternum and along the front-median meridian with a beam of needles of weak intensity with a frequency of 120-160 beats per minute for 2-3 minutes, followed by the introduction of needles into auricular points. The method reduces the treatment time by 34 times and prevents the development of allergic reactions. 1 il. 2 tab.

The invention relates to medicine, specifically to gynecology, and can be used to treat patients with hematologic endometriosis.

The chain of the invention is the reduction of 20 treatment cures and the prevention of allergic reactions.

The drawing shows a graph of the method.

The method is carried out the following way 25 times.

Patients with genital endometriosis daily for 6-7 days. before and within 6-7 days from the beginning of the menstrual cycle, the needles are inserted into the symmetrical ZO corporal (R-7, GL-4.11, E-8,9,25,30,36,41-, RP-6,9,12; C- 7, IG-3i V-10,40,60,62, R 6,7,11,14, МС-6; TR-3; VB-20,30,34,41; F-2,5,11; T-2,4,14,16,20,24; 1-2,3,4) and auriculars (adrenal gland, endocrine glands, ovary, pituitary, brain cortex, sympathetic, antistress, pelvic cavity, uterus , the apex of the ear, kidney, liver) acupuncture point Q for 12 days. with the effect on the 2-1-2 variant of the inhibitory method for 25 minutes during the first session and the subsequent increase in the duration of the exposure every day for 45 minutes for 5 minutes to 6 sessions and a daily decrease in the exposure for 5 minutes, starting with session 7, After inserting the needles into the corporal points — before inserting the en needles into the auricular points — a vacuum ba is performed during 3, 9, 11 procedures. Night massage of the paravertebral and supine-Creotz zones along the zadne-middle meridian, the bladder meridian and Zakharyin-Ged zones of the genital organs using a labile technique with a negative pressure in a can of 80–200 mm Hg. within 5-8 min, during

time 4 and 8 procedures stimulate these zones with a needle beam of moderate intensity with a frequency of 140-180 beats / min for 7-10 minutes, and during 6, 10, 12 procedures the area of the sternum is stimulated and along the front-median meridian needles of low intensity with a frequency of 120-160 beats / min for 2-3 minutes.

The selected biologically active points are searched, the skin at the site of the intended injection is treated with 96 ° alcohol and sterile steel needles for the corporeal points and silver needles for auricles and snares are inserted, followed by rotation until a predetermined sensation is reached. 0.5–3 mm; corporeal — from 0.3 to 4–6 cm, depending on the topography of a point on the surface of the body. The needles are removed after 20-50 minutes according to the set out scheme. Corporal points are used daily, auricular points are also used daily, but starting from the second procedure. During the 3.9, 11th session, after inserting the needles into the corporal acupuncture points, vacuum cupping of the described zones is performed. A stake (on the back is pre-lubricated with sterile sunflower oil, then a can is applied with an opening area within 10-20 cm and a negative pressure is created within 80-200 mmHg using one of the serial vacuum apparatus.

At the same time at the beginning of the procedure create a negative pressure in the range of 80-120 mm Hg. and begin processing the described sites using a sliding technique. 1-2 minutes after adaptation of the skin receptors to this degree of irritation, a higher negative pressure is created within the range of 160-200 mm.

Hg and repeat the treatment zones for 2-3 minutes. Then the negative pressure is again reduced to 100-150 mm Hg, and treatment is carried out for 2-3 minutes. Sometimes, in the case of increased capillary fragility, which manifests the appearance of intracutaneous hemorrhages in the upper back, with the aim of reducing stagnant effects in the skin, classical manual massage of these areas is carried out for 2-3 minutes. During the 4th and 8th procedures after inserting the needles into the corporal points, the needle treatment of the described area and Zakharyin-Ged areas of the genital organs is carried out. The treatments are carried out along the lines corresponding to the vow of the bladder meridine and the mid-middle meridian for 5-7 minutes, and then the Zakharyin-Ged zones are processed for 2-3 minutes. During the 6th, 10th and 12th procedures, the needles are processed by the needle region of the sternum along the anterior-mid-meridian for 23 minutes. After a can massage or stimulation with a needle beam, the needles are inserted into the auricular points.

