Katsabola: kachidindo malinga ICD 10. Zoyambitsa, Zizindikiro makamaka mankhwala a varicella

Monga mwana, ana akukumana ndi ntchito zosiyanasiyana za matenda, kumene iwo alibe chitetezo chokwanira. Mmodzi wa iwo - ndi nthomba. Mawu amenewa ntchito udindo akatswiri opatsirana matenda omwe amakhala ndi mtima wabwino zolimbitsa ambiri kuledzera, malungo, zotupa pa khungu ndi nembanemba mucous. Tchulani wakulakwirani monga nthomba? Kodi malamulo ali ICD-10 ndi chibadidwe? Tidzayensa kupeza mayankho a mafunso amenewa.

General zokhudza matenda ndi ziwerengero

Katsabola ndi amodzi mwa matenda wamba a mwana. Kumachitika padziko lonse. Mu zone ya kotentha matenda makamaka limapezeka pa nyengo yozizira. M'mayiko ndi otentha matenda nyengo si chibadidwe seasonality. Katsabola (malamulo ICD-10 - B01) amapezeka nthawi iliyonse chaka ndi osati ana komanso akuluakulu.

Kafukufuku akusonyeza kuti chaka chilichonse ndi matenda pa nkhani miliyoni 80-90 anthu. Nthawi zina, munthu amafa chifukwa matendawo. Imfa pa milandu 10,000, pali, monga ulamuliro, kwa 2 4. Akatswiri ndemanga pa kufa, zindikirani kuti afe odwala amene ali kuwonongeka kwambiri kwa dongosolo chapakati mantha, kuperewera m'thupi, matenda oncohematological.

Zimayambitsa katsabola

Matendawa amapezeka ana. Amatha chibadwire, koma izi kupewedwa ndi chitetezo chokwanira chabe, imene imafalikira kwa mwana aliyense kuchokera kwa amake kudzera mu mkaka wa m'mawere. N'chifukwa chake varicella (malamulo ICD-10 - B01) ana ena koyamba zaka zapakati pa miyezi 6.

Kudwala matenda chifukwa kukhudzana ndi kachilombo Varicella-Zoster ku banja la nsungu mavairasi. malowedwe ake adatengedwa ndi m'malovu (anachokera ku mtima anthu kachilombo). Nembanemba mucous kumalumikiza thirakiti chapamwamba kupuma, ndi chipata cha matenda. Nthawi zina, katsabola matenda njira ndi kukhudzana.

Kodi chimachitika n'chiyani HIV ndi m'thupi? Poyamba Lifikira lymph njira, kenako kudutsa mu zotengera magazi. Ndi tizilomboto m'magazi kufalikira thupi lonse. Malo komaliza anakhala ndi maselo zaminyewa mwa khungu nembanemba mucous. Iwo chifukwa cha ntchito za HIV akufotokozera totupa mu mawonekedwe a vesicles ndi okhutira serous.

zizindikiro

Katsabola ana (kachidindo-malamulo mu ICD-10 - B01) zimapangitsa pakokha ankaonera yomweyo pambuyo kutenga kachilomboko kakhale m'thupi la munthu. Choyamba nthawi makulitsidwe, amene ali pafupifupi kutalika masiku 14 mpaka 17. Iye munthu kachilombo amamva monga mwachizolowezi. Palibe sichikunditsutsa iye. Zizindikiro zoyambirira zimene zimachitika pambuyo nthawi ndi makulitsidwe, anagwirizana ndi mwachidule prodrome. Mtima:

• Thupi kutentha limatuluka digiri 37-38;
• kumachitika malaise;
• Kuwonjezeka kudya;
• pali kugona wosakhazikika.

