ARTRITA

 

 

Artrita descrie un grup foarte mare de afectiuni (peste 100) caracterizate de  inflamatia articulatiilor, insotita de dureresși limitarea posibilitatilor de miscare (uneori pot aparea si: tumefactie, temperatura locală crescuta, inrosirea tegumentelor periarticulare).

Cele peste 100 de tipuri de artrita pot fi clasificate dupa:

(a) evolutie:  artrite acute (debut brusc si evolutie sub 6 saptamani) si cronice (evolutie peste 6 saptamani)

(b) numarul articulatiilor implicate: mono- (1 artic), oligo- (2-4 artic.), poli- (cel putin 5 artic)

(c) dupa repartitia articulatiilor implicate: artrita simetrica sau asimetrica

(d) dupa tipul lor – cele mai frecvente tipuri de artrita sunt:

  • osteoartrita (contributor major la artroza, afecțiune caracterizată prin degradarea cartilajului și osului subcondral, la nivelul unei articulatii si care, adesea implica principalele articulatii portante (sold sau genunchi)
  • artrita reumatoida – afectiune autoimuna, in care inflamația distruge progresiv structurile articulare
  • artrita psoriazica – afectiune autoimuna, aparuta la cca 10-30% dintre bolnavii de psoriazis, de obicei la cei cu varsta inte 30-50 ani
  • artrita gutoasa – afectiune cauzată de acumularea de acid uric în articulatii.
  • artrita infectioasa (sau septica) – determinată de bacterii, ricketsii, mycoplasme, virusi, fungi sau paraziti.
  • artrita idiopatica juvenila – termen generic ce descrie diverse conditii patogene (autoimune si inflamatorii) care se intalnesc la copii (pana la varsta de 16 ani)
  • spondilartrita – termen generic ce se refera la o familie de afectiuni inflamatorii reumatismale care se caracterizează prin afectarea in primul rand a entezelor (structurile prin care ligamentele și tendoanele se atasează de oase) si, evoluează cel mai adesea cu implicarea structurilor coloanei vertebrale

 

SUPORTUL INFO-ENERGETIC IN ARTRITA

Suportul informational este important pentru identificarea tipului de artrita si a a cauzelor sale:   explorarea energetica functionala poate evidentia procesele existente (inflamatie, autoimunitate, necrozare etc), profilul citokinelor (IL-1b, TNF-a), profilul hormonilor catabolici posibil implicati (ex. cortizol), excesul de enzime proteolitice endogene de tipul colagenazei, elastazei, hialuronidazei, deficite nutritionale etc,  precum si traumele contributoare la afectarea unor zone specifice (mai ales cele de la nivelul coloanei).

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Suportul energetic este constituit dintr-un complex personalizat si neinvaziv de terapii care adreseaza tipul existent de artrita:

  • pentru osteoartrita (sau artrita degenerativa), electroterapia urmareste reducerea inflamatiei locale si stimularea microcirculatie pentru cresterea absorbtiei nutrientilor necesari refacerii cartilajului, ceea ce duce la cresterea mobilitatii;
  • pentru artritele inflamatorii specifice bolilor autoimune (artrita reumatoida, artrita lupica, artrita psoriazica etc), electroterapia se focuseaza pe echilibrarea sistemului imunitar pentru reducerea atacului citokinelor si a inflamatiei reactive care le insoteste;
  • pentru artrita gutoasa, terapia urmareste reducerea depozitelor de acid uric (vezi Guta) si reducerea toxiictatii acestuia – de ex. prin stimularea productiei de oxid nitric (pentru crestrea vasodilatatiei si stimularea circulatiei) si reducerea inflamatiei.

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In plus, la toate tipurile de artrite, se urmareste reducerea durerii si scaderea stresului mentalo-emotional in scopul echilibrarii nivelului de cortizol, (hormon distructiv la nivelul cartilajelor), cu efecte benefice secundare:  imbunatatirea somnului si a dispozitiei, reglarea tensiunii arteriale, accelerarea repararii tesuturilor, incetinirea ritmului de imbatranire etc.

Suportul informational si terapiile energetice sunt integrate in modelul de coaching co-activ pentru sanatate, care ajuta pacientul sa-si activeze resursele proprii pentru a-si transforma sanatatea si a se bucura de o noua calitate a vietii.

