The principle of the therapeutic effect of ultraviolet rays is due to their interaction with atoms and molecules, which is accompanied by the transition of the latter into an excited state. Photolysis of proteins and nucleic acids provokes the synthesis of neurotransmitters and cytokines, which, when released into the bloodstream, have a systemic effect. The positive effect of therapy on human body is realized through several factors:
Based on the number of areas treated and the technique used to perform the procedures, there are several types of physiotherapeutic techniques. They differ in the strength and severity of the therapeutic effect and cost. The main options for ultraviolet radiation therapy:
Ultraviolet irradiation therapy has systemic effects on the human body, therefore it is recommended for use in many areas of medicine. Indications for carrying out ultraviolet light therapy serve:
During the procedure, the body experiences intense exposure, so the appointment of UV treatment has a number of limitations. There are absolute contraindications to the physiotherapeutic use of UV rays:
Before performing a physical procedure, it is necessary to perform individual definition biodoses using the biological method. The results of the trial UV irradiation are assessed after 24 hours, after which the doctor prescribes a course of ultraviolet radiation therapy with an optimal erythemal dose. Therapy is started with small doses (1-2 individual biodoses), which, if the procedure is well tolerated, are gradually increased to 5-8.
For general therapy They use special closed booths where light lamps are located in a certain order. The duration of the procedure ranges from 15 minutes for fair-skinned people to 30 minutes for dark-skinned patients. With local exposure, a limited area in the projection of the pathological focus or a reflex zone is irradiated. The standard course includes 10 sessions, which are performed at intervals of 1-3 days.
UVOC is distinguished by a more complex methodology and high cost. A puncture is performed under sterile conditions. peripheral vein, the blood is gradually sent to the apparatus, where it is irradiated with ultraviolet spectrum, and then flows back into the bloodstream. The duration of 1 session is from 40 to 60 minutes. Course treatment includes 5-10 procedures, selected individually according to the patient’s condition.
Weak erythema that occurs after UV therapy in all patients and is not accompanied by pain indicates that the procedure was carried out correctly and the development of therapeutic effects. Specific complications occur extremely rarely:
Among the various treatment methods, there are those that involve taking medications. Ultraviolet irradiation of blood is a procedure aimed at improving general condition human health. This method of therapy has not yet been studied enough, so it is considered new, but it has already been proven positive influence on many body functions.
Ultraviolet blood irradiation has gained popularity due to its effectiveness. Therapeutic effect from such manipulations persists for long period, which is also important.
Indications and contraindications for the use of this technique should be taken into account by physicians in each specific case. The procedure can not only bring tangible benefits to the human body, but also cause harm.
Benefits of the method:
As statistics show, this method of influencing the human body can significantly improve many processes in it, although it has not been sufficiently studied. In addition, when comparing the results of treatment with medications and the method of ultraviolet irradiation of the blood, it becomes clear that ultraviolet irradiation is much more effective, and also does not have as many side effects.
For a disease of any etiology, the patient’s condition can be improved using this method of treatment. By improving metabolic processes, strengthening immune protection and by correcting many more functions of the body, any ailment can be cured much faster.
Therefore, drug treatment can be carried out simultaneously with ultraviolet irradiation of the blood, this will accelerate the onset of the therapeutic effect.
Due to the fact that the technique affects the blood, it can be used for almost any disease. In addition, ultraviolet radiation of blood is used as a preventive treatment if the patient suffers from chronic diseases, has a predisposition to any illness.
For what diseases is it prescribed:
Often, ultraviolet irradiation of blood is used to improve a person’s condition during sepsis, despite severe course Given this pathology, the effectiveness of ultrasound irradiation of blood is noticeable.
Indications for use also include diseases such as diabetes. Stimulation of the blood during this procedure improves the activity of the glands internal secretion, which is necessary for diabetics.
Often the use of this technique is prescribed to patients with impaired potency and disorder menstrual cycle. Despite the fact that the cause of these ailments lies in hormonal imbalance, this method of treatment gives tangible positive results.
