Inhalation therapy is one of oldest treatments for the cure of respiratory tract conditions. Sulphurous water inhalations consist of introducing mineral water or its gaseous constituents inside the respiratory tract through the use of equipment designed to split the active ingredient in small particles of variable diameter.
STEAM JET INHALATIONS
The device fragments the thermal water in particles having a dimension of about 100 µm. This creates a steam jet which is then inhaled by the patient. The steam jet is directed towards filters or plates that eliminate the biggest particles and produce a relatively homogeneous mist of 8÷10 µm in diameter; in doing so, the steam partially cools down and reaches an optimal temperature of 37-38 °C. The patient sits in front of the device, at a distance of about 20-25 centimetres from the mouth piece, and inhales the steam with his nose and/or his mouth. The particles reach the mucous membrane of the upper respiratory tract producing a cleansing and stimulating effect.
When to use it: diseases of the nasopharynx, upper airways, tracheitis and chronic bronchitis.
THERMAL WATER AEROSOL
Through its nebuliser made of transparent plastic, the machine emits a mixture of compressed air and thermal water at a temperature of about 36 °C. Thermal water aerosol uses fine thermal water particles; according to their dimensions, these particles are capable of reaching even the furthest branches of the respiratory system. In order to obtain particles of different diameters, the compressed air has generally a pressure between 0.8 and 1.2 bar: particles with a diameter higher than 3-5 µm stop at the upper airways, particles with a diameter lower than 3 µm reach the lower airways. The patient uses a mask that covers his nose and mouth and breathes normally for the duration of the whole treatment; a nasal fork provided with the device can be used instead of the mask.
When to use it: chronic diseases of the upper and lower airways (nose, pharynx, larynx, trachea and bronchial tree)
Through its nebuliser made of transparent plastic, the device emits a mixture of compressed air and medication (prescribed by the doctor). The patient uses a mask that covers his nose and mouth, and breaths normally for the duration of the whole treatment.
Using the appropriate RINO-JET made of transparent plastic, the device discharges thermal water in particles of large size (120 µm) at a temperature of about 36 °C. The particles, under the pressure of the compressed air are pushed inside the nostrils. The patient rolls his head on one side, introduces the RINO-JET in the upper nostril and starts the treatment. Half-way through, the treatment is stopped to allow the patient to repeat the treatment on the other nostril. Thanks to the large amount of thermal water particles, micronized shower increases the fluidity of the secretions inside the nasal fossae and in the rhino pharyngeal and pharyngeal tracts. This treatment is generally tolerated very well by children, and it is very useful in the treatment of middle ear conditions in paediatric age.
When to use it: particularly indicated in the treatment of all chronic catarrhal pathologies of the nose and throat: rhinitis, rhino sinusitis, rhino pharyngitis. It is useful in the treatment of secretory otitis media in children and chronic otosalpingit in adults.
The device emits, trough a special mask (or “olivetta”), a mixture of gas resulting from the compressed air passing through the thermal water within the vessel. This treatment allows inhaling hydrogen sulphide, in the form of a relatively dry gas, which is the active principle of sulphurous water. Following the doctor's advice, the treatment may be carried out through the nose and/or mouth. Thanks to the humage, the gas reaches all the airways, both upper and lower. It is, therefore, indicated and indispensable in all those conditions that can be treated by a spa medical cure. The patient places on his face a mask that covers his nose and mouth and breaths normally for the duration of the treatment.
When to use it: ideal to reach the lower respiratory tract and the smallest alveoli
NASAL SHOWER OR IRRIGATION
It is a technique that allows the washing of the nasal fossae by discharging at least half a litre of thermal water in each nostril, at a pressure equal to the atmospheric pressure and at a temperature of about 38 °C. The patient alternates washing the two nostrils according to the intervals prescribed: by means of a special sprinkler, the thermal water is introduced into one nostril, and comes out from the opposite nostril. The patient's head must be bent and rotated, so that the flow of water flows out through the other nostril.
When to use it: cleansing and washing of the nasal cavities, as in the presence of stagnant mucus - pus and scab formations, or following surgery of the nasal cavity and paranasal sinuses, rhinitis and muco- purulent chronic rhino sinusitis.