Upokisi: ikhodi ngokuvumelana ICD 10. Izimbangela, Izimpawu kanye ikakhulukazi ekwelapheni varicella

Ngiseyingane, izingane zibhekene ezihlukahlukene izifo, okuyindawo abanayo amasosha omzimba. Omunye wabo - kungcono inkukhu Pox. Leli gama lisetshenziswe ukubonisa Ochwepheshe ukutheleleka esithathelwanayo esibonakala by kungavamile ukuba ingozi, ngokulinganisela ukudakwa jikelele, imfiva, ukuqubuka esikhumbeni futhi nolwelwesi lwamafinyila. Iziphi izici uye aphathwe njengomuntu Pox inkukhu? Yini Ikhodi e-ICD-10 kuba esingokwemvelo? Sizozama ukuthola izimpendulo zale mibuzo.

ulwazi olujwayelekile mayelana isifo nezibalo

Upokisi ingenye izifo ezivamile ebuntwaneni. Kwenzeka emhlabeni wonke. Esikhathini indawo esipholile sifo ikakhulukazi kwenzeka phakathi nenkathi ebandayo. Emazweni nge ezishisayo sezulu isifo akuyona seasonality esingokwemvelo. Upokisi (ikhodi ye-ICD-10 - B01) kwenzeka nganoma isiphi isikhathi sonyaka hhayi kuphela izingane kodwa futhi abadala.

Izibalo zibonisa ukuthi unyaka ngamunye nalesi sifo nazo abantu abangaba yizigidi ezingu 80-90. Kwezinye izimo, abantu bayafa ngenxa yezinkinga. Nokufa ngamunye amacala 10,000, zikhona, njengoba umthetho, kusuka 2 kuya 4. Izazi amazwana yokufa, wazi ukuthi bafe labo iziguli umonakalo ezinzima ohlelweni sezinzwa, kwamaphutha mzimba, izifo oncohematological.

Izimbangela upokisi

Lesi sifo kwenzeka ezinganeni. Kungaba ukuthuthukisa kusukela ekuzalweni, kepha lokhu uvinjelwa amasosha omzimba yokwenziwa, okuyinto adluliselwa ingane ngayinye kusukela umama ngobili lwebele. Yingakho varicella (ikhodi ye-ICD-10 - B01) kwezinye izingane okokuqala ivela abaneminyaka ephakathi kwengu-6 izinyanga.

Ukuthuthukisa lesi sifo ngenxa ukuchayeka igciwane Varicella-Zoster emndenini herpes amagciwane. Ukungena yayo eyalo amaconsi (ethathwe nesineke womuntu itheleleke). Ulwelwesi lwamafinyila abami elingenhla ipheshana zokuphefumula, lalisemzileni for ukutheleleka. Ezimweni ezingavamile, upokisi ukutheleleka ndlela oxhumana naye.

Kwenzekani lapho igciwane emzimbeni? Ekuqaleni lingena indlela lymph, bese ukungena imithambo yegazi. Nge lwegciwane egazini zibhebhetheka wonke umzimba. Indawo yokugcina sokuhlala kwakhe kukhona amaseli EPITHELIAL kwesikhumba futhi nolwelwesi lwamafinyila. Kulindeleke ukuthi imisebenzi igciwane eba ukuqubuka ngesimo vesicles ngokuqukethwe serous.

izimpawu

Upokisi ezinganeni (ikhodi ikhodi ye-ICD-10 - B01) izenze wazizwa yini ngokushesha ngemuva kokuthola igciwane emzimbeni womuntu. Okokuqala kufika isikhathi bayashintshana ekufukameleni, okuyinto ubude obuphakathi nendawo 14 kuya 17 izinsuku. Ngaye kutsi lomuntfu unalo leligciwane azizwa njengenjwayelo. Lutho akazihluphi kuye. Izimpawu zokuqala ezenzeka ngemva kwenkathi bayashintshana ekufukameleni ohlanganyela emfushane prodrome. Sibekezele:

• lokushisa umzimba antante 37-38 degrees;
• kwenzeka umkhuhlane;
• eziwohlokayo esesuthi;
• kukhona ubuthongo ukubuyisa.