Many people do not know about the existence of this method of therapy or do not understand why they are doing this procedure. Only a doctor can provide all the necessary information on this matter, based on the health status of a particular patient.
To conduct a UVB blood session, special equipment is required. The specialist uses a device that performs ultraviolet irradiation of blood, which is a multi-wave irradiator operating in all light spectra.
Many people, not knowing how ultraviolet irradiation of blood is performed, are afraid to go to such a therapeutic session, but these manipulations are painless, practically no discomfort No.
Despite its beneficial effects on the human body, ultraviolet radiation can be dangerous. Only the doctor decides whether a prescription is necessary this method treatment, taking into account all the patient’s health characteristics.
The technique has contraindications, which, if ignored, can cause harm to the body.
Since this technique has not been fully studied, doctors fear that, under certain circumstances, ultraviolet irradiation of the blood may provoke negative reaction body, especially when it comes to serious illnesses person. Since it remains unknown how the body will respond to such treatment in severe illnesses, it is best to avoid using this therapy.
Under what conditions is use prohibited:
Due to the uncertainty of the consequences of the method of ultraviolet irradiation of blood, this method of treatment is not used in such circumstances.
Sometimes there are people who have an individual intolerance to this kind of effect on the body; they are also included in the group of patients with a contraindication to ultraviolet irradiation of the blood.
In gynecology, the method of ultraviolet irradiation of blood is most often used. Sometimes drug treatment is ineffective, so doctors prescribe ultraviolet irradiation. Diseases such as uterine fibroids, genital endometriosis, infertility, menopausal disorders and many others are indications for this method of therapy.
The period of bearing a child can also be complicated by illnesses. Often problems arise associated with late toxicosis, when a woman feels very unwell. In addition, placental insufficiency threatens the life and health of the fetus, which is also considered a complication of this period.
In such cases, women are prescribed treatment with ultraviolet irradiation. Among other things, such procedures are actively used if complications arise after childbirth.
Pregnancy is not a contraindication for prescribing ultraviolet irradiation of blood, provided that the procedure is performed by a professional. Today, such therapy is quite often prescribed to pregnant women in order to improve their condition, well-being, and also prevent pathology of fetal development and the threat of miscarriage.
Any treatment method can not only help, but also harm. Side effects from ultrasonic irradiation of blood are extremely rare, nevertheless they exist. Often, complications of this method of treatment are allergic reactions that appear while taking certain medications.
What drugs should not be taken during ultraviolet irradiation of blood:
These drugs are photosensitizers, so simultaneous treatment with these drugs and ultrasound irradiation is impossible.
Sometimes an overdose of ultraviolet radiation occurs, to which the body can respond by suppressing the excretory function of the adrenal glands, as well as suppressing the activity of the spinal cord.
Such medical procedure should only be carried out under conditions medical institution and only a specialist in this field, then the risk of any side effects can be reduced to zero.
Today, UFO is becoming increasingly popular, people are looking for safe ways treatment so as not to harm the body. Such procedures can well be considered as such if they are carried out correctly. What is important is that ultraviolet irradiation of blood can be carried out on children without fear for their health.
What it is - UV irradiation of blood is described above. Accurate scientific data on the benefits of this method of therapy are sufficient to actively use it. These procedures will relieve many ailments, including those arising during pregnancy, but you should not rely entirely on ultrasound irradiation; it is not a panacea.
In any case, before treatment, the doctor examines the patient and prescribes a set of medications, and additional way therapy can become ultraviolet irradiation of the blood.
