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Is electrophoresis effective during menstruation and is it done during this period?

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Please tell us more about physiotherapy - what procedures are included in it (I am interested in it from the point of view of gynecology- treatment of inflammation and softening of adhesions) for how long the course is calculated, you may know where such procedures can be done.

Physiotherapy is a very effective method of treating chronic inflammation and adhesions. It does not eliminate adhesions, but softening them, reduces the symptom: pain, disruption of the organs, constipation. If there is obstruction of the fallopian tubes, physiotherapy can not help. Therefore, if tubal-peritoneal infertility is treated, physiotherapy is carried out only after the restoration of the patency of the tubes (as established by the GHA). It is impossible to describe the procedures, there are a lot of them, physiotherapy should be selected individually, depending on a lot of circumstances. The course lasts 30 procedures, takes 10 working days (3 procedures per day). Held in SC AgiP RAMS ..

After two operations (removal of appendicitis and drainage of the abdominal cavity), I developed a adhesive disease. To recover, you need to conduct a course of physiotherapy. Please tell us more about this course.

Physical therapy allows you to soften the adhesive structures, to make them thinner and more tensile. This will reduce or stop the pain, adjust the function of the intestine, which is now strained by adhesions, a specific physical factor is selected individually, depending on age, associated diseases.

It must be remembered that physiotherapy is not surgery, it cannot completely “dissolve” adhesions. They will remain, just become softer. Therefore, if after a full course of symptoms (pain, disruption of the bowels) will remain, perhaps, you will need an operation to dissect adhesions

Is it possible to do electrophoresis during menstruation? If not, why not? How will the forced break in treatment (5 days of treatment have already passed) affect the treatment itself?

Continue physiotherapy during menstruation is possible. Doctors are afraid to do this because they are afraid of increasing pain and complaints on your part. For the body it is safe. But it is physiological to begin physiotherapy immediately after the cessation of menstruation, on the 5-7 day of the cycle, then you can complete the full course before the next menstruation begins. A break in treatment for more than 3 days interrupts the course, it does not make sense to continue it further. It is necessary to stop the procedure, wait 2 months, and if there is evidence to conduct a full course, starting from 5-7 days of the cycle ..

Already FOUR YEARS, I suffer from CONSTANT aching pain in the lower abdomen (when strong, when weaker), i.e. the pain is very rare and appears again, it is worth a little move. It began with the fact that I had to have an abortion, and soon I became ill with metroendometritis and bilateral salpingo-oophoritis (acute). Treated successfully. After a while there was again an aggravation, I passed the tests, and I was diagnosed with chlamydia. Passed on an outpatient basis, several courses of treatment, now tests (PCR) show a negative result. Four times she was treated in the hospital for a month and more with a diagnosis of chronic metroendometritis and bilateral salpingo-oophoritis. Between them was a restorative course. Several times did ultrasound, doplerometry, puncture, diagnostic curettage. Diagnosis - signs of chronic metroendometritis and bilateral salpingoophoritis. Recently discovered adhesions and myoma of the uterus (1 cm). Expelled with the same pain. And I also have constant discharge, dirty yellow, not cheesy, smears are good, but the discharge is strong enough and with a smell. Menstruation regular abundant on the first day or two. Characteristic pains before menstruation and on her first day. The main drugs that were treated were: trichopol, metronidazole, tinidazole, bicillin, ampicillin, abactal, board cyclin, ciprolet, sumamed, gentamicin, metrogyl, dioxidine, saline, norcoluth, ortofen, ringer ringer, glucose, papaverine chloride, chlorine, orthophene, ringer's solution, glucose, papaverine chloride, chlorofets, norkolut, ortofen, ringer ringer, glucose, papaverine chloride, chloroform, dioxidine, saline, norcolut, ortofen, ringer's solution, glucose, papaverine chloride, chlorofluoride; , vitamins c. B, nicotinic acid, aloe, FIBS, autohemotherapy, furosemide, splenin, diclofenac, lidaza, topical treatment: nystatin, polygynax, clotrimazole, suppositories, herbal baths, diflucan, physiotherapy: electrophoresis with magnesia, dimexide, in which it is a pattern, it will be outlighted, in case of heart failure. biofon restoring course: massage, vitamins, festal, Kars, electrophoresis, bifidumbacterin. Appealed to a gastroenterologist, he, on the basis of the results of the examination, without tests, said that I had pain not in his part. Now one doctor diagnoses chronic pelvic pain and advises to do laparoscopy (for the purpose of diagnosing, and possibly removing any lesions, adhesions), and the other suggests treating the intestines (I have 1-2 days constipation). I want to live, but not to exist, the best years are terrible, I divorced my husband, because I can not live sexually, but he does not believe that his stomach can hurt all the time. Help! Advise what is better to do now, heard that there is still a tomography, maybe with its help you can make the correct diagnosis and be cured? How to recover from the discharge?

In your case, competent physiotherapy should help. The fact that you have completed several courses without a result really suggests that there is some unrecognized diagnosis besides endometritis, and you should first do laparoscopy, remove all the pathological things that will be (if any) discovered, and then all the same - physiotherapy, depending on the results of physiotherapy. The main thing - physiotherapy should be selected individually for you, only then it will help.

