10 pyelonephritis gestational

ʻO ka maʻi mestitus maʻi gestational

ʻO nā kōkuhiʻikepili alpha ICD-10

ʻO nā kumu o nā hōʻeha o nā hōʻeha - ʻo nā huaʻōlelo i kēia mahele kahi maʻi nā maʻi lapaʻau, akā he wehewehe ʻana i nā kūlana i ʻike ʻia ai nā hanana (Class XX. Nā kumu waho o ka morbidity a me nā make. Nā kānāwai o nā poʻo V01-Y98).

ʻO nā lāʻau lapaʻau a me nā mea kūlohelohe - kahi papa papa o nā lāʻau a me nā mea kanu e hoʻoulu ai i nā mea make a i ʻole nā ​​hopena ʻē aʻe.

Ma Lūkia Hoʻolaha ʻokoʻa honua o nā maʻi Hōʻike 10ICD-10) i hāpai ʻia he palapala kānāwai hoʻokahi no ka hoʻopaʻa ʻana i nā maʻi o nā maʻi, nā kumu no nā noi ʻana o ka poʻe i nā ʻoihana olakino o nā keʻena āpau, nā kumu o ka make.

ICD-10 hoʻopuka ʻia i loko o ka hana o ka mālama olakino ma waena o ka Lūkini Lūkini ma 1999 e ka ʻĀina a ke Kuhina o ke Ola o Lūkia i hoʻopaʻa ʻia i ka Mei 27, 1997 No.

Hoʻolālā ʻia ka hoʻolaha ʻana o kahi loiloi hou (ICD-11) e WHO ma 2022.

ʻO nā helu pōkole a me nā mea ʻike i ka International Classification o nā maʻi o ka loiloi 10

BDU - me ʻole o nā ʻōlelo ʻē aʻe.

NKDR - ʻaʻole i helu ʻia i nā ʻāpana ʻē aʻe.

- code o ka maʻi ma lalo. ʻO ka pāʻālua nui i ka ʻōnaehana helu pālua ka ʻike ʻikepili e pili ana i ka maʻi maʻamau.

* - pāʻālua koho. Aia kahi code hou i kahi pūnaehana pālua ʻia i ʻike ka ʻike e pili ana i ka hōʻike ʻana o ka maʻi maʻamau i lalo i kahi ʻokoʻa a i ʻole kahi o ke kino.

ʻO ka hana ʻana i ka pyelonephritis mauka i ka ICD

Inā hele ka maʻi me ka maʻi purulent, hiki iā ia ke alakaʻi i ka make, he mea nui ia e hoʻomaka i ka pathology ma ke kumu mua. ʻAʻole hiki ke hoʻōla iā pyelonephritis ka maʻi, akā hiki i ka lāʻau lapaʻau hou ke pale i ka hoʻomohala ʻana o ka maʻi a loaʻa i ke kala ʻana he lōʻihi, no ka mea, ʻaʻole i ka mea maʻi ka weliweli a pale i ka hoʻoweliweli ʻana i ke ola.

ʻĀmaʻomaʻo

I ka manawa o ke kala ʻana, ʻaʻole i hōʻike iki ʻia ka maʻi, ka liʻiliʻi o ke kau ʻana i ke ea, hiki i ka hopena ʻana i ka nāwaliwali, pinepine ka urination, hōʻeha ka ʻōpū ma lalo o ka hiki.

I ka wā o ka exacerbation, hōʻike ʻia ka pyelonephritis e like me ka ICD 10 N11 e nā hōʻailona aʻe:

  • kahi hoʻonui hoʻonui ʻōhumu i nā hōʻailona wela, hiki i kahi pae koʻikoʻi (a hiki i ke 40 tikelī)
  • luhi, hoʻomaluhi ʻia e ka ʻōpū,
  • migraines pinepine
  • ʻeha nui i ka ʻāina lumbar, i hele pū me ka wī,
  • ka ʻōpū o ke alo a me nā hiʻona haʻahaʻa.
  • hoonuiia urination, ke ole o ka nui o ka wai i pau,
  • hoʻohuʻeke ʻole a me ke ao ākea o ka urine.

    Inā hele kēlā mau hōʻailona, ​​pono ʻoe e nīnau i ke kauka nāna e mālama i ka hoʻopaʻa ʻana a hana i kahi maʻi maʻi. ʻO ka mea mua, ua kau ʻia kekahi urinalysis, kahi e kōkua ai ke ʻike i ka pyelonephritis ma muli o ke kahe koko a me ka hāmeʻa i loko o ka urine.

    He hoʻomaʻemaʻe a me ke pale aku

    I ka ICD, loaʻa nā 10 pyelonephritis i ka māhele o nā maʻi genitourinary. Hoʻohana ʻia ka mālama ʻana o kēia maʻi ma ka wā exacerbation ma kahi haukapila. ʻAʻole pono i ka pili ʻana i ka hoʻomaha moe, lawe i nā lāʻau antibacterial a me nā mālamalama immunoprotective.

    Hiki ke kōkua aku i nā lāʻau lapaʻau hou i ka hakakā ʻana i ka maʻi, ka mea e hāʻawi ai i nā decoctions a me nā infusion o nā lāʻau lapaʻau a me nā hua e loaʻa ai nā waiwai diuretic (no ka laʻana, lingonberry).

    Pono ka mea maʻi e hoʻoponopono i ka papa ʻai, pono ʻoe e pili i ka ʻai kūikawā a ʻai i ka nui o ka wai (me ka wai o ka minuke). No ka loaʻa ʻana o ka maʻi o ka pyelonephritis, pono ʻoe e pili pono i ka ʻōnaehana, e pono e hoʻomaʻamaʻa i kahi loea maʻi ma mua o hoʻokahi makahiki, a ʻoi aku paha, ʻo kēlā me kēia mau mahina ʻeono. . ^ E Ha yM. Hoʻomaopopo ʻia kekahi mea e hoʻokaʻawale i ka ʻai ʻana i nā mea inu ʻona, a i ka wā anu e hoʻoilo ai i ke ʻano mahana a pale i ka hypothermia.

    ʻālaʻa pyelonephritis mau pāʻālua mcb 10 - paʻa LMS a me ka mālama ʻana i ka mālama ʻana i nā pōhaku

    ICD Code 10: N11 Nephritis tubulointerstitial maʻi. N11.0 ʻO ka pyelonephritis nonobstract Nonobstrate e pili ana i ka reflux. Nā ʻōpū. 100 mg: 10, 20 pcs. - nā maʻi ʻeha a me nā maʻi i loaʻa. ICD Code 10: n11.0 pyelonephritis mau nonobstract e pili ana i ka ʻaila. Inā maikaʻi ka pūnaewele iā ʻoe, e ʻoluʻolu e mākaʻikaʻi iā ia ma ka hoʻohui ʻana i kāu mau puke.

    Ianuali 19, 2016 Cystitis ma ka ICD-10 kahi koʻikoʻi nui i ka papa inoa o nā maʻi ʻO ka maʻi a me ka cystitis maʻi a me ko lākou wahi i ka papa ʻana o ka ICD-10 hiki ke hoʻopiʻi i nā hoʻopiʻi e like me ka pyelonephritis, hanaʻino. Ua hoʻokumu ʻia ma 2013 ma ke kumu o nā ʻōkuhi i hoʻopuka ʻia ma ka pūnaewele pūnaewele o ke Kuhina o ke Ola Ola. ICD Code 10: N10-N16 TUBULO-INTERSTITIAL KIDNEY DISEASES. nephrite pyelitis pyelonephritis Inā pono, e ʻike i ka luna hopohopo N11 Chronic tubulointerstitial nephritis. ʻLelo. uhi lōlō kiʻiʻoniʻoni, 500 mg: 5, 7 a i ʻole o ka ʻĀina o ke Kuhina o ke Ola o ke Aupuni o Belarus i kuʻi ai i 07.12.2001 n 271 Ma ka hoʻopili. ʻAoʻao Hoʻomaopopo: 4: Nā koi pono o ka ICD-10 i ka hoʻokumu ʻana o ka lāʻau lapaʻau hope loa. Kākau 14 ICD-10 (N10-N23) pyelonephritis non-hina i hoʻopili ʻia me ka reflux, N11.1. ʻO ka pyelonephritis obstract ʻehā. ʻO nā lāʻau lapaʻau a me nā lāʻau lapaʻau no ka mālama a me / a i ʻole pale. 2. Nā hōʻailona helu e like me ka ICD-10. N10 Acph tubulointerstitial nephritis (pyelitis aʻai, pyelonephritis waha). N11 He maʻi tubulointerstitial Kolohe. ʻO nā maʻi me ka halihali o ka ʻili biliary. Nā helu ICD-10. K82.8. Biliary dyskinesia.

    ʻO Pepeluali 21, 2015 ʻO ka mana kūpono o ICD-10 no SMP A08.4 Rotavirus enteritis A09.0 KINEA A15.3 N11.9 Kīpelonephritis maʻi. ʻO ka wehewehe, nā hōʻailona (nā hōʻailona) Diagnosis, Hoʻomaʻamaʻa, ka wehewehe pōkole. Pyelonephritis. Kekahi Pōʻalima Kūʻai o nā maʻi (ICD-10). Nā maʻi a me nā kūlana. Papa Huaʻōlelo. ʻO ka maʻi ʻulaʻeha N10-N16 Tubulo-interstitial N11.0 Non-obstructive pyelonephritis maʻi a pili me ka reflux, N11. 1 Hoohanau.

    Me nā maʻi o ka pūnaehana genitourinary (papa XIV e like me ICD-10). N p. ʻO ke code maʻi e like me ICD-10 he non-obstructive pyelonephritis maʻi, pyelonephritis obstructive maʻi ʻole me nā wahi ʻole urodynamic me ka hoʻihoʻi ʻole ʻana. Kuhi i ka pōʻōlelo kikoʻī ma nā maʻi e like me ICD-10: Curvature (e like me ICD-10) -nasal. Na Kauoha a ke Kuhina o ke Ola o ke Aupuni Repubalika ma ka lā 7 o Dekemaba, 2001 n 271 ma ka Hoʻohui. ICD code 10: n11 Ka maʻi nephritis tubulointerstitial i hoʻohui ʻia. ʻLelo i ka Codeel obstruktive pyelonephritis i ka papa honua o nā maʻi ICD-10. Nā maʻi N00-N99 o ka ʻōnaehana genitourinary N10-N16.

    Mcb-10 maʻi ʻelela pyelonephritis, anti-inflammatory nā lāʻau no ka ʻohi ʻana o ka ʻōpū

    Nā huihui glomerulonephritis huehue. Nā huapau He aha e hana me ka maʻi o ka huehue. ʻO ke code e like me ka helu honua o nā maʻi ICD-10: me ka ʻole o ka pale ʻana i ka urodynamics) a me ka lua (neʻe ʻia i ke ʻano o ka maʻi o ke keiki, ʻo pyelonephritis Kronika i ka hapa nui o nā poʻe maʻi (50-60%) he latency. Sep 27, 2015 ICD code - 10 N 11.1 neʻe pyelonephritis obstruktitis ʻO ka renal colic kahi ʻano maʻamau.

