Code ICD 10. Mob pyelonephritis: Ua, Cov tsos mob, kuaj thiab kho mob

Nyob rau hauv 2007, nws tau saws lub International ib suam ntawm kab mob. Nws yog ib tug kab mob, xws li mob pyelonephritis twb muaj. Nws yog tus thib kaum kho nqi lus ntawm daim ntawv teev, thiab thiaj li nws lub npe hu ua ICD-10. Cia peb xav txog dab tsi pyelonephritis. Codes nyob rau hauv ICD-10, tus kab mob no yuav tau piav nyob rau hauv tsab xov xwm.

Cov ua ntawm tus kab mob

Ib tug ntawm cov feem ntau txaus ntshai cov kab mob ntawm ob lub raum - ib tug mob pyelonephritis (code ICD-10 tooj 11.0) - lub complex pathology ntawm inflammatory txaus. Tus kab mob yog yus muaj los ntawm mob cov tsos mob tshwm sim los ntawm haus mob txeeb zig kab neeg sawv cev, uas nce mus rau urinary channel thiab penetrates mus rau hauv lub raum cov ntaub so ntswg ntawm lub khoom hauv nrog cev.

Thaum lub sij hawm thawj zaug allergic ntawm kab mob yog muaj nuj nqis txo tiv thaiv kab mob kuj muaj tus kab mob, nws theem nrab manifestation tau tshwm sim los rau hauv lub tsim ntawm microbial zos tsim sai heev, tab sis zoo asymptomatic. Yog li ntawd hu ua mob obstructive pyelonephritis (code ICD-10 № 11.1).

Tus kab mob nyob rau hauv lo lus nug tsis tau yuav tau heev dua lwm yam poj niam, tab sis raws li statistics, tawm ntawm lub xya cov neeg mob, tsuas yog ib tug txiv neej. Conditionality ntawm xws microbial selectivity lus dag nyob rau hauv cov teeb meem yuav tsum tau ntsib pathogenic cov kab mob, nce toj lub nqaim thiab ntev cov txiv neej zis. Raws li ib tug txoj cai, txawm tog rau cherished raum microbe tuag los yog muab tau los ntawm cov khib nyiab dej. Poj niam urinary kwj dej yog ntau nrug thiab luv luv allergic therethrough mus rau lub hloov khoom nruab nrog tsis roos tej teeb meem rau cov kab mob.

thab plaub yam

Tsis tshua muaj kev tiv thaiv nws tus kheej yog tsis muaj peev xwm mus tiv thaiv tus kab mob, tab sis yog hais tias tus lub cev tsis muaj zog txaus concomitant kab mob los yog tshwj xeeb yog hos lub xeev, nws yog tsis ntev nyob rau hauv los, thiab cov exacerbation ntawm tus kab mob pyelonephritis (code ICD-10, tus xov tooj 11).

Ib tug ntawm cov yam tseem ceeb uas ua rau kom lub cev nyhav rau microbial paug, tej zaum yuav:

• mob ntshav qab zib;
• heev hypothermia;
• raws roj ntsha tau;
• nquag mob;
• cev xeeb tub.

Obstructive mob pyelonephritis (code ICD-10 №11.0), feem ntau muab zais nyob rau hauv lub keeb kwm yav dhau ntawm inflammatory dab, thiab reflux yog feem ntau ib tug mob ib qhov pib kab mob.

soj ntsuam daim duab

Tubulointerstitial tsis teev raws li mob los yog mob pyelonephritis (code ICD-10 № 12) zoo nkaus li nyob rau theem ntawm tshwm sim ntawm microbial zos nyob rau hauv lub raum thaum cov khoom ntawm kab mob daig raum tubule thiab cov lim lub cev tsis tu tsis tseg rau cov ua haujlwm li qub. Qhov no seb puas tsimnyog tau cov mob cov tsos mob, uas yog feem ntau pom cov tsos mob ntawm tus kab disc kab mob, lumbar backache los yog tus mob khaub thuas.

Nyob rau hauv ib co kab mob muaj ntau cov tsos mob yam ntxwv ntawm tus kab mob pyelonephritis. Nyob rau hauv code ICD-10 84.0, e.g., encrypted pathology xws li endometrial polyp. Cov soj ntsuam daim duab ntawm tus kab mob yog heev uas zoo sib xws rau cov tsos mob ntawm lub raum tus kab mob nyob rau hauv kev saib xyuas. Yog li, pom nyob rau hauv cov pathologies:

• rub rov qab mob ;
• general o, tshwj xeeb tshaj yog hnov nyob rau hauv lub qhov ntswg nyob rau hauv lub yav sawv ntxov thiab nyob rau hauv lub ob lub qhov muag;
• ua daus no thiab qhov kub thiab txias rau 39 DEG.;
• ntshav siab;
• tsw zis vim hais tias ntawm nws cov high ntsiab lus ntawm kua paug;
• ntsuas cov pw tsaug zog thiab qab los noj mov;
• mob taub hau, mob ib ce.

