Physiotherapy at genyantritis: physiotherapy and electrophoresis
Physiotherapy with genyantritis is just as important part of therapy as drug treatment.
These are painless procedures, a direction for cleansing the nasal sinuses and arresting the inflammatory process in them are carried out with the use of anti-inflammatory drugs.
What kind of procedures for sinusitis will be prescribed, the doctor determines, taking into account the features of the development of pathology and the stage of the disease.
In most cases, physiotherapy can avoid intramuscular injection of antibiotics and puncture of the nasal sinuses.
What procedures are prescribed for genyantema
Physiotherapy and physiotherapy with maxillary sinusitis are performed only on an outpatient basis, at home the patient simply does not have all the necessary devices and devices. In addition, he will not be able to follow the correct technology of procedures - the process must be supervised by a physician.But to go to the hospital is not necessary, you can just come to the designated events, then return home or work. Although doctors do not recommend doing so for the reason that after some procedures it is undesirable to go out for at least an hour.
So, physiotherapy of sinusitis consists in the following procedures and measures:
- Ultrasound impact - this way the tissues of the epithelium are massaged, the metabolic processes in them are stimulated and the production of useful enzymes is enhanced.
- Inhalation with genyantritis with medications - the patient inhales vapors of chemicals that have a positive effect on the nasal mucosa, relieve swelling, dilute mucus and activate it outflow.
- Electrophoresis - the effect of the current is directly on the inflamed nasal sinuses, so that the patient's condition improves with each session. Usually electrophoresis is carried out for 10 consecutive days, one session lasts a quarter of an hour.
- Electromagnetotherapy - ultrashort or superfrequency waves are directed to the nasal sinuses, which expand the capillaries of the mucosa. This improves the outflow from the nasal sinuses.
- Mud cure - from therapeutic mud, rich in minerals, cakes are made and superimposed on the area of the maxillary sinuses. A thermal effect is created, which helps to eliminate inflammation and dilute thick mucus in the sinuses.
- Diadynamic impulse currents - such an exercise is prescribed for those patients who suffer from severe pain during sinusitis. This procedure allows you to remove pain without using analgesics.
Usually physiotherapy procedures are assigned in a certain sequence, first a combination of two or three, which are then replaced by the following. The course of treatment can include from five to 14 sessions.
Everything depends on the stage of sinusitis and the response of the patient's body to physiotherapy.
Ultrasound and inhalation
Ultrasound causes biochemical and biophysical changes in cells. It has a micromassing effect on the tissue and thus stimulates all metabolic processes in them.Also, ultrasound, penetrating the cell walls, activates the production of those enzymes that can suppress pain syndrome. This allows you to give up some medications in the treatment of sinusitis.
Inhalation with sinusitis is the most accessible, common procedure. If the medicinal product from the liquid or powder form is transferred to the aerosol state, its constituents will become more active, will be absorbed better and faster by the tissues, and act more intensively.
With the help of inhalation, you can enter any medicines, including antibacterial, avoiding intramuscular injections. Since the drugs administered by this method act locally and penetrate the mucosa into the blood in minute amounts, possible side effects are minimized.
For inhalation, special devices are used, which operate on the principle of variable pressure. When the pressure in the sinuses of the nose increases, a drug in the form of an aerosol is injected.
With a decrease in pressure, suction is released from the maxillary sinuses. In the acute stage of maxillary sinusitis, inhalation procedures are performed up to 5 times per day.
In the future, their frequency can be reduced to two per day, and so continue until the patient's complete recovery.
Electrophoresis and mud treatment
Electrophoresis with the use of medications is currently the most effective physiotherapeutic method of treatment of sinusitis. Usually electrophoresis is combined with mud applications. The procedure is as follows.
- In the beginning, the therapeutic mud warms up to a temperature of no higher than 43 degrees, then it is transferred to bags;
- Then the pouches are replaced by hydrophilic gaskets, from above they are covered with metal plates supplied to the galvanizing apparatus;
- Electrodes are covered with an oilcloth, on top of which are placed bags filled with sand. The current in the electrode during the procedure should not exceed 3 mA.
It is not necessary that electrophoresis is made with mineral mud.
Often, electrophoresis is performed in combination with novocaine, bromide or calcium chloride.
