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More or less finely fractioned thermal water and its
contained gases are introduced into the respiratory
apparatus by the inhalation therapy, through duly planned
devices with certificate on rule of law.
The absorption can be obtained besides the local action
on the walls of the throat, through the mucous membrane
and the start through the lymphatic vessels to the close
tissues and organs; then by the circulation of the blood,
the action is generalized involving the remote organs.
THERMAL WATER AEROSOL
The thermal water aerosol uses a finer and homogeneous
fractionation of the thermal water. The water sucked
from the compressed air comes out by pressure.
We can so obtain its fractionation in very small and
homogeneous particles with a diameter of 2-4 micron,
at a temperature of 28-30° C.
This is an individual therapy and it can be made by
oral way or nasal way through a fit mouthpiece or a
nasal fork.
The deep air apparatus parts are reached by aerosol
to the pulmonary alveolus. Suitable for the chronic
diseases of the higher and lower air apparatus ; nose,
pharynx, larynx, windpipe and bronchial tree.
- just one application a day is made for a minimum cycle
of 12 days
- duration : gradually increasing from 5 minutes the
first day to 11 minutes
SONIC AEROSOL
This variant of the aerosol therapy, conceived by a French physiologist named Guillerm,
has the particular characteristic to be made by coupling the very small
and homogeneous fractionation of the
thermal water with the sound waves flow at regular intervals.
The aerosol mycelia, subjected to sound waves flow with a frequency of 100 Hertz,
acquire a special kinetic flow empowering them to enter into cavity and paranasal
sinus and middle ear, through the Eustachian tubes.
This treatment can be also made by a special fork obstructing
nostrils which pressed round the nose can transmit
a slight positive pressure to all points of the nasal cavity.
During the sonic aerosol, the patient must frequently swallow;
this action get close the back communication between nose and throat by the soft palate,
causing a pressure increase in the nasal cavity and allowing so the entry of the aerostatic
mycelia into paranasal sinus and into the tympanic tube.
This treatment is exclusively applied by nasal way and it is specific
for chronic rhinosinusitis and coadjuvant in treatment of the chronic
middle catarrhal otitis and chronic catarrhal otosalpingitis too.
- Just one application a day is made for a minimum cycle
of 12 days.
- duration : gradually increasing from 6 minutes the
first day to 12 minutes
IONIZED AEROSOL
The ionized aerosol is a special type of individual
inhalation treatment where the aerosol therapy with
thermal flowing water and the negative aeroionotherapy
are combined.
This treatment is realized by using a special device
giving a negative electrical charge to the aerosol particles.
The electric charge prevents particles to join together
giving smaller particles, allowing them to reach the
depth of the air apparatus.
Moreover it makes easier the absorption of the aersol
particles by the mucous membrane of the respiratory
apparatus and a better use of the oxygen at celullar
level making an intensive antiallergic action.
The treatment needs a proper mask by which the aerosol
therapy can be used by nasal or oral way.
This special inhalation treatment is suitable for allergic
and unallergic vasomor rhinopathy, allergic and unallergic
bronchial asthma, rhinobronchial syndrome and chronic
bronchitis.
- Just one treatment a day is made for a minimum cycle
of 12 days.
- Duration : gradually increasing from 6 minutes the
first days to 12 minutes.
ISTEAM JET INHALATION
The steam jet inhalation as a preparatory care is usually
foreseen in an inhalation treatments cycle;in fact the
vasodilatator steam effect, prepares the tissues for
the absorption of the constituents successively delivered
by aerosol.
The inhalations are individual direct steam jet therapies.
They are made by nebulizing the thermal water in 8-10
micron particles sucked under steam flow.
A dense fog of watery particles at a temperature
of 38°C about is obtained at the output mouthpiece.
The patient is at the same level of the jet, open
mouth, at a distance of 20-30 centimeters about.
It is suitable for the first respiratory way chronic
pathologies, nose, pharynx, larynx, windpipe and big
bronchia.
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MICRONIZED NASAL
SPRAYING
It is an individual treatment suitable for the fluidity
of the secretions inside the nasal fossa and in rhinopharyngeal
and pharingeal part through a plantiful flow of thermal
water particles.
The thermal water particles have sizes higher than
the usual aerosol ones and they are driven under steam
directly into the nostrils.
This is a treatment usually well suffered by children,
even if babies, and it is also very helpful in the
middle ear pathologies in paediatric age too.
Particularly suitable for all chronic catarrhal pathologies
of nose and throat :rhinitis, rhinosinusitis, rhinopharyngitis.
Useful for middle secretory otitis (or middle otitis
with shedding) of children and for chronic otosalpingitis
of adults.
The therapeutical bath in thermal bathtub is often
and usually coupled with the previous inhalation treatments.
This therapeutical coupling seems useful to modify
where the chronic diseases of the respiratory tree
set up.
The bath can increase the body protection system through
local and general action processes (trans-skin absorption,
vasomotory, vagale, suprarenal stimulant). Like this,
the bath increasess the action of the inhalation crenotherapy
protracting its therapeutical effects.
- Just one application a days is made for a minum
cycle of 12 days.
- Duration : gradually increasing from 6 minutes the
first day to 12 minutes.
NASAL SPRAYING
This is an individual treatment consisting in washing
the nasal fossae. This treatment uses thermal water
at 37°C with spray at atmospheric pressure
The result is to cleanse the mucous membrane from
scabs and remove the staunching secretions.
In general it is advisable the spraying before the
other inhalation treatments because cleansing the
nasal mucous membrane prepare the tissues to more
efficaciously receive the active principles of the
other inhalation treatments
Usually the nasal spraying is suitable for different
treatments like atrophic,chronic rhinitis, scabby
rhinitis, ozaena, chronic rhinosinusitis and in general
where there are abundant secretions.
