Physiotherapy for functional gastric disorder

Functional gastric disorder is a disease manifested by abdominal pain and dyspeptic syndromes, which are based on a violation of the motor and secretory functions of the stomach without morphological changes in its mucous membrane, lasting no more than 2 years.

In case of severe and prolonged manifestations of pain and dyspeptic syndromes, complex treatment of patients with this pathology is carried out in hospital conditions (in a hospital). But much more often, a general practitioner (family doctor) has to carry out the entire range of treatment measures for such patients in outpatient or home conditions.

Among the physiotherapy methods indicated for these patients are galvanization and medicinal electrophoresis of the corresponding medications, laser (magnetic laser) therapy, magnetic therapy (PEMP), and information-wave exposure.

For galvanization and medicinal electrophoresis at home, it is advisable to use a portable device with autonomous power supply "Elfor-I" ("Elfor™").

Galvanization is performed using a contact, stable, transverse method. In case of secretory insufficiency, a negative electrode (-) is placed above the epigastric region, in case of preserved and increased secretion - a positive electrode (+). Accordingly, the second electrode is placed on the back in the area of the lower part of the thoracic spine (ThVII - ThIX). The size of the electrodes is 15x20 cm, the current strength is 5 mA, the duration of exposure is 10-15 minutes, once a day in the morning (before 12 noon, but 2 hours after breakfast), for a course of treatment of 10 daily procedures.

For electrophoresis, medications are used in accordance with the clinical manifestations of the disease, which are administered from specific poles. At home, it is advisable to conduct electrophoresis of 0.5-2% novocaine solution from the positive electrode for pain syndrome, and 1-2% no-shpa solution also from the positive electrode for dyspeptic manifestations. The procedure technique, electric current parameters, frequency and duration of the course of action are similar to the galvanization method.

Laser (magnetolaser) therapy. Mainly matrix infrared emitters are used (wavelength 0.8 - 0.9 µm). The method is contact, stable. Open areas of the skin are irradiated.

Fields of influence: I - epigastric region directly under the xiphoid process of the sternum; II - projection area of the pyloric part of the stomach on the anterior abdominal wall.

PPM 5 - 10 mW/cm2. Magnetic nozzle induction 20 - 40 mT. Optimal use of radiation modulation frequency: first 5 procedures 80 Hz, all subsequent 10 Hz. Exposure in continuous radiation mode is possible.

The exposure time for one field is 5 minutes, for a course of treatment 15 procedures daily 1 time per day 2 hours after breakfast.

Magnetotherapy is performed using devices that generate a low-frequency alternating magnetic field (LFAF). At home, it is recommended to use the device "Pole-2D". The method of action is contact, stable, with one field on the epigastric region. The duration of the procedure is 20 minutes, 1 time per day in the morning also with an interval of at least 2 hours after breakfast. The course of treatment is up to 20 procedures daily.

Information-wave impact using the Azor-IK device is carried out in three variants depending on the severity of clinical syndromes.

The variant is characterized by the localization of the effect on the epigastric region and the projection area of the pyloric section of the stomach. It is used in patients with functional stomach disorder, manifested as pain syndrome. The technique is contact, stable. The emitter is placed on the patient's bare skin. The modulation frequency of the EMI: the first 5 procedures are 80 Hz, all subsequent ones are 10 Hz. The exposure time for one field is 20 minutes, for a course of treatment 15 procedures daily once a day in the morning (at least 2 hours after breakfast).

Option II is recommended for patients with mild pain syndrome and dyspeptic disorders, but with a clear predominance of neurotic manifestations. The effect is carried out on the frontal lobes of the brain simultaneously by two fields 2 times a day: in the morning after waking up (EMF modulation frequency 21 Hz, 15 min per field) and before sleep at night (EMF modulation frequency 2 Hz, 20 min per field). The course of treatment is 15 procedures daily.

Option III (combined) - a combination during the day and Option II of exposure:

• in the morning after waking up - exposure to two fields on the frontal lobes (EMF modulation frequency 21 Hz, 15 minutes per field);
• 2 hours after breakfast - impact on the epigastric region and the projection area of the pyloric part of the stomach using the variant method;
• before going to bed at night - exposure to two fields on the frontal lobes (EMF modulation frequency 2 Hz, 20 minutes per field).

The course of treatment is 15 procedures daily. This version of information-wave impact is carried out on patients with a combination of pain in the epigastrium, dyspeptic disorders and neurotic manifestations.

It is possible to carry out consecutive procedures in one day for functional stomach disorders in outpatient and home settings:

• galvanization of the epigastric region + information-wave impact on the frontal lobes of the brain 2 times a day (in the morning - 21 Hz, in the evening - 2 Hz) using the Azor-IK device;
• electrophoresis of drugs in the epigastric region + information-wave impact on the frontal lobes of the brain 2 times a day (in the morning - 21 Hz, in the evening - 2 Hz) using the Azor-IK device;
• laser (magnetic laser) therapy + information-wave impact on the frontal lobes of the brain 2 times a day (in the morning - 21 Hz, in the evening - 2 Hz) using the Azor-IK device;
• magnetic therapy (PMT) of the collar area + information-wave impact on the frontal lobes 2 times a day (in the morning - 21 Hz, in the evening - 2 Hz) using the Azor-IK device;
• Option III (combined) of information-wave influence using the “Azor-IK” device.

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