Code ICD 10. pyelonephritis Chronic: Oonobangela, Iimpawu, diagnosis and Treatment

Ngo-2007, yayamkela International Classification yezifo. Sisifo, ezifana zaqukwa pyelonephritis ezingapheliyo. Yaba kukuzikumbuza yeshumi kuluhlu, yaye ngoko ke oko kwazeka ngokuba ICD-10. Makhe siqwalasele oko pyelonephritis. Codes e ICD-10, esi sifo iza kuchazwa kwinqaku.

Izinto ezibangela izifo

Sesinye sezifo ingozi izintso - a pyelonephritis ezingapheliyo (ikhowudi ICD-10 inani 11.0) - le ngezifo entsonkothileyo sokuqukuqela arhabaxa. Isifo luphawulwa iimpawu ezibuhlungu kwenzeka ngenxa yokufakwa wokuchama iphecana arhente ezosulelayo, nephakame kwijelo wokuchama kwaye ingena kungena kidney umcu welungu.

Ngexesha ukungena wokuqala wosuleleko kakhulu kuncitshiswa ukumelana omzimba kumzimba, ukubonakala kwayo secondary ebangele ukuyilwa amathanga ngeentsholongwane olukhula ngokukhawuleza, kodwa phantse nazimpawu. Ngoko wabiza pyelonephritis obstructive ezingapheliyo (ikhowudi ICD-10 № 11.1).

Esi sifo umbuzo aziyi kuqwalaselwa kuphela ababhinqileyo, kodwa Ngokwezibalo, ngaphandle izigulana ezisixhenxe, umntu omnye kuphela. Kwiimeko ezinjalo selectivity ngeentsholongwane axhomekeke nobunzima ukuba bajongene iintsholongwane yayintsholongwane eyosulela, onyuka urethra oyindoda elimxinwa elide. Njengomgaqo, nokuba maphakathi alithandayo kidney leentsholongwane yafa okanye livela kulwelo inkunkuma. umsele Female wokuchama ibanzi kwaye elifutshane kakhulu umthondo therethrough kwisiqu aludibanisi nayiphi ubunzima lwegciwane.

mandundu

okukwazi Low lulodwa nako ukuxhathisa usuleleko, kodwa ukuba umzimba buthathaka isifo ezihamba okanye karhulumente ingakumbi uyamkela, ayikho elide ukufika, kwaye exacerbation of pyelonephritis ezingapheliyo (ikhowudi ICD-10, inani 11).

Omnye wemiba ezandisa susceptibility komzimba kungcoliseko ngeentsholongwane, kungaba:

• diabetes;
• emzimbeni ixesha elide;
• factor zamafa;
• izifo rhoqo;
• ukukhulelwa.

pyelonephritis ezingapheliyo Obstructive (ikhowudi ICD-10 №11.0), ngokufuthi efihliweyo ngasemva kweenkqubo ukudumba, kwaye reflux isoloko kwingxaki ye sisifo ngxabano.

picture clinical

Tubulointerstitial azicaciswanga njengoko pyelonephritis oyingozi okanye engapheliyo (ikhowudi ICD-10 № 12) uphaya nqanaba kukuvela amathanga ngeentsholongwane kwi kidney xa iimveliso ezincinane kucocwe tubule kwezintso kunye umzimba lokucoca liyayeka ukuba sisebenze ngokwesiqhelo. Oku kuphakamisa iimpawu buhlungu, adla Nibonile iimpawu zesifo disc sisiba mandundu, backache empontshwa okanye umkhuhlane.

Kwezinye izifo ukubonisa iimpawu ezininzi uphawu pyelonephritis ezigulo ezondeleyo. Phantsi ikhowudi ICD-10 84.0, umz, kwi khowudi kwizifo ezifana liqhubu endometrial. Lo mfanekiso kwezonyango sifo efana kakhulu iimpawu zesifo sezintso ethathelwa ingqalelo. Ngenxa yoko, waphawula kwezi ezimbi:

• eyendawo iqolo ;
• Ukudumba jikelele, ingakumbi ephawuleka empumlweni kusasa phantsi kwamehlo;
• Ukugodola kunye lobushushu kwi 39 amaqo.;
• uxinzelelo lwegazi oluphezulu;
• umchamo uyanuka ngenxa nesiqulatho ophezulu ubofu;
• zisiba ebuthongweni kunye emnyama;
• intloko, nobuhlungu bomzimba.