The fluoric sodium bicarbonate mineral water, through
a special spray piece with olive, penetrates into
a nostril at low pressure, by causing its going out
from the other nostril.
The patient head must be bent and turned with the
olive leant on the nostril reaching so an higher position,
so that the low pressure thermal water flows down
through the other nostril, while the patient is open
mouth breathing.
The head rotation must be the least so that the ear
being in a lower position (the ear opposite to the
nostril with the olive) stays however higher than
nhose : this position prevents the thermal water goes
into the middle ear through the Eustachian tubes.
This move will be repeated at short intervals in every
nose cavity. It is suitable for treatment of atrophic
chronic rhinitis, scabby rhinitis, ozaena, chronic
rhinosinusitis and in general where there are abundant
secretions.
- Just one treatment a day is made for a minimum cycle
of 12 days
- Duration : gradually increasing from 6 minutes the
first day to 12 minutes.
HUMAGE
The humage is a therapeutical treatment based on inhalation
of gases of the thermal waters.
Compressed air enters into a jar full of thermal water
to free gases.
The produced gurgling emits the water constituents which
by gathering in the high part of the jar, are driven
to the patient mask, through air pressure.
The humage is so a dry inhalation treatment and it is
ideal to reach the low respiratory ways and the smallest
pulmonary alveolus..
GINGIVAL SPRAYING
ENDOTYMPANIC INSUFFLATIONS
This particulat individual treatment is suitable for
all patients suffering rhinodeafness.
The rhinodeafness includes all the pathological situations
causing the transmissive bradyacusia due to inflammatory
courses of rhinopharynx, Eustachian tubes and middle
ear.
Tubal insufflations are made using sulphurous mineral
water, besides the previously described inhalation
treatments, used with fluoric sodium bicarbonate hyperthermal
mineral water.
This therapy consists in putting the sulphurous gas
through the Eustachian tubes into the middle ear.
The tubal insufflations are made by an otorhinolaryngologist
doctor only, by introducing into the patient’s nose
a small probe named “Itard catheter” pushed till to
enter the pharyngeal “ostio” of the Eustachian tubes.
Now, the doctor insufflates, at a low pressure, sulphurous
gas made free by gurgling of the sulphurous thermal
water, through the catheter, into the Eustachian tubes.
A rustle is produced in the middle ear cavity when
the thermal gas arrives and it is heard either by
the patient or by the insufflating doctor using a
phonendoscope leant to the patient outer ear.
This application lets to exceed the probable tubal
stenosis at the phlogistic process and helps the tuba
itself and the eardrum to be free from the secretions.
The pathologies of the middle ear and tuba, able
to fix an hypo-acusia or a rhinodeafness, are strictly
linked to those of the nose and pharynx: therefore
it is absolutely necessary to associate the tubal
insufflations with the inhalation treatment of sodium
bicarbonate fluorine water (spraying and micronized
nasal spray, inhalations, flowing thermal water aerosol,
sonic and ionic aerosol according to the doctor’s
opinion).
The application of catheter is painless; all the catheters
are plastic made and single use.
In general one application a day is made for a minimum
of 12 sittings and a maximum of 2° sittings
The duration of the insufflation can be of 1 or 3
minutes according to the doctor’s prescription.
Many doctors agree with the profit of repeating this
treatment for running years.
In some special cases it can be useful to have two
treatment cycles in a year, but not closer.
(for exemple the first cycle before summer and the
second cycle in autumn).
NEBULIZATIONS
The nebulization is the end of a complete thermal inhalation
treatment.
This collective treatment is based on the let in thermal
water, like a dense, damp fog, consisting of many very
small drops of sodium bicarbonate mineral fluorine water,
suspended in a common, saturated room where the patient
will stay for the whole duration of the application.
The thermal water together with its mineral salts
penetrates into the whole respiratory higher, middle
and lower apparatuys, restoring the better superficial
humidity conditions of the mucous membrane in all
points, at the end of the inhalation treatment complete
cycle.
The nebulizations are suitable for higher, middle
and lower aerial apparatus chronic pathologies, including
simple chronic bronchitis and obstructive chronic
bronchitis.
Usually the duration of this treatment is gradually
increasing : 10 minutes the first day to 30 minutes,
increasing 5 minutes in the following days.
PARAFFIN THERAPY
The paraffin therapy is based on the therapeutical application
of heated paraffin.
A conduction thermotherapy is carried out by this technique.
The heated paraffin, applied on skin, transfers heat
by conduction and has an effective thermal action.
The paraffin layer in contact with the skin gets cold
and becomes solid; this layer isolates the skin from
the still warm layers and lets to easier tolerate the
high temperature of paraffin.
The paraffin, by cooling and solidifying, gets narrower
on the body part and has a constrictive action on
the fleshy parts.
An effective anti-oedema action is so realized.A great
deal of sweat is collected between the paraffin layer
and the skin.
The paraffin therapy has a special anti-oedema action
; moreover, through the tissues heating, it extenuates
the sensation of pain and the release of the muscular
contraction.
The application methods of paraffin are represented
by bath, repeated immersions, paintings and paraffin
foam.
The paraffin therapy is suitable for treatment of
recent post-traumatic oedema posthumous traumas, arthritis
and rheumatoid arthritis.
The paraffin therapy can be applied for subacute or
chronic rheumatoid arthritis.
( Rif: www.sanihelp.it )
Bibliografia:
“Medicina Termale”, Roberto Gualtierotti, Lucisano editore
– Mi, 1981 |
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