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Для процедуры используют только один вид пиявок, выращенных на специальных биологических фермах [1](https://old.bigenc.ru/medicine/text/2362450)[8](https://www.nsmu.ru/consult-policl/consult/gerudoterapevt.php). \n\n**Принцип действия**: пиявки присасываются к коже и вводят в кровь ферменты, содержащиеся в их слюне [13](https://vitacorclinic.ru/journal/preimushhestva-i-nedostatki-girudoterapii/). Это способствует улучшению кровообращения, разжижению крови, снижению воспалительных процессов и устранению болевого синдрома [13](https://vitacorclinic.ru/journal/preimushhestva-i-nedostatki-girudoterapii/).\n\n\n\n## Показания\nГирудотерапия применяется при различных заболеваниях, например: \n* сердечно-сосудистые заболевания (артериальная гипертензия, варикозное расширение вен, тромбофлебит, атеросклероз) [13](https://vitacorclinic.ru/journal/preimushhestva-i-nedostatki-girudoterapii/); \n* заболевания опорно-двигательного аппарата (артриты, остеохондроз, радикулит) [13](https://vitacorclinic.ru/journal/preimushhestva-i-nedostatki-girudoterapii/); \n* дерматологические заболевания (псориаз, экзема, нейродермит) [7](https://polyclinika.ru/direction2/girudoterapiya/); \n* неврологические заболевания (поражения ЦНС и периферической нервной системы, неврозы, сосудистые заболевания головного мозга) [7](https://polyclinika.ru/direction2/girudoterapiya/); \n* воспалительные заболевания мочеполовой системы (цистит, простатит, энурез) [7](https://polyclinika.ru/direction2/girudoterapiya/). \n\nТакже гирудотерапия применяется в травматологии и хирургии — способствует лучшему заживлению ран и профилактике образования тромбов после операций [7](https://polyclinika.ru/direction2/girudoterapiya/).\n\n## Противопоказания\nНекоторые противопоказания к гирудотерапии: \n* заболевания, сопровождающиеся нарушениями свёртываемости крови (гемофилия, геморрагические диатезы) [9](https://cyberleninka.ru/article/n/girudoterapiya-chast-1-definitsiya-pokazaniya-protivopokazaniya); \n* анемии (уровень гемоглобина ниже 100 г/л) [9](https://cyberleninka.ru/article/n/girudoterapiya-chast-1-definitsiya-pokazaniya-protivopokazaniya); \n* лейкозы [9](https://cyberleninka.ru/article/n/girudoterapiya-chast-1-definitsiya-pokazaniya-protivopokazaniya); \n* эрозивно-язвенные поражения и опухоли желудочно-кишечного тракта [9](https://cyberleninka.ru/article/n/girudoterapiya-chast-1-definitsiya-pokazaniya-protivopokazaniya); \n* острые лихорадочные заболевания с неясной этиологией [9](https://cyberleninka.ru/article/n/girudoterapiya-chast-1-definitsiya-pokazaniya-protivopokazaniya); \n* беременность [9](https://cyberleninka.ru/article/n/girudoterapiya-chast-1-definitsiya-pokazaniya-protivopokazaniya); \n* состояние после операций на мозге и позвоночнике [9](https://cyberleninka.ru/article/n/girudoterapiya-chast-1-definitsiya-pokazaniya-protivopokazaniya); \n* индивидуальная непереносимость пиявок (наблюдается очень редко) [9](https://cyberleninka.ru/article/n/girudoterapiya-chast-1-definitsiya-pokazaniya-protivopokazaniya).