Code ICD 10. Matenda pyelonephritis: Zoyambitsa, Zizindikiro, Matendawa ndi Chithandizo

Mu 2007, iwo anatenga gulu la International matenda. Ndi matenda, monga pyelonephritis aakulu anali nawo. Zinali younikanso chakhumi pa mndandanda, ndipo anadziwika monga ICD-10. Tiyeni tione zimene pyelonephritis. Zizindikiro mu ICD-10, matenda lidzayeretsedwa anafotokoza m'nkhani.

The zimayambitsa matenda

Mmodzi wa matenda owopsa a impso - ndi pyelonephritis aakulu (malamulo ICD-10 chiwerengero 11.0) - zovuta kudwala wa yotupa otaya. The matenda amakhala ndi zizindikiro chowawa kumachitika mwa ingestion mkodzo thirakiti matenda wothandizila, lomwe likutuluka pa njira ya mkodzo ndi likulowerera mu impso minofu ya limba.

Pa malowedwe koyamba matenda ndi yafupika kukana m'thupi la chamoyo, mawonetseredwe ake sekondale wachititsa mapangidwe madera tating'onoting'ono akutukuka mofulumira, koma pafupifupi asymptomatic. Chotero anaitana aakulu obstructive pyelonephritis (malamulo ICD-10 № 11.1).

The matenda funso sangatengedwe kukhala yekha mkazi, koma malingana ndi kuwerengera, kunja kwa odwala zisanu ndi ziwiri, munthu mmodzi yekha. Conditionality zoterozo tating'onoting'ono selectivity lagona pa mavuto kuti anakumana ndi tizilombo toyambitsa matenda, kukwera ndi yopapatiza ndipo ndi yaitali wamwamuna mkodzo. Monga ulamuliro, ngakhale theka kwa wokondedwa impso tizilombo toyambitsa matenda wamwalira kapena lachokera ku madzimadzi zinyalala. Female mkodzo ngalande ndi okulira kwambiri ndi yankholi malowedwe therethrough ku limba si zimapanga vuto kwa mabakiteriya.

zinthu kukulitsa

Low chitetezo chokwanira yokha sangathe kukana matenda, koma ngati thupi wofooka matenda concomitant kapena makamaka amalabadira boma, si yaitali kubwera ndi exacerbation wa pyelonephritis aakulu (malamulo ICD-10, nambala 11).

Chimodzi mwa zinthu zimene zimawonjezera chiwopsezo thupi tizilombo tating'onoting'ono kuipitsidwa, zingakhale:

• shuga;
• yaitali hypothermia;
• cholowa Chinthu;
• Matenda kawirikawiri;
• mimba.

Obstructive aakulu pyelonephritis (malamulo ICD-10 №11.0), nthawi zambiri zobisika maziko a ndondomeko yotupa, ndi Reflux zambiri vuto la matenda ndi chimapangitsa.

chithunzi matenda

Tubulointerstitial sizinafotokozedwe monga pachimake kapena aakulu pyelonephritis (malamulo ICD-10 № 12) limapezeka pa siteji ya zosayembekezereka wa madera tating'onoting'ono mu impso pamene mankhwala tizilombo yatsekera tubule aimpso ndi sefa thupi imaleka kugwira ntchito bwinobwino. Izi zikutipatsa zizindikiro zopweteka zimene zimachitika kwa zizindikiro za osachiritsika chimbale matenda, lumbar backache kapena chimfine.

Mu matenda ena kuonetsa zizindikiro zambiri khalidwe la pyelonephritis aakulu. Mu malamulo ICD-10 84.0, mwachitsanzo, encrypted kudwala monga polyp endometrial. Chithunzi matenda a matenda ndi zofanana kwambiri ndi zizindikiro za matenda a impso pansi kulingalira. Choncho, anati mu pathologies awa:

• kukoka ululu kumbuyo ;
• ambiri kutupa, makamaka noticeable pa mphuno m'mawa ndi pansi maso;
• kuzizira ndi kutentha kwa 39 deg.
• kuthamanga magazi;
• smelly mkodzo chifukwa cha wokhutira mkulu wa mafinya;
• akuchuluka tulo ndi kudya;
• mutu, zopweteka minofu.