    Hoʻokaʻa ʻia: maʻi maʻamau: infectious interstitial nephritis pyelitis pyelonephritis Inā pono, e ʻike i ka hopohopo. Lawe ʻia ka lāʻau lāʻau ma 250 a 500 mg 1 a i ʻole 2 mau manawa / lā. Pono e lawe ʻia nā papa papa Heluhelu a me etiology o ka hypothyroidism. Hiki i ke hypothyroidism i nā kumu he nui. Kekahi Pōʻalima Kūʻai o nā maʻi (ICD-10). Nā maʻi a me nā kūlana. Papa Huaʻōlelo. Kahi a pili i nā kuhikuhi i hoʻopaʻa ʻia no ka hoʻohana ʻana i ka lāʻau lapaʻau a hana i ka makahiki 2016. ICD-10 rubric I like pū me nā maʻi e like me ICD-10, a09 maʻi a me ka gastroenteritis ma mua. Pyelonephritis kekela pili. 2. ka jade, ka mea i hōʻike ʻia ma nā pāʻina no nā maʻi ICD-10 o ka urinary system. CODE NO. ʻO ka hui ʻana o nā moʻolelo mōʻaukala ma ke kumuhana o Pediatrics. Manaʻo mākou ua hauʻoli ʻoe i kēia hōʻike. E hoʻoiho, hoʻouka ia. Pyelonephritis: ICD-10: N 10 10.-N 12 12. N 20.9 20.9. ICD-9: 590 590, 592.9 592.9. Nā maʻiDB: 29255.

    ʻO ka hāʻawi manawa kūpono i ka 2 ma ke alo o ka hōʻike mua o ka hōʻike occipital. Palaki Placental, papaha. ʻO ka maʻi pancreatitis maʻi maʻamau ka maʻi maʻamau. Nā huina kūpono i ke A i hoʻokumu ʻia ma kēia maʻi: 1. ʻO ke kūpaʻa o nā mea ʻelua. ʻO ka prostatitis abactial palola, (ICD code 10-N 41.1) (ICD code 10-N 46), Kīpelonephritis nāpa ma ke ʻano he piha a ʻokoʻa paha. Eia naʻe, no ka hoʻomohala ʻana o kahi kaʻina hana mikrobial i loko o nā keiki, ma kahi o nā mea i hōʻike ʻia. ʻO ka maʻi ʻulaʻeha N10-N16 Tubulo-interstitial N11.0 Non-obstructive pyelonephritis maʻi a pili me ka reflux, N11. 1 Hoohanau.

    ICD-10: I15. ʻO ka lua (ʻokoʻa) ka maʻi hypertension arterial - he maʻi maʻamau kēia o ka pyelonephritis, ma ke ʻano he kānāwai, he hopena. ʻO Kudesan (Kudesan) ka wehewehe ʻana o ka lāʻau lapaʻau: ka hoʻonohonoho ʻana a me nā kuhikuhi i ka hoʻohana ʻana, contraindications. ʻO ka wehewehe, nā hōʻailona (nā hōʻailona) Diagnosis, Hoʻomaʻamaʻa, ka wehewehe pōkole. Pyelonephritis. Pyelonephritis: ICD-10: N 10 10.-N 12 12. N 20.9 20.9. ICD-9: 590 590, 592.9 592.9. Nā maʻiDB: 29255. MedlinePlus: 000522. eMedicine: ped / 1959. Mai ka pūnaehana hana ʻana: ka nausea, ka ʻōpū, ka luaʻi, ka ʻeha o ka ʻōpū, ka lemulewa. I ka manawa i hoʻohana ʻia nā mea maʻi ma ka nui o ka pilikia. ʻO Pyelonephritis i nā keiki he hihia kūikawā o ka maʻi urinary tract (UTI). ʻO kahi hiʻohiʻona maʻamau o nā UTI a pau.

    ʻO ka ʻeha me ka hypokinesia e hele mai ma muli o kahi hopena o kahi palaʻai. Kuhi i ka pōʻōlelo kikoʻī ma nā maʻi e like me ICD-10: Curvature (e like me ICD-10) -nasal.

    ʻO ka maʻi maʻi gestational

    ʻO ka inoa o ka maʻi: Gestational diabetes (HD) - nā mea maʻi a pau o ka hoʻoneʻawaʻawa e hana ana a ua ʻike ʻia i ka wā hāpai.

    ICD-10 pāʻālua: ʻO nā maʻi maʻamau o nā wahine hāpai 024.4.

    ʻO nā hōʻike wīwīwī pōkole
    I Lūkini, ʻo ka ulu mua o HD e like me ke kākau inoa ʻana o ke Aupuni Diabetes Mellitus he 4,5%. Wahi a ka American Diabetes Association (ADA, 2004), kahi o 7% o nā māla a pau (ma mua o 200,000 mau hihia i kēlā me kēia makahiki) he paʻakikī e HD (mai ka 1 a hiki i ka 14% hilinaʻi i ka heluna kanaka e noiʻi ana a me nā hana diagnostic i hoʻohana ʻia) o Gestational Diabetes Mellitus. ADA, 2004, Nā Kūlana o ke Kauka Leka ma ka maʻi maʻi. ADA, 2005, Sebko T.B., 2003

    Kahi helu
    ʻO DG kekahi hōʻailona o ka minamina o ka hoʻoneʻeʻana i nā pualikoa, me ka hoʻomaka a me ka ʻike mua i ka wā hāpai. Hiki iā ia ke hōʻike iā ia iho me ka pōkole hyperglycemia wikiwiki, postprandial hyperglycemia, a i ʻole he kiʻi kino maʻi maʻamau o ka maʻi maʻi me nā kiʻekiʻe glycemic ulu.

    Naʻi hoʻolika

    ʻO nā pane a me ka hoʻokolokolo hoʻokolokolo

    Hoʻokumu nā hoʻopiʻi i ka kiʻekiʻe o ka hyperglycemia. ʻO nā hōʻike haukapila i nā hapanui he hala a he nonspecific paha. E like me ke kānāwai, aia ka momona o nā pae ʻokoʻa, pinepine - loaʻa ke kaumaha wikiwiki i ka wā hāpai. Me ka glycemia kiʻekiʻe, hōʻike ʻia nā hoʻopiʻi e pili ana i ka polyuria, makewai, nui ka momona, a me nā mea like.

    Laboratory a me noiʻi noiʻi

    ʻO kekahi o nā hiʻohiʻona o DG ʻo ia ka mea maʻamau ke ʻike ʻole ia e ʻike ʻole ʻia. No laila, ua kau ʻia ka uluʻana o HD i ka hopena o nā hopena koʻikoʻi no kona hoʻomohala a me ka hoʻohana ʻana i nā hoʻokolohua me ka ukana o ka glucose i nā hui pākē a me ka hopena kiʻekiʻe. I ka kipa mua ʻana o ka wahine hāpai i ke kauka, pono e loiloi i ka hōʻeha o ke kuhi ʻana i kāna HD, no ka mea, ke hilinaʻi nei ka nui o nā maʻi diagnostic ma kēia. ʻO ka hui o ka haʻahaʻa o ka hoʻolālā ʻana i ka HD e pili ana i nā wahine ma lalo o 25 makahiki (e like me ka poʻe kākau ʻōlelo Lūkini, ma lalo o ka makahiki 30), me ke kino kino ma mua o ka hapai ʻana, ka mea ʻaʻole i loaʻa ka maʻi maʻi i ka hoahānau o ka pilina mua loa o ka pilina, ʻaʻole i loaʻa i ka maʻi kāpena o ka metabolism i hala. me ka glucosuria), ka loaʻa ʻana o ka mōʻaukala obstetric unburdened. No ka hoʻolilo ʻana i ka wahine i kahi pūʻulu me ka haʻahaʻa haʻahaʻa o ka hoʻomohala ʻana i ka HD e pono ai nā maʻi āpau i kau inoa. Ma kēia pūʻulu o nā wahine, ʻaʻole lawe ʻia ka hoʻokolohua ʻana me ka hoʻohana ʻana i nā hoʻokolohua kaumaha i kaupalena ʻia a ua kaupalena ʻia ka nānā ʻana o ka mālama ʻana i ka palaoa glycemia. Wahi a ka manaʻo like lokahi o nā ʻĀina a me nā poʻe ʻike haole, nā wahine me ka nui o ka momona (BMI≥30 kg / m 2), ka mōʻaukala o ka maʻi maʻi, ka maʻi diabetes mellitus i nā hoahānau o ka pilina mua o ka pilina, ka mōʻaukala o ka metabolism o ka metabolism (? mailoko mai o ka wā hapai) Gestational Diabetes Mellitus ADA, 2004, ʻo Sebko TV, 2003. E komo i ka hui kiʻekiʻe kiʻekiʻe, ʻo ia kekahi o nā hōʻailona i kākau ʻia. Ua hoʻāʻo ʻia kēia mau wahine i ka manawa mua e ʻike ai lākou i ke kauka (e ʻike i ke kaʻina ma lalo). ʻO ka hui me kahi hapa palena o ka hoʻolālā ʻana i ka HD e pili ana i nā wahine i loko o ka haʻahaʻa a me nā pūʻulu haʻahaʻa kiʻekiʻe: no ka laʻana, me ka nui o ke kaumaha o ke kino ma mua o ka wā hapai, me ka moʻolelo o nā lālani nui. ) a me nā mea ʻē aʻe ma kēia pūʻulu, e hoʻokau ʻia ana ka hōʻike ʻana i ka manawa koʻikoʻi no ka hoʻomohala ʻana i ka HD - 24-28 pule o ka hāpai ʻana. Hāʻawi nā poʻe loea a me nā poʻe haole i kahi ala aʻe e pili ana i kēia ka hopena no ka loaʻa ʻana o Gestational Diabetes Mellitus HD. ADA, 2004, Nā Kūlana o ke Kauka Leka ma ka maʻi maʻi. ADA, 2005, Sebko T.B., 2003. ʻO kahi ala hoʻokahi ke ala ʻekahi kūpono loa i loko o nā wahine i ke kiʻekiʻe o ka ulu ʻana o HD. Loaʻa iā ia ma ka hoʻokō ʻana i kahi hōʻike maʻi me 100 g o glucose. Hoʻonohonoho ʻia kahi ala ʻelua i kahi no ka ʻoihana hoʻoweliweli. Me kēia ʻano, hoʻokuʻi mua ʻia kahi hōʻike screening me 50 g o ka glucose, a inā i ʻole ke kipi, ʻike ʻia kahi hōʻike 100-gram. ʻO ke kaʻina hana hōʻike screening e like me kēia. Ua inu ka wahine i ka 50 g o ka glucose i hoʻokahe ʻia i loko o kahi aniani o ka wai (i kēlā me kēia manawa, ʻaʻole ma ka ʻōpū ʻole), a ma hope o hoʻokahi hola, ua hoʻoholo ka glucose i ka plasma venous. Inā ma hope o hoʻokahi hola ka emi loa ka glucose o ka plasma ma lalo o 7.2 mmol / L, ua manaʻo ʻia ke hōʻike hewa a ua pau ka hōʻike ʻana. Inā hoʻohālikelike ka glucose o ka plasma a i ʻole he nui aʻe ma mua o 7.2 mmol / L, hōʻike ʻia kahi hōʻike me 100 g glucose. ʻO ke kaʻina hana hōʻike me ka 100 g o ka glucose ka mea e hāʻawi hou i kahi protocol eʻoi aʻe. Hana ʻia ka hoʻokolohua ma ke kakahiaka ma kahi ʻōpū ʻole, ma hope o ka pōʻai ʻana i ka pō no 8-14 mau hola, kū'ē i ke ʻano o kahi kīnā maʻamau, ma ka liʻiliʻi no 3 mau lā ma mua o ka noiʻi (ma ka liʻiliʻi o 150 g nā mau kālaiʻai i kēlā me kēia lā) a me ka hana pilikino ʻole. I ka wā o ka hōʻike hoʻokolokolo, pono ʻoe e noho, ua pāpā ʻia ka ulaula. I ka wā hoʻāʻo, ua lawe ʻia ka koko venous ma kahi ʻōpū ʻole (plasma), ma hope o ka hola 1, ma hope o 2 mau hola a ma hope o nā hola he 3. Ua hoʻokū ʻia kahi hoʻokolohua o HD inā he 2 a i ʻole nā ​​mea hou aku paha o ka glycemic a i ʻole e loaʻa i kēia mau helu: ma ka ʻōpū ʻole - 5.3 a ʻoi aku paha, ma hope o 1 hola. - 10 a i ʻole, ma hope o 2 mau hola - 8.6 a keu paha, ma hope o 3 mau hola - 7.8 a keu paha. Inā hōʻike ka wahine hāpai i nā helu glycemic kiʻekiʻe ma ka plasma venous: ma kahi ʻōpū ʻole i ʻoi aku ma mua o 7 mmol / l a ma ke ʻano he koko koko - ʻoi aku ma mua o 11.1 a hōʻoia i kēia mau waiwai i ka lā aʻe, ʻaʻole i koi ʻia nā hoʻokolohua diagnostic, a ua manaʻo ʻia ke hoʻokolokolo ʻana o HD.