Xa pyelonephritis etsolo uthomalaliso zijolise ntlungu. athathwe Ngokukhawuleza amayeza ngokuqhelekileyo uncedo ngokukhawuleza. Ukubatshabalalisa impawu buhlungu, ngokufuthi izigulane abayeka unyango isiqingatha kwekhosi, ayeke itye. Ukuba lunganyangwa, isifo ahlekise (ikhowudi № 10) uba pyelonephritis ezingapheliyo (ikhowudi ICD-10 №11).

iintlobo pyelonephritis

Ikhosi ezingapheliyo Pyelonephritis ungakwazi ukuthatha enye kwezi ntlobo zilandelayo abanomkhitha nobukhali ekubonakalisweni zonyango:

• ifomu siyagula - ngexesha apho kwindawo yokuqala ngenxa yokudla, luchaphazela imveliso erythropoietin izenzo anemia;
• unesifo - luphawulwa iyahlozinga uxinzelelo lwegazi oluphezulu;
• nephrotic - wachaza kakuhle kakhulu protein lipid yokucolwa emzimbeni;
• izilonda - kusebenze exacerbations enamandla sifo, kunye iimpawu uphawu le thermocline ubuthi ityhefu;
• ebhekiswe - elibaleka ngendlela afihlakeleyo, ngokufuthi nazimpawu. Olu hlobo esi sifo kokugqiba umzimba elide kuhlala akubonakali;
• relapsing - le fomu isoloko ewodwa - ngu ngokukhawuleza ngesiquphe exacerbation uxolelo phambi kokuba lifike ixesha elide.

isigaba pyelonephritis

Neziphumo zonyango ezineziphene okanye ukungabikho kwaso ngokubanzi esikhukulayo okuthe pyelonephritis etsolo ezingapheliyo (codes ICD-10 okanye № 11.1 № 11.0). Kufuneka iqondwe into yokuba esi sifo, nkqu kwinqanaba lokuqala naluphi na uhlobo, isenzeko vuhlayiseki. Uthumelo lokuyiphuhlisa kunye ayolule unyango ofanelekileyo uxolelo, kodwa nokuphilisa ngokupheleleyo kwizintso ayiyi kuphumelela.

Xa ikhowudi kokuhlaziya pyelonephritis ezingapheliyo ICD-10, ngelishwa, akukho inkcazelo amanqanaba sifo. Ngoko ke, kufuneka uyeke phambi kwabo ngokweenkcukacha.

• Stage I - ilahleko ngokuthe ngcembe umsebenzi yokuqokelela ziphatha;
• Isigaba II - maxongo yoma ze tubules nonyebeleziso kwizicwili;
• Isigaba III - ukufa inani elikhulu glomeruli kunye sezintso izihlunu ukukhathaza, izicwili-ezifana isakhiwo ndlala;
• Isigaba IV - ekutshintshweni kidney ngumonzakalo kwi zomzimba nokuqina.

ekuxilongweni

Xa ikhowudi kokuhlaziya pyelonephritis ICD-10 umyalezo kunye mpawu ezichazwe. Kulo mba, xa kusenziwa, badla unengxaki umehluko ezimbi. Ukuphelisa iimpazamo iinkqubo ezintsonkothileyo zokuxilonga ngokuyimfuneko ziquka izifundo kwilebhu intlenga wokuchama ngeendlela:

• Kakovskogo - Addis;
• Shtengeymera - Malbina.

Ngaphezu koko, bacteriuria lwenziwa kunye biopsies of kidney izitho ngeentsholongwane Ubhaqo eliphakathi. Uhlalutyo iyonke kwezonyango igazi nalo kuthathwa kwindawo yokuqala, kwaye sele isiseko ezi ziphumo yokuqala, ngakumbi isicwangciso diagnostic yakhiwa.

Ukuba arhente ezosulelayo kuchongwa ngenxa pyelonephritis ezinganyangekiyo, ikhowudi ngokutsho ICD-10, ifom ahambelana zesi sifo, faka ikhowudi ezongezelelweyo (V95-V97).