Ukuqubuka zenzeka kanyekanye ukwanda izinga lokushisa lomzimba. Isikhathi esiningi izindawo zabo kukhona ubuso, ekhanda, isiqu, nasemilenzeni. On amathe kanye zezandla izinguquko sokugembula kungukuthi uyalandelwa. Kulezo zindawo lapho ukuqubuka izinguquko isaziso esibonisa isikhathi varicella. Okokuqala, abakubonisayo roseola, izindawo ezincane ukuthi aguqulwa ku papules. Kamuva vesicles avele kobujamo obusaqanda noma round. Ziqukethe izinto eziwuketshezi. Lezi Bubbles aphethwe mayelana 1 noma 2 izinsuku, bese bevula. Okuqukethwe ezisuka kusukela kubo, bome futhi yakha uqweqwe kule ndawo, okuyinto iyanyamalala ngemuva mayelana 1 noma 2 amaviki.

Amafomu inkukhu Pox

izimpawu kwezinye izimo ezibalwe ngenhla kungenzeka babuthakathaka, kuyilapho abanye - imakwe kakhulu. Lokhu kusho ukuthi isithombe basemtholampilo varicella incike kundlela kwalesi sifo futhi namandla aso. Ukuze uqonde lokhu, cabanga ngendlela lesi sifo. Upokisi (ikhodi ye-ICD-10 - B01) kuyinto ejwayelekile futhi atypical. Uhlobo ejwayelekile wehlukaniswa iziqephu:

1. On ukukhanya. Kulesi uhlobo varicella lokushisa aliphumi ngenhla degrees 38. Ukuqubuka esikhumbeni futhi nolwelwesi lwamafinyila kukhona sabasincane ukudakwa, ningagcini.
2. Ngezinye ngokulinganisela. Upokisi leli fomu livezwa lokushisa lenyuka kuze kube degrees 39. Amashashaza ngokwethukela. Izimpawu lokudakwa womuntu uzwakalise ngokulinganisela.
3. On esindayo. Ngo varicella lokushisa ezinzima antante 40 degrees. Ukuqubuka esikhumbeni futhi lwamafinyila ulwelwesi kakhulu. Iziguli zingase ziqale neurotoxicosis nge uphawu convulsive nezimpendulo meningoencephalitic.

varicella atypical, okungadingi zenzeka kaningi kakhulu, futhi, ihlukaniswe yaba ngezindlela ezihlukahlukene. Ngokwesibonelo, lesi sifo singumbulali esingesihle. Kuye, kukhona Bubbles aqhelelene futhi ampofu ngokuqukethwe serous. lokushisa umzimba ingeqi degrees 38. Kwenzeka ifomu generalized ngaphezulu. varicella okunjalo elinesimo lokushisa komzimba okusezingeni eliphezulu enqubeni sokugembula ezihilela izitho zangaphakathi ukudakwa kabi umzimba.

ICD-10 B01, varicella: izinkinga ezibangwa

Upokisi akuyona njalo odabula inqubo esezingeni (ukutheleleka - kwesikhathi bayashintshana ekufukameleni - ukuvelela lokushisa - ukubukeka izilonda - kumiswa Bubbles kanye nokuvula zabo - ukubukeka soma - dropout zabo - ukuqala ukululama emitholampilo hhayi ngaphambi kwezinsuku ezinga-10 ukusuka ekuthomeni). Ezinye iziguli ziba ukuxakeka. Basuke ebonwe mayelana 15% amacala. Izinkinga ukuthuthukisa lapho zihlatshwa igciwane attenuated kanye nabo umzimba wavula Bubbles Amagciwane (m. E. Ngaphansi ukubusa kwegciwane).

Ngu yezinkinga ezivamile upokisi zihlanganisa abscesses, ekhukhwini esibhibhayo, necrotic futhi oluhambisana imihlola. imiphumela ezingavamile, kodwa kuyingozi kakhulu kubhekwa varicella inyumoniya, kunzima ukwelapha ngemithi elwa namagciwane, sepsis.

Ukuxilongwa varicella

Imiphumela yaloku kuhlola okungenhla Ungabeka ochwepheshe ngemva kokuhlaziya isithombe emtholampilo. Ukusetshenziswa kwanoma yiziphi izindlela ukuxilongwa ayidingekile. Ezimweni ezingavamile, ukuhlolwa laboratory abazenzi:

• RAC (umphelelisi nenkanuko edlulele test, i-serological Assay indlela);
• izindlela virological ukuba abe yedwa kanye ukuhlonza agent causative.

Kwesinye isikhathi kuthatha ama uphethwe umehluko. abasebenzi Medical ngilifeze ngoba esolwa generalized ukutheleleka herpetic, pyoderma, ukuqubuka nomzimba, ukulunywa yizinambuzane.