    E hoʻokaʻawale i nā hemahema methodological, ʻo ka hoʻonāʻana o ka glycemia i ka wā o ka hoʻokau ʻana i ka hoʻāʻo ʻana i ka diagnostic e mālama wale ʻia e nā ʻano hana lāʻau. ʻAʻole kūpono ke hoʻohana ʻana o ka glucometer no nā pahuhopu diagnostic. Pono ke hoʻonui o ka glucose i kahi wahine hāpai, e koi pono i kahi liʻiliʻi o ka glycemia. Eia nō naʻe, mai nā ʻōlelo loea a ADA (2004) a me nā poʻe loea, he nui ka piʻi ʻana o ka glycemia i ka wahine hāpai i hiki iā ia ke loaʻa i kahi hui kiʻekiʻe no ka hoʻomohala ʻana o HD, e hōʻike nei i kahi huli hou a me ka hoʻohana ʻana i ka hoʻāʻo ʻana i ka pilikia.

    Hoʻomaʻamaʻa

    Ka uku mau no ka hoʻoneʻe nui o nā kāpeka i ka wā hāpai. Nā kūlike o ka uku: ka glucose o ke koko kaila wikiwiki NA LIHINIINA

    1. Algorithms no ka pale ʻana a me ka mālama ʻana i nā maʻi iʻa ka iodine Text / Ed. G.A. Melnichenko. - M.: B.I., 2005 .-- 48 p.
    2. kupuna II Palapala Endocrinology / I.I. Keiki makua, G.A. Melnichenko, V.V. Pākaukau. - M .: Kauka, 2000 .-- 632 p.
    3. kupuna kāne, I.I. Hōʻikeʻike i ka'ōlelo Diabetology: Lā. no na kauka / I.I. Keiki makua, V.V. Pākaukau. - M .: Ka hale hoʻopuka Bereg, 1998. - 191 p.
    4. Makua nui, I.I. ʻO ka papahana target Federal "Diabetes mellitus" Palapala: nā alakaʻi a II.Keiki makua, M.V. Shestakova, M.A. Maksimova. - M.: B.I., 2002 .-- 88 p.
    5. Iododefinite maʻi ma Rūsia. He hopena maʻalahi i kahi pilikia pilikia Text / G.A. Gerasimov et al. - M., Adamant, 2002 .-- 168 p.
    6. Nā ʻōlelo hōʻike ʻānō o ka Ahahui Lūkini o Endocrinologists (RAE) no ka hoʻomohala ʻana a me ka mālama ʻana i ka Text / II o ka nodular goiter. Nā kūpuna kāne a me nā mea ʻē aʻe // Clinical thyroidology. - 2004. - T.2, Helu 4. - S. 47-52.
    7. Melnichenko, G.A. ʻO ka maʻi thyroid i ka wā hāpai. Diosisosis, mālama, pale ʻia Text: kahi haʻawina no nā kauka / G.A. Melnichenko, V.V. Fadeev, I.I. E makua. - M.: MedExpertPress, 2003 .-- 48 p.
    8. Ke pale aku a me ka mālama ʻana i nā maʻi iodine-kulang i loko o nā pūʻulu kūlana kiʻekiʻe Text / I. I. Dedov et al. - M.: Bi., 2004. - 56 p.
    9. Sebko, T.V. Mahele aniani a me Kauka Palapala / II. Keiki makua, M.V. Shestakova // Diabetes mellitus: nā lima. no na kauka / T.V. Sebko. - M., 2003. - Ch. 28.-S. 364-372.
    10. ʻĀnō mau manaʻo o ka maʻi endocrinology lolo. ʻO nā ʻauhau o ka Lāʻepekema o ka Honoa ʻona Kūmole o ka Endocrinologists (Malaki 23-24, 2006) / M .: Geos, 2006. - 134 p.
    11. Fedorova, M.V. ʻO ka maʻi diabetes mellitus, hāpai ʻia a me ka fetopathy maʻi maʻi. Keʻōlelo / M.V. Fedorova, V.I. Krasnopolsky, V.A. Petrukhin. - M .: Kauka, 2001 .-- 288 p.
    12. American Association of Clinical Endocrinologists a me Assocazione Medici Endocrinologi mau alakaʻi no ka hoʻomaʻamaʻa kino ʻana no ka hoʻomohala ʻana a me ka hoʻokele ʻana i nā nodula thyroid. Ka hana Endocr., 2006 - V. 12, No. 1. - P. 63-102.
    13. Gestational Diabetes Mellitus ʻAmelika ʻAmelika ʻAmelika. ʻO ka mālama maʻi hānai 27: S88-S90, 2004
    14. Nā kuʻina o ka mālama lapaʻau ʻana i ka maʻi hānai. ʻAmelika ʻAmelika ʻAmelika. ʻO ka mālama maʻi hānai 28: S4-S36, 2005

    Kahi helu

    Ua hoʻonui ʻia ka ʻike hou e pili ana i kēia maʻi.

    ʻO ka maʻamau maʻamau ka maʻi maʻamau:

    Inā ikaika ʻole ke kino i ka insulin, hōʻailona ʻo ia i ka maʻi maʻi type-feather. Hoʻopilikia kēia ʻano ma nā wahi maʻi pancreatic i hoʻopilikia ʻia. ʻO ka pinepine, ulu ka maʻi i ka wā ʻōpio.

    Ma ke ʻano 2, pili nā hemahema o ka insulin. Kuhi ʻia ia me ka nui o ka nui. Eia naʻe, ʻo ka nui o nā hoʻonohonoho e hāʻawi i ka pili me nā pūpū a me ka hoʻomaʻamaʻa ʻana i ke kō o ka glucose mai ka koko. Ma ka lōʻihi o ka wā, e emi ana ka hana o kahi mea.

    Nui nā ʻano hanana like ʻole o ka maʻi i hoʻoweliweli ʻia e nā maʻi, nā lāʻau lapaʻau, a me ka hoʻoilina. ʻO ka hoʻokaʻawale, hiki ke maʻi maʻi i ka wā hāpai.

    He aha ka maʻi maʻi gestational?

    ʻO ke ʻano maʻi o ke ʻano maʻi he ʻano o ka maʻi i ʻike ʻia i ka wā hāpai, e hōʻemi ana i ke hiki o ke kino ke kū i ka glucose i ke koko.

    Loaʻa nā cells i ka hōʻemi o ka palaukaʻi i kā lākou iho insulin.

    Hiki ke hoʻokau ʻia kēia ʻano ma ka hiki ʻana o hCG i loko o ke koko, pono e mālama a mālama pono i ka wā hāpai. Ma hope o ka hānau keiki ʻana, ma ka hapa nui, loaʻa ka hoʻōla. Eia nō naʻe, i kekahi manawa kahi hanana holomua hou e pili ana i ka maʻi e like me ka 1st a i ke ʻano 2 paha. ʻO ka pinepine, hōʻike ka maʻi iā ia i ka hapa o ka hapa o ka hānau keiki.

    Nā mea i hoʻonāukiuki i ka hoʻokumu ʻana o GDM:

    • hoʻoilina
    • kaumaha kaumaha
    • hapai ma hope o 30 makahiki,
    • ka hōʻike ʻana o GDM i nā wā hāpai,
    • nā ʻōpiopio paʻa
    • kahi hānau o kahi keiki nui.

    Hiki i ka maʻi ke hōʻike iā ia iho me ke kaumaha nui, hoʻonui ʻia o ka urine, makewai nui, ʻilihune ʻole.

    I ka wā hapai i paʻakikī e kekahi ʻano maʻi o ka maʻi maʻi, he mea nui loa ia e kāohi i ke kiʻekiʻe o ke kō a mālama i kona pae maʻamau (3.5-5.5 mmol / l).

    Hiki i ka nui o ke kō i ke kōpaʻa i ka wahine hāpai.

    • hanau hānau
    • heilou
    • ulia pōʻino
    • maʻi maʻamau nephropathy,
    • mau maʻi maʻi genitourinary.

    No kahi keiki, hoʻoweliweli ka maʻi i ke kaupaona ʻana, nā ʻano holomua holomua o ka palaki ʻana, immaturity o nā kino i ka wā hānau.

    I ka manawa pinepine, hiki ke hoʻoponopono ʻia nā pae gula i ka maʻi maʻi gestational e ka meaʻai (helu 9). Hāʻawi ʻia ka hopena maikaʻi e ka hana kino kino. Inā ʻaʻole lawe ia nā kaʻina i lawe i nā hualoaʻa, ua kau ʻia nā inikini insulin.

    Inā ʻike ʻia ka mau hewa ma mua o ka ʻae ʻana, ke ʻano lāʻau a me ka hoʻokō ʻana i nā ʻōlelo a ke kauka, e kōkua pū ʻole ai i nā hopena maikaʻi ʻole a hānau mai i kahi keiki olakino.

    Aia ka helu ICD-10

    Ua hoʻohui ʻia ka māhele 21 i nā maʻi ma ka helu a ua loaʻa kēlā me kēia i kona code. Hāʻawi kēia kuhi pono i ka ʻoluʻolu o ka mālama a me ka hoʻohana ʻana.

    Ua helu ʻia ka maʻi diabetes gestational ma ke ʻano he XV. 000-099 "Hānau ʻia, hānau keiki a me ka puerperium."

    Nā mea: O24 Diabetes i ka wā hāpai. Helu (code) O24.4: Diabetes mellitus i hana ʻia i ka wā hāpai.

