Diversionary procedures

Everyone in general, understand what it is and what will be discussed, but to find a special medical literature intelligible definition fails. And there is a specific reason, because the term "diversionary procedures" brings a lot of variety of thermal, mechanical and irritating to humans. Referred to diversity affects a variety of areas of impact (thorax, legs, neck, etc.), a variety of heat sources, a variety of tools, specifically irritating the skin and mucous membranes.

Modern medical science refers to the distraction procedure is very specific. In any serious leadership, not a single textbook in any book you can not find specific instructions, say for SARS should be mandatory to put mustard or prenepremenno should soar legs or neck should immediately wrap a warm scarf. All indications are that strange, vague, unspecified. "Sometimes it helps to ...", "you can try ...", "is often used ...", "may be effective ..." - and stuff like that. But the farther away from textbooks and monographs, the closer to the reference book for nurses, to books and magazines for parents - more often referred to and recommended diversionary procedures, the greater the importance attached to their application.

Nevertheless, that there were not writing books, books and magazines, each adult has his own, strictly personal idea of how effective these procedures or not, because of the experience of their use on themselves and immediate family. After all, the need to put banks soar feet and winding neck warm scarf has its roots in childhood ... In my childhood, when we were sick and when loving parents we fell asleep in the mustard socks and we fell asleep in these socks and woke up almost healthy ... and a clear relationship - first mustard socks (banks, warm shawls) - then recovery - is present in the minds of most of the adult population at a subconscious level.

Therefore, I repeat that there is no written smart and not very smart book, change the average mums and dads to distraction procedures is almost impossible, because the ratio is not justified by common sense and logic, emotions, memories, nostalgia for childhood ...

And that says medical science?

In recent years, almost nothing. That is, no modern research on the effectiveness and feasibility of distraction procedures in ARI does not exist. And this is a scientific explanation.

The vast majority of ARI - is SARS. And it is precisely when SARS diversionary procedures are used most often.

The average duration of ARI - 5-7 days. Reduce these periods can not in any way, since they are due to immutable biological laws - timing and terms of education interferon antibody. Prove scientifically prove that recovery is within 5-7 days was not because of interferon and antibodies, and under the influence of mustard plasters, cans and compresses impossible.

And what is most interesting - no one argues.

Prolonged illness related to the properties of the virus, with the state of immunity, in violation of the rules of patient care - ie, with disregard for the basic principles concerning the parameters of the air mode, food and drink. Prove scientifically prove distracting procedure may prevent complications, not to mention the fact, that complications are cured - is impossible. Can not primarily because the properties of the virus, immune status and organization of patient care - factors many times more significant than poured into socks mustard.

The obvious consequence - one to prove and is not trying!

But it is the doctors for many years encouraged and continue to recommend the procedure distracting - it's not in a pure form of folk art, here the influence of people in white coats looms. And all these "years" of doctors was asked: why? Why this should be done, why it helps? And professors at medical schools, listing the possible options for treatment ARI, explained to innocent students "physiological mechanisms of the therapeutic effect of diversionary procedures."

Let us and we will join to these explanations, and again repeat the question: why is it helping?

It is easiest to justify and explain the effectiveness of thermal treatments. Thermal effect leads to expansion brand name viagra of blood vessels to enhance blood circulation in the body subjected to heat. By thermal procedures include bath, warming packs, application of hot wax, wraps and body wraps, poultices and warmer.

Vasodilation and increased blood circulation may cause not only warmth, but also irritation of the skin to certain substances - with mustard, pepper, menthol (hundreds of such substances). This effect, ie, irritant, a theoretical justification of the effectiveness of numerous grinding, Capsicum plaster, mustard plasters, mustard wraps, etc.

And the heat and irritant effects may be highly directional. That is, we are working not on the body in general, not the neck or chest, and the special zone that has the reflex influence. And here we invade a fairly specific area of medicine, called reflexology.

The essence of acupuncture is that the impact on a biologically active point is accompanied by a very specific physiological effects - a decrease in pain, spasm, improve blood circulation, etc. The most interesting thing is that the active point and the resulting effect is at first glance have nothing to each other are not linked - the point can be located on the earlobe, and the pain and spasm will decrease in the gallbladder. Reflexology includes, for example, acupuncture, auriculotherapy, elektropunkturu1.

