Code don ICD 10. Kwancen hawan gwiwar hawan gwanin lokaci: haddasawa, bayyanar cututtuka, ganewar asali da magani

A shekara ta 2007, an samo asali na ƙwayoyin cuta na duniya. Ya hada da irin wannan cuta kamar yadda ake ciwon pyelonephrit. Wannan shi ne jubi na goma na lissafi, sabili da haka ya zama sanannun ICD-10. Bari mu bincika dalla-dalla abin da pyelonephritis yake. Za a bayyana ka'idojin ICD-10 na wannan cuta a cikin labarin.

Sanadin cutar

Ɗaya daga cikin cututtukan cututtuka mafi hatsari shine cututtukan hawan gwanon kwayoyin cuta (lambar ICD-10 na lamba 11.0) - wani nau'i na ilimin ƙwayar cuta. Kwayar cutar tana da alamun bayyanar cututtuka, yana faruwa a yayin da kwayar cututtuka ta shiga cikin urinary fili, wanda, ta hanyar canjin urinary, ya tashi zuwa koda kuma ya shiga cikin kyallen takalmin.

A farkon shiga cikin kamuwa da cuta, tsayayyar kwayar cutar kwayar halitta ta ragu sosai, bayyanar ta biyu ta haifar da samuwar cibiyoyin magungunan ci gaba a hanzari, amma kusan matsala. Kira irin wannan kwayar cutar mai tsanani (code in ICD-10 No. 11.1).

Kwayar cuta a cikin tambaya ba za a iya kira mace ba fãce mace, amma, bisa ga kididdigar, daga cikin marasa lafiya bakwai kawai mutum guda. Jigilar irin wannan zafin jiki yana da mahimmancin abin da kwayar halitta ta fuskanta, ta hawa canal mai zurfi na tsawon mutum. A matsayinka na mulkin, ko da rabin zuwa ga koda da aka yi da ƙwaƙwalwar ƙwayar microbe aka kashe ko kuma fitar da shi da ruwa mai amfani. Tsarin urinary mata yana da yawa kuma ya fi guntu, shigarwa zuwa ga kwayoyin ta hanyarsa bata zama ƙananan matsalolin kwayoyin ba.

Abubuwan da suke haifarwa

Ƙananan rigakafi kanta ba zai yiwu ba wajen tsayayya da kamuwa da cuta, amma idan jiki ya raunana ta hanyar rashin lafiya ko kuma yana cikin wata cuta ta musamman, ƙwayar cuta mai tsanani (ICD-10 lambar lamba 11) ba zai jira ba.

Ɗaya daga cikin abubuwan da ke ƙara yawan kwayar cutar ga kwayoyin cutar zai iya zama:

• Ciwon sukari mellitus;
• Tsayawa mai tsabta;
• Matsayi mai illa;
• Kwayoyin cuta masu yawa;
• Hawan ciki.

Kwayoyin da ba a hana haɗuwa da kwayoyin halitta (lambar ICD-10 na lamba 11.0) yakan faru ne sau da yawa a kan tushen kullun da ke ɓoyewa, kullun kuma sau da yawa ya zama wani nau'i na cutar.

Hoton hoto

Tubulo-interstitial, wanda ba a bayyana shi ba ne kamar yadda ICD-10 A'a. 12) ya bayyana a yanzu a mataki na ƙananan ƙwayar cuta a cikin kodan, lokacin da kubules na koda suka zama ƙuƙwalwa a cikin kwayoyin halitta kuma sashin gyaran ya dakatar da aiki akai-akai. Wannan yana haifar da bayyanar cututtuka, wanda ake ganewa don bayyanar da osteochondrosis, lumbar lumbago ko sanannen sanyi.

Tare da wasu cututtuka, yawancin cututtuka da ke tattare da halayen pyelonephrit na kullum sun bayyana. A ƙarƙashin ICD-10 lambar 84.0, alal misali, irin wannan ilimin lissafi a matsayin polyp na endometrial. Hoton hoto na wannan cuta yana kama da bayyanar da cutar ta koda. Saboda haka, tare da waɗannan pathologies, akwai:

• ja da baya zafi .
• Girma mai girma, musamman sananne da safe a cikin hanci da kuma karkashin idanu;
• Cigaba da zazzabi zuwa digiri 39;
• Ƙara karfin jini;
• Hatsari mai ƙanshi saboda girman abubuwan da suke ciki a ciki;
• Tsayar da barci da ci;
• Ciwon kai, tsoka ciwo.

