Ulcers disease

Ulcers disease stomach and duodenal ulcer is a chronic inflammatory disease of the wall with the formation in it ulcers (niches). Most often this defect is localized to the lesser curvature of the stomach or in the initial part of the duodenum.
In the emergence of diseases play an important role neuroendocrine effects on the background of the stress and exhaustion of the nervous system, is a gross violation of nutrition, diseases of gastrointestinal tract, drinking alcohol and Smoking. Are important as genetic predisposition and allergic component.
When ulcers occur degenerative changes of the mucous membrane of stomach and duodenal ulcers and violations of their secretory function. The disease usually occurs with recurrent exacerbations. Clinical course it is characterized by pain in the epigastric region, associated with food intake. They may occur immediately before meals for 1 / 2 or 1 hour (early pain), sometimes later (late pain). Great diagnostic value when the duodenal ulcer are "hungry" pain (PCP), which are often held after a meal. For peptic ulcer disease is characterized and diarrhoea phenomenon: heartburn, regurgitation, vomiting, constipation.
As a rule, ulcers enhanced secretory and motor functions, which to a certain extent, contributes to the development of serious complications (bloody vomiting, tar chair, perforation, rebirth into a malignant tumor, scarring, deforming the stomach, stenoses privratnika). Patients with peptic ulcer disease appointed sparing diet, sedatives, mud baths, pine baths, mineral waters, therapeutic physical training, which should be aimed at the regulation of processes of excitation and inhibition in the brain cortex in connection with the decrease in their activity.
Therapeutic physical culture begin on bed rest in the absence of contraindications (severe pain, peptic ulcer bleeding). This usually coincides with 2-4 day after hospitalization.
In the first period of sessions, lasting about two weeks, shown breathing exercises, especially the static nature that promote the intensification of inhibitory processes in brain cortex. They are most appropriate when expressed emotional lability patient. Performed in the original position lying on his back, count myself inhaling and exhaling, with a relaxed state of all muscle groups, these exercises help the patient in a drowsy condition, reduce pain, eliminate dyspeptic disorders, normalization of sleep. In addition, it uses simple exercises for small and medium muscle groups with a small number of repetitions in combination with breathing exercises and relaxation exercises. In the first period contraindicated exercises that help to increase intra-abdominal pressure. Duration of classes in the I period 12-15 minutes, the rate of exercise slow, low intensity.
II the period of exercise begins with a considerable improvement of the patient and his transfer to the ward mode. It is recommended morning hygienic gymnastics, gymnastics, massage abdominal wall. Exercises are performed in the original provisions of lying, sitting, in the emphasis on knees, standing with increasing force for all muscle groups, excluding the abdominal muscles. The most acceptable is the source supine position: it allows to increase the mobility of the diaphragm, has a gentle effect on the abdominal muscles and improves blood circulation in the abdominal cavity. Exercises for the abdominal muscles are performed without natureline, with a small number of repetitions. Recently widely used diaphragmatic breathing as therapeutic gymnastics, and in the form of special tasks.
The average duration of studies at ward mode is 15-20 min exercise slow, low intensity. Physiotherapy is 1-2 times a day.
In the phase of incomplete and complete remission in the absence of complaints and General good condition of the patient is assigned free mode (III period of employment). Use exercises for all muscle groups with limited load on the muscles of the abdominal wall, exercises with missiles (up to 1.5-2 kg), coordination, sports games. The density of the middle classes, duration 30 minutes
In sanatorium-resort conditions, the volume and intensity of training of medical physical culture increase; the duration of sessions mobile games Pets up to 30 min; widely used health path, walking, playing volleyball, skiing, skating, swimming.