Physiotherapy for gastric ulcer and duodenal ulcer

Peptic ulcer of the stomach and duodenum is a chronic relapsing disease, in which there are functional and morphological disorders of the stomach, other organs of the digestive system, disorders of nervous and humoral regulation, trophism of the body and gastroduodenal zone.

The aggravation of this disease is characterized either by the occurrence of a new ulcer of the stomach or bulb of the duodenum, or by the resumption (strengthening) of the pain syndrome or dyspeptic disorders. During this period, it is advisable to carry out complex treatment in inpatient settings (in a hospital or in a hospital). The traditional list of physiotherapy methods includes procedures for general and local exposure.

Physiotherapy with peptic ulcer of the stomach and duodenum of general effect:

• Electrosleep therapy;
• transcranial electroanalgesia;
• galvanization of the collar area;
• balneotherapy (coniferous, oxygen, pearl chloride-sodium baths).

Physiotherapy with gastric ulcer and duodenal ulcer local effect (epigastric region):

• galvanization and drug electrophoresis;
• amplipulse therapy (sinusoidal-modulated currents);
• exposure to diadynamic currents;
• UHF-therapy;
• inductothermy;
• ultrasound therapy;
• DMV-therapy;
• CMV therapy;
• EHF-therapy;
• laser (magnetolaser) therapy;
• magnetotherapy (the impact of PeMP);
• high-intensity pulsed magnetotherapy;
• paraffin applications (heat treatment);
• mud applications (peloidotherapy).

The sequence and combination of the procedures of these methods of physiotherapy are determined by the severity of the clinical manifestations of the disease and the stages of the pathological process.

From the point of view of new concepts of physiotherapy, at the hospital stage of treatment for the family doctor it is necessary to defend the position of using the physical factors of endogenous heat formation in the body (in UHF, DMV, CMV therapy and inductothermy) in the athermal mode of exposure.

During the inter-recurrence period of the course of the disease, the general practitioner (family doctor) recommends that the patient be given preventive courses of treatment with curative physical factors in outpatient settings or at home, usually in the autumn-spring periods. The most effective for this pathology and simply carried out methods of physiotherapy, especially at home, - magnetotherapy, laser (magnetolaser) therapy and information-wave action.

Magnetotherapy is carried out with the help of the apparatus "Pole-2D". The technique of exposure is contact, stable, with one field on the epigastric region. The duration of the procedure is 20 minutes, once a day (2 hours after breakfast). The course of anti-relapse treatment 10 procedures daily.

Laser (magnetolaser) therapy is carried out using matrix infrared radiators (wavelength 0.8 - 0.9 μm). The technique is contact, stable when the emitters are applied to the exposed skin of the patient.

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

PPM 5 - 10 mW / cm2. Induction of the magnetic nozzle 20 - 40 mT. With the possibility of frequency modulation, OR is optimal in the presence of a pain syndrome frequency of 80 Hz, with or without pain relief of 10 Hz. Effects of NLI in the continuous mode of radiation are also quite effective. Time of action on one field is 5 minutes. The course of treatment 10 procedures daily 1 time per day after 2 hours after breakfast.

The previously mentioned methods of anti-relapse physiotherapy are prescribed to patients in the absence of nervous and emotional loads in their daily and professional activities.

Information-wave action with the help of the Azor-IC apparatus during the inter-recessive period of the course of this pathology is carried out according to the complex variant:

• in the morning after awakening - exposure to two frontal lobes (modulation frequency of EMP of 21 Hz, 15 minutes per field);
• after 2 hours after breakfast - exposure to the epigastric region and the projection area of the pyloric stomach (frequency of modulation of EMP 10 Hz, 20 minutes per field);
• before a night sleep - the impact of two fields on the frontal lobes (the frequency of modulation EMR 2 Hz, 20 minutes per field).

The course of treatment is 10 daily procedures. This variant of information-wave action is carried out as an independent method of physiotherapy in the presence of the patient's neuro-emotional stress in everyday and professional activities.

It is possible to consistently perform procedures in one day with peptic ulcer of the stomach and duodenum in outpatient and outpatient settings and at home:

• laser (magnetolaser) therapy + information-wave action on the frontal lobes of the brain 2 times a day (in the morning - 21 Hz, in the evening - 2 Hz) the power of the Azor-IK apparatus;
• magnetotherapy (PeMP) + information-wave action on the frontal lobes 2 times a day (in the morning - 21 Hz, in the evening - 2 Hz) with the help of the Azor-IC apparatus.

[1], [2], [3], [4], [5], [6], [7]