A cikin ƙananan pyelonephritis, maganin yafi dacewa don kawar da ciwo. Sauke shan magunguna yana taimakawa sauri. Bayan kawar da bayyanar cututtuka mai zafi, marasa lafiya sau da yawa sun sauke kan rabin rami, dakatar da lura da abincin. Idan ba tare da magani ba, rashin lafiya (lambar lambar lamba 10) ta shiga cikin yanayin ciwon daji na kullum (ICD-10 lambar lamba 11).

Hanyoyin pyelonephritis

Pyelonephritis na ci gaba na yau da kullum zai iya ɗaukar daya daga cikin siffofin da ke cikin tsari da ƙananan bayyanarwar asibiti:

• Tsarin halitta - wanda anemia shine wuri na farko saboda maye, wanda adversely rinjayar samar da erythropoietin;
• Hypertensive - halin rashin karuwa a karfin jini;
• Nasrotic - an nuna ta da mummunan aiki na gina jiki da lipid metabolism cikin jiki;
• Siffar - an kunna a lokuta masu tsanani na cututtukan cutar, tare da halayen yanayin zafin jiki da alamun guba mai guba;
• Latent - yana gudana a cikin nau'i na latent, sau da yawa asymptomatic. Wannan nau'i na cututtukan ya shafe jiki kuma ya zauna ba tare da daɗewa ba;
• Ragewa - wannan nau'i yana da halin canzawa - daga kwatsam na kwatsam don jinkirin dakatarwa.

Matsayi na pyelonephritis

Sakamakon rashin kulawa da baya ko rashin shi shi ne yawan saurin hawan gwiwar hawan gwanon kwayar cuta a cikin cikakkun pyelonephritis (lambobin bisa ga ICD-10 No. 11.1 ko No. 11.0). Ya kamata a fahimci cewa cutar, ko da a farkon mataki na kowane nau'i, abin da ya faru ba shi yiwuwa ne. Zai yiwu a dakatar da ci gaba da tsawanta gyara tare da magani mai mahimmanci, amma ba zai yiwu ba don magance kodan lafiya.

A cikin ƙaddamar da code-pyelonephritis na yau da kullum ga ICD-10, da rashin alheri, babu wani bayanin irin wannan cutar. Sabili da haka, ya kamata mu zauna a kan la'akari da su a cikin cikakken bayani.

• I mataki - raguwa da sauri na aiki na tattara tubules;
• Matsayi na II - ƙaddamar da ƙwayar cututtuka da ƙwayar jiki mai launi;
• Mataki na III - mutuwar babban adadin renam glomeruli da lalatawar jikin mutum mai kama da tsari na maganin thyroid;
• Matsayi na IV - musanya kayan abincin koda tare da nama mai launi.

Diagnostics

A cikin ƙaddamar da code na pyelonephritis na ICD-10, ba a bayyana ma'anar ilimin halitta ba. A wannan yanayin, a aikace, matsalolin sukan taso a cikin bambancin pathologies. Don ware kurakurai a cikin hadaddun hanyoyin bincike, gwaje-gwaje na gwaje-gwaje na suturar urinary ana amfani da su ta hanyoyi kamar:

• Kakowski - Addis;
• Sthenheimer - Malbin.

Bugu da ƙari, kwayoyin cutar da kwayar cutar kwayoyin cutar da aka yi don gane yanayin muhalli. An kuma ɗauki magungunan asibiti na jini da farko, kuma a kan waɗannan sakamakon farko, ana inganta wani tsarin bincike.

Idan an gano magungunan cutar da ke haifar da sinadarai na kullum, ana ƙara ƙarin lambar (B95-B97) zuwa lambar ICD-10 daidai da irin wannan cuta.

A yayin ganewar asali, anyi waɗannan abubuwa kamar haka:

• Binciken X-ray don kafa canje-canje a bayyane da kodan da kuma gano sautin na urinary na sama;
• Rhenografy;
• Alamar shafi;
• Pyelography;
• Nazarin tarihin kwayoyin halitta.