\n\n## Методика проведения\n**Длительность сеанса** зависит от конкретных показаний и может варьироваться от 20 до 60 минут [13](https://vitacorclinic.ru/journal/preimushhestva-i-nedostatki-girudoterapii/). \n\n**Пиявки размещаются** на определённых точках тела, соответствующих зонам максимального терапевтического эффекта [13](https://vitacorclinic.ru/journal/preimushhestva-i-nedostatki-girudoterapii/). Эти зоны могут быть расположены вблизи больных органов, на акупунктурных точках или в местах с максимальной концентрацией капилляров [13](https://vitacorclinic.ru/journal/preimushhestva-i-nedostatki-girudoterapii/). \n\n**После завершения процедуры** на местах укусов остаются небольшие ранки, которые могут кровоточить в течение нескольких часов [13](https://vitacorclinic.ru/journal/preimushhestva-i-nedostatki-girudoterapii/). Ранки обрабатываются антисептиком и закрываются стерильной повязкой [13](https://vitacorclinic.ru/journal/preimushhestva-i-nedostatki-girudoterapii/). \n\n**Частота проведения** определяется в зависимости от состояния здоровья пациента и характера заболевания [13](https://vitacorclinic.ru/journal/preimushhestva-i-nedostatki-girudoterapii/). Для достижения наилучшего терапевтического эффекта врачи рекомендуют проводить курсы из 5–10 сеансов [13](https://vitacorclinic.ru/journal/preimushhestva-i-nedostatki-girudoterapii/). Интервал между сеансами обычно составляет от 3 до 7 дней [13](https://vitacorclinic.ru/journal/preimushhestva-i-nedostatki-girudoterapii/).\n\n## Эффективность\n**Некоторые исследования подтверждают эффективность гирудотерапии** при лечении различных заболеваний [14](https://minzdrav.admoblkaluga.ru/upload/oiv/min-zdrav/%D0%98%D1%81%D0%BF%D0%BE%D0%BB%D1%8C%D0%B7%D0%BE%D0%B2%D0%B0%D0%BD%D0%B8%D0%B5%20%D0%BC%D0%B5%D1%82%D0%BE%D0%B4%D0%B0%20%D0%B3%D0%B8%D1%80%D1%83%D0%B4%D0%BE%D1%82%D0%B5%D1%80%D0%B0%D0%BF%D0%B8%D0%B8%20%D0%B2%20%D0%BF%D1%80%D0%B0%D0%BA%D1%82%D0%B8%D1%87%D0%B5%D1%81%D0%BA%D0%BE%D0%BC%20%D0%B7%D0%B4%D1%80%D0%B0%D0%B2%D0%BE%D0%BE%D1%85%D1%80.docx). Например: \n* У больных с заболеваниями сердечно-сосудистой системы гирудотерапия позволяет улучшить коронарное кровообращение, добиться урежения ангинозных приступов [14](https://minzdrav.admoblkaluga.ru/upload/oiv/min-zdrav/%D0%98%D1%81%D0%BF%D0%BE%D0%BB%D1%8C%D0%B7%D0%BE%D0%B2%D0%B0%D0%BD%D0%B8%D0%B5%20%D0%BC%D0%B5%D1%82%D0%BE%D0%B4%D0%B0%20%D0%B3%D0%B8%D1%80%D1%83%D0%B4%D0%BE%D1%82%D0%B5%D1%80%D0%B0%D0%BF%D0%B8%D0%B8%20%D0%B2%20%D0%BF%D1%80%D0%B0%D0%BA%D1%82%D0%B8%D1%87%D0%B5%D1%81%D0%BA%D0%BE%D0%BC%20%D0%B7%D0%B4%D1%80%D0%B0%D0%B2%D0%BE%D0%BE%D1%85%D1%80.docx). \n* При хронических гинекологических заболеваниях гирудотерапия способствует ликвидации застоя крови и внутритканевого отёка при воспалительных процессах, нормализации менструального цикла [14](https://minzdrav.admoblkaluga.ru/upload/oiv/min-zdrav/%D0%98%D1%81%D0%BF%D0%BE%D0%BB%D1%8C%D0%B7%D0%BE%D0%B2%D0%B0%D0%BD%D0%B8%D0%B5%20%D0%BC%D0%B5%D1%82%D0%BE%D0%B4%D0%B0%20%D0%B3%D0%B8%D1%80%D1%83%D0%B4%D0%BE%D1%82%D0%B5%D1%80%D0%B0%D0%BF%D0%B8%D0%B8%20%D0%B2%20%D0%BF%D1%80%D0%B0%D0%BA%D1%82%D0%B8%D1%87%D0%B5%D1%81%D0%BA%D0%BE%D0%BC%20%D0%B7%D0%B4%D1%80%D0%B0%D0%B2%D0%BE%D0%BE%D1%85%D1%80.docx). \n\n**Однако гирудотерапия не является панацеей** — лечение пиявками подходит не всем [16](https://apteka.ru/blog/articles/pro-zdorovie/piyavki-pri-bolyakh5f322c3d07642248c30f35a2/).","linksData":[{"sourceId":1,"url":"https://old.bigenc.ru/medicine/text/2362450","shownUrl":"https://old.bigenc.ru/medicine/text/2362450","title":"ГИРУДОТЕРАПИЯ • Большая российская энциклопедия - электронная версия","shortUrl":"old.bigenc.ru","isTranslated":false,"description":"","greenUrl":"old.bigenc.ru"},{"sourceId":2,"url":"https://polyclin.ru/articles/zaboleli-obratites-k-vampiru/","shownUrl":"https://polyclin.ru/articles/zaboleli-obratites-k-vampiru/","title":"Заболели? 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