Virazkov's ailment of a shlunk according to ICD 10. Virazkov's ailment of a shlun

Cutting through the slurry is a state of health care for the sickness, which helps to reduce the amount of sickness. The term "prorivna" means a verdict in the stage of an empty organ of a nasal opening. For medical purposes, I will start to use the synonym “perforated” (perforacio, in Latin to change, like “drilled”).

In all, svit_ perforation of the bend is knitted with one of the best unfinished countries in non-intrusive surgery with a high level of mortality.

Perforation - the process of setting in the slunk stage, open it, as it appears in worms... More importantly (up to 85%), perforated bends develop on the smallest possible strength of ignition-destructive processes in the case of chronic or state-of-the-art bends. And in 20% perforation is indicated in people without symptoms of fever ailment earlier.

Mechanism of developing ailments

The sharpening of a chronic destructive process in the tissues of the bend without a sign of regeneration should be done before the gradual reduction of all spheres of the shlunkovaya stinka. At the bottom of the curve, there is a new sign of necrosis, the size of the twisted defect grows in width and in width, so that it enlarges the resolution of the opening in the organ.

After pretending to open shlunkovy sіk viplivaє into the willow chapel empty. All the organisms of the empty waste are covered with a special zakisnoy obolonka - a queue. Shlunkovy secret is put on the neck of the physical, chemical, and more, and bacterium injected. The body reacts to the breakthrough with a shock stun as a result of the opiate of the serous membrane with sour sludge juice. Then the infusion of serous-fibrous peritonitis with the transition to the nasal dislocation or local peritonitis.

Innocent perforation of the wines' twist is not matched for aphids in young people without a link with the twisting ailment of the shlunk. It can be explained by the development of autoimmune processes in organisms, if antibodies are violated and show aggression to vlast cells.

In the midst of the battle, a type of ignition reaction is included in the output of a great number of mediators of ignition (serotonin, prostaglandin). Aggressive sour middle of the chimus chimus spriy ruinuvannyu shlunkovaya stinka, which should lead to the opening of the opening.

With the help of the mechanisms of perforation of the bend, I still do not seem to be able to see it.

Pryvodynoy vyrazki

In addition to a typical hole in the black empty space, it becomes 80-90%, there is no more perforation and is not the case.

prikryta perforation Sposter in 5-8% of vipads, if the openings in the slunk are closed by the wall of the close-fitting organ, a part of the omentum, the fibrin velum or the grub breast. A clear picture can be drawn in two phases: gostry ear, like in a typical drop, because of the disappearance of symptoms, so as the openings become crooked, and the shlunkovy sik more does not go into the empty wood.

atypical perforation(0.5%) to trap in the development of shlunkny secretion in a closed zone, surrounded by fibrous adhesions.

combinations of options... In 10% of all types of intravenous bleeding, perforation and internal bleeding are reported. It is worthwhile to change the symptomatology, to produce ailments before the diagnosis and unpleasant result.

Nebezpeka of perforation of the slink bend

The perforated bend of the shlunk is an important mill, the mortality rate becomes 5-18% during an efficient operation. When diagnostics and elimination are known, lethality reaches 60-70%.

A mentally friendly result is promoted in young people up to 45 years of age without interfering pathologies in their organs and systems.

The mentally unpleasant result of the ailment ochіkuє old people ailments, people who suffer systemic incapacitation(Diabetes, SNID, autoimmune pathology).

With the development of peritonitis, the following is observed:

contaminated blood - sepsis;
approval of ginny abscesses in black empty spaces;
thrombosis of brijovykh sudin і intestinal necrosis.

Massive internal bleeding to produce hemolytic shock with neurological symptomatology and the transition of an ailing person to a coma.

Storage in the operating period:

Code for MKH-10

The cut through the slurry according to ICB-10 (International Classification of ailment 10 to a glance) can be specified in the code K25 with the specified in the fallowness of the stage of the process and in the manifestation or in the presence of bleeding.

form only with a breach, or with a breach and bleeding: K25.1; K25.2.
chronic or unspecified form with a breakthrough, or after a breakthrough with bleeding: K25.5; K25.6.

Causes and factors of rizik

Building station provokuvati:

Cause the incision of the slope of the slunk is riznomanitnі, or don’t get to quilted straight links between the frequency of the diagnosis of pathology with the factors of risk.

Corisne video

What is the winnesting virazka and how it is diagnosed to be sounded in the whole video.

diagnostics

The cut-through of the slurry is carried to the state-of-the-art surgical stations;

For diagnostics, use a laboratory laboratory instrumental methods obsozhennya.

Criteria for confirming the diagnosis of bend perforation:

In clinical blood analysis - leukocytosis, accelerated SHOE.
On the roentgenogram, there is strong gas under the dome of diaphragms. X-ray signs vikonuyut at vertical position ailing one in a bicniy position.
At ultrasonic inspection, gas and vipit appear in the black empty.
EGDS should be carried out when there is a characteristic symptomatology of peritonitis and at adolescence on the edge of the lesion.
A computer tomography showing the growth of a twist, signs of a breakout: vilny gas and іdin, sweating of the gastric wall.
With unclear clinical symptoms in times atypical forms The incision of the slunk is carried out by the laparoscopic method of diagnostics. A miniature video camera does not only allow visually to make a perforated hole, to assess the steps of an extended pathological process in the middle of an empty space, but to display a photo and video. Tse buva is necessary for a collegial feed about food tactics for a sick person.
The EKG is obliged to be careful in order to assess the heart disease and the prevention of myocardial infarction, in which in case of abdominal form, symptoms are indicated, similar to the clinically picture of the "hospitable" abdomen.

