Sanatorium treatment and rehabilitation for pneumonia

Rehabilitation of patients with acute pneumonia is carried out in 2, 3 or 4 stages:

• hospital → polyclinic;
• hospital → rehabilitation department → polyclinic;
• hospital → rehabilitation department → sanatorium → polyclinic.

In case of severe small focal pneumonia, rehabilitation of patients is limited to treatment in a hospital and observation in a polyclinic. In the rehabilitation center (department) patients are sent, who in the acute period was found widespread defeat (shared, polysegmentary, bilateral) with severe intoxication, hypoxemia, as well as persons with flaccid pneumonia and with complications.

The main task of rehabilitation of patients - elimination of morphological disturbances, restoration of respiratory function and circulation.

In the rehabilitation department (polyclinic), drug therapy (antibacterial and anti-inflammatory) is prescribed only for individual indications.

The basis of rehabilitation measures are non-drug treatment methods: exercise therapy, respiratory gymnastics, massage, physiotherapy, climatotherapy, aerotherapy, hydrotherapy.

Rehabilitation is considered effective if functional and immunological indicators are normalized, there is no temporary incapacity for work on the underlying disease during the year, and the number of days of temporary incapacity for work according to ARI is reduced.

Patients who have suffered pneumonia are sent to local sanatoria, as well as to climatic resorts with a dry and warm climate (Yalta, Gurzuf, Simeiz, South of Ukraine - Kiev, Vinnitsa region).

Persons who have suffered pneumonia, but suffer from asthenia, are sent to resorts with a mountain climate (Caucasus, Kyrgyzstan, Altai). From the resorts and sanatoria of the Republic of Belarus the sanatorium "Belarus" (Minsk region), "Bug" (Brest region), "Alesya" (Brest region) are recommended.

Clinical examination

As is known, five groups of people are identified that are subject to follow-up:

1. practically healthy;
2. "threatened contingents" (at risk of disease);
3. prone to frequent diseases;
4. suffering from chronic diseases (compensation stage);
5. suffering from chronic diseases (stage of decompensation), people with disabilities.

Patients who underwent pneumonia and who were discharged with clinical recovery (normalization of radiologic and laboratory data, should be observed at the 2nd group of dispensary records within 6 months.) The first examination is prescribed after 1 month, the second one at 3 months, the third at 6 months after discharge The dispensary examination includes clinical examination, a general blood test, a blood test for C-reactive protein, sialic acids, fibrinogen, seromucoid, haptoglobin.

In the absence of pathological changes, the person with pneumonia is transferred to the 1st group, in the presence of deviations from the norm, he remains in the second group of dispensary records during the year for further health improvement measures.

Patients who had sustained pneumonia with protracted course, as well as patients discharged from the hospital with residual changes in the lungs, increased ESR and biochemical changes in the blood, are observed at the third group of dispensary records during the year with a visit to the doctor after 1, 3, 6 and 12 months after discharge from hospital (with full clinical and laboratory examination). According to the indications, phthisiatric consultation, oncologist is appointed. Completely recovered is transferred to the 1st dispensary group, and with the preservation of radiological changes in the lungs (tyazhistost, intensification of pulmonary pattern) - in the 2 nd.

During the outpatient observation a complex of therapeutic and prophylactic measures is carried out (daily morning exercises, breathing exercises, massage, sauna, physiotherapy if necessary, taking adaptogens and other medicines that increase immune and general biological reactivity).

[1], [2], [3]