In addition to the biologically active points and is biologically active or, in other words, the reflex zones. A typical example of such a zone - a stop. Impact on the foot cold - stuffy nose, the effects of heat - the restoration of nasal breathing. That this stimulation reflex zones and substantiates the efficiency of the famous distraction procedure called "hover legs." Another example - mustard, which are placed on the calf muscles: to assume that it reduces the swelling of the throat and to recommend, respectively, for cereals and laryngitis.

It should be noted that clever arguments about the stimulation of reflex zones cause is usually irritation of the unprepared parent audience, so the doctors time and again in such a complex matter, not profound, and explains it all much easier. Something like this: a child laryngeal edema, we put a mustard plaster on the calf muscles, the blood to the muscles priletsya, and from the larynx otoletsya - that swelling and decrease. Such explanations clearly good enough for everyone, as evoke associations with the common school puzzles about the pool, and two pipes, of which something was poured and poured something ...

Paying tribute to the theory, ie, providing interested readers with a theoretical basis whether diversionary procedures allow ourselves some more clarification - now practical.

Since ancient times, traditional healers knew that the serious infectious diseases, which runs with normal body temperature - it is very bad and hope for a cure there is little, because the body, as is customary to say "no fighting". A chance for salvation - at any cost increase body temperature. One way - rub in baby skin animal fat (goat, goose, badger, bear, etc.) then wrap in a variety of odezhek. Fat blocking heat loss through the skin, reducing heat loss will lead to an increase in body temperature. The second way - to omit the child in hot water (no baths), the third - wrap in a sheet with the local irritating agent (the most famous wraps - mustard).

As a result of these activities is illusory hope that the body temperature actually rises in the course of the disease turning point, and one of the several thousand recover. And then word of mouth, from family to family, tribe in the tribe will rapidly spread legends about the miraculous properties of badger fat and all this will be accompanied by a mass extermination of badgers and the growing prosperity of hunters for badgers.

Once again we draw attention to the fact that the heat and irritant effects of expanding blood vessels and stimulate blood circulation. However, vasodilation and increased blood flow are, in turn, the main components of any acute inflammatory process.

The influenza virus has caused bronchitis. This means, in bronchial mucosa appeared inflamed, and this means that in the bronchial mucosa widened blood vessels and increased blood circulation.

Streptococcus called angina. This means there was an inflammation of the lymphoid tissue of tonsils and this means that in the inflamed tonsils enlarged blood vessels and increased blood circulation.

Flowering ragweed led to the development of allergic rhinitis - in the inflamed mucosa of the nasal passages enlarged blood vessels and increased blood circulation.

From the examples follows the important and obvious rule:

in acute respiratory diseases when there is a rise in body temperature and the actual violation of general condition, heat and irritating distraction procedures are contraindicated, since stepping up an already active inflammatory process.

In the course of the disease turning point - began recovery. When it comes to uncomplicated ARI, so everything will recover by itself within a few days. But if there was a serious, intensive, extensive inflammation - pneumonia, bronchitis, sinusitis, etc. - it is clear that it will take time to recover, heal damaged tissue. Activate blood circulation in the affected area - means to accelerate the healing process.

Therefore, heat and irritating distraction procedures can be effective at the stage of recovery, because the activate blood circulation in organs and tissues affected by inflammation.

Child was ill with pneumonia. A week later, the state has improved, the temperature returned to normal, but still have a cough and the doctor hears the right under the shoulder blade decreased breath. The right to lie sideways on a warm heater, warm paraffin wax, rub with fragrant balsam plant - and why not.

Another important aspect of thermal (annoying) procedures - understand that we Gray (annoying), and for what purpose. Take, for example, a very common method of treatment "sore throat" - heating compress on his neck. The maximum that can be heated at the same time - so it's skin of the neck, but the extra scarf in no way adversely affect the course of the disease, and many children walk in a scarf like this - go to health.

