Matenda a atherosulinotic: ICD-10 code, zimayambitsa, chithandizo

Mtsempha Wamatsenga:

• atheroma
• atherosulinosis
• kudwala
• chifuwa

Wochiritsidwa myocardial infarction

Myocardial infarction yopezeka ndi ECG kapena mayeso ena apadera ngati pakadali pano palibe zizindikiro

Aneurysm:

• makoma
• cham'mimba

Coronary arteriovenous fistula wotengedwa

Zosiyana: congenital coronary (artery) aneurysm (Q24.5)

Zilembo za alifabeti ICD-10

Zomwe zimayambitsa zovulala - mawu omwe ali mu gawoli sazindikira matendawa, koma malongosoledwe a momwe zinthu zinachitikira (Class XX. Zomwe zimayambitsa kusokonezeka ndi kufa kwa munthu. Zizindikiro zamitu V01-Y98).

Mankhwala ndi mankhwala - gome la mankhwala ndi mankhwala omwe amachititsa poyizoni kapena zina zoyipa.

Ku Russia Kugawidwa Kwa Matenda Padziko Lonse Kukonzanso kwa 10 (ICD-10) yotengedwa ngati chikalata chokhacho cholozera zochitika zamatenda, zifukwa zopemphira anthu kuchipatala m'madipatimenti onse, zomwe zimapangitsa kuti afe.

ICD-10 adayambitsa machitidwe azaumoyo ku Russian Federation mu 1999 malinga ndi Unduna wa Zaumoyo wa Russia womwe udachitika pa Meyi 27, 1997 No.

Kusindikiza kwa kukonzanso kwatsopano (ICD-11) kukonzedwa ndi WHO mu 2022.

Zosintha ndi misonkhano yayikulu mu International Classization of matenda a Kukonzanso kwa 10

BDU - popanda malangizo ena.

NKDR - osatchulidwa (m) magawo ena.

† - code ya matenda oyambitsidwa. Khodi yayikulu pamakina olemba kawiri imakhala ndi zambiri zazomwe zimayambitsa matenda.

* - kusankha njira. Nambala yowonjezera mumakina awiri owerengera ili ndi chidziwitso pakuwonetsa kwa matenda omwe ali pachiwonetsero china chake kapena gawo lina la thupi.

Atherosranceotic mtima: chipatala, chithandizo ndi kulemba mndandanda mu ICD-10

Cardiossteosis ndi njira ya m'magazi yomwe imalumikizidwa ndi kupangika kwa minofu ya minofu mu minofu ya mtima. Thandizirani myocardial infarction, pachimake matenda opatsirana ndi kutupa, coronary artery atherosulinosis.

Cardiosulinosis ya atherosulinotic chiyambi amayamba chifukwa cha kuphwanya kwa lipid kagayidwe kake ndi kuyimitsidwa kwa cholesterol plaques pamitsetse ya zotanuka ziwiya. Popitilira nkhaniyi, zomwe zimayambitsa, Zizindikiro, mankhwala a atherosulinotic mtima ndi gulu lake malinga ndi ICD-10 ziwunika.

Kugawidwa kwa atherosulinosis ndi matenda a mtima ofanana ndi ICD 10

Atherosulinotic mtima mu ICD 10 si nosology yodziyimira payekha, koma ndi amodzi mwa mitundu ya matenda a mtima.

Kuti muthandizire kuzindikira zam'mayiko ena, ndichizolowezi kuganizira matenda onse malinga ndi gulu la ICD 10.

Amapangidwa ngati chikwatu ndi gulu la alphanumeric, pomwe gulu lililonse la matenda limapatsidwa khodi yakeyake.

Matenda a mtima amasonyezedwa ndi ma I00 kudzera I90.

