Technics oversight of leeches is quite simple. For this portion of the surface of the skin, which is selected for the production of leech, wipe with a piece of gauze moistened with warm water until a light hyperemia (redness). After that, the necessary point massaged, and then placed the animal front suction cup on the skin near necessary point. The skin temperature of the patient, no foreign unnatural odors is important for the efficiency of productions leeches, otherwise it will stick sluggish. Before a session girudoterapii is recommended as a detergent, a simple baby soap,
abandoning deodorants, perfumes, cosmetics with any flavoring. The skin surface is often necessary warm heaters and pulverized. 50% cases of normal leech clings to the skin at all prepared. Level aggressiveness, the ability to attack and feed the leeches, despite the state fast enough is variable. It depends on the time of year and weather conditions, and from the correct animal.
Therefore, if you do not leech “Throws” to the patient, either replace it or pierce the skin with a sterile disposable injection needle until a drop of blood, which is produced and leech. The procedure of leeches is preferably carried out on an empty stomach, in a convenient patient position, better lying down. For consoles leeches use a variety of devices: it is a hollow tube with a glass piston like a syringe, medical tubes, vials from under antibiotics. Most consoles used to accelerate medical banks that placed on the desired area of the skin for a short time. Created at the same time vacuum causes interstitial fluid influx in the epidermis and in such a place leech much more likely to attach themselves. An indication of how well “work” leech, is how fast it the body becomes wet (as it activated skin cancer). If after 15-20 minutes after the consoles leech remains dry and makes a peristaltic movements, it indicates the probable duration and sluggishness bloodletting procedure. In this case, the stimulation of leeches: the warm touch of her finger 3-4 times back and stroked from the head to the tail end. Part of the body to which the charge of leeches, must be covered with a towel and a blanket. Leeches can be placed for 1-2 minutes (no bleeds) method Abuladze and
well before signs of free suckling (with incomplete bled) and until the leech falls off on their own (with full bleeds).
In the first case, the method Abuladze carried reflex action girudoterapii and comes with full bleeds complex effect on
biological properties of the body secretions of the medicinal leech. Mostly used technique designed to self discharge of leeches. After the end of the session girudoterapii superimposed on the wound sterile drape, cotton-gauze, plaster bandage or bandage. Bleeding after setting leeches or bleeding in postpiyavochnoe
Treatment is almost more important than the very leech bled. Rank bleeding within 9-24 hours, but concerns about dangerous blood loss and unfounded quantitatively and qualitatively. Leech weighing 1.5-2 g extracts typically no more than 10 ml of blood; postpriyavochnoe bleeding It leads to loss of 15-40 ml, a total of 25-50 ml. Based on this vrach girudoterapevt and calculates the amount of allowable bloodletting. To avoid complications is believed that the maximum blood loss should not exceed 200 250 ml considering constitutional features. It must be said also that the wounds left by the leech, stands lymphatic fluid, tinged with blood. Only in a few cases where make significant venous unloading, it becomes quite justified the use of a large number of leeches – up to 20 individuals. However, a result of blood loss in terms of one leech is significantly less than using a pair of leeches. In this case, the substrate massive damage and then bled activates additional protective mechanisms of the body of the patient and significantly postpiyavochnoe decreases bleeding. There is a discharge of venous blood flow, restores blood circulation, reduces tissue hypoxia, that is,
produced a significant “emptying” the action, which once again proves the importance of not only the oversight of leeches, and subsequent bleeding