    Nā wikiō pili

    E pili ana i ka maʻi maʻi gestational i nā wahine hāpai i ka wikiō:

    He maʻi maʻi ko GDM hiki ke hakakā. E kōkua lākou i ka pale ʻana i ka maʻi a hānau i kahi pēpē olakino, e hahai ana i ka ʻai ʻana a me nā ʻōkuhi āpau, e hana ana i nā hoʻomaʻamaʻa maʻalahi, e hele ana i ka lewa a me ke ʻano maikaʻi.

    • Mālama i nā pae o ke kō no ka lōʻihi
    • Hoʻihoʻi hou i ka hana insulin pancreatic

    Ike nui i na palapala. ʻAʻole ia he lāʻau lapaʻau. ->

    Ka exacerbation o ke code pyelonephritis code 10 mb a pehea e hānai ai i ka pōpoki me ka hina ʻole o ka pūpū

    Manaʻo mākou ua hauʻoli ʻoe i kēia hōʻike. E hoʻoiho, hoʻouka ia. MOKUNA 1. Anemia, Anemia posthemorrhagic anemia, Anemia pale Anemia, Anemia. ʻO nā maʻi me ka halihali o ka ʻili biliary. Nā helu ICD-10. K82.8. Biliary dyskinesia. Nā Palapala i ka pyelonephritis uncomplicated a paʻakikī, ʻōlelo Pākuʻi. Aole helu mai. Uila.

    ʻO ka wehewehe, nā hōʻailona (nā hōʻailona) Diagnosis, Hoʻomaʻamaʻa, ka wehewehe pōkole. Pyelonephritis. Nā helu ICD 10 N10-N16 Tubulo-interstitial maʻi maʻi N11.0 Non-obstructive pyelonephritis maʻi a pili me ka ʻaila. ʻO ka weheweheʻana o Hyleflox (Hileflox) i ka lāʻau lapaʻau: ka hoʻonohonoho ʻana a me nā kuhikuhi i ka hoʻohana ʻana, contraindications. 6. I ka wā o ka papa physiology o ka hāpai ʻana, e hana ʻia ana nā hoʻokolokolo o nā wahine hāpai. Aloha nui wau! I au i nā tachycardia kahiki paroxysmal. ICD Code 10: N10-N16 TUBULO-INTERSTITIAL KIDNEY DISEASES. nephrite pyelitis pyelonephritis Inā pono, e ʻike i ka luna hopohopo N11 Chronic tubulointerstitial nephritis. LĀKAʻI, KE KĀLIʻA Wahine Ma ke komo ʻana i ka mare, ke kūkulu nei ʻoe i ka ʻohana, a laila mākaukau ʻoe no kēlā. 10 ʻO NEPHROLIC GLOMERULONEPHRITIS ʻO kahi glomerulonephritis ne Neprotic e loaʻa ana i 25% o nā maʻi. ʻO ka wehewehe, kumu, nā ʻōkuhi (nā hōʻailona) Diagnosis, Hōʻōkuhi, Hoʻākāka pōkole. ICD Code 10: N11 Nephritis tubulointerstitial maʻi. N11.0 ʻO ka pyelonephritis nonobstract Nonobstrate e pili ana i ka reflux.

    ʻO ka hoʻomohala ʻana o ka maʻi pyelonephritis bacterial, ʻoiaʻiʻo, e hoʻomaka me ka hoʻomaka. ʻO ka nānāʻana bakiological o ka urine: bacteriuria 10-10 CFU / ml. Hōʻike koko koko biochemical. ʻLelo. uhi pani ʻia nā kiʻiʻoniʻoni, 250 mg: 5, 10 a 20 mau pcs. (ke aʻi ma ka bacterial bronchitis a me ka exacerbation o ka maʻi bronchitis, pneumonia). - nā maʻi maʻi urinary (pyelonephritis, cystitis, urethritis), nā code ICD-10. ʻO ka pinepine, pili ka pyelonephritis i nā wahine. Hoʻopili kēia i ka laulā anatomically. Hoʻonohonoho ʻia ka pyelonephritis māla e kahi lesi mosaic o ke akeʻano. ʻO ka hapa nui o nā maʻi he nui ka hopena o ka pyelonephritis.ʻA kekahi mau maʻi e loaʻa pinepine a hoʻolaha i ka manawa o ka exacerbation.ʻO ka nui o nā selika koko koko he 1 miliona leukocytes - 2 miliona mau cylinders 10 tausani, ka mea i hōʻike ʻia i loko o nā code for ICD-10 nā maʻi o ka urinary system ICD-10 code no ka pyelonephritis gestational: Aia nā maʻi koʻikoʻi a me nā maʻi o ka maʻi. Me ka hōʻike nui o kahi ʻano maʻi. 10 Ka puka hana - kokoke ma 80%. Ka hopena o nā exacerbations a me ke kala ʻana. Nā hiʻohiʻona

    Trimester o ka hapai: Asymptomatic bacteriuria: Ka maʻi cystitis: Exacerbation o nā maʻi. ICD code: 023 maʻi maʻi waipuna i ka wā hāpai o ka maʻi pyelonephritis maʻi. Nā Palapala Hoʻolaha i ka pyelonephritis palola. 08/07/14 18: 52 Marina. Aloha nui, Vladimir Borisovich. He 50 makahiki wau, premenopause. ʻO nā paʻi nui. Nā kuhikuhi kumu no ka lā 22 Dekemaba, 1999 No. 99/227 Nā hōʻailona lapaʻau a me nā contraindications no. Aloha awakea E kamaʻilio e pili ana i ka kūpono o ka lāʻau i kuhikuhi ʻia.

    RHEUMATOID ARTHRITIS. HĀLU ʻO BEKHTEREV: Rheumatology ma ke ʻano he ʻepekema kūʻokoʻa. Hiki ke hoʻololi i nā hōʻailona o ka pyelonephritis mai ka sepsis i hoʻoiho ʻia e ka gram-negatif. Trimester o ka hapai: Asymptomatic bacteriuria: Ka maʻi cystitis: Exacerbation o nā maʻi. Me ka holomua o pyelonephritis, ua hoʻokumu ʻia ka scerstosis interstitial, i.e. pua. P / p Code no ka helu ʻano honua o nā maʻi ʻO ka maʻi o ka maʻi āpau 10 G80 Infantile cerebral palsy Infantile cerebral Non-obstructive pyelonephritis Ka maʻi obstruktive pyelonephritis Osteomyelitis i ke ʻano o ka hina, i ke alo o ka lehulehu.

    Pyelonephritis Gestational

    Ua hōʻike ʻia ka Pyelonephritis i nā wahine hāpai i ka 10% o nā wahine. ʻO nā kumu nui i nāwaliwali ka pale ʻana, kaʻe o ka ʻōpū i luna o nā pūpū, nā loli o ka hormonal. ʻO ke code ICD-10 ʻo O23.0 (maʻi kino i ka wā hāpai a ka wahine).

    Ke ulu nui nei ka hua liʻiliʻi, ua ulu ka ʻōpū ma lalo o ke koʻikoʻi - ma lalo o ke koʻikoʻi, e loli ana ke ʻano o nā anatomical o nā keiki, ke ʻano nui o ke kahe o ke koko, a emi hou ka urine. E kū'ē i ke kua o nā loli o ka hormonal i ke kino, hoʻololi ka leo o nā pūpū - pilikia ka urodynamics, urine mai ka papa palaka i hoʻoluhi ʻia i loko o nā pūpū. Inā hele nā ​​pathogenic microorganism i loko o ka urine, hoʻomaka ka kaʻina hana a me nā maʻi ma hope.

    Nui! ʻO kekahi maʻi ʻeha e hiki ke hōʻeha i ka ʻōnaehana genitourinary.

    Hoʻomaka ka huhū o nā ʻōpū ma nā wahine hāpai i ka gestational pyelonephritis - ulu ka maʻi i ka wā o ka hānau ʻana o ka pēpē, hiki ke ʻike ʻia he mau lā ma hope o ka hānau ʻana. I ka manawa pinepine, ʻo ke kaʻina hana ia e hoʻokū ʻia ana i ka ʻōpū kūpono.

    ʻO ka pinepine, ʻo ka pyelonephritis gestational e pili ana i nā wahine primiparous, me nā polyhydramnios, ka hānau ʻana o nā keiki ʻelua a ʻoi aku paha, kahi kuʻi nui. Hoʻonui pinepine ʻia ka maʻi ʻole me nā hōʻailona ʻike ʻole, nā hōʻailona like i ka hoʻohālikelike placental, ka hoʻoweliweli o ka loaʻa ʻole. Hiki i kahi maʻi ke hana wale ma hope o ka nānā ʻana.

    Nā hōʻailona no ka hoʻokipaʻana me ka pyelonephritis i nā wahine hāpai:

  • pyelonephritis mākia, exacerbation o kahi ʻano maʻi,
  • nā mālamalama maikaʻi ʻole
  • preeclampsia, e ulu ana i ka wā o ke kua o ka lolo,
  • ka hoʻoweliweli ʻana o ka male ʻole, ka hānau mua ʻana,
  • inā hōʻike nā hōʻike i ka hōʻino o ka walaʻau.

    ʻO Pyelonephritis ma ka trimester mua e hōʻike ana iā ia iho i ka ʻoi aku ma mua o ka wā hāpai. ʻO ka kūpono kūpono i ka wā mua o ka maʻi e kōkua me ka wikiwiki i ka hoʻopau ʻana i ke kaʻina o ka maʻi, heʻuʻuku ka hopena o nā hoʻopiʻi. Inā hele mai ka pyelonephritis gestational ma kahi o ke poʻo o ka hypertension, anemia, hana hoʻopiʻi o ka ʻeha - hoʻonāukiuki kēia i ka ola a me ke olakino o ka makuahine a me ke keiki.

    ʻO nā hōʻailona o ka pyelonephritis a me nā maʻi

    ʻO ka Pyelonephritis kahi maʻi maʻi e kū mai nei i ke kua o ka maʻi me ka escherichia coli, nā bacteria. Me ke kahe koko, piʻi a piʻi paha i nā alahele i komo i nā pathogens i loko o nā keiki. ʻO ke palupalu nāwaliwali o ka wahine hāpai ʻaʻole hiki iā lākou ke hakakā iā lākou, ulu nā ʻōpū.

    ʻO ka pyelonephritis huehue e hele pū me ka ʻeha koʻikoʻi ma ka lumbar wahi, e hāʻawi ana i ka wāwae, ka ʻōpū, nā ʻōpū. E hōʻeha nui ka ʻili, piʻi mai ke aniani. I nā wahine primiparous, hiki i ka maʻi ke hiki i nā 16-20 hebedoma, i ka nui o nā wahine - i 25-32.

    ʻO nā hōʻailona kumu nui o ka pyelonephritis:

  • ke hoʻonui ʻana i ke ea kino i 38-39 degere,
  • e pōkiele ka pīpī
  • ke hoʻomau nei ma lalo o ka ʻeha o hope a i ʻole nā ​​ʻaoʻao ʻelua,
  • ʻīwī, ʻeha ma nā pūpū, nā mākeke.

