Alcoholic pancreatitis ICD 10 code. Chronic pancreatitis (K86.1)

The most severe classifiable manifestation of ailments. To organize the views about the pathologies of the dehydration and other illnesses, for the sake of the possibility of communicating with the knowledge of the factions of the young lands, the international classifier of ailments has been declared by the medical aesthetics.

First try to systematize ailments of malnutrition in the VII century. The stench appeared to be more direct on the collection of statistical data about the causes of mortality. At another international congress in 1855, the classifier of ailments was hardened, which is regularly updated and specified. Ostanniy, the 10th revision, having been raised in 1989, became victorious as the member powers of the WHO since 1994.

Pancreatitis code for MKX-10 buvaє:

K85 - Hostry pancreatitis:

Infectious necrosis, gostry.
With an abscess.
Gostry (with any recurrences), pidgostria, hemorrhagic, nasty and without additional clarification (NDU).

K86.0 Chronic alcoholic pancreatitis.

K86.1 - Іnshi types of chronic pancreatitis: infectious lesions, relapses, recurring, NOS (without additional clarification).

Pidshlunkova zloza produces enzymes that take part in etching. The ignition process is provoked, so that the enzyme does not reach the twelve-fingered intestine, activates in the hall and repairs the ruined organ, digests cells and tissues. Gostry pancreatitis develops. The enzymes are activated to take the place of trypsin, which is similar for the other wines. The ailment slows down, if the enzymes and toxins are consumed in the shelter, the ears are consumed by the organisms, a severe intoxication develops.

There are many reasons for diagnosing pancreatitis. Most of the ailments are susceptible to alcohol (65% of the ailments). If there is a high risk of developing pathology in people with a gum disease, trauma to the gallbladder, infectious diseases, infections, drugs, natural cravings to pancreatitis.

Gostra form zvoryuvannya

Gostriy pancreatitis is a serious illness, as it will show a lot of lethal symptoms. Filling a wine as a result of a physical abnormal chemistry in the singing dilyankas of the pedestrian zone. At the same time, there is a large number of pancreatic enzymes from the client, so you should be in an inactive state. Pidvischennya vise in the middle of the duct before the active activates, to repair the process of self-digestion of zalozi. It will be set in the fire, the health of the clit will not be too high. Nevorotnye vіdbuvayutsya, scho supravodzhuyutsya fatty degenerated cells, dystrophic organ.

Decreases in the form of pancreatitis become infected with infection and suppuration, which clogs up with an abscess (tissue infections are buried).

Chronic pancreatitis

Often, the result of a postponed grievous burning of the pancreatic cavity is an old chronic pancreatitis. It’s a trivial task to get sick until the appearance of scarring and scarring on the tissue of the flesh and ducts, reducing the functions of fermenting enzymes and hormones. Over the years, chronic ignition processes become the cause of swelling and the development of sugar diabetes.

In the international classifications, up to the reasons for susceptible to chronic pancreatitis, viral-bacterial disease is recognized. Viral influenza and hepatitis, tuberculosis, vitriana vispa, cyr. There are also bacteria that can be infected with animals, for example: leptospira, salmonella, bruceli. Infectious pancreatitis of the disease on the basis of the chronic pathology of the infantile disease. With a certain form of ailment, the enzyme does not come back, the bend of the clitin is provoked by the aggressive viruses and bacteria with the backward weakness of the disease.

alcoholic pancreatitis

International classification okremo vidіlyaє indications of the type of pancreatitis, which is widespread everywhere. The intake of alcohol increases the production of slurry juice and hydrochloric acid, which stimulates the hormone release, so that the secretion of the slurry enzymes will become stronger. Enzimi penetrate into the clitini zalozi, razchinyayuchi їkh. For alcohol, the tone of the sphincter of Odd, the valve, which regulates the proper gut and pancreatic enzymes in the intestine, will be adjusted. The process of accelerating the release of the secretion of the slurry clod, wiping the vice in the other ducts, stimulating the early activation of the enzymes.

As a result, alcoholic chronic pancreatitis can lead to nonvolatile ulceration of pancreatic ducts, stagnation and thickening of the slurry juice, and the establishment of mash from the bottle and calcium.

symptoms

Signs that show development in different forms of flaming. When the patient is in the form of hospitality, he can jump on a strong beating in his stomach, evil, zduttya, boring and bloating with a house zhovchі, znevodnenya. It can be cyanotic-zhovtuvatі beaches on the lіvu botsі, for at the navel, other vessels and capillaries burst from the navel. Naybіlsh nebіlshne nezpladnennya gosudarstvenny pancreatitis - intoxication to the body, health problems in the brain, nirkov lack and death of the patient.

In case of chronic illness, the health of the ferment and hormones is reduced. As a result, the process of over-etching will break down. In some cases, pseudo-filaments appear in the pseudo-leaves, in the form of a hot fire, in which there is a lot of accumulation. Years later, chronic ignition processes develop and the establishment grows, clutches with their bodies, as a result of which the wine becomes more difficult, the pain is heavy, the boringness and the grizzly attention at the mouth. Another symptom is a mechanic zhovtyanitsya, provoked by the sounds and the rotten passing of zhovchividnyh nobles.

Such symptoms of pathology are not only in case of alcoholic etiology, but in case of other types of chronic illness, such as the transmission of tenth classifier ailments. They are also exposed to a variety of pickling, diarrhea, intolerance of certain products.

diagnostics

Diagnostics of the most serious and chronic processes are often developed. For another, it is important to consider the importance of the exogenous (enzyme) function of the fodder. To that, up to standard diagnostic methods, a coprogram is added - a thoroughness of non-poisonous surplus in feces.

When staging a diagnosis, the code for the MKH-10 is selected. The doctor diagnoses a sick person, looking around and palpating. Then the laboratory can monitor the shelter, enzymes and tolerance to glucose. There are also used instrumental methods for visualization of the pancreatic disease, such as: ultrasound, X-ray, tomography, endoscopic retrograde cholangiopancreatography, angiography and other methods.

lykuvannya

Therapy of pathology to lie in the form of severity and form of illness. In case of a state of emergency, hospitalization is carried out, and the treatment is directed to the preparation of the organism and its functions by means of internal preparation and the introduction of the drug.

dyeta

In case of pancreatitis lіkuvannі і th types (code for MKKh-10), I will play a role in the development of dieticheskih. The main rules are hunger, cold and calm.

With a fiery fiery podshlunkovoy zalizi sick for a few days it is impossible to accept it. Potentially, it is indicated that there is a little bit of food for Pevzner (child No. 5) and that there is a fatty food and carbohydrates in the food.

drug therapy

The main caregivers for treating pancreatitis are pain relief and compensation of enzyme and hormonal deficiencies in pediatric function.

Conservative methods become stagnant, such as transferring:

replace therapy with enzymes and hormones;
reception of antibiotics against viral-bacterial infections;
Come in, direct to the usunenia of the inheritance of the intoxication of the body, to speed up the disease.

It is also stagnant and surgical involved or minimally invasive percutaneous puncture. Such operations are indicated for clogging of the gall ducts, for accelerated, pseudocystic cysts, and for puffiness.

prophylaxis

With the correct identification and recognition of the necessary visits, which are based on a different way of life, the recurrences are noticeably less frequent. Before an hour of drinking or drinking, it is necessary to eliminate alcohol, before taking children and taking drugs. The sanatorium lіkuvannya is also promoted in the period of remission.

Іnshі ailments of the creeper (K86)

victories:

cystofibrosis of the dermal zone (E84.-)
pukhlina z ost_vtsevykh clytins of p_dshlunkovoy zalozi (D13.7)
pancreatic steatorrhea (K90.3)

The Russian International Classification of ailments of the 10th glance (ICD-10) has adopted a single normative document for the incidence of illness, the reasons for the infestation of the population to the medical establishments, the causes of death.

ICD-10 was introduced into the practice of protecting health in the entire territory of the Russian Federation in 1999 by the order of the Ministry of Health of Ukraine dated 27.05.97. No. 170

A new look (ICD-11) is planned by WHO in 2017 2018 roci.

Іf changes and additions of the VOOZ rr.

Processing and transfer zmin © mkb-10.com

Chronic pancreatitis code for MKH 10

Filling of pidshlunkovoy zalozi is called pancreatitis. Most often it is also chronic in nature.

The pathology can occur without any symptoms, or it can develop on the smallest cases of black emptying, so the diagnosis cannot be made immediately and correctly. The axis of the need for a mother to be seen for ailments, and when a person is susceptible to pancreatitis, turn up to a lykar.

International Classification of Zahvoryuvan

The current medicine knows about forty classifiers in pancreatitis, as well as accelerating the international education of physicians on the topic of diagnostics and treatment. For this purpose, the fakhivtsi of the young lands could vіnіyuvatisya with admittance and good reason, one bullet was accepted by the international classification of ailments (ICD).

