What is decompression during pregnancy? Abdominal decompression during pregnancy: why is it dangerous? The only ADK in the Krasnodar Territory, located in the city of Sochi
The invention relates to the field of medical technology. The apparatus contains a hermetic chamber equipped with a sealing cuff and flexible sleeves for contact with the patient's body, a vacuum system connected to the hermetic chamber and equipped with a vacuum pump, and a vacuum control and management unit in the hermetic chamber. The control unit includes a vacuum gauge, a control valve installed on the drainage line connecting the hermetic chamber with the atmosphere, and a stepped pulse interrupter. The first output of the stepped pulse chopper is connected to the control input of the vacuum pump. Additionally, the monitoring and control unit contains a regulator made with a comparison element at the input, a switch, a comparator, the first and second setters, an OR circuit and the first and second drain valves installed with the possibility of connecting the pressure chamber with the atmosphere. The control input of the switch is connected to the first output of the stepped pulse chopper. The outputs of the vacuum gauge and the first adjuster are connected to the differential inputs of the regulator comparison element. The first input of the comparator is connected to the output of the gauge. The second input of the comparator is connected to the output of the second master. The first input of the OR circuit is connected to the output of the first master. The second input of the OR circuit is connected to the output of the comparator. The output of the OR circuit is connected to the first input of the switch. The output of the regulator is connected to the second input of the switch. The control input of the first drain valve is connected to the first output of the switch. The control input of the second drain valve is connected to the second output of the step pulse chopper. The control input of the control valve is connected to the second output of the switch. The invention makes it possible to increase the reliability of the rarefaction mode control and reduce the bulkiness of the structure. 1 z.p. f-ly, 3 ill.
The invention relates to medical equipment and concerns the design of an apparatus for performing abdominal decompression (AD). The device can be used in obstetrics and gynecology, as well as in the prevention and treatment of toxicosis of various etiologies, including those caused by the use of alcohol and other drugs.
For conducting blood pressure, an apparatus can be used that contains a rigid cap equipped with a fitting for connecting to a vacuum system using a hose, and an elastic membrane reinforced around the perimeter of the cap, which serves to contact the human body at the decompression site (FR 2115529, A 61 M 9/00, 1972). Such a device has a massaging effect on the patient rather than a decompression one. Therefore, to enhance the effect of decompression and the impact of varying degrees of rarefaction on different parts of the surface of the patient's body in contact with the elastic membrane, said membrane is perforated with holes with a diameter decreasing towards its center (SU 1227195, A 61 H 9/00, 1986).
The use of these devices for blood pressure purposes is ineffective, since, firstly, they have a mechanical, and therefore traumatic effect on the patient, which is especially undesirable in the treatment of pregnant women. Secondly, here the vacuum is applied only to the surface areas of the body (directly under the membrane), which does not provide an increase in blood flow, i.e. the main action of AD. Thirdly, it is significantly difficult to set up and maintain a vacuum mode, which, as noted in (RU 2145859, A 61 K 31/715, A 61 N 9/00, 2000), is extremely important and is selected individually for each of these categories of women.
In order to reduce injury in the apparatus for blood pressure, containing a body in the form of a hemisphere with a perforated partition and a source of rarefaction, the perforated partition is located in the upper part of the housing, forming a working and protective chamber with a volume ratio of 5:1. The device is equipped with a pneumotumbler connected to the pressure relief valve of the protective chamber to the atmosphere, and a figured cutout is made along the perimeter of the working chamber and a sealing element is installed for sealing at the point of contact of the device with the patient's body (RU 2058770, A 61 H 9/00, 1996).
However, such a device does not provide an effective increase in blood flow due to the local nature of the vacuum effect. Therefore, the further development of this type of medical equipment is aimed at increasing the volume of vacuum exposure to the patient's body.
