Usoro ICD 10. Ala ala pyelonephritis: akpatara, Mgbaàmà, Diagnosis na Ọgwụgwọ

Na 2007, ọ nakweere International nhazi ọkwa nke Diseases. Ọ bụ a na ọrịa, dị ka ala ala pyelonephritis a gụnyere. Ọ bụ iri idegharị ndepụta, na otú ahụ ọ bịara mara dị ka ICD-10. Ka anyị tụlee ihe pyelonephritis. Codes na ICD-10, ọrịa ga-ga-kọwara na isiokwu.

Na-akpata ọrịa

Otu n'ime ndị kasị dị ize ndụ nke ọrịa na nke akụrụ - a-adịghị ala ala pyelonephritis (code ICD-10 nọmba 11.0) - mgbagwoju daa ọrịa nke mkpali eruba. The ọrịa e ji na-egbu mgbu mgbaàmà emee site ingestion urinary tract-efe efe gị n'ụlọnga, nke adahade na urinary ọwa na penetrates n'ime akụrụ anụ ahụ nke ngwa.

N'oge mbụ penetration nke ibute ọrịa na-ukwu belata dịghịzi eguzogide nke organism, ya abụọ pụta ìhè emewo ka guzobere microbial chịrị na-emepe emepe ngwa ngwa, ma ọ fọrọ nke nta asymptomatic. Ya mere na-akpọ ala ala okpo pyelonephritis (code ICD-10 № 11.1).

The ọrịa na ajụjụ ike-atụle nanị nwanyị, ma ọ dị ka ọnụ ọgụgụ, nke asaa ọrịa, naanị otu onye. Conditionality nke ndị dị otú microbial selectivity idu ke isi ike na-ihu pathogenic bacteria, arịgo warara na ogologo nwoke urethra. Dị ka a na-achị, ọbụna ọkara ka kpọrọ akụrụ microbe nwụrụ ma ọ bụ na-ewepụtara n'efu ọmụmụ. Female urinary kanaal dị aghọtakwuola na mkpumkpu penetration therethrough na ngwa esoghị ọ bụla ike maka bacteria.

ịmụba ihe

Low ọgụ adịghị enwe ike iguzogide ọrịa, ma ọ bụrụ na ahụ na-ebelatawo concomitant ọrịa ma ọ bụ na-karịsịa na-anabata ala, ọ bụghị ogologo na-abịa, na exacerbation nke ala ala pyelonephritis (code ICD-10, nọmba 11).

Otu n'ime ihe ndị na-amụba ka ahụ na-susceptibility na microbial ofufe, nwere ike:

• arịa ọrịa shuga;
• ruo ogologo oge hypothermia;
• butere n'aka ihe na-akpata;
• ibute ọrịa ugboro ugboro;
• ime.

Okpo-adịghị ala ala pyelonephritis (code ICD-10 №11.0), mgbe mgbe, na-ezo na ndabere nke mkpali Filiks, na reflux bụ mgbe a sikwuoro nke ihe odide ọrịa.

adakarị picture

Tubulointerstitial akọwapụtaghị dị ka nnukwu ma ọ bụ ala ala pyelonephritis (code ICD-10 № 12) na-egosi na ogbo nke omume nke microbial chịrị na akụrụ mgbe ngwaahịa nke microorganisms clogged gbasara akụrụ tubule na nyo ahụ na-akwụsị na-arụ ọrụ kwesịrị. Nke a na-akpọlite ndị na-egbu mgbu mgbaàmà, nke na-mgbe hụrụ maka mgbaàmà nke degenerative diski ọrịa, lumbar backache ma ọ bụ ndị nkịtị oyi.

Na ụfọdụ ọrịa igosipụta ọtụtụ mgbaàmà e ji mara ndị na-adịghị ala pyelonephritis. N'okpuru code ICD-10 84.0, e.g., ezoro ezo daa ọrịa ndị dị otú ahụ dị ka endometrial polyp. The adakarị picture nke ọrịa dị yiri nnọọ ihe mgbaàmà nke ọrịa akụrụ na-atụle. N'ihi ya, kwuru, na ndị a pathologies:

• Anam Udeme azụ mgbu ;
• general ọzịza, kacha chọpụta na imi ụtụtụ na n'okpuru anya;
• akpata oyi na okpomọkụ na 39 deg.;
• ọbara mgbali elu;
• aṅụrụma ruru mmamịrị n'ihi na nke elu ọdịnaya nke abu;
• akawanye njọ nke na-ehi ụra na agụụ;
• isi ọwụwa, muscle aches.