Qia classification regularly look at each other in the context of the All-Holy Organization of Health Protection. Infection din ICD - 10, the number "10" means ten peeks.

The most common classification of ICD - 10 pancreatitis buv:

Mechanism of development of pancreatitis

At the bottom of the pond there are ferments and hormonal speech - insulin. The fermentation in the hall is located in an inactive stage, and it is repaired only if it is consumed in a twelve-fingered intestine.

Ale buvak, when the enzymes from the slurry are destroyed, or the enzymes are ruined for some reason - that’s the reasons to repair the activation not working up to the twelve-fingered intestine. The axis of the enzyme speech is to repair the ruin itself, to over-manage the tissue. At the same time, toxins are seen, which can be consumed in the circulatory system, expanding throughout the entire body and creating internal organs.

Postoperative fabrics are replaced by other types of fabrics, for example, fatty or cicatricial. It is also a powerful and necrosis of a large area of the organ. In the wake of such changes, the normal operation of the slurry will collapse, the fermenting of enzymes in the necessary quantity is crushed, the ignition processes are repaired. Reduced such pathology є diabetic diabetes and cancer of the pancreatic disease.

Cause the blame for the disease

To fix pancreatitis for other reasons. The ICD has 10 degrees of the gradation of the pathology in the prevalence of the transmission reasons. For example, medical pancreatitis, alcoholic, gn_yny, hemorrhagic.

For a successful treatment of pathology, you need to find out the reason for such a problem.

The reasons for pancreatitis are:

ICD - 10 not vipadkovo vidіlya pancreatitis chronic and gastric. There are two types of the same pathology that may be of their own, inheritance that develops according to the tactics of treatment.

With the state of the art, the ferment can be repaired in the same place in the slurry, and it can be developed in a short term. Likuvannya is straightforward to the normalized robot etching organs.

The chronic form is also characterized by changes in the structure of the forest. The tissues of the body lose their value, being replaced by a different type of tissue. As a result of a series of pathological changes in the body, the organ cannot generally demonstrate its main functions.

Tse to produce up to non-gated heritage and infusion on all internal organisms and systems and human organisms. There will be a shortage of fermenting enzymes, and there will be atrophy and diabetes mellitus.

The reasons for the most chronic form are often pancreatitis. Likewise, changes of mind can be a lack of delivery, the implantation of fatty food, alcohol, chronic illnesses of other internal organs, and a high level of infusion of drugs.

The chronic stage of pathology is brought up to normal life to the body. Likewise, to avoid changing the inflow of high-flown injections on the body to prevent attacks from becoming ill and self-esteem.

A vilikuvati chronic form is possible, it is only possible to reduce the number of attacks of a sharpened affliction. Ale nave tse bring lodging in the life of ailing people.

symptoms of illness

A clear picture of the pathological development for all stages. The main symptom is that the price is strong, there is no operative mark. Often you will be able to repent in your own battles, you can become strong, as ailments lie on your back. This kind of bee is taken for bele in the heart, or in nirtsi, so as it is more visible at the upper part of the abdomen.

Depends on the deterioration of the side of the etching. Tse, as a rule, bloat from the house of zhovchi, carrying with the particles of non-etched їzhі, booze, flatulence. The temperature rises, and the grip can be both low and high. The sick man's camp grows too low, the sickness appears, and the pity is adjusted.

Symptoms are often more pronounced and more often signs of a state of the art. Oh, the need for the nobility, for that and for the hour of the chronic form, they can feast on the hostile character. Alle, show a chronic phase of greater growth and expansion in hours.

With a stretch of decilkokh rocky people can see discomfort in the mountains of the abdomen, more often than not, especially with the implantation of fatty, greased and hostile. It is important to over-manage everything at once, so there are such pains.

If Lyudin sees the correct food, and if it’s more than a little food, then if pancreatitis manifests itself, it’s meaningful. The filthy hounding by stretching out a trivial hour will serve as a signal. Lyudina is mentally ill, not to mention the obvious symptoms, but if the ailment needs it, take it easy.

In case of chronic illness, one may appear to attack the hospitality stadia, ale Lyudin will be pov'yazuvat tse z transferred or implanted in alcohol. The chronic stage is not safe for them, since the process of ruining the slurry is still there, and the people do not know about it, do not take any calls. And even more importantly, it is important to find the sickness at once, in the whole additional help of diagnostics.

Diagnostics and necessary analysis

At adolescence for chronic pancreatitis, the needles turn up to a lykar. Such pathologies are dealt with by a gastroenterologist.

It is obligatory to carry out analyzes of slaughter, feces and blood, including biochemical analysis of blood. Doslidzhuyutsya organic emptying by ultrasound, X-ray. Pidshlunkova zloza is transformed by the method of computer tomography, gastroscopy and functional tests are performed.

In case of acute chronic illness, the treatment will be similar to that, as it is indicated at the hospitalization stage, the hospitalization is always recommended. Lіkuvannya guilty passes under medical control, so as there is no safety for life.

In case of mild symptoms of chronic interruption of the treatment, it is aimed at correcting the way of life.

Most of the time, you will need to start singing and take drugs, as there will be a shortage of enzymes in the body. It is a good idea to introduce sanatoriums, which provide a complex treatment for the implantation of mineral waters.

Likuvannya is guilty of namitity and planuvati likar. Navigate with the choice of mineral water and need the advice of a driver, as well as a general safety and a new counter-indication.

The chronic stage of becoming ill is not safe for them, so that, with a competent treatment, in an hour, all one will be able to see a decrease in the level of insulin, and the price will lead to the diagnosis of a diabetic. We are also averse to this because of the chronic incapacitation of the patient's needs, periodically, for consultation with an endocrinologist. It is also possible to help trimati under the control of rivn tsukru and to find a disease at an early stage, in addition to a successful treatment.

May the way of prevention

Chronic pancreatitis (ICD - 10) is foldable for important diseases. Code 10 means that there is a pathology in alcoholic and infectious etiology.

Prophylaxis in cich vipadkakh will be seen from the implantation of alcoholic products and a quick way of infection in the body. So come in with chronic pancreatitis and take a change in fever.

Chronic pancreatitis for international classification of ailments

International classification of ailments of the 10th glance is the organizer of all existing ailments. The ICD was established with the help of a statistical report. Ailments of the intestinal tract store the left part of all nosological units. The pathology of the pediatric disease (PZh) is systematized according to its hikes and forms. The host process is known as K85, and the chronic pancreatitis code for MKH-10 is K86. Up to the whole category, it also includes paintbrushes, alcoholic ailments to the body, and other clarifications and unspecified ailments of the lump.

International classification of ailments

The international classification of ailments is a systematizer, which is used for statistical purposes in health protection. Skin 10 Rocks All-time organization of health to look at the document. Infected on the practice of stagnating the classification of the 10th glance.

The ICD systematizes, restructures, and also analyzes data about the mortality and morbidity of the population in the small cocks of the world.

Pathology of pidshlunkovoy zolozi may be very versatile, as well as developing for clinical manifestations. Poisoning with chronic interruptions often has a fiery character, but there is less pathology with the other version of development.

Classification of disease

The classification of pancreatitis occurs until the option is overrun. Gostru form should be accepted up to K85. K86 - tse razdil, which includes іnshі ailments of the fledgling zone (except for cystofibrosis, puffins from acute worms and pancreatic steatorrhea).

In chronic pancreatitis, the ICD-10 - K86 code extends to:

K86.0 - chronic form of alcoholic pancreatitis;
K86.1 - іnshі zapalennya zalozi (chronic pancreatitis without additional clarifications, infectious, recurrent, repeated);
К86.2 - cysta PZh;
К86.3 - pomilkova cysta PZh;
K86.8 - іnshi diagnosed pathologies of the pancreas (including atrophy, stones, cirrhosis, fibrosis, infirmity (necrosis), by form - fatty or aseptic pancreatitis);
K86.9 - ailment of unspecified ethology.

Causes and symptoms of chronic pancreatitis

Chronic pancreatitis has no ICD-10 (K86) code and no reasons for the diagnosis. Alcohol in the diet of fatty їzhі is the main factor in rizik. Chronic pancreatitis also develops through intoxication, post-morbidity, viral infections, and prompt involvement. To other causes of pathology, there are psycho-social problems (stress, psychological trauma, nerves).

The WHO has started to develop pancreatitis by 75%. A good incentive to throw a shot, why don't you?

Symptoms and signs to lie down at the stage of becoming ill. Show the tied with the secretory lack of zalozi. Through the burning organ, it is not possible to produce enough herbal enzymes and hormones. Through the marriage of enzymes, poisoning can break down, there is constipation, zduttya, diarrhea, nudota.

