The Mechanism of Hyperthermia
When body temperature rises above its normal level of 98.6
degrees Fahrenheit, it means there is a state of hyperthermia. An increase in body temperature causes many
physiological responses to occur in the body. Hyperthermia takes
advantage of the fact that many invading organisms tolerate a
narrower temperature range than body tissues and are therefore more
susceptible to increases in temperature (they may die from
overheating before harm is done to human tissue). Examples are
viruses such as rhinovirus (responsible for one-half of all respiratory infections), HIV (human
immunodeficiency virus),
and the microorganisms and bacteria that cause syphilis and
gonorrhea.
Hyperthermia treatments may reduce the
number of invading organisms to a
level the immune system can handle. Hyperthermia stimulates the
immune system by increasing the production of antibodies and interferon(aprotein
substance produced by virus-invaded cells that prevents reproduction
of the virus). Hyperthermia also releases toxins stored in fat
cells, therefore it is useful in detoxification
therapy.
Methods of Inducing Hyperthermia
Body temperature can be quickly increased by the
external application of heat. This approach causes blood vessels to
swell and the body to perspire in an attempt to prevent an increase
in temperature. An increase in body temperature may be accomplished
by such low-tech methods as immersing the body in hot water, sitting
in a sauna or steam bath, or wrapping oneself in blankets with a hot
water bottle.
Other, high-tech approaches include the use of shortwave or microwave diathermy,
ultrasound, radiant heating, and extracorporeal heating.
- Diathermy is the application of radio frequency
electromagnetic energy to the body to cause a temperature rise.
- Ultrasound is the application of high energy sound
waves to cause an increase in body temperature as a result of
friction produced at the molecular level that is created as the
sound waves strike different body tissues. For whole body or
large area treatments, multiple ultrasound applicators may be
used.
- Radiant heating devices produce infrared heat that is
applied to the body.
- Extracorporeal heating is accomplished by removing
blood from the body, heating it, and returning it to the body at
a higher temperature.
Hyperthermia
can be produced either locally or over the whole body.
Locally-applied hyperthermia
is used to treat infections such as upper respiratory
infections (with inhalation of steam or a local application of
diathermy), or for infected wounds in a hand or foot (generally
produced with immersion in a hot water bath). Whole-body
hyperthermia is used when there is a general
infection, when a local application is impractical, or when a
general whole-body response is desirable.
For whole-body hyperthermia, practitioners
normally use the methods of full-immersion baths, saunas, steam,
and blanket packs. For a localized application, immersion baths,
steam, or, occasionally, diathermy are used. In conventional medical
settings, whole-body treatment usually involves the more high-tech
approaches of diathermy, ultrasound, radiant and extracorporeal
heating; for localized treatments, diathermy and ultrasound are used.
Hyperthermia in all of its forms is often
used in the treatment of bronchitis, pneumonia, sinusitis, and
other conditions of the lungs and body cavities, and as a
modality for physical therapy.
History of Hyperthermia
The beneficial effects of hyperthermia in the
form of hot packs, baths, and saunas have been recognized for
thousands of years. In 500 B.C., the Greek physician Parmenides
stated that if only he had the means to create fever, he could cure
all illness. The early Romans built elaborate baths which included
saunas, cold plunge baths, and swimming areas. The sauna has long
been a part of Finnish tradition, and the Russians use steam baths
regularly. Native American cultures use sweat lodges in cleansing
practices.
Physicians have observed
that people suffering from certain illnesses, such as cancer,
gonorrhea, and syphilis, often become free of these illnesses
following a high fever from another infection. This has led to
research into the production of fever by various methods (injection
of foreign substances, hot packs, hot baths) to treat a wide variety
of health problems from the common cold to AIDS and cancer.