Matenda a mtima a ischemic, malinga ndi ICD 10, ali ndi mitundu iyi:

1. I125.1 - Atherosclerotic matenda am'mitsempha yamagazi.
2. I125.2 - Myocardial infarction yapitayi yomwe imapezeka ndi zizindikiro zamankhwala ndi maphunziro owonjezera - ma enzymes (ALT, AST, LDH), mayeso a troponin, ECG.
3. I125.3 - Aneurysm of the heart or aorta - ventricular or wall.
4. I125.4 - Chidziwitso cha mtsempha wamagazi ndi kupendekeka kwake, ndinapeza fistula ya coronary arteriovenous fistula.
5. I125.5 - Ischemic cardiomyopathy.
6. I125.6 - Asymptomatic myocardial ischemia.
7. I125.8 - Mitundu ina yamatenda a mtima.
8. I125.9 - Matenda a mtima osadziwika osadziwika.

Chifukwa cha kutchukira komanso kuchuluka kwa njirayi, kusokoneza mtima kumathandizidwanso - minyewa yolumikizidwa imapezekanso myocardium, ndipo malo osakhalitsa kapena osakanikirana - osasangalatsa amakhala m'malo akuluakulu.

Mtundu woyamba umachitika pambuyo pa matenda opatsirana kapena chifukwa cha ischemia yayitali, wachiwiri - pambuyo poti myocardial infarction pamalo a necrosis a minofu ya mtima.

Zowonongeka zonsezi zimachitika nthawi imodzi.

Matenda akuwonetsa matendawa

Zizindikiro za matendawa zimangowonekera pang'onopang'ono chifukwa cha kutseguka kwa ziwiya ndi myocardial ischemia, kutengera kufalikira ndi kutengera kwa ma pathological process.

Mawonetsero oyamba a matendawa ndi kupweteka kwakanthawi kumbuyo kwa sternum kapena kumverera kosasangalatsa m'derali pambuyo pa kupsinjika kwakuthupi kapena kwamalingaliro, hypothermia. Ululuwu ndiwachilengedwe, kupweteka kapena kusoka, limodzi ndi kufooka, chizungulire, komanso thukuta lozizira.

Nthawi zina wodwalayo amapweteketsa madera ena - chakumanzere tsamba kapena mkono, phewa. Kutalika kwa ululu m'matumbo a mtima kumachokera pa mphindi ziwiri mpaka zitatu mpaka theka la ora, kumatsika kapena kuima mutapuma, mutatenga Nitroglycerin.

Ndi kukula kwa matendawa, zizindikiro za kulephera kwa mtima zimawonjezeredwa - kupuma movutikira, kutupa kwa mwendo, khungu la khungu, kutsokomola pachimake kwamanzere kwamitsempha, kukulitsa chiwindi ndi ndulu, tachycardia kapena bradycardia.

Kupuma pang'ono kumachitika pafupipafupi pambuyo pa kupsinjika kwamthupi ndi m'maganizo, m'malo apamwamba, kumachepetsa kupumula, kukhala. Ndi chitukuko cha kupweteka kwapanja kumanzere kwamitsempha, kupuma movutikira kumakulirakulira, chifuwa chowuma, chopweteka chikujowina.

Edema ndi chizindikiro cha kuwonongeka kwa kulephera kwa mtima, kumachitika pamene mitsempha ya venous ya miyendo ili yodzaza ndi magazi ndipo ntchito ya kupopa mtima ikachepa. Kumayambiriro kwa matendawa, edema ya miyendo ndi miyendo yokha imawonedwa, ndikudutsa momwe amafalikira, ndipo amatha kuwonekera pankhope ndi pachifuwa, pericardial, m'mimba.

Zizindikiro za ischemia yamatumbo ndi hypoxia imawonedwanso - mutu, chizungulire, tinnitus, kukomoka. Ndi kusintha kwina kwa myocyte ya mtima dongosolo la mtima wolumikizana, zosokoneza zosokoneza zitha kuchitika - blockade, arrhythmia.

Pang'onopang'ono, ma arrhythmias amatha kuwonetsedwa ndi kusokonezeka kwa ntchito ya mtima, kusakhazikika kwake kapena kuchepa kwake, komanso kugunda kwa kugunda kwa mtima. Poyerekeza ndi mtima wamtima, machitidwe ngati tachycardia kapena bradycardia, blockade, atrrophtosis atria, kapena ma cyricular fibrillation amatha kuchitika.