Example. Patient L., 34 years old. Diagnosis: diffuse adenomyosis of the uterus, grades I-II, endometriosis of the cervix, retrocervical endometriosis, grades I-II, grade I-II. Pelvic neuralgia.

Upon receipt of a complaint of pain in the lower abdomen and sacrum, of dull, permanent nature, increasing at the same time and during menstruation, physical exertion, sex life, psychogenic stresses, radiating to the rectum, pelvic bones and inner thighs, menstruation is painful, prolonged sedative discharge for 4-6 days before and after the month, headache, weakness, recurrent pain in the liver and stomach. Ill after diatermoelectrocoagulation of cervical erosion 7 years ago. For 4 years, she was unsuccessfully treated for the inflammatory process of the uterus. Endometriosis was diagnosed 3 years ago on the basis of clinical data, hysterography, ringscopy, ultrasound scanning. For this period

4 times she underwent inpatient treatment using physiotherapy: zinc-iodine - electrophoresis, ultrasound, IMI, radon baths, progesterone was administered locally, she took vitamin courses.

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notherapy, splenina, carried out symptomatic therapy. When vyshisk recommended non-ovlon admission, and subsequently, the norcolute, which the patient has taken for 1.5 years over the past 3 years. An insignificant and short-term effect was noted, the state gradually worsened, intolerance to hormonal drugs developed with the appearance of pain in the liver and stomach.

Objectively: the body of the uterus is enlarged to 6-7 weeks of gestation, rounded, painful on palpation and displacement. The ovaries are somewhat limited in mobility, moderately enlarged, painful. Retrocervical tender, sharply painful nodules are detected. Palpation of the walls of the pelvis and the sacrum is marked with marked pain. Four bright red, active foci of endometriosis were revealed colposcopically on the cervix. During laparoscopy, endometriosis of the ovaries of the I – II stages is established, adhesions in the small pelvis. Ultrasound scanning revealed: the uterus 84 68 86mm, the contours are fuzzy, the echo signal from the endometrium is normal. Retrocervical detected pronounced enhancement of echosinal due to scar tissue with single small fluid inclusions. The ovaries are on the right 48 46x34 mm on the left - 42441 30 mm with non-uniform echostruc- ture. The results of the immunological study: the absolute number of E-ROK-621.4 (relative 34%), T-suppressors 31.1 (relative 5%). In view of the lack of proper effect from the previously conducted conventional conservative therapy, a course of reflexology was performed.

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First procedure. In the reflexology room, before the first session, the patient is interviewed to relieve anxiety and fear of the procedure. They talk about the sensations during acupuncture, the rules of behavior of the patient, explain the goals of treatment, answer the questions of the patient, carry out an additional collection of anamnesis. Then the patient is placed on a couch in a horizontal position. Introduce needles into symmetrical acupuncture points GL-11, E-36 until the intended sensations are obtained. The exposure time is 25 minutes, the braking method.

option two. The procedure is well tolerated.

The second procedure. The condition is former. Concerns about lower abdomen and pain, bloating and heavy feeling, headache, smearing of the genital tract. Introduce needles into symmetrical acupuncture points GL-4; E-8,25,30,41 and auricular points are anti-stress. The exposure time is 30 minutes, the braking method, option two. The procedure is well tolerated, notes improvement in

Third procedure. The condition has become somewhat better - the pain in the lower abdomen has decreased, headache worries much less. Notes sacral pain, poor sleep, not that anxiety, smearing

nor from the genital tract. In the prone position, needles are inserted at points: IG-3; V-62; T-16.20 for 35 min by the second variant of the braking method. Against the background of acupuncture, a vacuum bathing massage of the described zones of the sacrum of the back is carried out. At the beginning, a negative pressure of 90-100 mm Hg is created. and treatment with a sliding jar of the sacral area and the tail, then the back, then the back and back of the sacrum for 2 minutes, with the most attention to the pain areas of the sacrum and in the back of the lumbar spine. Then increase the negative pressure to 160-170 mm Hg. and repeat the treatment for 2 minutes. Vnov reduce negative pressure to 110-120 mm Hg. and process the same zones for 3 minutes. The remaining oil is removed and, in view of the fact that intracutaneous hemorrhages have appeared in the upper back, a manual classical massage of the back area is performed for 3 minutes. The needles are inserted into symmetrical auricular points — sympathetic for 25 minutes. The procedure is well tolerated.