On the ultrasound scan, pseudo-filaments appear, which are tied with an earlier transfer of gostim pancreatitis. Increasingly, such a decision will destroy the passage of the disease along the slunk-intestinal tract and cause severe pain. The impaired function of the organ provokes a number of other pathologies. At the head of the pancreas fibrosis of the tissue (loss) develops, which leads to the pressure of the Wirsung duct due to the loss of pancreatic juice. At the pseudotumorous stage of becoming ill, symptoms of rupture of the ruminant will occur. The patient grows a zhovtyanitsya, slashing a dark barnacle, and the feces are barbaric.

Classification of visualization and remission of ailments. Chr. pancreatitis before an hour of relapse does not occur as a guest. In older adults, weakened є pancreatic necrosis. Stan vimagє secret operational involvement.

diagnostics

Diagnosis of pancreatitis (code K85.0 / 86.0) is performed using laboratory and instrumental methods. "Gold" standard є SPL. The procedure is painless and available, allowing the assessment of the structure and size of the lump. After an hour of ultrasound scanning, brushes, swellings, and also a picture that will be seen by diffuse changes to the body will appear. Rizvid UZD - elastography. The method allows a detailed assessment of the elasticity of the fabric. Є non-invasive biopsies.

After an hour of conducting a computer tomography, the diameter and shape of the organ begin. CT imaging is not only about the illumination of the burrowing zone, but also the possibility of regional metastasis. Cholangiopancreatography is used for a detailed assessment of the duct. Behind the help of a dull endoscope, contrast is introduced into the back gum and scanned to the organ.

Laboratory diagnostics is stored from the analysis of blood, feces and slaughter. In the blood, there is a level of tsukru and amylazi, in the section - diastasis, in feces, a level of pancreatic elastasis and non-etched fats.

The function is designed for the purpose of enzyme and hormonal therapy. Early diagnosis of a better chance for a new patient.

Gostriy pancreatitis and іnshi ailments

It is known from the international classifier of the Gostry pancreatitis according to the K85 code. O. pancreatitis is a disease, which is characterized by a wikid of aggressive enzymes from acinous cells of the disease. Most of the vapors develop on the stench of alcoholic beverages. Alcoholic pancreatitis borrows up to 70% of all types of diseases in all hospitals. Zhovchnokam'yana ailments and іnshі clarifications of ailments of black emptying also wicks fired at the organ. Patients who have suffered a severe pancreatitis develop bristles of the underwhelmed zoos, the code for MKH-10 is K86.2. Ignite stenosis of wiklikє pseudo-neoplastic pancreatitis, which, according to the principle of oncology, however, is seen as a sign next to it.

The early activation of pancreatic enzymes lies in the pathogenesis of the disease. In the norm, active enzymes are found in the 12 intestine, and when the stench is damaged, they can be activated before the hour in the ducts of the lower intestine. The wiclik process is self-digestion of the organ with the transition to pancreatic necrosis.

Reactive pancreatitis in children can be similar to a host process in older adults. It also develops on aphids of children or ailments of the shlunkovo-intestinal tract. For ethology є aseptic (non-infectious).

Patsinti skarzhitsya on the gostro, which operates on the upper part of the abdomen. Also їkh turbu bloating, flatulence. It is a good idea to spend a lot of money, which is especially useful for little children. Shkira nabuva zhovtogo vidtinku. Khvoroba in the state hospitalization and knowledge from a permanent glance. After the transferred grievous illness in the hallway, a lipoma (lipomatosis to an organ) or bristles will form.

The main direct paths in the love affair

Likuvannya lie in the form of pancreatitis. Gostriy is the process of vimag of non-secret hospitalization of the sick. In the first place, I dob dob dob zhvoryuvannya obov'yazkovo priznachayut vimushene hunger.

Fixing for 3-5 days step by step introduce sparing food products. In case of fired up podshlunkovoy zalozi, it is necessary to do something that will ensure the functional calm of the body. Viklyuchayut fat, spicy, greased їzh. Stravi gotuyut steamed or cook. Before serving, add a meat grinder or in a blender.

Take medications for somatostatin. Antienzyme drugs (kontrikal) in the given hour do not vikoristovyu. When pancreatic necrosis is seen zruynovany tissue and surgical method.

In case of chronic ill health, the age of 5C is indicated. The principles of living є maximize food value and minimally navantage on the organ.

Zastosovuyt also ferments for polishhennya pickling. The lack of the endocrine part has been formulated, it is recognized as insulin. During the period of remission, we take over vitamins. Pislya subsiding symptoms of ailments are corrected at a sanatorium-resort lykuvannya. Such patients should undergo a course of mineral water therapy. In case of ineffectiveness of conservative treatment, it is recognized that it is surgical.

Zrazkovy terms of non-standard

The term of inconvenience lies in the form and severity of the disease. For the operative involvement in the podshlunkov_y zlozі sick checks, a trivial period of rehabilitation. Conservative loans are close to business. Licarney vidayut for terms up to 3 times.

accelerating

For zhvoryuvan pidshlunkovoy zalozi is characterized by an accelerated development. Tastes can be found through incorrect treatment or unfortunate diagnostics. Often, patients diagnose a lack of nutrition, if the enzyme does not come into the 12-palate intestine. Dyspepsia and deterioration of poisoning develop. When the duct is blocked in the cavity, stones can form.

In case of urazhennі tail part of the mossy development of reddish diabetes. Pathology of supervising the loss of glucose metabolism, as a result of the predominant introduction of insulin.

May the way of prevention

Specific prophylaxis of pathologies of pediatric formation is not absent. Do not allow ailments, it is necessary to lead a healthy way of life. Relegation to the day with clear intake of alcohol is the main factor in the development of ill health. Home decoration and holy is an unpleasant period for the health of the breeder. For a lot of drink and drink, you need to go to the Christmas Day.

Chronic abo gostry pancreatitis ICD code

Due to the chronic form of pancreatitis, a post-ignition process of fledgling occurs. In the period of a severe illness, ailments are more likely to be replaced by a healthy tissue and endocrine deficiency of functions of the organ.

In case of pain in the podshlunkov_y, do not need to go directly to the operation, it is possible simply.

Classification of pancreatitis according to ICD 10

Protection of health, with the method of systematization and management, the classification of ailments (ICD) has been broken up, as if to look at each other once every 10 years. There is a normative document that will prevent a single message before the classification of a disease and serve as a general classifier when making a diagnosis.

There are more than 40 classifiers in pancreatitis, but it is quite expedient to eliminate the symptoms when the diagnosis of a sick person is sounded. As for the expertise of the small powers of Mali, the ability to easily go to the conclusion and reason one by one, the International Systematization of Illness (ICD) has been established. At the present moment, the system of the 10th glance (ICD-10), for which it is necessary to diagnose the disease.

According to the International Classification of Pancreatitis according to ICD 10, the following are included:

K85 Gostry pancreatitis.
K86.0 Chronic pancreatitis of alcoholic etiology.
K86.1 Chronic pancreatitis.

Pancreatitis is not viral. For my rich knowledge I can say that I can help you with additional help.

Develop 3 key types of chronic pancreatitis ICD code 10:

Chronic calcification inflamed, often addicted to alcoholism. During the whole ignition process, changes in the structure of the duct to the organ, thickening of the secretion, and until the clogging of the ducts are observed.
Chronic obstructive burning. It is characterized by the sounding of the main ducts of any great hylok.
Gostre inflammation of pancreatitis is not often observed and acute chronic pancreatitis.

In a number of vipads, biliary or biliary pancreatitis is susceptible to develop, which develops on even more obvious ailments - pathologies of the liver, chewing moth, or chewing gulls.

Ethiology

Change your mind about the diagnosis of chronic pancreatitis according to ICD 10 to complete the diagnosis. The formation of pain syndrome is summed up by a number of factors:

pathology of organs of etching (virazkov and zhovchnokam'yana ailments, cholecystitis, duodenitis, gastritis);
non-consumable intake of alcoholic beverages, a short supply of alcohol in the intake of alcohol;
viral urazhennya, allergic reactions and toxic detachment;
operative involvement;
pathology of communication and hormonal processes;
recession.

Chronic pancreatitis ICD 10 (K86.0) is the most common in chronic alcoholism. In another place, according to the purity of this ailment to serve, it is the destruction of the function of the young gentlemen, the twelve-fingered intestine and the ailment of the shlunk.

Diagnosis of pancreatitis ICD code 10

Most often, patients turn to a drug with the presence of such symptoms and signs:

the manifestation of pain;
with tediousness;
blues;
with shvidk_y vrat_ masi tila;
with unstable character of style;
show the smell of the mouth.