Mustard, installed on your chest, lead to skin irritation and increased blood flow in those areas of skin that come into contact with mustard. Reddened skin under the mustard plaster does not mean that increased blood flow affected organs and tissues below the zone of redness - subcutaneous fat, ribs, external and internal intercostal muscles, pleura, and got right up to easy! Nothing like this happens and can not occur. There is speculation that irritates the yellow card on the back of reflex zones, and it activates the blood circulation in the lungs. But to prove this is difficult, almost impossible. Impossible, as experienced by the child's pain and discomfort, accompanied by an increase in the frequency and depth of breathing, which, in turn, increases pulmonary blood flow. And look here - circulation has intensified due to the influence of reflexogcnic mustard or because the baby cried? And how can we advise the mustard, if no one knows whether the sense of them, but certainly we know that the child, it will be unpleasant?

And another, more precisely two points regarding the impact on the reflex zones: virtually all serious scientific guidelines state that there are two contra-indications to reflexology -

· Acute infectious disease.

· Age younger than 1 year.

With age, in principle, is not so simple. Functional immaturity of the nervous system in children is often manifested instability reflexes when a response to a completely standard exposure is not the same as expected. Therefore, the effect on the reflex zones are not always justified, and this insecurity, uncertainty, uncertainty in the results of treatment are expressed more strongly than the younger child. Not surprisingly, the year before reflexology contraindicated, and after years and years, to about seven - is risky.

Diversionary procedures involve a number of aspects relating more to psychology than to reflexology.

Imagine a classic situation: a five-year Serezhe put mustard. The boy bravely endures, that is, trying to cry softly, running around worried relatives. Continually heard comments: "well done", "should suffer a little more," real man "," men do not surrender, "etc. After ten minutes of execution comes to an end. Mustard is removed, Sergei stops crying. - Do you feel better? - Anxiously asked executor. - Much more! - Responsible nesdavshiysya sailor and relatives are doing a very "logical" conclusions about what has become easier precisely because of mustard plasters.

Different situation. The girl Natasha SARS. Feels she is doing well, and occasionally coughs, body temperature is low - in general, do not worry. And Natasha's mother "does nothing": aired room navarila compote and all. But nearby is Natasha's grandmother, who for the fifth time in the evening, said that when Natasha's father was ill, she is not lazy and always hovered him leg ... The choice of Natasha's mom is small - or soar legs, or to sort things view of normal men out (with mom dad! !). Hover legs, of course, easier ...

Child is sick! How can we help? What should I do? And anyway, you can not sit idly by! It is necessary to alleviate suffering, to eliminate the symptoms, try, warning in advance. In short - WE MUST DO SOMETHING! What? And the range of possible actions line up of action set for every taste, at any age, any character. We only need to choose - compresses, banks, poultices, hot-water bottles, mustard ... chosen. Do. As it becomes easy! Firstly, we are not sitting, we act, we really help, and secondly, distracting procedure really distract us from unwanted thoughts, lamentations, from fear, from anxiety of the unknown.

So, to summarize.

• All diversionary procedures can be divided into three groups, depending on the mechanism for obtaining the therapeutic effect - heat, irritating and affecting the reflex zones.

· Heat and annoying procedures are contraindicated in the acute phase of acute respiratory infections and may be used only at the stage of recovery.

· Effects on reflex zones is contraindicated in infectious diseases and in children the first year of life, it is risky for preschoolers.

· Prove the effectiveness of diversionary procedures impossible because of the disease at which these procedures are used very short-lived and safely end recovery without distraction procedures.

· The most important and persuasive effect of distracting procedure consists in the fact that relatives of the child the opportunity to do "anything" for a sick child.

Since the main distractions in the proceedings - a distraction from the sad thoughts of parents, it is very important that they (and thoughts, and procedures) did not give the child discomfort and poses no threat to his health.

Below we describe some of the possible distractions procedures. Descriptions of these can not be taken as a recommendation: The author of this book, in principle, does not assign their patients to distraction procedure, because convinced that the conversation with his parents - a more rational way of psychotherapy. Nevertheless, we did all live in a country where opinion grandmother, friend or neighbor on porch is often more important than the recommendations of doctors. And you still want to put a child can. The task of the author to make, again, to minimize the threat to health and to encourage you to ensure that you deliberately did not give their children uncomfortable.