    Puhi ka pyelonephritis me ka ʻole o nā hōʻailona kūikawā, hiki ke pilikia i ka wahine hāpai. E hōʻike kahi hōʻike loea e pili ana i ke koko a me ka waiʻai. ʻO ka ʻehaʻeha me ka lumbar o ka lumbar, kahi i ʻike ʻia ai ka protein i loko o ka urine e hōʻike i ka hoʻomohala ʻana o ke ʻano o ka maʻi i loko o nā keiki.

    Nui! ʻO ka hoʻonāukiuki o ka maʻi pyelonephritis i ka wā hāpai a hiki i ka wā i hiki ai ke kala wale ʻia, ka hānau mua, ka make o ke keiki ma ka ʻōpū.

    He aha ka pyelonephritis pilikia i ka wā hāpai

    Nui! Lā ʻo Pyelonephritis e pili i ka hoʻomaʻamaʻa ʻana i ka wā o ka wā hapai - ʻoi aku ka hana o ka antibiotics. Ma mua o kahi kaʻina hana aʻeha i kaʻeha.

    Pehea e pili ai ka pyelonephritis i ka wā hapai? I loko o nā wahine hāpai me ka hoʻoulu ʻana o ka maʻi, ʻoi loa ka ulu ʻana o ka gestosis - hiki kēia i nā hopena koʻikoʻi no ke keiki.

    He aha ka mea e hoʻoweliweli ai i ka pyelonephritis i ka wā hāpai:

  • ka hoʻomaka ʻana o ka hāpai ʻana - ka maʻi mau a ʻo ka hōʻeha ʻeha e hōʻeuʻeu i ka hoʻemi ʻana o ka myometrium ʻōpū,
  • hana paʻa o ka maʻi fetal - i ka manawa mua o ka wā hapai, ʻaʻole i paʻa piha ka plasenta, komo ka maʻi i nā ʻalopona, nā maʻi holomua.
  • kaloli o ka oxygen - e kū ana i ke kua o nā loli pathological i loko o nā keiki, ka hypoxia a me ka asphyxiation fetal.

    Inā he wahine ka pyelonephritis i ka wā hāpai, a laila mau māmā nā pēpē i ke kaupaona ʻana, mau jaundice ka lōʻihi, hypothermia, a me nā ala o ke kaila o ka pūnao.

    Nui! ʻO ka hopena o ka pyelonephritis i ke kakahiaka mua, ʻo ia ka make o ke keiki i ka manawa mua ma hope o ka manawa.

    Ma ka ulu pinepine ʻana i ka maʻi o ka pēpē i kahi ʻano maʻi, ʻo ka hapai ma hope o ka pyelonephritis ma lalo o ka mālama mau ʻana o kahi kauka, a hōʻike ʻia kekahi wahine e hele i ka haukapila i ka mea mua a ʻekolu o ka manawa ʻekolu.

    Kōkua ka hopena ma mua e hōʻemi i nā hopena maikaʻi ʻole o ka maʻi, e hoʻoneʻe i ka pathology i ke ana o ka kala mau ʻana. Ma hope o kahi hōʻike waho a me ka hoʻopaʻa ʻana i nā hoʻopiʻi, kuhikuhi ke kauka i kahi loiloi piha piha.

  • kaukaʻi maʻi lapaʻau o ka urine - ke manawa o ka protein, bacteria, he kiʻekiʻe o nā keʻena koko keʻokeʻo, e hōʻike ana i kahi kaʻina hana maʻi
  • e like me ka Nechiporenko, e like me Zimnitsky - e hōʻike ana i nā kumuwaiwai o leukocytes, ka ʻike ʻana o ka protein a me ka ʻike koko.
  • ʻ culturelelo i ka moʻomeheu urine ke nānā i ke ʻano o nā microorganisms pathogenic ʻekolu mau manawa,
  • hōʻike maʻi koko maʻi - ESR kiʻekiʻe, hemoglobin haʻahaʻa, helu nui kelepona keʻokeʻo nui, hōʻike i ke kuni
  • ʻO ka maʻamau ka uila a me ka doppler.

    Inā kānalua ka pyelonephritis, hāʻawi ka poʻe gynecologist i kahi loiloi no ka nānā ʻana a kūkākūkā me nā nephrologist. ʻO ka hoʻomaʻamaʻa hou ʻana i ka mumula o koina hakahaka e hana i loko o ka hale mālama ma lalo o ka mālama ʻana o nā mea akamai ʻelua.

    Nui! ʻAʻole nā ​​helelonephritis e hōʻike i nā kumu nui no ka ʻāpana caesarean.

    Nā hiʻohiʻona o ka mālama ʻana i nā wahine hāpai

    Me ka pyelonephritis o nā keiki, pono nā wahine hāpai e mālama i ka hoʻomaha o ka moena, e pale i ke kaumaha, kaumaha nui. No ka hoʻomaikaʻi ʻana i ka kahe o ka urine, pono ʻoe e moe ma kekahi ʻaoʻao i nā manawa he nui i ka lā, e kū'ē ana i ka maʻi palupalu - ʻoi aku paha nā wāwae i luna ma mua o ke poʻo. Inā ʻaʻole e ʻike ʻia ka hoʻomaikaʻi ʻana i loko o nā hola 24, e loaʻa kahi wahine.

    Hoʻohana ka poʻe antibiotota no ka mālama ʻana i ke akepaʻa huehue me ka ʻole o ka hala, ke kau ʻia nei ko lākou koho i ka lōʻihi o ke hāpai ʻana, ka ʻano a me ka paʻakikī o ka maʻi. Eia kekahi, ua kuhikuhi ʻia nā uroantiseptics, painkillers, antispasmodics. Hoʻolaha ʻia ke kauka lāʻau lapaʻau e ka Kauka i kēlā me kēia.

    Nā lāʻau lapaʻau e pono ai no ka mālamaʻana i ka pōpoki:

    1. I ka mea hoʻomaʻamaʻi mua, hāʻawi ʻia nā antibiotika i nā hihia koʻikoʻi, no ka mea, ʻaʻole i pale piha ka plasenta i ka pūpū. I loko o kēia manawa, hiki ia ia ke hoʻohana i ka antibiotics o ka hui penicillin - Ampicillin, Amoxiclav.
    2. I ka lua o ka trimester, ua hoʻohana ʻia ka hoʻohana ʻana o nā mea hoʻohui i nā antibacterial ikaika loa mai ka pūʻulu o cephalosporins II, ʻae ʻia ka hanauna o III - Cefazolin, Suprax. Hiki ke loaʻa i kēia mau kālā a hiki i 36 mau pule, ʻo ka lōʻihi o ke lapaʻau he 5-10 lā.
    3. Mai 16 mau pule, inā pono, hiki ke hoʻohana ʻia ʻo Nitroxoline.
    4. Me nā meaʻino e ka staphylococci, macrolides - Sumamed, Eritoromycin, hiki ke hoʻohana ʻia.

    Nui! Ke papa paʻa loa i ka hoʻokō ʻana i ka mālama ʻana i ka wā hāpai a me ka fluoroquinolones (Nolicin), nā lāʻau lapaʻau e pili ana i ka tetracycline, ʻaʻole hiki iā ʻoe ke lawe iā Biseptol, Levomycin.

    ʻO ka mea nui ma ka wā mālama ka mea kūpono, kūpono i ka pau ʻana o ka noho inu. ʻO ka papaʻai no ka pyelonephritis i nā wahine hāpai i mea e hōʻole loa i ka hoʻopoina ʻana o ka ʻai, ka paʻakai, ka momona, ka ʻūhā, nā pā i ka ʻai. ʻAʻole ia e hoʻohana i nā meaʻai e hoʻonāukiuki i nā paia o ka pāpaʻi - nā ʻōpio, ka spinach, sorrel. ʻOi aku ka maikaʻi o ka ʻai ʻana i ka berena me ka maloʻo iki ʻia, ʻoi aku ka makemake e hāʻawi i nā huahana mai ka palaoa.

    Pono ʻoe e inu i ka liʻiliʻi o 2 lita o ka wai o ka lā. ʻO nā mea inu maikaʻi loa no nā wahine hānai he cranberry wai, kuʻi hips, wai wai me ka ʻoleihoʻi.

    ʻO ka hoʻomaʻamaʻa ʻana me nā kuʻemaka kūloko

    E kōkua ka lāʻau lapaʻau me ka hoʻonui ʻana i ka pono o nā lāʻau lapaʻau, no ka mālama ʻana o ka pyelonephritis, nā mea kanu i loaʻa i ka waiwai diuretic a me nā anti-inflammatory.

    Pehea e mālama ai i ka pyelonephritis me nā mea kanu? ʻO ka mea mua pono e hoʻomanaʻo ʻoe i nā mea kanu i pāpā ʻia e hoʻohana ʻia i ka wā hāpai.

  • hua ʻōpala juniper
  • ʻ rootpala hua a me nā hua kanu,
  • ʻōlaʻi
  • laikini
  • yarrow.

    ʻO ka sabe Oat he hana ʻoi i ka hoʻomehana no ka mālama ʻana i ka aʻalopihā. Pono e kuke ʻia mai ka sereal - ninini 180 g o ka cereal 1 lita o ka wai, simmer no nā hola 2-3 ma kahi wela wela. Lawe i ka lāʻau oatmeal ma kahi ʻōpū ʻole, 120 ml 2-3 mau manawa i ka lā.

    ʻO ka paukena kahi mea kanu maikaʻi me ka hopena anti-inflammatory ikaika. Mai laila pono ʻoe e hana i ka wai, ʻai i ka porridge, ʻai i ka ʻai a me ka hoʻolapalapa ʻia.

    ʻO ka waiū Rosehip - kahi inu inu nui no nā wahine hāpai, ka mea e hoʻoikaika i ka ʻōnaehana pale, he waiwai diuretic a me nā anti-inflammatory. E ninini i 100 mau hua maloʻo i loko o ka 1 lita o ka wai wai, hoʻomohala ma luna o ka wela haʻahaʻa no 5 mau minuke i loko o kahi pahu paʻa. E hoʻolōʻihi i nā hola 3, inu i ka ʻāpana o ka pauahi i ke ao.

    Hoʻokomo wīwī ʻO thyme i ka hoʻopau koke ʻana i ke kaumaha a me ka mumū. E ninini i ka 220 ml wai nui o ka wai 5 g o nā mea lau maloʻo, waiho no 20 mau minuke. Lawe iā i kahi hana 15 ml 3-4 mau manawa i ka lā. ʻO ka lōʻihi lōʻihi o ka mālamaʻana he 7-10 lā.

    Kāohi

    ʻO nā wahine hāpai wahine ʻaʻole e ʻike wale nō e pono ai e mālama i ka pyelonephritis, akā pehea lā e pale aku ai i ka hoʻomaka ʻana o ka maʻi, kāna exacerbation. Pono ʻoe e kipa pinepine i ka gynecologist, lawe i ka hoʻāʻo a me ka hoʻokahe koko. I mea e pale ai i ka hoʻonāukiuki i ka maʻi kūlohelohe o ka maʻi mai ka 12-13 mau pule, hiki iā ʻoe ke lawe i ka lāʻau lapaʻau lāʻau urological - Kanefron N, Brusniver.

