International Journal of Medical Sciences And Clinical Research
29
https://theusajournals.com/index.php/ijmscr
VOLUME
Vol.05 Issue02 2025
PAGE NO.
29-32
10.37547/ijmscr/Volume05Issue02-06
Effectiveness of intravenous laser blood irradiation
(ILBI) and local laser therapy in optimizing conservative
treatment of pneumonia
Tukhtaeva Mashkhura Mukhiddinovna
Assistant of the Department of Propaedeutics of Childhood Diseases, Uzbekistan
Received:
11 December 2024;
Accepted:
13 January 2025;
Published:
15 February 2025
Abstract:
Treatment of pneumonia is a pressing tissue at present, due to its widespread prevalence and associated
severe complications, such as pleurisy, emphysema, cardiovascular diseases, glomerulonephritis, exacerbation of
allergic diseases. Laser therapy, if there are appropriate indications, can be performed on children of any age from
birth. However, it is necessary to take into account the characteristics of young patients, know the rules for
prescribing laser therapeutic procedures, schemes for choosing the most optimal methods and their parameters,
which differ significantly from those recommended for adults.
The works devoted to this topic are analyzed, the rules for selecting parameters and principles for choosing laser
therapy methods are systematized, taking into account the age and state of the child's nervous system, allowing
for treatment to be carried out as safely and effectively as possible.
Keywords:
Iaser therapy, pediatrics.
Introduction:
Laser therapy
(LT) has long been
successfully used in practical healthcare not only by
physiotherapists, but also by doctors of other clinical
specialties, which is facilitated by a deep understanding
of the mechanisms of the biomodulating action of low-
intensity laser radiation (LILI), the historical continuity
of the method, its absolute safety and the highest
efficiency. The LT methodology is well developed for
use in almost all areas of modern medicine: pediatrics,
obstetrics and gynecology, endocrinology, andrology
and urology, dermatology and cosmetology, neurology,
otolaryngology, psychiatry, dentistry, etc.
Pediatrics is no exception, although for laser
illumination of children, LT methods are significantly
adjusted, it is necessary to take into account the
physiological characteristics of young patients, know
the rules for prescribing laser therapeutic procedures,
schemes for choosing the most optimal methods and
their parameters, which differ significantly from those
recommended for adults. If there are appropriate
indications, laser therapy can and should be performed
on children of any age from the moment of birth, but it
is imperative to know the features of the methodology.
The child's div is highly labile, its reaction to even the
most minimal laser exposure is much stronger than that
of adults, and the younger the child, the more
pronounced. Therefore, the energy parameters of laser
therapy methods are important first and foremost, and
their selection must be approached with extreme care.
The adaptive capacity and initial state of the child's
div
also
largely
predetermine the
clinical
effectiveness of the treatment as a whole. The correct
assessment of the state of the neuroendocrine and
cardiovascular systems, metabolism and psycho-
emotional state of the child is essential for laser
therapy of children and adolescents. The parameters of
the technique are adjusted in accordance with these
data.
The article for the first time brings together and
systematizes well-known and time-tested rules for
optimizing laser therapy methods in pediatrics.
Peculiarities of choosing laser therapy methods in
pediatrics.
First of all, we are talking about the
appropriateness of the appointment and use of such
methods as VLOC and intracavitary procedures. Clinical
experience shows that the use of modern laser
International Journal of Medical Sciences And Clinical Research
30
https://theusajournals.com/index.php/ijmscr
International Journal of Medical Sciences And Clinical Research (ISSN: 2771-2265)
therapeutic devices and LT methods in most cases
allows us to abandon invasive methods of laser
illumination in pediatric practice.
Indications
The MATRIX and LAZMIK series laser therapeutic
devices are used for non-invasive and cavity laser
therapy in many areas of medicine. The devices are
intended for professional use by doctors in a wide
range of medical institutions.
MAIN EFFECTS OF LASER THERAPY:
•
Reduction of pain syndromes of neurogenic
and organic nature
•
Correction of immune system parameters
•
Improving hemodynamics
•
Pronounced anti-inflammatory and anti-
edematous effect
•
Activation of reparative and regenerative
processes
•
Restoration of homeostasis regulation systems
INDICATIONS FOR USE
THERAPY
: ischemic heart disease, angina at rest and
exertion, post-infarction cardiosclerosis, hypertension,
vegetative-vascular
dystonia,
diseases
of
the
gastrointestinal tract and musculoskeletal system
SURGERY
: wounds, burns, frostbite, bone fractures,
traumatic injuries of internal organs, infiltrates,
purulent diseases of soft tissues and bones, proctitis,
paraproctitis, anal fissures, furuncles, carbuncles,
phlegmon; phlebitis, thrombophlebitis, obliterating
endarteritis,
trophic
ulcers,
hemorrhoids,
lymphadenitis, heel spurs.