UVR is ultraviolet radiation, and ultraviolet rays are part of the general electromagnetic spectrum with the shortest wavelength. In the irradiated tissues, light energy is transformed into chemical and other types of energy, and at the same time released large number biologically active substances(histamine, serotonin, etc.), which are carried throughout the body through the bloodstream and cause complex responses in various organs and systems. The therapeutic effect of ultraviolet radiation consists of analgesic, anti-inflammatory, antiallergic, immunostimulating and restorative effects. UFO also has systemic effects. It is known to reduce blood pressure, affects vitamin D metabolism and calcium metabolism, as well as the population of T cells in the peripheral blood. And finally, ultraviolet radiation provides a certain psychological, distracting, that is, placebo effect. The combination of these effects explains the ability of UV irradiation to significantly reduce the feeling of itching in systemic diseases. In this regard, it is worth noting that in the autumn-winter period, when we lack natural ultraviolet radiation and the body’s immune strength is reduced, it is useful to visit the solarium, but the total time spent in the solarium should not exceed 30-35 minutes per week. Ultraviolet blood irradiation (UFOI) is used for chronic infections, purulent-inflammatory diseases (furunculosis, pyoderma, phlegmon, purulent bronchitis, adnexitis, pyelonephritis, etc.), immunodeficiency states, atherosclerosis, bronchial asthma, rheumatoid polyarthritis, peptic ulcer, thrombosis and thrombophlebitis, during rehabilitation postoperative patients. To perform UVOC, the patient’s vein is punctured and the blood from it passes through the system through a device in which it is irradiated with UV rays and then returned back. The procedure consists of numerous phases of blood collection and return and can last up to 1 hour.
General UV therapy is used to increase the body's resistance to infections, in the treatment and prevention of rickets, for dermatological diseases with common skin lesions (pyoderma, psoriasis, atopic dermatitis, etc.), for the correction of solar ultraviolet deficiency, stimulation of hematopoiesis, immunostimulation in low-grade inflammatory diseases . During the procedure, the patient is in a special cabin with mirrored walls and vertically positioned ultraviolet lamps. Local UV therapy Local UV therapy is used in the treatment of bronchitis, bronchial asthma, arthritis, osteomyelitis, burns, bedsores, purulent wounds, neuritis, spinal osteochondrosis, local forms dermatological diseases, tonsillitis, sinusitis, otitis, aphthous stomatitis, gingivitis, periodontal disease, weeping navel in newborns, etc. The procedure is carried out with devices for local UV irradiation. The distance from the patient to the emitter and the procedure time are selected in accordance with the individual biodose.
Except general contraindications light therapy, ultraviolet radiation is contraindicated in cases of albinism, precancerous skin lesions, dermatomyositis, systemic lupus erythematosus, xeroderma pigmentosum.
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Ultraviolet radiation in medicine is used in the optical range of 180-380 nm (integral spectrum), which is divided into short-wave region (C or AF) - 180-280 nm, medium-wave (B) - 280-315 nm and long-wave (A) - 315- 380 nm (DUV).
Physical and physiological effect ultraviolet radiation
Penetrates into biological tissues to a depth of 0.1-1 mm, is absorbed by molecules of nucleic acids, proteins and lipids, has photon energy sufficient to break covalent bonds, electronic excitation, dissociation and ionization of molecules (photoelectric effect), which leads to the formation free radicals, ions, peroxides (photochemical effect), i.e. there is a consistent conversion of the energy of electromagnetic waves into chemical energy.
The mechanism of action of UV radiation is biophysical, humoral and neuro-reflex:
Change in electronic structure atoms and molecules, ionic conjuncture, electrical properties of cells;
- inactivation, denaturation and coagulation of protein;
- photolysis - breakdown of complex protein structures - release of histamine, acetylcholine, biogenic amines;
- photooxidation - increased oxidative reactions in tissues;
- photosynthesis - reparative synthesis in nucleic acids, elimination of damage in DNA;
- photoisomerization - internal rearrangement of atoms in a molecule, substances acquire new chemical and biological properties (provitamin - D2, D3),
- photosensitivity;
- erythema, with CUF it develops within 1.5-2 hours, with DUF - 4-24 hours;
- pigmentation;
- thermoregulation.
Ultraviolet radiation has an effect on functional state various human organs and systems:
Leather;
- central and peripheral nervous system;
- autonomic nervous system;
- cardiovascular system;
- blood system;
- hypothalamus-pituitary-adrenal glands;
- endocrine system;
- all types of metabolism, mineral metabolism;
- respiratory organs, respiratory center.
