About the sanatorium

Our sanatorium is of local importance and has, in a certain respect, advantages in comparison with sanatoriums located in resorts. During a stay in a local sanatorium, children do not have adaptation reactions to new climatic conditions, which are often adversely reflected during the disease and reduce the effectiveness of the sanatorium rehabilitation effect as a whole.

The age contingent of children is from 7 to 14 years. Duration of arrival - 21 days. Total races: 15. The schedule of races is made taking into account the state task, current and overhaul. The mode in the sanatorium is developed taking into account medical procedures, rest, meals, self-study and entertainment.

The contingent of children in need of spa treatment is identified during the examination of the pediatric population by the local pediatrician.

Throughout the year, in children's clinics, vouchers are sold through the Republican Children's Clinical Clinic (RCHD).

Indications for directions to the sanatorium "Ural" are:

- chronic respiratory diseases

- diseases of the gastrointestinal tract

Contraindications according to the order of the Ministry of Health of the Russian Federation of May 13, 2016 N 295н.

ON AMENDMENTS TO THE PROCEDURE OF PROVISION OF MEDICAL CARE FOR A MINOR
DURING HEALTH AND ORGANIZED REST,
APPROVED BY ORDER OF THE MINISTRY OF HEALTH
AND SOCIAL DEVELOPMENT OF THE RUSSIAN FEDERATION
OF APRIL 16, 2012 N 363

 

1. Clause 2 of the Procedure shall be worded as follows:

"2. Children who do not have the following medical contraindications for staying in institutions are sent to organizations of recreation and rehabilitation (hereinafter referred to as institutions):

somatic diseases in the acute and subacute stage, chronic diseases in the acute stage, in the stage of decompensation;

infectious and parasitic diseases, including those with eye and skin lesions, infestations (pediculosis, scabies) - until the end of the isolation period;

the diagnosis "bacterial carriage of pathogens of intestinal infections, diphtheria";

active tuberculosis of any localization;

malignant neoplasms requiring treatment, including chemotherapy;

epilepsy with ongoing seizures, including resistant to ongoing treatment;

epilepsy with drug remission less than 1 year;

cachexia;

mental disorders and behavioral disorders in a state of exacerbation and (or) posing a danger to the patient and others;

Mental and behavioral disorders caused by substance use. "

2. Supplement with paragraph 2.1 as follows:

"2.1. Children who need to comply with the treatment regimen prescribed by the attending physician (diet, taking medications for medical use and specialized medical food products) are sent to institutions in which conditions for their stay are created, including the presence of a pediatrician, conditions for storing medicines for medical use and specialized medical nutrition products.

Children who need accompaniment and (or) individual assistance in connection with existing physical, mental, intellectual or sensory impairments are sent to institutions in which conditions are created for them to be accompanied by legal representatives or other persons with a power of attorney certified in the established manner and medical certificate of the health status of the accompanying person.

For disabled children, the need for support and (or) individual assistance is determined in accordance with the existing restrictions of the main categories of life indicated in the individual rehabilitation and habilitation program for the disabled. "

1. Equipment of the sanatorium

Sanatorium "Ural" has a fairly well-equipped medical base. The following treatment methods are used in the rehabilitation and rehabilitation of children in the sanatorium:

- koumiss treatment;

- herbal medicine,

- climatotherapy;

- hydrotherapy;

- hydrotherapy (pool);

- hardware physiotherapy;

- paraffin therapy;

- mud therapy;

- speleotherapy;

- inhalation;

- massotherapy;

- therapeutic sauna;

- physiotherapy exercises, health path;

- Nordic walking

- diet therapy.

Therapeutic nutrition.

An important section of sanatorium therapy is medical nutrition. The prerequisite for the successful use of therapeutic nutrition is strict adherence to the prescribed diet, quality and properly prepared food. The catering unit complies with sanitary standards. Nutrition of children in our sanatorium is carried out on the basis of the order of the Ministry of Health of Russia dated 05.08.2003 N 330 "On measures to improve therapeutic nutrition in medical institutions of the Russian Federation." In the sanatorium, the main version of the diet is used, in which calorie content is strictly observed. The menu is made taking into account natural standards and the age category of children: from 7 to 10 years; from 11 to 14 years old. Nutrition analysis is carried out continuously at the Nutrition Council. Changes are made to the 10-day menu. New layout cards are approved.

In the dining room of the sanatorium "Ural", children's services are organized in one shift according to a ten-day diet menu No. 15. The daily menu includes fruit juices, fresh fruits, vegetable salads.

2. The main tasks and principles of work organization

In VHI “Ural” there are three posts and treatment rooms. Each post is designed for the simultaneous stay of 35-40 children.

The management of the post and treatment rooms is carried out by the head of the department. A nurse works around the clock and a teacher works daily for 10 hours a day. The implementation of the daily schedule of procedures is felt by the nurse and educator under the supervision of a doctor. In addition, teachers of the post conduct walks, excursions, thematic classes, music classes, conduct classes according to the school curriculum in the afternoon.

The coordinated work of the entire team is ensured by the clear implementation of tasks in accordance with job descriptions.

1. The treatment methods used in the sanatorium "Ural".

Physiotherapy room. Equipped with the following devices:

Amplipulse-5, Amplipulse-6, Flow, Tube quartz, Darsanval, apparatus for electrosleep "Electros ES-10-5" Eleskulapk, magnetotherapy device "Hummingbird", apparatus "Bioptron".

Electrosonotherapy.

Therapeutic effects:

sleeping pills, sedative, antispasmodic, trophic, secretory.

The therapeutic effect of pulsed currents on the hypnogenic structures of the brain.