Mu pyelonephritis pachimake mankhwala makamaka umalimbana mpumulo ululu. Mwamsanga anatengedwa mankhwala zambiri kuthandiza kudya. Ndiyotani pakuchotsa zizindikiro Chowawa, odwala zambiri kusiya mankhwala theka kumene, siyani kudya pang'ono. Ngati Popanda kuchitapo kanthu, nthenda ya pachimake (malamulo № 10) amakhala aakulu pyelonephritis (malamulo ICD-10 №11).

mitundu ya pyelonephritis

Pyelonephritis aakulu Inde akhoza kutenga imodzi mwa njira zotsatirazi ndi maonekedwe komanso kusalekerera maonekedwe matenda:

• magazi ochepa mawonekedwe - imene malo oyamba chifukwa kawopsedwe, zoipa zokhudza ulimi wa erythropoietin amachita magazi m'thupi;
• hypertensive - yodziwika wosakhazikika kuthamanga kwa magazi;
• nephrotic - anasonyeza malfunctioning kwambiri mapuloteni ndi zamadzimadzi kagayidwe mu thupi;
• septic - adamulowetsa pa exacerbations amphamvu a matendawa ndi mbali khalidwe la thermocline ndi poizoni poizoni;
• zobisika - osefukira mawonekedwe zobisika, nthawi zambiri asymptomatic. mawonekedwe nthendayo yotopetsa thupi ndi yaitali kukhalabe undiagnosed;
• relapsing - mtundu umenewu zikusintha chikhalidwe - ndi mosayembekezeka mwadzidzidzi exacerbation chikhululukiro pamaso Kuimaima yaitali.

siteji pyelonephritis

Zotsatira za mankhwala zosalongosoka kapena kupanda kwake zambiri pang'onopang'ono chikusefukira wa pyelonephritis pachimake aakulu (zizindikiro ICD-10 kapena № 11,1 № 11.0). Iwo ayenera kumvetsa kuti matenda, ngakhale mu gawo loyamba la mtundu uliwonse, sizingasinthe chodabwitsa. Inu mukhoza kusiya chitukuko ndi kupitiriza chikhululukiro mankhwala woyenera, koma kwathunthu kuchiritsa impso sadzapambana.

Mu decoding malamulo aakulu pyelonephritis ICD-10, mwatsoka, palibe kufotokoza magawo a matenda. Choncho, muyenera kusiya pamaso pawo mwatsatanetsatane.

• Gawo I - imfa mwapang'onopang'ono magwiridwe kusonkhanitsa ritsa;
• Gawo II - kulimbikitsa manja a tubules ndi kuchuluka kwa minofu connective;
• Gawo III - imfa ya ambiri glomeruli ndi minofu aimpso kupsyinjika, minofu ngati Kapangidwe ka chithokomiro ya;
• Gawo IV - m'malo a impso kotekisi mu minofu connective.

diagnostics

Mu decoding malamulo pyelonephritis ICD-10 etiology ndi zizindikiro samafotokozedwa. Pa nkhani imeneyi, kuchita, nthawi zambiri vuto differentiating pathologies. Kuthetsa zolakwika njira zovuta matenda kwenikweni monga zasayansi maphunziro a chitayiko mkodzo pa njira:

• Kakovskogo - Addis;
• Shtengeymera - Malbina.

Komanso, bacteriuria wochititsidwa ndi biopsies minofu impso mu tating'onoting'ono kudziwika sing'anga. Wonse matenda kusanthula magazi naonso anatengedwa mu malo oyamba, ndi kale chifukwa cha zotsatira koyamba, zina matenda strategy wamangidwa.

Ngati wothandizila opatsirana inatchulidwa chifukwa pyelonephritis aakulu, kachidindo malinga ICD-10, mawonekedwe lolingana ya matenda, kuwonjezera kachidindo zina (V95-V97).

Pa matenda ndi anachita:

• X-ray Kupenda pokhazikitsa kusintha kumaoneka aimpso ndi kudziwa mmene thirakiti chapamwamba mkodzo;
• renografii;
• skennografiyu;
• pyelography;
• histological Kupenda minofu aimpso.

