Uhlobo luni lokugula olunjalo isifo sikashukela se-polyneuropathy: Ikhodi ye-ICD-10, isithombe somtholampilo nezindlela zokwelashwa

I-Polyneuropathy iyinkimbinkimbi yezifo, okubandakanya okubizwa ngokuthi yizilonda eziningi zemizwa yengozi.

Ukugula kuvame ukungena kufomu okuthiwa yi-chronic futhi kunendlela ephezulu yokusatshalaliswa, okungukuthi, le nqubo iqala ukuthinta imicu emincane kakhulu bese igeleza kancane emagatsheni amakhulu.

Lesi simo se-pathological esibizwa ngokuthi yi-diabetesic polyneuropathy ICD-10 sibethelwe futhi sihlukaniswe ngokuya ngemvelaphi, inkambo yalesi sifo ngamaqembu alandelayo: ukuvuvukala namanye ama-polyneuropathies. Ngakho-ke iyini i-ICD diabetesic polyneuropathy?

Yini le

I-Polyneuropathy yiyona ebizwa ngokuthi yinkinga yesifo sikashukela, okuwumongo wayo konke ukuhlulwa okuphelele kohlelo lwezinzwa olusengozini.

Ukulimala komgogodla ku-polyneuropathy

Imvamisa kuziveza ngesikhathi esimangazayo esidlulile selokhu kwatholakala ukutholakala kokuphazamiseka ohlelweni lwe-endocrine. Ngokuqondile, lesi sifo singabonakala iminyaka engamashumi amabili nanhlanu ngemuva kokuqala kwezinkinga zokukhiqizwa kwe-insulin kubantu.

Kepha, bekunezimo lapho lesi sifo sitholakala ezigulini ze-endocrinologists kungakapheli iminyaka emihlanu kusukela kutholakale ama-pathologies we-pancreas. Ingozi yokugula iyafana ezigulini ezinesifo sikashukela, kokubili uhlobo lokuqala nolwesibili.

Izimbangela zokwenzeka

Njengomthetho, ngenkambo ende yesifo kanye nokushintshashintsha njalo kwamazinga kashukela, ukuphazamiseka kwe-metabolic kuzo zonke izitho nezinhlelo zomzimba kuyatholakala.

Futhi uhlelo lwezinzwa lungolokuqala ukuhlupheka. Njengomthetho, izicubu zezinzwa zondla imithambo yegazi emincane kakhulu.

Ngaphansi kwethonya elide lama-carbohydrate, kuvela inkinga ebizwa ngokuthi yi-nerverition disorder. Ngenxa yalokho, bawela esimweni se-hypoxia futhi, ngenxa yalokho, kuvela izimpawu zokuqala zalesi sifo.

Ngenkambo yayo elandelayo kanye nokubola okuvamisile, izinkinga ezikhona ngohlelo lwezinzwa, ezithola kancane kancane umlingiswa ongalungiseki, ziyinkimbinkimbi kakhulu.

I-Diabetesic polyneuropathy yemikhawulo ephansi ngokwe-ICD-10

Kungukuxilongwa lokhu okuvame ukuzwakala kakhulu ezigulini ezinesifo sikashukela.

Lesi sifo sithinta umzimba lapho uhlelo lwe-peripheral kanye nemicu yalo kuphazamiseka kakhulu. Kungabangelwa yizinto ezahlukahlukene.

Njengomthetho, abantu abaneminyaka ephakathi nendawo bathinteka ikakhulukazi. Kuyaphawuleka, kepha amadoda agula kaningi. Kuyaqapheleka futhi ukuthi i-polyneuropathy akuyona into engjwayelekile ezinganeni zasenkulisa nakwentsha.

I-Diabetesic polyneuropathy, ikhodi ye-ICD-10 yayo eyi-E10-E14, imvamisa ithinta iziphetho eziphakeme nezingaphezulu zomuntu. Ngenxa yalokhu, ukuzwela, amandla okusebenza ancishiswa kakhulu, izitho ziba i-asymmetric, futhi ukuhamba kwegazi nakho kuphazamiseka kakhulu. Njengoba wazi, isici esiyinhloko salokhu kugula yilesi, ukuthi ukusabalala emzimbeni wonke, kuqala kuthinta imicu emide yezinzwa. Ngakho-ke, akumangalisi nakancane ukuthi kungani izinyawo zingokuqala ukuhlupheka.