Likar to carry out and signify a number of advances, when people suspect the manifestation of a disease of the child:

First look around the patient. With a given kind of ailment, ailments, as a rule, do not have a very twisting character. Sposterіgaєtsya besides the belly zduttya. On the belly of the belly there is little visibility of the fermented wine. With palpation, the organ can be misshapen in severely affected ailments. With cystic congestion, the organ is easily palpated through pathological changes, which can be produced until it becomes more healthy. In case of important forms of this disease, it is often the case that a slight abdominal sprain is observed.
In the event of a state of emergency, the increase in phospholipase A 2 should be promoted.
Likar signifies laboratory preliminaries for setting diagnoses, one of which is an analysis of blood, feces and sech. In case of an important change in the disease, an increase in the number of leukocytes and SHOE is indicated. In the case of other forms of ailments, blood counts become normal.
People give glucose a drink, and if in a couple of years I will change 8 mmol / l, then they will look for the presence of sugar-coated diabetes, which is not uncomfortable due to the abnormal pathology of this disease.
Vivchennya ferments. In case of severe acute chronic pancreatitis according to ICD 10, a decrease in amylase is observed. Vivchennya given to the enzyme to finish nonspecifically. The very same one hour you can hear the first enzyme test - elastasi.
To carry out additional activities of lipase.
Vivchennya elastazi blood. Denmark is an indicator of improvement in the presence of a hostile fire.
Vivchennya trypsin blood. The decrease is an indicator of the lack of secretory function of the disease, which manifests itself in the chronic form of illness.
Vivchennya masi kalu, how to play for doba. The name of the secretory lack of an organ (polyfecal) is to produce up to an increase in the amount of feces. Danish indicator is spontaneous at the lower stages of the disease. -00
Carrying out tests for the vivchennya of the secretory function for the additional help of special probes. In addition, secretin and pancreozymin should be administered, as a result of which there is a vision of a pancreatic secret of a growing nature. On the basis of a number of promiscuous persons, one can judge about the secretory deficiency of the organ.
X-ray of the slurry hole.
CT scan of the slurry.
MRI of the organ.

Treatment of chronic pancreatitis

As soon as pancreatitis doesn’t happen, it’s leading to dysfunction of their organs. If you have diagnosed chronic pancreatitis and if there are signs of becoming stricken, then therapy needs to be done well.

Likuvannya of the patient is carried out in the stationary, de yomu denote a complex of entries:

Dotrimannya zhorstkoy children. Have the first days to practice hunger. If the patient is allowed, є, then accept it in small portions.
Usunennya pain and spasms.
Normalization of the herbal process.
Zapovnennya enzyme deficiency.
Zupiniti ignition process.
Renew the tissue damage to the organ.
Please come in.

With the chronic form of antibiotics, with the manifestation of infection. Danish insurance course for approximately 7 days. When the duct is ignited, it is possible to let it go down to the start of the “Amoxicilin”, which also allows you to stop the ignition and prevent it from growing.

Buy bil allow you to use the fire. Only a single drug can be adjusted according to the dose of the drug.

With spasms, you can help fit "No-shpa", "Drotaverin".

Chronic pancreatitis code according to ICD 10 supervises pathological poisoning, for the reason, the patient is guilty of suvorogo dotrimuvatisya children and take enzymes.

In case of complex administration, medications are prescribed that allow lowering the level of acidity ("Almagel", "Maalox").

If the therapeutic come in didn’t get the needed effect, then the ailing one will get ready to be promptly involved.

prevention of ailments

If you don’t want pancreatitis in your fake pancreatitis, it’s recommended to come in well, to these people, because they may be smart to get sick and love to pamper yourself with smoked, hospitable, greased with grease. Prevention of pancreatitis includes:

zapobіgannya zapalennya organ;
continuation of the period of remission;
polishing the quality of life;
change of factors in risk;
normalization of harchuvannya.

Dim is a cigar, penetrating into the body, destroying the robot zalozi, hostile and provoking the inflammation of the slunk-intestinal tract, to produce to the feasible stimulation of the slunk secretion. If you have been diagnosed with pancreatitis, then it’s more beautiful to see it.

The products are rewrapped and the vines are pulled out. In addition, one of the prophylactic visits є a glimpse of his races of food.

Completely supplement the menu with vegetables, cereals, fruits, legumes, cereals.

So, before the proactive visits, you should lay down:

Even a nasty ailment, ale me, my friend advised me in case of pancreatitis, to take it before I prescribed it.

zapobіgannya stressful situations;
periodic walks on a fresh occasion;
recurrent failure and sleep;
active way of life.

As soon as you see recommendations, then you can improve immunity, improve health, promote vitality to the body. All the same will help you to quickly speed up the threat to the development of this ailment, a sacrifice of how many people will be killed.

In medical practice, reactive pancreatitis is a pathology (inflamed), provoked by those who are ill.

All-day organization of health protection, to identify the rogues in identifying ailments, introduced one international classification of ailments - MKH-10 (tenth glance), which can be stored in 21 parts.

The code for MKH 10 is K86, for reactive pancreatitis.

pathogenesis

Tse zhvoryuvannya manifests itself on aphids of dysfunction of the ducts, behind yaky vyroblyayutsya ferment is consumed in a slunk.

Zapalennya to repair in case of frequent abnormal repetition of cichs by means of communal services, or through skidding in them instead of the intestines.

As soon as we started talking about the causes of reactive pancreatitis, then it is necessary to name the pathology, which is the most frequent cause of your diagnosis.

Prior to them it is introduced:

viral hepatitis;
calculous cholecystitis;
zhovchnokam'yana ailment;
aggravation of chronic type gastritis;
malignant intestinal infections;
liver cirrhosis;
dyskinesia of young people.

In addition, there is a number of negative circumstances, such as not getting sick until you get sick, or perhaps the most powerful order of provoking a disease, like that:

trauma to the abdomen;
nadmіrne vzhivannya alcohol;
fat, greased, gostra їzha;
reception of drugs;
traces of organism by industrial and byproducts, mushrooms, important metals, radioactive infections.

Video from the expert:

Symptoms and show ailments

On the cob stage, the symptoms of reactive pancreatitis in grown-ups show themselves faintly.

Most often, the ailment itself, and who is close, does not have a special respect for signs:

swelling of the abdomen;
pain і heaviness in the abdomen;
oven and cut;
nudota.

Most often the stench rises to symptomatic alcoholism, traditional methods.

The poisoning until the lykar went only todi, if the sick person, through the great intoxication of the body, the temperature rises, the blues start, and the chills persist.

If I want to celebrate the triviality, I am guilty of singing the first signs:

gostra ryzhuchy bill in the area of pidreber'ya;
dryness in the mouth;
ailing attack geeks.

Varto nagadati, scho on the cob of the statty about the ailments provocateurs, which became the reasons for the illness.

So the axis, stench on the background of the pancreatitis, or add their own characteristic strokes:

zhovchnokam'yana ailment is seen in pain in the right pidreber'i;
in case of intestinal infection, the temperature rises and diarrhea appears;
cirrhosis is manifested by a swelling and malignant liver.

In the world of the development of ailments, more important symptoms are manifested: feverish fever, difficulty in working out, bad, sticky pit.

Brutal respect! One of the signs of a diagnosis of reactive pancreatitis is the mittєva reaction to organism in a vigilante of boredom with a vigilance of a fatty їzhі. So, in the back of my own psychological mechanisms.

Signs of reactive worms in the child

Persh nizh talk about signs, not zupinitisya on the reasons for the diagnosis of "vibukhovy" reactions in the childish pidshlunkovaya zalozi.

Do you know the butt? Nature, dacha, the bank of the river, shashlik from a pig's shyka, greased cowsses, chicken krill, steaks - all the kids are “healthy”. That, obov'yazkovo, with ketchup or mayonnaise - something to love a child. Let's drink beer for daddy for the soulful growth, and drink it with chips, grease with peanuts, salted crackers, and withered ribs - babies. For dessert Pirozhenko. And in the evenings and in the evening, the fathers in the panic dial "03".

A little overkill butt? Todi can make a greased chicken on grandma's day of the nation, or shawarma from the booth on the street, I’ll be right there, behind the help of the brute child’s hands.

It’s a pity, but I want to add a bad, and often evil, infallibility.

Video from Dr. Komarovskiy about the problems with child poisoning:

Now about the signs themselves. Reactive pancreatitis in children is characterized by symptomatology, like the dads are just goiters of the nobility.

Naybilsh yaskravі from them:

attack the blues, do not let the child fall;
ailing zhovty kolіr shkіrnogo cover;
dark color cut;
feces of unnaturally light color;
temporal fever, chills, fever.

