MIL-therapy / Method of treatment / 7.14. Dermatological disorders.
7.14. Dermatological disorders.
It is recommended to treat infectious skin disorders with supravenous laser radiation of blood (SLRB) (Fig. 35). This irradiation is done to projections of the left subclavicular vascular bundle (zone 5) and thymus (zone 1) for 2 min on each zone with frequency 150 Hz every other day and LED radiation power 90 mWt ( in addition to the techniques described below). Duration of the procedure should not exceed 10 min.
MIL-irradiation is combined with local drug therapy. The terminal is put on lesions (through bandage or equiv.). Impulse frequency is 50 Hz for the first three procedures, then 80 Hz (LED radiation power 60 mWt). Depending on the lesion dimensions 1-3 zones are irradiated for 1-2 min on each zone as well as the regional lymphatic nodes (Fig.36, zones 1-6) along the lymph flow from the pathologic focus (2 min): zone 6 (above the clavicle at the place of oblique neck muscle attachment on the front), zone 1 (axillary area), zone 2 ( the sternum at the nipples level), zone 3 ( the xiphoid process), zone 4 ( to the left of the umbilicus), zones 5 (inguinal lymphatic nodes). 10-12 daily procedures are done for the course.
Fig. 37. The lymphatic system in man. Zones for MIL-irradiation in treating skin diseasesVirus dermatosis
MIL-irradiation effects an injury through the bandage (right after the application of drugs on the skin). In case of the girdle MIL-therapy is added to the conventional medicamentous therapy: methylen blue, brilliant green, fucortsine (topical), vitamins of group B and ascorbic acid, antiviral preparations (Aciclovir, Zovirax, Valtrex, Virazol, Virolex, Gevizosh), immune modulators (Licopid, Cycloferone).
Post- girdle neuralgias are treated with antidepressants and small doses of neuroleptics. MIL-irradiation is applied along the injured nerve at its most painful points. Impulse frequency is 50 Hz, LED radiation power is 50 mWt; total time for the procedure has to be not more than 10 min. In 2 weeks the course (7 procedures every other day) is repeated (impulse frequency 80 Hz, LED radiation power 30 mWt).
MIL-therapy applied at the early stages arrests the girdle development and, in severe cases facilitates the backward development of the disease.
MIL-therapy is the most effective at the stage of edema and tissue induration when applied in combination with resorptive drugs (lidaze, ronidaze, aloe, dimexide). Procedures are performed every other day (10-15 for the course) with impulse frequency 50 Hz, LED radiation power 80 mWt and exposure on one zone 2 min. Total duration of MIL-therapy procedure is not more than 10-15 min.
MIL-therapy improves the sensitivity of injured skin to steroid and anti-histamine preparations. Impulse frequency is 5 Hz, LED radiation power is 70 mWt; summarized exposure time on the injured skin and on the left carotid artery at one procedure should no exceed 10 min. The course of treatment consists of 7-8 procedures every other day.
In chronic forms of the disease 2-3 courses of MIL-therapy with 2-3 months break are required.
Allergic dermatosis is a widely spread pathology in pediatrics characterized with the congenital allergically changed reactivity. In 80% of cases allergic disorders is a hereditary burden. In allergic dermatosis there is a tendency to dermal pathology progression; digestive organs are prone to various pathological processes (gastritis, duodenitis, dysbacteriosis with malabsorption); one can see the damage of the immune profile in 100% of patients, diturbances in CNS and vegetative nervous system, residual signs of survived encephalopathy. One can frequently meet disseminated forms of the allergic process easily complicated by secondary skin infectioning, constant recurrences, high resistance to the prescribed drug therapy, intolerance to a number of drugs. Moreover, in children (aged 6 months - 15 years ) physicians not infrequently diagnose severe forms of acute allergic dermatosis with eczema-like course and toxico-allergic skin lesions - erythrodermia ( a long lasting and persistent course of neurodermitis despite of its treatment).
Children aged up to one year are prescribed mineral water, breast milk, milk soya mixtures and fasting diet pauses during the day.
Children aged 3 years and more may be treated with MIL-therapy (Fig. 37) and enterosorbents, rise diet, fasting diet, starving- fasting diet with mineral water.
MIL-irradiation (impulse frequency 10 Hz, LED radiation power 60 mWt) is performed on the thymus projection (zone 3) with exposure 0,5 min on each point, paravertebrally (zones 2) at CVII level for 15 seconds on each side. After that the area of left subclavicular vascular bundle (zone 1) and the area of the right inguinal femoral bundle (zone 6) are irradiated for 1 min; the projection of adrenal glands (zone 4) is irradiated for 0,5 min. Procedures are performed daily (6-7 for the course). In 2 weeks skin lesions are irradiated (2-4 zones for one procedure with exposure of 10-12 seconds on each zone). After a two- week break one more MIL-therapy course is performed.
Preliminary enterosorption therapy to eliminate endogenous intoxication (Polyphepan for external and internal treatment ) makes MIL-therapy maximally effective.
Fig. 38. Zones of MIL-irradiation in treating allergic dermatosis