Drug encyclopedia

In the field of the narcological help there is a large quantity of myths and legends, to understand in which to the person uninitiated happens extremely difficultly.

One of the most widespread myths is a myth about “blood cleaning”.

It is a question about real-life and vital in the general medical practice to bunch of methods “extracorporal (“ out of corporal ”) a desintoxication”.

These methods are applied at a serious poisoning and not less serious illnesses of an internal. In case of sharp disturbance of work of natural filters of an organism (a liver and nephroses) into blood start to inpour high-molecular substances, own toxines of a human body which can invoke a venenating and mors of the patient. In such situations blood should be released from toxines out of an organism.

For such filtering are used in the basic two methods: a hemosorption and a plasmapheresis.

The hemosorption is a carrying out of a blood in the special apparatus through the artificial filter, consisting of synthetics which easily imbibe and deposit on itself “serious” moleculas of toxines. As an example of such stuff activated carbon can serve.

The Plasmaferesion is a separation of a blood by means of the whizzer is parted on two constituents: bloody little bodies and plasma. Plasma is a liquid part of a blood which does not contain any cells and represents solution of various proteins in water. In plasma at acute venenatings those toxines which are not processed by blood cells contain. After centrifugation plasma together with toxines pours out and destroyed. And blood cells are reverted back in circulatory system. After that the fluid volume is recovered by means of special sterile solutions.

To the patient speaks that during these procedures blood is released from narcotics and their toxines …

Since the founder of medicine of legendary Gippokrata the principle was a major principle of our science – do not do much harm!

Including this principle designated an interdiction for utilisation of “superfluous” medical procedures. That is doctors always perceived: degree of danger of procedure should correspond to gravity of a state of the patient. It is impossible to make a surgical intervention if illness allows to manage without him.

Such situations arise seldom enough. In overwhelming most cases and a liver, and nephroses of the narcomaniac continue to cope with breeding from an organism of toxines, and to make a desintoxication it is possible methods much less dangerous to an organism.

Happens enough usual medicinal help without breeding of a blood of the patient for organism limens. Danger of an overdosage can be eliminated one injection of a drug of the thebaic antagonist which is available at the disposal of any narcological establishments.

For the sake of justice it is impossible to tell that an extracorporal detoxication is excessively hazardous to health of the narcomaniac. This procedure is in most cases simply superfluous or as now speak, in medical tongue of “psychotherapeutic”.

If resuscitation is not necessary to the narcomaniac, means, methods of an extracorporal desintoxication are not necessary to it. If in case of danger of death doctors neglect those complications in which can result hemosorption and plasmapheresis procedures, in case of meaningless carrying out of such procedures of their complication, such as: immunodefence depression, instability of arterial pressure, destruction of a quantity of bloody little bodies, become significant.

The only thing that we can make by means of a hemosorption is to breed from a blood the products which have been conserved there of a metabolism of the heroin.

But in 10-12 hours if the patient will refuse a drug taking, pains will begin in itself, without any hemosorption. And to spend an extracorporal desintoxication during pains when Morphinum is not present in a blood already, in general it is senseless.

No “mud” and “slags” in an organism exists. All small ectogenic parts of solution consisting of materials with which thinned heroin, get to blood, are trapped by special blood cells – leucocytes, tolerated to a liver and there are destroyed. Those parts of a mud which the liver could not destroy, are postponed in it till the end of life of the patient. In the course of time they are capable to invoke irreciprocal changes of a liver – a cirrhosis. But the hemosorption, not in a state to get such parts from liver cells.

Readers will ask: ”But after all many were treated by means of methods of an artificial nephros and felt much better?”

Yes, it so. But, unfortunately, all speaks very simply. After carrying out of the procedure of a hemosorption to the patient are yielded in tablets or restful and anaesthetising drugs are introduced in injections. These medicines also help to tolerate pains to realities. And procedure remains only next magic “rod”.

Fortunately, in process of development of professional narcological service hemosorption application began to get out of fashion.

For carrying out of treatment the doctor needs to make a puncture – dissecting of coating of a rachis by means of a special thick needle.

Even more severe method of such “psychotherapy” is, offered recently employees of the St.-Petersburg institute of higher nervous activity of a name of V.P.Bekhterev cтереотаксическая operation on a brain.