Lack of knowledge, given additional help, children spiral around to see their knowledge and knowledge of their own. With a wide range of pancreatitis, uncontrolled treatment should be taken with a dose of antibiotics.

As a result of the violence of the undergrowth, the child grows bloated, feverish, and the dysbacteriosis becomes the cause of the non-corroded diarea, the hateful organism, so that the baby's stun is even more severe.

Important! Do not indulge in self-indulgence - it is certainly not only for the health, but for the life of the child. Secretly turn up to the lykar or viklikayte shvidku medical help.

diagnostics of illness

In order to diagnose a disease, it is not only necessary to advise a doctor, like an endocrinologist, but a great instrumentalist, like Volodya's modern medicine.

Forms and methods of diagnostics include:

Zbir anamnesis. Tsei way, how to transfer the experience of the ailing and special treatment, allowing information about the way of life of the sick person, the mode of harboring, the recovery, the mental health to allergies, the additional
Blood analysis. An important stage of diagnostics is, more classically and biologically, the development of the blood warehouse, allowing the development of changes in leukocytes, amylases and lipases, as well as to indicate the manifestation of ignition processes in the body.
Computer tomography. In the case of the X-ray method, the CT scan gives a more informative picture, because I change my old brother-in-law hundreds of times.
Ultrasound dosage- SPL. Viyaviti kamenі in nirkah inodі vyavitsya tіlki at the victorian method of conditioning.
KhPG... They do not understand the deciphering, obviously, as for the specialization of the X-ray method, which allows the pathology of the rump mikhur, gut ducts, podshlunkovaya zalozi, stoves, including the disease, yak.
fibroesophagogastroduodenoscopy... I can more easily call the method visibility, having said that it should be done behind the aid of an endoscope - such a Videosondi. I myself am allowing the creation of a copy about the need for carrying out - taking a sample of the fabric from the defeated place for carrying out a new one.
Analysis of the section. Tse nyposhirenіshe doslіdzhennya. At the time of the analysis carried out, a study was made about the robotic system and organism, the manifestation of illness and function of other human organs.

lіkuvannya pathology

Vibrating specific strategy of the process of pouring on the ailment, the lykar is transferred to a full song:

Drawing off and baking the fill of the slurry.
Vivedennya toxins in the human body.
Improving the balance of the secretion of pancreatic juices.

If pancreatitis is contrary to the idle scheme and not acceleration by additional incapacitations, but to ruin the backward picture, then, as a rule, there are signs from the advancing groups:

Harchuvannya for the sick

The secret of the great will not throw the phrase into shock, if you read it, it’s not just eating with pancreatitis, but it’s not just eating it, but it’s not just eating it, until it’s necessary to put it on edge.

However, there are a number of peculiarities in case of pancreatitis, when you go to the organizing of artistic food.

Before them, you can bring the following:

Do not be afraid to take a break in food. Regularity is a principle that you need to do without being smart about it. Throughout the day, 5-6 receptions are required (3 main + 2-3 additional).
The ports are guilty but low in calories and small.
Principova umova - temperature regime. She's to blame for the heat. It is not the fault of the feeling that it is cold, or the temperature is usually 40-50 degrees.
The structure of їzhі is not guilty of avenging the coarse cell and fiber, which is used to over-etch the supplemental zusillus from the side of the intestinal tract. Bazhano, I was getting ready for a couple and rubbed the ball.
A cheeky warehouse is guilty of being sparing. For the whole, it is necessary to quit on the life of bile, fat and carbohydrates.
Viklyuchiti easily tasted in carbohydrates: zukor, honey, jam, jam.

Riba and meat are low-fat (homemade chicken, young yalovich, veal).
Vegetables served and soups with added cereals and pasta.
Galeti, rusks, dried bili hlib.
Low-fat fermented milk products.
Porridge with cereals: Greek, manna, rice, vevsyana - a rich consistency, as it seems to the people, "bovtanka".
Dobova butter rate: roslinna - up to 15 grams, vershkovo - up to 30 grams. It is necessary to correctly size the norm, that is.
Pittya - German tea, vіdvari sipshini, compotes, natural juices (with a low rate).
Recommended vegetables: carrots, cauliflower, garmelon, beetroot, green peas, ale tilki in cooked or baked viglyad.

Important! In the spring-summer period, take care of the growth of early vegetables, berries and fruits, such as ogirka, pomodori, polnitsya, dini, kavuni - the process of hindering the toxins introduced into the body.

good food and fresh bread;
kovbas and meat in cured, smoked and dried in viglyad;
state standard and fat siri;
borscht, cabbage soup, cooked on broths with meat, ribs, mushrooms;
fatty sour cream;
lamb and pig fat;
sour fruit;
salt and marinade;
small beans;
sorrel, spinach, radish, radish, blueberry cabbage;
malt, spice, cake, frosty;
alcohol in be-like viglyadі.

Important! It is necessary to remember the axiom: it is uncomfortable to vilikuvati pancreatitis, to live pills, or not to get a dytic food. Suvore will help you to cleanse you from relapses and leaks.

Video from Doctor Malishevoi:

Help folk medicine

The victoriousness of the people in the corners and the efficiency of which are changed by the tables is not forbidden to see the changes in the heads of medicine. In the least and literately, I will significantly accelerate the process of getting tired, because it smells like a spasmodic effect, as well as spasmodic, spasmodic, sickly, antibacterial authorities.

Welcome to the grasses

Yak gotuvati vidvar: herbal zbir in a bottle of 10 grams (2 tablespoons), placed in a dish, pour 200 grams of hot water. Then we will close it with a kryshkoy and give 30 khvili for a water bath. When you want to cool down with a stretch of 20 gilts, process and pour into your memory.

You can bathe herbs in a pharmacy or you can buy herbs nearby.

Peppermint - 3 parts.
Кріп (nasinnya) - 3 parts.
Glid (fruit) - 2 parts.
Chamomile (color) - 1 part.

Take half a bottle 3 times a day every other year.

Sporish (herb) - 1 part.
Zvirobiy - 1 part.
Kukurudziani riltsya - 2 parts.
Birch leaves - 2 parts.

Take half a bottle of food 4 times a day.

Fruit shipshini - 2 parts.
Horsetail polovia (grass) - 1 part.
Zvirobiy - 1 part.
Kropiva - 1 part.

Take it to you, pivsklyanka, 4 times a day.

Збір №4 - all in one part:

Cleanliness.
Fruit anisu.
Kukurudziani riltsya.
Kulbaby root.
Tricolor violet grass.
Knotweed herb.

Take a bottle for 20 minutes before you get a bottle, 3 times a day.

Tripoli leaves - 3 parts.
Bark zhosteru - 4 parts.
Purity herb - 3 parts.
Kulbabi root - 4 parts.
Peppermint leaves - 3 parts.

Take half a bottle 3 times a day 30 minutes before the day.

juice therapy

Ingredinti:

Carrot juice - 75 ml.
Kartoplyaniy sіk - 75 ml.
Olive olia - 1.2 teaspoons.

All components are prepared and fluctuated without the need for a median before implantation.

Likar, as a rule, in case of non-severe reactive pancreatitis, give a favorable prognosis. With an ear of complex therapy, symptoms immediately show tendencies to regression.

Prophylaxis of ailments in the field of illnesses and diagnostics at an early stage is a sign of illness, as well as in the wake of shkidlivnyh calls and attention to the regime of healthy eating.

Gostry pancreatitis

Code for MKH-10

K85. Gostry pancreatitis.

Gostriy pancreatitis is a state of health of the pancreatic disease, which is supervised by necrosis and hemorrhages in the organs, enriched with enzymatic autolysis.

In children, pancreatitis tends to develop rapidly, and its breadth ranges from 0.4 to 1.0% of patients with medical conditions.

Ethiology and pathogenesis

The reasons for the ailment are the reception of a fatty one, as well as the hyperstimulation of the sickness, the implantation of alcohol, gum ailment (housing and communal services), and it can lead to the obstruction of the pancreatic duct. Metabolic, disease, lack of disease, infections (epidemic parotitis, type B virus Coxaci, cytomegalovirus, vitriana vispa, hepatitis B), surgical complications

Acquisition of vitamins in the form of early activation of zimogen granules, inducing lipolytic enzymes to phospholipase A and lipase, which overtravels cells in the pancreatic cavity, as a result of which fatty pancreatitis is created. If, as a result of accumulation of fatty acids in pancreatocytes with lipase, the pH rises to 3.5-4.5, then the internal trypsinogen is transformed into trypsin. Trypsin activates lysosomal enzymes and proteases, leading to proteolytic necrobiosis of pancreatocytes. Elastase lyses the walls of the sudin, the interlobular interlobular hems. Cervical widening of the enzymatic autolysis (self-digestion) in the papillary zone and beyond the boundaries, so that the pancreatitis is a toxic enzymopathy (Fig. 5-1). By starting the mechanism of activation of the active pancreatic enzymes from the acinar cells of the pancreatic enzymes, trigger the presence of inactive enzymes in the eyes. The severity of the disease is due to the balance and is caused by proteolytic enzymes and antiproteological factors. Remaining include internal cell block, іngіbu pancreatic trypsin, і circulating p2-macroglobulin, α-1-antitrypsin and іngіbіtori C1-esterasi.

