ICD 10. Rheumatoid Arthritis: Tohu me te rongoā

ICD 10 rheumatoid rumati e pā ana ki te piha haapiiraa o M: inflammatory polyarthropathies. I tua atu ki reira, i konei ko JRA (Juvenile ranei kaiponapona küao rheumatoid), kauti, me te tahi atu. e kore tonu e matau tino te take o tenei mate. He maha ngā ariā e pā ana ki tona whanaketanga, engari e kore kua whakaaro ano puta. Kei te whakapono te reira e te mate ai raruraru i roto i te ture o te pūnaha ārai mate i roto i te iwi te hunga e aro ana ki reira. Ka rite ki te hua o te hanganga o te rāpoi ngota e whakangaro kiko tahi. Ki kōrero tenei ariā e kaikōiwi (waehere ICD - 10 M05), hei painga tukinotia ki taero antibacterial.

Ko te hītori o te mate

kaikōiwi - he mate tawhito. Ko te wā tuatahi o reira kua kitea i roto i te ako o te kōhiwi o Inia, tona tau ko e pā ana ki wha me te hawhe mano nga tau. I roto i te tuhinga, tutuki he whakaahuatanga o Armenia nga tau 123 o to tatou tau. Iwi ki angamaheni tohu o te mate i ahiri e whakaaturia ana i roto i te pikitia o Rubens.

Ka rite ki wae nosologic kaikōiwi tuatahi whakaahuatia te tākuta Landrum-Beauvais i te tīmatanga o te rau tau tekau mā iwa, ka huaina a reira "kauti asthenic." Ko tōna ingoa reira o te mate he hawhe rau i muri, i roto i te tau 1859, i roto i te whakahua i roto i te pukapuka i runga i te āhua me te maimoatanga o te kauti rūmātiki. tautuhi me te rima tekau take, te nuinga o ratou wahine ia iwi rau mano. Na roto i te 2010, patua neke atu i te wha tekau-iwa mano iwi i te Republic o Ararata i te ao.

Etiology me pathogenesis

RA - mate kia noa e whai wāhi ia i te pene i roto i ICD 10. Rheumatoid rumati, me ētahi atu mate o te hononga, meinga e te āhuatanga e whai ake nei:

1. whakapapa:

- te haafifi i ki mate autoimmune i te whānau;

- te aroaro o te piha haapiiraa motuhake o paturopi histocompatibility.

2. mahaki ko:

- karawaka, repe (repe), romahā mate syncytial;

- kakā B;

- te hapu katoa o wheori herpes, CMV (cytomegalovirus), Epstein-Barr huaketo;

- retroviruses.

3. āhuatanga Keu:

- hauhauaitu;

- haurangi;

- te ahotea, rongoā, taupatupatu hormonal.

Ko te pathogenesis o te mate i roto i te whakautu pūnaha ārai mate rerekē ki te aroaro o antigens pūtau. Lymphocytes hua immunoglobulins ki tinana kiko, hei utu o whakangaro te huakita ranei huaketo.

whare hauora

E ai ki te ICD-10, whakawhanake kaikōiwi i roto i toru ngā wāhanga. I roto i te wāhanga tuatahi o te edema kitea capsules tahi, e ai mamae, kirika, me te taui te āhua o te hononga iho. I roto i te taahiraa tuarua timata nga pūtau kiko, e hipokina te roto o te tahi ki te wehewehe i tere. Na reira, riro matotoru, me te mārō o te synovium. I roto i te toru o taahiraa te tuku pūtau inflammatory whākōkī e whakangaro kiko tahi. ai uaua ki nekehanga tūao tenei ka arata'i ki hē tinana.

kaikōiwi (ICD10 - M05) he huaki āta. puta āta tohu, kia tangohia e te reira marama. I roto i te wā tino onge, ka taea e te tukanga timata whakapeka subacute ranei. Ko te take i kore ko te articular syndrome (mamae, defiguratsiya me te pāmahana ara rohe) tohumate pathognomonic he tino uaua ki te tātari i te mate. Ka rite ki te tikanga, pakeke te ata (te ngoikore ki te whakaputa i te kaupapa i roto i te hononga) pumau e pā ana ki te hawhe te haora, a ka kua rahi roa'tu, te reira, no te ngana ki nekehanga kaha. He tīwaiwaka o te mate, ko te mamae tahi i roto i huringa huarere me te meteosensitivity whānui.

Taatou akoranga haumanu

He maha ngā rerekē motuhake o te mate, kia takoto ai te tākuta i te whare hauora.

1. Classic ina he hangarite kino tahi, āta kauneke te mate me i reira ko katoa o ona precursors.

2. Oligoarthritis ki te hinga hononga tino nui, te tikanga te turi. Tīmata te reira kino, me mau faaiteraa katoa o reversible i roto i ono wiki i te tīmatanga o te mate. I roto i tenei take, te mamae i roto i te hononga e ahua i roto i te natura, i runga i te radiograph kahore huringa pathological me te maimoatanga o te NSAIDs (kore-steroidal taero anti-inflammatory) i te pānga pai.

pāngia 3. Felty syndrome te ka te mate o nga hononga piri ki te whakarahi āhuatanga o te huringa toto pikitia kōateate.