For this purpose, an apparatus has been designed, containing a frame, a lifting mechanism, a hermetic chamber, made with the possibility of placing parts of the patient's body in it, starting from the chest and down to the lower extremities. The hermetic chamber is equipped with a sealing cuff for contact with the patient's body and is connected to a vacuum system equipped with a vacuum control and management unit in the hermetic chamber (Treatment with variable air pressure. In the book: "Diagnostic and therapeutic technique", "Medicine", M., 1969, p. 93-94; Dligach D.L., Ioffe L.A. Local decompression and performance, "Nauka", L., 1982, p.4-5).
However, the presence of the lower extremities under vacuum, due to the use of this device, provokes varicose veins of the lower extremities.
The noted disadvantage is eliminated in the apparatus for blood pressure, containing a frame, a lifting mechanism, a pillow for positioning the patient's head, a hermetic chamber with a connected vacuum system and a vacuum control and management unit in the hermetic chamber, and a sealing cuff for contact with the patient's body, where the frame is pivotally connected to the plate, free the end of which is connected to the lifting mechanism, the hermetic chamber is installed for movement along the plate, provided with front and rear flanges, to which flexible sealing sleeves are attached, made of airtight material, and a fixator for its working position, while the sealing cuff is installed on the free end of the sleeve attached to the front flange, and the free end of the sleeve of the rear flange is fixed to the plate by means of a plate. To regulate the vacuum regime in the hermetic chamber, the negative pressure monitoring and control unit is equipped with a vacuum pump controlled by a step pulse chopper (SIP), a pressure and vacuum gauge and a control valve installed on the vacuum bleed line from the hermetic chamber to the atmosphere (drainage). When the lower half of the body is placed in the hermetic chamber, the lower limbs of the patient are crimped with flexible sealing sleeves made of airtight material, the free end of which is connected to the hermetic chamber, which creates compensating pressure on the lower limbs during the vacuum supply to the hermetic chamber. Under the action of vacuum, flexible sleeves stick to the limbs and put pressure on them, and the pressure is the stronger, the greater the vacuum is set in the pressure chamber. This leads to a significant redistribution of circulating blood - the venous outflow from the lower extremities increases significantly, and part of the blood is deposited in the mesenteric vessels, and the removal of blood from the superficial veins of the lower leg and thigh is enhanced due to the compensating effect of the positive pressure of atmospheric air on the legs located in fabric sealing sleeves attached to the hermetic chamber. Along with a direct effect on hemodynamic processes, during blood pressure, a significant systemic effect is carried out aimed at improving the rheological properties of blood - an increase in blood filling of mesenteric vessels leads to the release of a certain amount of biologically active substances from mast cells localized in the intestinal wall. At the same time, histamine provides the most beneficial effect, relieving vascular spasms and improving regional blood flow, as well as heparin, reducing blood clotting and thereby removing the risk of thrombophlebitis (Abdominal decompression kit KAD-01-AKC Nadezhda. In book: Abdominal decompression in medicine: theory and practice, St. Petersburg, Firma AKC, 2004; p.51; RU 2143257, A 61 H 9/00, 1999).
The disadvantages of this prototype device are the low reliability of the regulation of the rarefaction mode, as well as the cumbersome design of the pressure chamber.
The main technical problem of the invention is to improve the reliability of the control of the rarefaction mode. Another task is to reduce the bulkiness of the structure.
The solution of the main technical problem lies in the fact that the design of the apparatus for blood pressure, containing a hermetic chamber equipped with a sealing cuff and flexible sleeves for contact with the patient's body, a vacuum system connected to the hermetic chamber and equipped with a vacuum pump, and a vacuum control and management unit in the hermetic chamber , which includes a vacuum gauge, a control valve installed on the drainage line connecting the pressure chamber with the atmosphere, and a stepped pulse chopper, the first output of which is connected to the control input of the vacuum pump, the following changes are made:
1. The vacuum monitoring and control unit additionally contains a vacuum regulator made with a comparison element at the inlet, a switch, a comparator, the first and second setters, an OR circuit, the first and second drain valves installed with the possibility of connecting the pressure chamber with the atmosphere.
2. The control input of the switch is connected to the first output of the SPI.
3. The outputs of the vacuum gauge and the first adjuster are connected to the differential inputs of the controller comparison element.
