Cerebral vascular diseases continue to remain principal reason of growing death rate and nonoperability of population. One of the most frequent markers of coming stroke is transitory ischemic cerebral attacks. Medicamental therapy of vascular diseases does not solve the basic problem – how to decrease the level of this morbidity. According to modern apprehension, one of the leading nosotropic factors of hypertensive illness and vascular diseases of cerebrum is considered the parafunction of endothelia. Endothelia is monolayer of cages, that covers the internal surface of vessels and cavities of heart, plays an important role to support tone and structure of vessels, local homoeostasis and proliferation of cages of vascular wall. It executes plenty of functions: secretory, barrier, participates in phagocytosis, regulates transportation of many biologically active substances, and controls diffusion of water and electrolytes. Atherosclerosis and endothelial disfunction in the tissues, resulting in disturbances of lipid (cholesterol) and protein metabolism (metabolic arteriosclerosis) in tissues and arteries elastyc and muscle-type elastyc developing specific changes. They reflect the dynamics of the atherosclerotic process, its morphogenesis and are represented by "prelipid changes": lipoidosis, liposklerosis, ateromatosis, and aterocalcynosis. “Prelipid changes" correlate to the processes of increased permeability of cell membranes for metabolic substances (big dispersed proteins, fibrinogen, "inert" cholesterol, its esters, lipoproteyids, mucoproteids, hyaluronidase). As a result, they come from the blood into tunica endothelial. In the article, endothelial disfunction is studied for patients with transitory ischemic attacks at innovative not medicamental treatment by the methods of hirudotherapy combined with manual therapy and nutritsiologic correction.
Original methodology of research of endothelial disfunction is applied by a simple and informing method of vasodilatation at full-duplex ultrasonic diagnostics of arteries. It is shown that after the conducted innovative treatment the indexes of endothelial disfunction approach normal as in the control group of people on the background normalization of arteriotony and almost complete disappearance of pathological displays. Nutritsiology correction, consisted in setting of free diet with the reception of meal only at the offensive of proof esurience. Transgene fats were withdrawn from the ration and more pectin fibres and antioxidants were added for the improvement of bowel activity. Leeched put on a cervical-neck area for 3-4 on one session one time per week during one and a half months. At the same time, manual therapy was conducted in the type of post-isometric relaxation and mobilization for 2 sessions in a week for avoidance of osteochondrosis and proceeding in blood supply for a backbone. Innovative holiatry with application of hirudotherapy in combination with manual therapy and nutritsiology correction at transitory ischemic attacks the state of patients and degree of vasodilatation improve nutritsiology correction objectively at ultrasonic diagnostics of arteries that testifies to proceeding endothelial function in them. Hirudotherapy with manual therapy and nutritsiology correction proves to be an effective innovative holiatrys and is recommended to apply at transitory ischemic cerebral attacks.
Keywords: endothelial disfunction, transitory ischemic attacks, hirudotherapy, nutritsiology correction, manual therapy
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