Contemporary Concept of Immunorehabilitation.
We have created the base of a new medical science - immunorehabilitology, dedicated to a study of the processes of restoration of the functional capability of the immune system to the physiological norm under the effect of a complex of treatment-prophylactic systematic measures in order to achieve the complete recovery of a patient (during acute course of the disease) or a stable clinical-immunological remission where relapses disappear or are minimized (during the chronic form). The process of restoration of disturbed functions of the immune system during immunological diseases with a relapsing course should include: basic, restorative and supportive immunorehabilitation, and should also provide the following main stages. First stage - clinical (duration from 14 to 45 days). This stage is usually carried out under hospital conditions with the aim of obtaining reliable clinical diagnosis and establishing the degree of immune pathology, or in the period of exacerbation of the main disease. Second stage - ambulatory. This stage of immunorehabilitation is the longest (up to three years) and consists of restorative treatment under ambulatory conditions (restorative immunorehabilitation). Third stage - sanatorium-health resort (annually, at least 24 days a year - supportive immunorehabilitation). This stage is carried out after disappearance of the features of exacerbation of the disease and may follow the clinical or ambulatory stages of immunorehabilitation.
Sepiashvili
Revaz I.
RI
Institute of Immunorehabilitation, Moscow, Russia.