SU1581315A1 - Method of treating celiac disease of children - Google Patents

Abstract

The invention relates to the field of medicine, namely to balneology and physiotherapy. The purpose of the invention is to achieve sustained remission of the disease in children with celiac disease. The goal is achieved by carrying out drinking treatment with carbonate-chloride-bicarbonate-sulphate calcium-sodium water in an amount of 3-5 ml per kg of body weight 3 times a day 30-60 minutes before a meal, thirsty applications on the anterior abdominal wall and on the lumbar region within L 1-L 5 with a temperature of 38–39 ° C for 10–15 min every other day, and on free days from mud procedures, radon baths are conducted. The method allows for stable remission over a year.

Description

The invention relates to medicine, namely, resorts and physiotherapy.

The purpose of the invention is to achieve sustained remission of the disease.

The method is carried out as follows.

The course of treatment is 40 days. In the first 5-7 days, children are examined, then from 8 days they prescribe sparing-training mode of physical activity, diet 4, with the exception of intolerable foods: cereal, ovina, fresh milk (instead of bread, children get buckwheat cakes); drinking mineral water of average mineralization of carbonate chloride-hydro-carbonate-sulphate calcium-sodium in warm form (temperature) 30-60 minutes before a meal, depending on the acid-forming function of the stomach, 3-5 ml per 1 kg of body weight

child 3 times a day for 30 days; abdominal tonic massage, as all children have intestinal hypotonia, number 20 daily; therapeutic physical training during the month; radon baths with a radon concentration of 0.67-0.75 kBq / l at a temperature of 36-37 °, duration of 10-15 minutes, for a course of treatment 8-10 procedures. Radon baths are prescribed 2 times a week. In the days of the absence of radon baths, gr greening is prescribed. The amount of dirt for younger children is 5 kg, for older school age 10 kg. In order to maintain a constant temperature, the dirt is released in a gauze bag. One crust cake is placed on the front wall of the main wall, the second - on the region of the border within L - L, in the form of ska. Over the lozenges impose oilcloth, covered

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shaft all over the surface. The duration of the procedure is 10-15 minutes 2-3 times a week, for a course of treatment 8-10 procedures.

Example 1. Patient G, 8 years. Sick from 1 year 3 months. The disease began with diarrhea. Liquid volumetric stool was after each feeding, poorly added in mass, began to lag behind, in physical development. In 4 years diagnosed with celiac disease in the Gorky Scientific Research Institute of Petitiatria. An agglidian diet was prescribed, but the child did not follow the diet poorly. The boy from the second pregnancy, gave birth in time in the state of asphyxia 1 tbsp. From 2 months skin manifestations of exudative diathesis were expressed. Until the year he often had acute respiratory infections, pneumonia, and at an early age he was lagging behind.

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development of static functions. He transferred wind pox, infectious parotitis from injections. The Scientific Research Institute of Pediatrics taught the following medication: aggliadin diet; vitamins 25 1 and B intramuscularly at 0.5 per alternation, at number 10; vitamin C 0.1 to 3 times a day for a month; festo 1 tablet 3 times a day for a month. However, as a result of the treatment, she was not full of remission. The child for the stage of treatment was referred for spa treatment.

Admission: the child's condition is satisfactory, he is significantly 35 in growth. Its height is 117 cm at a rate of 129.7 + 5.7. Growth delay is confirmed by radiological impairment in growth zones, body weight 24.5 kg instead of 28.8 + 4.72 at the norm. Pale, under the eyes of the shadows. Borders of the heart in the normal range, functional systolic murmur at the 5th point. In the lungs without features. Zev - tonsil hypertrophy. The tongue is heavily coated with bloom. The abdomen is swollen, soft, painless on palpation, the liver protrudes 2 cm from the edge of the costal arch. The chair is 2 / times a day, diluted, volumetric.50

Paraclinical data: in peripheral blood, hemoglobin is reduced to 114 g / l, reduced to 1.4 mmol / l (2.25-2.75) calcium in blood, phosphorus - to 1.26 mmol / l (norm 1.45 - 1.78 mmol / - / l), the absorption in the sample with D-xylose was reduced in I portion to 10.5% (the norm was 20.0 + 1.26%), in the II portion

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up to 10.5% (normal 18.3 + 1.41%). ° Functional liver tests, except for elevated A1T to 0.74 mmol / hl, everything is normal. Load tests with disaccharides revealed lactose intolerance - the sugar curve is flat (4.8; 4.8; 4.4; 4.4 mmol / l). In the coprogram of amilor, creator, steator, dysbacteriosis was detected due to a significant amount of defective Escherichia coli and deficiency of bifidus bacteria.

Based on clinical and paraclinical data, a diagnosis was made: celiac, incomplete remission, dysbacteriosis, secondary lactase deficiency. Delay in physical development.

The child received the following treatment. Diet 4c without cereal and fresh milk. During the month, the child received weak carbonate chloride-hydro-carbonate-sulphate sodium-calcium water of medium salinity, warm + 40 ° С, 100 ml (1/2 cup) per reception an hour before meals 3 times a day. Abdominal massage was performed daily - tonic, No. 20; Exercise therapy during the month; radon baths 2 times a week with a radon concentration of 0.75 kBq / l, bath temperature 37 °, procedure duration 10 min. Dirt applications in the form of stomach and stomach pain, temperature of 38 ° C, duration 10 min 3 times a week, received 8 procedures. Dirt was released in a gauze bag to 5 kg per procedure. As a result of his treatment, his general condition improved, his emotional tone increased, he gained 900 g in f mass, his liver shrank to normal, his stool normalized. In a child, hemoglobin increased to 120 g / l, All was normalized, dysbacteriosis disappeared, creator disappeared, steator disappeared, amilor decreased. Significantly improved absorption in the sample with D-xylose: in the I portion to 13.3%, in II to 19.4%; Phosphorus rose to normal.