    Inā loaʻa kahi moʻaukala o nā maʻi maʻi o ka urinary, a laila pono e ʻai ʻia kahi meaʻai kūikawā a hiki i ka hānau ʻana. Pono nā wahine hāpai i ka pale ʻana i kā lākou lālau i kēlā me kēia hola 3-4 e pale ai i ka heʻe o ka urine.

    Pono e pale i ka hypothermia, ʻaʻole hoʻi e kipa i nā wahi ākea i ka manawa o nā maʻi maʻi, e hana pinepine i nā mea lapaʻau no nā wahine hāpai, e ʻauʻau, e hele no 30-40 mau minuke i kēlā me kēia lā.

    ʻO ka Pyelonephritis i ka wā hāpai ka maʻi he paʻakikī a me ka maʻi weliweli, pōʻino no ka wahine a me kahi keiki. Pono e mālama i ka maʻi, no ka mea hiki i ka maʻi ke hoʻōki i ka make o ke keiki. ʻO ke kūlohelohe manawa, ʻo ka hoʻokō ʻana i nā ʻōlelo hōʻike o ke kauka e kōkua i ka pale ʻana i ka exacerbation a me ka hoʻokū ʻana i ka mumū ʻole o ka renal.

    Nā kumu o pyelonephritis i ka wā hāpai

    ʻO Pyelonephritis i ka wā hāpai ʻia he maʻi ka hopena maikaʻi loa ma ke kino o ka makuahine a me ka pūpū hāpai. Hiki i kona hōʻino ke alakaʻi i nā hoʻopiʻi koʻikoʻi e like me ka purulent lesrotic lesion o ka ʻōpū a me ka sepsis. Me ka pyelonephritis i ka wā hapai, ka nui o ka hānau mua ʻana, ka hānau ʻana, ka make a intrauterine o ka pūpū a me nā hoʻopiʻi ʻē aʻe. I ka hoʻokolohua ʻana i ka lā lōʻihi ma hope o ka hoʻomanawanui ʻana o ka pyelonephritis i ka wā hapai, loaʻa i nā wahine he nui pyelonephritis mau maʻi, nephrolithiasis, nephrosclerosis, hypertension arterial, etc.

    Hiki i ka pyelonephritis huehue ke hiki ke hāpai i ka wā hāpai, hānau keiki a me ka wā postpartum koke, e pili ana i kēia hoʻopiʻi ʻana i ka manawa i kapa ʻia ʻo ka maʻi gestational pyelonephritis.

    ʻO ka pyelonephritis gestational acute e pili ana i nā wahine hāpai (ʻoi loa ka loaʻa), nā wāhine i ka hānau keiki ʻana a me ka puerperas (postpartum pyelonephritis) e hoʻohanohano ʻia.

    I ka 10% o nā wahine hāpai a me ka maʻi pyelonephritis i loaʻa i nā ʻano maʻi purulent-luku. I waena o lākou, ʻo ka poʻe pregelle i ka mea nui, ko lākou hui pū ʻana me nā mea he lunaolelo a me nā mea i koe. Hāpai ka hapanui o nā wahine hāpai i ka pyelonephritis unilateral acute, ʻoiai ke kaʻina ʻākau ka pololei he mau manawa ma mua o ka ʻaoʻao hema. I kēia manawa, ʻo ka pyelonephritis ka lua maʻamau o ka nui o nā maʻi extragenital i nā wahine hāpai. ʻO Pyelonephritis i ka wā hapai e pili ana i ka wahine i ka wā o ko lākou hānau mua (70-85%) a me ka primiparous ma mua o ka multiparous. Ua hoʻākāka ʻia kēia ma ka nele o nā hana hoʻoponopono hoʻohālikelike i ka immunological, hormonal a me nā hoʻololi ʻē aʻe i loaʻa i loko o ke kino o ka wahine i ka wā o ka gestational.

    Hōʻike pinepine ka pyelonephritis i ka wā hapai i ka mea hoʻomaʻi o ka II a me III. Manaʻo nā manawa koʻikoʻi o kona hoʻomohala ʻana i nā hebedoma 24-26 a me 32-34th o ka hāpai ʻana, kahi e hiki ai ke wehewehe i nā mea koʻikoʻi o ka pathogenesis o ka maʻi i nā wahine hāpai. ʻOi ka maʻamau, pyelonephritis i ka wā hapai i hōʻike ʻia i ka wā hānau. ʻO ka pyelonephritis Maternal e kū pinepine ma ka lā 4-12 i ka wā postpartum.

    ʻO nā kumu o pyelonephritis i ka wā hāpai a ua ʻokoʻa: nā maʻi, nā pepeke, nā fungi, nā protozoa. ʻO ka pinepine, ʻo ka pyelonephritis mākeke i ka wā hapai ma muli o ka microorganism kūpono i loko o ka ʻōpū o ka ʻōpū (E. coli, Proteus). I ka nui o nā manawa, e hoʻomau ʻia nei ka hoʻomau ʻana o ka pyelonephritis kamaliʻi. Hoʻohou pinepine ka hana o ke kaʻina hana i ka wā o ka wā ʻōpiopio a i ka hoʻomaka ʻana o ka wā ʻōpiopio (me ka loaʻa ʻana o ka defloration cystitis a me ka hapaha). He mea like nā ka lāʻau etiological microbial no nā ʻano lāʻau āpau o ka pyelonephritis i ka wā hāpai ʻana, a he moʻolelo i nā maʻi o ka urinary tract i loaʻa ma mua o ka hapalua o nā wahine i loaʻa i ka pyelonephritis i ka wā hapai.

    Loaʻa ka asmptomatic bacteriuria i nā wahine hāpai. - kekahi o nā mea i pilikia no ka hoʻomohala ʻana i ka maʻi. ʻAʻole e hoʻonā ʻo ka mea maʻi i ka pyelonephritis maʻa, akā ʻo ka bacteriuria i nā wahine hāpai i hiki ke alakaʻi i ka pyelonephritis i ka wā hāpai. Hoʻomaopopo ka Asymptomatic bacteriuria ma 4-10% o nā wahine hāpai, a loaʻa ka maʻi pyelonephritis ma 30-80% o ka hopena. ʻO Bacteriuria ma kahi wahine hāpai wahine kekahi o nā mea e pili ana i ka hoʻomohala ʻana o ka pyelonephritis i loko o nā keiki i hānau. He pōpilikia no ka makuahine a me ka fetus, ʻoiai hiki iā ia ke alakaʻi i ka hānau mua, preeclampsia a me ka make o nā keiki. Ua ʻike ʻia ʻo ka urine hāpai ka mea maikaʻi loa no ka ulu ʻana o nā pōʻino (ʻoi aku hoʻi iā E. coli). ʻO ia ke kumu kūpono ka ʻike a me ka mālama ʻana i ka bacteriuria no ka pale ʻana i nā pilikia hiki.

    ʻO ke pinepine o ka loaʻa ʻana o ka bacteriuria asymptomatic i nā wahine hāpai i ka hopena o ka hana pilikino a ka wahine ma mua o ka wā hapai, ka loaʻa ʻana o nā ʻano hana like ʻole o ka pāʻai urinary, a me ka hala ʻole o ka hoʻomaʻemaʻe pilikino.

    ʻO ka pyelonephritis Renal i nā wahine: nā hōʻailona a me ka mālama

    Hāʻawi ʻia ka ʻikepili ma ka pūnaewele no ke kumu o nā kuhikuhi. Mai hoʻolaʻa pilikino. I ka hōʻailona mua o kahi maʻi, pono ʻoe e kamaʻilio i ke kauka!

    ʻO ka Pyelonephritis ma ke ʻano ākea he lesi mau maʻi o nā pelvis ʻehā a me ka parenchyma o ke ʻano paʻa. ʻO ka helu ICD-10 ʻo N10-N16. ʻAʻole e like me glomerulonephritis, nona nā kumu autoimmune i ka hapa nui o nā hihia, ʻo ka pyelonephritis kahi maʻi maʻi o ka etiology infectious-viral. Hoʻoulu ka maʻi i ʻole ke ʻano o ka makahiki, pinepine i ka wahine kūpono loa. Hiki ke wehewehe ʻia kēia ma hope aʻe. Aia ke kumu ma ka lapalapa a me ka urethra pōkole. I nā kāne, lōʻihi ka urethra, kahi e hoʻemi ana i nā hōʻeha o ka neʻe luna o ka flora pathogen i loko o ka ipu ahi, a mai ia i loko o nā pūuli. I nā wahine, he ʻoiaʻiʻo ka kūʻē.

    No laila, ʻoi aku ka nui o ke kāne kūpono i ka maʻi cystitis a me kaʻeha. Hoʻopilikia iki nā maʻi menopausal i ka wā i hōʻemi ʻia ai ke kino a me ka kīnā ʻana o ka syntogen normal.

    "ʻO nā maʻi neʻopala ko lākou mau hōʻeha o kā mākou manawa," wahi a Maryana Lysenko, ke kauka nui ma ka Halemai Moscow ma 52. - Ke kāhea nei nā kauka i nā ʻōpū "mālama kūlou": ʻaʻole hōʻeha lākou, ʻaʻole lākou e hāʻawi i nā hōʻailona hōʻailona. Ke kū nei nā ʻōmaʻomaʻi i nā hanana aʻe i hope, i ka manawa e koi ʻia ai ka lāʻau lapaʻau koʻikoʻi. "

    Nā kumu kumu o ka maʻi

    ʻO ke kumu nui o ka maʻi mai ka hoʻokomo ʻana i nā mea hoʻopuka i loko o ka ʻōpū o ka pēpē, e like me E. coli, protea, staphylococci, enterococci a me nā mea'ē aʻe. ʻO ka maʻamau, ʻo ka pyelonephritis e hoʻoulu ʻia e nā ʻelele o nā fungi, nā maʻi maʻi, a i ʻole protozoa. Ke komo nei ka pathogen ma ke ala hematogenous (kahe koko mai nā iwi ʻē aʻe) a i ʻole urogen (mai ka urethra inflamed a i ʻole nāʻu iho i lalo o ka wai).

    I ka mea e hoʻomohala ai ke kaʻina hana, pono ia e hoʻokumu i nā kūlana maikaʻi loa, kahi a:

  • nā hoʻololi i ka nui, ka noho anatomical a me ka hana o nā keiki i ka manawa o kēia manawa (lilo lākou i nui, a ma muli o ka mana o ka progesterone nā mea a pau i hoʻonui ʻia, ke hoʻohui pū ʻia, ʻo ka ʻōpū e ulu ana i nā ureter).
  • hoʻēmi ka pāala i kona ʻano kūlohelohe, a lilo ka peristalsis o nā ureter i liʻiliʻi, e hāʻawi pū ana i kahi kīnā ʻole.
  • hoʻomaka ka hana a glomerular o nā pūpū e hana 50% keu aʻe.

    Hānau ʻia kahi kōpili ulu i ka nui o ka nui o ka kōkō, ka mea, e hoʻololi ai i ke kūlana kūlohelohe o ka urinary tract a kumu ʻo pyelonephritis

  • maʻi 'ole a i ʻike mua ʻole ia ma kahi o ka hoʻomohala ʻana o ka ʻ ōpī,
  • nā hana ʻeha i mua i ka papa urinary a i ʻole nā ​​maʻi paʻa o nā papa pelvic i nā wahine (ma ke ʻano kūikawā, colpitis a i ʻole bacterial vaginosis),
  • nā hua lāʻau i hoʻokumu ʻia, ʻoi aku ka nui o nā nui.
  • he haʻahaʻa haʻahaʻa o ka moʻomeheu, pae a me ka hoʻomohala ʻana i ka wahine
  • nā maʻi paʻa ʻana o nā kino ʻē aʻe, e like me ka mellitus maʻi diabetes.