The healing effect of ultraviolet radiation
The reaction from organs and systems depends on the wavelength, dose and method of exposure to UV radiation.
Local irradiation:
Anti-inflammatory (A, B, C);
- bactericidal (C);
- painkiller (A, B, C);
- epithelializing, regenerating (A, B)
General exposure:
Stimulating immune reactions (A, B, C);
- desensitizing (A, B, C);
- regulation of vitamin balance “D”, “C” and metabolic processes(A, B).
Indications for UV therapy:
Acute, subacute and chronic inflammatory process;
- trauma to soft tissues and bones;
- wound;
- skin diseases;
- burns and frostbite;
- trophic ulcer;
- rickets;
- diseases of the musculoskeletal system, joints, rheumatism;
- infectious diseases- influenza, whooping cough, erysipelas;
- pain syndrome, neuralgia, neuritis;
- bronchial asthma;
- ENT diseases - tonsillitis, otitis media, allergic rhinitis, pharyngitis, laryngitis;
- compensation for solar deficiency, increasing the stamina and endurance of the body.
Indications for ultraviolet irradiation in dentistry
Diseases of the oral mucosa;
- periodontal diseases;
- dental diseases - non-carious diseases, caries, pulpitis, periodontitis;
- inflammatory diseases maxillofacial area;
- TMJ diseases;
- facial pain.
Contraindications to UV therapy:
Malignant neoplasms,
- predisposition to bleeding,
- active tuberculosis,
- functional kidney failure,
- stage III hypertension,
- severe forms of atherosclerosis.
- thyrotoxicosis.
Ultraviolet radiation devices:
Integrated sources using DRT (mercury arc tube) lamps of various powers:
ORK-21M (DRT-375) - local and general irradiation
- OKN-11M (DRT-230) - local irradiation
- Mayachnye OKB-ZO (DRT-1000) and OKM-9 (DRT-375) - group and general irradiation
- ON-7 and UGN-1 (DRT-230). OUN-250 and OUN-500 (DRT-400) - local irradiation
- OUP-2 (DRT-120) - otolaryngology, ophthalmology, dentistry.
Selective short-wave (180-280 nm) use bactericidal arc lamps (BA) in the glow electric discharge mode in a mixture of mercury vapor and argon. Lamps of three types: DB-15, DB-30-1, DB-60.
Irradiators are produced:
Wall mounted (OBN)
- ceiling (OBP)
- on a tripod (OBSh) and mobile (OBP)
- local (BOD) with lamp DRB-8, BOP-4, OKUF-5M
- for blood irradiation (AUFOK) - MD-73M "Isolda" (with lamp low pressure LB-8).
Selective long-wave (310-320 nm) use fluorescent erythema lamps (LE), 15-30 W, made of uveolian glass with an internal phosphor coating:
Wall mounted irradiators (OE)
- suspended reflected distribution (OED)
- mobile (OEP).
Beacon-type irradiators (EOKS-2000) with a xenon arc lamp (DKS TB-2000).
An ultraviolet irradiator on a tripod (OUSH1) with a fluorescent lamp (LE153), a large beacon ultraviolet irradiator (OMU), a tabletop ultraviolet irradiator (OUN-2).
Low-pressure gas-discharge lamp LUF-153 in the UUD-1, UDD-2L units for Puva and therapy, in the UV irradiator for the limbs OUK-1, for the head OUG-1 and in the irradiators EOD-10, EGD-5. Units for general and local irradiation are produced abroad: Puva, Psolylux, Psorymox, Valdman.
Technique and methodology of ultraviolet therapy
General exposure
Carry out according to one of the following schemes:
Main (from 1/4 to 3 biodoses, adding 1/4 each)
- slow (from 1/8 to 2 biodoses, adding 1/8 each)
- accelerated (from 1/2 to 4 biodoses, adding 1/2 at a time).
Local irradiation
Irradiation of the affected area, fields, reflexogenic zones, staged or by zone, extrafocal. factional.
