Ikhodi ye-ICD-10 pyelonephritis Okungalapheki: Izimbangela, Izimpawu, Sifo Nokuselapha

Ngo-2007, it amukela le International Ukwahlukanisa Diseases. Lesi isifo, ezifana pyelonephritis ezingamahlalakhona elahlanganiswa. Kwakuwusuku wokubuyekeza lweshumi uhlu, ngakho yabe seyaziwa ngokuthi i-ICD-10. Ake sicabangele lokho pyelonephritis. Amakhodi e-ICD-10, lesi sifo ngeke futhi echazwe esihlokweni.

Izimbangela isifo

Esinye sezifo eziyingozi kakhulu izinso - a pyelonephritis okungamahlalakhona (ikhodi ye-ICD-10 isibalo 11.0) - lo zokugula eyinkimbinkimbi ukugeleza ukuvuvukala. Lesi sifo libhekene izimpawu ubuhlungu kwenzeka kokungenisa pheshana urinary ejenti ezithathelwanayo, okuyinto antante isiteshi urinary futhi lingena singene kwezicubu izinso isitho.

Phakathi Ukungena kokuqala Lesifo kakhulu encishisiwe ukumelana mzimba umzimba, ukubonakaliswa yayo yesibili, kuye kwabangela ukwakheka amakoloni microbial ithuthuka ngokushesha, kodwa cishe asymptomatic. Ngakho ngokuthi ezingamahlalakhona pyelonephritis obstructive (ikhodi ye-ICD-10 № 11.1).

Lesi sifo okukhulunywa ayikwazi kubhekwe kuphela besifazane, kodwa ngokusho izibalo, aphume iziguli eziyisikhombisa, ngumuntu oyedwa kuphela. Conditionality of enjalo selectivity microbial itholakala nobunzima okufanele babhekane namagciwane abangela izifo, ukugibela emincane futhi eside urethra besilisa. Njengomthetho, ngisho kulo muzi omaphakathi ukuze ezithandwayo zezingoma izinso bacterium besekusifa loba lisuselwa uketshezi imfucuza. Female canal urinary ubanzi kakhulu futhi mfushane Ukungena therethrough ohlakeni ayisona kobunzima ngoba amagciwane.

izici ngodlame

amasosha omzimba okuphansi ayikanye sikwazi ukumelana nezifo, kodwa uma umzimba iba buthakathaka isifo concomitant noma isimo ikakhulukazi elungele ukwamukela okufundayo, akusiyo eside ukufika, kanti exacerbation of pyelonephritis okungamahlalakhona (ikhodi ye-ICD-10, isibalo 11).

Enye yezinto ukuthi ukwandisa ezifweni omzimba ukungcoliswa microbial, kungaba:

• sikashukela;
• hypothermia isikhathi eside;
• Isici lezinceku;
• yizifo njalo;
• sokukhulelwa.

Obstructive pyelonephritis okungamahlalakhona (ikhodi ye-ICD-10 №11.0), ngokuvamile kufihlwe ngemuva izinqubo ukuvuvukala, futhi ngokuvamile Reflux kuyinto inkinga ye isifo ecashile.

emitholampilo isithombe

Tubulointerstitial awucacisiwe njengoba pyelonephritis oyingozi noma ezingamahlalakhona (ikhodi ye-ICD-10 № 12) elivela esigabeni nesenzakalo amakoloni microbial ku izinso lapho imikhiqizo microorganism avimbekile tubule kwezinso futhi umzimba isihlungi uyeke ukusebenza ngokujwayelekile. Lokhu kuphakamisa le izimpawu ubuhlungu, okuyinto zivame ukubonakala izimpawu of esiwohlozayo disc isifo, backache lumbar noma umkhuhlane.

Kwezinye izifo abonise izimpawu eziningi nobuntu pyelonephritis ezingamahlalakhona. Ngaphansi ikhodi ye-ICD-10 84.0, isib, ibethelwe zokugula ezifana polyp endometrial. Isithombe emitholampilo ye isifo kuyafana izimpawu isifo sezinso enixoxa ngalo. Ngakho, wathi kulezi pathologies:

• edonsa ubuhlungu emuva ;
• ukuvuvukala jikelele, kwaphawuleka ngokukhethekile ekhaleni ekuseni ngaphansi amehlo;
• Ukugodola futhi izinga lokushisa kuya ku-39 deg.
• umfutho wegazi ophakeme;
• umchamo esinuka ngoba okuqukethwe eliphezulu ubomvu;
• eziya ziba zimbi sokulala futhi esesuthi;
• ikhanda, ukhwehlela nobuhlungu bomzimba.