    I ka wā o ka maʻi, ua wehe kahi ʻano maʻi o ka pyelonephritis gestational a me kahi mea maʻi. ʻO ka papa ākea o ka maʻi i ka nui o nā hihia i loaʻa i ka wā o ka hānau mua. Akā aia nā hihia ma ka hoʻomaka ʻana o ke kaʻina hana i nā wahine i ka hānau keiki a me nā puerperas.

    Hoʻomaopopo maikaʻi ʻia nā ʻōmaʻomaʻi o ka maʻi e ka makahiki gestational. No laila, ma ka trimester mua, ʻike pinepine ʻia ka wahine i ka ʻeha nui ma ka ʻāpana lumbar (ma ka hoʻonāukiuki i hoʻokahi a ʻelua paha mau mea), e puka ana i ka labia a me ka ʻōpū ma lalo. ʻO kekahi manawa ikaika a ka ʻeha e hiki iā lākou ke hoʻohālikelike i kahi huakaʻi o ka renal colic.

    I kahi manawa ma hope (II a me III trimesters), hele mai nā mea kikoʻī o ke ʻano dysuric i mua o ka maka, ua hoʻopau ʻia ke kaʻina hana o ka ʻūpiki. ʻAʻole ʻōlelo iki ka ʻeha, akā ʻo ka poʻe hāpai wahine e hoʻoikaika mau i kahi e koi ʻia ai, e moe ana ma ka ʻaoʻao olakino me nā wāwae i ʻoki ʻia i ka ʻōpū.

    Aia kekahi mau hōʻailona o ka maʻi hoʻohemo, ke hoʻoneʻe nei kekahi ma luna o nā hoʻopiʻi'ē aʻe, ka mea e hoʻohui i ke kaʻina o ka hele ʻana i ka wā kūpono. ʻAʻohe wahine e ʻike pinepine i ka ʻeha a me ka nāwaliwali, emi ke ʻano o kona makemake, hōʻano nui kona ʻano, a ʻike ʻia kekahi manaʻo o nā nāwaliwali maʻamau.

    ʻO nā ʻōhua hiki

    ʻO kahi maʻi e like me gestational pyelonephritis e hoʻoweliweli i ka olakino o ka wahine a me kahi pēpē hānau, ʻoiai e pili ana i ka hoʻomohala maʻamau o ka pūpū. Aia kekahi kino kūpono o ka maʻi intrauterine, hoʻopau ʻia o ka hāpai a i ka wā hānau mua, ʻo ia hoʻi kahi pēpē make. Hoʻokumu ʻia kēia mau hoʻonāukiuki e ka nui o ka hoʻokaʻawale ʻana o nā paia o ka ʻōpū i ka pane ʻana i ka ʻeha a me ka ʻeha, a me kahi kūlana febrile.

    Kuhi ka manawa koʻikoʻi o ka maʻi e hōʻike ʻia ana he 32-34 wiki o gestation, i pili pū me ka loaʻa ʻana o ka nui o ka kōpana.

    ʻO ka hoʻopiʻi maʻamau o ka pyelonephritis gestational, i manaʻo ʻia he kūlana gestosis i nā wahine, i hōʻike ʻia e edema, he piʻi nui o ke koko a me ka hōʻike ʻana o ke kao nui o ka protein i ka pāʻai urinary.

    ʻAʻole e poina iā mākou e pili ana i kahi hoʻopiʻi weliweli loa o ka pyelonephritis gestational e like me ka gestosis

    Naʻi hoʻolika

    I mea e hana pololei ai, a me ka hoʻokō manawa kūpono, ʻike ʻo ia i nā ʻano hana hou a me ka minimally invasive diagnostic method.

    ʻO ka papa inoa o nā hoʻokolohua laboratorium:

  • ka nui o ke koko lapaʻau a me ka hoʻāʻo a ka wai (hoʻonui i ka ESR a me nā keʻena koko keʻokeʻo, leukocyturia, bacteriuria),
  • ka hōʻike kiko pākuʻi koko biochemical me ka hoʻoholo no ke kūpaʻa ʻana o nā ʻalala renal (ʻo ka ʻike o ka residual nitrogen a me ka urea nui hoʻi),
  • hoʻohui hou e pili ana i ka pākia i ka urinary ma ke ʻano o Nechiporenko, nā mea hoʻohālike o Zimnitsky a me Addis-Kakovsky.
  • Hōʻike hōʻike,
  • urine microscopy, moʻomeheu a me ka hoʻoholo ʻana o ka mālamalama o ka pathogen i antibiotics.

    • Ana i ka uila o ka maʻi urinary me ka hoʻoholo ʻana o ka kahe kahe o ke koko (dopplerography),
    • ʻO ka scan o CT o nā keiki (ma nā hihia ʻoi aku ka paʻakikī).

    Nā lāʻau lapaʻau

    Kau ʻia nā hana Therapeutic i:

  • ke kaua ʻana i kahi mea hoʻomake me ka hōʻoluʻolu ʻana i nā hōʻailona a pau o ka maʻi.
  • ke hoʻoponopono ʻana i nā maʻi ʻalani,
  • ka hoʻōho ʻana o ka mimi a me ke koko ma ka pae Laboratory,
  • ka huina kiʻekiʻe loa o nā hoʻopiʻi ʻana a me nā hoʻomaha hou o ka pyelonephritis.

    Pono ke pyelonephritis ponoʻi e nānā kokoke a, ma ke ʻano he kānāwai, e alakaʻi i ka hoʻokipa ʻana i kahi hapai

    Hōʻike ʻia ka maʻi hoʻomaha i nā maʻi penei:

  • ka hopena o ke ʻano maʻi o ka pyelonephritis,
  • mau pūpū o ka makeʻe o loko o ka haukapila o ka maʻi,
  • aia nā hopena ʻino ma ka hana o nā keiki,
  • Hōʻike ka ultrasound i nā hōʻailona koʻikoʻi o ka maikaʻi o ke keiki,
  • asymptomatic bacteriuria ʻaʻole hiki ke kūpono e lawa ai i ka lāʻau.

    ʻO nā hanaʻole-lāʻau ʻole

    Noi aku nā poʻe hāpai wahine i ka noho-kuli ma ke kuli no nā minuke 15-20 ma kahi o 4-5 mau manawa i ka lā.

    Hoʻokomo ʻia nā meaʻai me ka nui o nā huaora (blackcurrant, peach, vine, kāloti a me nā mea ʻē aʻe) i loko o ka meaʻai, ua hoʻolako ʻia nā wai cranberry-cranberry.

    ʻO ka hiamoe wale nō ma luna o kahi ʻaoʻao olakino.

    Nā hana aʻoaʻo

    Ua kuhikuhi ʻia nā ʻaina antiodacterial i ka hoʻomaka ʻana o ka ʻike i ka maʻi, no ka mea e hoʻoholo ai i kaʻoi aʻe o ka prognosis a pale i nā hoʻopiʻi. Ma ka trimester mua, ʻae ʻia ka aminopenicillins, ʻae ʻia a mālama ʻia, a i loko o ka lua a me ke kolu o ka trimesters, ʻaʻole i pāpā ʻia ka hoʻohana ʻana o nā cephalosparins a me nā macrolides. ʻO ka lōʻihi o ka papa o nā pahuhopu haʻahaʻa 2 pule.

  • lawe ʻia ka detoxification e ka hoʻohana ʻana o nā protein a me ka albumin,
  • i ka manawa o ka haʻi huaʻehā spastic, ua kauoha ʻia nā antispasmodics (no ka laʻana, ʻaʻohe-shpa),
  • hui pū ʻia o ka diuretic o ka hoʻohana ʻana i kaʻaila o ka ʻōpū, bearberry bear.
  • Hana hoʻomaʻamaʻa

    Inā ʻaʻole lawe mai ka lāʻau mālama konservative i ka hopena e pono ai a ʻaʻole paha e hoʻopilikia pono i ka maikaʻi o ka wahine hāpai, hoʻokipa lākou i ka catheterization o nā ureter i mea e hoʻihoʻi ai i ka excretion urine. Aia kahi kānalua o ka hoʻomohala ʻana o nā ʻāpala a i ʻole kapake i loko o nā kiko o ka pūpū, hana ʻia kahi endoscopic a ʻeha paha.

    ʻO ka poʻe kipa i ka gynecologist i ka wā o ka hāpai ʻana a pau, ʻaʻole pono e haʻalele ʻia, no ka mea, ʻo ka ola o kāu pēpē e hiki mai ana e hilinaʻi ʻia i ka manawa kūpono o nā kekeʻe.

    ʻO ka pathogenesis o pyelonephritis

    ʻO nā pathogens me ke kahe koko e komo i nā ipu o ka glomeruli o ka renal a hoʻonā i nā maʻi a me nā loli o ka degenerative i loko o lākou. ʻO ke kumu o ka pyelonephritis ka maʻi.

    Hoʻohāukiuki pinepine ʻia nā ʻōmole:

  • ʻO Escerichia coli a me ka'āpana bacinal,
  • Aulaia,
  • Melanie
  • ʻO Pseudomonas aeruginosa,
  • Nā huapū l L.

    Ke kanu nei ka pathogenesis o ka pyelonephritis a me ke kuʻuna.

    He aha ka maʻi mestitus maʻi gestational: ICD-10 code, kiʻi haukapila a me nā kumu

    ʻO kekahi o nā mea nui i ka hopena o ka maʻi huki o ka malfunction o ka ʻōnaehana endocrine.

    ʻO ka emi ʻana o nā lilo o ka glucose, e hoʻohaʻahaʻa ʻia ka ʻikepili o ke koko, aia nā hopena maikaʻi ʻole i nā mea a ka metabolism, e pili ana ke kīʻaha koko. Aia kekahi mau loea lapaʻau, hoʻokahi o ka maʻi maʻi gestational. Wahi a ICD-10, hoʻopaʻa inoa ʻia ka maʻi ma lalo o kahi code a me kahi inoa.

    Ua hoʻonui ʻia ka ʻike hou e pili ana i kēia maʻi.

    ʻO ka maʻamau maʻamau ka maʻi maʻamau:

    Inā ikaika ʻole ke kino i ka insulin, hōʻailona ʻo ia i ka maʻi maʻi type-feather. Hoʻopilikia kēia ʻano ma nā wahi maʻi pancreatic i hoʻopilikia ʻia. ʻO ka pinepine, ulu ka maʻi i ka wā ʻōpio.

    Ma ke ʻano 2, pili nā hemahema o ka insulin. Kuhi ʻia ia me ka nui o ka nui. Eia naʻe, ʻo ka nui o nā hoʻonohonoho e hāʻawi i ka pili me nā pūpū a me ka hoʻomaʻamaʻa ʻana i ke kō o ka glucose mai ka koko. Ma ka lōʻihi o ka wā, e emi ana ka hana o kahi mea.