Table. 5-1 presents the clinical and morphological classification of gastrointestinal pancreatitis.

Table 5-1. Clinical and morphological classification of gastrointestinal pancreatitis

Small. 5-1. Pathogenesis of gastric pancreatitis

key picture

Independently from nature and overcoming the congestion, pancreatitis has a number of backward clinical manifestations, which can be combined in the onset of syndromes:

bolovy;

dyspeptic;

Exocrine deficiencies;

Endocrine deficiency.

Pain syndrome characterized by pain in the upper half of the abdomen, hand and right hand in the middle line of the body, as well as across the left leg, have an operative character. It’s more painful to do it when you receive it, be lodged by hunger, cold and calm. The intensity of the pain can be rather small, but the smell is more intense, it is more than a few years old, and it is nasty to stop.

dyspeptic syndrome manifest itself as tediousness, blues, do not bring lulling, flatulence.

Exocrine (external) deficiency syndrome dressings with a deficiency of herbal enzymes: amylase (amilorrhea - the appearance of starch with feces), trypsin (creatorrhea - non-etched fiber), lipase (type I steatorrhea - the appearance of 9% of neutral fat at 100%) and start for these coprograms. Polyfecalis is characteristic (more than 400 g / day). Type II steatorrhea is seen as a large quantity of fatty acids (pathology of the small intestine).

Endocrine (intrasecretory) deficiency syndrome manifest itself as hyperglycemic and ketosis.

Due to changes in the balance in the "protease-antiprotease" systems, a systemic ignition type (SIRS - System Inflammatory Response Syndrom), I will summarize the polyorganic deficiency (as with great injuries, illnesses, sepsis), the main manifestations of which include:

A dizzy lack;

Hypotension;

Prerenal azotemia;

Tubular necrosis;

Dissemination of the internal vessel sore throat

(ICE);

Pancreatic shock.

diagnostics

In the out-of-the-box analysis of blood, nonspecific changes are indicated: leukocytosis, neutrophilosis, development of SHOE.

Biochemical dosage includes indicators (amylase, transaminase) and pathogenetic (lipase, trypsin) tests. The activity of amylase in the blood in case of gastrointestinal pancreatitis increases rapidly. Amilase, when seen from the cross, is called a diastasis, її years is also a disease, and the most amilasemia and diastasuria develop in case of mumps infection.

At the stage of the activity of phospholipase A2 in syrovatz blood, assess the deterioration in the legends; after rіvnem syrovatkovo ribonuclease (RNase) - the phase of severe destructive pancreatitis. Adjustment of alkaline phosphate, transaminases and bilirubin by diagnostic criteria for the failure of the bilirubic tract.

The other signs of biochemistry are hypercoagulation, hypoproteinemia, improvement of the sechovina. 15% of children with pancreatitis develop hypocalcemia and up to 25% may develop hyperglycemia before an hour of attack.

Unfriendly prognostic signs of gastrointestinal pancreatitis:

. leukocytosis more than 15 000x10 9 / l;

Hypercoagulation (fibrinogen> 6 g / l);

Amіlasemіya> 6 norms;

Amilozurya> 4 norms;

Hyperbilirubinemia> 4 rates;

Hyperglikemia> 2 norms;

Pidvischennya sečovini> 2 norms;

hypoproteinemia<60 г/л.

An important diagnostic criterion is a test for monoclonal antibodies, when there is a decrease in the activity of elastase-1 in feces. Indicators: in the norm - 200 μg / g feces і large; pomirna, easy steps of exocrine deficiency - 100-200; importance of feet - less than 100 mcg / g feces.

Instrumental diagnostics includes ultrasound scan of the slurry zone (decrease in efficiency - build up, increase in efficiency - increase in tissue), MRI and CT. I will stay in front of the ultrasound scan, so that I will make sure I will shorten the specific visualization of the fabric of the flesh and the retroperitoneal application. Vona allows the assessment of levels of tissue metabolism, the presence of ischemia, necrosis of pancreatocytes, age in the otchuyuyuschuyu tissues of the pancreatic cavity with a state of pancreatitis (Fig. 5-2, a), in that hour, as a chronic 2, b).

Small. 5-2. CT: a - gostry pancreatitis (with arrows indicating the purchase of ridin in otochuyuh fabrics); b) chronic pancreatitis

Endoscopic advances in the upper pathways in the intestinal tract are used to pre-instrumental methods in patients with advanced pancreatitis and for differential diagnosis of diseases.

Laparoscopy allows you to specify the form and type of illness, diagnostics of pancreatogenic peritonitis, parapancreatic infiltration, suppurative destructive cholecystitis.

Pathomorphology

In pancreatic necrosis, the visibility of the tissue of the underworld is more likely to occur - "minus tissue": the visibility of the patches, the half-tissue partitions and in. (Autolysis); internal tissue swelling, hemorrhage, fatty tissue and clitinny necrosis (Fig. 5-3, a). Gostria serous-ginny pancreatitis representations of massive leukocyte infiltrating stromiasis, purchased ginny masses in the lumen of the great vivid duct (Fig. 5-3, b).

Small. 5-3. Pathomorphology of pancreatic necrosis and pancreatitis: a - macropreparation of the pancreatic cavity: pancreatic necrosis; b - micropreparation: gostry serous-gn_inny pancreatitis (boiled with hematoxylin-eosin; χ 100)

Differential diagnosis

Radiologic features of gastrointestinal and chronic pancreatitis are shown in Fig. 5-2. The main diseases, of which the differentiation of the pancreatitis is as follows:

gostry cholecystitis, gastritis, kharchova іntoksikatsіya, vyrazka slunk і DPK, gostry appendicitis, intestinal laxity, nirkova kolka, myocardial infarction. It is necessary to ensure the possibility of mesenteric impairment, post-vaginal vaginosity (in adolescent girls), lower lobe pneumonia and paranephritis.

lykuvannya

Extra hospitalization. The therapy is complex and conservative. I mean a strict post-life regime, cold for life.

Parenteral administration of Ridine (salt solutions, 5-10% of glucose with insulin) up to 1-3 L, preparations of calories, calcium, low-molecular-weight plasma-inhibitors, bilkovy preparations are indicated.

In case of enzymatic and fermentation, it is shown that the internal introduction of ANTI-ENZYMENT drugs (anti-kinins), such as aprotinin (trasilol *, contrikal *, gordox *), is shown, the dose of which can be stored due to the severity of the process. Antibacterial therapy should be carried out in case of accelerated threat.

Effective regulatory peptides, somatostatin. Octreotid (sandostatin *) should be consumed in the RD 50-100 mcg 2-3 times a day for children, intramuscularly, intramuscularly, intravenously for 3-5 days. If necessary, prescribe antihepatic, antihistamines and sechogins.

I mean also anticholinergic, antispasmodic and ganglion-blocking drugs that relieve pain syndrome and spasm of the sphincter Oddi: drotaverine (no-shpa *), papaverine, mebeverin (duspatalin *), platifilin, ganglifenol * *). Platyphyllin is priznachayut in 0.2% solution for ін'єкцій № 10, in tablets - 5 mg.

The functional activity of podshlunkovoy zolozi m-cholinolytics pirenzepin (gastrocepin *), which is prescribed in tablets of 25 and 50 mg, is attributed. Children 4-7 years old are given 12.5 mg (1/2 tablet), 8-15 years - 25 mg 3 times a day for 2-3 days with a stepwise change.

prophylaxis

Secondary prophylaxis includes the weakening of the ethological factor of the disease. The dispensary is cautious about the patient's pancreatitis for 5 years. After 3 years, children should be transferred to the group for chronic pancreatitis with a quick look. Great value is a great deal of nutritional value, which is based on the principle of balance behind the main food ingredients with regard to the physiological features of a child's life. It is absolutely necessary to eliminate alcohol and alcohol-containing beverages, to mix the implantation of tonic, to add preservatives and barvniks to ridin. Especially respect merit often ill children, as well as children who suffer for allergic illnesses.

forecast

The prognosis is serious when the development is accelerated. Patients with persistent pancreatitis in children may have a favorable prognosis. With this form, the mortality rate becomes close to 10%, and in rare cases, with necrotic or hemorrhagic pancreatitis - up to 90%. Periodic epizodi of gastric pancreatitis can lead to chronic pancreatitis.