Indications:

- diseases of the central nervous system: reactive and asthenic conditions, disturbance of night sleep, logoneurosis, enuresis, vegetative-vascular dystonia.

- Diseases of the cardiovascular system

- A disease of the gastrointestinal tract (peptic ulcer of the stomach and duodenum, gastritis, gastroduodenitis, biliary dyskinesia).

- Diseases of the respiratory system (bronchial asthma).

- Skin diseases (neurodermatitis, eczema)

Contraindication:

-Epilepsy

-compensated heart defects.

- Intolerance to electric current.

- Inflammatory eye diseases (conjunctivitis, blepharitis).

- High degree of myopia.

Amplipulse therapy.

The essence of amplipulse therapy is the use for therapeutic purposes of an alternating sinusoidal current. The mechanism of therapeutic action of diadynamic currents is based on the rhythmic effect of SMT on the neuromuscular apparatus, through spinal mechanisms it has a painkiller, arrhythmic contractions of muscle fibers contribute to the improvement of peripheral circulation, the development of collaterals, and stimulate tissue trophism.

Indications

Neurosis-like diseases of various origins

- diseases of the peripheral nervous system

(neuralgia, neuritis, plexitis) with pronounced autonomic vascular disorders.

- Degenerative-dystrophic diseases of the joints and spine (arthrosoarthritis, spondylarthrosis, osteochondrosis).

- Peptic ulcer of the stomach and duodenum

-Dyskinesia of the gallbladder and intestines,

-chronic colitis.

Contraindications

- Punitive diseases of the skin and subcutaneous fat layer before surgical treatment

- bleeding

- thrombophlebitis

malignant neoplasms

- systemic blood diseases

-epilepsy

- implanted pacemaker.

Galvanization

Therapeutic use of a constant, not time-varying, electric current of low voltage and low power.

Under the influence of an applied electromagnetic field, a conduction current arises in the tissues, which causes a change in the ratio of ions in cells and intercellular spaces. Medicinal electrophoresis is a combined effect on the body of direct electric current using a drug substance.

Healing effects

- anti-inflammatory (draining, dehydrating)

- analgesic, sedative, vasodilator,

- muscle relaxant, secretory.

Indications

- Inflammatory diseases of the gastrointestinal tract

(chronic gastritis, peptic ulcer and duodenal ulcer, chronic cholecystitis, hepatitis, colitis).

- Respiratory diseases (tracheitis, bronchitis, pleurisy, pneumonia)

- Diseases of the musculoskeletal system (arthritis of various etiologies, deforming osteoarthritis, osteochondrosis, bone fractures, joint contractures).

- Diseases of the central and autonomic nervous system

(neurosis, vegetoneurosis, autonomic disorders and sleep disorders).

- Diseases of the genitourinary organs (chronic pyelonephritis, cystitis, adnexitis).

- Diseases of the ear, throat and nose (rhinitis, sinusitis, tubootitis, adhesive otitis media,

auditory nerve neuritis)

- Diseases of the eyes (clouding of the cornea and vitreous body, the consequences of traumatic damage to the eye, atrophy of the optic nerve).

Contraindications

Eczema and other itchy dermatoses

- acute purulent skin diseases

- bleeding tendency

- malignant neoplasms

- systemic blood diseases

- epilepsy

- individual intolerance to direct electric current.

Magnetotherapy

Under their influence, the speed of conduction of impulses along nerve fibers and their excitability increase, re-neural edema decreases, central nervous system excitability increases, and the function of the autonomic nervous system normalizes. The increased vascular tone decreases, local blood flow is activated, the blood supply to various organs and tissues and their trophism increases, a weak hypotensive effect is observed, and the blood coagulation system improves. These magnetic fields can stimulate metabolism, regeneration processes and the function of the endocrine glands.

Healing effects

- anti-inflammatory, trophic, vasoactive,

- decongestant, hypocoagulant, analgesic,

-stimulating reparative processes.

Indications

- consequences of closed brain injuries, encephalopathy, ischemic stroke

- Damage to peripheral nerves, diabetic polyneuritis and vasopathy

- chronic and acute inflammatory diseases of the bronchopulmonary system, bronchial asthma

- chronic and acute inflammatory diseases of the genitourinary system

- CHRONIC and acute diseases of the digestive system

- inflammatory, degenerative - dystrophic and post-traumatic diseases and traumatic injuries of the supporting system

-chronic and acute diseases of ENT organs, teeth and periodontium.

Contraindications

- hypotension

bleeding

violation of the heart rhythm.

Darsonvalization

The method of electrotherapy, in which pulsed alternating current of high frequency is used for medicinal purposes.

Healing effects

- analgesic, anti-inflammatory, decongestant, antipruritic, antispasmodic effect, regeneration processes in damaged tissues, in the skin integuments and mucous membranes are stimulated.

Indications

- functional disorders of the nervous system

- cardiac neurocirculatory dystonia

- neuritis, neuralgia, Raynaud's disease

- focal baldness of the head, dermatitis, problem skin,

oily seborrhea (acne)

- Detected otitis media, periodontitis, periodontal disease, gingivitis.

Contraindications

- malignant neoplasms

- leukemia.

Bioptron

Spectrum of electromagnetic waves with a wavelength of 480-3400 nm. generating the visible and infrared part of the spectrum of sunlight, excluding the ultraviolet range, which makes it harmless, not harmful to eyes and skin, penetrates into biological tissues 2-3 cm and deeper.

Therapeutic effects: immunocorrective, anti-inflammatory, membrane-stabilizing, regenerating, trophicostimulating, improved microcirculation, decongestant, analgesic.

Indications

-Bronchial asthma, bronchitis.