The use of pulsed current and electromagnetic waves in the treatment of sinusitis
For physiotherapeutic treatment of sinusitis, two types of electromagnetic waves are used:
- Ultra-short - UHF with genyantritis.
- Ultrafrequency - microwave.
When these waves are affected, the capillaries expand, the sympathetic tone of the vascular walls is inhibited, and the parasympathetic tone is excited. The effect after the procedure can last up to several days. A total of 10 to 20 procedures with a duration of no more than 10 minutes are prescribed.
Diadynamic therapy, or treatment with impulse currents, is conducted daily by a course of treatment of not more than 10 sessions in order to reduce the discomfort and strong pain in a patient with maxillary sinusitis.
Physiotherapy at home with genyantritis
At home, you can also do some physiotherapy. They will not be as effective as hardware physiotherapy, but they will help to strengthen the effect of the main drug treatment and accelerate recovery.
First of all, this is washing the nose and inhalation. To wash the nose is better to use a special teapot, and for inhalations - a nebulizer. It is not recommended to do warming up with pouches with salt or sand, as this can promote the spread of the infection to other organs and bone tissues. The expert will explain in detail about such treatment in the video in this article.
stopgripp.ru
What it is possible to carry out fizioprotsedury at a genyantritis?
Question:
Good afternoon! My name is Eugene, I'm 33 years old. After an untreated flu, I started sinusitis. I was at the doctor's office, I received a course of treatment, but the doctor offers to go through physiotherapy as well. I want to know what it is possible to perform physioprocedures with genyantritis?
Answer:
Hello, Eugene! With genyantritis the entire body becomes ill. A person experiences a general malaise, weakness, headache, breathing heavily, there is a breakdown in the sense of smell and painful discharge.
Often, in addition to drugs that must eliminate inflammation, physiotherapy is used for sinusitis. They are painless and do not lead to sensations that will be unpleasant.
Consider the list of physiotherapy procedures used to treat sinusitis.
Diadynamic impulse currents are used in the presence of pain syndrome. This procedure has a good anti-inflammatory analgesic effect. Diadynamic therapy is performed daily, the duration of the course is equal to twelve procedures.
When using ultrashort and superfrequency electromagnetic waves, capillaries in the nasal cavity become wider, as a result hyperemia begins with a good outflow. Such therapy is performed every day, ten procedures are required.
Another component of physiotherapy with genyantritis is the ultrasound massage of nasal sinus tissues. This leads to increased metabolism and activation of enzymes. In addition, the procedure has an analgesic effect. It will be necessary to visit the procedures fifteen times.
In addition, with genyantritis, electrophoresis is prescribed. One procedure lasts about a quarter of an hour. It is held ten days in a row.
Applications with mud cakes are also performed. They overlap the area of the nose. The duration of the procedure is one third of an hour. This procedure leads to mechanical, thermal and chemical effects on the nasal sinuses. Requires a visit to fifteen procedures.
gajmorit.com
Electrophoresis: what is it and how does it affect the body
Electrophoresis, that this and its effectiveness in the treatment of sinusitis are known for quite some time.This procedure involves moving the drug solution under the influence of current, usually galvanic through the sweat and sebaceous glands, the hairline. Because of this, part of the medicine can be found in the skin. The rest of the solution "reaches" the blood supply system and circulates through all organs.
This circulation occurs mainly in the "work" area of electrophoresis, which allows using it not only for superficial treatment, but also penetrate deep into the inflammatory process.
Electrophoresis in sinusitis involves several stages of treatment:
- Antibacterial and anti-inflammatory therapy.
- Use of calcium chloride and bromine.
Antibiotics in this case are used as the main treatment, calcium and bromine - as a recovery therapy.
How to properly use the device for electrophoresis in genyantema
The use of electrophoresis in sinusitis can be carried out in two ways:
- Outwardly, when the galvanic collar is put on the area of the maxillary sinuses. The procedure is carried out daily for two weeks. Efficiency is achieved due to the duration of the reflex action of the drug ions on the mucosa.
- Endonasal. The procedure involves the use of a tarundum soaked in a medicine from gauze. They are placed on the upper lip with an oilcloth, an electrode is fed to them and the whole mechanism is fixed with a bandage. The second electrode is attached to the occipital part. As in the first version, the procedure is carried out every day for two weeks.
With therapeutic purpose, the radiation of a therapeutic helium-neon laser and phonophoresis of the face are used.
