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    26 views9 pages

    2OSSIGENO - OZONO THERAPIA Antimetopisi

    Uploaded by

    PietroRossidis

    Copyright:

    © All Rights Reserved
    Download as PDF or read online from Scribd
    Flag for inappropriate content
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    ETMIEMBATIKH AKTINOAOTIA 0 EAAHNIKH AKTINOAOTIA ‘Toyos 33 (1):13-21, 2002 H avupetomion ing oo@uikiis SioKoKriAns pe tn pé6060 tng ofvyovo-ozovo8epancias: Evéotpnpanxi ¢yxvon und afovik6 topoypa@o M. Bonetti, B. Cotticelli, E. Haidxnc’, E. BAaxéxoc’, F. Albertini‘, L. Valdenassi*, P. Pichelmi* Ta wAevraia xpévia noAAanAacidemxKay 01 yvéeess yam xprion row piyparos 02/03 omy avopersmon tov Sioxopizmbicay cupmepa- ev ovvencia Kring Mecoonovévaiov Afoxov (KMA), eve e€e2ixOnxav xa Siapopenxos 1p6- mo1 xopriynong tov aepiov piyparos, énes n enovopazdpevn “KAaouct texvuci” (evdopund, napaonovévaixd), n evSorpnpanun gyxvon pné CT ¥ ala Geyxo, kai n evBob1oxnai €yxv- ‘on. O oxonds avutis ms pehéms efvar va ecu pn@ef n Ocpancumai endpucia mg O§vyovo- OzovoSepanefas petd evSorpnpanxis texvi- xaig KaQ0GnyoUpevn ond TC (afounai 1poypa- ia) o¢ aobeveis ndoxoves and oopvoiomaa- yixé evoxitipata npoxaiovpeva ané KMA. Emiéynxav 48 ag®evefs nov avopetoniomxay pe aviv m Gzpaneumi né0050 mv nzpiodo 10/1998-6/2000. Tixipns Avon ms ovnmepa- xohoyias emmedxOnxe oe 41 nepimdozis (88,4%). Baoe: aurév tov anoredcoparey Os- Servizio di neuroradiologia Ospedale San Donato Milanese 2OpGonaidusti Kauri lov Noooxopsiou IKA ABn- vey 2Oynohoyiss xévipo I. Pewnpards 60 IKA Axdxos touéas , ‘Servizio di neuroradiologia Universita degli Studi di Brescia ‘Istituto di Farmacologia II. Universite di Pavia @pove du n Ofvyovo-Ozovodepaneia, a onofa yivera: xér@ and Acyxo TAC, sfvar pia ovvmpnmnai pé0oB0g eFaipenxd eapxris omv avupermon ms oopubais Soxoustins. Ag§e1g KAeIb1G: Ofvyovo-Ozovobepaneia, Afovi- xh Topoypapia, npo6ohi Sioxov. ELZArOrH Kin Afoxov Seapeitar n é€o80s tov mnxcoei60us nupriva Siayéoov pias peryyic tov wesBous Saxcv- Aiov npos tov anovuAIKs awhtiva fi to HecogTOV- Sho tpripa. Eripepa ot aoBevess o1 onofo1 néoxouy ané KrsAn MecoonovévaAiov Afoxou (KMA) avfavo- vtai ouvexds, nopdAinha pe my dvo5o tov péoov pou nauxias. MIpsopates emBnpiohoyixés pehéres Sekxvovv, emnAiov, 6u n naSotoyia tov Sioxou aveupfoxetai ouxvd Kai o€ véous. ati agevos HEV n guxvémnta aunis ins na®igews om o6yxXPOVT KO! vavio paivera: ovvSebeuéun pe mv eharrapevn pu- oni Bpaompidera, nc xaSiouxé ouvriBeles Kat US petaxcvtioeis (We avtoKfunro A pe aeponidvo), acpe- répov Se Bewposvra: emBapuvaxds Kan o1 emuBpé- gas pias Evtovng @vousiig Spaompisemas omy onovSvAusi onan (nx. Bapid cnop epapyozdueva pe entinovo tpéno). Ynofoyizetai éu nepinov to 80% tov minBvspow éxe1 unocte! tovidouctoy wna popd om zai tov éva eneiod10 ooguahyiag cvvofevdpevo A yn HE rcxiaayia. “ H ovpmtaparodoyia tng napovaias pag KriAn¢ Sfoxou B:agoponoreftas avdAoya pe m Sopfi nov ennpedzei. To neprpepixd turiza tov Saxcvafov omo®fes efvar owvSeSepevo pe tov onfoie ermpri- xn oGvSecHo Kai vevpottai and to vespo (recurrent) tov Luschka, Kai s ex toutou n nicori ov ex pEpoUus ts KifANs nopef va efva naa tng oopvaiyfas. H nieon ing veupmtic pizag xéto and iv é060 ané 10 Gdko fi to tpriua GewpriGnxe, vnes@vvn tng endéSvvrig cvpmoparoroyfas nov npoxahefrai @¢ npdro aGpmrapa, aKoAovBospENN ‘and napaic$nates 1 unaicBnofes Kai and xwvnaKXd Adepa omy nepioxs nov vevpotta: and tv Ke~ vipixs piza. On xrites LecoonovévAfov Sfoxov po, SvopnBowv oF 1) Méosc: Efva: o1 mo ondvies (10-15%), ener © onfo®iog emprixng éxe1 ny ikavémnta evioxvons tov mé6ovs Saxtvafov. Efvar vnesGuves ms oopuaiyias Kal mo ondvie-«n¢ oopuotoxaayias exepGievpe fi Kat an@otepsnAcvpa. 