Chibhokisi: Bumbiro maererano ICD 10. Zvinokonzera, Zviratidzo uye kunyanya nokurapa varicella

Somwana, vana takatarisana siyana zvirwere, iro havana kutapata. Mumwe wavo - zviri huku pox. Izwi iri rinoshandiswa kunan'anura vanachiremba chinotapukira chirwere iyo kunoratidzwa benign, mwero mukuru kudhaka, fivha, mapundu pamusoro ganda uye mucous membranes. Zvii zvave kubatwa sechinhu huku pox? Chii code iri ICD-10 chiri tinoberekwa? Tichaedza kuwana mhinduro dzemibvunzo iyi.

General ruzivo pamusoro chirwere uye nhamba

Chibhokisi mumwe zvavo zvirwere uduku. Richiwanika munyika. In dzinodziya mapazi chirwere kunyanya kunoitika munguva chando mwaka. Munyika inopisa chirwere haisi yokusafa seasonality. Chibhokisi (Bumbiro ICD-10 - B01) kunoitika chero nguva yegore uye kwete chete muvana asiwo nedzevakuru.

Nhamba dzinoratidza kuti nerimwe gore pamwe chirwere vanotarisana vanhu vanenge mamiriyoni 80-90. Mune zvimwe zviitiko, rufu kunoitika nokuda yematambudziko. Kufa pa 10,000 nyaya, pane, sezvinoita ushe, kubva 2 kusvika 4. Nyanzvi nezvekufarirwa nzufu, katsamba kuti kufa varwere vaya zvikuru kukuvara epfungwa, masoja kwokusakwana, oncohematological zvirwere.

Zvinokonzera chibhokisi

Hosha rinowanikwa mune vana. Inogona kuva kubva pakuzvarwa, asi izvi kudziviswa kurwisa hosha, izvo chakasvitswa mwana mumwe kubva mai kuburikidza mukaka. Ndokusaka varicella (bumbiro ICD-10 - B01) vamwe vana anotanga kuoneka pakati pemakore 6 mwedzi.

Kuva nechirwere nokuda pakunzwisisa utachiwana Varicella-Zoster kubva mhuri herpes wanda. Its kupinda kutakurwa mumate (zvinobva murwere utachiona munhu). The mucous Kamudzira lining rokumusoro kufema turakiti, ndiye suo kuti chirwere. Mune zvisingawanzoitiki Muzviitiko, chibhokisi chirwere nzira iri kuonana.

Chii chinoitika kana utachiwana mumuviri? Pakutanga zvakanga anopinda node nzira, uye ipapo kupinda munzvimbo nemidziyo ropa. With dzeropa utachiona hwakakura anopararira yose muviri. Wokupedzisira Nzvimbo yake agare masero epithelial ganda uye mucous membranes. Zvinokonzerwa mabasa utachiona nezvechinhu chimwe mapundu muchimiro vesicles pamwe serous kugutsikana.

zviratidzo

Chibhokisi muvana (bumbiro-bumbiro remitemo iri ICD-10 - B01) anoita pacharo akanzwa asina pakarepo mushure kuwana utachiona ari mumuviri womunhu. Kunotanga incubation nguva, inova avhareji urefu 14 kusvika 17 mazuva. Nokuti iye utachiona munhu anonzwa senguva dzose. Hapana asingadi kunetsa naye. Zviratidzo zvokutanga zvokuti zvinoitika pashure ane incubation nguva, chokuita zvishoma prodrome. Patient:

• tembiricha muviri achisimuka 37-38 madhigirii;
• kunoitika zvakawanda zvive;
• kuipa havi;
• pane mutizi hope.

Rashes kuitika Panguva pamwe kuwedzera tembiricha muviri. Mostly nzvimbo yavo chiso, ganda romusoro, hunde, uye maoko nemakumbo. On inotsika uye muzvanza Kumwe kuchinja kunotanga havasi kuchengetwa. Munzvimbo idzodzo pane rashes chiziviso kuchinja zvinoratidza nguva varicella. Chokutanga, dzinomirira roseola, makwapa kuduku vari dzikwanise papules. Papera vesicles kuonekwa denderedzwa kana kumativi chimiro. Ivo ane mvura-mvura. matema izvi inoitirwa anenge 1 kana 2 mazuva uye akabva avhura. Content kunobva kwavari, unoomesa nokuumba imwe goko panzvimbo ino, iyo inonyangarika pashure anenge 1 kana 2 weeks.

