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Treatment of Neuro-Sensory Baryecoia Via the "SKENAR" and "CHAKRA" Machines
Категория: Архив |
Новость от: admin |
28-05-2007
Director '' R. & P. SCENAR '' Haroutyunyan R. R.
Doctor Scenar-therapist Ispiryan K. G
www.armscenar.am
Tel. (374-10) 64-45-39
The problems of audition disturbances are so considerable, that doctors all over the world are in search for new, update methods of treatment. It's accounted also for the fact that the existing traditional methods are not always or even rarely effective. Neuro-sensoric baryecoia is a sickness, which is caused by the injuries of sense neurons of the inner ear, audition nerves and the central formation of the audition system. These injuries are mostly caused by the side effects of antibiotics of the aminoglikozid kind (neomycin, kanamycin, monomycin etc), streptomycin and a list of diuretic preparations, especially in combination with antibiotics. Other reasons are industrial, transport and every day noise, genetic pathology, age atrophic modifications in the labyrinthine and central parts of the audition sensor system (senile baryecoia). Neuro-sensory baryecoia can also be caused by complications of several infectious ailments (influenza, scarlatina, measles ect.), also by intoxication (endogenic) from carbonic acid, lead, mercury, ect. Along with inherent and chronic forms (which are developing gradually) of baryecoia, recently acute form or quick-developing neuro-sensory baryecoia has been expressed. It is suggested that vascular disturbances or effects of a virus basically cause this kind of sickness. Up-to-date approach to the diagnosis of the injured ocular organ makes the many-facet investigation of the patient a necessity. This includes survey of functions of sound-transmitting and sound-receiving systems, the vestibular audition sensor, study of the indicators of the rotating blood systems and functions of liver, assessment of the cardiovascular, endocrine systems, which gives an opportunity to find out and define the causes of the sickness and to develop more effective treatment tactics. For the assessment of the ocular functions it is required to take a test of the accumetric and audition indicators. Among these camerton tests and record of the tone audiogram are obligatory. Audiometric is complementary, which specifies the form of baryecoia. It is done in more than 8000-hertz (cycle per second) high frequency. At the present time new methods of baryecoia diagnosis is related with developing objective methods of investigation, such as registering ocular called potentials and delayed called oto-acoustic emission. It's essential to include impedansometric in the investigation of patients with neuro-sensory baryecoia as a method of exposing break offs of the chain of auditory ossicles, if there is exudate in the tympanic cavity, disturbance of functions of the ocular tubes. Defining the state of the vestibular sensor of the patient according to the data of oto-neurological investigation including the analysis of spontaneous oto-neurological symptomatics, the results of the test, stabilography are very essential for investigating patients having neuro-sensory baryecoia and also prognostic for the results of treatment. Thanks to it the hypo- or hypo-reflection (irritation) of the labyrinthine becomes constant, if there is dissociation of experimental vestibular reactions to show an interest towards retrolabyrinthine vestibular structure. It has been accurately observed that the overwhelming majority of the cases of neuro-sensory baryecoia are coming through vestibular disturbances if there are subjective manifestations (regular giddiness, disturbance of statics and coordination, nausea and vomiting). Surgery is the basic method of treating baryecoia conditioned with pathological process in the medial ear. If surgery is contra-indicated, audio-prosthesis becomes an option. The treatment of neuro-sensory baryecoia is conservative: medicamental therapy, physiotherapy. But as a rule these are not very effective in case of chronic neuro-sensory baryecoia. Only some forms of acute neuro-sensory baryecoia in their early phase of development are subject to treatment. Rehabilitation of the patients having chronic neuro-sensory baryecoia is realized through audio-prosthesis. Not all the patients get improved through this method. In 80-ies MII RAN under the leadership of A. N. Shadurina developed a method of