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GASTROENTEROLOGY
INVENTION
Patent of the Russian Federation RU2256455

METHOD OF DREAMING OF THE GASTROINTESTINAL PATHOLOGY IN PREGNANCY

METHOD OF DREAMING OF THE GASTROINTESTINAL PATHOLOGY IN PREGNANCY

The name of the inventor: Polyansky N.T. (RU); Urakov A.L. (RU); Muravtseva O.V. (RU); Urakova N.A. (RU); Ovchinnikova E.N.
The name of the patent owner: Urakov Natalia Alexandrovna
Address for correspondence: 426054, Izhevsk, ul.Metallistov, d.33, apt. 9, (PO Box 1751)
The effective date of the patent: 2003.03.11

The invention relates to medicine, namely, to gastroenterology. Preliminarily determine the localization of lesions of the gastric mucosa. Two positions of the trunk of the patient in space are determined, in one of which the affected area is located lower, and in the other - above the rest of the inner surface of the stomach. Then take water at room temperature in a single dose of 100-150 ml on an empty stomach in the lower position of the affected area. Repeatedly, intermittent pressure is exerted on the patient's body in the epigastric region and the body is transferred to the position with the upper location of the affected area. The method allows to increase the effectiveness and safety of prevention and treatment in pregnancy and gross anatomical abnormalities of the stomach.

DESCRIPTION OF THE INVENTION

The invention relates to medicine, in particular to gastroenterology and balneology, and can be used in conservative methods of prophylaxis and treatment of gastritis and peptic ulcer disease with limited and definite localization of lesions during pregnancy, when the use of drugs is contraindicated.

A method of conservative treatment of gastric pathology is known (RU 2192868 C1, 05.04.2001), including enteral administration of preparations having adsorptive, enveloping and antacid action at 37-40 ° C lying on the left side, followed by a series of turns to the left 90 ° to the initial position , Keeping each position for at least 10 s, moreover, the preparation is taken in a volume not less determined by the formula V = 1000 · S ml, where S is the area of ​​the inner surface of the stomach in m 2 , determined by means of an overview radiograph of the stomach made in Vertical position of the patient in a direct projection after receiving a contrast.

The disadvantage of this method is its danger for the process of formation and development of the embryo and fetus in the first 3 months of pregnancy. Prolonged regular intake of medicinal products in therapeutic doses for the prevention and treatment of chronic gastritis and peptic ulcer disease, carried out even a few days and weeks before conception, is dangerous for the subsequent development of the fetus and fetus due to the gradual accumulation of medications in the body of a pregnant woman as a result of their Absorption in the stomach and intestines. Once in the mother's blood, the drugs penetrate the blood of the fetus, causing chronic poisonings of both. This can be manifested by undesirable changes in the structure and function of a number of organs and systems of the maternal and fetal organism, including the development of teratogenic action with the formation of deformities that are incompatible with life.

In addition, the disadvantage of the method is low efficiency when applied to people with limited lesions of the inner surface of the stomach, which has significant anatomical differences in shape, size or relationship with the trunk. In particular, the method is not effective in case of a gross congenital or acquired anomaly of the shape and / or dimensions of the stomach, for example, during its transposition, but also during resection of a large part of the stomach, when lying on the left side stomach contents will be easily removed into the intestine.

The method of drinking mineral water is known (Korepanov AM, Gorbunov Yu.V., Pautov ES The influence of mineral water "Uva" on the functional state of the intestine in patients with chronic atrophic gastritis. / Proceedings of the Izhevsk State Medical Academy, Volume XXXVII. Izhevsk: Expertise, 1999. - P.124-126) with chronic atrophic gastritis and colopathy, accompanied by diarrhea against a background of sparing regimen of motor activity and therapeutic nutrition of 100-150 ml per reception at a temperature of 50-55 ° C 1-2 Times a day.

