Sanatorium-resort treatment and rehabilitation for pneumonia

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

• hospital → outpatient clinic;
• hospital → rehabilitation department → outpatient clinic;
• hospital → rehabilitation department → sanatorium → clinic.

In case of mild small-focal pneumonia, rehabilitation of patients is limited to inpatient treatment and observation in a polyclinic. Patients who were diagnosed with widespread lesions (lobar, polysegmental, bilateral) with severe intoxication, hypoxemia, as well as individuals with sluggish pneumonia and complications are referred to the rehabilitation center (department).

The main goal of patient rehabilitation is to eliminate morphological disorders and restore the function of the respiratory and circulatory organs.

In the rehabilitation department (outpatient clinic), drug therapy (antibacterial and anti-inflammatory) is prescribed only according to individual indications.

The basis of rehabilitation measures are non-drug methods of influence: exercise therapy, breathing exercises, massage, physiotherapy, climatotherapy, aerotherapy, hydrotherapy.

Rehabilitation is considered effective if functional and immunological indicators are normalized, there is no temporary disability due to the underlying disease during the year, and the number of days of temporary disability due to acute respiratory infections is reduced.

Patients who have had pneumonia are sent to local sanatoriums, as well as to climatic resorts with a dry and warm climate (Yalta, Gurzuf, Simeiz, the South of Ukraine - Kiev, Vinnytsia regions).

People who have had pneumonia but suffer from asthenia are sent to resorts with a mountain climate (Caucasus, Kyrgyzstan, Altai). Of the resorts and sanatoriums of the Republic of Belarus, the following are recommended: the sanatorium "Belarus" (Minsk region), "Bug" (Brest region), "Alesya" (Brest region).

Clinical examination

As is known, there are five groups of people subject to dispensary observation:

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

Patients who have had pneumonia and were discharged with clinical recovery (normalization of radiological and laboratory data) should be observed in the 2nd group of dispensary records for 6 months. The first examination is scheduled after 1 month, the second - after 3 months, the third - after 6 months after discharge from the hospital. The dispensary examination includes a clinical examination, a complete blood count, a blood test for C-reactive protein, sialic acids, fibrinogen, seromucoid, haptoglobin.

In the absence of pathological changes, a person who has had pneumonia is transferred to the 1st group; if there are deviations from the norm, he remains in the 2nd group of dispensary registration for a year to carry out further health measures.

Patients who have had pneumonia with a 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 in the 3rd group of dispensary records for a year with a visit to the doctor 1, 3, 6 and 12 months after discharge from the hospital (with a full clinical and laboratory examination). Consultations with a phthisiologist and oncologist are prescribed as indicated. A fully recovered patient is transferred to the 1st dispensary group, and if radiographic changes in the lungs persist (stringiness, increased pulmonary pattern) - to the 2nd.

During dispensary observation, a range of therapeutic and preventive measures is carried out (daily morning exercises, breathing exercises, massage, sauna, if necessary - physiotherapy, it is recommended to take adaptogens and other medications that increase immune and general biological reactivity).

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