4. The first input of the comparator is connected to the output of the gauge.
5. The second input of the comparator is connected to the output of the second master.
6. The first input of the OR circuit is connected to the output of the first master.
7. The second input of the OR circuit is connected to the output of the comparator.
8. The output of the OR circuit is connected to the first input of the switch.
9. The output of the regulator is connected to the second input of the switch.
10. The control input of the first drain valve is connected to the first output of the switch.
11. The control input of the second drain valve is connected to the second output of the SIP.
12. The control input of the control valve is connected to the second output of the switch.
The cause-and-effect relationship of the changes made with the achieved increase in the reliability of the vacuum mode control is to automate this mode using software control and regulation tools, as well as emergency protection of the patient from the possibility of being under a vacuum that exceeds the threshold value. This makes it possible, in particular, to use portable hermetic chamber structures that are most exposed to static and dynamic interference in relation to a given level of vacuum.
In portable (folding) versions, the pressure chamber can be made in the form of an airtight overall equipped with stiffeners fixed inside the overall with the formation of a rarefaction area at the place of decompression.
Figure 1 and 2 shows a diagram of a portable version of the hermetic chamber; figure 3 shows a functional diagram of the vacuum system and the unit for monitoring and controlling the vacuum in the hermetic chamber.
Apparatus for abdominal decompression contains a hermetic chamber 1 (figure 1 and 2), equipped with a sealing cuff 2 in contact with the patient's body and flexible sleeves 3 fitting his lower limbs, and a vacuum system (figure 3) connected to the hermetic chamber 1, equipped with a vacuum pump 4, and a vacuum control and control unit, including a vacuum gauge 5, a control valve 6 installed on the drainage line connecting the pressure chamber with the atmosphere, a step pulse chopper (SIP) 7, a regulator 8 made with a comparison element (EC) 9 at the inlet, a switch 10, comparator 11, the first and second adjusters (pos.12 and 13, respectively), the OR circuit 14 and the first and second drain valves (pos.15 and 16, respectively), installed with the possibility of connecting the pressure chamber with the atmosphere. The first output of the SIP 7 is connected to the control input of the vacuum pump 4 through the trigger element 17, the control input of the switch 10 is connected to the first output of the SIP 7, the outputs of the vacuum gauge 5 and the first master 12 are connected to the differential inputs of the ES 9 of the regulator 8, the first input of the comparator 11 is connected to the output of the vacuum gauge 5, the second input of the comparator 11 is connected to the output of the second master 13, the first input of the circuit 14 OR is connected to the output of the first master 12, the second input of the circuit 14 OR is connected to the output of the comparator 11, the output of the circuit 14 OR is connected to the first input of the switch 10, the output of the regulator 8 is connected to the second input of the switch 10, the control input of the first drain valve 15 is connected to the first output of the switch 10, the control input of the second drain valve 16 is connected to the second output of the SIP 7, and the control input of the control valve 6 is connected to the second output of the switch 10.
All elements of the circuit of figure 3 are standard. In it, any standard controller (preferably proportional-integral action) can be installed as a controller 8, up to its commonly used controller-based execution.
SIP 7 is used based on the possibility of setting the duration of the pulse and pause in the range from 0.5 to 15 minutes and the duration of the decompression session from 10 to 90 minutes. The setters 12 and 13 are set based on the setting of the set value R s and the limit (emergency) R min values of vacuum in the pressure chamber 1 in the range from -0.7 to -7 kPa.
Drainage lines, on which the control valve 6, as well as valves 15 and 16, can be connected directly to the pressure chamber 1, as shown in figure 3, or connected to the line connecting the pressure chamber 1 to the vacuum system.
Hermetic chamber 1 can be made as in the prototype (patent RU 2143257). It is also possible portable (folding) version of the hermetic chamber 1 in the embodiments shown in Fig.1 and 2, to position the patient in a supine position on the couch 18 or sitting in a chair 19, respectively. In a portable version, the pressure chamber 1 is made in the form of an airtight suit equipped with flexible sealing sleeves 3 and stiffeners 20 to form a rarefaction area at the place of decompression. Ribs 20 can be made of rods or inflatable frames. The ends of the stiffening ribs 20 are fixed inside the overalls with the help of clamps, spacers, etc. It is most expedient to use overalls and/or sets of stiffening ribs 20 of various sizes to ensure that they correspond to the anthropometric dimensions of the patient.