2) Mapdpeces A onicBonAdyiec: Efvai 01 mo ov- xvés, efarfog tng HeyaAttepns vnoxepnaxdmmas ‘ov MAGYIOV THrParos tov omaGiov emmprixous. Ef var unes@uves tns HovsmAcupns przmBucis méoeos rou e€epxdpevov vespou. 3) MAdyies i evSotpnyauxés: Avanpoownesouy to 5-11% tov nepumdoewy, efvar mo ouxves oro enine6o O3-04 nar 04-08 xar efvar unevBuves ng nigons tng veupintic pizag nov Siépxetai dveG_v tov. -Bioxov oro eowtepixd tov Ipriparos. 4) Efatpnicuxés: Mnoposv va &écouv ovpnta- paroAoyia pévo efiv éxouv peydhes Biaotéces. 5) Mpéoties: Thezovv tov npéotio emp. H ovvi6ng avayetémon tov cuumapdrov nov - opeiovtai o& KMA efvar n ovvmpnnesi ayooyri. E0- yxpmmnés peAgtes €5e:€av 6n n anoxatdoraon ritav toxdtepn tov 1o xpévo ae exeivous 01 onofot xe1- poupytiGnkay, Spas perd and 4-5 xpduia n Siapo- pé perafs tov 8tio pe8d5av efvan ocanouxd aoripa- Tipoopdtas anoSeikOnxe Su nevouvor ms end- vung ovpm@pcroaoyias eivai o1 xnpuxof napdyo- vies nov aneAev@epdvovtai ané tov xomidn 10x6 (granulation tissue), 0 onofog oxnparizetat yO- po and mv xriAn. Eiva yveots éu n IL-la, n IL-6, xan o TNF-a na- péyovia! ané 1onoKtrapa, woBAdotes Kal and xov- Spoxtnapa"="", Or xurtaponives vnoxpedvouv ta npoavagepAéuta KGrrapa va napdyouv npoata- Eiies) maby, Toyos 33, Tego, 1, 2002 yAa6ivn E2, n onofa npoxahef dhyos 4 avgdver my evaic@nafa tov vetpou yie éAAes oveles now napé- youv diyos énwsn Spabuxmivn, Emnv nposoAri tov Sioxov (protrusion) undpxe: avgnpévos apiGads xovSpoxuttdpev nov napdyouv Kurtapoxives® Kai ouvendss E2". Ovaies nov avactéAhouy my napa yoyti Kuttapoxivey and ta npoavagepSévra Kirca- pa, énas ta otepoeibi=*", i ug opaAorOIOwy, _ Gnas 10 6zov, avanévetai va avaotefouv Kai to GA- yoormatnat, H xatavénon tov avarépe enéBare mv avdmuén Srogspev peOsEov ovvinpnuxtis Sepanefas, dnws n nAexeputni Kai pnxavuai avaaynofa, n emoxAnpi- Biog éyxvan KopuKxoctepoaSay, n evbobicxuxt éy- xvon xuponanaiuns Kai Gites nepioodtepo enepuBa- cuxég, Snag n SiaS_pyuxri mupnvoavappse@non pe tm xprion tov nvpnvotdpiov tov Onik™”, 10 Laser, xAn., 01 onofes entpénovv tm jnxavisti anoguynfecn tov Bioxov, xapi¢ va aAAdEEI n oranKti, KAGE pia Spcs napovoidzei Nepiopiopows orm xprion tns. To ézov anotehef pfa and ng pappaxohoyixés Kal Biodovixés avevés nov nepihayBévovrat om xprion row ofeiSouxdy napaydvtev (6zov xa unepokeiB1o tov v8poydvov) xaté to National Institute of Health (Bethesda MD USA 1995) xai éxe1 npora®ef yia tv avaperanion ms oopvciouciyias cay iyo 02/03 uns poperi nopacnovBvaudw, evSopvixdy 1h evS0Bio1uxdv eyxGoew@y' 7S, Gyo tng anoteAeouanxémras Kai tng éAAenpns napevepyer- @v Gus GvVICT@pEeves S60zI¢. Emv napowoa epyaoia Gehricaye va afionoyri- govpe tn Gepaneuns endpxeia tng Ofvyovo-Oz0- voBepanefas, n onofa epapydzerar ye tv Sia6ep}- xt-evBorpnuame texvici xoBoSnyonevn and afov1xd topoypdgo o¢ pevého api6yus aodevev, WE tehK6 oxond va Kpief edv aumi n péB0Sog (yin xe povpyixti) pnopef va nporaBef @¢ npn eniAovti conv xiivuci avuperdaion tov coBevav. YAIKO KAI MEQOAOE. “Eyive ya ovyxpraxss peAém anoreAowyevn and tuxaia Sefypata acOevav. ‘Oho: Enaoxav ané ov- umdpara oopvaAyias f / xat copvoiauciyias Aéyo copuririg S1oKoxriAng Kai avopetonfornxay pe thy evBotpnpanxti texvuci xaGoSnyospevn und afovins topoypdeo. TepiedigGnoav 48 aoveveic, 27 (56,2%) GvBpec xau 21 (43,8%) yuvaixes, nduxfos 24-67 excv (2.6. 