Articles

Riga, 2006, the Head Doctor of the State Scientific – Practical Center of Medical and Cosmetic Dietetics, professor Fyzdel I. S.

The center is a stationary medical institution and operates since 1992. During this time a great experience is accumulated and we have made many theoretical generalizations and developments.

During this time 4942 patients have received treatment at the Center. More than 60% of them have gone through repeated or systematic treatment courses. That testifies, that the bulk of patients is satisfied both with bearableness of the treatment and the results.

Basis of our activity consists of different methods of diet therapy. Thus selection of treatment methods and duration of the measures to be taken is maximally individualized and is together with the preliminary consultation. There is taken into account age, presence of one or another disease, weight, present diagnostics and psychological status of the patient.

In our Center Most widely the methods of unloading therapy are used, both classic with the use of water – tea starvation after Nikolaev and juice unloading therapy after Bykhyger. In addition, the variants of low calorie diets are used, and classical medical diets after Pevzner.

It is useful to remind that unloading diet therapy has contra-indications to application – festering and sharp infectious inflammatory processes, tuberculosis, 1 type of saccharine diabetes, pregnancy, grave condition of patient, while to application of diet therapy of contra – indications practically are not, except for not psychological readiness of patient.

In this connection similar variety of applied methods allow us maximally extend the volume of the given help.

Thus conducting treatment under the conditions of the permanent establishment and under permanent medical control allows not only to isolate the patient from the usual ration of feeding but also to correct the duration and the method of one or another medical measure.

There are two large statistical groups in the mass of the conducted patients. 60 % of people having obesity, from them up to 70% have clinical displays of metabolic syndrome, hyperlypidemia, changes of fat in viscera, arterial hypertension, 16 % of people having allergic diseases, including bronchial asthma, stomach – intestinal, pathologies, spine, joint and nervous system pathologies, besides not having overweight, 26 % of people having cosmetic overweight without noticeable changes in the state of health.

After the conducted stationary course there are offered dietary recommendations, clinical control in the Center and also if necessary continuous treatment program.

From the data of the conducted clinical controls the patients accomplishing dietary recommendations have stable decrease of weight, improvement of lypidogram, decrease and stabilization of sugar level in blood, normalization of arterial pressure without application of the planned medical therapy. In the case of spine or joint diseases pain symptoms minimize or disappear, mobility rises. A noticeable improvement is observed to patients with allergic diseases; patients with bronchial asthma have continuous remission, with this pathology there are is used a complex, worked out method under prof. Kokosov guidance, combining unloading therapy, physiotherapy and classical medical treatment. Patients with pathologies ZKT (gastritis, gastroduodenitis, syndrome of intestinal irritation) are observed on the background of application of RDT combination with classical diet treatment by Pevzner to have stable improvement and no complaints about dyspepsia. Many patients have considerable improvement of mood, general feeling and increase of capacity. Many patients during the stationary and subsequent ambulatory period free themselves of bad habits – smoking, alcohol using and improve their physical activity.

During stationary treatment there is conducted general analysis of blood, clinical biochemistry, ECG, sonography of viscera, if necessary there are involved consultants from RSU professor – teaching staff, additional tests are conducted on different clinical bases.

As additional measures in our center are conducted medical massages LFK, various physiotherapy, elements of reflexotherapy, hyperbarristic oxygenation. Similar complexes of procedures are conducted in most similar treatment establishments – resort in Gorjachinsk, Sidney (Australia), Baden (Germany) and others. An important place in our work of our Center occupies psychoprofilactics and psychotherapy as well as elucidative interviews with patients having health problems and complications.

Dear colleagues we wish to underline the actuality and modernity of treatment metabolism, normalizations of lypidoprogrammes, taking into account prevalence of these pathologies in Latvia and as well in other countries. Diseases take first place in developing countries as in death rate so in invalidity. Thus diet therapy measures conducted in our Center are quite effective for solving this difficult and widespread problem.

I can note that our Center is the only specialized medical establishment of this kind in the Baltic States. In this connection we invite all interested colleagues to cooperate. The Center conducts both - consultations on the questions of unloading therapy and acquaintance – informative activities.