inter-dermal stimulation of audition sensor through the "Chakra" machine. The machine has been successfully adopted in the practice of treatment of neuro-sensory baryecoia. The patient puts on headphones, which are very much like the ordinary tape-recorder headphones. Through them signals are sent to audition nerves, which stimulate neurocytes (neurons). These patients are rather effectively treated also with the help of liquor infusion. Effectiveness of applying the "Chakra" along with liquor-therapy makes 45-50%. The machine "Skenar" (auto-controlling energy-neuro-adapting regulator) is an informative signaling system created in 80-ies in ZAO ÎKB ''Ritm''. Thanks to the availability of biological return connection a more effective zone is chosen and an individual approach is shown in each specific case. The machine and the method are licensed in Russia, USA, Canada, China, Japan, in some European countries and also in Armenia. The effectiveness of the Skenar therapy as a mono-treatment has made 50%. In some clinics of Russia they have started to combine the treatment of neuro-sensory baryecoia with applying "Skenar'' and "Chakra" machines. Positive results of treatment have increased by 10-15%. Since 2002 this method of treating baryecoia has been adopted in Yerevan in the "Health Rehabilitation Centre", "R. & P. Skenar''. Using the experience of their Russian colleagues doctors of this center under the supervision of R. R. Haroutyounyan applied new approach in the treatment of neuro-sensory baryecoia: combination of Skenar + Chakra + infra-red radiation of audition. This method has been applied in treating 120 patients: 64 males and 56 females of different ages, starting from 0-5year old-26, 6-12 old-23, 13-29old-27, 30-45old-23, 46 and older- 21 patients. All the patients went through the audiometric before starting the treatment. According to the degree of baryecoia the patients were divided into the following groups: I-II degree - 62, II-III degree - 37, III-IV degree - 21 patients. 60 patients took 1 course of treatment, 32 - 2 courses, 23- 3 courses and only 5 patients took 4 courses of treatment. Positive effect is observed in 80-85% of patients of different age groups. A course of treatment consists of 10-15 sessions of skenar-therapy depending on the degree of baryecoia, 15 sessions of stimulation of audition nerve and 10 sessions of infrared radiation with nephritis projector. Controlling audiograms are taken in the middle and at the end of the course of treatment. In some cases the course should be repeated for reaching the desired effect. After taking audiometric the following signs of effective treatment have been observed:
1. Heightening of sound-reception in low frequency practically in all the patients. It reached the norm in the cases of four young patients.
2. Heightening of sound-reception in high frequency at 5-10 decibel, in speech frequency - 5 decibel.
3. Crooked break-offs disappeared in the cases of all the young patients or the ''break-offs'' were replaced with a higher frequency.
Each patient had one of the above-mentioned signs of improvement. The given method is absolutely harmless for the organism and available for the majority of the population having no age limitations or contra-indications. Below a chart is given with data on diagnosis and stimulation of the audition nerve with the ''Chakra'' machine and some audiograms of patients.
Local effect is expressed along with the central one.
1. Intracochlear blood circulation and liquor circulation have been improved.
2. Audition disturbances in case of vascular pathology (inner audition artery and vestibulocochlear) are eliminated.
3. Electric activity of cochlear ceptors and neurons of audition canals have increased.
4. Anti-dropsical effect on the mucous of the medial ear, Eustachian tubes has been observed. Glean/light is restored, the "blockade'' of the Eustachian tubes has liquidated. The normal baro-function (pressure) of the ear has restored.
The above-mentioned facts conclude that effectiveness of combined application of Skenar-Chakra and infrared radiation of the audition organ is evident. Literature;
1. ''Neuro-sensory Baryecoia: Basic Principles of Diagnosis and Treatment'' S. B. Moroza MMA named after I. M. Seechenov.
2. ''Attack On Blindness'' Ekaterina CHEPIZOVA
11.09.06 y.
Director '' R. & P. SCENAR '' Haroutyunyan R. R.
Doctor Scenar-therapist Ispiryan K. G.
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