4. rumati Juvenile rheumatoid (waehere ICD 10 - M08). He āhuatanga āhuatanga ko e pānga reira tamariki ake ki te 16 tau. Wehewehe rua ngā o te mate:

- ki allergosepticheskim syndrome;

- tahi me te puka visceral e ngā vasculitis (mumura o te hononga), mate ngakau valvular, tākihi me te wahi kūnatu, me ngā raruraru pūnaha io.

whakarōpū

Ka rite ki i roto i te take o te tahi atu hinonga mate, pera kitea i roto i te ICD 10, He maha ngā whakarōpūtanga kaikōiwi.

1. faaiteraa Haumanu:

- wawe rawa ina muri ake tohu ki te ono marama;

- wawe, ki te pumau ake te mate ki te tau;

- taipitopito - ki runga ki te 24 marama;

- te mutunga - me te roanga o te mate o neke atu i te rua tau.

2. atamira Radiographic:

- Tuatahi. He he thickening me raungaitinga o te kiko ngohengohe o te tahi, whitiki taratahi o te osteoporosis.

- Tuarua. tukanga osteoporosis hopu te wheua epiphysis katoa, whāiti wāhi tahi, puta i runga i wheua ngohe horo;

- Third. Deformation epiphysis wheua, dislocations ritenga me subluxations;

- Tuawha. Ankylosis (oti ngaro o te wāhi tahi).

3. kiripuaki immunological:

Hoki tauwehe rheumatoid:

- seropositive kaikōiwi (ICD10 - M05.0). tikanga o tēnei e kitea te manawanui kei roto i te toto o te tauwehe rheumatoid.

- seronegative kaikōiwi.

Hoki paturopi ki peptide tsitrullinovomu huringa (anti-CCP):

- kaikōiwi seropositive;

- seronegative kaikōiwi (ICD10 - M06).

4. piha Taumahi:

• Ko te tuatahi - ki te whakaora momo katoa o ngā mahi.
• Tuarua - takahi mahi ngaio.
• Tuatoru - mau te kaha ki te mahi-whaiaro.
• A maha - takahi momo katoa o ngā mahi.

kaikōiwi i roto i ngā tamariki

Punua rumati ICD rheumatoid 10 rite te kāwai motuhake - hei mate autoimmune o ngā tamariki taitamariki. Nuinga o ngā wā, hinga kino nga tamariki i muri i te mate taimaha, werohanga whētuki ranei hononga. Ko te membrane synovial whakawhanake mumura iroiti, e tika ana ki te whakaeminga nui o te wai i roto i te kōhao tahi, te mamae, me te mutunga - ki te thickening taiepa o te capsule tahi, me te pipiki reira ki te wheua ngohe. I muri i te tahi mau wa, kua ngaro te ngohe, me riro monokia te tamaiti.

Ko te whare hauora wehewehe reo -, oligo - me te polyarthritis. A, no te patua e anake tahi kotahi, reira te, aua, monoarthritis. Ki te he ngohengohe ki runga ki te wha hononga huringa pathological, oligoarthritis reira. Polyarthritis pāngia ki te mate o tata katoa te hononga. Tawhiti rite kaikōiwi nahanaha, me ka pānga atu whēkau anake te tuahiwi.

tātaringa

I roto i te tikanga ki te hanga i te tātaritanga, e hiahia ana koe ki te tika, me te tino kohikohi anamnesis, whakahaere whakamātautau toto matüora, x-hihi ki te hanga hononga, me te serodiagnosis.

Ko te whakamātautau toto utu te tākuta whakarongo ki te auau te parataiao ngeniwhero, take rheumatoid, te maha o ngā pūtau toto. Ko te tino matatau i te kau, ko te rapunga o anti-CCP, i tawhiti i roto i 2005. Ko te tohu tino motuhake, i te mea tata tonu reira i roto i te toto o te tūroro, i te rerekē ki te take rheumatoid.

maimoatanga

Ki te tukua e te manawanui he mate ranei ko ia i roto i te tārere tonu, whakaatu ia i te therapy paturopi motuhake. A, no te tīpako i te utu whakarongo rongoā ki te pakeke o te syndrome articular. Ka rite ki te tikanga, haamata ki nonsteroidal taero anti-inflammatory me i te wa ano e whakahaere corticosteroids kōtuitui-articular. I tua atu, rite te RA - he mate autoimmune, me te manawanui plasmapheresis ki te whakakore i nga complexes ārai katoa i te tinana.

Ko te tikanga te roa Treatment me te kia roa ai hoki tau. Ko e tika ana ki te meka i kua whiwhi taero i roto i te kopa tenei. Ko tētahi o nga taime matua o therapy ko te maimoatanga o te osteoporosis. Ki te mahi i tenei, ka ui te manawanui e ki te faatura i te kai motuhake ki te ihirangi tiketike o te konupūmā (hua miraka, aramona, wōnati, hānati), a ki te tango i te konupūmā me te huaora D.