Слайд 1Ultrasonic therapy
changes conductivity of ionic channels of membranes of
various cells,
- makes micromassage of tissues (reduction and resorption
of edema, decrease in a compression of nervous porters in an influence zone),
raises activity lysosomal enzymes of cells,
- strengthens a metabolism in bodies and tissues,
- stimulates regeneration of tissues (accelerates healing of wounds and trophic ulcers), scars of a connecting tissue possess the raised durability and elasticity.
- increasing of temperature on 1 With in tissues (easing of phantom pains and reduction of a muscular spasm),
- dilatation of small vessels (increase in a blood flow, metabolism and regeneration in the inflammation center),
- hurts cellular membrans of microorganisms
Слайд 2.
Indications: Inflammatory and is degenerate-dystrophic diseases of joints with the
expressed painful syndrome (arthritises, artroses),
consequences of traumas and damages
of osteomuscular system,
inflammatory diseases of peripheral nerves (neuritis, neuralgia, radiculitis),
bronchitis, pleurisy, biliary dyskinesia, prostatitis, diseases of eyes, trophic ulcers.
Contraindications: malignant new growths,
active tuberculosis,
neuroculatory dystonia,
Ischemic cardiac disease: stenocardia 3-4,
hypotonia,
thrombophlebitis,
bleedings.
Слайд 3TECHNIQUE of CARRYING out of PROCEDURE:
On a skin in
an influence zone put oils or gels, an ultrasonic head
establish in a projection of the amazed body and smoothly move circular motions without a separation from a skin.
At influence on a part of a body of difficult configurations (joints of foot, a brush) carry out procedure in a bath with water or through a rubber sack with water. Duration of procedure makes 10-15 minutes, the course of 8-12 procedures,
if necessary a repeated course appoint in 2-3 months.
Слайд 4Medicinal phonophoresis – influence on an organism of ultrasonic fluctuations
and medicinal substances entered with their help.
Molecules of medicinal
substances get the big mobility and move to depth of tissues, the ultrasound raises permeability of a skin.
Activity of particles a substances it is maximum at use of 5-10 % of solutions.
Quantity entered into an organism drugs depends on frequency of ultrasonic fluctuations: the it is less, the it is more quantity of an entered medicine and duration of influence.
Ultrasonic fluctuations increase medical effects of medicines and as weaken their side-effects.
Слайд 5Indications: are defined taking into account pharmacological effects of entered
medicinal substance and indications for ultrasonic therapy.
Contra-indications: besides contra-indications
for ultrasonic therapy, concern them allergic reactions to entered preparations.
A carrying out technique:
Procedures may be making two basic ways: contact and incontact. At a contact way on an influence zone put a medicine in the form of solutions, suspensions and ointments, and then establish a radiator and move it without a separation from a skin surface (a labile technique). At incontact way phonophoresis makes in a bath with a solution of drugs in the decontaminated water at temperature 35-36 dedree. Izluchatel move circular motions on distance of 1-2 sm from a skin surface.
Слайд 6INFRARED IRRADIATION
- Infrared irradiation leads to local rise the temperature
of a skin on 1-2 S., hyperemia, of the irradiated
skin.
- The local blood flow and the volume of blood circulating in tissues increase.
Metabolic processes are accelerated, it lead to migration of polymorphonuclear leukocytes and lymphocytes in the lesion focus center in subacute and chronic phases.
Dehydration of the inflammatory focus.
Activation of proliferation and differentiation of fibroblasts lead to acceleration of granulation of wounds and trophic ulcers.
Infrared irradiation stimulates regeneration and is effective at final stages of development of inflammatory process.
Слайд 7Indications:
subacute and chronic unpurulent diseases,
burns,
freezing injuries,
delayed
healing of wounds and ulcers,
diseases of peripheral nervous system
with a painful syndrome (myositis, neuralgia),
consequences of traumas.
Contra-indications: acute inflammatory diseases, stroke, vegetative dysfunctions, cancer.
Technique of carrying out of procedure: the Reflector of an infrared irradiation is established on distance by of 30-100 sm from an irradiated surface. Duration of influence of 15-30 minutes, daily or twice a day, a course of 15-20 procedures, a repeated course in 1 month.
Слайд 8Long-wave ultraviolet irradiation (LWU):
Stimulates processes of formation of melanin
in melanocytes.