- Frequent acute respiratory viral infections (rhinitis, rhinosinusitis, pharyngolaryngitis, tracheobranchitis).

- Seasonal, year-round allergic rhinitis, rhinosinusitis

- Atopic dermatitis, youthful acne,

- Pyoderma, Herpes, boils

- Neurogenic bladder dysfunction, cystitis.

- Biliary dyskinesia.

Contraindications

Asthmatic status

- photodermatosis

- chronic decompensated tonsillitis

- lymphadenitis of unknown etiology

- high activity of the inflammatory process in the organs of the urinary system

- liver cirrhosis, autoimmune hepatitis

- General contraindications for physiotherapy.

Mud therapy

Organic substances (waxy, protein, fatty, organic acids, alcohols, resins and ethers) are a therapeutic factor for sapropelic silt mud.

Therapeutic effects:

-increase the barrier function of the skin and mucous membranes

- anti-inflammatory effect

- stimulation of the processes of regeneration of damaged tissues

- fibrolytic effect

- participation in the formation of nerve membranes

- increase in hepatic blood flow, beneficial effect on liver function, prevention of gallstones formation of stones

- immunomodulation and antioxidant action

- normalizing effect on the intra- and exocrine pancreatic function and blood sugar

- increased blood flow, stimulation of many factors (trophic processes, regeneration of the damaged mucous membrane of the stomach and duodenum, production of gastrin, secretin, pancreasimin), improved nutrition of the skin cells and cleansing them of toxins

- Prevention of premature facial skin aging

- stimulation of metabolic processes, in particular fat metabolism

- bactericidal action and bacteriostatic effect.

Indications:

- subacute and chronic inflammatory diseases and traumatic injuries of peripheral nerves

- subacute, chronic inflammatory, degenerative degenerative diseases,

traumatic injuries of the musculoskeletal system

- burn, post-traumatic, trophic ulcers and sluggish wounds at the stage of epithelization and scarring, newly formed scars and adhesions

- peptic ulcer of the stomach, duodenum

- chronic gastritis, chronic cholecystitis in remission

- chronic hepatitis, chronic pancreatitis in remission

no process activity

- compensated diabetes

- chronic nonspecific diseases of the bronchopulmonary system (obstructive bronchitis, bronchial asthma) in remission

- ENT diseases: vasomotor rhinitis, rhinosinusopathy,

chronic tonsillitis without exacerbation.

- skin diseases in remission: psoriasis, neurodermatitis, dermatitis, dermatosis, scleroderma.

- cosmetology: prevention of premature aging of the facial skin, cellulite.

Contraindications

- bleeding and bleeding tendency

-systemic blood diseases

- benign and malignant neoplasms

- diseases of the cardiovascular system with circulatory failure

above 2 degrees

- heart rhythm disturbances

- acute inflammatory diseases and suppurative processes

- chronic hepatitis, chronic pancreatitis in the acute stage

(inflammatory process of any degree of activity)

-cholelithiasis

- tuberculosis

- thyrotoxicosis, thrombophlebitis.

Ways of using mineralized wipes PO-KUR.

Electrophoresis - Napkins used in electrophoresis procedures

on devices POTOK - 1.

SMT - pharesis on the device AMPLIPULES - 5

When conducting phoresis, a mineralized napkin is applied to the skin dry. A cloth pad moistened with water is applied on top along with the electrode. The wetting of the mineralized cloth occurs due to the cloth. Then the procedure is released. Napkins are superimposed under both electrodes, while the biologically active components contained in the tissue are introduced from both poles. Anions (iodine, bromine, chlorine) are introduced from the cathode, and cations (sodium, calcium, magnesium, potassium) are introduced from the anode. Napkins are used once. Standard physiotherapeutic techniques are used (current strength, modes, exposure, places of application).

Compresses

The most commonly used and effective type of compress according to the method of application is a warming compress.

The warming compress consists of 4 layers. The first layer - a PO-KUR napkin, is applied dry directly to a sore area of ​​the body. A gauze or other cloth napkin moistened with tap water at room temperature is applied on top of the second layer. This napkin should contain a sufficient amount of water, for which it is made of several layers. The moistened tissue towel is covered from above with a waterproof material (third layer) - plastic wrap, compression oilcloth, etc. This layer reduces heat loss caused by evaporation of water from the second layer. Finally, a fourth layer is applied to the insulating material (bike, batting, scarf, shawl). The compress consisting of these 4 layers is applied to the body, fixed with a dressing band for 0.5-1 hours.

Heat therapy

For thermal effects on the body, a variety of therapeutic muds are used.

(peloids) and peloid-like substances (paraffin, ozokerite, Naftalan, clay), their common property is the ability to retain heat for a long time and slowly give off its heat throughout the procedure and slowly give it to the patient’s body throughout the procedure, this is the basis for their high therapeutic activity. In addition to the temperature effects of most heat carriers of inorganic salts, biologically active substances, etc.

Indications

- subacute, chronic inflammatory diseases and traumatic injuries: peripheral nervous system, musculoskeletal system, ligaments, muscles

trophic ulcers, sluggish wounds, burns in the stage of scarring

(to prevent the formation of gross scars and contractures)

- chronic cholecystitis, gastritis, colitis, peptic ulcer of the stomach and duodenum in the stage of decaying exacerbation and remission

- chronic inflammatory diseases of the female genital organs.

Contraindications

- acute inflammatory diseases

- suppurative processes

- bleeding

- neoplasms

- hepatitis

inflammatory kidney disease

- blood diseases.

Paraffin therapy.

Paraffin - a product of oil distillation, contains a mixture of high molecular weight hydrocarbons of the methane series. It has high heat capacity, low thermal conductivity, and large heat-holding ability. The melting point of medical paraffin 52 - 55 * C.