Features of irradiation with erythemal doses:
One area of skin can be irradiated no more than 5 times, and the mucous membrane - no more than 6-8 times. Repeated irradiation of the same area of skin is possible only after the erythema has subsided. The subsequent radiation dose is increased by 1/2-1 biodose. When treating with UV rays, light-protective glasses are used for the patient and medical staff.
Dosing
Dosing of UV irradiation is carried out by determining the biodose, the biodose is the minimum amount of UV radiation sufficient to obtain the weakest threshold erythema on the skin within least time, with a fixed distance from the irradiator (20 - 100 cm). The biodose is determined using a BD-2 biodosimeter.
There are different doses of ultraviolet radiation:
Suberythemal (less than 1 biodose)
- erythema small (1-2 biodoses)
- medium (3-4 biodoses)
- large (5-6 biodoses)
- hypererythemal (7-8 biodoses)
- massive (over 8 biodoses).
For air disinfection purposes:
Indirect radiation for 20-60 minutes, in the presence of people,
- direct radiation for 30-40 minutes, in the absence of people.
There are many treatment methods that are actively used by qualified doctors. Nowadays, not only medications help to cope with diseases, but also other methods of influence - diets, physical activity, medicinal herbs etc. Physiotherapy means are of particular interest. Ultraviolet irradiation (UVR) is one of them – exposure of the human body to ultraviolet rays of different wavelengths. Let's talk about what UV physiotherapy is, consider the indications and contraindications for its implementation, and consider what benefits and harms such a procedure can cause.
Ultraviolet radiation is not visible to the eye electromagnetic radiation, the wave range of which is 400-10 nm. Depending on the wavelength, such therapy can have different and varied effects, so there are quite a few indications for such treatment.
UV physiotherapy - benefits and harms
The benefits of ultraviolet irradiation physiotherapy
The properties of ultraviolet irradiation depend solely on the wavelength.
Thus, short-wave ultraviolet radiation (180-280 nm) has bactericidal, mycocidal and antiviral effects, which, however, depend on several circumstances. Short ultraviolet rays (approximately 254 nm) have special sanitizing properties; they are absorbed by nucleic acids, proteins and DNA. The pathogens die from lethal mutations and lose their ability to reproduce and grow. Ultraviolet irradiation leads to the destruction of a number of toxins, such as diphtheria, tetanus and dysentery, and also destroys pathogens typhoid fever and staphylococcus.
At medium wavelengths (280-310 nm), UVR has a slightly different effect on the body. Such irradiation activates the synthesis of vitamins, stimulates tissue trophism and improves immunity by an order of magnitude. In addition, the average wavelength ultraviolet exposure has a good anti-inflammatory effect, eliminates painful sensations and has desensitizing properties.
As for long-wave ultraviolet radiation (320-400 nm), it affects the body in a slightly different way. This effect has pigment-forming, immunostimulating and photosensitizing qualities.
UV physiotherapy – harm of the procedure
UV therapy can only be carried out in doses. Excessive exposure to ultraviolet radiation can greatly harm your health. Ultraviolet radiation performed without consulting a doctor can also cause harm. In order for such procedures to be useful, the course of therapy must be carried out without interruption. In addition, it would be a good idea to consult with your doctor regarding antioxidant therapy, which will help soften the harsh energetic effects of ultraviolet radiation.
Indications for ultraviolet physiotherapy
Indications for ultraviolet irradiation also vary depending on the wavelength.
This is how short-wave ultraviolet radiation helps patients suffering from acute and subacute inflammatory diseases skin and nasopharynx (both nose and tonsils). This effect is indicated for, in the presence of wounds that may suffer from joining anaerobic infection, and for skin tuberculosis.
Exposure to ultraviolet rays medium length will help cope with acute and subacute inflammatory ailments internal organs(especially the respiratory system). Similar treatment indicated for the correction of the consequences of wounds and injuries of the musculoskeletal system, ailments of the peripheral nervous system, namely radiculitis, plexitis, neuralgia and myositis. In addition, medium-length ultraviolet rays help treat joint and bone diseases and help eliminate the deficiency of solar radiation. They can be used for the treatment of secondary anemia, metabolic disorders and for.
