Polyneuropathy yog qhov nyuaj ntawm cov kab mob, uas suav nrog qhov sib ntxiv sib txuas ntawm cov hlab ntsha leeg.
Tus kab mob feem ntau nkag mus rau hauv daim ntawv hu ua mob ntev thiab muaj qhov nce ntawm txoj kev faib tawm, uas yog, cov txheej txheem no pib cuam tshuam rau cov nqaij me me thiab maj mam ntws mus rau cov ceg loj.
Qhov kab mob pathological no hu ua mob ntshav qab zib polyneuropathy ICD-10 yog encrypted thiab faib raws li nws keeb kwm, chav kawm ntawm tus kabmob mus rau cov pawg hauv qab no: mob thiab lwm yam mob polyneuropathies. Yog li dab tsi yog ICD mob polyneuropathy?
Dab tsi yog qhov no
Polyneuropathy yog qhov tseem ceeb tshaj plaws ntawm kev mob ntshav qab zib mellitus, tag nrho cov ntsiab lus ntawm uas yog qhov ua tiav ntawm qhov kev muaj zog ntawm cov hlab ntsws tsis muaj zog.
Kev puas ntsoog hauv polyneuropathy
Feem ntau nws ua tau nws tus kheej los ntawm lub sijhawm zoo uas tau dhau los txij li kev txheeb xyuas ntawm kev cuam tshuam ntawm cov kab mob endocrine. Ntau qhov tseeb, tus kab mob yuav tshwm sim nees nkaum tsib xyoos tom qab pib ntawm kev txhim kho teeb meem nrog kev tsim cov tshuaj insulin hauv tib neeg.
Tab sis, muaj qee qhov mob thaum pom tus kab mob hauv cov neeg mob ntawm endocrinologist tsis pub dhau tsib xyoos los ntawm kev pom ntawm cov kab mob pathologies ntawm tus txiav. Txoj kev pheej hmoo ntawm kev muaj mob yuav zoo ib yam rau cov neeg mob ntshav qab zib, ob hom thawj thiab thib ob.
Cov ua tshwm sim
Raws li txoj cai, nrog lub caij nyoog ntev ntawm tus kabmob thiab muaj kev cuam tshuam ntawm cov ntshav qab zib, cov kab mob ntawm lub cev hauv lub cev thiab cov kab mob ntawm lub cev tau kuaj pom.
Thiab lub paj hlwb yog thawj txoj kev txom nyem. Raws li txoj cai, cov hlab ntaws ua kom cov leeg me tshaj plaws.
Nyob rau hauv lub caij nyoog ntev ntawm carbohydrates, qhov thiaj li hu ua cov leeg kev noj haus tsis haum. Yog li ntawd, lawv poob rau hauv lub xeev hypoxia thiab, vim li ntawd, cov thawj cov tsos mob ntawm tus kab mob tshwm sim.
Nrog nws cov chav kawm txuas ntxiv thiab tsis tu ncua, cov teeb meem uas twb muaj lawm nrog txoj hlab hlwb, uas maj mam dhau los ua ib qho tshwm sim tsis paub tus mob, yog qhov nyuaj.
Mob ntshav qab zib polyneuropathy ntawm qis qis raws li ICD-10
Nws yog qhov kev kuaj mob no uas feem ntau tau hnov los ntawm cov neeg mob uas mob ntshav qab zib.
Tus kab mob no cuam tshuam rau lub cev thaum lub nruab nraub qaum thiab nws cov khoom siv cuam tshuam loj heev. Nws tuaj yeem tsim los ntawm ntau yam.
Raws li txoj cai, cov neeg nruab nrab cov neeg feem ntau cuam tshuam. Nws yog qhov tsim nyog kawg, tab sis txiv neej tau mob ntau tas li. Nws tseem tsim nyog sau cia tias polyneuropathy tsis yog qhov tsis tshua muaj tshwm sim hauv cov menyuam yaus thiab cov hluas.
Mob ntshav qab zib polyneuropathy, ICD-10 code ntawm uas yog E10-E14, feem ntau cuam tshuam rau sab saud sab sauv thiab qis ntawm ib tus neeg. Vim li ntawd, qhov mob rhiab, lub peev xwm ua haujlwm tau raug txo qis, cov nqaj tau dhau los ua tsis muaj peev xwm, thiab ntshav ncig kuj tseem muaj qhov tsis taus. Raws li koj paub, qhov tseem ceeb ntawm qhov kev mob no yog tias, kis tau thoob plaws hauv lub cev, nws xub cuam tshuam rau cov leeg ntev ntev. Yog li ntawd, nws tsis yog qhov tsis txaus ntseeg yog vim li cas cov txhais ko taw thiaj li raug kev txom nyem thawj zaug.