Paraffin must be completely dehydrated. When hardened, it decreases in volume by 10 - 12%, while providing a mechanical (compression) effect on the underlying tissue. Thus, the therapeutic effect of paraffin on the body is based on its thermal and compression effects.

Healing effects

anti-inflammatory (dehydrating), reparative - regenerative, vasodilator, antispasmodic.

Some procedures

1. Cuvette - application technique. It is convenient in work, it is the most sparing in temperature effect, therefore it should be used in all medical institutions. Melted paraffin is poured into ditches. The layer thickness should be at least 2 cm. The hardening paraffin, the temperature of which reached 50-52 * C, is removed from the cuvette and applied to the skin area to be exposed, covered with a compress oilcloth and a padded jacket. Application time 20-30 minutes. To keep paraffin elastic, when heated to a paraffin heater, 600 ml of fresh and 15 ml of paraffin oil are added to 6 liters of old paraffin daily. Usually at the end of the working day, paraffin is prepared the next day. The cuvettes install a thermostat, in the chamber of which the air temperature is automatically maintained at 55 * C.

2. The method of layering. The paraffin, melted and heated to a temperature of 55-60 * C, is applied to the corresponding skin area with a flat brush with a layer of 1-2 cm, covered with compress oilcloth and a padded jacket. The duration of the procedure is 20-30 minutes.

3. Napkin - application technique. After applying one or two layers of heated paraffin to the skin, apply a gauze towel soaked in paraffin at a temperature of 60 * C and slightly wrung out. The napkin is covered with a double towel or blanket folded in several layers. The duration of the procedure is 20-30 minutes

Ozokeritotherapy.

Ozokerite (mountain wax) contains ceresin, paraffin, mineral oils, asphaltene, resins, gases. Unlike paraffin, ozokerite contains biologically active substances that penetrate during the procedure into the body through intact skin. In medical practice, ozokerite is used as an anti-inflammatory,

Analgesic, antispastic. In addition, it has a stimulating effect on reparative processes.

The method of using ozokerite is similar to the method of using paraffin.

In medical practice, a mixed type of treatment is often used - paraffin-Ozokeritotherapy. The ingredients are in equal proportions.

Some procedures

The cuvette is an application technique. Heated ozokerite is poured into ditches. The thickness of the cake should be 3 cm.

After cooling to a temperature of 48 - 50 * C, a cake of ozokerite is applied to the area of ​​the body to be exposed, covered with oilcloth, then folded in several layers with a terry towel or blanket for 20 - 30 minutes. To reduce the stickiness of ozokerite, 2% paraffin can be added to it.

Aerosol Therapy - Stationary Ultrasonic Inhaler

Albedo

As a result of grinding the drug substance, its active surface and biological effect on the mucous membrane of the respiratory tract, as well as on the whole body with relatively small amounts of the drug, significantly increase.

Medicinal substances administered by inhalation, getting into the pulmonary circulation, bypassing the liver, which ensures a longer activity of the drug. The localization of its deposition in the bronchopulmonary apparatus and the maximum concentration depend on the degree of dispersion of the aerosol. If necessary, use large aerosols with a particle size of at least 30 microns to affect the mucous membrane of the oral cavity, nose, pharynx, and larynx. With an average dispersion, the size of aerosol particles reaches 10-30 microns, and their maximum deposition occurs in the trachea and large bronchi. With fine dispersion, the particle size does not exceed 0.5-10 microns: Particles 10 microns in size penetrate to the bronchioles, and 0.5-3 microns in size in the alveoli. The greatest absorption capacity is possessed by the epithelium of bronchioles and alveoli.

Indications

- acute respiratory diseases, rhinitis, sinusitis, pharyngitis, tracheitis, bronchitis;

- pneumonia, lung abscess, bronchiectasis;

- burns and damage by toxic substances and poisons of the respiratory tract.

Warning: with increased sensitivity to the drug, it is strictly forbidden to use it for inhalation therapy. In doubtful cases, before a course of inhalation therapy, a test for sensitivity to the drug should be performed. Medicinal substances that cause allergization of the body (novocaine, glucose, expectorant syrups, etc.) cannot be used for inhalation.

For aerosol inhalation apply:

- Slime-dissolving and slime-reducing substances (coarse and medium-dispersed aerosols). Reducing the viscosity of mucus is achieved using substances that have a mucolytic, antialytic effect or by changing the concentration of salts on the surface of the mucous membranes. Such substances include: 1-2% solution of sodium bicarbonate (100 ml), drinking mineral water (100 ml).

- Astringent and slightly cauterizing substances (coarse aerosols).

This group includes: infusion of chamomile flowers (6g per 200 ml of distilled water).

infusion of sage leaves (6 g per 200 ml of distilled water).

the influence of the temperature factor in contrasting procedures is more pronounced - the alternation of cold and thermal water stimulus. The mechanical effect on the body is manifested in any hydrotherapy sessions. The most powerful mechanical effect on the human body is exerted by healing souls (circular, ascending, Charcot's shower, underwater massage shower).

Mechanical irritations of the numerous nerve endings of the skin, muscles, tendons, blood vessels through the central nervous system cause complex responses from various organs and systems of the body.

To enhance the irritating effect of the receptors (chemoreceptors) of the patient’s skin, some chemicals are added to the water: sodium chloride, iodine, bromine, pine needles extract, etc. Ions of such biologically active trace elements (iodine, bromine, arsenic) contained in mineral water, and dissolved in Gases (carbon dioxide, nitrogen, oxygen, hydrogen sulfide) penetrate through intact skin into the general blood flow, and then the specific nature of the action of balneotherapy is manifested.