Penetration - the chain of the wall of the shlunka, at the bottom of the twist of the old taps, the organ is pulled. Call the chain of the pidshlunkov zaloz. Hydrochloric acid and pepsin ruin the structure, destructive pancreatitis. The first symptoms of penetration are a rapid operative beating in the abdomen, febrile illness and alteration in the blood of alpha-amylase.
Perforation - the chain of the wall to the organ and the consumption of it instead of the empty space or the space of the neck. Vinikє in 7-8% of vipads. The destruction of the integrity of the story can provoke the capture of important subjects, important physical practice, Vzhivannya fatty і gistroї їzhі, vipivka. The clinical picture is characterized by all the signs of peritonitis poured out (backward weakness, beating in the abdomen in any way, intoxicating and insulting).
Diagnostics of the perforation of the shlunk additional help with the visual radiography of the black empty in the vertical position! It is possible to poke a disc-shaped enlightenment (gas) on it with a dome of diaphragms.
Malignancy - the tse of the degeneration of the twist into the cancer of the shlunk. The process of acceleration occurs infrequently, approximately in 2-3% of ailments. Primarily, those who do not twist the twelve-fingered intestines of the nicholas do not transform into a malignant chubby. During the development of cancer, the patients are repaired at the vazi, they have an increase in meat yyzhi, the appetite of lowering. Symptoms of cancerous intoxication (fever, nudity, blues), blistering curvatures are usually present. Lyudin can be drawn into the vagu right up to cachexia (more on her body).
Stenosis of the collar of the vine is, as a malleable defect is localized in the pyloric viddil. Watchman - tse nayvuzhcha part of the shlunka. Part of the relapse is produced until the cicatrization of mucous and ulceration of the pyloric viddil. Tse to produce to the destruction of the passage of the intestine and the congestion in the slunk.
See 3 stages of collar stenosis:
Compensated - the patient has to see the importance and redevelopment in the supracranial area, frequent haircut we are sour, ale zagalny camp will become overwhelmed;
Subcompensated - the ailment to screech, so that there is not a great deal of wickedness in the wake of the harshness in the stomach. Blues are often trapped and bring time to sleep. Patients to grow thin, afraid of being;
Decompensated - the zagalny camp is important or very important. It’s better not to pass into the intestine through the sound of the collar. Blyuvota ryasna, bagatorazova, trap at once for implantation of products. Ailments of anger, they are discouraged from waste of mass, destruction electrolyte balanceі pH, myazovі sudomi.
Bleeding.
Shlunkovo-intestinal bleeding of the vina back aisle). Tse accelerated to finish it often to learn (about 15% of patients). Clinically, it is manifested in blues "thick cava", chalky and zagalny signs of blood loss.
Bluvota "kava thick" otrima its name through those who shelter, a cheeky reaction with hydrochloric acid. I look at the sight of a hundred brown-black with dusty grains.
Melena - the price is bad for a black style (cause a bad color). The amount of feces of accumulation is also interconnected with blood with shlunkovy juice. However, a slid pam'yatati, scho deyaki medications (preparations zaliza, assets not vugilla) I berries (ozhina, black currant, black currant) can be added to the farbuvati style in black color.
Signs of blood loss include the sign of blood loss, arterial vise, Takhіkardіyu, zadishku. Shkira covered with sticky sweat. If you don't stop bleeding, people can spend too much blood and die.

Vyrazka shlunka or vyrazkovy bore of the shlunk - the pathology of the organs of etching has been expanded, yak trawling mayzhe at 1/10 of the population. More than 70% of people become sick, it is important young vik- from 20 to 45 years. If I want to start getting sick, it’s going to grow up, below the twelve-bowel, there’s a big big break, it’s more important to get caught up and overload important things.

Virazkova ailment The shlunka has its own zagalny code according to MKB10 - K25, which can be found at the point, in the fallowness in the form of that stage of the curve:

What is the twist of the shlunka?

Virazkov ailment - a defect on the mucous membrane of the slurry, which is established under the influx of new diseases internal officials... Vaughn does not look at the slunk around the body, but for the whole body for two reasons:

development of a twist of a spriyє a number of poles in organizmі;
the appearance of a twist nada negative inflow at the іnshі organi and systems, to develop to the development of the acceleration and loss of health.

Z tsikh mіrkuvan bіlsh correctly speak not about the swelling - a defect on the mucous membrane, but about the swelling ailments - the pathology of the organism as a whole.

What are the reasons and factors for the development of ailments?

The inner shell of the shlunk is covered with a ball of slime, which is captured by shlunk juice, shlunk. Vona becomes unprotected, since there are some reasons for the function of the mucus vines of lack. There are no such reasons.

The presence of a pathogenic bacterium stick in the slunk - appears in 80% of the ailments on a twist. Tsya bacteria vprovadzhuetsya in the mucus shell and ruinuє її klitini. Infection can be consumed in the slurry with sludge and mucus in case of crusty utensils, close contact. Tse allows you to carry over to infectious diseases.
Stress, scho to cause the blood circulation of the slunk to be damaged.
Systematic infusion of alcohol, products of Tyutyunovy dim.
Trivial reception of medicines from a group of refineries (aspirin, paracetamol, ibuprofen, diclofenac and other analogs).
Rough and gostra їzha, dry-eating.