Nyob rau hauv mob pyelonephritis txoj kev kho yog tsuas yog aimed ntawm kev mob nyem. Kom sai npaum li cov tshuaj feem ntau pab ceev. Mus tshem ntawm cov mob cov tsos mob, cov neeg mob feem ntau poob tawm ntawm kev kho mob rau ib nrab ntawm cov hoob kawm, tsis txhob dieting. Yog hais tias tsis kho, tus kab mob ntawm mob (code № 10) ua mob pyelonephritis (code ICD-10 №11).

ntaub ntawv ntawm pyelonephritis

Pyelonephritis mob Hoob no yuav siv sij hawm ib tug ntawm cov nram qab no ntaub ntawv ntawm cov tsos thiab heev ntawm kev soj ntsuam ces:

• anemic daim ntawv - thaum lub sij hawm uas tus thawj qhov chaw vim toxicity, tsis zoo rau tus zus tau tej cov erythropoietin ua anemia;
• hypertensive - yus tsis ruaj tsis khov ntshav siab;
• nephrotic - qhia loj ua hauj lwm uas muaj protein ntau thiab lipid metabolism hauv lub cev;
• lub taub dej khawb - tshuab txais rau muaj zog exacerbations ntawm tus kab mob, nrog rau tus yam ntxwv nta ntawm lub thermocline thiab lom lom;
• latent - ntws nyob rau hauv ib tug latent daim ntawv, feem ntau asymptomatic. Qhov no daim ntawv ntawm cov kab mob no yog exhausting lub cev thiab ntev nyob twj ywm undiagnosed;
• relapsing - daim ntawv no tau lossi hloov qhov - los ntawm ceev cia li exacerbation zam txim ua ntej ntev pauses.

pyelonephritis theem

Qhov tsim nyog ntawm puas kev kho mob los sis tsis muaj los ntawm no feem ntau yog gradual overflowing ntawm mob mob pyelonephritis (leb ICD-10 los yog № 11,1 № 11.0). Nws yuav tsum tau to taub hais tias tus kab mob no, txawm nyob rau hauv thawj theem ntawm ib daim ntawv, irreversible phenomenon. Koj yuav tsis txhob nws txoj kev loj hlob thiab cas sim haum txoj kev zam txim competent kho mob, tab sis rau tag kho lub raum yuav tsis vam meej.

Nyob rau hauv seev suab code mob pyelonephritis ICD-10, hmoov tsis, yog tsis muaj hauj lwm ntawm cov theem ntawm tus kab mob. Yog li ntawd, koj yuav tsum nres ua ntej lawv nyob rau hauv kom meej.

• Theem I - lub gradual tsis functionality sau duct;
• Theem II - exacerbated Atrophy ntawm tubules thiab loj hlob ntawm connective cov ntaub so ntswg;
• Theem III - txoj kev tuag ntawm ib tug loj tus naj npawb ntawm glomeruli thiab raum cov ntaub so ntswg sab, ntaub so ntswg zoo li cov qauv ntawm cov thyroid;
• Theem IV - cov kev hloov ntawm lub raum cortex nyob rau hauv lub connective cov ntaub so ntswg.

diagnostics

Nyob rau hauv seev suab code pyelonephritis ICD-10 etiology thiab cov tsos mob tsis tau piav txog. Nyob rau hauv no hais txog, nyob hauv kev xyaum, feem ntau muaj teeb meem differentiating pathologies. Yuav kom tshem tawm uas tsis nyob rau hauv txoj diagnostic cov txheej txheem tas muaj xws li kuaj cov kev tshawb fawb ntawm urinary txo rau txoj kev:

• Kakovskogo - Addis;
• Shtengeymera - Malbina.

Ntxiv mus, bacteriuria yog ua thiab biopsies ntawm raum cov ntaub so ntswg nyob rau hauv microbial nrhiav kom tau nruab nrab. Zuag qhia tag nrho kev soj ntsuam tsom xam ntawm cov ntshav yog tseem noj nyob rau hauv thawj qhov chaw, thiab twb yog lub hauv paus ntawm cov thawj zaug tau, ntxiv diagnostic lub tswv yim yog ua tau.

Yog hais tias lub kab neeg sawv cev yog qhia tau vim mob pyelonephritis, ib tug code raws li ICD-10, tus coj daim ntawv ntawm tus kab mob no, ntxiv code (V95-V97).

Thaum lub sij hawm tus mob no kuj ua:

• X-ray xeem rau kev tsim kom muaj pom raum hloov thiab txiav txim seb lub suab nrov ntawm lub qaum mob txeeb zig;
• renografii;
• skennografiyu;
• pyelography;
• histological kev soj ntsuam ntawm lub raum cov ntaub so ntswg.

Xeem diagnostic txoj kev yog tsis tshua muaj siv, vim lub fact tias lub yav dhau los txoj kev mob yog feem ntau tau los mus txiav txim rau qhov xwm ntawm tus kab mob thiab ua qhov tseeb xaus.