In preparation for use, the hermetic chamber and elements in contact with the patient's body are treated with a disinfectant solution.
The patient is placed in a hermetic chamber and the lower part of the patient's body, including the area of abdominal decompression, is sealed with cuff 2. In this case, the lower limbs of the patient, including the feet, are located in flexible sealing sleeves 3.
Further, a vacuum system and a vacuum control and management unit are included. In this case, the SIP 7, by turning on and off the vacuum pump 4, sets the pulse mode of rarefaction in the hermetic chamber 1 with the characteristics of the duration and duty cycle of the vacuum supply pulses, adjustable depending on the physiological state of the organism and the etiology of the disease. During the pulse period, the signal from the output of the SIP 7, entering the control input of the switch 10, turns on the automatic vacuum control system, allowing the passage of the output signal of the vacuum regulator 8 to the control input of the control valve 6, operating as a regulatory body, changing the cross section of the passage hole of the corresponding drainage line of the vacuum system depending on the mismatch ΔР between the current value of the vacuum R in the hermetic chamber and its set value R s set by the master 12. In this mode, when operating in the range of low predetermined values of the vacuum R s, the signal from the output of the master 12 through the OR circuit 14 and the switch 10 opens the first drain valve 15, which provides the possibility of smooth regulation of the vacuum in this range. The OR circuit 14 also provides for the opening of the drain valve 15 in the dynamic mode of vacuum control in case it exceeds the threshold value P min set by the master 11, supplied to the comparator 11 from the master 13. In this case, the element 15 performs the function of an emergency valve.
During the pause, the SIP 7 turns off the vacuum pump 4 and the automatic vacuum control circuit. At the same time, from the second (inverse) output of the SIP 7, it sends a signal to turn on the second drain valve 16, the flow area of which is smaller than that of the first valve 15, which ensures a smooth release of vacuum when the device switches to pause mode.
During the operation of the device, the static and dynamic accuracy of maintaining the specified vacuum mode is not lower than ±0.1 kPa.
The use of the proposed technical solution improves the accuracy and reliability of the vacuum control in the hermetic chamber and prevents deep emergency evacuation of the patient, which is most important when using portable hermetic chambers. The technical result, derived from what has been achieved, is to improve the well-being of patients, especially pregnant women. In addition, the achieved possibility of manufacturing a portable chamber reduces the bulkiness of the design of the apparatus.
1. Apparatus for abdominal decompression, containing a hermetic chamber equipped with a sealing cuff and flexible sleeves for contact with the patient's body, a vacuum system connected to the hermetic chamber and equipped with a vacuum pump, and a vacuum control and management unit in the hermetic chamber, including a vacuum gauge, a control valve installed on the drainage line connecting the hermetic chamber with the atmosphere, and a stepped pulse interrupter, the first output of which is connected to the control input of the vacuum pump, characterized in that the vacuum monitoring and control unit additionally contains a regulator made with a comparison element at the input, a switch, a comparator, the first and the second master, the OR circuit and the first and second drain valves installed with the possibility of connecting the pressure chamber with the atmosphere, while the control input of the switch is connected to the first output of the step pulse chopper, the outputs of the vacuum gauge and the first master are connected to the differential inputs of the electric controller comparison element, the first input of the comparator is connected to the output of the vacuum gauge, the second input of the comparator is connected to the output of the second setter, the first input of the OR circuit is connected to the output of the first setter, the second input of the OR circuit is connected to the output of the comparator, the output of the OR circuit is connected to the first input of the switch, the output of the regulator is connected to the second input of the switch, the control input of the first drain valve is connected to the first output of the switch, the control input of the second drain valve is connected to the second output of the step pulse chopper, and the control input of the control valve is connected to the second output of the switch.