Leads to activation of adrenocorticotropic and melanocyte-stimulating hormones
of hypophysis, which regulate activity of adrenal glands.
Leads to formation of the immune answer (on influence of LWU in a skin there is destruction of proteins, which are antigenes. Antigenes combine with Langerhans cell. This complexes move in lymph nodes, where stimulate T-helpers and then V-lymphocytes, in lead to formation lymphoquins and antimediators of inflammation).
Слайд 9Indication:
acute Inflammatory diseases (especially respiratory system),
diseases of joints
and bones,
burns and freezing injuries,
delayed healing
of wounds and ulcers,
skin diseases: psoriasis, eczema, vitiligo, seborrhea. CONTRA-INDICATIONS: cancer, diseases of a liver and kidneys with functional deficiency, hyperthyrosis, hypersensibility to ultraviolet irradiation.
Technique of carrying out of procedure: use the general and local irradiation. The distance from a source to a body not less than 10-15 sm. Eyes of the patient are protected by special points. Procedure begin with minimum suberythemal doses, increasing to erythemal,
a course is 12-15 procedures.
Слайд 10Mean-wave ultraviolet irradiation (MWU):
Raises education Ig A, M, E
and BAS (activation T-helpers and V-lymphocytes),
increases quantity of functioning
capillaries and arteriols, raises speed of a local blood flow,
stimulates education vitamin D,
suppresses an infiltrative phase of an inflammation and stimulates a proliferative phase,
reduces a painful syndrome,
raises contractile ability of a myocardium (a local irradiation), improves mucociliary clearance,
stimulates hemopoiesis,
Improves gastric secretion,
raises secretional ability of kidneys.
Repeated ultraviolet irradiations activate barrier function of a skin, lower it cool sensitivity and raise resistance to action of toxic substances. Use suberythemal and erythemal doses.
Слайд 11
INDICATIONS: acute and subacute inflammatory diseases (especially respiratory system),
consequences
of traumas and damages of osteomuscular system, disease of peripheral
nervous system with the expressed painful syndrome (radiculitis, neuritis, neuralgia, myositis),
diseases of joints and bones,
D-hypovitaminosis, anemia,
an erysipelatous inflammation,
alimentary adiposity of 1 degree.
CONTRA-INDICATIONS: cancer,
SLE,
diseases of a liver and kidneys with expressed functional deficiency, hyperthyrosis,
hypersensibility to ultraviolet irradiation,
malaria.
Слайд 12Technique of carrying out of procedure: use the general and
local irradiation. At the general method irradiate serially forward, back
and lateral surfaces of a body of the patient. Course of 15-25 days.
At local influence use an irradiation on a site the area no more than 600 sq. Repeated irradiations make in 2-3 days with increase of a dose of an irradiation on 25-50 %, the same site is irradiated 3-4 times.
A repeated course prescribe in 1 month (local) and in 2-3 months (general).
Слайд 13
Short-wave ultraviolet irradiation (SWU):
leads to an inactivation and destruction of
structure of microorganisms and mushrooms.
On irradiating of blood
the quantity
oxyhemoglobin increases,
there are radicals, neutralized toxic substances.
reduces aggregation of erythrocytes and thrombocytes, increases quantity of antibodies A, M, G,
raises bactericidal activity of blood.
Medical effects: bactericidal and mycocidal (at an irradiation of a skin and mucous), immunomodulatory, catabolatory, hypocoagulatory (on irradiating of blood).
Слайд 14INDICATIONS: acute and suvacute inflammatory diseases of a skin and
a epipharynx, internal ear,
wound,
skin tuberculosis.
The blood irradiation
is used at purulent inflammatory processes (carbuncle, abscess, osteomyelitis, trophic ulcers), a pneumonia, bacterial endocarditis, salpingitis, pyelonephritis, erysipelatous inflammation.
CONTRA-INDICATIONS: cancer, SLE, hypersensibility to ultraviolet irradiation,
On irradiating of blood
thrombocytopenia, hypocoagulation, stroke,
diseases of a liver and kidneys with expressed functional deficiency,
Atrophic arthritis, in acute period of a heart attack
Слайд 15Technique of carrying out of procedure:
Use a local irradiation
of the skin and mucous.
Duration of procedure 30-40 second
(mucous).