    Inā wahine ka wahine ma ka GDM i ka wā hāpai, he mea koʻikoʻi loa ia e hoʻomalu i ke kō koko koko ma hope koke o ka hānau ʻana a i ka wā e hiki mai ana ma kahi o 1 mau manawa i ka makahiki.

    Nui nā ʻano hanana like ʻole o ka maʻi i hoʻoweliweli ʻia e nā maʻi, nā lāʻau lapaʻau, a me ka hoʻoilina. ʻO ka hoʻokaʻawale, hiki ke maʻi maʻi i ka wā hāpai.

    Huli ʻia e TIN

    • OKPO e TIN

    Huli i ke kī OKPO e TIN OKTMO INN

    Huli no OKTMO code e TIN OKATO INN

    Huli i ke kī OKATO e TIN OKOPF e TIN

    Huli i ke kī OKOPF e TIN ʻOG OKOG ma TIN

    E huli no ka helu OKOGU e TIN OKFS e TIN

    Huli i ka helu OKFS e TIN BIN ma TIN

    Huli OGRN e TIN Kiʻi iā TIN

    E ʻimi i nā hui TIN ma o ka inoa ʻo, TIN IP ma o ka inoa inoa

    Nā Hoʻohui

    • OKOF ma OKOF2

    ʻO ka unuhi ʻana o ka wae helu OKOF ma ka wae OKOF2 OKDP i OKPD2

    ʻO ka unuhi ʻana o ka helu helu OKDP OKDP i ka helu OKPD2 OKP ma OKPD2

    ʻO ka unuhi ʻana o ka helu papa helu OKP i ke code OKPD2 OKPD ma OKPD2

    ʻO ka unuhi ʻana o ka wae helu papa OKPD (OK 034-2007 (CPA 2002)) i ke code OKPD2 (OK 034-2014 (CPA 2008)) OKUN i OKPD2

    ʻO ka unuhi ʻana o ka helu papa inoa OKUN i ke code OKPD2 OKVED ma OKVED2

    ʻO ka unuhi ʻana o ka helu helu mana OKVED2007 i loko o ka wae OKVED2 OKVED ma OKVED2

    ʻO ka unuhi ʻana o ka wae papa helu OKVED2001 i kahi wae OKVED2 OKATO ma OKTMO

    ʻO ka unuhi ʻana o ka helu helu OKATO ma ka wae OKTMO HS i OKPD2

    ʻO ka unuhi ʻana o ka HS code i ka helu papa helu OKPD2 OKPD2 i ka HS

    ʻO ka unuhi ʻana o ka helu helu papa OKPD2 i loko o ka helu HS ʻO OKZ-93 ma OKZ-2014

    ʻO ka unuhi ʻana o ka helu papa helu OKZ-93 ma ke code OKZ-2014

    Nā Māhele āpau-Lūkini

    • Ka papa helu ESKD

    Mālama All-Russian i nā huahana a me nā palapala hoʻolālā OK 012-93 KIES

    Ka helu ʻana o nā ʻoihana kula e nā hui o ka ʻoihana Okato

    Ka papa ʻōlelo Lūkini āpau-Lūkini o nā mea o ka māhele aupuni-territorial OK 019-95 OKV

    All-Russian Classifier of Currencies OK (MK (ISO 4217) 003-97) 014-2000 OKVGUM

    Mālama āpana-Lūkini i nā ʻano o nā ukana, ka ʻohi a me nā mea pai a nā ʻāpana OK 031-2002 KauʻUa

    Ka Palapala Hoʻoilina Rusia-ʻ Typeslelo o nā Hana Hou OK 029-2007 (NACE Rev. 1.1) OKI 2

    Ka Palapala Hoʻoilina Rusia-ʻ Typeslelo o nā Hana Hou OK 029-2014 (NACE RED. 2) OGR

    Ka Palapala Hoʻoilina Rusia-ʻĀina Hono Kaiola OK 030-2002 KauʻIe

    Ka papa helu ʻōlelo Lūkini āpau āpau o ʻĀwili helu 015-94 (MK 002-97) OKZ

    All-Russian classifier class of occupations OK 010-2014 (ISKZ-08) ʻĀʻLau

    All-Russian Classifier of populasyon Information OK 018-2014 OKISZN

    All-Russian classifier kahi o ka ʻikepili e pili ana i ka palekana o ka lehulehu. OK 003-99 (pololei a hiki i 12/01/2017) OKISZN-2017

    All-Russian classifier kahi o ka ʻikepili e pili ana i ka palekana o ka lehulehu. OK 003-2017 (mana ʻia mai 01.12.2017) OKNPO

    Ka papa ʻōlelo Lūkini āpau āpau Lūkini ma laila 02 OK003 (pono a hiki i 01.07.2017) OKOGU

    Ka ʻAi-ʻ Classlelo Lūkino Nui o kā Kauʻāina Aupuni OK 006 - 2011 OKOK

    Ka Hoʻolālā Ka-All-Russian e pili ana i nā ʻōlelo āpau-Lūkini. OK 026-2002 OKOPF

    All-Russian classifier of legal form OK 028-2012 OKOF

    All-Russian Classifier of Fiets Assets OK 013-94 (mana a hiki i ka 01.01.2017) OKOF 2

    All-Russian Classifier of Fiets Assets OK 013-2014 (SNA 2008) (mana ʻia mai 01.01.2017) Okp

    All-Russian hua helu hua OK 005-93 (mana a hiki i 01/01/2017) OKPD2

    Nā haumāna āpau-Lūkini o nā huahana ma ke ʻano o ka hana ʻ activitylelo OK 034-2014 (CPA 2008) OKPDTR

    All-Russian Classifier of Occupations of Workers, Positions o nā limahana a me nā Kūlana Kūlana OK 016-94 OKPIiPV

    ʻO nā papa āpau-Lūkini ka helu maina a me ka wai lepo. OK 032-2002 OKPO

    All-Russian papa helu ʻana i nā ʻoihana a me nā ʻoihana. OK 007–93 ACS

    All-Russian Classifier of Standards OK (MK (ISO / ISO / ICS) 001-96) 001-2000 OKSVNK

    Ka papa ʻōlelo Lūkini āpau a Lūkini nō hoʻi o nā loea ʻepekema kiʻekiʻe kiʻekiʻe loa ma 017-2013 OKSM

    All-Russian Classifier of the World Countries OK (MK (ISO 3166) 004-97) 025-2001 OKSO

    Ka papa ʻōlelo āpana āpau-Lūkini o nā loea e ka hoʻonaʻauao OK 009-2003 (mana ʻia a hiki i 01.07.2017) OXO 2016

    Ka papa ʻōlelo āpana āpau-Lūkini o nā loea e ka hoʻonaʻauao OK 009-2016 (mana ʻia mai 07/01/2017) OCTS

    Ka helu hoʻonohonoho Lūkia āpau-Lūkini o nā hanana hoʻololi he OK 035-2015 OKTMO

    Ka Palapala Lūkini-Lūkini o nā Teritore o nā ʻAlana ʻAi OK 033-2013 OKUD

    Ka papa ʻōlelo Lūkini āpau-Lūkini ʻo ka palapala hoʻokō OK 011-93 OKFS

    Ka Palapala Ho‘āina Kūʻē-Lūkini o nā Hōʻī nona Koho Leka OK 027-99 ʻĀʻLEL

    Ka Palapala All-Russian Hoʻohui hoʻokele waiwai. OK 024-95 Perch

    All-Russian classifier lawelawe o ka lawelawe i ka heluna o. OK OK2 002-93 CN FEA

    Nā inoa inoa o nā hana waiwai ʻē aʻe (TN FEA EAEU) ʻAiʻōlelo VRI ZU

    Helu papa helu o nā ʻano ʻae ʻia o ka ʻāina KOSGU

    ʻO ka papa hana hana aupuni holoʻokoʻa FKKO 2016

    Ka papa helu papa helu mōʻauwai kūmole (mana a hiki i 06/24/2017) FKKO 2017

    Ka helu helu helu lōloʻaha Federal (kūpono mai 06.24.2017) CLADER

    Palapala Kūlana RF BBK

    ʻO ka maʻi mestitus maʻi gestational - nā hōʻailona nui:

    • Kahula
    • Kūʻai pinepine
    • Lohea
    • Putu maloʻo
    • Pāʻeha
    • Ka makewai nui
    • Hoʻolaha ka ʻike
    • Hoʻopilikia i nā moʻi

    ʻO nā hōʻailona lāʻau lapaʻau i ka maʻi hānai ma ke ʻano he like ʻole i nā ʻano like like 1 a me 2 paha, ʻoiai ʻaʻohe loli nui i ka maikaʻi.

    No ka hoʻokau ʻana i ka maʻi kūpono, hoʻohana ʻia kahi hoʻopaʻa noiʻi. Hoʻokumu ʻia ka hoʻomaʻamaʻa ʻana i nā ʻano mālama conservative, ʻano, pili i nā meaʻai e ʻako.

    I ka papa inoa o nā maʻi o ka maʻi, ua like kona ʻano like me ka manaʻo nui. ʻO ke code no ICD-10 ʻo O24.4.

    Hiki i kekahi wahine ke noho i kahi kūlana ke hoʻohālikelike i nā hōʻailona o GDM - ua paʻa kēia i ka nui o nā loli i ke kino. I waena o lākou, kahi i hoʻemi ʻia o ka ʻili a me nā ʻāpana i ka insulin i hua ʻia e ka pancreas.

    Eia kekahi, hoʻokaʻawale nā ​​mea lapaʻau i kahi laulā o nā mea predisposing ʻē aʻe e hilinaʻi ana i ka hiʻohiʻona ʻano o ka wahine "ma ke kūlana". No laila, ʻo nā kumu o ke maʻi maʻi gestational i ka wā hāpai.

    I kekahi mau hihia, ulu ʻia ka maʻi diabetes i ka pono ma hope o ka hānau ʻana, akā ʻo ka hiki ʻole o nā hōʻailona o ka maʻi mellitus e ʻike ʻole ma ka wā e hiki mai ana, ʻaʻole i kipi ʻia.

    Nā hopena

    ʻOi ka maʻi o ka maʻi kanaluma ʻaʻole maikaʻi no ka wahine e like me ke keiki. ʻO ka hoʻopiʻi wale nō no ka makuahine e manaʻo ai, ma hope o ka hānau ʻana o ka pēpē e hoʻomohala ʻo ia i ka maʻi maʻamau.

    He aha ka hopena o kahi maʻi no kahi pēpē:

    • kaohi koko haʻahaʻa
    • ka hoʻomohala ʻana o ka maʻi hānau maʻi,
    • haʻahaʻa haʻahaʻa o ka magnesium a me ka calcium.

    ʻO kahi ʻano e like me ka fetopathy o ka pēpē i loaʻa kēia mau hōʻailona:

    • nā nui nui o ke keiki,
    • ka hoʻemi ʻole ʻana ma waena o ke kino a me nā wāwae,
    • ka ʻaʻa ʻana o nā ʻili
    • He kiko momona momona subcutaneous
    • jaundice
    • pauna aho hanu
    • ka wai maʻi koko nui, hiki iā ia ke alakaʻi i ke kuʻi o nā koko koko.

  • Waiho I Kou ManaʻO HoʻOpuka