ABDOMINAL DECOMPRESSION
innovative medical technology
The procedure of abdominal decompression is a therapeutic physiotherapeutic effect of reduced (negative) pressure on the lower part of the body. These procedures for the treatment and prevention of pregnancy complications were first used by Professor O.S. Heyns (South Africa).
According to the results of studies performed at the Department of Obstetrics and Gynecology of the St. Petersburg State Medical University. acad. I.P. Pavlova proposed procedures for abdominal decompression for the treatment and prevention of obstetric and gynecological pathologies. These procedures use pulsating negative pressure in the abdomen and pelvis at the same time as positive pressure on the lower extremities.
For the implementation of abdominal decompression in clinical practice The enterprise of medical instrument-making LLC "Firma AKTs" (St. Petersburg) developed and mass-produced a set of equipment for abdominal decompression KAD-01-AKTs.
The kit was approved for use by the Ministry of Health of the Russian Federation in 2000.
6 patents for inventions have been issued for the technical solutions of the kit and the method of performing the procedures.
In 2000-2012 ACC manufactured and installed in medical institutions over 200 abdominal decompression sets.
At present, we are producing the 4th generation model of the product in the design of 2011 with fiberglass bearing elements (Germany), equipped with an imported high-reliability vacuum pump.
Abdominal decompression is widely used:
- for the treatment of type 1 and type 2 diabetes, pancreatitis incl. in the acute stage, osteochondrosis of the lumbar
spine
- in obstetrics and gynecology
- in toxicology and narcology
- for the treatment of diseases of the vessels of the lower extremities
The Department of Physiotherapy and Balneology of St. Petersburg Medical Academy of Postgraduate Education has tested abdominal decompression procedures for the treatment of erectile dysfunction, and methods are being developed for the treatment of diseases of the gastrointestinal tract, liver and kidneys.
Abdominal decompression in obstetrics and gynecology
Abdominal decompression is included in the regional programs "Safe Motherhood" and is successfully used in antenatal clinics, maternity hospitals, obstetric and gynecological departments of hospitals in St. Petersburg (54 sets) and the Pskov region (24 sets). Moscow, Leningrad, Vologda, Vladimir, Volgograd, Kaliningrad, Kemerovo, Novosibirsk, Orenburg, Chelyabinsk, Sverdlovsk, Yuzhno-Sakhalinsk regions, Krasnodar and Altai territories, the republics of Tatarstan, Bashkortostan and Karelia, as well as in other regions of Russia.
Abdominal decompression procedures are used to treatment of the threat of abortion, early toxicosis of pregnancy, gestosis of mild and moderate severity; hypotrophy and hypoxia of the fetus, inflammatory diseases of the internal genital organs, dysmenorrhea, infantilism, infertility, with simultaneous prevention of varicose veins of the lower extremities.
In the clinic of the Research Institute of Obstetrics and Gynecology named after D.O. Otto of the Russian Academy of Medical Sciences abdominal decompression is used for postoperative rehabilitation.
Abdominal decompression allows you to:
- reduce the length of stay in the hospital;
Eliminate the need for inpatient treatment in 86% of cases.
Advantages over traditional treatment:
- application reduction medicines,
which eliminates the adverse effects of drugs
on the fetus and the mother's body;
- the transition in most cases from inpatient to outpatient treatment,
and with inpatient treatment, the reduction of its terms.
Important factor local decompression - increased transport of oxygen and metabolites, which ensures the normalization of placental function and the removal of fetal hypoxia. At the same time, a change in volumetric blood flow in the abdominal organs relieves vascular spasm caused by hypertension, which leads to a decrease in the severity of the gestosis clinic. The therapeutic effect is also achieved as a result of improved blood supply to the kidneys, the function of which is reduced with preeclampsia. At the same time, an increase in functioning nephrons and the mobilization of reserve capabilities of the renal tissue reduce the severity of clinical manifestations of preeclampsia.
Experience with the kit showed that even mothers from the risk group (first birth after 30 years, gynecological complications, previous miscarriages) who underwent prenatal procedures had no complications in childbirth. Children born to mothers who have undergone prenatal procedures are characterized by accelerated physical and intellectual development, as well as increased immune resistance compared with peers from the control group.