The skin irradiation the area no more than 600 sq. sm. with increase of a dose of an irradiation on 25-50 % in a current 40-60 sec, the same site is irradiated with 3-4 times. The course of 15-25 procedures, repeated irradiations appoint in 1 month. Duration of an irradiation of blood doesn't exceed 10-15 minutes, a course of 7-9 procedures, repeated irradiations appoint in 3-6 months.
Слайд 16HELIOTHERAPY
medical application of sunlight (solar baths).
Activation of cellular and humoral
immunity.
the higher nervous activity, brain blood circulation and
a tone of brain vessels are increased, that the expressed stimulating an effect has on an internal and tissues.
formation of erythema BAS arrive in a blood flow and stimulate cellular breath and regeneration of various tissues of organism.
Formation of vitamin D and activation microsomal liver system.
However, at long stay on the sun there is a consolidation and dehydration skin that leads to an exhaustion of immunity and presenilation.
Слайд 17Indications:
Diseases of a myocardium and valves without rhythm disturbance,
postinfarction cardioscltrosis (5-6 months), stenocardia (1-2 f.cl.), neoroculatory dystonia, hypertensive
illness of 1-2 stages,
consequences of traumas and damages of osteomuscular system,
Chronic diseases of lungs and airway (tracheitis, bronchitis, otitis, rhinitis, pharyngitis, laryngitis) in a phase of remission,
disease of kidneys (chr. glomerulonephritis, pyelonephritis) in a phase of remission,
delayed healing of wounds and ulcers,
skin diseases: psoriasis, eczema, vitiligo, seborrhea, neurodermatitis,
D-hypovitaminosis
CONTRA-INDICATIONS: virus disease, acute condition of peripheral nervous system (neuritis, neuralgia, radiculitis), joints, kidney (acute condition), stenocardia (3-4 f. cl.), rheumatism, progressing forms of a tuberculosis, asthma with frequent attacks, photodermatitis, endocrine diseases.
Слайд 18INDICATIONS: diseases and damages of kostno-muscular system (crises of bones,
ДОА, arthritises various генеза, периартриты), diseases of peripheral nervous system
(an osteochondrosis with корешковым a syndrome, a neuralgia, невриты, traumas of peripheral nervous trunks), ИБС, ОИМ, an atherosclerosis of vessels of feet, diseases respiratory (a pneumonia, a bronchitis in a stage of an abating aggravation), digestive (an ulcer, a gastritis), urinogenital (аднексит, a pyelonephritis, a prostatitis) systems, damage and skin disease (burns, decubituses, freezing injuries, wounds and trophic ulcers, a dermatosis), diabetic ангиопатия. CONTRA-INDICATIONS: Злок. New growths, тиреотоксикоз, hypersensibility to laser therapy.
Слайд 19Методика проведения процедуры:
Применяют дистантный (расстояние между излучателем и телом
больного 25-30 мм) и контактный (излучатель располагается непосредственно на теле)
способы.
Облучение осуществляется стабильной (излучатель не перемещают) и лабильной (излучатель перемещают над поверхностью не более 400 кв. см.) методиками.
Эффективность лазеротерапии увеличивается одновременно с применением лекарственных препаратов, нанесенных на кожу (лазерофорез).
Глаза больного должны быть защищены специальными очками. Процедуру проводят ежедневно или через день, время воздействия на каждую точку 20 секунд, продолжительность процедуры не превышает 20 минут. Продолжительность курса 10-20 процедур, повторный курс проводят через 2-3 месяца.
При проведении лазерного облучения крови излучатель устанавливают непосредственно на коже в проекции кубитальной вены или подключичной артерии.
Слайд 20Technique of carrying out of procedure: Apply дистантный (distance between
a radiator and a body sick 25-30 mm) and contact
(the radiator settles down directly on a body) ways. The irradiation is carried out stable (a radiator don't move) and labile (a radiator move over a surface no more than 400 sq. see) by techniques. Efficiency of laser therapy increases simultaneously with application of the medical products put on a skin (лазерофорез). Eyes of the patient should be protected special points. Procedure spend daily or every other day, time of influence for each point of 20 seconds, duration of procedure doesn't exceed 20 minutes. Duration of a course of 10-20 procedures, a repeated course spend in 2-3 months. At carrying out of a laser irradiation of blood a radiator establish directly on a skin in a projection кубитальной a vein or a subclavial artery.