azəri    rus     nakhchivan PHYSIOTHERAPy hospital

TREATMENT

   Up to now, around 3,500 patients have been treated since the hospital is opened (Spleoteraphy). Out of these numbers 30-35% had not been observed regaining asphyxiation cases. The situation with the children is much better comparing with adults.

    Children’s recovery is usually observed at the 4th or 5th days. It is a bit different with adults. However, depending on the processes of illness run, one group had a bettering situation after two weeks, some of them had it at the end of treatment and some of them felt the recovery after 15-20 days they have left the hospital.

    After spleoteraphy of the patients with bronchitis asthma the number of cases with asphyxiation either becomes less or they entirely disappear; the dry coughs become less and the cough with sputum starts, night sleep becomes better (night suffocations become less and the cases of deficiency of breath stops), asphyxiations decrease; the amount of erythrocyte and eosonofils in blood which were increased start to be decreased, esonofils get decreased in sputum; the sedimentation speed of erythrocyte becomes normal or gets decreased; one minute respiration of lung lessens. The path of bronchus gets cleaned (the patients breathing becomes free); the pulse becomes normal or tachycardia doesn’t disturb anymore; systolic and diastolic pressures relatively fall down (it is not possible not to mention the salt mine’s hypo tensed influence).

    In electrocardiography the enlarged T tooth’s amplitude relatively lessens. The amount of free histamine in blood plasma becomes less; but histaminases increase; histydindecorobocsilasa lessens; the relatively lost much amount of potassium gets restored; calcium and sodium’s quantity falls. As a result of spleoteraphy the quantity of albumins increases up to 53.67%; the amount of globulins decreases up to 17.7-18.5%. This is indication of the processes of improvement of liver proteinsgeneration capacity.

    A therapeutic effect with ill persons having bronchitis asthmas is created because of salt mine’s special microclimate, non-existence of allergens (allergen is factor creating allergic diseases), existence of Na+ and Cl+in the air in the shape of ions. As a result of permanent barometric pressure there are created the biochemical and clinical effects.

    Generally, it is better if the treatment is carried out in complex order. If needed the following procedures are done: 0.18%-0.3-0.5 ephedrine 5%-0.5-1.0 alupent injection, vein interfusion euphyllin 2.4%-10.0 physiological solution 5.0-10.0 together, in worse condition by droplet reopolyglucin, with disol and trisol prednizoloni, dexametasoni, euphyllin with dimedroli are prescribed to patients in different dosages depending on the run of disease.

As aerosols Salbutamol, Beroteci, Beroduali, Diteck, Serevent, Beclojet 250, Dipprophos, and as monolithic Mukomist, Lazolvan, Bronchothil, Bronchobryu, Ambrolan, as antihistamines Tavegyl, Kethotyphen, Phencarol, Clarythin, Allergosan, Zyrthex, as antibiotics (besides the penicillin and penicillin group) Rondomethine, Methacyiclini,Riphampisini, Doxicyclini, Sumamedi and others are recommended. The sensitive to allergy foods (lemon, mandarin, orange, strawberry, egg, chocolate, fish and other controlled allergic food) are cancelled.

    In case of worsening the patient’s condition in collateral it is prescribed the elimination therapy.

    Together with bronchitis asthmas at Nakhchivan Physiotherapy Hospital the treatment of other diseases, like asthmatic bronchitis, pre asthmas, Pollinosis also give good results after the spleoteraphy.

    Pollinosis (in English “Pollen” means, a small part of Pollinosis) is an atopic group of allergic diseases. As a result of influence allergens - some vegetation, trees, bushes- on the people with hypersensitivity the following diseases may happen: inflammation of conjunctivitis, inflammation of nasal mucosa membrane (rhinitis), and in some cases the disease passing to the stage of inflammation of bronchia, skin and intestine’s mucosa membrane to create an illness called Pollinosis. Because of its seasonal character, depending on which month a patient becomes worse, he should 20-30 days ahead get a spleoteraphy. In order to prolong the remission period the patient is recommended to get at least once during three continual years a spleoteraphy.

 

Nakhchivan Physiotherapy Hospital, situated at Nakhchivan Salt Mine Base on the height of 1173 meters from the sea level, started to function on December 29, 1979 as a hospital with capacity of 50 beds.

    In 1980 the capacity of hospital was reached to 100 beds. The underground department of the hospital is situated in 14 km distance from Nakhchivan. The hospital consists of two departments.

3.      The ground surface department is located in Nakhchivan Republic hospital named after N.Narimanov.

4.      The underground department is located within salt mine in mountain workshop 300 meters from the entrance in 110 meters of depth at 9 worked stroke. Its two of them are wards belonging to men, in another two the wards belonging to women, in one the ward belonging to children, in two- foyers for rest and etc.