Ukwelashwa nokuvikelwa varicella

Lapho uqala sikhathi esimatasa, isiguli inikezwa embhedeni ukuphumula. Ochwepheshe batusa ukwelashwa ulwe ukudakwa. Bona ayayalwa ukuba qiniseka ukugcina izinyathelo yokuhlanzeka kudingekile ngoba impatho okusheshayo futhi ngempumelelo izifo B01 ikhodi (ICD-10). Upokisi qeda you njalo ukucubungula Bubbles. Le nqubo wenziwa nokusetshenziswa izixazululo aqueous of brilliant green noma methylene okwesibhakabhaka. Ukwelashwa Kwenziwa kabili ngosuku. Lapho soma, baqala gcoba ukhilimu izingane amafutha noma ongahluziwe jelly ukusheshisa inqubo falling off futhi abuyisele isikhumba.

Izingane ihlushwa ukulunywa, odokotela linqume antihistamine. Le mithi ungakwazi balahle izimpawu ezingezinhle. Uma kukhona ingozi varicella ezinzima, ochwepheshe ke ukweluleka ukusebenzisa izidakamizwa elwa namagciwane esenzweni antiherpetic (isib, "Acyclovir" izidakamizwa interferon, "Viferon" amakhandlela).

Ukuvikela impilo yezingane ezigulini

Kakhulu isifo esithathelanayo kubhekwa varicella (upokisi) ezinganeni. Izimbangela, izimpawu sabuka ngenhla, futhi manje ngiphendukele izinyathelo ezidingekayo ukuthatha abanezingane ethintekile ukuvimbela ukusabalala igciwane. Ngosuku lokuqala lokugula kuze alulame ngokugcwele kudinga ngabodwa kusukela kubantu ababezizungezile. Iziguli kufanele kube ekhaya.

izinyathelo Specific eziphathelene zokukhipha igciwane emagcekeni, kungadingeki, njengoba ukuthi igciwane imvelo akuqhubeki kakhulu ezaziwayo. Ngokushesha uyafa. Engingakusho nje abazali ukuthatha amazinga evamile inhlanzeko, kuhlanganise angabiki njalo we ekamelweni lapho umntwana ogulayo, yokuhlanza ezimanzi njalo.

izinyathelo Non eqondene zokuvimbela

Ukuvimbela okuvela ingxibongo ezinganeni enempilo, kudinga zokuvimbela non-ethize. Uma ingane eqenjini yezingane wagula, kumelwe bangabi bodwa ekhaya size silulame. Ngezinye izikhathi udinga ngabodwa esibhedlela. Isibhedlela wathumela ingane lapho kwembulwa upokisi okukhulu (ikhodi ye-ICD-10 - B01), ukuxakeka zitholiwe.

Uma ezinye zezingane nabo ingane egulayo, kunjalo futhi elingalodwa ekhaya. Bakhandwa elibukhali. Lesakhiwo baba khona (enkulisa noma esikoleni), ngalesi sikhathi kukhona umbhalo "Ngokuhlukaniswa ka varicella."

Specific ekuvimbeleni izifo

prophylaxis Specific ukusetshenziswa yokugoma eziklanyelwe ukuvimbela izifo B01 ikhodi (ICD-10). Varicella (upokisi) ngenxa kubo kungenzeki, esinciphisa ithuba yokuba nezinkinga ezingathi sína. ERussia namuhla bhalisiwe yokugoma ezimbili ngokumelene inkukhu Pox. Omunye wabo - a "Varilriks" nomunye - "Okavaks".

In ngamunye umgomo iqukethe amagciwane attenuated. Ngemva isingeniso umzimba wabo yokubhekana nazo ngokuphumelelayo. Ngenxa yalokho, izivikeli mzimba ukhiqiza. Kumele kuqashelwe ukuthi "Okavaks" wangena kanye kuphela, futhi "Varilriks" - isibili.

Upokisi - isifo ngokuthi isintu ubhekene njalo. Ezimweni eziningi kwenzeka benganakwa, kodwa ngezinye izikhathi ukuthuthukisa yezinkinga, okuyisimo esisongela ukuphila. Yingakho-ke akudingekile ukuba aphathe inkukhu Pox njengoba isifo ephephile. Uma uneminye izimpawu asolisayo kufanele uvakashele udokotela. Uzokutshela uma lokhu ngempela inkukhu Pox. Izimbangela, ekwelapheni upokisi njengendlela lobuchwepheshe Uyobiza futhi anikeze iseluleko kudingekile.