PROSPECTS OF THE USE OF MINERAL WATERS OF THE EAST REGION OF UKRAINE IN REHABILITATION OF PATIENTS WITH DISTRIBUTED CHRONIC SOMATIC DISEASES

Polshchakova T. V., Guscha S. G., Andrienko O. I., Kaliuzhnaya V. V., Vasilkova O. V., Mertsel D. I., Kulibchuk L. K. PROSPECTS OF THE USE OF MINERAL WATERS OF THE EAST REGION OF UKRAINE IN REHABILITATION OF PATIENTS WITH DISTRIBUTED CHRONIC SOMATIC DISEASES. Вода: гігієна та екологія / Water: hygiene and ecology / 2018;1-4(6):51-56. ISBN 978-617-696-121-5. DOI http://dx.doi.org/10.5281/zenodo.2567491 http://www.watergigeco.com.ua PROSPECTS OF THE USE OF MINERAL WATERS OF THE EAST REGION OF UKRAINE IN REHABILITATION OF PATIENTS WITH DISTRIBUTED CHRONIC SOMATIC DISEASES T. V. Polshchakova1, S. G. Guscha1, O. I. Andrienko2, V. V. Kaliuzhnaya2, O. V. Vasilkova2, D. I. Mertsel2, L. K. Kulibchuk2 State Institution «Ukrainian Research Institute of Medical Rehabilitation and Balneology of the Ministry of Health of Ukraine», Odessa1, LLC «Sanatorium «Orlovschina Resort», Dnipropetrovsk Region2 The objective: to study the potential therapeutic effects in the internal application of underground mineral water from well No. 991-P (LLC “Resort Orlovschina” Sanatorium”, Dnipropetrovsk region). Mineral water wells No. 991-P are characterized as low-salinity water sodium chloride without specific components. Mineral water was used according to the standard method of taking for 21 days on the background of drug therapy in patients with chronic liver diseases to develop indications and contraindications for use. Clinical, clinical-functional, and laboratory tests were used to evaluate the effects. The following facts are established. A single course of sanatorium-resort treatment of patients with metabolic syndrome with an internal intake of mineral water contributed to the improvement of the adaptive processes of the body according to the «health index», reducing hyperglycemia. In patients with convalescents of toxic liver damage and with chronic diseases of the hepatobiliary system, Mineral waters promoted a significant decrease in the manifestations of the astheno-neurotic syndrome, a decrease in hepatomegaly, gall bladder size, and an increase in liver biliary function. This is evidenced by a decrease in the level of total bilirubin in the blood, the normalization of the enzyme-forming function of the liver, a decrease in the level of triglycerides in the blood, the preservation at the average level of nonspecific adaptive reactions, and an improvement in health. This preserves the interaction of the cardiovascular and respiratory systems. On the basis of the conducted research, an Instruction on the practical use of Mineral water (well No. 991-P) was developed and the indications for internal use in the therapeutic practice of mineral waters for diseases of the hepato-biliary system, metabolism, cardiovascular system, disorders of nonspecific adaptive reactions. Key words: hepatobiliary diseases, metabolic syndrome, mineral water