Ngo pyelonephritis acute yokwelapha is zihlose kakhulu ukukhululeka ubuhlungu. nemithi ngokushesha kuthathwe ngokuvamile ukusiza ngokushesha. Ukususa izimpawu ubuhlungu, iziguli kaningi baphume ukuphathwa engxenyeni Yiqiniso, ukuyeka ukudla. Uma ungatholi ukwelashwa, isifo oyingozi (ikhodi № 10) iba pyelonephritis okungamahlalakhona (ikhodi ye-ICD-10 №11).

izinhlobo pyelonephritis

Pyelonephritis Yiqiniso okungapheli kungayilimaza yezindlela ezilandelayo ukubukeka nobukhali ukubonakaliswa emitholampilo:

• ifomu anemiya - ngesikhathi lapho kwasekuqaleni ngenxa ubuthi, omubi ezithinta ukukhiqizwa erythropoietin izenzo anaemia;
• unesifo sikashukela - libhekene engazinzile high blood pressure;
• nephrotic - uzwakalise efanele sina-protein ne-lipid umzimba emzimbeni;
• ukonakala - yasebenza exacerbations eqinile lesi sifo, nge izici sici thermocline futhi ubuthi anobuthi;
• esicashile - ogeleza ifomu esicashile, ngokuvamile asymptomatic. Le ndlela lesi sifo kuyakhathaza umzimba kanye eside ahlale akubonakali;
• relapsing - leli fomu uye njalo siguqula nemvelo - by ngokuzumayo okungazelelwe exacerbation ukuthethelelwa phambi zikhawu eside.

pyelonephritis esiteji

Umphumela yokwelashwa olungaphelele noma itlhogeko ngokuvamile esisheshayo kancane kancane acute pyelonephritis okungamahlalakhona (amakhodi ICD-10 noma № 11.1 № 11.0). Kufanele kuqondwe ukuthi isifo, ngisho esigabeni sokuqala nganoma yiluphi uhlobo, lomkhuba engelapheki. Ungayeka ukuthuthukiswa yayo nokulondoloza ukuthethelelwa ukwelashwa abanekhono, kodwa ukwelapha ngokuphelele izinso ngeke aphumelele.

Ngo ikhodi emagama pyelonephritis ezingamahlalakhona ICD-10, ngeshwa, akukho incazelo izigaba zesifo. Ngakho-ke, kufanele ayeke phambi kwabo ngokuningiliziwe.

• Isiteji mina - ukulahlekelwa kancane kancane ukusebenza lokuqoqa imbobo;
• Isiteji II - yashubisa yoma ka tubules kanye ekwandeni ezicutshini;
• Isiteji III - kokufa inqwaba glomeruli futhi kwezinso izicubu ubunzima, isakhiwo izicubu-like we yegilo;
• Isiteji IV - esikhundleni izinso cortex ku ezicutshini.

ukuhlola

Ngo ikhodi emagama pyelonephritis ICD-10 omsakazo kanye nezimpawu abachazwa. Kule ndaba, empeleni ngokuvamile unenkinga umehluko pathologies. Ukuze asuse amaphutha ezinqubweni eziyinkimbinkimbi zokuxilonga ngempela zihlanganisa izifundo laboratory inzika urinary ku izindlela:

• Kakovskogo - Addis;
• Shtengeymera - Malbina.

Ngaphezu kwalokho, bacteriuria iqhutshwa futhi biopsies kwezicubu izinso e microbial ukuthola ophansi. I jikelele ukuhlaziywa emitholampilo begazi nakho ethathwe endaweni yokuqala, futhi kakade kulezi imiphumela yokuqala, isu okwengeziwe zokuxilonga yakhiwe.

Uma ejenti ezithathelwanayo ukubonakala ngenxa pyelonephritis okungamahlalakhona, ikhodi ngokuvumelana ICD-10, ifomu okuhambisanayo lesi sifo, engeza ikhodi eyengeziwe (V95-V97).