Fourth procedure. The condition improved, slept well, decreased pain in the sacral region.

In the prone position, the needles are inserted into the V-10,40,60 and T-14,4,2 points for 40 minutes with the first variant of the braking method. A needle beam is irritated in the area of the course of the back-meridian and both branches of the bladder of the meridian of moderate intensity with a frequency of 140–180 beats / min for 5 min, then

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Zakharyin-Ged zones are treated with the same intensity for 2 minutes. The skin is treated with 96% ethyl alcohol before and after the procedure. The needles are inserted into the symmetric auricular points of the internal secretion glands and the pituitary gland for 33 minutes. She transferred the procedure well, by the end of the session she fell asleep.

Nth procedure. The condition is satisfactory. Menstruation should begin, but there are no pronounced phenomena of pain syndrome that were disturbing earlier on the eve of menstruation. Introduce needles into the corporal acupuncture points MC-6; RP-6,9,12; 1-2 and auricular points of ovary, apex of ear for 45 min. She transferred the procedure well, by the end of the session she fell asleep.

Sixth procedure. The condition is satisfactory. Started another menstruation. Vascheleni from the genital tract blood bleeding, moderate. Concerned about dull pains in the lower abdomen and sacrum. Severe pains of a cramping character with irradiation to the rectum, which were disturbed the day before and during the previous months, are not. Introduce needles into the corporeal points P-7; R-2.7, 11; 1-4 for 50 minutes Stimulation of the region of the sternum is carried out with a needle beam of weak intensity with a frequency of 120-160 beats / min for 2 minutes (irritation is applied in the area of the front-median meridian from 1-14 to 1-22). Introduce needles into auricular points — the cerebral cortex and uterus for 48 minutes. She transferred the procedure well, did not feel any pain by the end of the session.

Seventh procedure. The condition has improved. Several plentiful, practically painless monthly continue. The severity of the abdomen and lower limbs worries, occasionally - moderate headache. Introduce needles into acupuncture points C-7, F-2.5; 11, 1-3; T-20, 24 and auricular points of the liver for 45 min. She transferred the procedure well, by the end of the session she fell asleep.

Eighth procedure. Marks significant improvement, continues monthly. Moderate secretions from the genital tract. In the prone position, the needles are inserted into the TR-3 acupuncture points, T-14; VB-20; 30, 34.41 and 40 min. The needle is irritated by the needle in the back along the back meridian and both branches of the bladder with a frequency of 14040.

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180 beats / min for 7 minutes followed by the same irritation of the Zakharyin-Ged zones of the halves of the organs for 3 minutes. Introduce needles into auricular points of the pelvic cavity for 30 minutes. The procedure is well tolerated.

Dev that procedure. The condition is satisfactory. The menstruation ends - the minor alterations. Notes the feeling of severity in the sacral region. Introduce needles into IG-3 points; V-62; T-20.16 for 35 minutes Vacuum canned massage is performed according to the procedure described in the third procedure for 7 minutes. Introduce needles into auricular points of the adrenal glands for 28 minutes. The procedure moved well, by the end of the session I fell asleep

Ten ta procedure. The condition is satisfactory. Menstruation is over. Anxiety is occasionally wandering abdominal pain. Introduce needles into the corporeal points P-7; R-7,11,1A for 30 minutes The needle is stimulated with a low-intensity needle with a frequency of 120–160 beats / min along the VF-2 to VC-22 meridian for 3 min. Introduce needles into the auricular points of the kidneys for 27 minutes. The procedure is well tolerated.

Eleventh procedure. The condition is satisfactory. Disturbed slight smearing of the genital tract and occasional minor pain in the sacrum or lower abdomen. In the prone position, the needles are inserted into the IG-3 acupuncture points; V-62i T-20, 16 for 25 min. Vacuum canned massage is carried out according to the method described in the third procedure with the parameters: 2 minutes 110-120 mm Hg, 3 minutes 180-200 mm Hg. and 2 min 130-150 mm Hg. Then classical hand massage is performed - 3 min. The needles were inserted into the auricular points of the adrenal glands, the cerebral cortex for 15 minutes. The procedure was transferred well, and by the end of the session the patient fell asleep.