Factors that stimulate the development of ailments, є recession, chronic hyperacid gastritis, especially with the manifestation of erosions, as well as ailments of the other organs - liver, feline tuberosis, intestines, succulents, cancer, Reducing immunity.

development mechanism

The pathogenesis of the development of a twisted ailment is considered an offensive rank. Due to bacteria or other factors, the mucous membrane is gradually fed into the infusion of hydrochloric acid, protein to the enzyme pepsin and іzhі. Sphatku to pretend to be a surface runway, yake step by step to be bogged down, to make a runway.

In the case of a painful reaction, spasm of smooth muscles, the process of etching and evacuation from the slunk is disrupted. Yak naslidok - the whole shlunkovo-intestinal tract ( shlunkovo-intestinal tract), May develop duodenitis, enterokolit. Reflexively, dyskinesia of zhovchividnyh shlakhiv, duct of the pidshlunkovaya zalozi, may develop cholecystitis, pancreatitis.

see if you get sick

The classification of malignant ailments is carried out for a number of signs.

For the nature of the slurry secretion:

with adjusted and normal acidity;
with reduced acid-dissolving function;

For localization of the flexural defect:

For a long time fell ill:

gostra creeper;
chronic runway;

For the phase of ailment:

gostra stadiya;
subacute;
remission.

For heavy interruption:

latency(Prikhovane);
easier(Zagostrennya less than 1 time per pik);
average gravity(Zagostrennya 1-2 times per pik);
important(Sharpening 3 and more development on the ric, the obviousness of the acceleration).

Chim is not safe for the twist of the clown?

Poisonousness to lead to deterioration of etching and stepwise development of change in all organs and systems, connected with non-stagnant cells, vitamins, balances, and decreased hemoglobin levels. Such a pathology is especially not safe during the period of vaginosity - both for a mother, and for a child, and a stinging one can provoke a weekend.

A threat to health and life є accelerating the swelling ailment:

piercing (perforation);
bleeding;
stenosis of the pyloric viddilu (collar);
malignancy.

cutting through

If the malleable defect is glib, there can be a small opening in the slunk stage. Through nyogo in the empty viplyaє slunk vmіst, the burnt vapors develop - peritonitis.

bleeding

Whenever there is a defect in the root of the vessel, the stench can be smelled with rose juice and rose, the roof is wriggled into the drain. Especially not safe bends of small curvature, de pass great judges, so go out celiac artery- glove of the cranial aorta. Such bloodsheds are even more massive, the stench never gets fatal.

collar stenosis

Bagatorazovo scarring in the area of viddil slunk vyklica stenosis - ulceration. If it stagnates in the slurry pipe, the ignition flares up.

malignancy

Dovgostrokovo non-destructive shlunkovy vrazki, especially with reduced or zero acid-dissolving function, stolen before the transition to cancer. Around the defect, a fissile shaft is established - this is the name of the callous twist, in which the wine is badly degenerated.

Clinical symptoms

As a rule, the slope of the shlunk is manifested, it is found in the form and growth, the nature of the shlunkovaya secretion, the manifestation of acceleration. spilny characteristic symptomsє:

oven after 1.5-2 years of writing;
pain in the episode of the year;
cutting of food with sour vmist, good;
tediousness after 30-60 hilin sislya їzhі, blues;
the feeling of gravity in the supracranial dilence, the feeling of trouble in the stomach;
zduttya abdomen, covering the style.

With a latent interruption, do not show the turn, but in the state phase key picture maybe even more dramatic.

Yakshcho vinikє, having cut through the twists, the "dingzhal" beat appears strong, the tension of the abdominal muscles, blues, the zagalny camp collapses. In case of bleeding pain is not characteristic, vinaigrette is of the type of kava thick (shelter, zmishana with slunk juice), there is a thin bladder, zamorochennya, a vice, a frequent pulse. Hemorrhagic shock may develop.

With stenosis of the collar, there are frequent blues, shvidka vrata vagi. Malignizuvatisya virazka wiklikє post_in_ boli in the stomach, bloating, loss of appetite, a decrease in vagina, on the shoulder and above the collarbone, there may be an increase in lymph nodes (metastasis).

diagnostics

When looking at the patient, I respect the beast thickly on the eggs, abdominal pain, soreness of palpation in the episode. An X-ray of the slunk with contrast is indicated in front, thus allowing the appearance of a defect in mucous membranes, deformation with scars, and the appearance of swelling.

Nybilsh vіrogіdnoyu є FGDS - fibrooptic gastroscopy, if the probe from the video camera looks around the entire slunk from the middle, you can take biopsies.

The diagnostician should enter the pre-diagnosis of shlung secretion by the method of probing, clinical analysis of blood, sech, all biochemical dosages. It is obligatory to carry out a test for the presence of a bacterium with one of three methods (endoscopic, dichal, laboratory).

Corisne video

As a result of the development of ailments and as a result of the development of ailments in the whole food supply.

methods of treatment

The disease is complex, including:

dietotherapy;
medications;
physiotherapy.

Diet is guilty of being good for good food, not scrapping a slunk, with bagatorazym reception 5-6 times for good in small portions. The diet includes an abundance of wine, vitamins, coarse crumbs, food spices, salt, greased and canned herbs.

The drug program is stored individually. Helicobacter is detected as anti-microbial drugs. With an increase in acidity, give antacids, with a decrease - hydrochloric acid, pepsin. All vypadkakh priznachayutsya gastroprotectors, vitamins, biostimulants for accelerating the epithelial defect.

Physiotherapeutic procedures include magnetotherapy, electrophoresis, galvanization, electrosleep, a good effect and laser therapy - stimulating optimization through a probe. The drug course should be carried out until the endoscopy is established, as it appears at the control endoscopy.