Izimpawu

Lesi sifo, esibonisa ikakhulukazi emaphethelweni aphansi, sinezimpawu eziningi:

• umuzwa wokuqina kakhulu emilenzeni;
• ukuvuvukala kwezinyawo nemilenze;
• ubuhlungu obungabekezeleleki nokugwazwa;
• ubuthakathaka bemisipha;
• khulisa noma wehlise ukuzwela kwemilenze.

Uhlobo ngalunye lwe-neuropathy luhlukile ngokubonakalayo.th:

1. isifo sikashukela ezigabeni zokuqala. Kubonakala ngobunzima bamaphethelo aphansi, umuzwa okhathazayo kanye nomuzwa ovuthayo kubo. Kunobuhlungu obungenakubonwa ezinyaweni, emalungeni e-ankle nakweziswini zamathole. Njengomthetho, kusebusuku lapho izimpawu zikhanya ngokwengeziwe futhi zimenyezelwe;
2. onesifo sikashukela ezigabeni zakamuva. Uma ikhona, kubonakaliswa lezi zimpawu ezishaqisayo: izinhlungu ezingabekezeleleki emaphethelweni aphansi, ezingabonakala futhi ngisho nasekuphumuleni, kubuthakathaka, ekuqineni kwemisipha kanye noshintsho ekugqokeni kwesikhumba. Ngokukhula kancane kancane kwalesi sifo, isimo sezipikili siba sibi kakhulu, ngenxa yalokho iba brittle more, thicken or even atrophy. Futhi, unyawo okuthiwa isifo sikashukela lwakhiwa esigulini: kukhuphuka kakhulu ngosayizi, kuvela i-flatfoot, ukuguquguquka kwe-ankle kanye ne-neuropathic edema kukhula;
3. isifo sikashukela encephalopolneuropathy. Kubonakala ngezimpawu ezilandelayo: ikhanda eliphikelelayo, ukukhathala okusheshayo nokukhathala okwandayo;
4. onobuthi notshwala. Ubonakaliswa yizimpawu eziveziwe ezifana nalezi: ukuvuvukala, ukuqina kwemilenze, ukwephulwa okukhulu kokuzwela kwezinyawo, ukwenza buthaka kwama-tendon kanye ne-mussel reflexes, ushintsho emthunzini wesikhumba ukuze lube mnyama noma lube nsundu, ukuncipha kwe-hairline kanye nokwehla kwezinga lokushisa emilenzeni, okungancike ekuhambeni kwegazi. Ngenxa yalokhu, kwakhiwa izilonda eziyizidududu nokuvuvukala kwemilenze.

Ukuxilonga

Njengoba uhlobo olulodwa lokutadisha lungakhombisi isithombe esigcwele, ukuxilongwa kwesifo sikashukela se-polyneuropathy sisebenzisa ikhodi ye-ICD-10 kwenziwa kusetshenziswa izindlela eziningi ezidumile:

• ngombono;
• okokusebenza;
• elabhorethri.

Njengomthetho, indlela yokuqala yocwaningo iqukethe ukuhlolwa okuningiliziwe okwenziwa ngongcweti abaningana: udokotela oyi-neurologist, udokotela ohlinzayo kanye ne-endocrinologist.

Udokotela wokuqala ubandakanyeka ekufundeni kwezimpawu zangaphandle, njengokuthi: umfutho wegazi emaphethelweni aphansi kanye nokuzwa kwabo okwandayo, ukuba khona kwayo yonke imiqondo edingekayo, uhlola ukuvuvukala nokufunda isimo sesikhumba.

Ngokuqondene nocwaningo lwelabhoratri, lokhu kufaka phakathi: ukuhlaziya umchamo, ukugcwala kwe-glucose glucose, i-cholesterol, kanye nokuzimisela kwezinga lezinto ezinobuthi emzimbeni lapho kusolwa ukuthi yi-neuropathy enobuthi.

