Code ICD 10. Chirwere pyelonephritis: Zvinokonzera, Zviratidzo, kuongorora chirwere neMarapirwo

Muna 2007, zvakanga vakagamuchira International kupatsanura pakati Diseases. Ihosha, akadai chisingaperi pyelonephritis dzakaisirwa. Rakanga rechigumi Shanduro pamazita uye saka yakasvika pakuzivikanwa se ICD-10. Ngatikurukurei pyelonephritis. Codes muna ICD-10, chirwere zvicharehwawo kurondedzerwa munyaya.

The zvinokonzera chirwere

Mumwe zvirwere itsvo zvikuru nengozi - chirwere pyelonephritis (bumbiro ICD-10 nhamba 11.0) - zvakaoma zvokurwara kuti anogumbura chokubuda. The chirwere kunoratidzwa anorwadza zviratidzo kunoitika kuburikidza ingestion Urinary turakiti kutapuriranwa mumiririri, rinokwira kusvika Urinary inoshandiswa uye chinopinda mumba itsvo rinenge riri nenyere.

Munguva kutanga kupinda chirwere ari dzinokwanisa kwakaderedza zvirwere nemishonga yacho muviri, kuratidzwa kwayo chesekondari kwakaita paumbwe microbial nyuchi kusimukira nokukurumidza, asi husingakuvadzi asymptomatic. Saka akadana chisingaperi obstructive pyelonephritis (bumbiro ICD-10 № 11.1).

Hosha iri mubvunzo haagoni kunzi chete munhukadzi, asi maererano nenhamba, kunze varwere nomwe, murume mumwe chete. Conditionality pamusoro microbial selectivity yakadaro iri zvinetso kuti akatarisana pathogenic noutachiona, achikwidza yakamanikana uye refu makono urethra. Kazhinji, kunyange pakati kune ndaviga itsvo microbe afa kana rinobva tsvina Urume. Female Urinary Canal iri zvikuru yakakura uye mapfupi kupinda therethrough kuti nhengo hariumbi chero nokuomerwa utachiona.

sembura zvinhu

Low kutapata pachayo vasingagoni kupikisa chirwere, asi kana muviri simba concomitant chirwere kana nonyanya vanogamuchira mamiriro, hazvisi refu kuuya, uye exacerbation echirwere pyelonephritis (bumbiro ICD-10, nhamba 11).

Mumwe zvinhu zvinowedzera muviri susceptibility kune microbial utachiona, angava:

• chirwere cheshuga;
• refu hypothermia;
• nhaka chinhu;
• kakawanda noutachiona;
• pamuviri.

Obstructive chisingaperi pyelonephritis (bumbiro ICD-10 №11.0), kazhinji zvakavigwa pakanyorwa anogumbura urongwa, uye reflux kazhinji kuomesa ane pane chirwere.

zvekuchipatara mufananidzo

Tubulointerstitial kusingajekeswi sezvo chakasimba kana chirwere pyelonephritis (bumbiro ICD-10 № 12) rinowanikwa pa padariro panowanikwa microbial nyuchi dziri itsvo kana zvigadzirwa zvigare tsinga renal tubule uye Sefa muviri hunoguma ishande zvakanaka. Izvi zvinomutsa inorwadza zviratidzo, anowanzoshandurwa kuona kuti zviratidzo chinopedza Disc chirwere, lumbar backache kana vanhuwo kuchitonhora.

Mune zvimwe zvirwere kuratidza zviratidzo zvizhinji yo chisingaperi pyelonephritis. Under Bumbiro ICD-10 84.0, semuenzaniso, encrypted zvokurwara yakadai endometrial polyp. The kunotoda Mufananidzo chirwere zvakafanana zvikuru zviratidzo cheitsvo pasi kukurukurwa. Saka, akacherechedza mu pathologies izvi:

• kudhonza musana kurwadziwa ;
• Kazhinji kuzvimba, kunyanya kuoneka pazuva mhino mangwanani uye pasi meso;
• chills uye tembiricha kuti 39 ddeg.
• cheBP;
• smelly weti nokuda kwayo yakakwirira zviri pus;
• kuwedzera kurara uye havi;
• nomusoro, tsandanyama pari.