Cardiosclerosis ya atherosulinotic chiyambi ndi matenda omwe akupita pang'onopang'ono omwe amatha kuchitika ndikuwonjezereka.

Njira zodziwira matenda a mtima

Kuzindikira matendawa kumakhala ndi zambiri zamankhwala osokoneza bongo - nthawi yoyamba matendawa, zizindikiro zoyambirira, chibadwa chawo, nthawi yayitali, matenda ndi chithandizo. Komanso, pakuwonetsetsa, ndikofunikira kudziwa mbiri ya wodwala m'moyo - matenda akale, ma opaleshoni ndi kuvulala, zizolowezi zabanja pamatenda, kupezeka kwa zizolowezi zoipa, moyo wanu, akatswiri.

Zizindikiro zamankhwala ndizofunikira kwambiri pakuwunika kwa atherosulinotic cardiosclerosis, ndikofunikira kufotokoza bwino zomwe zikupezeka, momwe zimachitikira, mphamvu zake pakadutsa matenda onse. Zomwe zimapezedwa zimaphatikizidwa ndi njira zogwiritsira ntchito zasayansi ndi othandizira.

Gwiritsani ntchito njira zowonjezera:

• Kusanthula kwa magazi ndi mkodzo - ndimatenda ofatsa, mayesowa sangasinthidwe. Mu hypoxia yayikulu kwambiri, kuchepa kwa hemoglobin ndi erythrocyte ndi kuwonjezeka kwa SOE kumawonedwa poyesa magazi.
• Kuyesedwa kwa magazi kwa glucose, kuyesa kwa kulolera kwa glucose - kupatuka kumangopezeka ndi concomitant shuga mellitus ndi kulolerana kwa shuga.
• Kuyesa kwa magazi a biochemical - kudziwa mtundu wa lipid, wokhala ndi atherosulinosis, cholesterol yathunthu imakwezedwa, otsika komanso otsika kwambiri a lipoproteins, triglycerides, otsika osalimba lipoproteins amachepetsedwa.

Potsatira mayesowa, kuyezetsa kwa hepatic ndi aimpso kumatsimikizidwanso, komwe kungawonetse kuwonongeka kwa ziwalo izi nthawi yayitali ischemia.

Njira zowonjezera

X-ray ya ziwalo za chifuwa - imapangitsa kudziwa mawonekedwe amkati, kusintha kwa mtima ndi mitsempha yamagazi, kuphatikizika m'mapapu, edema yawo. Angiography - njira yolowerera, yomwe imagwiridwa ndi kuyambitsa kwa gawo losasinthika la magazi, limakupatsani mwayi wokhudzana ndi kufalikira kwa mitsempha yamagazi, kupatsirana kwa magazi kumadera ena, chitukuko. Dopplerography yamitsempha yamagazi kapena kuwunika kwa maulendo atatu, omwe amagwiritsidwa ntchito pogwiritsa ntchito mafunde akupanga, amakupatsani mwayi kudziwa momwe magazi amayendera komanso kuchuluka kwa zoletsedwa.

Ma electrocardiography ndizovomerezeka - zimatsimikizira kukhalapo kwa arrhythmias, kumanzere kapena kumanja kwamitsempha yama hypertrophy, kuchuluka kwa mtima, kuyambika kwa myocardial infarction. Kusintha kwa Ischemic kumawonedwa pa electrocardiogram ndi kuchepa kwa mphamvu yamagetsi (kukula) kwa mano onse, kukhumudwa (kuchepa) kwa gawo la ST pansi pa contour, mawonekedwe olakwika a T.

ECG imathandizidwa ndi kafukufuku wa echocardiographic, kapena ultrasound yamtima - imayang'ana kukula ndi mawonekedwe, mgwirizano wamkati wamtima, kupezeka kwa malo osasunthika, kuwerengetsa, kugwira ntchito kwa mawonekedwe a valavu, kusintha kwa metabolism kapena metabolic.

