Применение бальнеологического
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Актуальность темы обусловлена широкой распространенностью внутриутробной и перинатальной патологии развития, приводящей у 85% детей в популяции к отклонениям в состоянии здоровья от легкой степени до тяжелой.
При массовом обследовании в дошкольных учреждениях здоровыми можно признать менее 18% детей.
Внутриродовая травма и гипоксическая патология ЦНС у новорожденных встречается в более 3% случаев. В свою очередь, неадекватная перинатальная реабилитация приводит к развитию ряда патологий, а также к задержке темпов психомоторного развития, что в последующем определяет социальную дизадаптацию ребенка, формирование дисфункции ЦНС, синдрома дефицита внимания и гиперреактивности.
Трудности выбора нетоксичных лекарственных средств для детей и путей их введения определяют поиск адекватных альтернативных методов воздействия.
Перспективным представляется вариант использования бальнеологического средства для ванн «Biolong».
Метод уже широко применяется для взрослых пациентов в клинической и санаторно-курортной практике. Варианты применения исходят из свойств самого средства, позиционируемого в качестве средства комплексного воздействия на различные звенья патогенеза, обусловленные острой и хронической кислородной недостаточностью.
В педиатрической практике обоснованным считается применение средства «Biolong» у детей с 4 летнего возраста в составе комплексной терапии:
- при бронхиальной астме для восстановления равновесия между синтезируемыми в тканях вазоконстрикторами и вазодилататорами, нарушаемыми при астме. Входящий в состав «Биолонга» антиоксидант-антигипоксант Митофен снижает хемилюминисценцию нейтрофилов, связанную с продукцией супероксидных ион-радикалов. Поскольку механизм активации различных клеток-резидентов общий, следует ожидать, что ванны «Биолонг» будут ингибировать экспрессию в макрофагах индуцибельной формы NO-синтазы и тем самым приближать концентрацию продуцируемого оксида азота к физиологической норме.
- при атопическом дерматите для глубокого увлажнения кожных покровов, снятия шелушения, уменьшение зуда и выраженного снижения гиперемии и отечности очагов поражения, а также для эпитализации эрозированных участков кожи, за счет ингибирования окислительного стресса, провоцируемого кератиноцитами, что содействует нормализации биохимических процессов в тканях. Важно отметить, что курсовое применение ванн влияет на нормализацию параметров вегетативного статуса организма, восстанавливает регуляторное влияние симпатико-адреналиновой системы и ослабляет функциональное значение парасимпатической системы. Следствием этого является нормализация соотношения между цАМФ и цГМФ. Однако, в кератиноцитах могут накапливаться окисленные протеины, которые выполняют роль чужеродных раздражителей. При увеличении микроциркуляции крови в кожных покровах в результате принятия ванн «Biolong» они могут выходить из «депо» и побуждать тучные клетки на выброс гистамина, тем самым, способствуя развитию аллергических реакций. По этой причине процедуры лечения следует разделить на 2 фазы: предварительную фазу, основной задачей которой является мягкое «вымывание» из тканей ранее накопившихся окисленных протеинов, которые могут вызвать аллергическую реакцию, и фазу принятия лечебных ванн, задачей которых является нормализация биохимических процессов в пораженных заболеванием кератиноцитах. В первой фазе целесообразно применять слабую концентрацию средства «Biolong» из расчета 15-20 мл на ванну объемом 200 литров, а во второй фазе – 25-30 мл на тот же объем. Первая фаза, в зависимости от переносимости ванн, включает в себя 3-5 процедур, принимаемых через день, лечебная фаза — 7-5 процедур, также принимаемых через день,
- при различных энцефалопатиях для восстановления мозговой гемодинамики при любых нарушениях кровоснабжения и кислородной недостаточности мозговой ткани,
- в оздоровительных и профилактических целях для общего укрепления организма.
Противопоказания общие для бальнеологии с учетом детского возраста. Общие правила приема: прием курсовой – 10 процедур на курс, средство растворить в теплой воде (t=37-38°C) из расчета 25-30 мл на 200 литров. Длительность первой процедуры 10-15 минут, последующих – 15-20 минут в зависимости от переносимости.
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