In chenjera pyelonephritis ARV ainyanya zvainanga kurwadziwa. Kukurumidza vatora mishonga kazhinji kubatsira kutsanya. Maitiro kubvisa anorwadza zviratidzo, kazhinji varwere vabude kurapwa hafu kosi, mira kudhayeta. Kana untreated, hosha chenjera (bumbiro № 10) anova chisingaperi pyelonephritis (bumbiro ICD-10 №11).

siyana pyelonephritis

Pyelonephritis chisingaperi nzira anogona kutora rimwe zvinotevera siyana nechitarisiko nekuomarara zvekuchipatara kuratidzwa:

• neta neta chimiro - umo pakutanga nokuda toxicity, isakarurama rinobaya kugadzirwa erythropoietin anoita kupererwa neropa;
• vane chirwere cheBP - Paaiita kusagadzikana cheBP;
• nephrotic - akaratidza zvakakomba malfunctioning mapuroteni uye lipid muviri mumuviri;
• septic - kusashanda pamusoro simba exacerbations nehosha, pamwe maitiro zviri thermocline uye chepfu chepfu;
• Isimba rakadini rinogona kubudiswa - kuyerera Isimba rakadini rinogona kubudiswa chimiro, kazhinji asymptomatic. Ichi chimiro chirwere uchimhanya muviri uye refu kuramba undiagnosed;
• relapsing - fomu rino dzichichinja muzvarirwo - ne chimbichimbi kamwe exacerbation kuregererwa pamberi refu anombomira.

pyelonephritis rwakazara

Mhedzisiro chakaremara kurapwa kana kusava kwayo zvishoma nezvishoma Kudira chakasimba chisingaperi pyelonephritis kazhinji (Codes ICD-10 kana № 11.1 № 11.0). Zvinofanira kunzwisiswa kuti chirwere, kunyange Danho rokutanga chero chimiro, kusingarapiki chaiyo. Unogona kurega kukura kwayo uye achawedzera kanganwiro nomazvo kurapwa, asi kuti kurapa zvachose itsvo haazobudiriri.

In decoding Bumbiro chisingaperi pyelonephritis ICD-10, zvinosuwisa, hapana tsanangudzo nzendo chirwere. Naizvozvo, unofanira kurega pamberi pavo zvizere.

• Stage I - zvishoma nezvishoma kurasikirwa functionality achiunganidza mutsinga dzinofamba nemukaka;
• Stage II - yakawedzera atrophy pamusoro tubules nekutarisa kushandiswa nekuwanda connective tishu;
• Stage III - rufu vakawanda glomeruli uye renal zvinyama kugozha, zvinyama-kufanana nemamiriro thyroid;
• Stage IV - the yaitsiva itsvo cortex ari connective tishu.

Diagnostics

In decoding yekubvuma pyelonephritis ICD-10 etiology uye Zviratidzo havataurwi. Panyaya iyi, muna tsika, kazhinji dambudziko differentiating pathologies. Kubvisa zvikanganiso mu kunzwisisa chirwere maitirwo hazvo zvinosanganisira rabhoritari zvidzidzo kubva Urinary emadhaka pamusoro nzira:

• Kakovskogo - Addis;
• Shtengeymera - Malbina.

Uyezve, bacteriuria nevamwe uye biopsies kuti itsvo rinenge riri microbial vasabatwa svikiro. Zvinonyatsorehwa kunotoda kuongorora ropa ukabatwawo pakutanga, uye yatova hwaro kwokutanga zvabuda izvi, mamwe chirwere zano iri kuvakwa.

Kana kutapuriranwa mumiririri inoziviswa nokuda chisingaperi pyelonephritis, bumbiro maererano ICD-10, ari runoenzanirana chimiro chirwere, wedzera mamwe remitemo (V95-V97).

Panguva chirwere chiri anoteererwa;

• X-ray Kuongorora kuti pave kuonekwa renal kuchinja uye kuona mataurire rokumusoro Urinary turakiti;
• renografii;
• skennografiyu;
• pyelography;
• histological kuongorora renal tishu.