Hirurgic treatment is shown in the form of an accelerated disease. In case of bleeding, cutting through the operation to follow the life shows. In case of pylorostenosis of the patient, prepare and operate in a planned manner. Malignizovannyh vyrazki elite in oncology.

Forecast and prevention

Repeatedly wandering around, covet it importantly, when correct love vdaєatsya to reach trivial remisіy, to that the prognosis for health is obviously pleasant. For a life of unwillingness in the development of important acceleration, as the death rate is high. Tі, scho we saw the kids pislya prompt engagement often go into disability.

If you want to serve in the army, then, due to the nature and the stage of ailments, you may need to add a line, and if you want to re-check the food about the goodness before the service. Most often, in peacetime, such patients do not come to the service.

Prevention of malignant ailments in polyaga in correct eating, Delayed shkіdlivyh ringtone, Dotrimanny rules of a special hygienia, a timeless likuvanni of obvious chronic ailments.

For the international classification, ailment of the tenth glance (ICD-10) trophic curves are included in the distribution.

cause

Trophies are developed yak accelerated when:

atherosclerosis;
venous insufficiency;
reddish diabetics;
peripheral polyneuropathy;
fіlyarіosi;
cheeky items;
autoimmune diseases;

The main factor is the change in the consumption of tissue and blood circulation.

Symptoms and stages

Trophic changes are developed in stages:

Vitonennya and dryness of shkiri.
The experience will become dull and stressful.
There are pigment beaches and іnshі zmіni koloru shkіri.
On a change of mind, daddies and emergence appear.
The land is narrowed, in the middle there is a lot of money.
Blood vision is repaired.
It appears to be.
On the surface of the wounds (when there is a lick), the tissue becomes dead (necrosis).
Granules of dilyanki appear (with correct treatment), the surface of the wound changes.
Scars appear on the tissues (in the presence of an adequate look and feel).

Classification

Trophical variations according to ICD-10 are carried out to early breaks, to pathological processes, such as to victories.

Virazki for atherosclerosis

Atherosclerotic plaques wicked blood circulation deterioration, the skin grows dry and a group of blood cells die. Be-yak shkodzhennya on shkіrі with atherosclerosis to produce trophic pathologies. The Danish type is not safe with a quick development of tissue necrosis and gangrene, which can result in the result before the amputation of the disease. Trophic virazki, viklikana ailment atherosclerosis, admit to the code L-98 according to ICD-10.

viklyuchiti shkіdlivі calls;
diet for lowering cholesterol;
lykuvalnuyu physical culture;
seeing necrotic dilyanoks with a surgical path;
antibacterial treatment of urazhenih dalyanok, dry and use drugs;
reception of anticoagulants (for blood development);
reception of venotonics (for elasticity of sudin and normalization of blood flow);
vicoristovuvati non-steroidal antiapalny drugs;
antibiotics are all in the middle, inwardly;
liquids for lowering cholesterol.

at hypertensive ailments there is a sound of judgment, a spasm, which is the cause of the destruction of the exchange processes in them. The Danish type is designed for the first time, for the new one is characterized by a two-sided battle of the colors. Most of the trophies are enemies of the legs.

Obov'yazkov_ stages of treatment:

taking drugs for lowering the vice (after consultation with a cardiologist);
a meal with gosty, fatty and greasy victories, with a sweet milk and rosemary with low salt content;
antibacterial therapy;
antiaggregation drugs;
mіscevі antiseptics for cleaning the ear;
surgical visualization of tissue (when the process of necrosis is started);
physiotherapy.

In case of a reddish diabetics, the level of sugar in the blood is constantly changing, the exchange of words in the tissues is destroyed. Through the wrong exchange of words, the shkira grows dry, thin, insensitive. It is not very big, it’s not easy to swell up to the quick information and the result. According to the ICD-10 code, diabetic urazhennya should be included in the different categories in terms of the type of diabetics.

Likuvannya techniques:

reception of lіkіv for regulation іvnya zukru in blood;
orthopedic wrap and bandages for loosening of a piece of clothing;
antibiotic therapy;
antibacterial and antibacterial treatment of wounds;
preparations for pol_pshennya sour production of fabrics;
ultrasound treatment;
kisneve nasichennya;
ultraviolet optimization;
laser therapy;
operatively lykuvannya (with necrosis).

In case of diabetics, obov'yazkovo control of rivn zukru in the blood and viconuvati is assigned by an endocrinologist. All trishchini, garbage and garbage should be covered with antiseptics. Once the wounds are unprotected, the term will turn up to the lykar.

A trophic bend, which is carried to the MKH-10 codes to the diabetic parts, it is more often established on the legs and feet (diabetic foot). To that we are sick for diabetics, it is necessary to stitch behind the camp of the feet.

Varicose veins with vasodnosti lіkuvannya to produce vyrazkovymi urazhennya kіntsіvok. Venous trophies according to ICD-10 can be distributed in two groups: with fired and without fired.

Likuvannya tactics:

a family of salty, hospitable vegetables and fruits with a lot of vitamins S;
viklyuchennya kurinnya;
Correction to the regime of the day during the change of the hour spent in the position of standing;
antibiotic therapy;
phlebotropny (polypsyuti stan veins) lines;
regular cleaning of virazoks with antiseptics;
laser therapy;
surgical involvement (seeing necrotic dishes and venous veins);
laser therapy;
vacuum cleaning;
compressor therapy (panchohi and bint);
start ointment (at the last stage).