Phakathi ukuxilongwe wenza:

• -X-ray luhlolo wokusungula izinguquko ebonakalayo kwezinso futhi ukucacisa ithoni engenhla ngomgudu womchamo;
• renografii;
• skennografiyu;
• pyelography;
• luhlolo histological kwezicubu kwezinso.

indlela Kugcine zokuxilonga kuyaqabukela esetshenziswa, ngenxa yokuthi izindlela odlule ukuxilongwa Ngokuvamile siyakwazi ukunquma ubunjalo isifo futhi wenze esiphethweni esinembile.

imithi ye pyelonephritis

Phakathi wonke ekwelapheni isimo lesiguli kuyaqashwa ukulethwa yenyanga cwaningo eklanyelwe hhayi kuphela ukuhlola isimo sempilo isiguli, kodwa futhi ukuqinisekisa ukuphumelela ukwelashwa kanye ezifweni ezinhle ukuqokwa izidakamizwa. Ubude besikhathi sokwelashwa kuyaqabukela esingaphansi kwezinyanga ezine, kodwa impumuzo ngokuvamile kwenzeka ngaphambili kakhulu. Kubalulekile ukuletha Yiqiniso kuze kube sekupheleni, ukuze ngingasebenzisi ukuvumela isifo ukuthatha isinyathelo up.

Ngesisekelo zokwelapha imithi ebulala izinhlobonhlobo zamagciwane ukuthi zivimbela flora Gram-negative, kodwa akunamthelela umphumela anobuthi yezinso. ejenti ezinjalo zihlanganisa ejenti elwa namagciwane fluoroquinolone "Cefuroxime," "Ciprofloxacin", "Zeven", "norfloxacin".

izindlela Ukwelashwa Folk

Ukwelashwa nokuvikelwa noma iyiphi ekhaya amakhambi pyelonephritis Akwamukelekile yingozi. Nokho, kungaba eziningi amakhambi abantu isetshenziswa ngesikhathi esifanayo ne yokwelapha izidakamizwa, ebekwe udokotela. Ziyakwazi usizo okuhle ikakhulukazi izinhlobo acute lesi sifo, ephelezelwa ukuvuvukala ezinzima futhi ubuhlungu.

• Ukuze izimpawu acute 1 tbsp. spoon lingonberry leaf sengezwe 250 ml amanzi abilayo, futhi cishe imizuzu engu-10 ngesikhathi ongaphakeme ukushisa tomyat ngaphansi lid. umhluzi kulandelwa cool, ubunzima futhi uthathe 3 tbsp. spoon 3 p / ngelanga esiswini esingenalutho.
• Lapho ubuhlungu obukhulu kule aphansi emuva nge pyelonephritis: ukwenza 10% CONCENTRATE kasawoti abavamile namanzi, moisten Indwangu ukotini kuwo futhi uvikelekile ku-elisezansi ngemuva ebusuku. Lokhu kumele kwenziwe nsuku zonke amasonto ama-2.
• oat utshani ukwenziwa ngamanzi abilayo e isilinganiso 1:10, bese isivalo tomyat isigamu sehora, futhi ngemva Ukupholisa elicwengekileyo futhi baphuze 150 ml 2 r / usuku. Ungenza isixazululo kanzulu xaxa futhi ukulifaka okugeza lapho eyigeza - umphumela kuyoba ephakeme lapho kuhlangene zokusebenza nangaphandle of umhluzi.

zokuvimbela

Ngokuba nokuvimbela pyelonephritis zikhona izincomo eziningana ukuthobela lokho kube lula, njengoba bengekho ephambene nemithetho jikelele nokugcina umzimba ngendlela ithoni enempilo:

• Kufanele ukuzama ukuqeda kusuka ekuphileni nezinto ezifana utshwala, ikhofi eqinile futhi ukubhema, futhi ukuhogela intuthu kagwayi akukanciphi kuyingozi ukwedlula asebenzayo.
• Kubalulekile ukuqhuba ucwaningo wonke umzimba ngoba umthombo ezifihliwe ukutheleleka. Kukhona amacala lapho amabhaktheriya singene igazi bese izinso, uqale uhambo lwabo kusukela izinyo carious noma sinuses avuvukele sinusitis nasopharyngeal.
• Lapho pyelonephritis usevele ekhona emlandweni, ukuhlolwa umchamo futhi igazi ziyadingeka kudlule okungenani kabili ngonyaka.
• Zama ukudlula ngonyaka ukwelashwa spa nge lamanzi esiphethu nasodakeni.

Ngisho ukwelashwa okubizayo kuyodingeka akunamthelela isizinda esindayo, izakhi Ukudla nokusabalalisa engalingani kwamafutha, amaprotheni kanye carbohydrate. Pyelonephritis Ukugcizelelwa ukudla imifino, ikakhulukazi ongahluziwe. Of amaprotheni isilwane uvunyelwe ezimhlophe inyama yenkukhu kanye engajulile izinhlanzi.