CHRONIC PANCREATITIS

Cody for MKH-10

K86.1. Pancreatitis

K87. Chronic pancreatitis.

K86. Recurrent pancreatitis.

Chronic pancreatitis is more progressively destructive of the dermal zone, which is characterized by the growth of non-reversible necrotic and igniting-destructive parenchymal worms, which can lead to severe deterioration of the exo endocrine function.

Letters of the literature on the widening of pancreatitis in children in the structure of the disease of organs, etching in the edge of the supernumerary (from 5 to 25% of all ailments with gastroenterological ailments).

Ethiology and pathogenesis

With the detection of patients with early stages, with low pancreatitis, carry out a retinal analysis of the family tree. Frequently pancreatitis develops with cystic fibrosis, Crohn's ailments, NVK, VH. Often the cause of chronic pancreatitis in children is not home.

Obstructions of the pancreatobiliary tract in cases of congenital (stenosis of the papilla of Vater, anomalies of the duodenum, arteriovenous compression) and additional reasons (housing and communal services, opisthorchiasis, echinococosis) are the reasons to become the main ethiological factor in pancreatitis (Fig. 5-4). A child's child may have a blunt abdominal injury when hitting, falling from the air (for example, a goydalok - a blow from a goydalok in the living), going to a pereshkoda when riding a bike (injury about kermo). In this hour, the reason for the development of pancreatitis is especially due to alcohol, including in children. In the middle of viral infections, there may be mumps, herpes, mononucleosis, and in the middle of bacterial infections - yersiniosis, salmonellosis and in.

Adjusting the grip in the duct system, which leads to a tissue step and starts a cascade of reactions, a vicious activation of enzymes in the hall. I will remember the role of playing the changes in the microcirculation system, producing in the residual bag until hypoxia the cells of the cAMP, which, in their own right, are activated by the 2 + in the transport. As a result of the

Small. 5-4. Pathogenesis of chronic pancreatitis

go over the excess amount of clitin calcinem, overwhelmingly accumulated in mitochondria, until the rose is oxidized and phosphorylated. Next, the phase of deenergization of the clitin and the growth of the processes of dystrophy begins.

Classification

Great difficult diagnostics of pancreatitis on the other gastroduodenal pathology. If there is an onset of organ changes and the appearance of pancreatic abdominal pain and a slight improvement in amylase, it is recommended to diagnose the sphincter Oddi's dysfunction, a pancreatic option. Dysfunctional disorders of the bilious tract (K82.8) can be divided into 2 types: dysfunction of the masticatory system and dysfunction of the sphinkter Oddi. Neridko zh vikoristovuyt term "reactive pancreatitis" or "dispancreatism", I want їkh in the ICD-10 is not. Stomach such a robotic classification of pancreatitis in children (Table 5-2).

Table 5-2. Classification of chronic pancreatitis in children

key picture

The clinical picture in the period of acute acute pancreatitis is similar to that of chronic pancreatitis, independent of ethology. Significantly, there are symptoms of intoxication, asthenovegetative manifestations: increased stomachability, part of the headache, emotional labiality, drasticness. In some ailments, the pain syndrome is superfluous to changes in temperature over the course of several days, changes in the clinical analysis of blood.

diagnostics

Diagnosis of chronic pancreatitis is diagnosed at the onset of signs.

The presence of abdominal pain episodes of more than 1 rock from localization in the upper left square, epigastria, swamp from the edge to the edge (to operate).

The manifestation is a sign of the destructed function of the pidshlunkovaya zalozi.

Change the structure of the body for data of ultrasound, CT or MRI, magnetic resonance cholangiopancreatography, retrograde cholangiopancreatography.

Pathomorphology

Chronic ignition process in the slurry zone is characterized by non-gut morphological changes. To prevent the atrophy of vascular elements (pancreocytes) with enlarged ducts and substitutions with full tissue, calcification, cysts. In fig. 5-5, and a microscopic picture is presented of the interdisciplinary and clinical information in the stroma and the growth of tissue along the septa (fibrosis of the stroma).

Differential diagnosis

A similar symptomatology can be spared in case of maladies, but in front of the most frequent pathology of a child

a bitch - chronic gastritis and / or CGD. The value in the development of chronic pancreatitis is a pathology postbulbar in the duodenal ulcer and the great duodenal papilla (Fig. 5-5, b), which is indicated for an additional endoscopy, as well as to reduce the clutch in the duodenum. With HGD, the wrinkle is deprived of the mucous membrane of the slunk and the duodenum.

Small. 5-5. Pathomorphology of ailment of the pidshlunkovaya zalozi: a - micropreparation for chronic pancreatitis (prescription with hematoxylin-eosin; χ 250); b - anatomical elements of the sphinkter Oddi; c - normal acinus of the creeper; d - cystic fibrosis; e - chronic pancreatitis (enlargement of small spaces is indicated by arrows)

Chronic pancreatitis is differentiated from cystic fibrosis, with any increase in the viscosity of the mucus, which is bought up in the ducts, and the enlarged duct and the end of the cystic fibrosis, to reduce the risk of atrophy. In case of pancreatitis, the expansion of small spaces is promoted, as a result of which the enzymes are called, impaired penetration of acini up to fatty degeneration of cells (Fig. 5-5, e) (normal).

lykuvannya

Necessary individual therapeutic pidhid, altogether accepted principles of therapy:

Pain relief;

Funktsionalny spokіy pіdshlunkovoy zalozi;

Decrease in secretory activity of pidshlunkovaya zalozi;

Correction of exocrine and endocrine deficiencies.

During the period of aggravation, the child's transfer to the hospital is shown, the stem of the physiological calm and the sparing of the ailing organ, and the signs of the post-regime, hunger. Continuously, for the aid of the probe, it is recommended to carry out aspiration of the slurry tube together.

For the elimination of pain syndrome from medications using vicious cholino- and antispasmodics, analgesics,

blockers of the secretion of pidshlunkovaya zalozi, antacids, which will allow the spasm of the sphinkter Oddi, reduce the intraductal vice and prevent the passage of pancreatic juice and gum in the duodenum.

Traditionally and successfully in case of aggravated pancreatitis, for galvanizing slunk and pancreatic secretions, stagnation of anticholinergic diseases: 0.1% atropin rosin, 0.2% platyphilin rosters, 0.1% metacin rosters.

In the last few years, with the help of the smothering of the shlunkovaya secretion vikoristovuyu use the following antisecretory drugs: ІСН omeprazole, selective blockers of H2-receptors (for example, famotidine). Omeprazole i.v. (losek *) should be administered at 20-40 mg for 3-5 days, then switch to omeprazole vseredin (omez *, Ultop *) for 4-6 days.

A decrease in the stimulatory action of hydrochloric acid can be reached by the signs of antacid preparations for 3-4 times (Almagel *, Maalox *, Phosphalugel *, Rutacid * and in.).

Disruption of the duodenal function of the duodenum, the duodenal pathways due to the manifestations of duodenostasis and hypomotor dyskinesia are stopped by the signs of prokinetics (domperidone, cisapride *).

One of the main directions in the therapy of chronic pancreatitis is the treatment of regulatory peptides - analogs of endogenous somatostatin, to which octreotide and somatostatin are used - humoral ingibitoria of the intestinal and endocrine secretions. Octreotid viklikє vyrazheniya galvaniya secretsii pіdshlunkovoi zalozi, slunk, liver and small intestine, driving motor skills, lowering the internal duct hypertension, driving secretion biological rheology. The prototype of octreotide is also tied to the stabilization of cell membranes, blockade of cytokinogenesis, and prostaglandin production.

Octreotid (sandostatin *) 0.01% solution is dispensed in ampoules of 50 or 100 μg, the course of treatment does not change for 5-10 days. RD for preschool children should be 25-50 mcg, for schoolchildren - 75-100 mcg 2-3 times per dose. The drug should be injected intravenously and for children. The triviality of the drug is up to 10-12 years. The vicious side effects are not identified.

Antikinov drug aprotinin (kontrikal *, gordox *) in the given hour is given a drug in somatostatin.

Particularly significant in the period of acute acute inflammation of pancreatitis, infusion therapy, is tailored to the deterioration of metabolic disorders on the basis of endogenous intoxication. At the same time, for the sick, inject dextran (reopolyglyukin *), 5% glucose roschin, 10% albumin roschin, fresh frozen plasmas, glucosonocaine sumsh.

During the period of kupiruvannya zagostrennya on aphids, the intake of nutrients is important nutritive pidtrimka - a sign of parenteral and enteral feeding. Amino acids for parenteral feeding (aminosteril KE *, Aminosol-neo * and in.), Poliamin, injecting electrolytes intravenously in droplets with urahuvannyy indicators of acid-base balance. The order of them is vicious fatty emulsion for immobilization of active lipase and storage of fatty acid deficiency in the blood: 10-20% of intralipide * or lipofundin * with heparin in / in drops of fatty acids in the blood 20-30 grams 1 kg of oil.