Cov paib
Tus kab mob, pom tsuas yog nyob rau qis qis, muaj ntau ntawm cov tsos mob:
- zoo nkaus ntawm loog loog hauv ob txhais ceg;
- o ntawm txhais taw thiab txhais ceg;
- lub siab mob uas tsis ruaj khov thiab stitch;
- leeg tsis muaj zog;
- nce lossis txo qhov rhiab siab ntawm nqua.
Txhua daim ntawv ntawm neuropathy sib txawv ntawm cov tsos mob.th:
- cov ntshav qab zib hauv thawj theemCov. Nws yog tus cwj pwm los ntawm loog ntawm qis qis, ib qho ntxim nyiam tingling thiab lub zog hlawv zoo hauv lawv. Muaj qhov tsis tshua pom txog kev hnov mob nyob hauv tus taw, pob taws pob qij txha, zoo li hauv lub plab hlaub plab. Raws li txoj cai, nws yog hmo ntuj tias cov tsos mob ua ntau yam kom pom tseeb thiab tshaj tawm;
- cov ntshav qab zib hauv cov theem tom qab. Yog tias nws tshwm sim, cov tsos mob hauv qab no tau ceeb toom: raug mob tsis txaus ntseeg hauv qhov qis qis, uas tuaj yeem tshwm sim txawm tias thaum so, tsis muaj zog, mob leeg nqaij thiab qhov hloov pauv ntawm daim tawv nqaij. Nrog rau cov kev txhim kho cov kabmob maj mam tshwm sim, qhov xwm txheej ntawm cov ntsia hlau txhawm zuj zus, vim qhov kev hloov pauv ntawm lawv tau ua ntau dua nkig, tuab lossis tawv nqaij. Tsis tas li ntawd, lub npe hu ua ntshav qab zib taw yog tsim nyob rau hauv tus neeg mob: nws nce ntau hauv qhov loj me, flatfoot zoo li, pob luj taws deformation thiab neuropathic edema tsim;
- muaj ntshav qab zib encephalopolneuropathyCov. Nws yog cov yam ntxwv ntawm cov tsos mob hauv qab no: pheej mob taub hau, mob sai sai thiab nce lub zog rog;
- lom thiab cawv. Nws yog tus cwj pwm los ntawm cov tsos mob zoo li no: cramps, loog ntawm ob txhais ceg, qhov kev txhaum tseem ceeb ntawm qhov rhiab ntawm ko taw, tsis muaj zog ntawm cov leeg thiab cov leeg mob, qhov hloov ntawm qhov ntxoov ntxoo ntawm daim tawv nqaij mus rau xiav lossis xim av, qhov txo qis ntawm plaub hau thiab qhov kub thiab txias hauv ob txhais ceg, uas tsis nyob ntawm ntshav khiav. Yog li ntawd, trophic mob rwj thiab o ntawm ob txhais ceg yog tsim.
Kev kuaj mob
Vim tias ib hom kev kawm tsis tuaj yeem qhia cov duab tag nrho, kev kuaj mob ntshav qab zib siv tshuaj tiv thaiv kab mob ntshav qab zib uas siv cov cai ICD-10 tau coj los siv ntau txoj kev nrov:
- pom tau;
- instrumental;
- hauv tsev sim.
Raws li txoj cai, thawj txoj kev tshawb fawb muaj kev soj ntsuam ntxaws los ntawm ntau tus kws tshaj lij: tus kws kho mob neurologist, kws phais mob thiab endocrinologist.
Thawj tus kws kho mob tau koom nrog kev kawm txog cov tsos mob sab nraud, xws li: mob ntshav hauv qhov qis qis thiab lawv qhov kev hnov mob ntau ntxiv, muaj nyob ntawm txhua qhov teeb meem tsim nyog, kuaj xyuas qhov o thiab kawm cov tawv nqaij.
Raws li kev tshawb fawb hauv chav kuaj, qhov no suav nrog: kev tsom xam ntawm cov zis, ntshav qabzib concentration, cov roj cholesterol, nrog rau kev txiav txim siab txog qib uas muaj tshuaj lom neeg hauv lub cev thaum nws xav tias nws yog tshuaj lom neuropathy.
