SU1540833A1 - Method of treating chronic enterocolitis child-patients - Google Patents

Abstract

The invention relates to medicine, to a method for treating children with chronic enterocolitis. A marked positive effect was observed when using children with chronic enterocolitis, sinusoidally-modulated currents (SMT) in combination with other balneotherapy procedures against the background of drinking mineral water and dietary nutrition. CMT was prescribed: in case of static colitis, the mode was variable, III — IY work range, frequency 100–150 Hz, modulation depth 25–50%, current 8–10 mA for 5 min each type of work, for a course of 10 procedures

in colitis, the mode is variable, II – IY is a type of work, frequency 10–20 Hz, modulation depth 78–95%, current 5–8 mA, treatment 8–10 procedures. The obtained therapeutic effect is maintained for 1-1.5 years after the end of the course of treatment.

Description

The invention relates to medicine, in particular to physiotherapy and pediatrics.

The purpose of the invention is to prolong the period of remission and reduce side effects during treatment.

The method is carried out as follows.

Against the background of spa treatment, including drinking carbonated mineral water, diet, gentle regimen, radon baths, massage and exercise therapy, CMT procedures are prescribed for spastic colitis.

Use alternating current, type of work III-IV, at a frequency of 100-150 Hz, modulation depth of 25-50%, sending-pause for 3 s, current of 8-10 mA, exposure for 5 min each type of work, for a course of treatment 10 treatments.

In hypotonic colitis, the variable mode II-IV is used;

a frequency of 10-20 Hz, a modulation depth of 75-95%, a sending-pause for 3 s, a current strength of 5-8 mA, for a course of treatment 8-10 procedures.

Procedures are carried out 1.5–2 hours after eating from the Amplipulse 4 apparatus. Electrodes of 150 cm2 each are placed on the ascending and descending portions of the large and small intestines, the pads are moistened with warm tap water.

Example 1. Ill K., 1980 year of birth. Has addressed in. clinic complaining of frequent stools up to 10-15 times a day. Stools liquid, fetid, lag in the development of static functions, anxiety.

From the anamnesis: she was born full-term with a mass of 3400 g, height 50 cm. She was breastfed for up to 4 months. From 4 months artificial feeding with cow's milk. From birth, the increase in weight was 300-400 g per month in the first half of the year and 200.0 g each in the second half of the year. Permanently

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four

About 00 WITH CO

there was loose stools up to 7-10 times a day. Repeatedly treated in infectious diseases hospital with suspected intestinal infection. The pathogen intestinal flora with repeated studies was not detected. Treatment in a somatic hospital was also ineffective.

On admission: the child’s condition is severe, toxicosis and exsiccosis are pronounced, extremely pale, very capricious, negatively adjusted even to parents. He does not walk on his own, sits uncertainly. A sharply enlarged abdomen is noteworthy. The skin is dry, the mucous membranes of the mouth are dry, ry. The tongue is thickly coated

6 months 7 kg caught up in all parameters of their peers, even lactase deficiency disappeared, according to the sugar curve.

Example 2. Patient M., born in 1980. I went to the clinic with complaints of poor appetite, persistent diarrhea, severe weakness, irritability, almost constant pain in the abdomen. Sick child with two years after dysentery. 10 Repeatedly treated on an outpatient and inpatient basis - without much effect. The child’s diarrhea continued, he was lagging behind in his height and weight from his peers, was disturbed by constant abdominal pains not associated with food,

Dangerous white bloom. There are residual 15 vomiting, nausea,

about the effects of rickets - pronounced frontal, With an objective examination, find the parietal bumps, squeezed from the side: physical development lag

rib cage. O-shaped curvature (dystrophic type gopotrofii II degree),

lower limbs. In the lungs without especially-polyhypovitaminosis of groups A and B, the symptoms

of In the heart, systolic murmur is a function of chronic intoxication. Language densely oblotsionalnogo character. The abdomen is enlarged to 20 women with a heat-white bloom, the stomach is swollen,

volume, tense, moderately painful, painful in all departments and at the point

the entire stomach, enlarged liver (+3 cm), Kera .. The liver is enlarged and protrudes from under

spleen (-f-1 cm). costal arch 2 cm.

The survey confirmed that in a clinical study, signs of impaired digestion were observed and were completely: there are a large number of

syvyan (sharply reduced and calcium in the blood ---- -

to 0.07 g / l, albumin reduced to 45%, A / G ratio to 0.9). In the coprogram fat splitting is violated, a large amount of starch, digested plant fiber, pH of feces is 4.5 - sour

diarrhea Absolute intolerance of milk due to the absence of the lactase enzyme in the small intestine was detected.

Based on clinical and paraclinical data diagnosed: primary30

undigested muscle fibers, a large number of extracellular and intracellular starch. Alkaline phosphatase increased to 1.55 mmol / hl, total bilirubin to 21.0 m / l due to direct fraction. You have been diagnosed with dysbacteriosis by increasing E. coli with hemolyzing properties. Conducted load tests confirmed intolerance to sucrose. When RRS, catarrhal follicular pronounced proctosigmoiditis was detected. With

6 months 7 kg caught up in all parameters of their peers, even lactase deficiency disappeared, according to the sugar curve.

