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В терапевтических целях используются специально выращенные пиявки, в их слюне содержатся биологически активные вещества, которые оказывают антибактериальное, противовоспалительное, противоотёчное и сосудорасширяющее действия [2](https://veramed-clinic.ru/spetsialisty/girudoterapevt/)[5](https://www.ckbran.ru/clinic/doctor-consult/girudoterapevt)[14](https://vitacorclinic.ru/journal/preimushhestva-i-nedostatki-girudoterapii/).\n\n## Показания\nНекоторые заболевания, при которых гирудотерапия может быть назначена: \n* **Заболевания сердечно-сосудистой системы**: ишемическая болезнь сердца, кардиосклероз, сердечная недостаточность 1 и 2 степени, гипертоническая болезнь, атеросклероз сосудов [6](https://polyclinika.ru/direction2/girudoterapiya/). \n* **Хронические заболевания органов дыхания**: бронхиальная астма, хронический бронхит, хронические синуситы, повторяющаяся пневмония [6](https://polyclinika.ru/direction2/girudoterapiya/). \n* **Заболевания ЖКТ, печени, желчевыводящих путей** [6](https://polyclinika.ru/direction2/girudoterapiya/). \n* **Дерматологические заболевания**: псориаз, экзема, нейродермит [6](https://polyclinika.ru/direction2/girudoterapiya/). \n* **Неврологические заболевания**: поражения ЦНС и периферической нервной системы, неврозы, сосудистые заболевания головного мозга [6](https://polyclinika.ru/direction2/girudoterapiya/). \n* **Воспалительные заболевания мочеполовой системы**: цистит, простатит, энурез [6](https://polyclinika.ru/direction2/girudoterapiya/). \n* **Заболевания суставов** [6](https://polyclinika.ru/direction2/girudoterapiya/). \n\nТакже гирудотерапия применяется в травматологии и хирургии — способствует лучшему заживлению ран и профилактике образования тромбов после операций [6](https://polyclinika.ru/direction2/girudoterapiya/).\n\n## Противопоказания\nВ некоторых случаях гирудотерапия противопоказана [6](https://polyclinika.ru/direction2/girudoterapiya/). Некоторые из них: \n* гипотония [6](https://polyclinika.ru/direction2/girudoterapiya/); \n* анемия [6](https://polyclinika.ru/direction2/girudoterapiya/); \n* злокачественные заболевания крови [6](https://polyclinika.ru/direction2/girudoterapiya/); \n* заболевания, при которых нарушается свёртываемость крови [6](https://polyclinika.ru/direction2/girudoterapiya/); \n* лихорадка неясной этиологии [6](https://polyclinika.ru/direction2/girudoterapiya/); \n* эрозии и язвы ЖКТ [6](https://polyclinika.ru/direction2/girudoterapiya/); \n* туберкулёз в активной форме [6](https://polyclinika.ru/direction2/girudoterapiya/); \n* беременность [6](https://polyclinika.ru/direction2/girudoterapiya/); \n* недавние операции на мозге и позвоночнике [6](https://polyclinika.ru/direction2/girudoterapiya/). \n\nЧасто гирудотерапию применяют как одну из составляющих в комплексной терапии [9](https://polyclin.ru/articles/zaboleli-obratites-k-vampiru/).\n\n## Методика проведения\n**Процедура гирудотерапии** включает [14](https://vitacorclinic.ru/journal/preimushhestva-i-nedostatki-girudoterapii/): \n* Врач подготавливает участки кожи, на которые будут установлены пиявки, обрабатывает их антисептическим раствором [14](https://vitacorclinic.ru/journal/preimushhestva-i-nedostatki-girudoterapii/). \n* Пиявки размещаются на определённых точках тела, соответствующих зонам максимального терапевтического эффекта [14](https://vitacorclinic.ru/journal/preimushhestva-i-nedostatki-girudoterapii/). \n* Пиявка присасывается к коже и вводит в кровь ферменты, содержащиеся в её слюне [14](https://vitacorclinic.ru/journal/preimushhestva-i-nedostatki-girudoterapii/). \n* Длительность сеанса зависит от конкретных показаний и может варьироваться от 20 до 60 минут [14](https://vitacorclinic.ru/journal/preimushhestva-i-nedostatki-girudoterapii/). \n* Врач контролирует состояние пациента и процесс насыщения пиявки кровью [14](https://vitacorclinic.ru/journal/preimushhestva-i-nedostatki-girudoterapii/). \n\n**Частота проведения** определяется в зависимости от состояния здоровья пациента и характера заболевания [14](https://vitacorclinic.ru/journal/preimushhestva-i-nedostatki-girudoterapii/). Для достижения наилучшего терапевтического эффекта врачи рекомендуют проводить курсы из 5–10 сеансов [14](https://vitacorclinic.ru/journal/preimushhestva-i-nedostatki-girudoterapii/). 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