Antibiotic therapy, as a rule, involves the use of inhalations of 1% solution of imanin, ekmolin, ultraviolet irradiation and the method of physiotherapy - UHF.
In chronic sinusitis, the catarrhal form is not prevented by mud treatment in combination with electrophotophoresis and phonophoresis.
It is worth noting
The use of electrophoresis is shown even to people prone to allergic reactions, because the medicine does not enter the digestive system, but directly passes into the "focus of the disease." The most common devices for electrophoresis are Alfor and Potok.
Electrophoresis in sinusitis does not cause allergies, it is safe and effective.
Features of the use of electrophoresis in sinusitis:
- The galvanic current makes it possible to point to the problem area. In addition to sinusitis, electrophoresis can treat sick joints.
- There is a "limit of accumulation" of the drug in the treatment zone by electrophoresis, which helps and after treatment to feel its positive effect.
- The medicine does not enter the gastrointestinal tract, excluding the possibility to influence digestion and cause allergic reactions.
- Medicines come in the form of active ions, which guarantees a therapeutic effect.
Contraindications to the use of the device for electrophoresis in sinusitis are individual intolerance to the drug, increased sensitivity to the drug and intolerance of the drug itself electric current.
.gajmorit.com
Sinusitis. Prompt who how treated? And if physiotherapy is prescribed for maxillary sinusitis?
Answers:
L.Snowy
Heat the salt in a frying pan until a very hot condition is wrapped in two handkerchains to make two hot pads and attach on both sides of the nose closer to the eyes so that the heat was as unbearable but not so that there was a burn later. (hold 20-30 minutes)
the second way to boil the water is to pour in a lot of dill there to have a dill smell, pour a solution with dill into the basin with a towel along with the basin and breathe dill fumes for 20-15 minutes. Pus will start to come out pieces
Irina Irina
at a genyantritis there are versions.. .
purulent - pierce the nasal sinuses, left pus in the forehead - drill a fool and suck out pus from there.. .
but generally rinse and read about cyclamen
Irina Irochka
is best treated with riciniol. the best medium !!!
Alexander Aleshin
Assign. And in general to the doctor it is more visible - he at least examined you. And then you will feed on the advice of people who do not know the difference between sinusitis and the frontitis.
Natali
The main thing is to remark a few times a day! You can drip the aloe juice, diluted in half with boiled water.
Vitaly Lem
The best remedy for sinusitis is to wash the nose with sea water!
Sea water can be bought at the pharmacy, and you can cook yourself: boiled water + salt + soda + iodine.
Wash 2 times a day, morning and evening with a syringe without needles
Tatiana Mogilevets
Punctures only temporarily relieve the condition, in general one must deal with the general improvement of the body. Is it a child or an adult?
Tatyanochka
With a genyantritis in the hospital the last thing! If you just make a puncture - then consider that there you have already registered! People then make these punctures 10 times... .
Try folk techniques.. .
Do this kind of ointment. Very well helps + rinse constantly nose with sea water or "Malavite". I use it from time to time.
We make ourselves a very simple ointment, which has saved more than one hundred people.
In an enamel bowl pour one glass of lean oil, throw there wax, the size of a matchbox and put on a small fire to wax melted. From the previously hard-boiled eggs, we take out the yolk, take from it a half, crush it with a fork on a saucer and with fingers gradually throw in a bowl with hot melted boiling wax. (In a bowl on fire, lean oil will boil, and you will hear lumbago. Here at this moment and throw! But not all at once, but gradually. With the first crumbs of eggs, the contents will foam. Keep a rag in your hand. If the wax is yellow, (and this means the best for the ointment), the entire contents of the bowl can be in one second (overboard). Pick up the bowl with a rag, remove it from the fire for a while, let it overdrive away and all this keep stirring. And so raea three. Everything - the ointment is ready! It remains only to strain it. I do this through nylon tulle, folded in half. Wax is whimsical and gauze does not help here. And the tulle remains, even after repeated use, as a new one. In a glass container, this ointment is stored in the refrigerator for up to ten months.