Abdominal decompression in toxicology and narcology
The use of abdominal decompression procedures for the treatment of toxic lesions of the body, including in patients with chronic alcoholism and drug addiction, was developed by the Physiological Research Institute. acad. A.A. Ukhtomsky St. Petersburg State University. Before the abdominal decompression procedure, the patient takes an enterosorbent. Enterosorbent intake weakens the effect and time of exposure to harmful metabolites on the body in case of toxic lesions. Abdominal decompression enhances blood microcirculation by opening additional mesenteric vessels. At the same time, the process of transferring toxins into the intestinal lumen is accelerated, where they are bound by an enterosorbent and then excreted from the body.
natural way. A single procedure of abdominal decompression increases the effectiveness of detoxification by 8-12%. When performing a course of abdominal decompression procedures, the therapeutic effect is also achieved due to rehabilitation affected organs and systems of the body due to the restoration of blood microcirculation and lymph flow. Of particular note is the positive effect of procedures on the endocrine glands, liver, nervous system and joints.
Abdominal decompression procedures for the treatment of patients with chronic alcoholism were tested in the City Narcological Hospital of St. Petersburg. After relief of acute withdrawal symptoms, 10 abdominal decompression procedures are performed on the 7th-10th day of hospital stay. On the eve of the procedure, patients take an enterosorbent. The level of asthenia on the MF-20 scale before the start of decompression sessions averages 18. After the course of procedures, the level of asthenia decreases to 8-12, which indicates the restoration of the general physiological state.
Abdominal decompression for the treatment of diseases
vessels of the lower extremities
Abdominal decompression procedures for the treatment of patients with arterial and venous vascular insufficiency of the lower extremities were developed at the St. Petersburg Medical Academy of Postgraduate Education together with the North-Western District Medical Center of the Ministry of Health of the Russian Federation. The procedure creates a difference in barometric pressure in the blood-tissue system, which significantly improves the microcircular blood supply to the lower extremities in case of violation of the main blood flow in them. It is also important to activate the mechanism of transmembrane metabolism and direct oxygen transport through the membrane separating capillaries and tissues. At the same time, the level of saturation of the tissues of the lower extremities with oxygen increases and swelling decreases.
Physiological processes stimulated by abdominal decompression can effectively treat trophic ulcers of the lower extremities, diseases associated with lesions of the vessels and veins of the lower extremities, including atherosclerosis and syndrome diabetic foot. Abdominal decompression is successfully used for rehabilitation after operations for varicose veins of the lower extremities.
Out of 110 patients with arterial and venous insufficiency of the vessels of the lower extremities who underwent a course of abdominal decompression procedures at the North-Western District Medical Center of the Ministry of Health of the Russian Federation, 92% showed an improvement in their condition, a decrease, and in some cases a complete removal of the pain syndrome.
Conclusion
The experience of using abdominal decompression has shown that this physiotherapeutic procedure is effective not only from a medical point of view, but also from an economic point of view, as a hospital-replacing treatment that eliminates the need for hospital treatment or significantly reduces the length of stay in a hospital, eliminates drug treatment or reduce its size.
Therapeutic possibilities of abdominal decompression to improve blood circulation, especially microcirculation, are also promising for other areas of medicine (rehabilitation, urology, treatment of male infertility, treatment of occupational diseases, disaster medicine, sports medicine, etc.).
ACC is open to cooperation with medical institutions and physicians interested in expanding the use of abdominal decompression.
ABDOMINAL DECOMPRESSION SET KAD-01-AKC
The product set includes a hermetic chamber for abdominal decompression and a mode formation unit.
The hermetic chamber consists of a rigid segment installed in the patient's abdomen and two segments of airtight fabric - the first serves to seal the hermetic chamber from the side of the patient's chest, the second - to create positive pressure on the lower limbs. The elements of the hermetic chamber are installed on a frame with a pneumatic drive for lifting the carrier panel of the hermetic chamber.