Njira yothandiza kwambiri yodziwira njira zamtundu uliwonse ndizodandaula - chithunzi chowonekera cha kuphatikizika kwa kusiyanasiyana kapena kutchulidwa kuti isotopes ndi myocardium. Nthawi zambiri, kufalitsidwa kwa chinthu kumakhala kofanana, popanda madera owonjezera kapena ochepera. Minofu yolumikizika imatha kuchepetsa mphamvu, ndipo khungu la madera siliwone m'chithunzichi.

Pozindikira zotupa zam'malo zilizonse za dera lililonse, kusanthula kwa maginito, michere yamitundu yosiyanasiyana ndi njira yosankhira. Ubwino wawo ndi wofunikira kwambiri kuchipatala, kuthekera kowonetsera kuthekera kwapanthawi yomweyo.

Nthawi zina, kuti mupeze vuto lolondola, kuyesedwa kwa mahomoni kumachitika, mwachitsanzo, kudziwa hypothyroidism kapena matenda a Itsenko-Cushing's.

Chithandizo cha matenda a mtima ndi mtima

Kuchiza ndi kupewa matenda a mtima a coronary kumayamba ndi kusintha kwa moyo - kutsatira kwambiri zakudya zopatsa mphamvu zopatsa mphamvu, kusiya zizolowezi zoipa, maphunziro olimbitsa thupi kapena kuchita masewera olimbitsa thupi.

Zakudya zamatenda a atherosulinosis zimachokera ku mkaka ndi zakudya zamasamba, kukana kwathunthu chakudya, mafuta ndi nyama yokazinga, zakudya zakonzedwe, nyama yamafuta ndi nsomba, confectionery, chokoleti.

Zakudya zimadyedwa makamaka - magwero a fiber (masamba ndi zipatso, chimanga ndi ma nyemba), mafuta osapatsa thanzi (mafuta a masamba, nsomba, mtedza), njira zophikira - kuphika, kuphika, kutsitsa.

Mankhwala omwe amagwiritsidwa ntchito kukweza cholesterol ndi matenda a mtima a coronary ndi nitrate yothetsa matenda a angina (Nitroglycerin, Nitro-long), antiplatelet othandizira kupewa thrombosis (Aspirin, Thrombo Ass), anticoagulants pamaso pa hypercoagulation (Heparin, Enoxyparin, Hypindia, ndi inhibitors) , Ramipril), okodzetsa (Furosemide, Veroshpiron) - kuti athetse kutupa.

Statins (Atorvastatin, Lovastatin) kapena ma fibrate, asidi a nicotinic amagwiritsidwanso ntchito pofuna kupewa hypercholesterolemia ndi kupitilira kwa matendawa.

Kwa arrhythmias, anti-arimic drug (Verapamil, Amiodarone), beta-blockers (Metoprolol, Atenolol) ndi mankhwala, ndipo mtima wama glycosides (Digoxin) umagwiritsidwa ntchito pochiza kulephera kwa mtima.

Cardiossteosis akufotokozedwa mu kanema munkhaniyi.

Chithunzi cha kuchipatala

Mawonetseredwe azachipatala a atherosulinotic cardiosulinosis amakhala ndi zizindikiro zotsatirazi:

1. Kuphwanya magazi m'magazi.
2. Vuto la mtima.
3. Kulephera kwina kwa magazi.

Kuphwanya magazi m'magazi kumawonetsedwa ndi myocardial ischemia. Odwala amamva kupweteka kumbuyo kwa kumbuyo kwa munthu akupweteka kapena kukoka ndi ma radiation kudzanja lamanzere, phewa, nsagwada. Pocheperako, ululu umakhazikitsidwa kudera la interscapular kapena kumayang'ana kumanja chakumanja. Kugunda kwam'kati kumayambitsidwa ndi kulimbitsa thupi, kuyendetsa m'maganizo, ndipo matendawa akamakula, amapezekanso pakupuma.

Mutha kuyimitsa ululu ndi kukonzekera kwa nitroglycerin. Mumtima mumakhala machitidwe, chifukwa chomwe chimasinthasintha nthawi zonse.

Mphamvu yamagetsi imayenda m'njira ina, pang'onopang'ono ikukhudza madipatimenti onse. Kusintha kwanyengo ndi kakhalidwe ndi cholepheretsa kufalitsa mafunde okokomeza.