Last chirwere nzira haawanzopiwi kushandiswa, nokuti kuti yapfuura nzira nechirwere kazhinji zvichiita kuti kuona hunhu chirwere uye kuti yakarurama mhedziso.

Drug Mabatirwo pyelonephritis

Munguva yose kurapwa murwere mamiriro ezvinhu kuongororwa pamwedzi chokuendesa Analyses zvakagadzirirwa kuongorora kwete chete mamiriro utano murwere, asiwo kuzosimbisa kubudirira kurapwa uye susceptibility yakanaka kugadzwa zvinodhaka. Duration kurapwa kuri Kashoma mwedzi isingasviki mina, asi ruyamuro kazhinji kunoitika ipapa. Zvakakosha kuunza kosi kusvika kumagumo, kuitira kuti chirwere atore danho kumusoro.

Hwaro kurapwa vari mishonga inorwisa mabhakitiriya kuti tunodzivisa giremu negative kasvisto, asi hakuna zvainoita hunokachidza mugumisiro neitsvo. nevasori kwakadaro zvinosanganisira antibacterial yomuchipatara fluoroquinolone "Cefuroxime," "Ciprofloxacin", "Zeven", "norfloxacin".

Treatment acho nzira

Kurapa kupi musha mishonga pyelonephritis nezvisingabvumwi uye ngozi. Zvisinei, vakawanda zvavo mishonga inogona kushandiswa pachiimbwa husaberekana, ushandiswe nachiremba. Ndivo rubatsiro kunyanya zvakanaka chakasimba siyana chirwere, achiperekedzwa zvikuru kuzvimba uye marwadzo.

• Kuti batsira chenjera zviratidzo 1 tbsp. chipunu lingonberry shizha iri akawedzera 250 ml kufashaira mvura, uye vanenge 10 maminitsi yakaderera kupisa tomyat pasi muvharo. muto uchiteverwa inotonhorera, tisawirirane uye tora 3 tbsp. chipunu 3 p / zuva usina chawadya.
• Kana kurwadziwa zvikuru rezasi shure pamwe pyelonephritis: kuti 10% Kuisa pfungwa pachinhu zvavo munyu nemvura, inyorovese donje jira mairi uye murichengete kusvikira dzakaderera shure nokuda usiku. Izvi zvinofanira kuitwa zuva nezuva nokuda 2 weeks.
• O uswa brewed pamwe kufashaira mvura iri nhamba 1:10, ipapo muvharo tomyat hafu yeawa, uye pashure kutonhora yakasvinwa uye kunwa Rine mamiririta 150 2 R / zuva. Unogona kuita zvikuru kuramba mhinduro uye kuwedzera kuti bhati kana kugeza - chakazoitika achava yepamusoro kana zvabatanidzwa indoor uye makomba mafomu ose muto.

dziviriro

Nokuti kudzivirira pyelonephritis pane mazano akawanda tatevedzera kuti nyore, sezvo vasiri zvinopesana mukuru mitemo kwokuramba muviri ari inzwi utano:

• Unofanira kuedza kubvisa kubva muupenyu zvinhu zvakadai simba doro, kofi uye kusvuta, uye utsi hwefodya hakuna zvishoma ngozi pane basa.
• Zvakakosha kuitisa kuongorora muviri wose kuti kunobva chirwere yakavanzika. Pane zviitiko apo kwemabhakitiriya kupinda ropa uye ari itsvo, kutanga kwavo rwendo kubva carious zino kana zvomoto sinuses nasopharyngeal sinusitis.
• Kana pyelonephritis kwatova aripo munhau, weti uye ropa nemiedzo vanosungirwa zvakaitika kanenge kaviri pagore.
• Edza zvakaitika gore negore Spa kurapwa pamwe chicherwa nemvura uye madhaka.

Kunyange dzinodhura kurapwa havazovi zvainoita pakanyorwa rinorema, inotonhorera Kudya pamwe gogonera kuparadzirwa mafuta, mapurotini uye makabhohaidhiretsi. Pyelonephritis kusimbisa miriwo zvokudya, kunyanya wakaipa. Of mhuka mapuroteni anobvumirwa chena nyama huku uye nehove shoma.