Enteral eating can be done with the help of dietary sums - gidrolizates of the baby, as in children of the first fate of life, but in case of pancreatitis, it can be victorious in any kind of life. Sumy to enter intraduodenally through a probe in a warm viglyad.

Antibacterial therapy is indicated for the improvement of secondary infection, in case of a threat of cyst and norit formation, development of peritonitis and early delay. Vicoristovuyt captured penicillin (amoxiclav *, AUGMENTIN * 100 mg / kg i.v.) or cephalosporin III generation (cefotaxime *, ceftriaxone * 50-100 mg / kg i / m or i / v).

Stagnate pentoxyl sodium, as well as anti-proteolytic and anti-fouling, 50-100 mg 3 times a day for 3-4 days for blood analysis.

Foldable nutrition for the treatment of pancreatic deficiency є vibrating different enzyme therapy (Table 5-3), which is directed to eliminate the deterioration of the absorption of fats, proteins and carbohydrates. When a hungry child is rewarded, non-combinated preparations are given to pancreatin, then, after 3-4 months, with a subdued aggravation, ferments with added lactic acids and / or hemicellulase.

Table 5-3. Classification of enzyme preparations

The activity of enzymes begins with lipase. I mean fermentation 3-4 times per hour for an hour or so, in courses of 2-3 times with 3-4 times of interruption, all in all 4-5 courses for a week. Pancreatin in a dose of 250 mg is used for children up to 3 times 1/2 tablet, 3-7 times - 1 tablet, 8-9 times - 1.5 tablets, 10-14 times - 2 tablets 3 times a day. Also, pancreatin with a lipolytic activity of 3500 ods (mezim forte *) in tablets is used, as well as doses for pancreatin. In mezim forte 10,000 * (10,000 OD) a dose of lipazi is 3 times transformed into taku in mezim forte.

Medium-free enzyme preparations with the most beautiful effect of micro-granular enzyme with acidic membrane: lycrease *, pancitrate *, creon * and in. Creon * in capsules of 10,000 OD (by lipase) to take 150 mg of highly purified porcine pancreatin. The drug is priznachayut in a dose of 1000 OD / kg for dob with pancreatitis. Creon * 25,000 and 40,000 OD for cystic fibrosis. Creon 10,000 children younger than 2 years will receive 1/3 capsules, 2-5 years - 1/2 capsule each, older than 5 years - 1 capsule 3 times a day. For children of breastfeeding 1 / 3-1 / 4 capsules (manually delayed on a tetrad arch into the clinker, hanging from the capsules), add 120 ml of milk sum, dobova dose - not more than 10,000 OD (1 capsule). Pancitrate * in capsules is used for 6 years. Wobenzim * priznachayut in a dose of 1 tablet per 6 kg of oil for doba, divided into 3 doses.

In the case of an intravenous period, it is recommended to conserve natural phospholipids and other hepatoprotectors, vitamins, gum disease (immortelle, gum tea, sorbitol, antioxidant) It is widely used for physiotherapy, physiotherapy, for the use of mineral water and weak and medium mineralization. On the smallest swollen pain syndrome, local hypothermia is indicated, and in the world of a decrease in pain syndrome and enzyme activity - ultrasound, diaperma, inductotherm, sinusoidal modulation of struma, paraffin, ozokerite.

In the majority of children, complex therapy allows them to cope with the improvement and compensation of impaired functions.

In case of a heavy interruption to the development of a quicker development, it is shown promptly to solve, the tactics of how to start spirally with surgeries.

prophylaxis

Prevention of chronic pancreatitis includes a number of stages. The stench is presented below.

forecast

The prognosis of sagging, protective pancreatitis is a known factor in the development of adenocarcinoma of the pancreatic disease.

Chronic pancreatitis- a trivial ignition process in the slurry zone, which leads to a stepwise decrease in functionality. The most frequent winners are 35 and 45 rockies. The malignant alcohol is considered to be a factor in risky; gender, genetics mean nothing.

One of the functions of the podshlunkovaya zalozi is to make a secret, to avenge the enzymes, which is going through the intestines. In addition, the viral hormone insulin and glucagon,. to come to the roof, to regulate the rivn tsukru. at chronic pancreatitis To improve the health of the tissue of the slurry layer, to be replaced with the fibrous tissue, to step-by-step lead to the extinguishing of the functions of the slurry. Zvvoryuvannya zzvychay against painlessly, or you can lead to development accelerated; urazhennya pidshlunkovoy zalozi, as a rule, vyavlyayutsya non-gates.

Most often chronic pancreatitis viciously trivialize alcohol. Before getting sick, you can be tied with an even higher amount of fat in the blood, or with an even higher amount of fat in the tissues.

Name the symptomatology to develop with a stretch of decile rock. The severity of symptoms varies in fallowness from the stage of the reduction of the fallow ground. Most of the children at the early stage of illness do not see it, but with the development chronic pancreatitis The following symptoms may appear:

Lingering pain in the abdomen, often in the back;

Nudota and blues;

Waste your appetite.

The leading rank, the accelerated development, is due to a decrease in the secretion of enzymes and hormones. Decreases in the place of enzymes in the wikklica syndrome of malabsorption, which can turn into a fat stinky style of a great treat, a vitamino lack of that second vagi. The result of a decrease in the vibration of insulin may be development

With the development of the symptoms, the symptoms turn up to the drug. The car can direct the patient to X-ray coverage, ultrasound scan, or magnetic resonance tomography, so that it is important to add calcium to the bottom of the cavity, so that you can tell about the process in the organ of the ignition. The number of these methods includes endoscopic retrograde cholangiopancreatography. In addition, it is possible to carry out an ultrasound scan, which is used behind the aid of an endoscope, in order to visualize the appearance of stones in the gum microscope. In addition, it is necessary to create an analysis of blood for the first time to take revenge in a new place.

When a patient is diagnosed, the patient will need to take medications, so that there is a shortage of enzymes and hormones, which normally are violated by a lump. Schob pіdtrimati the herbal process, before the dermal blame stastosovuvatisya in the form of tablets or powder. In addition, it is possible to appear as necessary for the regulation of blood sugar in the blood. In case of severe pains, you can use the pressure

Yearly show chronic pancreatitis It may weaken, but in some cases, the symptoms become more important. Patients, I am suffering chronic pancreatitis, Bigger until the cancer is approved.

International classification of ailments

The ICD systematizes, restructures, and also analyzes data about the mortality and morbidity of the population in the small cocks of the world.

Classification of disease

In chronic pancreatitis, the ICD-10 - K86 code extends to:

K86.0 - chronic form of alcoholic pancreatitis;
K86.1 - іnshі zapalennya zalozi (chronic pancreatitis without additional clarifications, infectious, recurrent, repeated);
К86.2 - cysta PZh;
К86.3 - pomilkova cysta PZh;
K86.8 - іnshi diagnosed pathologies of the pancreas (including atrophy, stones, cirrhosis, fibrosis, infirmity (necrosis), by form - fatty or aseptic pancreatitis);
K86.9 - ailment of unspecified ethology.

Causes and symptoms of chronic pancreatitis

Chronic pancreatitis has no ICD-10 (K86) code and no reasons for the diagnosis. Alcohol in the diet of fatty їzhі is the main factor in rizik. Chronic pancreatitis also develops through intoxication, post-morbidity, viral infections, and prompt involvement. To other causes of pathology, there are psycho-social problems (stress, psychological trauma, nerves).

The WHO has started to develop pancreatitis by 75%. A good incentive to throw a shot, why don't you?

diagnostics

The function is designed for the purpose of enzyme and hormonal therapy. Early diagnosis of a better chance for a new patient.

Gostriy pancreatitis and іnshi ailments

The early activation of pancreatic enzymes lies in the pathogenesis of the disease. In the norm, active enzymes are found in the 12 intestine, and when the stench is damaged, they can be activated before the hour in the ducts of the lower intestine. The wiclik process is self-digestion of the organ with the transition to pancreatic necrosis.

The main direct paths in the love affair

Take medications for somatostatin. Antienzyme drugs (kontrikal) in the given hour do not vikoristovyu. When pancreatic necrosis is seen zruynovany tissue and surgical method.

In case of chronic ill health, the age of 5C is indicated. The principles of living є maximize food value and minimally navantage on the organ.

Zrazkovy terms of non-standard

accelerating

In case of urazhennі tail part of the mossy development of reddish diabetes. Pathology of supervising the loss of glucose metabolism, as a result of the predominant introduction of insulin.