Monthly antritis before this means is unlikely to stand
Melt in a table spoon, and immediately poured into the pipette ointment dripping nose in the most terrible sinusitis. Do not be afraid, as long as you run to the bed to lie down and drip, the ointment will already cool down and not be hot at all. On the contrary, it can immediately, and freeze, until you choose a comfortable pose. In this case, start overwriting again. Monthly maxillary sinusitis is enough to drip two times in a row with an interval of one hour. Breaks, flies all at once! Do not forget that the ointment pulls on itself pus with tremendous force.
I still use this way to treat sinusitis!
15 drops of eucalyptus oil a teaspoon of honey and freshly brewed tea that's all mixed up and dripped into your nose! The result is excellent minutes after 15 I went from the nose mucus and breathe easily became! and so I drip 4 times a day! !
Tatiana Pronoza
I treated myself like this: in equal quantities, aloe juice, honey, onion juice. Lying on my side I dig in one nostril, so that I get into the maxillary sinus, I lie about five minutes. Then I turn to the other side and also into the second nostril. The procedure is not very easy, because immediately, as it is digested, burns, sometimes strongly, even in the head gives. But we must endure, not more than a minute, the burning sensation passes. But I was cured for three days. But the disease was not neglected and I did not receive medication
How to treat sinusitis in the home - how dangerous?
Read also:
- Effective drugs with genyantritis
- Symptoms of genyantritis
Sinusitis is a disease that occurs due to a mass of causes, the most common of which is the complication after the flu, chronic tonsillitis with untimely treatment.
It also occurs because of year-round allergic rhinitis, curvature of the nasal septum, disease maxillary teeth, such as cysts, periodontitis, purulent pulpitis, deformation of bone structures as a result injury.
Not knowing the exact cause of the onset of inflammation in the maxillary sinuses, without having established an accurate diagnosis and condition in the nasal cavity, one can not begin any treatment.
Why in Russia today a person avoids going to doctors and is looking for information for self-treatment and asks how to treat sinusitis at home? Because the patient has to stand in terrible queues behind the coupon to the doctor, then sit a few more hours, so that the doctor gave him a few minutes of his working time. The exception is paid clinics, but not everyone can afford to pay a lot of money for each visit to the doctor, for each analysis and X-ray.
Sinusitis is a serious disease that can not be treated independently! Treatment of sinusitis should be prescribed only by a doctor after preliminary diagnosis and control results of treatment in dynamics, and folk remedies can be used only after consultation with the treating doctor.
Treating sinusitis with folk remedies is possible, but it's very risky, and often just DANGER! This is fraught with the fact that as a result, you can get at best the transition of an acute process to a chronic, and in worst cases to inflammation of the facial nerve, otitis, the development of meningitis or arachnoiditis.
So, how to treat acute sinusitis?
The choice of the method of competent, effective treatment of sinusitis depends on the causes that caused a difficult outflow mucus from the sinuses of the nose, it can only be determined by a doctor on the basis of data analysis and X-rays.
Vasoconstrictive drugs
Vasoconstrictors, such as Galazolin, Sanorin, Naphthyzine, Nazivin, Otilin, should not be used for more than 5 days, they are of course facilitate breathing and reduce mucosal edema, but with prolonged use lead to abnormal growth of the mucosa shell.
Antipyretic
At a high temperature and severe hyperthermia, any antipyretic agents are indicated.
Antibiotics
Treatment of maxillary sinusitis with antibiotics is indicated in acute maxillary sinusitis with severe intoxication, and if the sinusitis is not allergic, and also is not caused by fungal agents. Using drops in the nose with genyantritis with antibiotic can achieve a high concentration of antimicrobial agents in the area of inflammation - Isofra, Polidex. However, local use of drops is effective at the very beginning of the disease, if in the inflammatory process the adulthood is so narrowed and significantly overlap with the overgrown mucosa, then antibiotics can not reach their goals. Therefore, systemic drugs are used: macrolides (azithromycin, clarithromycin), fluoroquinolones, inhibitor-protected penicillins (amoksiklav).
Sinus clearance
It should be noted that the washing of the maxillary sinuses is performed with purulent maxillary sinusitis, but if inflammation is not allocated, and pus does not accumulate, often only treatment is enough antibiotics. While maintaining normal openings among the maxillary sinuses and other nasal cavities, it is possible to use antibiotics with simultaneous washing with a safe, convenient sinus catheter in the early initial stages of acute sinusitis give effective, excellent results. Washing should be done only by a highly qualified doctor with solutions of either sodium chloride or sea salt.