    Nakhchivan Physiotherapy Hospital has the following parameters of influence and treatment:

3.      The ground surface climate:

1.      The highness of area from the sea level-950 meters

2.      Annual average temperature 12-24 C

In January 5-10C, in June 35-40C

3.      Relative humidity 40-45%

4.      Annual amount of rainfall 200-300 mm

5.      Atmospheric pressure 1020 mm.c.st

6.      Quantity of sunny days -260-280

 

4.      The underground department climate

1.      The highness from the sea level-1173 meters

2.      Temperature 19-20 C

3.      Atmospheric pressure 682 mm.c.st

4.      Relative humidity 23-35%

5.      Weather speed 0-0,1 m/s

6.      High dispersed NaCl ions

          While not ill – 17. 5 ml/m3

           While ill – 12. 5 ml/m3

7.      Oxygen – 20%

8.      Noise -15-20 DB

                 The thickness of salts mine 8, 2; the ingredients of Salt stone: NaCl-98, 4%; CaCl-0, 04%;   

                MgCl-0, 06%; 

While the patients are in the mine pit the temperature may increase 0.05 C, the relative humidity may increase 5-10%.

    In Nakhchivan Physiotherapy Hospital the Spleoteraphy is conducted in conformity with the methodical recommendations of the hospital of Uzhgorod city in Ukraine. The patients, during 2-3 days get adapted to hospital zone. After it, starting from 18:00 up to 8:00 adult’s 20-24 séances and the children’s 14-18 séances place themselves in the underground department. During this period, depending on the side effects of the diseases, health conditions may change.

   After the treatment finished it is observed 65-70% of recovery among the adults and 65-70% recovery among the children.

    Together with going to salt mine, if needed the patients can get some medications, physic procedures, therapeutic physical training, thorax massage and etc. The medications are recommended as less as possible (if the patient is getting the kotriokostereoids, the doze is gradually decreased).

    Spleoteraphy is carried out when there is not suffocation attack and within the period of remission.

    There is compiled the list of indications and after effects of salt mine treatment at Nakhchivan Spleoteraphy Hospital.

     Nakhchivan Spleoteraphy Hospital’s preference over other Salt mines is connected with the fact that as it is located in horizontal position the patients enter into the underground department already in the adapted from. Ventilation, in hospitals worked strokes - similar to chess, is natural; that means the weather flow speed is about 0-0,1m/s. The salt mine is stable with natural and high disperse Na+ Cl+ ions. Microbes are less in the salt mine. Thee hospital is situated in highly ecological clean zone. For this reason there are entirely not any poisonous gases (methane gas).

    There are the following indications and after effects for the salt mine treatment:

    Indication:

1.      Pre asthma

2.      Bronchial asthmas 1st level, inflectional-allergic and atopical form easy and easy and middle range of bad form;

3.      Bronchial asthmas 1st level, breath deficiency 1st and 2nd levels, heart cases 1st level;

4.      Bronchial asthmas 1st level, with collateral chronicle non obstructive bronchitis and chronicle pneumonia of 1st and 2nd levels (remission stage);

5.      Remission stage with chronicle bronchitis asthmas;

6.      Allergic rhino sinusoid pathologies;

7.      Pollinates disease;

Absolute side affects:

14.  Bronchial asthmas 2nd level;

15.  Bronchial asthmas 1st level with heavy running, diffused pneumonic sclerosis, breath deficiency 3rd level, heart case 3rd level;

16.  Disease of Bronchi ataxia;

17.  Lung abscesses gangrenes;

18.  Lung tuberculosis all forms and stages;

19.  Deficiency of blood circulation of 3rd level;

20.  Heart cases sub compensations and de compensation phase;

21.  Hypertonic disease of 3rd stage;

22.  The disease of gastro duodenal erosions;

23.  Tireo toxicosis;

24.   The disease of kidney stone;

25.   Anemia;

26.   Diabetes of 2nd and 3rd levels (dependant on insulin).

 Relatively after-effects are the followings:

1) Absence of upper and lower extremities;

2) Enurez;

3) Chronicle poly arthritis disease;

4) The anatomic changes of the nasal cavity (polyps, adenoids);

5) Chronicle hepato cholestisits.

    In 2003 there was carried out the reconstruction and refurbishment works in the underground department of the hospital which can meet the modern requirements, the underground department was enlarged and equipped with modern technology.  300 meters of entranceway of the underground department was reconstructed, it was installed a lightening system along the way. The electricity system the underground department was completely renewed. In the underground department the entrance was reconstructed and the new transformer was installed. It was appointed the new shuttle bus to take patients to the underground department and back. It was done a 5 km of capital repairs on the road coming from Sharur-Nakhchivan main way to the underground department. The department was tackled with necessary soft and hard inventories. The underground department was additionally upgraded with 100 more beds. 

duzdag@nakhchivan.az