• Hypertensive heart disease (unstable rates of blood pressure and susceptibility to hypertensive crisis)
• Severe atherosclerotic changes of the blood vessels of the heart and brain
• pronounced dysfunction of autonomic nervous system
• Acute infectious diseases
• active pulmonary tuberculosis
• Malignant neoplasms of any site
• Pregnancy (first 3 months and last month
  

method of treatment

Before the treatment is carried out clinical examination:

• anamnesis · thorough examination in otolaryngology
• study and analysis of the internal organs
• common blood and urine
• fluorography of the chest
• ECG
  

Preliminary Round: open festering follicle cysts on the tonsils, are cut spikes and possible scarring.

Before the session, the patient turns out to local pharyngeal anesthesia to suppress the pharyngeal reflex. Anesthetic solutions - depending on the patient's age and individual tolerance.

First step: scoring of the tonsils in an environment of 0.1% hydrogen peroxide solution, thus achieving the expansion of the mouths of the lacunae and their treatment of pathological contents (pus tubes, detritus, pathogenic), as a result - the restoration of the drainage function of the tonsils.

Therapeutic effects of sound:

• content gaps erased solution continuously flowing through the applicator into the jar-collector suction.
• Emerging acoustic flow and alternating sound pressure level shall micromassage tissue of tonsils.
• Since the vibrational acceleration at the parameters used ultrasound is sufficiently large, provided by cavitation (the appearance of microscopic vapor bubbles - solution boils at room temperature due to the formation of microscopic areas of low pressure). Since hydrogen peroxide chemically unstable, resulting in cavitation is a selection of oxygen, which has a bactericidal effect, and which saturates the fabric tonsils. Tonsil tissue oxygenation also has a significant therapeutic effect.
  

Second step: the introduction of dasgs with low-frequency ultrasound (phonophoresis) - lysozyme, interferon, thymogen, hydrocortisone, which accelerate the regeneration process in the parenchyma of the tonsils.
Under the action of ultrasound solutions or ointments penetrate into the parenchyma, creating a depot preparation.

Exposure: 10-20 seconds - individually. Exposition of less than 10 seconds is not sufficient for electrophoresis of the dasg,morethan 20 seconds - is fraught with danger of thermal and mechanical destasction of the epithelium and parenchyma

Treatment Plan

treatment course - 8-10 sessions.

The first 2-3 sessions only scoring of the tonsils without phonophoresis - stage of treatment is carried out mainly for the expansion of the mouths of the gaps and lacunae of treatment of pathological content.

Subsequent sessions - Sound + phonophoresis.

Treatment course - 8-10 sessions. As a asle, the 2 nd Course - 3 months later with the control after 1 month. Carried 2-3 courses, and then analyzes the results of treatment.

Further treatment is carried out according to the testimony - 1-2 times a year with the parallel use of traditional techniques.

Results of treatment - own experience in 13 years

Over 13 years treatment in the study was 1900 people aged from 3 to 65 years. Duration of chronic tonsillitis patients ranged from 2 to 45 years.

A significant proportion of patients (55%) before treatment had decompensated form of HT (2 ormoresore throats per year).

According to the results of treatment I conditionally agree with the patients into 3 groups:

1. Patients past one, sometimes two courses and have attained a good result: normalized faringoskopicheskaya picture disappeared tonzillogennoy signs of intoxication, bounced indicators of laboratory research. Patients in this group visited the office for verification. Recurrence of tonsillitis they have not seen. Typically this group includes children and young people up to 32 years, patients with compensated form of HT. This group is about 64% of the total number of patients treated

2. Patients past, usually two courses and achieved a significant improvement, but with some manifestations of recurrence of tonsillitis: caseous plugs, discomfort in the throat, seasonal pain in the joints. This group is about 30% of the total number of patients treated

3. Patients receiving treatment at a temporary improvement. Remain local and general signs of HT. Laboratory data is almost unchanged. Typically, this is - older patients, and the disease chemotherapy formorethan 15 years. Proportion - about 6% of the total number of patients.

Symptoms prior to treatment

• 85% of all patients had concomitant diseases.
• 72% - Regional lymphadenitis.
• 38% - discomfort in the throat with pain in the neck, ears, and jaws of unknown nature
• in 87% - and puaslent caseous plugs in the gaps during a massage
• 98% - a positive symptom of the Transfiguration, Zach, Giza.
• 27% - 3rd - 4-th degree of hypertrophy of tonsils.
• 58% - subfebrilitet
      

• have 61% disappeared regionarny lymphadenitis
• 91% noted positive effects: discomfort disappeared in the pharynx, patients no longer feel their tonsils, pain disappeared in the area of the throat, there was a feeling of lightness · Faringoskopicheski disappeared swelling and redness in the mouth of the gaps that have become crater; disappeared puaslent caseous Tubes - 85%
• Hypertrophy of tonsils decreased in 64% (children under the age of 32 years)
• tonsil tissue becomemoreelastic, mucous membranes pale pink or rose, a symptom of the Transfiguration, Zach, Giza disappeared in 87%
• Almost all patients had disappeared subfebrilitet
  

In addition, there is a small proportion of patients - ~ 2,5-3% (mostly from the first group), do not appear on the control after treatment. Some of them, presumably - because of an absolute cure, and some - in connection with the relocation.

Those patients for whom treatment by chemotherapy has been ineffective NUZFF aimed at tonsillectomy: 7 patients in group 3 (in 3 of them before treatment was paratonsillar abscess in 4 repeated sore throats after 3 courses of treatment) and 4 persons from the second group (2 patients because of unacceptable personal caseous plugs, 1 person. - based on alternative consultations with other specialists, in 1 patient remained subfebrilitet)
       

Long-term results of treatment were observed in 1,736 people over 5 years with the control after 1 - 3 - 6 - 9 - 12 months, and 1 - 2 - 5 years.

During the first year of disease recurrence was observed in 27%, if carried out a course of treatment. With repetition of treatment in 62% of patients in this group returned to normal faringoskopicheskaya picture and laboratory data. 27% of this group noted improvement and only 11% - no change. This category of patients is recommended and conducted annual MSH tonsils - recurrence of sore throats, manifestations tonzillogennoy intoxication, adverse changes in the tonsils and negative dynamics in the laboratory data observed in 3% in the second year and 0,5% in the third year. During 4 and 5-year angina were no patients suffering from meshe ARI and influenza.

Patients who have undergone two courses of treatment per year after 3 or 6 months (usually spring and autumn) had recurrence of 7% - the second group of patients.

That category of patients who underwent treatment MSH 3 times a year at 3 and 6 months after the first year of treatment had a recurrence of 3%.

Results of treatment - effectiveness analysis

htrezo

on symptoms

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Kopchenkova Natalya