Rinsing of the nose with antiseptics Dioxydin, Miramistin, Fizrastvor. Dolphin, Aquamaris are expensive analogues of saline.
Other drugs
Homeopathy treatment Gelomirtol is a preparation with anti-inflammatory and weak antibacterial activity. Not an antibiotic Sinupret (drops, spray, pills) - options for pregnant women.
Physiotherapy
When the body temperature becomes normal, the doctor can recommend physiotherapy - UHF, SOLLUX.
You can not!During acute maxillary sinusitis or chronic exacerbation, the area of maxillary sinuses can not be heated with salt, hot eggs and other folk remedies. This will create additional conditions for the accumulation of pus and enhance inflammation. These methods can be used outside the period of exacerbation and only after consulting a doctor.
Folk remedies
Any folk remedies can be used, but only outside the exacerbation of chronic sinusitis, in addition, when choosing a particular method of treatment, one should take into account the fact that any medicinal herbs, especially chamomile, St. John's Wort, Sophora, Kalanchoe, Cyclamen (Sinuforte from sinusitis), honey, propolis are the strongest allergens for sensitive of people.
And today almost every person suffers from various kinds of allergic reactions and it is not known how to react mucous nasopharynx in such tests. Very many cases when cyclamen or Sinuphorte to some people excellently helped in cleansing sinuses, and others caused severe swelling, irritation, loss of smell for a long time, than only aggravated state.
The Bay leaf is also recommended as a decoction among other folk remedies for the treatment of sinusitis, it really contributes to the destruction of bacteria in the nasopharynx and it can be used as an auxiliary, but one bay leaf with an acute process can not cope with the massive accumulation of pathogenic microorganisms. Without antibiotics still can not do, otherwise acute sinusitis can easily pass into the chronic, the treatment of which is much more complicated and prolonged.
Treatment of chronic sinusitis
Home treatment of sinusitis, without examination, X-ray, consultation of an otolaryngologist, dentist, only with the help of folk remedies increases the risk of complications and rarely leads to a cure, the most innocuous, which is possible in this case - the transition of acute sinusitis in chronic.
Such methods of traditional medicine as instillation of garlic or onion juice, tampons from the pulp of chestnut, instillation of cyclamen juice, overdose or misapplication - can lead to a burn of the mucosa, and the home way of treating the sinusitis from the "safe" can turn into a dangerous.
In addition, any medicinal herbs, medicinal recipes of folk medicine can lead to toxic poisoning and unpredictable allergic reactions. Warming up with hot eggs and other drugs in the acute period of inflammation also leads to complications in the form of spread of infection, causing frontalitis.
First of all, it is necessary to eliminate the causes, factors that caused inflammation in the maxillary sinus, usually this curvature of the nasal septum, odontogenic causes (aching teeth), adenoids, chronic diseases ENT-organs.
Local vasoconstrictors, in order to avoid mucosal atrophy, should not be used constantly, but only in short courses.
Also, with the help of a sinus catheter, the doctor makes a sinus wash with disinfectant solutions and antibiotics. First, washing is done with potassium permanganate or rivanol, furacilin, then antibiotics are injected into the cavity.
Physiotherapy is also effective for the treatment of chronic sinusitis, except for exacerbation - it is inhalation, ultraphonophoresis, UHF. Also, people with chronic sinusitis are useful in Speleotherapy.
At home, such speleotherapy can be carried out as a dry inhalation over hot sea salt on the recommendation of a doctor. To do this, grind the sea salt in a mortar, heat it in a frying pan, lay it in a small container, cover with a towel and inhale the salt fumes for 10 minutes, again, this procedure can not be done during an acute inflammatory process, but only as an auxiliary during the period remission.
If the genyantritis is already purulent-polypous, caseous, necrotic or cholesteatomny character - treatment by a sinus evacuator, or antibiotics is not effective. And any cold or hypothermia leads to a recurrence of sinusitis. Then a haymorotomy is performed.
To date, there are unique endoscopic equipment that facilitate the removal of polyps (see. endoscopic removal of polyps in the nose), other obstacles interfering with the exit of mucus from the maxillary sinuses, these are sparing and maximally bloodless methods.
