THE EVOLUTION OF LASERTHERAPY IN FETO-MATERNAL MEDICINE
For the purpose of optimization of a treatment process laser therapy has occupied a prominent place in an obstetrical practice. Its potentialities in a gynecological practice are limitless. Considering pathophysilolgical mechanisms of the effect of laser radiation on the organism, in gynecology all methods of laser treatment available in clinical practice are being used.
The most widespread and broadly applied in an obstetrical practice type of laser radiation is a red laser (of wave-length 632,8 nm). Basic methods of laser therapy in feto-maternal medicine are: laserreflexotherapy (laser-puncture), intravenous (invasive) laser-therapy, transdermal laser-therapy (non-iansive), endovaginal laser-therapy. The effect of laser on a living organism is based on a biostimulative effect consisting in activation of the organism's most important ferments: activated are bioenergetic and biosynthetic processes and in the end a biological therapeutic activity is revealed. Widely recognized are the following parameters of a biostimulant effect of low-intensity lasers: a wave-length range - 620- 670 nm.
The effect of a laser on the organism is reflected in the following clinical changes: stimulation of metabolism, normalization of microcirculation, desensibilisation activity, increase of the resistance of biotissues to pathogenic agents, improvement of immunogenesis, dehydration and thrombolytic activity, analgesic effect, anti-inflammatory activity, the decrease of pathogenicity of a microbiotic factor, the increase of sensitivity of pathogenic and relatively pathogenic microorganisms to the effect of an antibacterial therapy.
IRRADIATION OF BLOOD BY LASER. INTRAVENOUS LASERTHERAPY
The following changes occur following irradiation of blood by laser: changes in interrelations of molecules (lipid-water, protein-water, lipid-protein, conformational transformation in proteins); changes of physical and chemical properties of bioliquids (of rheology, diffusion, phase stability, various mechanical, transportation and membranes properties of organelles and cells; changes of activity of biochemical reactions. As a result of a low-intensity laser action during a given pathology detoxication effect, thrombolitic action, stimulation of tissue regeneration, increase of cells' resistance to pathogenic agents, stimulation of general and local factors of immune protection, the decrease of pathogenicity of microbes and growth of their sensitivity to antibiotics, normalization of liquid metabolism and some other therapeutic effects were observed.
Indications for laser irradiation of blood: septic state (virus, mycoplasmic, toxoplasmic), mycosis, staphylococcus, streptococcus and other infections, antiphospholipide syndrome; immunodeficiency.
During irradiation of blood by the intravenous invasion method preference is given to
red laser with power density of 1-5 mlW/cm2; the procedure is conducted every other day or daily. Duration of each procedure - 15-20 min., 7-12 procedures in all.