ENDOCRINOLOGY
: autoimmune thyroiditis, diabetes
mellitus, endocrinopathies.
NEUROLOGY
: chronic cerebral ischemia, rehabilitation
after stroke, osteochondrosis, radiculitis, cervical-
brachial syndrome, neuritis and neuralgia of various
localizations, neuroses, multiple sclerosis, pain
syndrome.
GASTROENTEROLOGY
: gastritis, gastric ulcer and
duodenal ulcer, pancreatitis, diffuse liver damage, liver
cirrhosis, biliary dyskinesia, acute and chronic
cholecystitis, colitis.
PULMONOLOGY
: bronchitis, bronchial asthma, acute
and chronic pneumonia, pulmonary tuberculosis,
pneumosclerosis, pleurisy.
ENT DISEASES
: eczema of the auricle, external auditory
canal, otitis, salpingootitis, rhinitis, sinusitis, tonsillitis,
adenoids, pharyngitis, laryngitis.
UROLOGY
:
acute
and
chronic
pyelonephritis,
urolithiasis, cystitis, urethritis, prostatitis, pathology of
spermatogenesis, Peyronie's disease, enuresis, sexual
disorders, infertility.
OBSTETRICS AND GYNECOLOGY
: perineal ruptures
during childbirth, cracked nipples, lactation mastitis,
mastopathy,
dysfunctional
uterine
bleeding,
endometritis, endocervicitis, cervical erosion, acute
and chronic adnexitis, chronic salpingo-oophoritis,
vulvovaginitis, vulvar kraurosis, infertility, fetoplacental
insufficiency.
DERMATOLOGY, COSMETOLOGY
: neurodermatitis,
eczema, psoriasis, allergic dermatitis, herpes, warts,
abscessing
acne,
epidermophytosis,
alopecia,
prevention of skin aging.
DENTISTRY
: uncomplicated dental caries, pulpitis,
periodontitis, herpetic stomatitis, desquamative
glossitis, lesions, ulcers and erosions of the oral
mucosa, exfoliative cheilitis, chronic cracked lips,
chronic sialoadenitis.
PEDIATRICS
: diseases of the bronchopulmonary system
and gastrointestinal tract, infectious diseases.
SPORTS MEDICINE
: rapid restoration of athletes'
performance after sports overloads, injuries, activation
of a productive psychophysical state before important
competitions.
Contraindications
Contraindications to the appointment of laser therapy
procedures are divided into general and specific. It
should be noted that there are no absolute and specific
contraindications to laser therapy (except for phobia
and individual intolerance), however, depending on the
patient's condition, the phase of the disease and other
factors, some restrictions are possible.
GENERAL CONTRAINDICATIONS FOR LASER THERAPY*
•
Hemorrhagic syndrome
•
Neoplastic syndrome
•
Hyperthermic syndrome (fever; patient's div
temperature over 38 °C)
•
Syndrome of systemic (cardiac, vascular,
respiratory, renal and hepatic) and multiple organ
(general severe condition of the patient) failure
•
Cachectic
syndrome
(sharp
general
exhaustion)
•
Epileptic syndrome
•
Hysterical syndrome
•
Convulsive syndrome
Specific contraindications for the use of combined and
combined laser therapy methods in urology and
andrology, taking into account the features of the
Matrix-Urologist device
International Journal of Medical Sciences And Clinical Research
31
https://theusajournals.com/index.php/ijmscr
International Journal of Medical Sciences And Clinical Research (ISSN: 2771-2265)
For vibration magnetolaser massage:
•
Exacerbation of general infections and
purulent diseases
•
Increased div temperature
•
Exacerbation of chronic prostatitis and chronic
urethritis
•
Tuberculosis of the genital organs
•
Prostate cancer and stones
•
Anal fissures
•
Proctitis, paraproctitis
•
Exacerbation of hemorrhoids
•
Presence of acute infections
For local laser negative pressure (LLNP):
•
Inguinal and inguinoscrotal hernias
•
Varicose veins of the spermatic cord 2nd and
3rd degree
•
Thrombophlebitis of the veins of the pelvis and
lower extremities
•
Hydrocele of the testicle and membranes of
the spermatic cord
•
Phimosis and paraphimosis
•
Acute inflammatory diseases of the genital
organs.
