Irhashalala: ikhowudi njengako ICD 10. Oonobangela, Iimpawu kunye ingakumbi nokunyangwa varicella

Esengumntwana, abantwana ujamelene iintlobo zezifo, ukusuka apho azinayo nezifo. Omnye wabo - nto chicken pox. Eli gama lisetyenziswa ekuchazeni iingcali usuleleko ezosulelayo esibonakala ngokuba nabungozi, ukunxila eliphakathi jikelele, ifiva, irhashalala kwi nesikhumba ngenwebu yangaphakathi. Ziziphi iinkalo esiye iphathwa njenge pox inkukhu? Yintoni khowudi kwi ICD-10 ukuba ikhona? Siza kuzama ukufumana iimpendulo zale mibuzo.

ulwazi ngokubanzi malunga nesifo kunye nezibalo

Irhashalala yenye izifo eziqhelekileyo zobuntwana. Oku kwenzeka emhlabeni wonke. Kwindawo sifudumele esi sifo kakhulu kwenzeka ngexesha kubanda. Kumazwe nge kokugula sezulu ayikho amaxesha onyaka sizalwa. Irhashalala (ikhowudi ICD-10 - B01) nangaliphi na ixesha lonyaka kwaye hayi kuphela abantwana kodwa abadala.

Iinkcukacha-manani zibonisa ukuba kunyaka ngamnye nesi sifo ubuso abantu malunga 80-90 million. Kwezinye iimeko, ukufa kwenzeka ngenxa yobunzima. Swe amatyala 10,000 nganye, kukho, njengoko umthetho, ukususela nge-2 ukuya kwi-4 Iingcali izimvo phezu ukufa, qaphela ukuba sife abo izigulane kufuneka umonakalo kakhulu kwinkqubo luvo, kusekho omzimba, izifo oncohematological.

Izinto ezibangela yirhashalala

Isifo lwenzeka ebantwaneni. Kunokuba ukuphuhlisa kwasekuzalweni, kodwa oku babesifa umzimba kwizifo, nto leyo idluliselwa umntwana ngamnye ukusuka kumama ngobisi lwebele. Kungenxa yoko le nto varicella (ikhowudi ICD-10 - B01) kwezinye abantwana kuqala kubonakala abaphakathi kweminyaka kwiinyanga ezi-6.

Ukuphuhlisa sifo ngenxa yokuba sesichengeni eli varicella virus-Zoster ukusuka kusapho iintsholongwane herpes. ukungena wayo kudluliselwa amachaphaza (ephuma isigulane abantu abosulelekileyo). Le inwebu imazi ibonakalisa ngakwimida iphecana eliphezulu zamaphaphu, nguye ngesango losuleleko. Kwiimeko ezinqabe kakhulu, usulelo irhashalala umzila qha.

Kwenzeka ntoni xa intsholongwane emzimbeni? Ekuqaleni akungeni indlela nkovu, uze ukungena ezityeni yegazi. Nge pathogen yegazi kwanwenwa wonke umzimba. Indawo yokugqibela kokuhlala yakhe iiseli epithelial ulusu kunye ngenwebu yangaphakathi. Kokuba babe balindeleke ukuba imisebenzi intsholongwane iphuhlisa kwamaqhakuvana ngokohlobo vesicles kunye nomxholo serous.

iimpawu

Irhashalala kubantwana (ikhowudi-ikhowudi kwi ICD-10 - B01) uzenza waziva ngoko nangoko emva kokuba le ntsholongwane emzimbeni womntu. Okokuqala kufika okuthatha, nto leyo ubude avareji leentsuku ezili-14 ukuya ku-17. Ngokuba kuye umntu osulelekileyo avakalelwa njengesiqhelo. Ayikho into asizidini kuye. Iimpawu zokuqala ezenzeka emva okuthatha, sinxulumana emfutshane prodrome. nomonde:

• lobushushu emzimbeni lisingisa degrees 37-38;
• kwenzeka umkhuhlane;
• yonakala emnyama;
• kukho ubuthongo noko amnye ebantwini.

