Kodi ndimavuto otani omwe amachititsa kuti matenda ashuga a mtundu wa shuga akhale: ICD-10 code, chithunzi chachipatala ndi njira zamankhwala

Polyneuropathy ndi zovuta za matenda, omwe amaphatikizira zotupa zingapo zam'mipweya yaziphuphu.

Matendawo nthawi zambiri amapita mu omwe amatchedwa mawonekedwe osakhazikika ndipo ali ndi njira yopitilira yogawa, ndiye kuti, njirayi poyamba imakhudza zingwe zazing'ono kwambiri ndikuyenda pang'onopang'ono kum nthambi zazikulu.

Izi zokhudzana ndi matenda a diabetesic polyneuropathy ICD-10 zimasungidwa ndikugawika malinga ndi chiyambi, matendawa amakhala m'magulu otsatirawa: kutupa ndi ma polyneuropathies ena. Nanga ICD diabetesic polyneuropathy ndi chiyani?

Ichi ndi chiyani

Polyneuropathy ndiye otchedwa complication ya shuga mellitus, chomwe chonse chimakhala kugonjetsedwa kwathunthu kwamphamvu yamanjenje.

Kuwonongeka kwamitsempha mu polyneuropathy

Nthawi zambiri zimadziwonekera kudutsa nthawi yopatsa chidwi yomwe yadutsa kuchokera pakuzindikiritsidwa kwa zovuta mu dongosolo la endocrine. Molondola, matendawa amatha kuoneka zaka makumi awiri ndi zisanu atayamba kukula kwa mavuto ndikupanga insulin mwa anthu.

Koma, panali zochitika pamene matendawa adapezeka mwa odwala a endocrinologists patatha zaka zisanu kuchokera pakupezeka kwa pathologies a kapamba. Chiwopsezo cha kudwala chimafanana ndi odwala omwe ali ndi matenda ashuga, onse oyamba komanso wachiwiri.

Zomwe zimachitika

Monga lamulo, ndi nthawi yayitali ya matendawa komanso kusinthasintha pafupipafupi m'magawo a shuga, kusokonezeka kwa metabolic m'ziwalo zonse ndi machitidwe a thupi amapezeka.

Ndipo mantha am'mimba ndi oyamba kuvutika. Monga lamulo, ulusi wamanjenje umadyetsa mitsempha yaying'ono kwambiri.

Mothandizidwa ndi mafuta ochulukirapo, vuto lotchedwa nerve lishe limawonekera. Zotsatira zake, amagwera mumkhalidwe wa hypoxia ndipo, chifukwa chake, zizindikiro zoyambirira za matendawo zimawonekera.

Ndi njira yake yotsatira komanso kuwonongeka pafupipafupi, zovuta zomwe zilipo ndi manjenje, zomwe zimapangika pang'onopang'ono ndi mawonekedwe osasintha, zimakhala zovuta kwambiri.

Diabetesic polyneuropathy yam'munsi yotsika molingana ndi ICD-10

Ndikudziwitsa kumeneku komwe kumamveka nthawi zambiri ndi odwala omwe ali ndi matenda a shuga.

Matendawa amakhudza thupi pamene zotumphukira ndi mafupa ake zimasokonekera kwambiri. Itha kuyambitsidwa ndi zinthu zosiyanasiyana.

Monga lamulo, anthu azaka zapakati amakhudzidwa makamaka. Ndizodabwitsa, koma amuna amadwala pafupipafupi. Ndizofunikanso kudziwa kuti polyneuropathy sichachilendo kwa ana asukulu zamakalasi ndi achinyamata.

Diabetesic polyneuropathy, ICD-10 code yomwe ndi E10-E14, nthawi zambiri imakhudza malekezero apamwamba komanso otsika a munthu. Zotsatira zake, kumva, kugwira ntchito kumachepetsedwa kwambiri, miyendo imakhala ngati asymmetric, ndipo magazi amayendanso kwambiri. Monga mukudziwa, gawo lalikulu la matendawa ndikuti, kufalikira mthupi lonse, kumayamba kukhudza minofu yayitali. Chifukwa chake, sizosadabwitsa konse kuti chifukwa chiyani mapazi amakhala oyamba kuvutika.

Zizindikiro

Matendawa, omwe amawonekera kwambiri kumadera otsika, amakhala ndi zisonyezo zambiri:

• kumverera kovuta kwambiri m'miyendo;
• kutupa kwa miyendo ndi miyendo;
• kupweteka kosasimbika komanso kusenda;
• kufooka kwa minofu;
• onjezerani kapena muchepetse kumverera kwa miyendo.

Mtundu uliwonse wa mitsempha imakhala yosiyanasiyana.th:

1. matenda ashuga m'magawo oyamba. Amadziwika ndi dzanzi m'munsi yam'munsi, kumverera kogwira mtima komanso kumverera koopsa mwa iwo. Pali ululu wosawoneka bwino kumapazi, mafupa a ankolo, komanso minofu ya ng'ombe. Monga lamulo, ndiusiku pomwe zizindikirazo zimayamba kukhala zowoneka bwino komanso kutchulidwa;
2. matenda ashuga pambuyo pake. Ngati ilipo, zizindikiro zotsatirazi zimadziwika: kupweteka kosaletseka kumapeto, komwe kumatha kuonekanso pakupuma, kufooka, kuchepa kwa minyewa komanso kusintha kwa khungu. Ndi kukula pang'onopang'ono kwa matendawa, mkhalapakati wa misomali imakulirakulira, chifukwa amayamba kukhwinyata, kuzimiririka kapena ngakhale kuuma. Komanso, phazi lomwe limatchedwa kuti matenda ashuga limapangidwa mwa wodwala: limachulukitsa kukula kwake, kuwoneka ngati flatfoot, kupindika kwa ankolo ndi edema ya neuropathic kumakula;
3. diabetesic encephalopolneuropathy. Amadziwika ndi zizindikiro zotsatirazi: kulimbitsa mutu kosalekeza, kutopa pompopompo komanso kutopa kochulukirapo;
4. woopsa komanso woledzera. Amadziwika ndi zizindikiritso zotere: kukokana, kupsinjika kwa miyendo, kuphwanya kwakukulu kwa chidwi cha mapazi, kufooka kwa tendon ndi minyewa, kusintha kwa mawonekedwe amtundu kuti ukhale wopanda khungu kapena kutsika, kuchepa kwa tsitsi komanso kuchepa kwa kutentha m'miyendo, komwe sikudalira kutuluka kwa magazi. Zotsatira zake, zilonda zam'mimba ndi kutupa kwa miyendo kumapangidwa.