Tshuaj kho mob ntawm pyelonephritis

Thaum lub sij hawm tag nrho kev kho mob rau tus neeg mob tus mob yog saib xyuas txhua hli tus me nyuam ntawm analyses tsim los tsis tau tsuas yog ntsuam xyuas hauv lub xeev ntawm kev kho mob ntawm tus neeg mob, tab sis kuj yuav tshawb kom paub tseeb cov hauj lwm zoo ntawm kev kho mob thiab zoo nyhav mus rau lub sij hawm ntawm cov tshuaj. Duration ntawm kev kho mob yog tsis tshua muaj tsawg tshaj li plaub lub hlis, tab sis nyem feem ntau yog tshwm sim ntau npaum li cas ua ntej lawm. Nws yog ib qho tseem ceeb rau coj hauv cov chav kawm mus rau thaum xaus, thiaj li tsis txhob cia tus kab mob no noj ib kauj ruam li.

Lub hauv paus ntawm kev kho mob yog broad-spectrum tshuaj tua kab mob uas inhibit Gram-tsis zoo muaj, tiam sis nws muaj tsis ntxim rau cov tshuaj lom nyhuv ntawm ob lub raum. Tej cov tshuaj mas siv muaj xws li antibacterial cov neeg ua hauj fluoroquinolone "Cefuroxime," "Ciprofloxacin", "Zeven", "norfloxacin".

Kev kho mob pej xeem txoj kev

Kev kho mob ntawm tej tsev pyelonephritis yog tsis tsim nyog thiab txaus ntshai. Txawm li cas los, muaj ntau yam pej xeem kev muaj peev xwm yuav siv tau nyob rau hauv nrog tshuaj txoj kev kho, tshuaj los ntawm tus kws kho mob. Lawv yog cov tshwj xeeb tshaj yog zoo kev pab rau mob ntaub ntawv ntawm tus kab mob, nrog los ntawm yam mob loj heev o thiab mob.

• Yuav kom pab mob cov tsos mob 1 tbsp. diav lingonberry nplooj ntxiv 250 ml ntawm boiling dej, thiab hais txog 10 feeb thaum uas tsis muaj tshav kub tomyat nyob rau hauv lub hau. broth ua raws li los ntawm ib tug txias, lim thiab noj 3 tbsp. diav 3 p / hnub nyob rau ib npliag plab.
• Thaum mob heev nyob rau hauv lub qis rov qab nrog pyelonephritis: yuav ua rau ib tug 10% concentrate zoo tib yam ntsev thiab dej, moisten lub paj rwb ntaub nyob rau hauv nws thiab ruaj ntseg mus rau tus sab nraum qab rau hauv lub hmo ntuj. Qhov no yuav tsum tau ua txhua txhua hnub rau 2 lub lis piam.
• oat nyom brewed nrog boiling dej nyob rau hauv ib qho ratio ntawm 1:10, ces lub hau tomyat ib nrab ib teev, thiab tom qab txias lim thiab haus dej haus 150 ml ntawm 2 r / hnub. Koj yuav ua tau ib tug ntau concentrated tov thiab muab nws mus rau lub da dej thaum da dej - cov nyhuv yuav tsum muaj ntau thaum nyob hauv tsev thiab sab nraum zoov siv cov broth.

kev tiv thaiv

Rau kev tiv thaiv ntawm pyelonephritis muaj ob peb cov tswv yim ua raws li ib qho yooj yim, raws li lawv yog tsis tooj mus rau cov kev cai ntawm kev tswj lub cev nyob rau hauv ib tug noj qab nyob zoo suab:

• Koj yuav tsum tau sim rau tshem tawm los ntawm lub neej yam tseem ceeb xws li haus dej haus cawv, muaj zog kas fes thiab haus luam yeeb, thiab pa luamyeeb yog tsis muaj tsawg txaus ntshai tshaj kom nquag plias.
• Nws yog ib qho tseem ceeb rau kev ib daim ntawv ntsuam xyuas ntawm lub tag nrho lub cev rau ib tug thaum qhov chaw ntawm kab mob. Muaj mob thaum cov kab mob nkag tau rau hauv cov ntshav thiab ces nyob rau hauv lub raum, pib lawv cov lus los ntawm carious hniav los yog kub lug sinuses nasopharyngeal sinusitis.
• Thaum pyelonephritis yog twb tam sim no nyob rau hauv keeb kwm, thiab tso zis kuaj ntshav yuavtsum xeem kom dhau tsawg kawg yog ob zaug ib xyoos.
• Sim kom dhau txhua xyoo spa kev kho mob nrog ntxhia dej thiab av nkos.

Txawm lub kim kho mob yuav muaj tsis ntxim rau cov tom qab ntawm hnyav, as noj cov zaub mov uas muaj cov sis tsis ncaj tis ntawm cov nqaijrog, cov nqaijrog thiab carbohydrates. Pyelonephritis haum rau zaub zaub mov, mas crude. Ntawm tsiaj protein pub dawb nqaij qaib thiab ntses ntiav.