Kepha ukuxilongwa kwethambo lokuba khona kwe-polyneuropathy yesifo sikashukela emzimbeni wesiguli ngokuya nge-ICD-10 kusho i-MRI, kanye ne-electroneuromyography ne-nerve biopsy.

Ukwelashwa

Kubalulekile ukukhumbula ukuthi ukwelashwa kufanele kube okuphelele futhi kuxutshaniswe. Kumele futhi ufake imithi ethile ehlose zonke izinqubo zentuthuko.

Kubaluleke kakhulu ukuthi ukwelashwa kubandakanya ukufaka le mishanguzo:

1. amavithamini. Kufanele zidakwe ngokudla. Ngiyabonga kubo, ukuthutha kwezihibe ngokuhambisana nezinzwa kuyathuthuka, nemiphumela emibi yeglucose emithanjeni nayo ivinjiwe;
2. i-alpha lipoic acid. Kuvimbela ukunqwabelana koshukela ezicutshini zemizwa, kusebenze amaqembu athile ama-enzyme asemangqamuzaneni futhi kubuyiselwe izinzwa esezithintekile kakade;
3. ama-painkiller;
4. i-aldose reductase inhibitors. Vimbela enye yezindlela zokuguqula ushukela egazini, ngaleyo ndlela inciphise umphumela wayo ekuphethweni kwezinzwa;
5. I-Actovegin. Ukhuthaza ukusetshenziswa kwe-glucose, kuthuthukisa ukugcwala kwegazi emithanjeni, emithanjeni nakuma-capillaries adla izinzwa, futhi kuvimbela nokufa kwamangqamuzana ezinzwa;
6. potassium ne-calcium. Lezi zinto zinamandla okunciphisa ama-cramps kanye nokuqina kwethambo emilenzeni yomuntu;
7. imithi elwa namagciwane. Ukwemukelwa kwabo kungadingeka kuphela lapho kunobungozi be-gangrene.

Ngokusekelwe kulolo hlobo luni lwe-diabetesic polyneuropathy ICD-10 etholakalayo, udokotela ohamba phambili unikeza ukwelashwa okusemthethweni okususa ngokuphelele izimpawu zesifo. Ngasikhathi sinye, umuntu angaba nethemba lokuthola ikhambi eliphelele. Uchwepheshe onekhono unquma ukwelashwa okungelona nolwezidakamizwa.

Kubaluleke kakhulu ukuthi isinyathelo sokuqala ukunciphisa amazinga kashukela egazini bese kuphela lapho eqhubeka nokwelashwa kwe-polyneuropathy yesifo sikashukela ngokwe-ICD. Uma lokhu kungenziwa, khona-ke yonke imizamo izoba ngeze aphumelele ngokuphelele.

Kubaluleke kakhulu kwifomu elinobuthi ukuqeda ngokuphelele uphuzo oludakayo futhi ulandele ukudla okuqinile. Udokotela ohambelayo kumele anikeze imishanguzo ekhethekile ethuthukisa ukuqhuma kwegazi nokuvimbela ukubukeka kweziqubu zegazi. Kubaluleke kakhulu futhi ukuqeda i-puffness.

Amavidiyo ahlobene

I-PhD ku-polyneuropathy ezigulini ezinesifo sikashukela:

Njengoba kungaqondakala kulo lonke ulwazi olwethulwe esihlokweni, i-neuropathy yesifo sikashukela yelapheka impela. Into ebaluleke kakhulu hhayi ukuqala inqubo. Lesi sifo sisho izimpawu okunzima ukungazinaki, ngakho-ke ngendlela enengqondo, ungasusa ngokushesha ngokwanele. Ngemuva kokuthola izimpawu zokuqala ezethusayo, kubalulekile ukuthi uhlolwe ngokuphelele ngodokotela, okuzoqinisekisa ukuthi kutholakala ukuthi utholile. Kungemva kwalokhu kuphela lapho singakwazi ukuqhubeka nokwelashwa kwalesi sifo.