A micro-computer with a control panel and a compressor with a noise suppression system are installed in the mode formation unit.
To perform the procedure, the lower part of the patient's body (up to the chest) is placed in a hermetic chamber and sealed. Procedure parameters are entered from the keyboard of the control panel. The micro-computer automatically maintains the parameters of the procedure in the hermetic chamber. Procedure parameters are displayed on digital displays.
The therapeutic effect is provided by impulses of negative air pressure (below atmospheric pressure) in the abdominal cavity and pelvis simultaneously with positive pressure on the lower extremities.
SpecificationskitKAD-01-AKC
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The volume of the hermetic chamber, liters |
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Vacuum in the hermetic chamber, kPa |
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Dilution time, min. |
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Pause time, sec. |
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Number of vacuum-pause cycles in the procedure |
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Abdominal decompression is a physiotherapeutic procedure performed by therapeutic exposure to reduced (negative) air pressure on the lower body. Abdominal decompression . Abdominal decompression is included in the regional programs "Safe Motherhood" and is successfully used in antenatal clinics, maternity hospitals, obstetric and gynecological departments of hospitals in St. Petersburg and the Pskov region. Abdominal decompression equipment is used in medical institutions in Moscow, Leningrad, Vologda, Volgograd, Kaliningrad and other regions, as well as in other regions of Russia. Abdominal decompression procedures are used to treat threatened miscarriage, mild to moderate preeclampsia; hypotrophy and hypoxia of the fetus, inflammatory diseases of the internal genital organs, dysmenorrhea, infantilism, with simultaneous prevention of the lower extremities.
An important factor in local decompression is the increased transport of oxygen and metabolites, which ensures the normalization of placental function and the removal of fetal hypoxia. At the same time, a change in volumetric blood flow in the abdominal organs relieves vascular spasm caused by hypertension, which leads to a decrease in the severity of the gestosis clinic. The therapeutic effect is also achieved as a result of improved blood supply to the kidneys, the function of which is reduced with preeclampsia. Experience with the kit showed that even mothers from the risk group (first birth after 30 years, gynecological complications, previous miscarriages) who underwent prenatal procedures had no complications in childbirth. Children born to mothers who have undergone prenatal procedures are distinguished by accelerated physical and intellectual development, as well as increased immune resistance compared to their peers from the control group. Abdominal decompression for the treatment of diseases of the vessels of the lower extremities. Abdominal decompression for the treatment of patients with arterial and venous vascular insufficiency of the lower extremities - proposed and tested in the First Surgical Department of the North-Western District Medical Center of the Ministry of Health of the Russian Federation. The procedure creates a difference in barometric pressure in the blood-tissue system, which significantly improves the microcirculatory blood supply to the lower extremities in case of violation of the main blood flow in them. It is important to activate the mechanism of transmembrane metabolism and direct oxygen transport through the membrane separating capillaries and tissues. At the same time, the level of saturation of the tissues of the lower extremities with oxygen increases and swelling decreases. Physiological processes stimulated by abdominal decompression can effectively treat trophic ulcers of the lower extremities, diseases associated with lesions of the vessels and veins of the lower extremities, including atherosclerosis and diabetic foot syndrome. The method is successfully used for rehabilitation after operations for varicose veins of the lower extremities. Out of 110 patients with arterial and venous vascular insufficiency of the lower extremities who underwent a course of procedures at the North-Western District Medical Center of the Ministry of Health of the Russian Federation, 92% showed an improvement in their condition, and a decrease, and in some cases complete removal, of the pain syndrome. Indications for treatment with abdominal decompression:
Contraindications:
Abdominal Decompression Method in Obstetrics and Gynecology
There are contraindications. Check with your doctor. Possible harm to health. At the 30th week of pregnancy, the doppler revealed abnormalities in me. The blood flow in one of the arteries was slightly disturbed. The deviation is not critical, but still requiring prompt treatment. Not so long ago, an abdominal decompression apparatus appeared in our antenatal clinic, which cost the hospital 4 million rubles. (as one of the employees of the physical office told). Most likely, the money urgently needed to be repaid, and, apparently, therefore, abdominal decompression became the most modern way to prevent and fetal hypoxia. Unexpectedly, it turned out that abdominal decompression during pregnancy is almost a panacea. Now in our LCD No. 2 it is assigned to absolutely everyone. Naturally not free. One session 15 min. costs 350 rubles. Booking almost a month in advance. Since all my referrals were marked “Cito”, I got into the procedures the very next day and, frankly, I was very happy about it.