Underwater shower massage.

Underwater shower massage is a kind of procedure that combines the action of a fresh or medicinal bath on the body and the intense mechanical stress created by a jet of water under pressure. It is carried out in compliance with the general rules of therapeutic massage, dosing of mechanical action is carried out by changing the pressure of the water, the diameter of the jet (selection of the tip on the hose), the angle of incidence of the water jet on the patient’s body and the distance from the tip edge to the body surface.

To create a stroking effect, the tip must be taken away from the patient’s body to a distance of 10-15 cm, the angle of the water jet to the body should be set equal to 30 * and air suction should be included in the water to create pearl bubbles.

To obtain vibration, it is necessary to oscillate with your hand with a hose and a massaging water jet. Massage movements with a stream of water are carried out from the periphery to the center in order to promote lymph flow and venous circulation.

The abdomen is massaged clockwise. The area of ​​the heart, genitals, mammary gland is not massaged.

The temperature of the water in the bath is 36 * C. The duration of the massage is 15-20 minutes daily or every other day. The course of treatment is 10 procedures.

 

Indications.

- consequences of traumatic injuries and diseases

musculoskeletal system, peripheral nervous system, occlusive diseases of the peripheral arteries, atherosclerotic genesis,

metabolic disorders.

Coniferous baths

Coniferous baths are aromatic, the chemical component of the action is manifested in them. In the mechanism of therapeutic action, slight irritation of the olfactory and skin receptors is of great importance, which leads to a sedative effect.

Coniferous baths are prepared by adding 100 ml of liquid or 50 g of dry powdery needles extract to 200 l of fresh water.

Water temperature 36 - 35 * C. The duration of the procedure is 12-15 minutes daily or every other day. The course of treatment is 10-12 baths.

Indications: neurasthenia according to hypersthenic type,

-cardiopsychoneurosis,

- ulcerative disease of the stomach and duodenum in the stage of decaying exacerbation.

Sodium Chloride Baths

Sodium salts, as well as magnesium, calcium, chlorine, iodine ions present in water irritate skin chemoreceptors during and after the procedure. In addition, biologically active trace elements (iodine, bromine) penetrate through the skin into the general blood flow and have a humoral effect. Mineral baths increase the intensity of metabolic processes, normalize the processes of excitation and inhibition in the cerebral cortex, stimulate blood circulation, respiration and the neuromuscular apparatus. Chloride - sodium baths are most often prepared from sea salt.

The concentration of salt in water should be 20-50g / l, water temperature

36-38 * C. The duration of the procedure is 12-15 minutes daily or every other day.

The course of treatment is 10-15 sessions.

Healing effects

- analgesic, vasodilator, catabolic

To obtain vibration, it is necessary to oscillate with your hand with a hose and a massaging water jet. Massage movements are carried out by a stream of water

from the periphery to the center in order to promote lymph flow and venous circulation. The abdomen is massaged clockwise.

The area of ​​the heart, genitals, mammary gland is not massaged.

The water temperature in the bath is 36 * C. The duration of the massage is 15-20 minutes daily

or every other day. The course of treatment is 10 procedures.

Indications

-Diseases of the cardiovascular system (neurocirculatory dystonia

hypotonic type).

- Exchange of dystrophic diseases of the musculoskeletal system

-inflammatory diseases and consequences of traumatic injuries of the peripheral nervous system (plexitis, sciatica)

chronic inflammatory diseases of the genitourinary organs

- skin diseases (psoriasis, neurodermatitis, scleroderma) and metabolic disorders.

-hypomotor dyskinesia of the intestine and gall bladder

Contraindications

-Individual intolerance to the treatment environment,

-Chronic renal failure stage 2-3.

 

Hydromassage

Therapeutic effects on the body with water jets of various shapes, directions

and pressure. It is carried out in a bath with a capacity of 400-600 l, filled with water at a temperature of 35-37 * C. The pressure of water in the stream is 100-400k PA.

Therapeutic effects.

- Tonic, sedative,

- vasodilating, spasmolytic,

- Trophic, immunostimulating.

Indications.

- The consequences of diseases and injuries of the musculoskeletal

Peripheral nervous system (plexitis, neuralgia. myositis)

depressive conditions, vegetovascular dysfunctions

chronic gastritis, peptic ulcer in remission

chronic colitis and functional bowel disorders

menstrual irregularities

metabolic disorders (obesity)

Contraindications

diseases of the respiratory system

-urolithiasis disease

-calculous cholecystitis

soaking dermatitis

Souls distinguish between:

- by pressure of a stream of water - low (30-100kPA), average (100-200kPa)

and high (200-400kPA) pressure.

- by water temperature - cold (below 20 * С), cool (20-34 * С)

Indifferent (35-37 * C), warm (38-39 * C) and hot (40i above)

-on constant water temperature: constant and variable temperature

(contrast or Scottish -15 to 45 * C)

- in the direction and shape of the water jet - descending (falling), ascending, circular and jet.

Gas Baths (Pearl Baths)

Gas baths are prepared by saturating fresh water with a temperature of 37 * With air, for this purpose a system of metal tubes with numerous holes (with a diameter of 0.5-1 mm) is placed at the bottom of the tank. Through this, air under pressure of 100-300 kPa enters the water.

Healing effects

-tonic

Indications

- diseases of the peripheral nervous system, neurasthenia, neurosis,

chronic alcoholism

menopausal syndrome

-the initial manifestations of atherosclerosis.

-Chronic inflammatory diseases of internal organs:

(bronchitis, pneumonia in the recovery phase,

chronic gastritis, colitis, adnexitis).

vascular disease.