Irhashalala zenzeke ngaxeshanye ukwanda iqondo lobushushu emzimbeni. Isikakhulu indawo yazo ubuso, Nentloko enesihlwitha yohambayo, isiqu, omzimba. Kwi ezintendeni kunye neentende utshintsho zophendlo lwezifo abayi ulandelwe. Kwezo ndawo apho kukho irhashalala utshintsho isaziso eziphawula ixesha varicella. Okokuqala, bamele roseola, iindawo ezincinane ukuba zitshintshele zibe papules. vesicles Kamva kuvela seqanda okanye angqukuva. Bona ziqulathe ulwelo. Ezi maqamza zibanjwa iintsuku-1 okanye ezi-2 waza wavula. Content evela kubo, ayomise futhi yakha uqweqwe kule ndawo, leyo nyamalala emva malunga 1 okanye 2 iiveki.

Forms of chicken pox

iimpawu kwezinye iimeko ezidweliswe ngasentla buthathaka, ngoxa abanye - zimakishwe ngamandla. Oku kuthetha ukuba umfanekiso bezonyango belo varicella ixhomekeka kwifomu yalo sifo kunye namandla aso. Ukuze uqonde oku, cinga uhlobo sifo. Irhashalala (ikhowudi ICD-10 - B01) ekuso ne Nedlac. Uhlobo eqhelekileyo nohlulwe:

1. On ukukhanya. Kule fomu lobushushu varicella lingaphumi ngentla degrees 38. Irhashalala esikhumbeni kunye inwebu yangaphakathi ke slim kunye ukunxila, anayenza.
2. At ngokulinganisela. Irhashalala le fomu kuboniswa lobushushu Linyuke laya kutsho kuma-39. Namadyungudyungu Luninzi. Iimpawu kunxilwe yabantu waveza ngokulinganisela.
3. On enzima. Xa lobushushu kakhulu varicella liphuma ukuya kutsho kuma-40. Irhashalala esikhumbeni kwakunye nomkhwinya imifinya eninzi kunene. Izigulane ukuphuhlisa neurotoxicosis kunye uphawu convulsive kunye nezenzo meningoencephalitic.

varicella Nedlac, oko akwenzeki rhoqo kakhulu, kakhulu, yahlulelwe kwii ngeendlela eziliqela. Umzekelo, isifo sekukubi. Kuye kukho amaqamza ekwanti kwaye ngokwaneleyo kunye nomxholo serous. lobushushu emzimbeni ayidluli degrees 38. Kwenzeka ifomu jikelele. varicella olunjalo lubonakala ngokuba ubushushu bomzimba eliphezulu kwinkqubo zophendlo lwezifo ebandakanya amalungu zangaphakathi ukunxila kakhulu kumzimba.

ICD-10 B01, varicella: iingxaki ezinokubakho

Irhashalala akusoloko aqukuqela inkqubo esemgangathweni (usulelo - le okuthatha - ukunyuka lobushushu - imbonakalo izitshanguba - ukuyilwa amaqamza kunye nokuvulwa - imbonakalo soma - bengagqibanga lwabo - ukuqala ukululama onyango kwiintsuku ngaphambi kwe-10 ukusuka kuqala). Ezinye izigulane ukuphuhlisa iingxaki. Bona wayiphawula malunga-15% amatyala. Iingxaki ukuphuhlisa xa semngciphekweni wentsholongwane okuncitshiswe yaye ukuqhagamshelana umzimba amadlu kwamagciwane avuleka (m. Usuleleko E. Phantsi ukulawula virus).

Xa iingxaki eziqhelekileyo irhashalala ziquka mathumba, iindima ubukrakra, necrotic kunye ukopha izenzakalo. imiphumo Rare, kodwa kuyingozi kakhulu ingqalelo varicella inyumoniya, kunzima ukuba aphathe nemithi, nokudumba.

Uxilongo lwe varicella

Uxilongo abeke ziingcali emva kokuphonononga umfanekiso lwezonyango. Ukusetyenziswa kwaso nasiphi na iindlela kokuxilongwa ingafuneki. Kwiimeko ezinqabe kakhulu, iimvavanyo elebhu yenziwa:

• RAC (womyeni test nitrogen, indlela kulingwa serological);
• iindlela virological ukuba abe yedwa kunye nokuchongwa yomenzeli causative.

Ngamanye amaxesha kuthatha uxilongo umahluko. abasebenzi Medical sisenza bethengisa usuleleko ngokubanzi herpetic, pyoderma, irhashalala negazi, buluma sinambuzane.