Hanyar ganewar asali ba a yi amfani da ita ba, saboda hanyoyin da suka gabata na ganewar asali yawanci sukan baka izinin sanin yanayin yanayin cutar da kuma tabbatar da ƙaddamarwa.

Drug magani na pyelonephritis

Duk lokacin da ake farfadowa, yanayin mai haƙuri yana sarrafawa ta hanyar ba da gwajin gwaje-gwaje na wata da aka tsara ba kawai don tantance yanayin likita ba, har ma don tabbatar da tasirin magani da kuma dacewar kwayar cutar ga magunguna. Tsawancin magani yana da wuya kasa da watanni hudu, amma sauƙin yawa yakan zo da yawa a baya. Yana da mahimmanci don kawo karshen har zuwa karshen, don haka kada ku bari cutar ta tashi a sama.

Wannan magani yana dogara ne akan maganin rigakafi mai tsauri wanda ke rufe gurasar Gram-negative, amma basu da sakamako mai guba akan kodan. A irin wannan ma'anar yana dauke da antibacterial na nufin jerin launi na fluoroquinolone: "Cefuroxime", "Ciprofloxacin", "Cefenim", "Norfloxacin".

Jiyya tare da hanyoyin mutane

Jiyya tare da magungunan gida na kowane tsinkayen jini ba shi da yarda da haɗari. Duk da haka, ana iya amfani da maganin magungunan mutane da dama tare da likita da likita ya ba su. Musamman ma suna taimakawa tare da irin nau'in cututtukan da ke fama da cutar, tare da karfi da kumburi da kuma ciwo.

• Don cire m bayyanar cututtuka 1 tbsp. An zuba cokulan ganye na cranberry a cikin ruwan magani 250 na ruwan zãfi, kuma kimanin minti 10 an guga a kan karamin wuta karkashin murfi. Sa'an nan kuma a shayar da broth, magudana kuma kai 3 tbsp. Cokali 3 r / rana a kan komai a ciki.
• Tare da ciwo mai tsanani a cikin nesa tare da pyelonephritis: yi amfani da kashi 10 cikin dari daga gishiri da ruwa, mai tsaftace yarnin auduga a ciki kuma a ajiye shi a cikin nisa ga dukan dare. Kana buƙatar yin haka a kowace rana don makonni 2.
• Ciyawa na hatsi an dafa a cikin wani rabo na 1:10, to sai ku yi karkashin murfi na rabin sa'a, kuma bayan sanyaya, tace kuma ku sha 150 ml 2 r / rana. Zaka iya yin bayani mai mahimmanci da kuma ƙara shi a wanka lokacin yin wanka - sakamakon zai fi girma idan an hada haɗin haɗin ciki da waje na decoction.

Rigakafin

Don rigakafin pyelonephritis, akwai shawarwari da yawa wadanda suke da sauƙin kiyayewa, tun da ba su sabawa ka'idoji na kiyaye jiki a cikin sautin lafiya ba:

• Dole ne a yi ƙoƙarin kawar da abubuwa daga rayuwa irin su barasa, kofi mai karfi da shan taba, kuma shan taba ba shi da haɗari fiye da aiki.
• Yana da muhimmanci a gudanar da jarrabawar jiki duka don asalin kamuwa da cuta. Ba sababbin kwayoyin da ke shiga jini ba, sannan kuma a cikin kodan, don fara hanyarsu daga hakori mai haɗari ko wadanda wadanda sinusitis ya fadi daga sinopharyngeal sinuses.
• Idan an riga an gabatar da pyelonephritis a cikin magunguna, da fitsari da gwajin jini a kalla sau biyu a shekara.
• Yi ƙoƙarin shan magani sanatorium a kowace shekara tare da ruwan ma'adinai ko laka.

Har ma da magani mai tsada bazai haifar da wani sakamako ba game da tushen wani abinci mara nauyi, mai cin abinci maras amfani tare da rarraba ƙwayoyin ƙwayoyi, sunadarai da kuma carbohydrates. Tare da pyelonephritis, abin girmamawa shine akan abinci na kayan lambu, mafi yawancin rani. Daga cikin sunadaran dabba sun yarda da kaza fari da kifi mai zurfi.