Contraindications

- increased excitability of the central nervous system

vegetative-vascular dysfunction.

Halotherapy

The method of treatment with a microclimate, according to some parameters corresponding to the microclimate of salt copies, in

conditions of a specially created medical and preventive complex Halokamera.

High treatment efficiency is associated with the unique natural characteristics of caves. The main active factor is almost aseptic, non-allergenic air saturated with dry, highly dispersed aerosol of sodium chloride. In addition, the air of the caves has a constant temperature and humidity conditions.

In speleotherapy, the aerodispersed medium saturated with dry aerosol of sodium chloride at a concentration of 0.5-9m / m has a therapeutic effect.

The dispersion of particles equal to 1-5 microns. Facilitates the penetration of aerosol into all departments of the respiratory tract. Dry aerosol of sodium chloride has a significant negative

space charge of particles, which increases its stability. Dry aerosol does not cause swelling of the mucous membrane of the respiratory tract and bronchospasm, on the contrary, it takes fluid from the lung tissue, thereby reducing its swelling. The positive therapeutic effect of speleotherapy is due to the fact that the sodium chloride aerosol improves the rheological properties of the bronchial contents, contributing to the normalization of mucociliary clearance. In a patient with chronic pulmonary pathology, the amount of sodium chloride in the bronchial secretion is reduced, therefore, the function of the ciliary epithelium of the bronchi. During the halotherapy course, due to the action of the aerosol of sodium chloride, the drainage function of the respiratory tract improves:

- Sputum separation is facilitated, its viscosity is reduced, cough is relieved,

The auscultatory picture in the lungs changes.

Halotherapy reduces the inflammatory reaction of the mucosa of the upper and lower respiratory tract, has a positive effect on the state of humoral and cellular immunity, and reduces the content of immunoglobulin in patients with bronchial asthma.

Therapeutic effects.

-secretolytic

anti-inflammatory

- immunosuppressive.

Indications.

- acute respiratory diseases with prolonged course

- Frequently recurring respiratory diseases in children

recurrent croup syndrome

acute pneumonia during convalescence

recurrent bronchitis

-bronchial asthma with various clinic pathogenetic variants of the course

-bronhoectatic disease, cystic fibrosis

- diseases of ENT organs (vasomotor and allergic rhinosinusopathy,

-chronic rhinosinusitis and pharyngitis.

- Prevention of chronic diseases and in persons: with frequent acute respiratory diseases, repeated acute bronchitis and pneumonia, chronic diseases of the upper respiratory tract, hay fever.

Contraindications

-expressed exacerbation of diseases of the bronchopulmonary system, flu

acute respiratory diseases with fever and intoxication.

hemoptysis and tendency to it, transferred pulmonary tuberculosis with residual morphofunctional changes, transferred lung abscess

with residual changes.

-emphysema, pneumosclerosis with signs of chronic pulmonary failure.

-hypertonic disease

Acute and chronic kidney disease

Warning: in some patients after halotherapy sessions, skin itching, skin irritation and rashes may appear.

These phenomena pass after 3-5 procedures. The sensation of sore throat is eliminated by rinsing the throat with boiled water after the procedures.

When conjunctivitis appears in the eye, an albucid solution is instilled into the eye for 5 days.

Halotherapy procedures are taken with eyes closed.

Sanatorium "Ural" plays a significant role in restoring children's health and treating chronic diseases, providing social protection for children.

According to the standards of medical care, an individual program of spa treatment is compiled.

APPROVED BY ORDER OF THE MINISTRY OF HEALTH

AND SOCIAL DEVELOPMENT OF THE RUSSIAN FEDERATION

OF APRIL 16, 2012 N 363

Clause 2 of the Procedure shall be amended as follows:

"2. Children who do not have the following medical contraindications for staying in institutions are sent to organizations of recreation and rehabilitation (hereinafter referred to as institutions):

somatic diseases in the acute and subacute stage, chronic diseases in the acute stage, in the stage of decompensation;

infectious and parasitic diseases, including those with eye and skin lesions, infestations (pediculosis, scabies) - until the end of the isolation period;

the diagnosis "bacterial carriage of pathogens of intestinal infections, diphtheria";

active tuberculosis of any localization;

malignant neoplasms requiring treatment, including chemotherapy;

epilepsy with ongoing seizures, including resistant to ongoing treatment;

epilepsy with drug remission less than 1 year;

cachexia;

mental disorders and behavioral disorders in a state of exacerbation and (or) posing a danger to the patient and others;

Mental and behavioral disorders caused by substance use. "

Add paragraph 2.1 to read as follows:

"2.1. Children in need of compliance with the treatment regimen prescribed by the attending physician (die

that, taking medications for medical use and specialized medical nutrition products), are sent to institutions in which the conditions for their stay are created, including the availability of a pediatrician, storage conditions for medicines for medical use and specialized medical nutrition products.

Children who need accompaniment and (or) individual assistance in connection with existing physical, mental, intellectual or sensory impairments are sent to institutions in which conditions are created for them to be accompanied by legal representatives or other persons with a power of attorney certified in the established manner and medical certificate of the health status of the accompanying person.

For disabled children, the need for support and (or) individual assistance is determined in accordance with the existing limitations of the main categories of life indicated in the individual program of rehabilitation and habilitation of a disabled person. "

All children receive treatment according to the main diagnosis and concomitant diseases. The compatibility of procedures is taken into account, time is taken to rest after receiving the procedure. Medical assistance under state guarantees

Medical assistance within the framework of state guarantees at the State Budget Healthcare Institution of the Republic of Belarus sanatorium "Ural" is organized and performed in accordance

· Decree of the Government of the Russian Federation No. 1492 dated 12/08/17 “On the program of state guarantees for the free provision of medical care to citizens for 2018 and for the planning period 2019 and 2020”,

· Decree of the Government of the Republic of Bashkortostan No. 603 dated 12/20/2017 “On approval of the Program of state guarantees of free medical assistance to citizens in the Republic of Bashkortostan for 2018 and the planning period 2019 and 2020.”