Treatment of varicella

Xa uqalisa ixesha lixakekileyo, isigulane wabelwa ukuba alale. Iingcali bacebisa unyango ukuze kunqandwe ukunxila. Kananjalo Bayacetyiswa ootitshala ukuba uqiniseke ukuba bagcine amanyathelo ucoceko ayimfuneko ukwenzela unyango ngokukhawuleza nolusebenzayo kwezifo B01 (ICD-10) khowudi. Kwathi irhashalala, ukuba uhlaziye amadlu rhoqo. Le nkqubo lwenziwa kunye nokusetyenziswa kwezisombululo zolwelo eziluhlaza okanye methylene blue ezikrelekrele. Unyango wenziwa kabini ngemini. Xa soma, baqalise kuthambisa cream abantwana ezityebileyo okanye petroleum ijeli ukukhawulezisa inkqubo kokuwa abuyisele isikhumba.

Abantwana bathuthunjiswe ukurhawuzelela, oogqirha amisele antihistamines. La machiza ukuze buncothulwe iimpawu ezingemnandi. Xa kukho ingozi varicella kakhulu, ngoko iingcali ukucebisa ukusebenzisa iziyobisi antiviral ukuba amanyathelo antiherpetic (umzekelo, "i-acyclovir" iziyobisi interferon, "Viferon" amakhandlela).

Yokukhusela impilo yabantwana evela kwizigulane

Kakhulu sisifo esosulelayo ingqalelo varicella (irhashalala) ebantwaneni. Oonobangela, iimpawu sibheke ngasentla, kwaye ngoku nibuyele amanyathelo ayimfuneko ukuba abazali babantwana bachaphazelekayo ukuthintela ukunwenwa kwentsholongwane. Ngosuku lokuqala yokugula de recovery ngokupheleleyo kufuna wedwa kubantu ababangqongileyo. Izigulane kufuneka abe ekhaya.

amanyathelo ethile emalunga ngezibulala ndawo, akufuneki, kuba kusaziwa ukuba yintsholongwane nemvelo emizamweni kakhulu. Yena ngokukhawuleza afe. Kwanele ukuba abazali ukuba bathathe imilinganiselo yococeko njengesiqhelo, kuquka kwakhuthazwa rhoqo kwigumbi apho umntwana egulayo, ukucoca rhoqo manzi.

amanyathelo Non-ngqo lokunqanda

Ukuthintela kukuvela ingqakaqa kubantwana esempilweni, ifuna zothintelo non-ngqo. Ukuba umntwana kwiqela labantwana wagula, kufuneka bodwa ekhaya de achache. Ngamanye amaxesha ufuna bodwa esibhedlele. Isibhedlele wathumela umntwana xa athe wabonakala irhashalala kakhulu (ikhowudi ICD-10 - B01), iingxaki ziyazibhaqekela.

Ukuba abanye abantwana qha umntwana egulayo, nobona yodwa kweli khaya. Baye zabekwa phantsi kweliso elibukhali. Iziko baye (abancinane okanye isikolo), ngeli xesha kukho othi "ngayedwa varicella."

zokuthintela izifo ezithile

prophylaxis ngqo kukusetyenziswa zokugonya ezenzelwe ukunqanda izifo B01 (ICD-10) khowudi. Varicella (irhashalala) ngenxa kubo akwenzeki, ukuphelisa ithuba nengxaki ezinzulu. In Russia namhlanje ebhalisiweyo Zibini izitofu nxamnye chicken pox. Omnye wabo - i "Varilriks" wumbi - "Okavaks".

Kwimeko nganye lokugonya iqulethe iintsholongwane okuncitshiswe. Emva kokuba umzimba wazo intshayelelo ukumelana nazo. Ngenxa yoko, amajoni omzimba uvelisa. Kufuneka kuqatshelwe ukuba "Okavaks" wangena kanye kuphela, yaye "Varilriks" - isibili.

Irhashalala - sisifo akusoze rhoqo. Kwiimeko ezininzi oku kwenzeka ngaphandle umkhondo, kodwa ngamanye amaxesha ukuphuhlisa iingxaki, ezisongela ubomi. Kungenxa yoko le nto akukho mfuneko ukunyanga chicken pox njengokuba isifo ekhuselekileyo. Ukuba unayo nayiphi na iimpawu ekrokrisayo ukutyelela ugqirha. Uya kukuxelela ukuba oku ngokwenene chicken pox. Oonobangela, unyango irhashalala njenge ingcali uya kubiza yaye banike iingcebiso eziyimfuneko.