Marudzi Chicken pox

Zviratidzo mune zvimwe zviitiko pamusoro apa angava simba, nepo vamwe - zvakasimba mavara. Izvi zvinoreva kuti chiremba mufananidzo varicella kunoenderana wechinhu chirwere ichi uye yawo kukuvadza. Kuti tinzwisise izvi, funga chimiro chirwere. Chibhokisi (Bumbiro ICD-10 - B01) kwese uye atypical. A chaiwo howa iri dziya:

1. On chiedza. In chimiro ichi varicella tembiricha rukasafashukira pamusoro 38 inegumi. Rashes pamusoro ganda uye mucous membranes ndivo tetepa uye kudhaka, uye kwete kuchengetwa.
2. At zvine mwero. Chibhokisi fomu ichi kunoratidzwa tembiricha yakawedzera kusvika madhigirii 39. Maronda akasiyana akawanda. Zviratidzo kudhaka munhu akaratidza zvine mwero.
3. On rinorema. In zvakakomba varicella tembiricha inokwira kusvika 40 inegumi. Rashes pamusoro ganda uye mucous membranes kwazvo. Varwere zvingamuka neurotoxicosis pamwe convulsive chiratidzo uye meningoencephalitic siyana.

Atypical varicella chisingazivi kuitika kazhinji, zvakare, rakakamurwa dzakawanda. Somuenzaniso, chirwere chacho wokugaya. Naye pane kure uye underdeveloped matema pamwe serous kugutsikana. tembiricha muviri hazvirevi pfuura 38 inegumi. Zvinoitika zvakawanda generalized chimiro. varicella kwakadaro dzinoratidzwa yakakwirira tembiricha muviri ari pathological muitiro chokuita zvomukati kwazvo kudhaka yacho muviri.

ICD-10 B01, varicella: zvinogona yematambudziko

Chibhokisi haisi nguva dzose runoyerera kuburikidza mureza nzira yose (chirwere - ari incubation nguva - kuwedzera kupisa - chimiro maronda - paumbwe matema vavo nomukova - chimiro crusts - dropout kwavo - kutanga kurapwa convalescence kwete mazuva adarika pane 10 kubva pakatanga). Vamwe varwere vave matambudziko. Ivo vakachengeta munenge 15% nyaya. Matambudziko kuva kana pachena kune attenuated utachiona uye neVadzidzi muviri ari akazarurwa matema utachiona (m. E. Under Accession noutachiona).

By zvakafanana nemamwe matambudziko ose chibhokisi zvinosanganisira abscesses, muhomwe chinoda kugadziriswa, necrotic uye Hemorrhagic zvakavapo. Rare, asi ngozi chaizvo nemigumisiro vaiona varicella nemabayo, zvakaoma kuti vaitirane nemishonga, sepsis.

Kuongorora chirwere kuti varicella

The chirwere unogona kuisa nyanzvi mushure mokuongorora kunotoda mufananidzo. Kushandiswa chero nzira nechirwere haina kuzvireva. Mune zvisingawanzoitiki Muzviitiko, rabhoritari nemiedzo zviri kuitwa:

• Rác (mukwanisi Kuda kutamba bvunzo, munhu serological munhu akaidza nzira);
• virological nzira nokuti voga uye kuziva pamusoro causative pomutumwa.

Dzimwe nguva Zvinotora differential zvawanikwa. Vashandi Medical ndokuatakurira kunze kuti vanofungidzirwa generalized herpetic chirwere, pyoderma, sema rashes, zvipembenene ikaruma.