Ngexesha isifo nalo lwenziwa:

• iimviwo X-ray ukumisela ukuba intshintsho zibonakale sezintso aqingqa umoya okanye ubunzulu iphecana eliphezulu womchamo;
• renografii;
• skennografiyu;
• pyelography;
• iimviwo histological kwithishyu kwezintso.

indlela yokugqibela diagnostic isetyenziswa kunqabile, ngenxa yokuba iindlela zangaphambili loxilongo yinto eqhelekileyo ukuba ukujonga uhlobo isifo kwaye wenze isigqibo esichanekileyo.

unyango Drug of pyelonephritis

Ngexesha unyango yonke imeko yomguli lubekw 'esweni ukunikezelwa ngenyanga wohlalutyo eyenzelwe ukuvavanya nje kuphela imeko yempilo yomguli, kodwa ukuqinisekisa impumelelo unyango kunye susceptibility okulungileyo ukuqeshwa ichiza. Ubude unyango akufane ngaphantsi kweenyanga ezine, kodwa isiqabu ngokuqhelekileyo kwenzeka kakhulu ngaphambili. Kubalulekile ukuba le khosi ade ase ekupheleni, ukuze ukuvumela sifo ukuthatha phezulu inyathelo.

Isiseko unyango antibiotics ebanzi-spectrum anqanda flora negative-Igram, kodwa alunasiphumo kwi isiphumo enetyhefu kwizintso. arhente ezinjalo ziquka arhente antibacterial fluoroquinolone "Cefuroxime," "ciprofloxacin", "Zeven", "norfloxacin".

iindlela Treatment abantu

Unyango naliphi na ikhaya amayeza pyelonephritis akwamkelekanga kwaye kuyingozi. Noko ke, amayeza abaninzi abahlala zingasetyenziswa ngokusebenzisana kunyango iziyobisi, emiselwe ngugqirha. Yokuba uncedo ingakumbi okulungileyo yeefomu zale sifo, ekhatshwa ukudumba kakhulu kunye neentlungu.

• Okudambisa iimpawu etsolo 1 tbsp. ngecephe lingonberry igqabi kongezwe 250 ml amanzi abilayo, yaye malunga ne-10 imizuzu tomyat ubushushu ngaphantsi esicikweni. umhluzi elandelwa epholile, ubunzima uthabathe 3 tbsp. naan 3 p / imini ungatyanga.
• Xa ubuhlungu obukhulu ezisezantsi emva pyelonephritis: ukwenza i-10% mxube yetyuwa zesiqhelo kunye namanzi, yokunyakamisa ilaphu yomqhaphu kuyo ikhuselekile kuli emva for the night. Oku kufuneka kwenziwe yonke imihla iiveki ezi-2.
• oat ingca agaye ngamanzi abilileyo umlinganiselo we 1:10, ngoko ke isiciko tomyat kangangesiqingatha seyure, yaye emva okupholisa ecociweyo nisele ml 150 r 2 / ngosuku. Uyakwazi ukwenza isisombululo kanzulu xaxa kunye nokongeza kwi ngokuhlamba xa ukuhlamba - umphumo uya kuba mkhulu xa idibene izicelo zangaphakathi nangaphandle ze umhluzi.

ukuvimbela

Kuthintelo pyelonephritis kukho iingcebiso ezininzi athobele lula, njengoko ingaphikisani imithetho jikelele ukugcina umzimba ethethela enempilo:

• Kufuneka uzame ukuphelisa evela kwizinto zobomi ezifana utywala, ikofu eyomeleleyo kunye nokutshaya, kwaye umsi wecuba akukho yingozi ngaphantsi esebenzayo.
• Kubalulekile ukuba kuqhuba isaveyi yezikolo umzimba uphela ukuba umthombo ezifihlakeleyo usulelo. Kukho iimeko xa iintsholongwane ukungena igazi emva koko kwi kidney, Uhambo kwabo izinyo carious okanye sinuses asha sinusitis nasopharyngeal.
• Xa pyelonephritis seyinikiwe kwimbali, iimvavanyo umchamo kunye kwegazi kufuneka bapase ubuncinane kabini ngonyaka.
• Zama Kwathi ngonyaka unyango Spa ngamanzi izimbiwa kunye udaka.

Nditsho unyango olubiza iya kuba nafuthe imvelaphi enzima, kwezondlo lokudla ukwabiwa ngokungalinganiyo amafutha, iiprothini kunye carbohydrate. Pyelonephritis Ugxininiso ukutya yemifuno, ikakhulu ekrwada. Protein isilwanyana uvumelekile yenkuku inyama emhlophe kunye anganzulwanga nentlanzi.