Totupa zimachitika pamodzi ndi kuwonjezeka thupi kutentha. Makamaka malo awo ndi nkhope, khungu, nthunthu ndi miyendo. Pa zidendene ndi makhwatha a kusintha pathological si anati. Mu malo amenewo kumene totupa kusintha zindikirani amakhala nthawi varicella. Choyamba, iwo akuimilira roseola, mawanga zazing'ono zomwe n'kukhala papules. Kenako vesicles kuoneka mawonekedwe chowulungika kapena chonse. Iwo ali madzi. thovu Imeneyi imachitikira za masiku 1 kapena 2 kenako. Timasangalala akuwuka kwa iwo, kupukuta ndi ndipamene kutumphuka pa malo awa, omwe kutha pambuyo pa 1 kapena 2 masabata.

Mitundu ya pox nkhuku

Zizindikiro zina tanena ofooka, pamene ena - kwambiri chizindikiro. Izi zikutanthauza kuti chithunzi matenda a varicella zimadalira mtundu wa matenda ndi ukulu wake. Kuti timvetse zimenezi, tiyeni mawonekedwe a matenda. Katsabola (malamulo ICD-10 - B01) Ndi mmene ndi atypical. A mitundu lililonse ndi lophatikizana ndi ubwamunalo linagawanika:

1. Pa kuwala. Mu mawonekedwe varicella kutentha sasefukira pamwamba madigiri 38. Totupa pakhungu ndipo zimagwira ntchito zosiyanasiyana mucous ndi ang'ono ndi kuledzera, ndi mwaonapo.
2. Pa zolimbitsa. Katsabola fomu iyi akuwonetseredwa ndi kuchuluka kutentha kwa madigiri 39. Matuza zambiri. Zizindikiro za kuledzera anthu anasonyeza mwapang'ono.
3. Pa katundu. Mu aakulu kutentha varicella limatuluka digiri 40. Totupa pakhungu ndi mucous nembanemba kwambiri. Odwala akhoza kuyamba neurotoxicosis ndi chizindikiro convulsive ndi zochita meningoencephalitic.

Atypical varicella, amene sadzafika nthawi zambiri, nayenso, lagawidwa njira zosiyanasiyana. Mwachitsanzo, matenda ndi achikalekale. Ndi iye pali thovu akutali ndi underdeveloped ndi okhutira serous. Thupi kutentha si upambana madigiri 38. Zimachitika mawonekedwe zambiri zowombetsa mkota. Chotero varicella yodziwika ndi kutentha thupi mu ndondomeko pathological zokhudza ziwalo kuledzera aakulu a chamoyo.

ICD-10 B01, varicella: mavuto kuthekera

Katsabola si nthawi zonse umayenda mwa muyezo ndondomeko ya (matenda - nthawi makulitsidwe - Kukwera kwa kutentha - maonekedwe a zotupa - mapangidwe thovu ndi kutsegula awo - kuoneka crusts - dropout awo - isanayambike convalescence matenda masiku kale kuposa 10 kuyambira kumayambiliro). Odwala ena kukhala zosokonezeka. Iwo anati pafupifupi 15% ya milandu. Zovuta kukhala atadziŵa HIV attenuated ndi pokhudzana ndi thupi mu anatsegula thovu tizilombo toyambitsa matenda (m. E. Mu inalowa matenda).

Ndi mavuto wamba katsabola monga abscesses, matumba a zamafinya zinangoti, necrotic ndi hemorrhagic zochitika. Osowa, koma ndi oopsa kwambiri zotsatira ankaona varicella chibayo, ndi ovuta kuchiza ndi mankhwala, sepsis.

Matenda a varicella

matenda akhoza kuika akatswiri Ataona chithunzi matenda. Kugwiritsa ntchito njira iliyonse matenda si chofunika. Nthawi zina, mayesero zasayansi akutsatiridwa:

• RAC (womuyenerera fixation mayeso, ndi serological zofufuza njira);
• njira virological kwa kudzipatula ndi chizindikiritso cha nthumwi causative.

Nthawi zina zimatenga matenda masiyanidwe. ogwira ntchito zachipatala timaigwira kwa amaganiziridwa herpetic matenda zowombetsa mkota, pyoderma, matupi awo sagwirizana totupa, tizilombo ting'onoting'ono.

