Papaverine preparations are characterized by a pronounced antispasmodic effect (2% solution of 2 ml subcutaneously 1-3 times a day or 0.04 g orally 3 times a day), antispasmodic, aprofen or ganglion-blocking drugs (pyrilene 0.005 g 2-3 times a day, etc.). Attention is drawn to the fact that the patient has a good rest during the treatment period, so that his sleep normalizes. In case of insomnia, sleeping pills are used. As an additional treatment, multivitamin preparations are given, as well as vitamins Bi, B12 in injections. Some authors recommend using a 0.5-1% solution of novocaine one tablespoon or anesthesin before meals.
Physiotherapy is very effective in autonomic neuroses. Novocaine electrophoresis procedures are applied to buy coreg online (according to Shcherbak), general galvanization, UHF and microwave currents (inductotherapy, microwave therapy) to the area (projection) of the cardia (at the xiphoid process), warm baths, as well as radon or carbonic ones.
Cardiodilation is used if medical and physiotherapy treatment is unsuccessful. Cardiodilation is carried out in surgical hospitals or otolaryngological departments. The pharynx is preliminarily anesthetized with a 1-2% solution of dicaine, 1 ml of a 0.1% solution of atropine is injected subcutaneously or intramuscularly. Elastic cardiodilators are used, since they enter the cardia more easily than metal ones. The duration of the procedure is 3-10 minutes. The essence of cardiodilatation lies in the fact that the muscle muscle of the cardia is stretched with the instrument, the scar tissue is torn and the patency of the esophagus is restored. The immediate efficacy of cardiodilatation is generally good. The most severe complication of the procedure is rupture of coreg pills, mediastinitis and bleeding. After a few years, 30-70% of patients experience relapses of achalasia.
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- Surgical treatment is indicated for recurrence of achalasia. Esophagocardiomyotomy (Geller operation) or its modifications are performed by transthoracic or translumbar access.
- The essence of the operation is the intersection of the layer of the wall of the esophagus and cardia to buy carvedilol pills.
- Sometimes a plastic defect in the muscle wall is used with a diaphragmatic flap on a pedicle, an omentum, or the fundus of the stomach.