Mabatirwo varicella

Paunotanga chipatapata nguva, murwere basa mubhedha zororo. Nyanzvi vanokurudzira kurapwa kurwisa kudhaka. Vanewo vakayambira kuti nechokwadi kuchengeta Utsanana zviyero zvakakodzera kuti nokukurumidza uye inobudirira kurapwa zvirwere B01 (ICD-10) code. Chibhokisi zvakaitika, kana iwe nguva dzose dzinoona matema. nzira iyi rinoitwa nokushandiswa aqueous mhinduro kubva penya zvakasvibirira kana methylene rwebhuruu. Treatment rinoitwa kaviri pazuva. Kana crusts, vanotanga tsvedzesa mafuta vana ruomba kana peturu mondo kuti rikurumidze muitiro kudonha uye kudzorera ganda.

Vana vari kushungurudzwa kuvaviwa, vanachiremba akarayira antihistamines. zvinodhaka izvi zvinogona kubvisa zvinoitika zviratidzo. Kana paine njodzi zvikuru varicella, ipapo nyanzvi angarayira kushandisa zvinodhaka antiviral kune antiherpetic chiito (semuenzaniso, "Acyclovir" zvinodhaka interferon, "Viferon" makenduru).

Kudzivirira utano vana kubva varwere

Zvikuru chinotapukira chirwere anonzi varicella (chibhokisi) muvana. Zvinokonzera, zviratidzo isu akatarira kumusoro, uye ikozvino kuna matanho kuti zvinodiwa kutora vabereki ane vana kudzivisa kupararira kweutachiwana. Pazuva rokutanga chirwere kusvikira zvizere kupora zvinoda voga kubva vanhu vakavapoteredza. Varwere vanofanira kuva musha.

Dzinenge matanho chokuita disinfect kuti kwakavakirwa, hauna zvaida, nokuti zvinozivikanwa kuti hutachiwana zvakatipoteredza hauna kunyanya kuramba. Iye pakarepo anofa. Zvakakwana vabereki kutora zvatinosiita utsanana mitemo, kusanganisira kugara airing mukamuri apo mwana anorwara, dzose nyoro okuchenesa.

Non-chaicho matanho

Kudzivisa panowanikwa chibhokisi vana utano, zvinoda asiri chaicho dziviriro. Kana mwana boka chevana akarwara, rinofanira voga pamba kusvikira kupora. Dzimwe nguva unofanira voga muchipatara. The chipatara akatuma mwana kana achizoonekwa zvikuru chibhokisi (bumbiro ICD-10 - B01), matambudziko aonekwa.

Kana vamwe vana uchikurukura mwana anorwara, vari zvakare voga mumba. Vakanga kuongororwa. Tsika yavanopinda (kukireshi kana kuchikoro), panguva ino kune chinyorwa "kupatsanura varwere kuti varicella."

Chaicho dziviriro chirwere

Chaicho prophylaxis ndiko kushandiswa yokudzivirira zvakagadzirirwa kudzivisa zvirwere B01 (ICD-10) code. Varicella (chibhokisi) nokuda kwavari Hazvizoitiki, kubvisa mukana nekukudziridza zvakakomba yematambudziko. In Russia nhasi vakanyorwa yokudzivirira vaviri vachirwa huku pox. Mumwe wavo - a "Varilriks" uye mumwe - "Okavaks".

In nerimwe mushonga rine attenuated wanda. Mushure muviri wavo sumo kutarisana navo. Somugumisiro, masoja emuviri unobereka. Zvinofanira kucherechedzwa kuti "Okavaks" wakapinda kamwe chete, uye "Varilriks" - nemhosva mbiri.

Chibhokisi - chirwere vanhu anotarisana dzose. Kakawanda kacho kunoitika pasina zvikasawanirwa, asi dzimwe nguva kuva matambudziko, upenyu pangozi. Ndokusaka hazvina zvakakodzera kubata huku pox sezvo yakachengeteka chirwere. Kana muine zviratidzo kufungira vanofanira kushanyira chiremba. Iye achakuudza kana izvi zvechokwadi huku pox. Zvinokonzera, Mabatirwo chibhokisi sezvo nyanzvi achadana uye kupa mazano inodiwa.