Please tell us about the methods of treatment of adhesions. Are there ways other than surgery and how this will affect my ability to give birth.

There are methods of physiotherapy effects, drugs that reduce adhesions, hydrotubation (fluid is injected into the uterus under pressure until the tubes are restored). However, the most effective is the surgical separation of adhesions. If the adhesive process is pronounced, problems with conception may occur. In this case, it is necessary to separate the adhesions to normalize the patency of the fallopian tubes.

Electrophoresis

Drug electrophoresis is the effect on the body of a constant electric current in combination with the introduction through the skin or mucous membranes of various medicinal substances. In physiotherapy, electrophoresis is the most popular method, since it has many positive effects on the patient's body:

  • reduces the intensity of the inflammatory process,
  • has a anti-edema effect
  • eliminates pain,
  • relaxes increased muscle tone
  • produces a calming effect
  • improves microcirculation,
  • accelerates the process of tissue regeneration,
  • stimulates the production of biologically active substances (for example, vitamins, microelements, hormones),
  • activates the body's defenses.

The principle of the method is that drugs enter the body through the intercellular spaces, sebaceous and sweat glands in the form of positive or negative particles (ions). Dosage dose during electrophoresis is low: only 2-10% of the total volume of the drug contained on the pad.

Most of the pharmacotherapy is delayed in the skin and subcutaneous fat, that is, it does not immediately enter the bloodstream, but a day or more after the procedure. This property is due to the delayed (prolonged) effect of physiotherapy: improving metabolism and innervation, relieving pain, swelling, etc.

During electrophoresis, the active medicinal substances accumulate as much as possible in the pathological focus, since the gasket with the drug is applied directly to the “sore spot”, and is several times higher than the dose administered injectionally or orally. Therefore, the effectiveness of drug electrophoresis is quite high. Bypassing the gastrointestinal tract, pharmacopoeia practically does not cause side effects on the body.

Indications for electrophoresis in adults

Drug electrophoresis is widely used in the treatment of neurological, therapeutic, surgical, gynecological diseases, as well as in traumatology, pediatrics and dentistry. Physiotherapy can be prescribed repeatedly, and there is no definite time limit for electrophoresis.

  • bronchial asthma,
  • pneumonia,
  • acute and chronic bronchitis,
  • bronchiectasis,
  • tracheitis,
  • pleurisy,

Diseases of ENT organs (ear, throat, nose)

  • gastritis,
  • peptic ulcer and 12 duodenal ulcer,
  • cholecystitis,
  • pancreatitis,
  • colitis,

  • hypertension 1 and 2 stages,
  • hypotension,
  • atherosclerosis,
  • angina,
  • phlebeurysm,
  • atrial fibrillation
  • endarteritis,

Diseases of the genitourinary system of women and men

  • pyelonephritis,
  • cystitis,
  • urethritis,
  • prostatitis,
  • endometriosis,
  • adnexitis,
  • endometritis,
  • cervicitis,
  • vaginitis

  • neuritis
  • neuralgia,
  • radiculitis,
  • migraine,
  • neurosis
  • intervertebral hernia,
  • insomnia,
  • plexite
  • brain and spinal cord injuries,
  • paresis and paralysis,
  • ganglioneuritis,

  • osteochondrosis,
  • osteoarthritis,
  • arthritis and polyarthritis,
  • spondylosis
  • sprains and fractures,
  • joint contracture,

  • burns
  • acne (acne),
  • seborrhea,
  • scarring,
  • psoriasis,
  • trophic ulcers,
  • bedsores,
  • dermatitis,
  • folliculitis,
  • furunculosis,

  • iridocyclitis,
  • uveitis
  • conjunctivitis,
  • blepharitis
  • keratitis
  • atrophy of the optic nerve.

  • postoperative wounds
  • postoperative scars.

Contraindications

Drug electrophoresis is a fairly universal and affordable method of physiotherapy, but it has a number of contraindications. These include:

  • tumors of any location and etiology,
  • heart failure,
  • the presence of an artificial pacemaker (pacemaker),
  • inflammatory process in the acute phase,
  • increased body temperature
  • bronchial asthma (severe),
  • blood clotting disorders (increased bleeding, bleeding tendency),
  • skin pathologies (eczema, dermatitis),
  • violation of the sensitivity of the skin,
  • mechanical damage in the area of ​​application of medicinal pads (wounds, cuts, abrasions),
  • intolerance to electric current
  • allergic to the drug, which is required to enter through electrophoresis.

On a note: Menstrual bleeding is not an absolute contraindication to electrophoresis, since it is a natural process not caused by any pathological (inflammatory or infectious) factor. The procedure during menstruation is not advisable to perform, if it is known that the electrodes will overlap the area of ​​the uterus and ovaries.

Methodology

The essence of the procedure is the location of the drug (solution or gel) perpendicular to the movement of electric current, ie, between the electrode and the surface of human skin. Depending on the method of applying the electrodes and the method of administering the pharmaceutical product, there are several methods of medicinal electrophoresis.