PROGRAM of state guarantees for the free provision of medical care to citizens in the Republic of Bashkortostan for 2018 and the planning period 2019 and 2020 (in PDF format)

- The territorial list of vital and essential medicines used in the provision of inpatient care, medical care in day care centers of all types, as well as emergency and emergency medical care as part of the program

(Appendix No. 6 to the specified Program)

- A list of medical devices and supplies used in the provision of inpatient care within the framework of the Program

(Appendix No. 9 to the specified Program)

- A list of medicines and therapeutic dental supplies used in the provision of free dental care in the framework of the Program

(Appendix No. 10 to the specified Program)

· License No. LO-02-01-005695 of 28. 06. 2017 for the implementation of medical activities. (PDF)

When providing medical care during spa treatment, the following services are organized and performed: dietetics, physiotherapy exercises, medical statistics, medical massage, medical rehabilitation, healthcare organization and public health, pediatrics, nursing, nursing in pediatrics, physiotherapy.

Carrying out medical examinations, medical examinations and medical examinations the following work (services) are organized and performed: medical examinations for: medical examinations (pre-trip, post-trip)

· License No. LO-02-02-002403 of December 13, 2016 for the implementation of pharmaceutical activities.

- storage of drugs for medical use

- dispensing drugs for medical use

Information on the provision of public services in the State Budgetary educational institution of the Republic of Bashkortostan VHI Ural

State service is provided on the basis of a decree of the Government of the Republic of Bashkortostan dated July 30, 2009 No. 300 (as amended).

The state service for the provision of sanatorium and resort assistance in children's sanatoriums and sanatoriums for children with parents is provided free of charge.

Consumers of the state service for the provision of sanatorium and resort assistance to the children of the Republic of Bashkortostan are citizens of the Russian Federation registered in the prescribed manner on the territory of the Republic of Bashkortostan, who are in an outpatient clinic on a dispensary account for a chronic disease or after an acute illness. Having medical indications for spa treatment (in the absence of absolute contraindications), the corresponding profile of the sanatorium

(children with respiratory diseases, with diseases of the skin, nervous system, digestive system, musculoskeletal system).

The following age categories:

from 5 to 13 years old - during treatment in sanatoriums for children;

from 3 to 10 years - during treatment in sanatoriums for children in the department "Mother and Child".

State service for the provision of sanatorium and resort assistance to the children of the Republic of Bashkortostan, taking into account the available bed capacity of children’s dignities

thorium is one consumer no more than 1 time in three years.

In exceptional cases, according to the conclusion of the medical commission of the outpatient institution, drawn up on the outpatient card, the state service for the provision of sanatorium and resort assistance to the children of the Republic of Bashkortostan may be provided annually.

The beginning of the execution of the state service for the provision of sanatorium and resort assistance to the children of the Republic of Bashkortostan is the admission of the child to the sanatorium organization.

Children are admitted subject to the following documents:

a) copies of an identity document (passport or birth certificate);

b) compulsory health insurance policy;

c) an issued sanatorium-resort voucher;

d) an issued sanatorium-resort card indicating the main and associated diseases in accordance with the International Classification of Diseases X revision;

stool test results for eggs of worms, helminths, enterobiosis (validity of the certificate - no more than 10 days);

results of a nasopharyngeal swab test for diphtheria bacillus (validity period of the certificate is 1 month);

results of studies on pathogenic intestinal flora (validity period of the certificate - no more than 10 days);

e) certificates of a dermatologist about the absence of contagious skin diseases;

e) data on preventive vaccinations;

g) certificates of lack of contact with infectious patients (at home and in an educational institution).

.

Upon admission, the doctor examines the child, prescribes treatment according to the standard of sanatorium and resort care taking into account the disease (according to the sanatorium-resort card issued by the territorial medical organization) and objective status at the time of the examination.

Reception is carried out on the day of admission in order of priority by the doctor and nursing staff.

If an infectious disease or contact with an infectious patient is detected (taking into account the incubation period), the child is not accepted into the sanatorium-resort organization and is re-evacuated at the place of residence.

Monitoring the dynamics of the state is carried out by a doctor with a description of the data in the medical record of a hospital patient at least 1 time in 5 days. The prescribed treatment is also recorded in the spa book, which is issued to the consumer of the service.

If necessary, emergency medical care is provided, and if necessary, inpatient treatment, the child is sent to the nearest medical organization, accompanied by a medical professional.

For the entire period of spa treatment, a bed and meals are provided, taking into account the standards provided for by the documents of the Ministry of Health and Social Development of the Russian Federation, within the limits of the funds allocated for these purposes.

For children:

—Treatment in accordance with the standards of medical care (for the underlying disease), including physiotherapy, hydrotherapy, exercise therapy, massage;

-kumysoterapiya;

-oxygen cocktail;

- phytotea;

speleotherapy.

In sanatorium organizations, regular pedagogical staff organizes leisure activities.

The sanatorium organizes visits to museums and other cultural institutions, and creative groups are invited through voluntary contributions from parents (legal representatives).

The duration of spa treatment in sanatoriums is 21 days.

In the case of escort of children by the next of kin, there must be a notarized consent of the parents (legal representatives) to assign the accompanying person the right to represent the interests of the minor in terms of decision-making regarding the provision of medical care for the child (informed consent to provide medical care to the child).

