Physiotherapy for bronchitis

Bronchitis is a disease manifested by acutely occurring inflammation of the mucous membrane of the tracheobronchial tree. Consequently, all physiotherapeutic effects should be pathogenetic, primarily anti-inflammatory. As a rule, such patients are not hospitalized, and complex treatment of uncomplicated acute bronchitis is carried out at home with the participation and under the supervision of a doctor.

For this pathology, the optimal methods of physiotherapy at home include heat-alkaline inhalations, drug electrophoresis, laser (magnetolaser) therapy, as well as information-wave action. I

For inhalations at home with the help of devices such as PI-2 (portable inhaler) and its analogues, warm solutions (38-40 ° C) of the following composition are used:

• bicarbonate or sodium bicarbonate - 2 ml and distilled or boiled water - 100 ml;
• bicarbonate or sodium bicarbonate - 1 ml; sodium chloride - 1 ml and distilled or boiled water - 100 ml.

The duration of the procedure is 10 minutes, they are carried out 2 - 3 times a day, for the course of treatment - 7 - 10 procedures.

In the absence of special inhalers, simple and convenient at home is the following method. The teapot is rinsed and then poured with steep boiling water. In boiling water, 2 tablets (and not capsules) are thrown by Validol. After dissolving them, steam is inhaled through an improvised socket made of cardboard or thick paper placed above the opening of the kettle instead of the lid.

For medicinal electrophoresis at home, it is advisable to use a portable device with an autonomous power supply "Elfor-I" ("Elfor ™"). The method of action is contact, stable, transverse (the active electrode from which the drug is administered is placed on the middle part of the sternum, the indifferent electrode is on the interlateral region of the spine). The dimensions of the electrodes are 10x15 mm, the current strength is 5 mA, the duration of the exposure is 10-15 minutes, once a day in the morning hours (until 12 noon), for treatment of 5 daily procedures.

Of drugs with a pronounced cough for electrophoresis use 0.1 - 1% solution of dionine, introduced from the anode (+); as a desensitizing agent, electrophoresis of a 2% solution of calcium chloride, also introduced from the anode (+), is used.

Laser (magnetolaser) therapy is carried out with devices that generate IR radiation (wavelength 0.8 - 0.9 μm). Optimal use of laser therapy devices in continuous generation mode with the ability to modulate the frequency of 10 and 80 Hz NLI, preferably a matrix radiator for a larger area of simultaneous exposure. The frequency of 80 Hz has an anti-inflammatory effect, 10 Hz promotes the activation of the ciliary epithelium of the bronchi. Induction of the magnetic nozzle 20 - 50 mT. The possibility of using apparatus that generates NLIs in a continuous mode of radiation is not ruled out.

Laser (magnetolaser) action is carried out on the exposed surface of the body. The technique is contact, stable. Are encased in three fields: - on the middle third of the sternum; II - on the interlobular region of the spine along the line of the spinous processes of the vertebrae by a matrix radiator (with the help of devices with an irradiation area of about 1 cm2 - with two paravertebral fields to the right and left in the middle of the interblade area); III - area of the jugular fossa above the breastbone.

Optimum APM NLI 5 - 10 mW / cm2. With the possibility of frequency modulation, the first three procedures are performed at a frequency of 80 Hz, the subsequent - at a frequency of 10 Hz. Effective also in the continuous mode of radiation. The duration of exposure to one field is 5 minutes, 1 time per day in the morning hours (until 12 noon), for the course of treatment 7 to 10 daily procedures.

Instead of laser (magnetolaser) therapy, it is possible to carry out information-wave action with the help of the Azor-IK apparatus using methods analogous to low-energy laser irradiation. However, the exposure time for one field is increased to 20 min, since the synthesis of the relevant information from the exposure requires an appropriate time interval.

It is possible to consistently perform procedures in one day with acute bronchitis (the interval between procedures is not less than 30 min):

• inhalation + drug electrophoresis;
• Inhalation + laser (magnetolaser) therapy;
• Inhalation + information-wave action with the help of the Azor-IK apparatus.

With adequate treatment, the disease usually ends in complete recovery and subsequent rehabilitation activities are not required.

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