Last matenda njira sikawirikawiri ntchito, chifukwa chakuti njira yapita matenda ndi zambiri n'zotheka kudziwa chikhalidwe cha matenda ndi kukhala mapeto zolondola.

mankhwala a pyelonephritis

Pa mankhwala lonse alili ndi kuyang'aniridwa yobereka mwezi wa kufufuza cholinga osati kuwunika ukupeza wodwalayo, komanso kuti awonetsepo mphamvu ya mankhwala ndi chiwopsezo zabwino poika mankhwala. Nthawi mankhwala kawirikawiri miyezi zosakwana zinayi, koma thandizo zambiri amapezeka kale kwambiri. Nkofunika kubweretsa panjirayo mpaka pa mapeto, kuti tiyeni matenda kutenga sitepe.

Maziko a mankhwala ndi yotakata-sipekitiramu mankhwala kuti ziletsa zomera galamu alibe, koma alibe mphamvu pa zotsatira poizoni a impso. wothandizila zimenezo zimaphatikizapo wothandizila antibacterial fluoroquinolone "Cefuroxime," "Ciprofloxacin", "Zeven", "norfloxacin".

njira wowerengeka Chithandizo

Chithandizo cha nyumba iliyonse azitsamba pyelonephritis ndi zosavomerezeka ndi woopsa. Komabe, ambiri wowerengeka azitsamba angagwiritsidwe ntchito molumikizana ndi mankhwala, zotchulidwa dokotala. Iwo thandizo makamaka zabwino kwa mitundu pachimake cha matenda, limodzi ndi kutupa kwambiri ndi ululu.

• Kuti matenda pachimake 1 tbsp. supuni lingonberry tsamba anawonjezera 250 ml ya madzi otentha ndipo pafupifupi mphindi 10 pa moto wochepa tomyat pansi chivindikiro cha. msuzi akutsatiridwa ndi ozizira, kupsyinjika ndi kutenga 3 tbsp. supuni 3 tsa / tsiku chopanda kanthu m'mimba.
• Pamene ululu kumbuyo m'munsi pyelonephritis: kuti 10% maganizo a mchere wamba ndi madzi, moisten nsalu thonje ndi kukutetezani ku m'munsi kumbuyo usiku. Izi zichitike tsiku lililonse kwa milungu 2.
• oat udzu zinachitika ndi madzi otentha mu chiŵerengero cha 1:10, ndiye chivindikiro tomyat theka la ora, ndipo pambuyo yozizira osasankhidwa ndi kumwa 150 ml ya 2 r Mukhoza / tsiku. Mukhoza kupanga njira wambiri ndi kuwonjezera kuti kusamba pamene kusamba - zotsatira zake apamwamba pamene ophatikizana m'nyumba ndipo panja ntchito msuzi.

kupewa

Pakuti kupewa pyelonephritis pali malangizo angapo kutsatira kuti zosavuta, monga iwo sali mosiyana ndi malamulo onse kukhala thupi ndi mawu wathanzi:

• Muyenera yesani kuthetsa cha zinthu moyo monga mowa, khofi amphamvu ndi kusuta, ndi utsi ndi chimodzimodzi oopsa kuposa yogwira.
• Nkofunika kuchita kafukufuku wa thupi lonse kwa gwero chobisika matenda. Pali milandu pamene amayamba mu magazi ndiyeno impso, anayamba ulendo kuchokera dzino carious kapena sinuses chofuna nasopharyngeal sinusitis.
• Pamene pyelonephritis ndi kale lonse, mkodzo ndi magazi mayesero zifunika pochitika osachepera kawiri pa chaka.
• Yesani kudali chaka spa mankhwala ndi madzi mchere ndi matope.

Ngakhale mankhwala okwera mtengo adzakhala ziribe mphamvu pa maziko molemera, michere zakudya ndi yogawa m'goli kunyama, mapuloteni ndi chakudya. Pyelonephritis kutsindika pa masamba chakudya, makamaka yosakongola. La nyama mapuloteni amaloledwa woyera nyama nkhuku ndi nsomba osaya.