For intravenous laser irradiation (illumination) of
blood:
•
Myocardial infarction in the subacute and
scarring periods
•
Post-infarction angina
•
Anemia (Hb<80g/l)
•
Circulatory failure stage IIa
–
III
Specific contraindications for the use of combined and
combined laser therapy methods in gynecology,
taking into account the features of the Matrix-
Urologist device
•
Uterine fibroids
•
Itching of the vulva due to diabetes mellitus,
helminthic invasion
•
Acute bartholinitis in the abscess formation
stage
•
Suppurating Bartholin's gland cyst
•
Ovarian tumors and cysts
Laser therapy procedures for women begin on the 5th-
7th day of the menstrual cycle.
Pregnancy, age, active tuberculosis, cancer and the
presence of benign prostatic hyperplasia (BPH) are not
absolute contraindications for laser therapy, however,
in this case, only specialists with the appropriate profile
should prescribe and carry out procedures.
Physiotherapy for children of all ages should begin with
minimal dosages and duration of procedures, daily
monitoring of the local and general (well-being, sleep,
appetite, activity, etc.) response to the treatment and
gradually changing (increasing) both parameters if the
patient reacts adequately. In preschool children, the
first procedures are best performed in the presence of
a doctor who can objectively assess the child's reaction,
clarify the technique and adjust the parameters of the
effect. The chronobiological approach to organizing
physiotherapy increases the effectiveness of the latter
due to the synchronization of external influences with
the physiological state of the child's div.
Objective of the study. To substantiate and evaluate
the effectiveness of intravenous laser blood irradiation
(ILBI) and local laser therapy in optimizing conservative
treatment of pneumonia.
METHODS
About 120 newborn children with grade 1 respiratory
failure pneumonia were examined; the dynamics of
immunological parameters under the influence of VLOC
and local laser therapy were studied in these children.
RESULTS
The study of immunological indices in children with
pneumonia reliably suppressed immune system. After
intravenous laser irradiation of blood in patients gives
high clinical and immunological efficiency. After
treatment with local laser therapy, immunological
indices did not change significantly, which indicates low
clinical efficiency.
The processing of the obtained results by the Student's
criterion showed that with VLOC for IgM the criterion
tрас = 2.38, IgG tрас = 2.62, IgA tрас = 1.42 with the
tabular value of the criterion ttable = 2.04. It follows
that the comparison shows a good effect of VLOC for
IgM, IgG, and for IgA the changes are insignificant. With
local laser therapy, the same indicators were for IgM
tрас = 2.08, IgG tрас = 1.94, IgA tрас = 1.14, which
shows the low efficiency of this method.
CONCLUSIONS
The high efficiency of the method of intravenous laser
irradiation of blood in pneumonia has been proven,
which leads to the normalization of immunological
parameters, prevents local signs of the disease and
helps to reduce the length of hospital stay.
REFERENCES
S.V. Moskvin, S.V. Strazhev. "Laser Therapy in
Oncology". - M.-Tver: OOO "Izdatelstvo" Triada ", 2020.
- 960 p. ISBN 978-5-6044073-0-1
International Journal of Medical Sciences And Clinical Research
32
https://theusajournals.com/index.php/ijmscr
International Journal of Medical Sciences And Clinical Research (ISSN: 2771-2265)
Moskvin S.V., Khadartsev A.A.Laser therapy with Matrix
and Lazmik devices.
–
M.
–
Tver: OOO Izdatelstvo Triada,
2019.
–
280 p. ISBN 978-5-94789-873-6
Moskvin S.V.Current issues of laser therapy. Collection
of articles / Ed. S.V. Moskvin. M.-Tver: OOO
"Izdatelstvo" Triada ", 2019. - 176 p. ISBN 978-5-94789-
882-8
Serov V.N., Moskvin S.V., Kozhin A.A., Zhukov V.V.Laser
therapy in obstetrics and gynecology. M.-Tver: OOO
"Izdatelstvo" Triada ", 2018-248 p.
Moskvin S.V., Siluyanov K.A.Laser therapy in andrology.
Part 1. Male infertility.
–
M.
–Tver: OOO “Izdatelstvo
“Triada”, 2018. –
248 p. ISBN 978-5-94789-825-5
Ziganshin O.R., Gizinger O.A., Moskvin S.V. and others.
Intravenous laser blood illumination in complex
therapy of genital herpesvirus infection / Study guide. -
Chelyabinsk-Tver, OOO "Izdatelstvo" Triada ", 2016. -
60 p. ISBN 978-5-94789-755-5
Khadartsev A.A., Kupeev V.G., Moskvin S.V.
Phytolaserophoresis.
–
M.
–
Tver: Triada Publishing
House, 2016.
–
96 p. ISBN 978-5-94789-757-9
Moskvin S.V., Kochetkov A.V.
Effective methods of laser therapy.