If you have treated sinusitis with any folk remedies, please leave your comments about your method and its effectiveness.
zdravotvet.ru
Physiotherapy with genyantritis
In the absence of exudate or purulent contents in the maxillary cavities, acute or exacerbation of chronic sinusitis can be treated at home. Physiotherapy in genyantritis is based on the application of the laser (magnetolaser) therapy with the help of devices generating radiation of the near infrared part of the optical spectrum (wavelength, μm), in the continuous or pulsed mode of generation of this radiation.
Technique of exposure is contact, stable.
Fields of influence: one or two (with a bilateral process) fields in the region of the pterygoid fossa. MRP OR 5 - 50 mW / cm2. The induction of the magnetic nozzle is 20-40 mT.
Frequency of modulation of radiation: the first 3 - 5 procedures are carried out at a frequency of 80 Hz, all subsequent - with a frequency of 10 Hz.
The time of exposure to one field is 5 minutes, the duration of the course of treatment is 7 to 10 procedures daily 1 time per day in the morning hours (the first two days it is possible to conduct the procedures 2 times a day at intervals of 4-6 h).
What it is necessary to survey?
Gajmorov's sinusWho to contact?
Physiotherapist ENT - doctor Otolaryngologistilive.com.ua
UHF Physiotherapy
The effect on the human body of an ultrahigh-frequency electric field (pulsed or constant) has long been used in medicine. UHF physiotherapy is effective in the treatment of predominantly inflammatory processes, especially acute nature with the formation of pus. In some cases, it is recommended to use it to improve the condition of the patient with locomotor disorders.
Features and mechanism of action of UHF physiotherapy
The presented technique is carried out with the help of a special apparatus - a generator of ultrahigh-frequency current. Condenser plates are connected to it, through which the produced oscillations act on tissues and organs. Due to the fact that the human body practically does not absorb the electric high-frequency field, it can penetrate very deeply. Plates with charge accumulation function are usually arranged in such a way that the area to be affected is located between them, and oscillations permeate through it.
UHF physiotherapy produces the following effect:
- decongestant;
- bacteriostatic;
- anti-inflammatory;
- antispastic;
- regenerative;
- vasodilator.
In addition, this method of treatment significantly enhances the circulation of lymph and blood, increases the activity and the number of leukocytes, suppresses the multiplication of bacteria and slows down the penetration of toxic substances into organism. Therefore, it is most often used to treat purulent inflammatory processes of the upper respiratory tract, nasopharynx, and ears.
UHF physiotherapy with bronchitis
In the fight against this disease requires a comprehensive approach and additional physiotherapy procedures such as inhalation, exposure to a magnetic field, ultraviolet irradiation and, of course, UHF sessions.
In obstructive, respiratory, acute and asthmatic bronchitis this method of therapy allows you to achieve rapid subsidence of the inflammatory process, improve the outflow of mucus with purulent contents. UHF is assigned a course of 5-7 sessions of 10 minutes. Procedures should be performed daily in mild thermal dosages, not more than 30 W.
UHF physiotherapy with genyantritis
If there is no fever and a periodic increase in body temperature above 38 degrees, this treatment method helps to stop growth of bacterial colonies in the maxillary sinuses and accelerate the creation of a protective leukocyte barrier in the propagation of pathogenic organisms. In addition, UHF promotes vasodilation, which facilitates the washing of the nose and the removal of mucous aggregations from it.
The procedures are conducted around 15 minutes in 15 daily sessions. The strength of the current is selected depending on the degree of the disease. With a marked improvement in the patient's condition, the intensity of exposure is reduced.
UHF for otitis
Physiotherapy is effective both in the treatment of acute otitis, and during relapses of the chronic form of the disease. In the early stages of the inflammatory process, no more than 5-6 procedures are required for 5-7 minutes. In this case, the ear should be affected by a small (1-2 cm) air gap. The power output current is thus low - 15 watts. A purulent otitis in the started form needs to be treated longer, it is appointed up to 15 sessions.
UHF physiotherapy - contraindications
In the course of medical research, it was found that the proposed type of treatment is dangerous to use in the following situations:
- tendency to bleeding, systemic blood diseases;
- fever;
- cancerous tumors;
- hypotension;
- pulmonary tuberculosis (active);
- myocardial infarction;
- heart failure, especially in stages 2 and 3;
- adhesive disease;
- aortic aneurysm;
- pregnancy from the second trimester;
- purulent encysted processes;
- The presence of a pacemaker in the area where the current is supposed to be affected.
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