42,3), 01 onofor €ncoxav and pn ao8ectonompéyn Oopvix Aioxoxtiin. To soropixé a brett oo, HANTBACTORED THE OT OMT EON ME Tk MEGGAD THE ORONO OZONOSEPATIERE ENDOTPMATHO EDA YO ASONO TOMCTPHO Encdva 1. A. Toxaapinnd< pnohonouds xéo ané éheyxo CT tov onpefou e1odbdu xat ms anéaaons ans 10 Heo” (0g (BEAOS) Kar cradIaK SicxvON TOU pypETOS oro onovEchio tora. B. tafyiaros oro enins6o 100 tpriyst enineSo ts apOpaoees (Sefrns], Eiméva 2. A. H éyxvon péoe Behévas Terumo tev 9 ex. B. YnoRoyiouds tov onpeiov evxoeas xdto ané xaGobr ynen CT o€ acGevii ue oyncsEn xrtAn O5- 11 (K8ehog KOK TT. H @éon ins Behdvas nopaxodouseftar und CT. Edinend Armoloyi, Top0g 3, Teigoy 1, 2002 Enxéva 3. A. Kiiin Bfoxov péon-napdyeon 8e66 O5-11 (Gesxtns). B. Tyipns opvddraon pers ans rpexs evSorpncn- ug eyxsonis pe 02/03. Ghav wy aoBevay nepiehéyBave: Svoua, nyeponn: via yevvtiews, nuepounvia evipfeas common: t@v, npepopnvia npdinc ouveSpiac kai dha ta oto! xeia tav KAviney eferdoeav 01 onoies nepiéypapay ta xapaxtnpionxd tou GAyouc, inv evtémiori tov, mV napovsia napaioGnoias 1 pin, to onpefo Laseque, o BaGyds evaicBnaias, ta avravaxAacuxd cra Kare éxpa, n panafa kau neAyaaxsi xéytpn tov nods Ka n paxiaia xéppn tov peydAou Saxiov. ‘Ode! 01 coBeveis efxav vnoBAndes o¢ afovue topoypagia He 6iGyveon pn acBeotonomyEvns Kring Aioxov. Eixooi oxté nepumdcerg agoposoav KMA O4- O05 (58,3%), 12 O5-I1 (25%), xa 8 03-04 (16,7%). Or aries oe 38 nepimdoess (79,2%) ritav vnoowSeoumnés Kat o€ 10 (20,8%]) efaovvéeour- kéc, ev efapéOnxav SAes 01 nepumdaeIs HE NOA- Aandés Kites Aioxov, énov 01 aoBevels eixav En vnooref pia xeipoupyixn engpBaon. KaSopfornxe emnAgov © api6yés tev npaynatonomBévtev epappoyéy, © onofes om Susi pos peAémn peta- BaAAdrav petas evés ehaxforov pas ovvebpias kal evds peyfotov tesodpav. Lug nepumadaeis tov nodAanAdy epappoysv o1 eyxdae1s epappdzovray pe anéoxagn 10 npepav n pia ané tnv éAAn. Xpn- cijonowiénxe pnxaviopés napaywyris dzovtos pdpxag Multiossigen mod PM 95, o onofos nepiéxet garopetpixd Sefxtn ng ovyKevtpdcews tov 6z0- tog oo aépio pivya. H @epanefa e@appdzetar und popepri day-hospital kai n Hop@pti eyxdcews efvar n fia nov xpnomonor eftar a1 cus S:oKoypagies. Mpayparonoreftat p10 apxxti afovxri topoypagia (eméves 1,2) yia va Ka- @opictef to onpefo eyxtoews oro eniniebo tov 6ép- Hatos Kai Katdniv unoAovizeral n andotaan ato ‘and to pecoonov6Ghio tpripa. Karénty, yiverar torn- Xfi avaic8nafa pe etil cloruro spray. FT BeAdva nov xpnowonoieftat efvar névta 22G, chad oxeBév oe Sheg us nepimdoeis xpnomonomOnxav Behdves Qem. Le auré to onpefo enainOeverar, 1a péow enavohapBavGpevev afovisciv topoypagisv, n ‘owori Béon tng BeAévas, ins onofas n dxpn npéne, va anéxe1 nepinov 4-5 mm ané mv nepioxti tov tpri- patos. Eyxéovtai 3c piyatos ofvysvou-dzovtos oe ovyxévtp@on 25y.grO3/mIO2 Kar xarémv

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