RU2203712C2 - Bronchial asthma preventing and treating method - Google Patents

Abstract

FIELD: medicine. SUBSTANCE: method involves providing regular exercising in the mode of volitional controlling of breathing process by means of breather gymnastics apparatus generating signals-commands of duration corresponding to inhalation, exhalation and pause phases; providing said breather exercising at least twice or three times a day for at least 3 hours; stopping intensified breather exercising, when control pause value reaches 60 s. EFFECT: improved breather process and provision for working out of new breathing stereotype by patient.

Description

 The method relates to medicine and can be used to prevent and treat bronchial asthma.

 There is a method of treating bronchial asthma in children 5-13 years old, which includes regular exercises on the volitional regulation of the breathing process by playing wind musical instruments [1]. It is also known that people suffering from bronchial asthma, after mastering the method of volitional elimination of deep breathing (VLGD) according to Buteyko at a practical level, either completely recover from bronchial asthma or significantly improve their well-being [2].

 The disadvantage of treating bronchial asthma with VLGD method according to K.P.Buteyko is the difficulty of mastering the method at a practical level, because it is necessary to simultaneously control the entry time, expiration time; introduce a new element into your breathing cycle - a pause; track your condition and reduce the depth of inspiration to a state of slight lack of air.

 Closest to the claimed method is a method of treating bronchial asthma in children 5-13 years old [1], which includes regular exercises on the volitional regulation of the respiratory process by playing wind musical instruments by means of a chest-abdominal inhalation through the nose and exhale into the instrument through the mouth. In this case, music lessons are carried out three times a day for 10-30 minutes for 2-3 months with a gradual increase in the length of the extracted sound from 2 to 60 seconds [1].

 The disadvantage of this method is the need to participate in the training of a music worker and a pediatrician, as well as its focus on children and adolescents.

 The objective of the proposed method for the prevention and treatment of bronchial asthma by volitional regulation of the breathing process is to simplify the process of practical development of the method for all age categories, eliminating the need to participate in training as a music worker or pediatrician.

 The problem is solved by regular exercises on the volitional regulation of the breathing process using a device for breathing exercises that gives signals — commands that correspond to the inspiration phase of 2-3 seconds, the exhalation phase of 3-4 seconds and a pause of 3-4 seconds. Training with the device is carried out at least 2-3 times a day for a total duration of at least 3 hours. Intensive workouts are stopped when a control pause of 60 seconds is reached.

 The device is a small-sized electronic device that generates in a continuous mode in a closed cycle sound and light signals, the duration corresponding to the time of inspiration, expiration and pause [3].

 The method is carried out in three stages. The first stage is the installation, the second - the main, the third - supporting a new breathing stereotype at the level of reflex breathing.

 At the first stage of training, the patient gets used to breathing under the commands of the device for conducting respiratory gymnastics. He takes a breath, the duration corresponding to the light and sound signal of the device - 2-3 seconds; then exhale, guided by the corresponding signal of the device, equal to 3-4 seconds; after exhalation, the patient pauses for 3-4 seconds, also being guided by the signal of the device. The device sets the pause time interval to a zero signal (there is no light or sound). Then everything repeats, starting with a breath.

 The second stage of training in volitional regulation of the breathing process using the device is started after some automatism is developed in the execution of the device commands in a fairly comfortable state. The second stage is multi-stage and is carried out gradually from training to training. The essence of training in volitional regulation of the breathing process in the second stage is to consolidate the breathing algorithm in the patient’s mind to the level of a conditioned reflex and reduce the volume of air used for inhalation-exhalation to 0.2-0.1 liters or less, by relaxing the diaphragm to a state of mild lack air. The patient reduces the amount of air used for inhalation-exhalation gradually from training to training.

 The volume of training in volitional regulation of the breathing process should be at least 3 hours a day. It is not necessary in a row and it is not necessary to set aside special time for this. You can train at any time and anywhere, observing two conditions: the device signals should not disturb others; the patient’s consciousness should not be preoccupied with intellectual activity.

 During volitional regulation of the breathing process, a control pause in seconds is measured from time to time. The control pause is the time interval between the usual exhalation and inhalation, during which the patient did not feel much discomfort. The technology for measuring a control pause is as follows. Sit on a chair directly, legs on the floor without crossing, relax all the muscles of the body, without any preparation, that is, without deep breaths and deep exhalations, make a normal exhalation and stop breathing. Do not breathe as much as you can, but so that after this pause the breath would be normal, that is, as before the pause. How many seconds I would not want to breathe without discomfort - this is a control pause. The pause time interval with a severe lack of air without deepening the inspiration is the maximum pause. If, after a pause, the patient begins to breathe frequently and deeply, this is a holding of the breath, and it is strictly forbidden. With a control pause of 60 seconds, the patient can switch to supportive training, that is, to the third stage.

 The goal of training in volitional regulation of the breathing process in the third stage is to maintain a breathing stereotype new to the patient at a reflex level. To do this, it is enough from time to time to compare the algorithm of your breathing with the standard, that is, the signals of the device, and "quench" all cases of recurrence of the old breathing stereotype by training, regardless of the time of day.

 Clinical example. Natalya K., 51, has been sick for over 20 years.

 Diagnosis: Bronchial asthma of moderate severity, hormone dependent, pulmonary emphysema, pneumosclerosis, DN - II tbsp.

 For the past 10 years, he has been taking hormones daily. At night - asthma attacks that were stopped by the use of Berodunal or Benacord inhalers.

 In October 1999, she began to master the VLGD technique using a device for respiratory gymnastics. The development of the method took about three months. In this period, several days were noted with a deterioration in well-being. Then came a period of sustained remission. After two years of breathing exercises according to the VLGD technique, the dose of hormones decreased from 4 Polcortalon tablets to 0.5 tablets, overall health improved, suffocation attacks can be stopped in 80% of cases without resorting to medical methods. In the warm season, allows yourself moderate physical activity without negative consequences.

Sources of information
1. RF patent 2045303 MKI A 63 V 23/18, published. 10/10/1995. Bulletin 28 (Prototype).

 2. S. Skakov. Siberian yoga. Terra Sport. Moscow. 1994, 224 pp.

 3. Certificate for utility model 14345 MKI A 61 F 5/08, published. 07/20/2000.

Claims (1)

 A method for the prevention and treatment of bronchial asthma, including regular exercises on the volitional regulation of the respiration process in the interictal period, characterized in that regular exercises on the volitional regulation of the respiration process are carried out using a device for conducting respiratory gymnastics, which signals — commands that correspond to the inspiration phase 2 in duration -3 s, expiratory phase 3-4 s and pauses 3-4 s, while classes with the device are carried out at least 2-3 times a day for a total duration of at least 3 hours, and intensive classes are stopped when reaching a control pause of 60 s.