The disadvantage of this method is that the introduction of mineral water into the stomach 1-2 times a day, when the trunk of the patient is in an upright position, does not allow to have a sufficiently long therapeutic effect on the stomach during the day with gastritis and ulcers, since in the vertical position of the trunk Namely, standing or sitting) in a significant part of patients, water is prematurely evacuated from the stomach into the intestine, leaving the stomach for a long period of the day and night without its therapeutic effect. In addition, the method is not effective in the localization of lesions in the upper parts of the stomach, since water introduced into the stomach in a volume of 100-150 ml falls under its weight downwards and accumulates only in the lower parts of the stomach, without filling it completely and not rising upward. In addition, the reception of water without a specific connection with the intake of therapeutic nutrition, its quantity and quality is potentially dangerous, on the one hand, an excessive increase in the volume of gastric contents, on the other hand, excessive dilution of the enveloping components of food, which reduces the curative effect of therapeutic nutrition and mineral water On the inner surface of the stomach with gastritis and ulcers.

In addition, the disorderly motor activity of a patient who drank 100-150 ml of hot mineral water on an empty stomach reduces the effectiveness of its therapeutic effect in inflammation of the gastric mucosa due to untimely disturbance of the rest of the affected area caused by contractions of the skeletal muscles of the trunk and periodic wave-like displacements of the hot saline - acidic contents inside the stomach cavity, but also because of the increase in the existing inflammation of the mucous membrane, increase the sensitivity of the irritated surface of the stomach and enhance the irritating properties of hydrochloric acid under hyperthermia.

The aim of the invention is to increase the effectiveness and safety of prevention and treatment in pregnancy and gross anatomical abnormalities of the stomach.

The essence of the proposed method of treatment of gastric pathology in pregnancy and anatomical abnormalities of the stomach, including course enteral intake of 100-150 ml of mineral water, is that the location of the affected area in the stomach, two positions of the trunk of the patient in space, in one of which the affected area Is located lower, and at the other - above the rest of the inner surface of the stomach. After that, the entire selected volume of cooled, for example, room temperature water, is taken to the hungry stomach in the lower position of the affected area, repeatedly a brief intermittent pressure is applied to the patient's body in the epigastric region, and then the trunk is transferred to the upper location of the affected area and stored in the For the selected period of time.

Knowledge of the exact location of the affected area is necessary to determine the position of the trunk of each patient in space, in which, regardless of the anatomical features of the stomach, in one case the lesion is located lower, and in the other - above the rest of the inner surface of the stomach. The fact is that a single recommendation, the same for all patients, can not be due to the fact that the stomachs of all patients differ in size, shape, relationship with other organs and with the trunk, and the location and size of the area Defeat.

Ingestion of the entire selected volume of mineral water on a hungry stomach in a special position of the trunk, in which the affected area is located at its lowest part, allows to physically wash the affected area physically from the gastric juice containing hydrochloric acid. The subsequent repeated intermittent short-term pressure on the body of the patient in the epigastric region allows to further increase the efficiency of flushing gastric juice from the affected area.

The use of mineral water in a cooled form allows it to more effectively push out the gastric juice upward due to the higher specific density of cold water compared to warm and hot. Due to the increased specific density, the cooled mineral water more effectively occupies the deepest layers of the intragastric space, including the spaces between the folds of the mucosa, the spaces of ulcerated defects of the surface of the stomach, freeing them from the presence of gastric juice. In addition, the use of mineral water in a cooled form can reduce the inflammation of the mucous membrane, reduce the pain sensitivity of the mucous membrane and its sensitivity to irritants, and reduce the irritating activity of gastric juice and stomach tone until elimination of spasm and gastric colic.