In case of trophic vyrazki on homilkas, it is necessary to be referred to the ICD-10 code before the venous ligaments wear medical compressive virobes to eliminate the cause of varicose veins (to accelerate the appearance of venous blood from nig).

As a result of the lesion of peripheral nerves (neuropathy), the processes of firing in the tissues and the growth of the establishment of vias are disrupted. With neuropathy, the sensitivity of the pictures decreases. Microtrauma and rubbing are reborn into pre-city non-destructive wounds.

Therapy complex:

lіkuvannya main sickness;
regular cleaning of wounds with antiseptics, antibiotics and antibiotics;
orthopedic swelling (for rozvantazhennya foot);
reconstructive surgery (with great battles).

Let us use the code ICD-10 to see decubitus or decubitus trophies, scho to be established in a tricky vice.

Friendly factors:

abduction of vіk;
low systolic vice;
vologa іnfektsіyna environment, to stay with shkіroyu (enurez);
інфекції;
Sudden ailments;
Vitamin C deficiency;
trivial non-abnormal camp, lying or sitting in a crouch (in lykarny, with injuries and fractures);
not a few overlays of gips;
spinal cord ear.

The specifics of the treatment of bedsores:

lowering the force of a vice (tires, circles, special lazhka);
regular cleaning with antiseptics, antibiotics, necrolytic, anti-pyretic and antibiotic drugs;
medication for treatment of the main disease;
vitaminotherapy;
surgical necrotic dilyanoks;
laser therapy;
electroacupuncture;
ultrasonic cleaning of the rails;
darsonval_zats_ya.

Not classified in the other distributions

In vipads, if the cause of trophic malformations is not established, the ailment is carried to parasite L98.4 according to ICD-10.

Lіkuvannya in tsyom vypadkom complex, direct to antiseptic and anti-microbial wound treatment. At the stage of granulation, regenerating cushions are produced. In extremely neglected cases, carry out surgical visualization of dead children.

accelerating

Wrong way to taste, folk methods and unreasonable beast to a drug to bring to heavy inheritance. Necrosis extends to the susceptible tissue, urazhayutsya muscles, tendons, slopes, cysts.

admission of bacterial or fungal flora;
contaminated blood;
gnitta;
erysipelas;
defeat of slopes and destruction of robots;
amputation;
lethal result.

prophylaxis

Dovgostrokovo negativity does not appear as an independent disease, for that, with the presence of singing officials, it is necessary to keep up with the health of the country and regularly drive the doctor.

Come in prophylaxis:

viklyuchennya shkidlivyh calls;
control over the occurrence of obvious pathologies;
unique traumas і shkіri shkіri;
svєchasne lykuvannya;
engaging in physical education;
unbalanced harchuvatisya;
viclyuity fast food;
unicati overcooling and overheating;
do not take without the recognition of a drug user and do not reduce the amount of time needed and the triviality of the course;
rationally organizing the mode of correctness and adjustment;
regularly take a look at the doctor and prepare an analysis;
wear hand grip and swelling (if necessary, orthopedic and compression).

If I’m going to be shy, I’m not going to be fooled (more than two years), I’ll be guilty. Yaksho engage in self-care folk methods the inheritance can be non-gated, right up to the inability to die. A healthy image, correct and rational eating, regular medical examination will help to unify the development of ill health.

For the collection of information about the development of ailments, keeping statistics, single classification and methods of treatment, the International Classification Khvorob - ICD. Virazkov's ailment may be included in the whole list and assigned the number K25. Periodically, the ICD exchange glances. Call the price every 10 years. Since 1948, fixing the rock, coordinating the revisions was taken care of by the VOZ.

In the ICD of the virazkov ailment, the bullet clown has been turned on for a long time. With a skin glance, the information about the disease was updated and changed. Included new and included old subpoints in the vicinity of ailing. This document is for the tenth glance. All the remaining changes in malignant ailments according to the ICD 10 bullets were taken in 1989, the protest in Russia the classification of bullets was taken significantly for a while, and until 1998 the understanding of the malignancy and principles of the use of the 10 On the 1st of September 1998, the rock classification became one.

Slid respect, for dozens of peeks - the work of organizing the protection of the health of the land is great. A special feature of the document is the introduction of letters and three numbers into the classification, which allowed the vicoristovuvati 100 three-digit categories in the skin class. Bulo is stuck 25 letters z 26, the letter U is reserved.

Virazka according to ICD 10 letters code K25 і vyklyucha takі incapacitation yak virazka NOS і GOSTR form of erosive hemorrhagic gastritis. The current classification of the sickle ailment (ICD-10 code) includes the onset of 9 points, from which K25.0-K25.3 are the gostra form of ailing, K25.4-K25.7 is the chronic form; K25.9 is unspecified. In case of bleeding in a sick person, the classification is K25.0 or K25.4 in the fallowness of the form of the disease, and in case of bleeding - K25.1 or K25.5. Without bleeding in the history of the ailment, write K25.3 or K25.7, with bleeding or with a bleeding K25.2 or K25.6.

More details for the classification MKH-10 of the twisting ailment of the slunk:

The staff of such a single classification, a doctor in a be-as-a-land country, who had a patient in the history of ailment, had a third-party code, intelligence diagnosis.

The code of the twisting ailments of the shlunka according to ICB-10

The slope of the shlunk is carried out to the trivial sickness, it is possible to bring the patient to death. Perebіg become ill to be of a relapsing nature. Periodicity of fire-fighting and reduction will become part of the rise and attachment.