–
Saarbrucken: LAP
LAMBERT Academic Publishing, 2016.
–
108 p. ISBN
978-3-659-94665-3
Moskvin S.V., Kochetkov A.V.
Effective methods of laser therapy.
–
M.
–
Tver: Triada
Publishing House, 2016.
–
80 p. ISBN 978-5-94789-741-
8
Moskvin S.V.
Fundamentals of laser therapy. Series "Effective laser
therapy". Vol. 1. - M.-Tver: Triada Publishing House,
2016. - 896 p. ISBN 978-5-94789-738-8
Moskvin S.V., Ponomarenko G.N.Laser therapy with the
Matrix and Lazmik series devices.
–
M.
–
Tver: OOO
Izdatelstvo Triada, 2015.
–
208 p. ISBN 978-5-94789-
664-0
Moskvin S.V., Geynits A.V., Kochetkov A.V. and others.
Laser-vacuum massage LAZMIK in medicine and
cosmetology.
–
M.-
Tver: OOO “Izdatelstvo “Triada”,
2014.
–
160 p. ISBN 978-5-94789-640-4
Moskvin S.V.
Efficiency of laser therapy. Series "Efficient laser
therapy". Vol. 2. - M.-Tver: Triada Publishing House,
2014. - 896 p. ISBN 978-5-94789-636-7
Moskvin S.V., Ryazanova E.A., Rumyantseva N.G.
Laserphoresis, laser biorevitalization, lipolytic and anti-
cellulite programs LAZMIK. - Tver, Triada Publishing
House, 2012. - 120 p. ISBN 978-5-94789-515-5
Kochetkov A.V., Moskvin S.V., Karneev A.N.
Laser therapy in neurology.
–
M.
–
Tver: OOO
“Izdatelstvo “Triada”, 2012. –
360 p. ISBN 978-5-94789-
472-1
Geinits A.V., Moskvin S.V., Achilov A.A.Intravenous
laser irradiation of blood.
–
M.
–Tver: OOO “Izdatelstvo
“Triada”, 2012. –
336 p. ISBN 978-5-94789-501-8
Nasedkin A.N., Moskvin S.V.Laser therapy in
otolaryngology.
–
M.-
Tver: OOO “Izdatelstvo “Triada”,
2011.
–
208 p. ISBN 978-5-94789-469-1About the
author. Professor, Doctor of Medical Sciences Nasedkin
Aleksey Nikolaevich, otolaryngologist
–
unique laser
methods of treatment of children and adults
Moskvin S.V., Gorbani N.A., Ryazanova E.A. and others.
Laser-vacuum massage with the LAZMIK® device in
medicine and cosmetology.
–
M.
–
Tver: Triada
Publishing House LLC, 2011.
–
104 p. ISBN: 978-5-
94789-474-5
Moskvin S.V., Amirkhanyan A.N.Methods of combined
and combined laser therapy in dentistry.
–
M.
–
Tver:
OOO “Izdatelstvo “Triada”, 2011. –
208 p. ISBN 978-5-
94789-431-8
Lasers in Phthisiopulmonology / Ed. by S.V. Moskvin.
–
M.: “Tekhnika”, 2001. –
302 p. ISBN 5-89337-028-4
Kurochkin A.A., Moskvin S.V., Anikin V.V.
Low-intensity laser radiation in the complex treatment
of children and adolescents (cardiology, dermatology,
ENT diseases, frequently ill children). - M.: TOO Firma
"Tekhnika", 2000. - 112 p. ISBN 5-8376-0013-2
S.V. Moskvin, A.V. Kochetkov, V.G. Mitkovsky, A.N.
Alexandrova.
Laser therapy in complex treatment and rehabilitation
of patients with COVID-19. M., 2020, 24 p.
Tukhtaeva MM, Abdukhalik-Zade GA, Burkhonova DB,
Mirkomilova GM Clinical presentation
–
anamnestic
characteristics of hypoxic-ischemic encephalopathy in
newborns // Eurasian Scientific Journal. Volume 1,
Issue 9, December 2021 ISSN 2181-2020.
MM Tukhtaeva, MP Kudratova // Clinical Course of
Nonspecific Aortoarteritis (Takayasu's Disease) //
Central Asian Journal of Medical and Natural Sciences 2
(2), 121-125
MM Tukhtaeva // The importance of neurosonography
in assessing the severity of hypoxic-ischemic
encephalopathy
in
newborns
//
Euro-Asian
conferences 4 (1), 185-187
M. Tukhtaeva // Results of a comprehensive
examination of newborns with varying degrees of
hypoxic-ischemic encephalopathy // Journal of the
Vestnik of a Doctor 1 (3), 197-199