Na nnukwu pyelonephritis ọgwụ na tumadi iji na-mgbu enyemaka. Ngwa ngwa e ọgwụ na-emekarị aka ngwa ngwa. Igbu ndị na-egbu mgbu mgbaàmà, ndị ọrịa na-dobe pụta ọgwụgwọ ọkara nke N'ezie, kwụsị ịna-ebu ọnụ. Ọ bụrụ na untreated, ọrịa nke nnukwu (code № 10) na-aghọ ala ala pyelonephritis (code ICD-10 №11).

forms of pyelonephritis

Pyelonephritis-adịghị ala ala N'ezie nwere ike otu n'ime ndị na-esonụ iche nke ọdịdị na ogo nke na-adakarị ngosipụta:

• ụkọ ọbara ụdị - n'oge nke mbụ ebe ruru toxicity, na-ezighị ezi na-emetụta mmepụta nke erythropoietin eme anaemia;
• hypertensive - ji ejighị n'aka ọbara mgbali elu;
• nephrotic - owụt oké njọ malfunctioning nke protein na lipid metabolism ke idem;
• septic - rụọ ọrụ na ike exacerbations nke ọrịa, na ndị e ji mara atụmatụ nke thermocline na-egbu egbu na nsi na;
• latent - asọ a latent ụdị, mgbe asymptomatic. Nke a na ụdị nke ọrịa na-agwụ ike na ahu na ogologo undiagnosed;
• relapsing - a n'ụdị ka agbanwe mgbe nile agwa - site mberede mberede exacerbation ngbaghara n'ihu ogologo kwụsịtụrụ.

pyelonephritis ogbo

Ihe nkwarụ ọgwụgwọ ma ọ bụ enweghị ya bụ n'ozuzu gradual oké nke nnukwu ala ala pyelonephritis (codes ICD-10 ma ọ bụ № 11,1 № 11.0). Ọ ga-aghọta na ọrịa, ọbụna ke akpa ogbo nke ọ bụla n'ụdị, irreversible onu. Ị nwere ike ịkwụsị ya mmepe na ogologo ngbaghara eru ọgwụgwọ, ma kpamkpam gwọọ akụrụ ga-aga nke ọma.

Na nyopụta koodu-adịghị ala ala pyelonephritis ICD-10, dị mwute ikwu, ọ dịghị nkọwa nke nkebi nke ọrịa. Ya mere, i kwesịrị ịkwụsị tupu ha n'ụzọ zuru ezu.

• Ogbo m - nwayọọ nwayọọ ọnwụ nke arụmọrụ obon duct;
• Ogbo II - enwe nnukwu atrophy nke tubules na proliferation nke connective anụ ahụ;
• Ogbo III - ọnwụ nke a ọnụ ọgụgụ buru ibu nke glomeruli na gbasara akụrụ anụ ahụ nje, anụ ahụ-dị ka ihe owuwu nke thyroid;
• Ogbo IV - nnọchi nke akụrụ cortex na connective anụ ahụ.

nchọpụta nsogbu

Na nyopụta code pyelonephritis ICD-10 etiology na mgbaàmà na-adịghị kọwara. Na nke a, na omume, na-enwe nsogbu differentiating pathologies. Iji kpochapụ njehie na mgbagwoju na-achọpụta ọrịa usoro bụchaghị na-agụnye laabu ọmụmụ nke urinary sedimenti na ụzọ:

• Kakovskogo - Addis;
• Shtengeymera - Malbina.

Ọzọkwa, bacteriuria Ẹnịm na biopsies nke akụrụ anụ ahụ na microbial nchọpụta ọkara. The n'ozuzu adakarị analysis of ọbara a na-weere na mbụ, na-ama na ndabere nke ndị a na mbụ results, n'ihu na-achọpụta ọrịa atụmatụ e wuru.

Ọ bụrụ na ndị na-efe efe gị n'ụlọnga a mata ruru ala ala pyelonephritis, a koodu dị ka ICD-10, ndị kwekọrọ ekwekọ ụdị ọrịa, tinye ọzọ koodu (V95-V97).

N'oge nchoputa na-rụrụ:

• X-ray nnyocha maka iguzobe anya gbasara akụrụ mgbanwe na-ekpebi ụda nke elu urinary tract;
• renografii;
• skennografiyu;
• pyelography;
• histological nyochaa gbasara akụrụ anụ ahụ.

Ikpeazụ-achọpụta ọrịa usoro na-adịkarịghị eji, n'ihi na eziokwu na ndị gara aga ụzọ nke nchoputa bụ adịkarị mfe iji chọpụta ọdịdị nke ọrịa na-eme ka ndị ziri ezi ọgwụgwụ.