Mechanism of detecting a defect on the shlunkovyh slots, even identical to the appearance of vyrazkovy apparatuses in twelve-fingered intestines. Until recently, a zagalny diagnosis was made in Russia - a virazkov ailment of a slunk and a twelve-fingered intestine (DPC). Ten pereviews of the International Classification The ailment proposes two different codes for the designation of the disease of the slunk and the twelve-fingered intestine. In Russia, the visibility of the ICD was corrected by the mill for 1 September 1998.

Causes of deterioration of the integrity of the shell

Pathogenesis (mechanism of approval) is abundant in what to lie for a complex number of reasons, which can lead to a disturbed balance in organism. Naynesezpechnіsha form perebіgu zhvoryuvannya - a perforated bend, the result of significant overvogue of factors, scho to the strength of the aggressive middle ground. It is up to the provocateurs of ailments to introduce hydrochloric acid - a warehouse shlunk juice. The acid of the zhovny mіkhura comes from the stove into the intestine, then into the slurry. zahist internal surface the mucus is circulated by the cells of the mucous membrane. Normal blood circulation and regeneration of clitin of the shell without clogging is the norm.

Ailment is found on aphids caused by the bacterium Helicobacter pylori. There are a number of reasons that lead to an imbalance:

Trivale for an hour or periodically winnings on small sections of the stress camp;
Change to the storage of slurry juice in the range of acidity adjustment;
Chronic gastritis, gastroduodenitis;
Nedotrimannya to the regime of accepting їzhі;
Nikotin deposit;
Alcohol content;
Trivale lykuvannya deyakim medicines, for example, aspirin, butadion;
Sleekness, laid in the genetic code.

symptoms of illness

Prior to the head symptom of a prothromic sharpening, the more views... Spasms are localized especially in the upper part of the abdomen, mostly in the upper part of the abdomen, in the upper part of the ridge, in the right side, in the chest part of the ridge. transverse viddil... The triviality of the attack, an hour of procrastinating to lie down in the damaged dilenka of the slunker and the DPK.

Bil, so the winery is going to receive the shlunks, in the case of the slopes of the upper side of the slurry. A twisting defect in the middle part of the spriy was caused by an attack at the end of the second year, when the necessary їzhі was sent to the shlunok. The twine of the 12-palate intestine and the pyloric canal - the lower part of the shlunu supervises pain in two or three years from the moment of taking the child. I feel more painful to be called "hungry", to be found in the heart.

Described the symptoms of symptoms, analysis of those important in the case of a history of illness. Suddenly, there will be haircuts, ovens, bloating, tediousness, strength up to twisted defecation.

Innovation in the inventory of ailments in the ICD-10

International conference-conference, which is passed by the standard of the All-Union Organization of Health Protection in Geneva in the period from May 25 to October 2, 1989, looking at the classification of ailments.

An innovation in the code-marked ailment has become the inspiration for the new look. Now a chotiry-digit code has been adopted, which can be stored in one letter for three digits. The letter U is superfluous in the reserve. It has become possible to code one hundred three-digit categories in one class, which is designated by a letter.

History of a single international list of ailments

Classification of the ailment took off the ear in 17 st. The pioneer in the list became the English John Graunt. The results of the first statistical processing of the information, which are part of the lively population, have died up to six rocky children. Graunt has gone far to reach the obvious objectivity in the estimation of the mortality rate. Vchenyi vikoristovuvav the method of picking children from children early vіtsі Having washed off the first list of ailments.

Through two rockets in England, a sharp criticism of the principles of establishing the statistical classification of ailments was heard. Until 1899, the rock buv scoring of the remaining version, which I will call "Classification of the causes of death of Bertillon", in the name of the author. In 1948, there was an hour of sickness in the classifications of ailments, so not to bring the patient to death.

For what it is necessary to use the English classification

Vikoristannya One code for the designated singing ailment erasing the mіzhmovnі cordon. International Classification of Ailments in the Current Victory is a normative document. The managers of the ordered list, there was a possibility of preserving the same number of steps in the methods of diagnostics.

Introduce a license in any land of the world, looking at the international chotiry-valued code, zoosum, about yde mova in the history of the patient.

Shlunkovo-intestinal tract and the first virazkovy deformity in the ICD

Rusty snakes in koduvanny sickly stanіv paciєntіv vinik vypadok of classification of virazki with urahuvannyam of several factors. For example, the victorious number in the code is about the recession or about the reason why it went on. When the medication is specified, which has become the cause of the damage to the shlunk, the vicorist code calling reasons... In the tenth one, there are nine variants of the classification of subdivisions. State Hemorrhagic Erosive Gastritis and Virazkovy Ailments BDU assigned okremia number.

Burrowing is one symptom in a row, like taking care of the fate of a visnennі overbіgu illnesses. Cutting through the walls of the shlunk or DPK - openings, as a result of the pouring of aggressive officials. Through the imbalance of the power and the aggressive flow, the wall groans. At the end of an hour, the openings are set up, through the yake, it is wriggled against the shlunk into the empty wood.

The bend of the slunk according to the ICB-10 bend in the K25 code. Prior to submission, there are chotiri gostrikhs, chotiri chronicles and one unspecified one. state i chronic forms dіlyatsya on zhvoryuvannya, scho flow through with bleeding, or without, with a leak, or without. In the yakosti of the preadatk figure, it is added through the point 0,1,2,3,4,5,6,7,9.