Zotsatira zake, njira yoyendetsera zosinthika zomwe zasintha komanso zochita za myocardium zasokonekera.

Nkhani ya m'modzi wa owerenga athu, Inga Eremina:

Kulemera kwanga kunali kovutitsa, ndimalemera ngati 3 sumo wrestler ophatikizidwa, omwe ndi 92kg.

Momwe mungachotsere kulemera kwathunthu? Kodi mungathane ndi kusintha kwa mahomoni ndi kunenepa kwambiri? Koma palibe chomwe chimasokoneza kapena chinyamata kwa munthu monga kuchuluka kwake.

Koma chochita kuti muchepetse kunenepa? Opaleshoni ya laser liposuction? Ndinazindikira - osachepera 5000 dollars. Njira zama Hardware - kutikita minofu ya LPG, cavitation, kukweza kwa RF, myostimulation? Zotsika mtengo zochepa - maphunzirowa amatenga ndalama zokwana ma ruble 80,000 ndi katswiri wazakudya zothandizira. Mutha kuyesa kuthamanga, mpaka kumisala.

Ndipo kupeza nthawi yonseyi? Inde komanso okwera mtengo kwambiri. Makamaka tsopano. Chifukwa chake, ndekha, ndidasankha njira ina.

Odwala omwe ali ndi atherosulinotic atherosulinosis amakhudzidwa ndi mitundu yotere ya arrhythmias monga extrasystole, atrive fibrillation, blockade.

IHD ndi mawonekedwe ake a nosological, atherosulinotic mtima amakhala ndi pang'onopang'ono, ndipo odwala kwa zaka zambiri samamva chilichonse.

Komabe, nthawi yonseyi mu myocardium kusintha kosasinthika kumachitika, komwe kumapangitsa kuti mtima ukhale wopanda kulephera.

Panthawi yakusunthika pakuyenda bwino kwa m'mapapo, kupuma movutikira, chifuwa, kapena mafupa amadziwika. Ndi kusayenda mu gawo lalikulu la kufalikira kwa magazi, nocturia, hepatomegaly, ndi kutupa kwa miyendo ndi khalidwe.

Chithandizo cha atherosulinotic cardiosulinosis imakhudzanso kukonza moyo ndi kugwiritsa ntchito mankhwala. Poyambirira, ndikofunikira kuyang'ana pazinthu zomwe zikuthandizira kuthetsa ziwopsezo. Kuti izi zitheke, ndikofunikira kusintha kayendetsedwe ka ntchito ndikupuma, kuchepetsa kunenepa kwambiri, kupewa kupewa kuchita masewera olimbitsa thupi, ndikutsatira zakudya zama hypocholesterol.

Pankhani ya kusakwanira kwa zomwe tatchulazi, mankhwala amaikidwa omwe amathandizira pakukula kwa lipid metabolism. Magulu angapo a mankhwalawa apangidwira cholinga ichi, koma ma statin ndi otchuka kwambiri.

Limagwirira awo zochita zachokera kupanikizika kwa michere nawo kaphatikizidwe mafuta m'thupi. Njira zamibadwo zaposachedwa zimathandizanso kukulitsa kuchuluka kwa lipoproteins yapamwamba kwambiri, kapena, mwachidule, "cholesterol" chabwino ".

Chofunikira china cha ma statins ndikuti zimapangitsa kuti magazi azisinthika. Izi zimalepheretsa mapangidwe amisempha yamagazi ndikupewa ngozi zam'mimba kwambiri.

Kuchepa ndi kufa kwa matenda a mtima kumakula chaka chilichonse, ndipo munthu aliyense ayenera kukhala ndi lingaliro la nosology ndi njira zoyenera zowukonzera.

