RESUMO
The study of 67 chronic biliary patients (36 - gallbladder dysfunction, 25 acalculuous cholecystitis, 6 - cholelithiasis) was revealed their functional dysadaptation characterized by gallbladder dysmotility and autonomic dysfunction. Vegetotropic therapy (Propranolol, Metoclopramid, Atropine) according to the autonomic regulation activity has advantages in correction of the gallbladder dysmotility in comparison to the routine pharmacotherapy. Hypobaric hypoxic adaptation results in the increase of gallbladder emptying that opens perspectives for the non-pharmacological correction of the gallbladder hypokinetic dyskinesia.
Assuntos
Adaptação Fisiológica/fisiologia , Sistema Nervoso Autônomo/efeitos dos fármacos , Discinesia Biliar/terapia , Esvaziamento da Vesícula Biliar/fisiologia , Vesícula Biliar , Hipóxia/fisiopatologia , Adolescente , Antagonistas Adrenérgicos beta/administração & dosagem , Antagonistas Adrenérgicos beta/uso terapêutico , Adulto , Discinesia Biliar/diagnóstico por imagem , Discinesia Biliar/tratamento farmacológico , Discinesia Biliar/fisiopatologia , Colecistografia , Antagonistas de Dopamina/administração & dosagem , Antagonistas de Dopamina/uso terapêutico , Feminino , Vesícula Biliar/diagnóstico por imagem , Vesícula Biliar/inervação , Vesícula Biliar/fisiopatologia , Esvaziamento da Vesícula Biliar/efeitos dos fármacos , Humanos , Masculino , Metoclopramida/administração & dosagem , Metoclopramida/uso terapêutico , Pessoa de Meia-Idade , Papaverina/administração & dosagem , Papaverina/análogos & derivados , Papaverina/uso terapêutico , Parassimpatolíticos/administração & dosagem , Parassimpatolíticos/uso terapêutico , Propranolol/administração & dosagem , Propranolol/uso terapêutico , Resultado do Tratamento , UltrassonografiaRESUMO
The influence of hypobaric hypoxia (HH) on the bronchial tree smooth muscle state at 208 men was investigated. It was shown, that HH relaxes smooth muscle of bronchus, eliminating the phenomena of bronchismus, is activities mucocilsary clearance. The increase of the forced speed of an exhalation for 1 sec in one month after ending a course (2.5 + 0.25 l/sec against 2.1 + 0.13 l/sec) was marked. In 6 months after ending a course of HH the forced speed of an exhalation for the first second continues to grow and is statistically authentically above initial (2.6 + 0.15 l/sec). The increase of an Teffno index was marked which in 6 months of treatment comes nearer to 100% (97.5 + 6.1 against 79 + 2.6%).