The twisting of the two-fingered intestine according to ICD-10 is designated by the code K26. The principle of meaningful changes in disease should be analogous to the description of the slope of the slurry. Isnu 9 clarification, kudi included 4 gostrich forms: K26.0 - with bleeding, K26.1 - with a breach, K26.2 - with bleeding and a breach, K26.3 - without them. 4 chronic or unspecified forms (K26.4, K26.5, K26.6, K26.7) are classified as such. The ninth form is K26.9, where it is unspecified, gostra is either chronic without bleeding or I will cut through.

diagnostics

For viznachennya diagnostics vikoristovoyt complex pidhid. Anamnesis of sickness, scargia of the patient. To carry out the primary physical conditioning - a set of procedures, which includes looking around, palpation, percussion and auscultation. More specifically, include specific methods: X-ray, additional help to improve health, gastroduodenoscopy and internal gastrointestinal changes in acidity.

For the analysis of the results, the type of bend begins. It is always a matter of diagnosis, the code for the ICC is assigned to the disease. Diagnostics are guilty to be carried out on an hourly basis. To lay down the course of treatment, see more predictions.

The cob stage of the diagnostics is carried out by a doctor. Additional methods are used in case of general conditions. Patients visit the hospital, diagnostics and treatment are often carried out one hour.

at state form zahvoryuvannya carried out not openly come in. A selection of procedures, direct to the renewal of the patient, will help to stabilize the patient. Then turn on the lost diagnostics.

lykuvannya

Lykuvannya virazkovoi ailments are indicated and carried out only with a doctor. modern methods include three - chotiri components. The patient should be prescribed one or two antibiotics. Until then, a preparation is added, which neutralizes hydrochloric acid, which can be found in the slurry juice, medications, and then the slurry is put on the surface of the slime shell of the slurry.

An important moment of becoming a child of a special child. Not balancing additional help quick fire reduction of the risk of relapses. I recommend drinking alcohol. An excellent course is not less than two or three times.

Hirurgichesky shlyah The problem is not often vibrated. The whole way is to be applied to the cardinal methods of treatment.

Symptoms and symptoms of gastroduodenitis in adults

One of the wider ailments of the shlunkovy-intestinal tract is gastroduodenitis, symptoms of a child's withdrawal, especially respect, as pathology can develop, which can develop into a nevilikovny vyrazka. When ailments are detected, a complex of calls stagnates: one should follow the rules of food, take medications ("Fosfalugel", "Omez", "Ursofalk", "Omeprazole", "De-Nol"), polyvitamini, enzymatic tablets, medicine.

the essence of pathology

When gastroduodenitis is burnt, the mucous membrane of two organs grows: the shlunk and the 12-terrestrial appendage of the intestine. The pathological process of vicious dysfunction of the shlunkovo-intestinal tract, and through the stable high or low acidity of the shlunkovy juice, the steps gradually change and become erosive with swirls. When diagnosing pathology by the method of fibrogastroscopy, erosive vognischevia gastritis with other tremors and wounds is observed.

So yak 12-earthy sprout of dressings z zhovchny mіkhuromі a slurry plant through the ducts, behind the holes in the intestine are supplied the necessary for over-etching acid and enzymes, in case of ailment, etching will break down. Explain the process of the pressurization of the duct canals through the swelling, viclikanov zapalennyam. As a result, there is often stagnation in the place of the deterioration of the functions of the organs of the body. isnu:

gostry abo catarrhal gastroduodenitis;
chronic gastroduodenitis.

Catarrhal gastroduodenitis of vinikє mittєvo through detachment, information on organism, re-transmission. Gostry gastroduodenitis can be up to 3 months, and with the correct treatment, it is without trace. Chronic gastroduodenitis against the disease in two stages: aggravation and remission. Chronic gastroduodenitis of hypersensitivity in the spring and autumn period. Symptoms of minor ailments і lie down at the stage of sloughing, or the ignition process.

see

For the ICD pathology code K29.9 was assigned, that is, type unspecified. Due to the nature of the pathological process in the mucous slurry and the 12-terrestrial appendage, there is such a type of gastroduodenitis ICD 10 unspecified code K29.9, yak:

Superficial abnormal gastroduodenitis, which is supervised by a strong swelling of both organs with the enlargement of the folds of the mucus.
Hypertrophic ailment, in which there is a risk of blood circulation (hyperemia) of the skin shell of organs with other blood cells. Likewise, there is an increase in scaling, fibrinous-slimy deposits.
The form is changed, which leads to hypertrophic mucus from atrophied vignisci.
Erosive ailment, which is superfluous with swelling, full-bloodedness of the husk of the shell with the disease-free erosion and fibrinous-slimy nalot.
Atrophic gastroduodenitis, which is characterized by the destruction of zalosis, when the shlunkovy sik was used.

For the magnitude of the secretory function of unspecified type of development yak:

pathology due to decreased acidity;
fired together with acids in the normal range;
ailment with a high volume of shlunkovy acid.

For the nature of the interruption and symptomatology, the pathology is unspecified according to the ICD, such as:

gastritis;
erosive;
cholecystoid;
pancreatitis-like.

Ethiology

Zboi in the immune system can provoke gastroduodenitis.

Endogenous causes of gastroduodenitis:

Robots immune system If autoantityl is synthesized, attacking hairy tissue, spruce, mucus slime and 12-terrestrial sprout.
Hormonal dysfunction, if the viroblension of hormones in the supra-intestinal locks is destroyed, the function of the shell of the intestinal tract decreases.
Zboi of the central nervous system, stress, which provoke spasms of sudin in the tissues herbal organs with a rotor flashing.
Slump.