Twelve procedure. The condition is satisfactory. No complaints. There are no exudates from polvk. Introduce needles into corpuscles GL-4i E-9.36 for 20 min. Conducted a slight irritation of the sternum region from VC-14 to VC-22 with a frequency of 120-160 beats / min for 2 minutes. Introduce needles into auricular points - anti-stress 0

for 18 min The procedure is well tolerated, no complaints. The course of treatment is over.

Thus, against the background of treatment, menstruation was significantly less painful than before. By the end of treatment, chronic pelvic pain syndrome disappeared, complaints from other organs and systems were arrested. In addition, there is a tendency to normalize genital status. Vaginal examination showed a decrease in size and a significant decrease in pain of the retro-cervical center of endometriosis, a decrease in the size of the uterus, pain on palpation of the uterus, appendages and pelvic walls. With UZS, the size of the uterus decreased to 72i 54x71 mm, the contours became clearer. Retro-cervical fluid inclusions are not detected. The ovaries have become more homogeneous echostructures, measuring 42 33 26 mm (right) and 41kZO 28 mm (left). Colposcopic - foci of endometriosis - pale, inactive. An immunological study revealed an increase in the number of E-ROCK to 880 (52%) and an increase in T-suppressors 0 to 158.4 (18%).

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Two weeks later, the patient was hospitalized in a planned order for the second course of reflexology at the same time of the menstrual cycle. The examination revealed the preservation of positive changes from the side of the genital status and the immune system, i.e. there was a cupping

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symptoms of endometriosis activity.

The number of T- and B-lymphocytes of peripheral blood in patients, women with endometriosis in the treatment of methods of reflexology () are given in table.1. The proposed method treated 75 patients with various forms of genital endometriosis with a positive effect. In addition to positive dynamics on the part of clinical data, normalization of immunological data was noted (Table 1), which resulted in the elimination of T-cell deficiency of T-suppressors. Hormonal

The survey showed a tendency to increase the plasma progesterone level in this group of patients in the second phase of the menstrual cycle.

Comparative results of treatment of patients with the proposed and known methods are given in table 2.

The proposed method of treating genital ecdometriosis with the methods of reflexotherapy makes it possible to reduce the treatment time by 3-4 times, increase the number of patients with a remission of the disease for more than 0.5 year from 53 to 71%, completely eliminates the possibility of adverse reactions that occur in 62, 7% of patients receiving long-term hormonal preparations for the purpose of treatment (Table 2). During treatment, not only the manifestations of all the main, clinical symptoms of the disease are reduced, but also correction of existing hormonal and immunological disorders is found. The method is simple, economically advantageous, and can be widely used in ambulatory-polyclinic conditions, which significantly increases the possibility of non-drug therapy for genital endometriosis, especially in the group of patients whose traditional therapy is limited due to a number of contraindications.

Claims (1)

Formula Eteni A method of treating genital endometriosis, characterized in that, in order to shorten the time treatment and prevention of allergic reactions, needles are inserted into symmetric corporal and auricular acupuncture points, leaving needles for 20-50 minutes, the procedure is carried out daily for 12 days, starting 6-7 days before the onset of menstruation, the duration of needle exposure increases the beginning from 20 minutes during the first 6 procedures for 5 minutes, followed by a decrease in the duration, starting with 7 procedures, with this during 3, 9, 11 procedures, after inserting the needles into the corporal points, vacuum massage is performed on the paravertebral and -crests along the posterior median meridian, bladder meridian, and Zakharyin-Ged zones, organ harvesting using a labile procedure with a negative pressure of 80–200 mmHg. during 5-8 minutes, during 4 and 8 procedures, these zones are stimulated with a needle beam of medium intensity with a frequency of 140-180 beats per 1 minute for 7-10 minutes, and during 6, 10, 12 procedures stimulation of the sternum area and along the front-median meridian with a needle beam of weak intensity with a frequency of 120-160 beats per minute for 2 to 3 minutes, followed by insertion of needles into auricular points, if necessary, repeat courses. table 2