 

 

REFERINTE:

    • “A double-blind trial of the clinical effects of pulsed electromagnetic fields in osteoarthritis” – Trock DH, Bollet AJ, Dyer RH Jr, Fielding LP, Miner WK, Markoll R., Department of Medicine (Rheumatology), Danbury Hospital, CT - J Rheumatol 1993 Mar;20(3):456-60
    • “Effect of bioresonance therapy on antioxidant system in lymphocytes in patients with rheumatoid arthritis” -  Islamov BI, Balabanova RM, Funtikov VA, Gotovskii YV, Meizerov EE. – Bull Exp Biol Med. 2002 Sep;134(3):248-50.
    • “BioResonance-alternative medicine that relieves arthritis pain” – Alan Kotowich, Bio Resonance Technology Inc
    • “Outpatient bioresonance treatment of gonarthrosis”  – Maĭko OIu, Gogoleva EF   – Ter Arkh. 2000;72(12):50-3.
    • “Efficacy of low frequency pulsed subsensory threshold electrical stimulation vs placebo on pain and physical function in people with knee osteoarthritis” – Negm A, Lorbergs A, Macintyre NJ. -  Osteoarthritis     Cartilage. 2013 Sep;21(9):1281-9
    • “Non-invasive electromagnetic field therapy produces rapid and substantial pain reduction in early knee osteoarthritis: a randomized double-blind pilot study”  -   Nelson FR, Zvirbulis R, Pilla AA. – Rheumatol Int. 2013 Aug;33(8):2169-73
    • “Effects of pulsed electromagnetic field on knee osteoarthritis: a systematic review “ - Ryang We S, Koog YH, Jeong KI, Wi H. - Rheumatology  (Oxford). 2013 May;52(5):815-24
    • “Effect of pulsed electromagnetic fields on the bioactivity of  human osteoarthritic chondrocytes” -  Sadoghi P, Leithner A, Dorotka R, Vavken P.  – Orthopedics 2013 Mar;36(3):e360-5
    • “Low frequency pulsed electromagnetic field–a viable alternative therapy for arthritis “  - Ganesan K, Gengadharan AC, Balachandran C, Manohar BM, Puvanakrishnan R.  -  Central Leather Research Institute,  Adyar, Chennai 600 020, India;  J Rehabil Med. 2009 May;41(6):406-11
    • “Effectiveness of pulsed electromagnetic field therapy in the management of osteoarthritis of the knee: a meta-analysis of randomized controlled trials” -  Vavken P, Arrich F, Schuhfried O, Dorotka R., Department of Orthopedic Surgery, Children’s Hospital Boston, USA
    • “The effect of pulsed electromagnetic fields in the treatment of cervical osteoarthritis: a randomized, double-blind, sham-controlled trial” -  Sutbeyaz ST, Sezer N, Koseoglu BF – Rheumatol Int. 2006 Feb;26(4):320-4. Epub 2005 Jun 29
    • “Reversal of delayed union of anterior cervical fusion treated with pulsed electromagnetic field stimulation: case report”  – Mackenzie D, Veninga FD.  – Department of Surgery, Medical Center of Plano, Plano, TX, USA – South Med J. 2004  May;97(5):519-24
    • Modification of osteoarthritis  by pulsed electromagnetic field–a morphological study” Ciombor DM, Aaron RK, Wang S, Simon B. -  Department of Orthopaedics, Brown Medical School, Providence, USA  - Osteoarthritis Cartilage. 2003  Jun;11(6):455-62.
  • “Electromagnetic fields for the treatment of osteoarthritis”  - Hulme J, Robinson V, DeBie R, Wells G, Judd M, Tugwell P.  - Institute of Population Health – University of Ottawa, Canada  – Cochrane Database Syst Rev.  2002;(1):CD003523
  • Comparison between the  analgesic and therapeutic effects of a musically modulated electromagnetic field (TAMMEF) and those of a 100 Hz  electromagnetic field: blind experiment on patients suffering from cervical spondylosis or shoulder periarthritis” – Rigato M, Battisti E, Fortunato M, Giordano N. , Department of Physics, Section of Medical Physics University of Sienna, Italy  – J Med Eng Technol. 2002          Nov-Dec;26(6):253-8
  • Pulsed magnetic field therapy for osteoarthritis of the knee–a double-blind sham-controlled trial”  – Nicolakis P, Kollmitzer J, Crevenna R, Bittner C, Erdogmus CB, Nicolakis J. – Department of Physical Medicine and Rehabilitation, AKH Wien, University of Vienna – Wien Klin Wochenschr 2002 Aug 30;114(15-16):678-84
  • Low-amplitude, extremely low frequency magnetic fields for the treatment of osteoarthritic knees: a double-blind clinical study”  – Jacobson JI, Gorman R, Yamanashi WS, Saxena BB, Clayton L. - Institute of Theoretical Physics and Advanced Studies for   Biophysical Research  – Altern Ther Health Med 2001  Sep-Oct;7(5):54-64, 66-9
  • “Chondroprotective effects of pulsed electromagnetic fields on human cartilage explants”-    Ongaro A, Pellati A, Masieri FF, Caruso A, Setti S, Cadossi R, Biscione R, Massari L, Fini M, De Mattei M.  – Bioelectromagnetics. 2011 Oct;32(7):543-51.
  • “Effects of pulsed electromagnetic field on knee osteoarthritis: a systematic review” -  Ryang We S, Koog YH, Jeong KI, Wi H.
    Rheumatology (Oxford). 2012 Apr 13.

 

 

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