Zizindikiro

Popeza mtundu umodzi wamaphunziro sungawonetse chithunzi chonse, kuzindikira kwa matenda ashuga a polyneuropathy pogwiritsa ntchito ICD-10 code kumachitika pogwiritsa ntchito njira zingapo zotchuka:

• zowoneka;
• zothandiza;
• mu labotale.

Monga lamulo, njira yoyamba yofufuzira imakhala ndi kufufuza mwatsatanetsatane ndi akatswiri angapo: katswiri wa zamitsempha, opaleshoni ndi endocrinologist.

Dokotala woyamba amachita nawo kafukufuku wakunja, monga: kuthamanga kwa magazi m'mapazi am'munsi komanso chidwi chawo, kukhalapo kwa zinthu zonse zofunika kuzimidwa, kuyang'ana kutupira ndi kuwerenga momwe khungu limayambira.

Ponena za kafukufuku wa zasayansi, izi zikuphatikiza: kusanthula kwamkodzo, kuchuluka kwa shuga m'magazi, cholesterol, komanso kutsimikiza kuchuluka kwa zinthu zoopsa m'thupi mukamaganiza kuti ndi poizoni wa poizoni.

Koma kudziwika kothandiza kupezeka kwa matenda ashuga a polyneuropathy m'thupi la wodwalayo malinga ndi ICD-10 kumatanthauza MRI, komanso electroneuromyography ndi nerop biopsy.

Chithandizo

Ndikofunika kukumbukira kuti chithandizo chikuyenera kukhala chokwanira komanso chosakanikirana. Ayenera kuphatikiza mankhwala ena omwe ali ndi cholinga chokhudza chitukuko chilichonse.

Ndikofunika kuti mankhwalawa aphatikizire kumwa mankhwalawa:

1. mavitamini. Ayenera kulowetsedwa ndi chakudya. Tithokoza, kuyendetsa zinthu mosakhazikika m'mitsempha kumayenda bwino, ndipo zovuta zoyipa zam'magazi zimatsekedwanso;
2. alpha lipoic acid. Zimalepheretsa kuchuluka kwa shuga mumitsempha yamanjenje, kuyambitsa magulu ena a michere m'maselo ndikubwezeretsa kale misempha;
3. ma pinkiller;
4. aldose reductase zoletsa. Amalepheretsa imodzi mwanjira zosinthira shuga m'magazi, potero amachepetsa mphamvu yake pakutha kwa mitsempha;
5. Actovegin. Imalimbikitsa kugwiritsidwa ntchito kwa shuga, imasintha magazi m'magazi, mitsempha ndi ma capillaries omwe amadyetsa mitsempha, komanso amathandizira kufa kwa maselo amitsempha;
6. potaziyamu ndi calcium. Zinthu izi zimatha kuchepetsa kukokana ndi dzanzi m'miyendo ya anthu;
7. maantibayotiki. Kulandila kwawo kungafunike pokhapokha ngati pali vuto la gangore.

Kutengera ndendende mtundu wa ICD-10 diabetesic polyneuropathy yomwe imapezeka, dokotala yemwe amakupatsani mankhwala amakupatsani chithandizo chamankhwala chomwe chimachotsa kwathunthu zizindikiro za matendawa. Nthawi yomweyo munthu akuyembekeza kuchiritsidwa kwathunthu.

Ndikofunika kwambiri kuti gawo loyamba ndikuchepetsa kwambiri shuga m'magazi ndipo pokhapokha pitani ndi chithandizo cha matenda ashuga a polyneuropathy malinga ndi ICD. Ngati izi sizingachitike, kuyesayesa konse sikungakhale kothandiza.

Ndikofunikira mu mawonekedwe a poizoni kuti muthane ndi zakumwa zoledzeretsa ndikutsatira zakudya zopanda zovuta. Dokotala wopezekapo ayenera kupereka mankhwala ena apadera omwe amasintha magazi m'magazi komanso kupewa magazi. Ndikofunikanso kwambiri kuti tichotse kufooka.

Makanema okhudzana nawo

PhD mu polyneuropathy odwala matenda ashuga:

Monga titha kumvetsetsa kuchokera pazidziwitso zonse zomwe zalembedwa munkhaniyi, matenda ashuga a mtima amathandizika. Chofunikira kwambiri ndikuti musayambitse njirayi. Matendawa adanenanso zovuta zomwe sizovuta kuzizindikira, chifukwa chokhala ndi njira zomveka, mutha kuthana nazo mwachangu mokwanira. Pambuyo pozindikira zizindikiro zoyambitsa, ndikofunikira kupimidwa kuchipatala, komwe kumatsimikizira kuti wapezeka. Pambuyo pokhapokha titha kupitilira chithandizo cha matendawa.