Examples

Patient K., 27 years old, entered the treatment department with the diagnosis "Exacerbation of chronic atrophic gastritis." Pregnancy 8 weeks. " With the purpose of treatment, a sparing regimen of motor activity and therapeutic nutrition is prescribed, and the intake of mineral water "Uva" is 100 ml at a temperature of 50-55 ° C in the morning and in the evening. Nausea, poor appetite, bad mood, diarrhea, a feeling of heaviness and epigastric pain decreased, but lasted 7 days. To increase the effectiveness of treatment fibrogastroscopically it is determined that the inflammatory surface is localized in the lower part of the pyloric part of the stomach. Moreover, in the sitting position with the patient's body tilted 15 ° to the left, the affected part of the stomach surface turns out to be the lowest part of the stomach, and in the supine position with a half-turn of the trunk to the right and with the pelvic area elevated by 10 cm, the affected part of the stomach surface is the uppermost part of the rest Its surface. In connection with this, further mineral water at room temperature was administered inwards of 100 ml per hungry stomach in a sitting position with a torso of 15 ° to the left. Moreover, immediately after taking the whole portion of water, the patient herself provided 10-fold intermittent pressure on the epigastrium with a hand and then lay on her back with a 10 cm-raised pelvic part of the trunk and half-turn to the right. In the morning, water was prescribed immediately after awakening, and the supine position was recommended to be kept until breakfast. In the evening, water was prescribed 2 hours after dinner, and the supine position was recommended to be kept until sleep. In addition, in the case of a patient waking up at night and getting up from bed, she was advised to additionally take water after that at the same technology. Already a day after the beginning of treatment, the symptoms of the disease gradually disappeared. After 2 weeks of treatment fibrogastroscopically confirmed the absence of inflammation of the mucous membrane of the pyloric stomach, and the patient is discharged in a satisfactory condition. In the future, she was recommended a similar monthly course of use of mineral water at home to prevent the exacerbation of the disease. As a result, the remainder of the pregnancy proceeded without exacerbation of the disease. The child was born without pathology and on time.

Patient P., 34 years old, entered the therapeutic department with a diagnosis of "Stomach ulcer with a post-exposure stomach stump with a hyper-producing syndrome." Pregnancy 10 weeks. " With the purpose of treatment, bed rest, medical nutrition and mineral water "Uva" are taken at 100 ml at a temperature of 50-55 ° C 1 hour after breakfast and dinner. Lack of appetite, nausea, bad mood, burning sensation and epigastric pain decreased, but lasted 5 days. To increase the effectiveness of treatment fibrogastroscopically determined that an ulcer with a diameter of about 5 cm is localized in the region of small curvature of the cardiac section of the stomach stump. Moreover, in the supine position on the right side with the pelvic part of the patient's trunk raised 15 cm up, the ulcer area is the lowest part of the stump surface, and in the lying position on the left side with the shoulder belt raised by 30 cm, the ulcer area is the uppermost part of the rest of the stomach stump surface . In connection with this, in the subsequent mineral water at room temperature was administered inside 100 ml per hungry stomach in the supine position on the right side with a 15 cm raised pelvic part of the trunk. Immediately after taking water, the patient was advised to provide a 5-fold intermittent pressure with the left hand brush on the epigastric region, and then change the position of the trunk, turning to the left side and lifting the shoulder girdle by 30 cm. In the morning, water was taken immediately after awakening, and the lying position on the left side with an elevated shoulder girdle was preserved until food was received. Then the same method of treatment was repeated every 2 hours after each meal at lunch and in the evening. In addition, in the event that the patient woke up at night and rose from bed, she was recommended after that to additionally take water at night using the same technology. Already a day after the beginning of treatment, the symptoms of the disease gradually disappeared. After 3 weeks of treatment fibroadastroscopically confirmed cicatrization of the ulcer, and the patient is discharged in a satisfactory condition. In the future, she was recommended a similar monthly course of use of mineral water at home to prevent peptic ulcer disease. As a result, the rest of the pregnancy proceeded without exacerbation of peptic ulcer. The child was born without pathology and on time.

CLAIM

The method of hydrotherapy of the pathology of the stomach during pregnancy, including the course enteral intake of mineral water in a single dose of 100-150 ml, characterized by the fact that the localization of the lesion of the gastric mucosa, the two positions of the trunk of the patient in space, in one of which the affected area is located lower, and In the other above the rest of the inner surface of the stomach, then take room temperature water on an empty stomach in the lower position of the affected area, repeatedly exert an intermittent pressure on the patient's body in the epigastric region and transfer the body to the upper location of the affected area.

print version
Date of publication 29.03.2007gg