Kugawidwa kwa matenda amtima wapamtima malinga ndi gulu la mayiko

Matenda a mtima ndi matenda a m'mitsempha yamtima yomwe imagwirizana ndi kusowa kwa magazi komanso kuwonjezereka kwa hypoxia.Myocardium imalandira magazi kuchokera kumitsempha yama coronary (coronary) ya mtima. Mu matenda amitsempha yama mtima, minofu ya mtima imasowa magazi ndi mpweya womwe umanyamula. Cardiac ischemia imachitika pamene kufunikira kwa okosijeni kupitirira kupezeka. Mitsempha yamtima nthawi zambiri imasintha.

Kwa zaka zambiri, kulimbana ndi matenda oopsa osagonjetseka?

Mkulu wa Sukulu: “Mudzadabwitsidwa momwe kumakhalira kosavuta kuchiza matenda oopsa tsiku lililonse.

Kuzindikira kwa matenda a mtima a ischemic ndikofala pakati pa anthu opitilira zaka 50. Ndi kukula kwa zaka, matenda azachipatala afala kwambiri.

Matenda a Coronary amawerengedwa malinga ndi kuchuluka kwa mawonetseredwe azachipatala, kutengeka ndi mankhwala a vasodilating (vasodilating), kukana kulimbitsa thupi. Mitundu ya matenda amtima:

Owerenga athu adagwiritsa ntchito bwino ReCardio kuchiza matenda oopsa. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.
Werengani zambiri apa ...

• Kufa mwadzidzidzi kwa coronary kumalumikizidwa ndi kusokonezeka kwa myocardial conduction system, ndiko kuti, ndi mwadzidzidzi kwambiri arrhythmia. Pakadapanda njira zodzithandizira kapena kulephera kwawo, kumangidwa kwadzidzidzi kwa mtima ndi kutsimikizika ndi maso kapena kufa pambuyo poti waukiridwa patangotha ​​maola asanu ndi limodzi kuchokera nthawi yomwe akuyamba, kuzindikira kuti "kumangidwa kwa mtima ndi kuphedwa kwake". Ndi kuthekera kopambana kwa wodwalayo, matendawa ndi "kufa mwadzidzidzi ndi kupumitsanso bwino".
• Angina pectoris ndi mtundu wa matenda a ischemic momwe muli ululu woyaka pakati pa chifuwa, kapena m'malo mwake, kumbuyo kwa sternum. Malinga ndi ICD-10 (gulu lonse la matenda okonzanso 10), angina pectoris amafanana ndi code I20.

Ilinso ndi mitundu ingapo:

• Angina pectoris, kapena khola, momwe kuperekera kwa okosijeni ku minofu ya mtima kumachepetsedwa. Potengera hypoxia (kuperewera kwa mpweya wa okosijeni), kupweteka ndi kupindika kwa mitsempha ya coronary kumachitika. Khola la angina, mosiyana ndi kusakhazikika, limachitika pakulimbitsa thupi mwamphamvu, mwachitsanzo, kuyenda mtunda wa mamita 300 mulitali, ndikuyimitsidwa ndi kukonzekera kwa nitroglycerin.
• Angina pectoris wosakhazikika (ICD code - 20.0) saimitsidwa bwino ndi zotumphukira za nitroglycerin, zovuta zowawa zimakonda kumachitika pafupipafupi, kulekerera kwa odwala kumachepa. Fomuyi agawidwa m'mitundu:
  • woyamba wawuka
  • pang'onopang'ono
  • kulowetsedwa koyambirira kapena postoperative.
• Vasospastic angina pectoris chifukwa cha kuphipha kwa mitsempha yamagazi popanda kusintha kwa ma atherosulinotic.
• Coronary Syndrome (Syndrome X).

  Malinga ndi gulu la mayiko 10 (ICD-10), angiospastic angina pectoris (Prinzmetal angina, zosiyanitsa) limafanana 20.1 (Angina pectoris wokhala ndi kuphipha kolimba). Angina pectoris - ICD nambala 20.8. Angina osatchulidwa adapher 20.9.

  Malinga ndi gulu la padziko lonse lapansi la kukonzanso, kugunda kwamtima kwamphamvu kumayenderana ndi code I21, mitundu yake imadziwika; Kuzindikira kwa "mobwerezabwereza myocardial infaration" kwayikidwa code I22.