Galvanic (percutaneous) - impregnate with a medicinal solution gauze or pads of filtered paper that are placed on the patient's body from opposite sides of the pathological focus to create a field within which the medicinal substance will move. Inside the pads are placed electrodes, and the top is covered with a protective film,

Bath - in a special container (bath), which is already equipped with electrodes, the required volume of the medicinal solution is poured. The patient immerses in the diseased part of the body (arm or leg),

Cavity - a solution of the drug is injected into the hollow organs (stomach, bladder, rectum, vagina, uterus), one of the electrodes is placed there, and the second is located on the body surface,

Interstitial - the drug is administered orally (through the mouth) or injection, then place the electrodes in the area of ​​the nidus. Interstitial electrophoresis is most effective in the treatment of respiratory diseases (bronchitis, laryngitis, tracheobronchitis, etc.)

Electrophoresis treatment

Trap electrophoresis

Effective in the treatment of arthritis, polyarthritis, plexitis, polyneuritis and other diseases of the joints and nervous system.

Caripazim Electrophoresis

Karipazim is a drug for the treatment of hernias of intervertebral discs (active ingredient papain). A standard course of treatment with caripazine is 15–20 sessions (to obtain a stable clinical effect, it is necessary to undergo 2-3 courses with breaks of 1-2 months).

Lydase Electrophoresis

Lidase (hyaluronidase) increases tissue and vascular permeability, improves the movement of fluids in the interstitial spaces, helps soften scars. Therefore, electrophoresis with lidzoy very often appointed in gynecology, traumatology and surgery for resorption of adhesive processes.

Electrophoresis with aminophylline

Euphyllinum has an analgesic, bronchodilating effect, improves blood circulation and blood supply to the internal organs. Therefore, electrophoresis with aminophylline is widely used for the treatment of pulmonary, vascular, neurological and other diseases.

Calcium Electrophoresis

It is prescribed for bronchitis, neuralgia, neuritis, myositis. Most often, electrophoresis with calcium is used in orthopedics to compensate for the relative and absolute loss of calcium. The effect that calcium has on the body:

  • detoxification,
  • antiallergic,
  • hemostatic,
  • anti-inflammatory,
  • strengthens blood vessels and reduces their permeability.

Potassium Electrophoresis

It is used in the treatment of inflammatory diseases of the respiratory tract, with bronchial asthma, eye pathologies.

Most electrophoresis is carried out by electroplating, i.e. just put electrodes on the skin with a medicine-soaked pad. But according to which technique (collar, belt, according to Scherbak or Ratner), it depends on the diagnosis and localization of the pathological focus. Usually, the choice of method is determined by the attending physician (or a physiotherapist in the absence of a physician).

The most effective and widely used techniques of medicinal electrophoresis:

Ionic reflexes by Shcherbak

  • appointed with hypertension, neurosis, gastric ulcer and duodenal ulcer.

  • effective in treating traumatic brain injury, neurosis, hypertension, sleep disorders, etc.

  • used in the treatment of inflammatory diseases of the female genital organs and various disorders of sexual function.

General electrophoresis (Vermel method)

  • The method is most effective in treating hypertension, atherosclerosis, cardiosclerosis, neurosis, migraine, etc.

Bourguignon electrophoresis (orbital and occipital)

  • The procedure is prescribed for the treatment of facial or trigeminal neuritis, as well as vascular, traumatic and inflammatory processes in the brain.

  • used in the treatment of vascular, inflammatory and traumatic pathologies of the brain, gastric and duodenal ulcers, metabolic disorders.

Ratner electrophoresis

  • It is used to treat circulatory disorders in the cervical spine, in the treatment of cerebral palsy and to restore the normal functioning of organs after birth injuries in children.

Side effects and complications

When conducting drug electrophoresis, side effects or more serious complications are very rare. Usually, these are allergic reactions to the injected medicinal substance, which are manifested by reddening of the skin, an itchy rash, slight swelling at the place of application of the electrodes. With the abolition of the procedure and the use of antihistamines, the negative manifestations quickly disappear.

Also at 2-3 electrophoresis procedures, a slight increase in pain and an increase in local or general temperature in inflammatory diseases (functional exacerbation) is allowed. By the end of the course of physiotherapy, the discomfort passes on its own.

Alternative methods

Another popular method of introducing medicinal substances into the human body, but not with the help of electric current, but through ultrasonic waves is phonophoresis. In terms of effectiveness, phonophoresis is not inferior to electrophoresis, and it has far fewer contraindications to conduct.

The question of which method to apply in a particular case is decided by the attending physician. But as practice shows, electrophoresis is most often prescribed and phonophoresis is chosen only when it is impossible to carry out, since not all medicinal substances used for electrophoresis are used for phonophoresis.

This is due to the fact that under the action of ultrasound, these substances are destroyed, lose their activity or change their pharmacological properties. For example, novocaine, platifillin, atropine, some vitamins (ascorbic acid, vitamins gr. B).

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