Tab sis cov ntsiab lus ntsuas kev kuaj pom muaj cov ntshav qab zib mob ntshav qab zib hauv tus neeg mob lub cev raws li ICD-10 cuam tshuam nrog MRI, nrog rau electroneuromyography thiab cov hlab ntsha me.
Kev Kho Mob
Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias kev kho yuav tsum muaj txhij txhua thiab sib xyaw. Nws yuav tsum muaj cov tshuaj uas tau hais txog txhua yam ntawm cov txheej txheem kev tsim kho.
Nws yog ib qho tseem ceeb heev uas qhov kev kho mob suav nrog kev noj cov tshuaj no:
- cov vitamins. Lawv yuav tsum tau nqos nrog cov zaub mov. Ua tsaug rau lawv, kev thauj mus los ntawm impulses raws lub qab haus huv txhim kho, thiab qhov cuam tshuam tsis zoo ntawm cov piam thaj ntawm cov hlab ntsha tseem tseem thaiv;
- alpha lipoic kua qaubCov. Nws txwv tsis pub tsub zuj zuj ntawm cov piam thaj hauv cov ntaub so ntswg, ua kom muaj qee pawg ntawm cov enzymes hauv cov hlwb thiab rov ua kom cov leeg twb muaj kev cuam tshuam;
- tshuaj mob taub hau;
- aldose reductase inhibitorsCov. Lawv tiv thaiv ib txoj hauv kev ntawm kev hloov ua suab thaj hauv cov ntshav, thiaj li txo nws cov nyhuv ntawm cov hlab siab;
- Actovegin. Nws txhawb nqa kev siv cov piam thaj, txhim kho ntshav microcirculation hauv cov hlab ntsha, leeg ntshav thiab capillaries uas pub cov hlab ntsha leeg, thiab tseem tiv thaiv kev tuag ntawm cov hlab ntshav hlab hlwb;
- poov tshuaj thiab calciumCov. Cov xaum no muaj peev xwm txo qis mob thiab tsis zoo rau tib neeg nqua;
- tshuaj tua kab mobCov. Lawv txoj kev txais tos yuav tsum xav tau tsuas yog thaum muaj kev pheej hmoo ntawm kev ua laib.
Raws li kev tshawb pom yam uas mob ntshav qab zib polyneuropathy ICD-10 pom, tus kws kho mob tau sau ntawv tawm kev kho mob tshaj lij uas tshem tawm cov tsos mob ntawm tus mob. Tib lub sijhawm, ib tug muaj peev xwm cia siab rau kev kho kom tiav.Qhov kws tshaj lij tshwj xeeb tau sau tseg ob qho tib si tshuaj thiab tsis siv tshuaj yeeb.
Nws yog ib qho tseem ceeb heev uas thawj kauj ruam yog yuav txo qis cov ntshav qab zib kom ntau thiab tsuas yog tom qab ntawd ua kev kho mob ntshav qab zib polyneuropathy raws li ICD. Yog tias qhov no ua tsis tiav, ces txhua lub dag zog yuav ua rau tsis muaj kev ntseeg dab tsi.
Nws yog ib qho tseem ceeb heev hauv daim foos lom kom tshem tawm cov dej cawv kom huv thiab ua raws kev noj haus nrujCov. Tus kws kho mob uas koom nrog yuav tsum tau sau tseg tawm cov tshuaj tshwj xeeb uas txhim kho ntshav microcirculation thiab tiv thaiv qhov pom ntawm cov ntshav txhaws. Nws kuj tseem ceeb heev kom tshem tawm ntawm puffiness.
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PhD hauv polyneuropathy hauv cov neeg mob ntshav qab zib:
Raws li tuaj yeem nkag siab los ntawm tag nrho cov ntaub ntawv qhia hauv kab lus, ntshav qab zib mob neuropathy yog qhov tuaj yeem kho tau. Qhov tseem ceeb tshaj plaws yog tsis pib txoj kev no. Tus kab mob tau tshaj tawm cov tsos mob uas tsis yooj yim tsis hnov, yog li nrog txoj hauv kev tsim nyog, koj tuaj yeem tshem tawm sai sai. Tom qab kuaj pom thawj cov tsos mob uas txaus ntshai, nws yog ib qho tseem ceeb kom tau txais kev soj ntsuam kev kho mob tag nrho uas yuav paub tseeb qhov kev tsis txaus siab. Tsuas yog tom qab no peb tuaj yeem mus rau kev kho mob ntawm tus kab mob.