Hyperthermia

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Hyperthermia is an overheating of the body against the tendency of the thermoregulatory center . In contrast to fever , it is not triggered by pyrogens and therefore does not respond to antipyretic drugs . A special form is malignant hyperthermia , in which the increased body temperature occurs as a severe adverse drug effect and also when certain drugs (e.g. ecstasy ) are consumed . It can also be used in the context of rare syndromes such as B. the Stüve-Wiedemann syndrome occur.

The artificially generated temperature increase ( therapeutic hyperthermia ) is used, for example, as an adjuvant to the treatment of cancer . Hyperthermia is used particularly in the field of alternative cancer treatment and in complementary oncology . A proof of effectiveness is not yet available. If the therapy is used in addition, the side effects of radiation and drug treatment are regularly increased.

There are different types of hyperthermia. A distinction is made between whole-body hyperthermia , loco-regional deep hyperthermia and prostate hyperthermia . With whole-body hyperthermia, with the exception of the head, the entire body is heated using water-filtered infrared heaters. The body temperature reaches values ​​between 39.5 ° C and 40.5 ° C. With locoregional deep hyperthermia, only the affected tissue or organ is heated up to a maximum of 44 degrees Celsius. The treatment of the prostate using transurethral hyperthermia is of particular importance . In addition to the heat, an electric field is built up from radio short waves.

Also, the laser-induced thermal therapy and the treatment with high intensity focused ultrasound (HIFU) to work with the targeted overheating of tissue. However, they are not part of hyperthermia in the narrower sense.

See also

literature

  • Günter W. Kauffmann, Ernst Moser, Rolf Sauer: The brain in the NMR image. Urban & Fischer, Munich 2006, ISBN 3-437-44415-8 .
  • Roewer, Jochen Schulte am Esch: Heart and circulation in malignant hyperthermia. Springer, Berlin / New York 1992, ISBN 3-540-54928-5 .
  • Michael Wannemacher, Jürgen Debus, Frederik Wenz: Radiotherapy. Springer Science & Business Media, Berlin / Heidelberg 2006, ISBN 3-540-22812-8 , p. 177 ff.

Individual evidence

  1. ↑ No reimbursement of costs for hyperthermia treatment in addition to chemotherapy. Press release of the Social Court of Stuttgart August 16, 2017, with reference to the judgment under file number S 27 KR 7202/14
  2. ^ Günter W. Kauffmann, Ernst Moser, Rolf Sauer: The brain in the NMR image. Urban & Fischer, 2006, ISBN 3-437-44415-8 , pp. 60 f.
  3. ↑ hyperthermia. In: krebsinformationsdienst.de/. Retrieved April 10, 2019 .