Chithandizo cha varicella

Pamene kuyambira nthawi wopanikiza, mtima ulipo kwa bedi zina. Akatswiri amalangiza mankhwala kulimbana kuledzera. Iwo akulangizidwa onetsetsani kusunga miyezo ukhondo koyenera kuti mofulumira ndi ogwira mankhwala a matenda B01 (ICD-10) code. Katsabola pochitika, ngati nthawi zonse pokonza thovu. Ndondomeko anachita ntchito njira amadzimadzi wanzeru zobiriwira kapena methylene buluu. Chithandizo ikuchitika kawiri pa tsiku. Pamene crusts, iwo anayamba mafuta mafuta ana a kirimu kapena zakudya mafuta mofulumira ndondomeko yothothola ndi kubwezeretsa khungu.

Ana amene ankalota kuyabwa, madokotala mankhwala mankhwala. Mankhwalawa angathe kuchotsa zizindikiro zosasangalatsa. Ngati pali chiopsezo varicella kwambiri, ndiye akatswiri amalangiza ntchito mankhwala mavairasi oyambitsa kuchitapo kanthu antiherpetic (mwachitsanzo, "Acyclovir" mankhwala interferon, "Viferon" makandulo).

Kuteteza umoyo ana kwa odwala

Kwambiri matenda opatsirana imatengedwa varicella (katsabola) ana. Zoyambitsa, zizindikiro ife anayang'ana pa pamwamba, ndipo tsopano mutembenukire kwa miyeso zofunika kutenga makolo a ana akhudzidwa ndi kuchepetsa kufala kwa HIV. Pa tsiku loyamba la matenda mpaka kuchira zonse amafuna kudzipatula anthu owazungulira. Odwala ayenera kukhala m'nyumba.

miyeso zenizeni zokhudza mankhwala malo, si chofunika chifukwa amadziwika kuti HIV chilengedwe si chosatha. Mwamsanga akamwalira. Wokwanira makolo kuti alipidwa mfundo ukhondo, kuphatikizapo asamafalitse kawirikawiri chipinda kumene mwana wodwala, zonse chonyowa kuyeretsa.

Non-zenizeni zodzitetezera

Kuteteza zosayembekezereka wa nthomba ana athanzi, amafuna kupewa si yeniyeni. Ngati mwana mu gulu la ana anadwala, ziyenera olekanitsidwa kunyumba mpaka kuchira. Nthawi zina muyenera kudzipatula ku chipatala. Chipatala anatumiza mwana pamene iye awululidwa katsabola aakulu (malamulo ICD-10 - B01), zosokonezeka ndi wapezeka.

Ngati ena a ana anakumana ndi mwana wodwala, iwonso ali okhaokha panyumba. Iwo anali kuyang'aniridwa. The bungwe amakhala nawo (sukulu ya mkaka kapena kusukulu), pa nthawi iyi pali mawu akuti "kwaokha wa varicella."

Specific kupewa matenda

prophylaxis mwachindunji kugwiritsa ntchito katemera cholinga chake ndi kuchepetsa matenda B01 (ICD-10) code. Varicella (katsabola) chifukwa iwo sanalembedwepo, kuchotsa mwayi kukhala mavuto aakulu. Mu Russia lero mayina katemera awiri adzatsutsana pox nkhuku. Mmodzi wa iwo - ndi "Varilriks" ndi lina - "Okavaks".

Aliyense wa katemera lili mavairasi attenuated. Nditadziŵana thupi lawo kulimbana nawo. Chifukwa, chitetezo cha m'thupi umabala. Tikumbukenso kuti "Okavaks" analowa kamodzi kokha, ndipo "Varilriks" - doubly.

Katsabola - matenda kuti anthu loyang'anizana zonse. Nthawi zambiri kumachitika popanda kufufuza, koma amatha kukhala mavuto, moyo pachiswe. N'chifukwa chake Sikuti kuchitira nthomba monga matenda otetezeka. Ngati muli zizindikiro zilizonse Muzisamala ayenera pitani kuchipatala. Iye adzatiuza ngati izi ziri zoona nthomba. Zoyambitsa, mankhwala a katsabola ngati katswiri adzaitana kupereka malangizo kutero.