Thus, in a child, the effect of the proposed method of treatment was quite pronounced, especially since the proposed treatment did not cause any side effects. Long-term results confirmed sustained remission for a year,

Example 2. Ill S., 9 years. Sick since 1 year 1 month. The disease began with a disorder of the stool, lagging in physical development, severe anemia. Examined at the Gorky Scientific Research Institute of Pediatrics, diagnosed with celiac. Received treatment ,,: a diet without cereal, vitamins Bt and B intramuscularly on the number 15 in the sequence; ascorbic acid 0.1 3 times a day for 30 days; festal 1 tablet 2 times a day for 30 days; Allahol -1 tablet 3 times a day for 30 days. After the treatment, there was an improvement in the general condition, some subjective symptoms, the stool remained unstable, the processes of cleavage and absorption in the intestine were disturbed, the function of the pancreas remained reduced.

At admission: a satisfactory condition, increased nutrition, very pale, posterior cervical lymph nodes are enlarged, dryness and marbling of the skin, i.e. symptoms of chronic intoxication. In serum testing, it was proposed to be carried out under the conditions of the IKF P tik. Testing the patient groups (20 people were first treated at the scientific research institutes where they received medications and then sent step by step to a clinic where the physical methods obtained by this method increased hemogram dysbacteriosis, the discomforts in the intestine improved and the pancreatic activity of all children disappeared.

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The functional nature of systolic murmur. The tongue is thickly coated with white bloom. The abdomen is enlarged, moderately painful throughout the abdomen, the liver is enlarged and protrudes 2 cm from the edge of the costal arch, painless. The chair is mushy 1 time per day, volume.

Paraclinical data: in peripheral blood without features, increased blood amylase to 42.0 gh / l; urine diastasis reduced - 19.8 gh / l; all liver function tests are normal, serum iron is reduced in the blood to 6.5 µmol / l. In the coprogram - amilor, creator, steator. The proteolytic activity of trypsin has been reduced in feces (1:80 at a rate of 1: 160). Flat curve with lactose load (4.0; 4.8; 4.8 mmol / l).

Based on clinical and paracli- .- including diet therapy, a diagnosis was made of celiac disease, incomplete remission, chronic enterocolitis, secondary lactase insufficiency.

Received treatment: table 4c without cereal (instead of bread - buckwheat flatbread) and milk, mineral water weakly carbonic chloride-hydrocarbonate-sulphate sodium-calcium ,. temperature +40 C, 1 hour before meals 3 times a day, 150 ml per reception for 4 weeks; abdominal massage toning, № 20 daily; LF.K in 50

rumbling and bloating, in the pro normalized stools, ische chronic intoxication

Claims (1)

Formula images Method for the treatment of celiac disease yu u and with the fact that, from stable remission, drinking cure carbon dioxide with hydrocarbonate-sulphate sodium water in an amount of 1 kg of body weight 3 times 30-60 minutes before meals, throat on the anterior abdominal wall 55 The temperature range is 38-39 ° C in 15 minutes every other day, and radon baths from the mud procedures. 0 five month's month; radon baths 2 times a week with a radon concentration of 0.75 kBq / lU Yu, temperature 36 °; Damp application on the stomach and on the border in the form of skas (the volume of dirt is 10 kg per procedure), the temperature of the dirt is 38 ° C, the duration of the procedure is 15 minutes 3 times a week. As a result of the treatment, there was a remission, improved functional state of the conjugated organs: blood amylase and coprogram normalized, D-xylose intake improved from 10.85% to 18.5% in the first portion and from 8, 4% to 15.6% in ii. A year later, the girl was treated at the clinic again, a re-0 missi stand was noted, the child’s physical development corresponded to her age. Testing of the proposed method was carried out in the conditions of the P Tigorsk clinic ICF. The tests were carried out in a group of patients (20 people), who were first treated at the Scientific Research Institute of Pediatrics, where they received medical treatment, then were sent step by step to the Pigoria clinic, where they developed physical methods of treatment. Under the action of this method, children significantly increased hemoglobin, dysbacteriosis disappeared, cleavage processes in the intestines improved and the enzymatic activity of the pancreas, pain syndrome disappeared in all children, abdominal discomfort disappeared, five 0 five 0 .- including diet therapy, 0 rumbling and bloating, during treatment, the stools normalized, symptoms of chronic intoxication disappeared. Invention Formula A method for treating celiac disease in children about t l- and h ay i and so that, in order to achieve stable remission, drinking treatment of carbonate-chloride-bicarbonate-sulphate calcium-sodium water is carried out in an amount of 3-5 ml per 1 kg of body weight 3 times a day 30-60 minutes before a meal, gray applications on the anterior abdominal wall and on c-Lf five A typical region within the temperature range of 38–39 ° C for 10–15 min every other day, and radon baths are performed on days that are free of unwanted procedures.