Primary gastroduodenitis is exogenous causes:

Іnfіkuvannya helikobakter, which multiplies in the acidic environment of the slunk and sees toxins, does not provoke incineration.
Regularly pereїdannya through the rate of reception їzhі.
Nedotrimannya regime of eating: without a dream, with small evenings before bedtime, with more progression and meals. to see a promotion physical navantazhennya on the intestinal tract. For the duration of the day, the shlunkovy syk will repair self-digestion, and I will grow the slime of the shlunkovy.
Incorrect storage of stravs and incorrect processing of Ingrediєntіv. Ominous with greased, hospitable, smoked strains to produce slunk juice until the secretion is increased.
Courinnya and alcohol.

In older adults, it is more common to have a swollen and gastric ailment. The first form manifests itself as symptoms characteristic of atrophic infection:

growth for strength, often dull, pain in the belly of malice and at the navel, so that you can feed on a hungry slunker and when you see it with a clear localization;
ovens, scho winikє through the adjustment of the motility of the slunk and instead of acid in the juice;
nudota z lie down with blues, ale provoke pain;
decreased appetite, flatulence;
weakness, spoiled, temperature adjusted(37.5 ° C).

Vidrizhka, zduttya, flatulence are some of the symptoms of ailments.

In case of gastritis forms, exhibit a likelihood of gastritis:

slightly turning no pain in the mountains of the abdomen and at the navel, so there is a picture without exact localization, so it passes through a year;
the perception of the gravity of the letters of the letter;
decreased appetite, reduced skinny;
haircut, zduttya, flatulence;
blues with lodging;
zagalny signs zapalennya.

Naybіlsh bendings of gastroduodenitis for symptomatology - chronic in the diagnostics pathology with established erosions. It is characterized by triviality, which is numbered in dozens of rock_vs, protesters, with sharpened and remnants. In case of recurrence of ailments, there is no clear localization, appetite decreases, there is a strong burning, constipation. In the remission phase, the symptoms are on the day.

diagnostics

When the first symptoms of ailment appear, the patient should be directed to the condition. For the additional special methods, an accurate diagnosis is made, a course of treatment is assigned. For the assessment of the sick gastroduodenitis will be carried out differential diagnosis from the sources of such methods:

Opituvannya and klinichny look around the patient.
They took blood for clinical analysis and biochemistry with the mark of the value of firing and development of the stage after the level of SHOE and leukocytes.
Viznachennya acid in herbal juice with a fake choice of therapeutic tactics.
Debilitation of mucous method. For this, a tube with a chamber is introduced, visualizing the walls of the shlunka with obvious poses. Before an hour of the procedure, a biopsy is taken for a histological and cytological analysis.
An ultrasound scan is carried out with the method of vivification of the motor function of the slunk-intestinal tract and diagnostics of the path.
X-ray with contrast (sumіsh z barієm) for the evacuation of evacuation authorities.
Taking feces and sich on zagalny analiz for viyavlennya accustomed to interruption pathology.

Likuvannya at grown-ups

Therapeutic way to get along with provocative officials and the stage of development of ailments:

Drug treatment. Antibiotics are consumed, commonly found in Helicobacter pylori pathology. Appointment of antacid liquids, which additionally helps to take food ("Phosphalugel"), is necessary in case of acidity adjustment. Dodatkovo can be used for the regulation of organ motility. With the diagnosis of gastroduodenitis through the destruction of the central nervous system, a course of phytopreparations is indicated. For autoimmune reasons, immunomodulating tablets and antibiotics are used. Chronic gastroduodenitis with virazkovy plin needs to be taken out with preparations of bismuth, so that I can get a drink in fired mice and overpowering viscous powers, for example, "De-nol", "Fosfalugel". Effective also proton pump therapy, such as "Omeprazole", "Omez". Symptoms of reflux gastritis, often associated with gastroduodenitis, are known with the drug "Ursofalk".
Dietotherapy. Kharchuvannya is made by shot, small portions, and the product is required to re-overeat. At the stage of zagostrennya slid before the end of the post-regime stretching of pressure. With an ailment of brown slime, soups with cereals and vegetables, low-fat varieties of meat and ribi. When there is a day, lactic and lactic acid products can be included in the day. We sell the menu with cereals, egg omelet, and fruits.
Phytotherapy. For help in the treatment of ailments, there are many herbal tinctures, vidvari, sums. Дієві recipes:
- 150 g of potassium berries, 500 g of fine chaga, 100 ml of aloe juice, 3 liters of water. The warehouse will be brought to the point of sale and showcased 3 dB. 50 g of honey is added to the results of the razchin. We'll take 50 grams of money each, every evening until the day.
- 50 g of chamomile, zombie with wood, 25 g of purity, 500 ml of water. The warehouse will be brought to the point of sale and showcased for 3 years. For a process, you need to take 50 g each 4 times for doba.
- Рівні obsyagi trojandi, plantain, finger, cmine, ісopu, 1 liter sprinkle. Drink tea during the day in small portions.
- 25 g of meat in 300 ml of sprinkle with glass in a thermos for 10 years will take 100 g of a skin wound for a hungry slunk. Zasib garne yak prevention of gastroduodenitis.
- 50 g of purity in 500 ml of alcohol for vitrims for 14 days. The scheme of drinking: take 3 drops in 50 ml of water on the first day with the coming daily increase of the dose for 1 drop, right up to 50.

prophylaxis

To prevent the diagnosis or relapse of the disease, it is recommended to regularly prevent gastroduodenitis:

hitting the grub regime;
Correct physical configuration;
dietotherapy;
release of high-pitched beeps.

Correctly catch chronic gastroduodenitis to allow the reduction of risky development of the path.