In accordance with sanitary norms and rules, namely

1. SanPiN 2.4.2. 2843-11 "Sanitary and epidemiological requirements for the design, maintenance and organization of work of children's sanatoriums"

2. SanPiN 2.1.3. 2630-10 “Sanitary and epidemiological requirements for organizations engaged in medical activities”, as well as to ensure the safety of life and health of children, to prevent the spread of nosocomial infections, and to prevent the introduction of acute infectious diseases (dysentery, flu, chickenpox, etc.) Compliance with the schedule of admission procedures and internal routines:

- the stay of children (arrival, departure) is carried out strictly specified period in the ticket;

- children are not allowed to leave on weekends and holidays;

- entry of parents into the department is strictly prohibited;

The sanatorium has an information stand on the provision of paid medical services.

When children and their legal representatives are in the sanatorium, they must comply with the internal rules:

- take care of the property of the sanatorium;

- Respect other children;

- respect the medical workers involved in the provision of sanatorium-resort care

- visiting children in a sanatorium

carried out in agreement with the attending pediatrician;

- provide reliable information about the features of the course of the disease, the individual characteristics of the child;

- It is forbidden to carry electric boilers; small objects (rubber bands for weaving, parts of designers), objects not subject to des. processing, stabbing, sharp, cutting objects (knives, razor blades, needles, manicure scissors); cigarettes, lighters, matches; medications; perishable products (confectionery, cakes, pastries, sausages, ice cream, dairy products), juices carbonated drinks.

- comply with the rules of the ban on smoking in the territory of the sanatorium;

The sanatorium is not responsible for the loss of personal items, so it is not recommended to have mobile phones and chargers for them; cash; Jewelry; video and audio equipment. In case of loss or damage to the property of the sanatorium on the basis of Art. 1054, 1057 of the Civil Code of the Russian Federation by parents (legal representatives) the damage is compensated.

Reasons why the sanatorium can prescribe a child ahead of schedule:

- gross violation of their own security measures,

- violation of internal regulations and fire safety rules;

- moral and physical harm to the health of other children;

- careless attitude to the property of the sanatorium;

The legal health of the child and the tolerability of the prescribed treatment to parents and representatives can be obtained from the attending physician on weekdays, from 14.30 to 15.30 by phone: reception 8 (34791) 2-06-39

Reception of citizens on personal matters is held weekly by the chief doctor on Monday from 16.00-18.00; Head of the pedagogical department daily from 10.00-16.00; Head of the Pediatric Department from 10.00-16.00

 

Our story

In March 1987, specifically for the treatment of agricultural workers in our Republic, an inter-collective farm sanatorium, a sanatorium "Ural", was built and began to function. It turned out various types of medical procedures, including: mud therapy, hydrotherapy, ozokeritotherapy, physiotherapy, inhalation, etc., more than 20 types of treatment that have a beneficial effect on the treatment and prevention of polyarthritis, osteochondrosis, vibration disease, bronchitis, the effects of injuries , diseases of the nervous system and other characteristic diseases of machine operators, livestock workers. In the Trans-Urals, it was the only medical institution intended for the sanatorium-resort service of agricultural workers and members of their families, as well as workers in other sectors of the national economy. People who visited here spoke approvingly of both the treatment itself and the level of service. Places have always been filled. For treatment took more than a hundred people in one run.

Until August 1994, the distribution of permits and the financing of the sanatorium was carried out by the association Bashkolkhozzdravnitsa and the Reskom of the agricultural workers union. As a private property of Reskom AIC, with the separation of the social insurance fund from the trade unions, the resort was left without sources of funding. In December 1996, the Republican Association Agrozdravnitsa (Bashkolkhozzdravnitsa) was liquidated and the sanatorium from that moment lost all management connections from higher organizations, i.e. not related to either Republican or municipal property. There was half according to the standards of budgetary, half self-supporting organizations. All concerns fell on the shoulders of the team, 85% of which were women. No financial support was provided; they themselves had to implement vouchers for the most part on barter. Vouchers paid for utilities. Food and medicine were also purchased for trips. Repeated appeals of the chief doctor of the sanatorium Shakirova M.R. in Reskoy of the trade union and Bashkolkhozzdravnitsa with a request to help get out of the crisis, they did not give any results.

The employees of the sanatorium and the administration of Uchaly and Uchalinsky district, in order to preserve the main purpose of the sanatorium - treatment of people, were forced to contact the administration of the President of the Republic of Belarus with a request to assist in the transfer of the sanatorium to the balance of the Ministry of Health of the Republic of Belarus. To carry out the rehabilitation and rehabilitation of disabled young people or children with disabilities. Fortunately, the sanatorium had all the conditions: a modern standard building, where the dining room, living rooms and treatment rooms are combined, you do not need to go outside, two local rooms with all amenities, fully equipped treatment rooms, the presence of unique therapeutic mud of Uchalinskie lakes.

By order of the Cabinet of Ministers of the Republic of Belarus No. 264-P dated 03/31/2000, and by order of the Ministry of Health of the Republic of Belarus No. 235-D dated 04/04/2000. “On the organization of the Republican children's multidisciplinary sanatorium“ Ural ”, by the resolution of the Committee of the Republic of Bashkortostan on state property management No. 298 dated 05/06/2000, the inter-farm sanatorium-preventorium was reorganized into the State Healthcare Institution, the Republican children's multidisciplinary sanatorium“ Ural ”.

Today, children from different regions and cities of our republic are undergoing treatment in the sanatorium: Ufa, Sterlitamak, Salavat, Ishimbay, Neftekamsk, Baymak, Beloretsk, etc.