Long-wave ultraviolet irradiation (300-400 nm) is often used to treat chronic inflammatory lesions of internal organs (especially the respiratory organs). Such procedures are indicated for patients with diseases of the organs of support and movement. Long-wave ultraviolet irradiation sessions are indicated for burns, frostbite, and ulcers. They are recommended to be carried out with skin ailments– for psoriasis, eczema, vitiligo, seborrhea, etc.
UV physiotherapy – contraindications for use
There are quite a few factors that should be considered as a contraindication to UVB therapy. Such procedures are not indicated for people with hypersensitivity of the skin or mucous membranes to ultraviolet radiation. Exposure to mid-ultraviolet rays is not carried out if the patient has hyperthyroidism, hypersensitivity to exposure to ultraviolet radiation, chronic renal failure, malaria and systemic lupus erythematosus.
And treatment with long-wave ultraviolet irradiation is contraindicated for diseases of the kidneys and liver, in which their activity is significantly impaired, for hyperthyroidism, acute inflammatory processes and excessive sensitivity to the effects of long-wave ultraviolet rays.
Additional information
So, for skin tuberculosis, it is worth mixing equal parts of stinging nettle, wild rosemary and horsetail, as well as sage leaves, marsh cudweed and thyme grass. Grind and mix all ingredients. Brew a tablespoon of the resulting mixture with a glass of just boiled water and leave in a fairly cool place for two hours. Strain the finished infusion and take it like tea - a glass three times a day. The duration of such therapy is two to three months.
For local treatment You can prepare an ointment based on immortelle. Chop one part of the plant and combine with four parts. Mix well and use several times a day.
You can cope with skin tuberculosis with the help of aloe-based medicine. Cut a few bottom leaves from the old plant, wash them, dry them and place them on the bottom shelf of the refrigerator, wrapped in parchment paper. After three to five days, squeeze out the juice from the aloe and use it to apply lotions to the affected areas.
Also, patients with skin tuberculosis should mix thirty grams, the same amount and forty grams. Grind and mix all ingredients. Brew a tablespoon of the resulting mixture with a glass of boiling water. Keep the medicine in a water bath for half an hour, then set aside for an hour. Take a glass of the strained drink three times a day.
A remarkable effect is achieved by using a medicine made from equal parts of ivy bud, leaves of gray blackberry, roots of tall elecampane and. Grind and mix all ingredients. Pour a couple of tablespoons of this mixture into one hundred milliliters vegetable oil and place in a water bath. After the mixture boils, boil it for another twenty minutes. Infuse the medicine under the lid for four hours, then strain and apply to lubricate the affected areas of the skin.
Even when treating skin tuberculosis, it is recommended to mix equal parts of the roots of naked licorice, the fruits of common fennel, the bark of alder buckthorn, the roots big burdock And medicinal dandelion. tablespoon ready collection Brew one glass of just boiled water. Place the container with the medicine over medium heat, bring to a boil and reduce the heat. Boil this product for ten minutes, then leave it for an hour to infuse. Take the prepared mixture half a glass three times a day.
You can also prepare a healing bath to treat skin tuberculosis. To do this you need to connect equal parts, pharmaceutical chamomile, valerian roots, medicinal sage, greater celandine and St. John's wort. Brew two hundred grams of the resulting mixture with four liters of boiling water. Leave covered for forty minutes. Strain the finished infusion and pour it into the bath. As a result, you should have a bathtub with a volume of twenty to thirty liters. The optimal water temperature is thirty-eight degrees. The duration of this procedure is a quarter of an hour to twenty minutes. After a healing bath, you need to pat your skin dry (do not rub).
UV therapy is an amazing procedure that can bring great benefit health for correct use. But before sessions of such therapy, as well as before using products traditional medicine, you must get your doctor's approval.
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