Drug ọgwụgwọ nke pyelonephritis

N'oge dum ọgwụgwọ ọrịa na-arịa na-ekwu kwa ọnwa nnyefe nke nyochara iji bụghị naanị-amata na steeti ahụ ike onye ọrịa, kamakwa iji gosi ịdị irè nke ọgwụgwọ na ezi susceptibility ka nhọpụta nke ọgwụ. Duration ọgwụgwọ bụ adịkarịghị na-erughị ọnwa anọ, ma enyemaka na-emekarị emee ọtụtụ mbụ. Ọ dị mkpa iji mee ka ahụ ruo ọgwụgwụ, ka ọ ghara ka ọrịa iri a nzọụkwụ elu.

Ndabere nke ọgwụgwọ na-sara mbara-ụdịdị dị iche iche ọgwụ nje na inhibit gram-adịghị mma na osisi, ma na o nweghị mmetụta na-egbu egbu na mmetụta nke akụrụ ya. Ndị dị otú ahụ mmadụ na-agụnye antibacterial mmadụ fluoroquinolone "Cefuroxime," "Ciprofloxacin", "Zeven", "norfloxacin".

Ọgwụgwọ ndiife ụzọ

Ọgwụgwọ nke ọ bụla n'ụlọ ịgba akwụkwọ pyelonephritis bụ adịghị anakwere na ize ndụ. Otú ọ dị, ọtụtụ ndiife ịgba akwụkwọ nwere ike eji na njikọ na-aṅụ ọgwụ, kenyere site dọkịta. Ha na-karịsịa mma enyemaka maka nnukwu iche nke ọrịa, Bilie oké mbufụt na ihe mgbu.

• Iji kwụsị nnukwu mgbaàmà 1 tbsp. ngaji lingonberry akwukwo na kwukwara 250 ml nke esi mmiri, na banyere 10 nkeji na obere okpomọkụ tomyat n'okpuru mkpuchi. efere sochiri a jụụ, nje na-ewe 3 tbsp. ngaji 3 p / ụbọchị na ihe efu afo.
• Mgbe oké ihe mgbu na ala azụ na pyelonephritis: mee ka a 10% uche nke nkịtị nnu na mmiri, moisten na owu ákwà na ya ma dokwaa ya na ala azụ n'abalị. Nke a ga-eme kwa ụbọchị n'ihi na izu 2.
• oat ahihia brewed na esi mmiri na a ruru nke 1:10, mgbe mkpuchi tomyat ọkara otu awa, mgbe obi jụrụ ẹdụk na-aṅụ 150 ml nke 2 r / ụbọchị. Ị nwere ike ime ka a ihe ndọpụ ngwọta na-agbakwunye ya na saa mgbe na-asa ahụ - mmetụta ga-elu mgbe jikọtara ime ụlọ na n'èzí ngwa nke efere.

mgbochi

N'ihi mgbochi nke pyelonephritis e nwere ọtụtụ na-atụ aro ime na mfe, dị ka ha na-adịghị megidere general iwu nke ịnọgide na-enwe n'ahụ ike ụda:

• Ị ga-agbalị iji kpochapụ si ndụ ihe ndị dị ka mmanya, ike kọfị na ise siga, na n'ihe anwụrụ ọkụ bụ ọ na-erughị ize ndụ karịa n'ọrụ.
• Ọ dị mkpa na-akpa àgwà a nnyocha e mere ihe niile maka a zoro ezo isi iyi nke ọrịa. E nwere otu mgbe bacteria-esi n'ime ọbara na mgbe ahụ na akụrụ, na-amalite njem ha si carious nha nha ma ọ bụ nanị ire ọkụ sinuses nasopharyngeal Sinusitis.
• Mgbe pyelonephritis ama ugbu a na akụkọ ihe mere eme, mmamịrị na ọbara ule na-chọrọ ruo dịkarịa ala ugboro abụọ n'afọ.
• Gbalịa rue kwa afọ spa ọgwụgwọ na ịnweta mmiri na apịtị.

Ọbụna oké ọnụ ọgwụgwọ ga-enweghị mmetụta na ndabere nke arọ, potassium nri na mkpumkpu nkesa nke abụba, na-edozi na carbohydrates. Pyelonephritis mesiri ike na akwukwo nri nri, tumadi crude. Of anụmanụ protein na-ekwe na-acha ọcha anụ ọkụkọ, na azụ-emighị emi.