At first, I was alarmed that neither our gynecologist (if you can call her a doctor at all) nor the physiotherapist could list a list of contraindications for this procedure. Since, in addition to hypoxia, I also have thrombophilia and ICI, it was very important to find out this question. I went to the maternity hospital, they allowed me to do decompression there, but they advised me to go to the hospital to dig in and in parallel to HBO. Mindful of the past horror from visiting the HBO pressure chamber, she ignored the advice. I decided to do abdominal decompression and oxygen therapy. I will write about the latter sometime later.
Indications for treatment with abdominal decompression: the threat of termination of pregnancy; early toxicosis of pregnancy; late toxicosis of pregnancy of mild and moderate severity; hypoxia or the threat of fetal hypoxia; fetal hypotrophy; inflammatory diseases of the internal genital organs (pain, edematous, adhesive syndromes), dysmenorrhea, infantilism, infertility; atherosclerosis of the vessels of the lower extremities, diabetic foot syndrome, chronic varicose veins, erysipelas of the lower extremities; alcohol and drug addiction, toxic and radiation damage, liver disease, constipation, overweight correction. Contraindications: malignant neoplasms; infectious diseases; inflammatory diseases in the acute stage; hypertension stage 3; bleeding during pregnancy; severe toxicosis of pregnancy; increase in antibody titer during pregnancy; thrombophlebitis in the acute stage; hemorrhoids in the acute stage; peptic ulcer in the acute stage. What a miracle procedure The abdominal decompression apparatus consists of a large box with electronics and a capsule table. The patient wears disposable pantyhose. Since I doubted that the tights that I was given in the LCD were disposable, I brought my own - the most ordinary cotton black tights. After changing clothes, I was left with a T-shirt-bodice and the mentioned tights. Then I lay down on the table of the apparatus and the physiotherapist pushed me into the capsule. The capsule has a metal sarcophagus on one side, and a rubberized bag on the other, the edges of which are tightly pulled together under the patient's chest. The physiotherapist then sets the program and time on the control unit. While you are lying in the capsule, the air is pumped in there, then bled off. Intervals and intensity of pressure change with each procedure. There is no particular discomfort. Unless for the first time it was scary, because the stomach is also quite noticeably squeezed. At first, the baby began to move a little with each squeeze. I don’t even know if I’m expressing contentment or dissatisfaction. Then both I and the baby got used to it.
Result: Conducted 11 procedures, daily, except weekends. Then I went for a second doppler, there were almost no results. The indicators have changed slightly. And this despite the fact that at the same time she was instilled daily with Magnesia and went to oxygen therapy.
Frustrated, of course. scolded myself last words and trudged to sign up for HBO. After 5 HBO procedures and the same number of droppers with Pentoxifylline, the situation began to improve for the better. After another week of torture in the pressure chamber, hypoxia was completely removed. Doctor in perinatal center she said everything was fine. In custody: Intrauterine hypoxia of the fetus is a serious condition, it is both harmful and uncomfortable for the child. Therefore, I think that it is better not to waste time on abdominal decompression, but to resort to more effective procedures. I will clarify that I can only judge the effect of this procedure on the treatment of intrauterine hypoxia and have no idea whether it helps, for example, with varicose veins or infantilism. As for the correction of excess weight, noted in the indications for the procedure, on the contrary, during this period, doctors began to scold me for excessive weight gain. Well, that's what I mean by the way)) I apologize for the quality of the photo. As usual, secrecy in our medical facilities is one step higher than the quality of service and the interests of the patient, so I filmed very quickly and quietly. Hands were shaking)) Here is such a pregnant Paparazzo)) Also for health: |