Example 2. Patient M., born in 1980. I went to the clinic with complaints of poor appetite, persistent diarrhea, severe weakness, irritability, almost constant pain in the abdomen. Sick child with two years after dysentery. Repeatedly treated on an outpatient and inpatient basis - without much effect. The child’s diarrhea continued, he was lagging behind in his height and weight from his peers, was disturbed by constant abdominal pains not associated with food,

 ---- -

undigested muscle fibers, a large number of extracellular and intracellular starch. Alkaline phosphatase increased to 1.55 mmol / hl, total bilirubin to 21.0 m / l due to direct fraction. You have been diagnosed with dysbacteriosis by increasing E. coli with hemolyzing properties. Conducted load tests confirmed intolerance to sucrose. When RRS, catarrhal follicular pronounced proctosigmoiditis was detected. With

for lactase insufficiency, chronic ultrasound examination of the liver, high enterocolitis, secondary syndrome of celata lene systine and gall bladder in hypokia, motor type.

In connection with the severity of the condition, the child was hospitalized in a hospital where he was underwent corrective therapy,

Based on the foregoing, a diagnosis was made: chronic enterocolitis, post-nutritional nutrition, taking into account non-persistent, 40 feccal, catarrhal-follicular

proctosigmoiditis. Hypomotor type biliary dyskinesia. Dysbacteriosis due to the predominance of defective E. coli. Sugar production of products.

After discharge from the hospital, the girl was prescribed therapy: diet 4c, with the exception of cereal, fresh milk, vitamins, mines | and B6 in alternation of 0.5 i / m, №15 (30 in total), choleretic herbs (corn silk) 1 st. spoons 3 times a day after meals, 2 months, furozolidone in candles at an age dosage 3 times a day, 10 days, pancreatin 2.0 g 3 times a day, 50 1 month c, bifidum bacteria 10 doses for two months Then physiotherapy was prescribed: abdominal massage, abdominal SMT - type II work, frequency 10 Hz, modulation depth 75%, current 5 mA,

to failure.

The child received adequate therapy: a diet 4c without sweets and sweet fruits, vitamins B | and Be in alternation of 0.5 i / m, No. 5 (30 in total), choleretic herbs of 2 tbsp. spoons 3 times a day, for two months; furozolidone in candles at the age dosage 3 times a day, 10 days, pancreatin, 2.0 g, 3 times a day, 1 month, bacteria bifidum, 10 doses for two months. Further, physiology was prescribed for day, №10. The electrodes were located 55treatment: massage the abdomen, SMT on the stomach -

parallel to the white line of the abdomen in area III type of work, frequency 100 Hz, depth

projections of the cecum and sigmoid colon. Demodulation 50%, current 8, m / A No. 10, through

vochka recovered, gained a lot of back. The electrodes were arranged in parallel

to failure.

The child received adequate therapy: a diet 4c without sweets and sweet fruits, vitamins B | and Be in alternation of 0.5 i / m, No. 5 (30 in total), choleretic herbs of 2 tbsp. spoons 3 times a day, for two months; furozolidone in candles at the age dosage 3 times a day, 10 days, pancreatin, 2.0 g, 3 times a day, 1 month, bacteria bifidum, 10 doses for two months. Then physiotherapy was prescribed: abdominal massage, SMT on the abdomen -

white line of the abdomen in the area of the projection of the cecum and sigmoid colon.

As a result of the treatment carried out after 9 months, all the pathological signs of the disease disappeared in the child, he feels well, in 9 months he gained 4 kg in weight, and he is good at school. Long-term results after 1.5 years confirmed the full recovery of the child.

Along with subjective and objective symptoms, the majority of patients improved paraclinical data: improved absorption processes in the small intestine in the D-xylose test (iron absorption increased significantly), all indicators of liver function, pancreas normalized, signs of inflammatory reactions disappeared, decreased immunity, in 100% of patients the intestinal microflora returned to normal. The observations in dynamics for 1 -1.5 years confirmed the presence of stable remission in all examined patients.

Thus, the proposed method of treatment allows to achieve high therapeutic results in the treatment of children with chronic enterocolitis, and the resulting positive changes in impaired indicators persist 1-1.5 years or more.

Claims (1)

Invention Formula A method of treating children suffering from chronic enterocolitis, including the effects of sinusoidal modulated currents, characterized in that, in order to prolong the remission and reduce side effects, the spastic form is affected by III-IV type of work, with a frequency of 100-150 Hz, with a modulation depth of 25 -50% with a current strength of 8-10 mA, and in case of chronic form II-IV, the type of work with frequency 10-20 Hz modulation of 75-95% with a current of 5-8 mA, while the electrodes are placed parallel to the white line of the abdomen in the area of the projection of the cecum and sigmoid colon.