Physiotherapy for pneumonia

Pneumonia is an acute disease, mainly of infectious etiology, characterized by focal lesions of the respiratory parts of the lungs, the presence of intraalveolar exudation, which is revealed during physical and / or instrumental examination, with varying degrees of fever and intoxication. The sequence of disease processes includes stages of bacterial aggression, clinical stabilization, morphological and functional recovery of the bronchopulmonary system.

Complex treatment of pneumonia is carried out in hospital (hospital) conditions. The list of physiotherapeutic procedures is very diverse and corresponds to the stage of the disease course.

From physiotherapeutic purposes on the first place are heat-and-moisture inhalations of solutions of antibiotics and sulfanilamide preparations, which are replaced in the next phase of the pathological process by inhalation therapy with mucolytics.

The second for etiopathological significance is the drug electrophoresis of the necessary medications.

In the subsequent stages, UHF, DMV, CMV therapy and inductothermy to the thoracic region are traditionally used.

Prevention of recurrence of inflammation is facilitated by procedures of ultrasound therapy according to conventional methods.

Of the methods of light treatment, the optimal effect of NLI is laser (magnetolaser) therapy, as well as course (at least 7 daily procedures) intravenous laser irradiation of the blood. More problematic is the irradiation of blood with ultraviolet radiation due to undesirable consequences due to a possible overdose of the effect of the factor and damage to the cellular elements of the blood due to objective reasons for the lack of precise dosimetric control.

Corresponding procedures of water-heating therapy are pathogenetically conditioned and widely used for the treatment of patients with pneumonia according to generally accepted methods.

The task of the family doctor at the inpatient stage of supervising the ward patient is to justify the expediency and convince the hospital doctors to perform UHF-, DMV-, CMV-therapy and inductothermy procedures on different areas of the patient's body in the athermal mode of exposure.

In most cases, patients with pneumonia in the stage of reconvalescence still in inpatient conditions need psychological rehabilitation by acting on the frontal lobes of the brain with the aid of the Azor-IC apparatus; the technique and procedures for the procedures are similar, as in COPD. As an alternative to psychological rehabilitation by information-wave action, it is recommended to conduct electro-therapy using standard methods.

After discharge from the hospital, the family doctor is obligated to continue the treatment of patients who have had pneumonia at home, since the reconvalescence stage may be protracted. During this period, from the physiotherapeutic procedures, the information-wave effect was shown using the Azor-IC apparatus.

Procedures are carried out by a contact, stable method on the exposed areas of the patient's body.

Fields of influence: - on the area of the middle third of the sternum, II - on the interscapular area of the spine, III - on the area of projection on the chest of the eliminated focus of inflammation of the lung tissue.

The frequency of modulation of EMP is 10 Hz, the time of exposure to one field is 20 minutes, for a course of 10 to 15 procedures daily 1 time a day in the morning hours (until 12 noon).

It is possible to repeat (after 3 to 5 days after discharge from the hospital) the psychological rehabilitation procedures with the Azor-IC apparatus on the projection of the frontal lobes of the patient's head using a combined technique. Effects are carried out contact, stably, 2 times a day.

The frequency of modulation of EMP of 21 Hz in the morning hours after awakening and 2 Hz - before night sleep.

Time of action on the field is 20 minutes, for a course of 7 - 10 daily.

A very effective method that contributes to the functional recovery of the bronchopulmonary system is the daily procedures in the evening (1 h after dinner) on the Frolov breathing apparatus (TDI-01) according to the procedures attached to this inhaler. This simulator is recommended to have every patient with chronic bronchopulmonary pathology in personal property. Procedures on the Frolov breathing apparatus should be carried out both in a hospital setting after the elimination of the active phase of the inflammatory process, and at home after discharge from the hospital (hospital). The duration of daily procedures is from 1 week to 3 months.

It is possible to consistently perform procedures on the same day in outpatient and outpatient settings after the pneumonia (interval between procedures is not less than 30 min):

• information-wave action with the help of the Azor-IC apparatus + procedures on Frolov's breathing simulator;
• procedures of psychological rehabilitation with the help of the apparatus "Azor-IK" + procedures on the Frolov breathing apparatus;
• information-wave impact with the help of the Azor-IC apparatus + psychological rehabilitation procedures with the Azor-IC apparatus + procedures on the Frolov breathing apparatus.

[1], [2], [3]