• Postinfarction mtima. Kuzindikira kwa mtima wogwiritsa ntchito electrocardiogram kumachitika chifukwa cha kukomoka chifukwa cha kusintha kwamankhwala myocardium. Matenda amtunduwu a coronary artery akuwonetsedwako palibe kale kuposa mwezi umodzi pambuyo pa vuto la mtima. Matenda a mtima - kusintha kwamatsenga komwe kumachitika pamalo amomwe minofu yamtima imawonongeka chifukwa cha vuto la mtima. Amapangidwa ndi minyewa yolumikizira michere. Matenda a mtima ndi owopsa poyimitsa gawo lalikulu la mtima dongosolo.

Mitundu ina yamatenda a mtima - mitima I24-I25:

1. Fomu yopanda ululu (malinga ndi gulu lakale la 1979).
2. Kulephera kwamtima kumayamba pang'onopang'ono chifukwa cha kulowetsedwa kwa myocardial kapena kugwedezeka.
3. Kusinthasintha kwa mtima. Ndi kuwonongeka kwa ischemic, kuthira kwa magazi kupita ku dongosolo la mtima kumathandizidwanso.

ICD-10 code I24.0 imapatsidwa coronary thrombosis popanda vuto la mtima.

ICD code I24.1 - Dressler postinfarction syndrome.

Code I24.8 ya kukonzanso kwa 10 kwa ICD ndi kuperewera kwa coronary.

ICD-10 code I25 - matenda a ischemic aakulu, akuphatikizapo:

• atherosulinotic ischemic matenda a mtima,
• matenda amtima komanso pambuyo pake
• mtima aneacysm
• fistula wamatsenga
• asymptomatic ischemia wa mtima
• Matenda a mtima osakudziwitsidwa a ischemic ndi mitundu ina ya matenda a mtima a ischemic opitilira masabata anayi.

Chikhalidwe cha ischemia chikuwonjezereka ndi zinthu zotsatirazi zoopsa za matenda a mtima:

1. Metabolic, kapena Syndrome X, momwe kagayidwe kazakudya ndi mafuta amawonongeka, cholesterol imakwezedwa, kukana insulini kumachitika. Anthu omwe ali ndi matenda a shuga a 2 ali pachiwopsezo cha matenda amtima, kuphatikizapo angina pectoris ndi vuto la mtima. Ngati chiuno chimaposa 80 masentimita, uwu ndi nthawi yolabadira thanzi komanso thanzi. Kuzindikiritsa panthawiyi komanso kuthandizira odwala matenda ashuga kumathandizira kwambiri matendawa.
2. Kusuta. Nicotine imapangika mitsempha yamagazi, imathandizira kugunda kwa mtima, kumawonjezera kufunikira kwa minofu ya mtima m'magazi ndi mpweya.
3. Matenda a chiwindi. Mu matenda a chiwindi, cholesterol synthesis imachulukana, izi zimapangitsa kuti chiwonjezeke chake chiwonjezeke pamakoma a mitsempha yamagazi ndi kuphatikiza kwawowonjezera ndi kutukusira kwa mitsempha.
4. Kumwa mowa.
5. Hypodynamia.
6. Nthawi zambiri owonjezera calorie.
7. Kupsinjika mtima. Ndi chisokonezo, mpweya wambiri umafunikira, ndipo minyewa ya mtima ndiwonso. Kuphatikiza apo, ndi kupanikizika kwanthawi yayitali, cortisol ndi catecholamines amamasulidwa, omwe amachepetsa ziwiya za coronary, ndikupanga cholesterol kumawonjezeka.
8. Kuphwanya zamadzimadzi kagayidwe kachakudya matenda a mtima ndi mitsempha ya mitsempha. Kuzindikira - kuphunzira kwa mawonekedwe a lipid a magazi.
9. Zizindikiro zakukula kwam'mimba kwamatumbo ang'onoang'ono, komwe kumasokoneza chiwindi komanso chifukwa cha kuperewera kwa vitamini wa folic acid ndi vitamini B12. Izi zimawonjezera kuchuluka kwa cholesterol ndi homocysteine. Izi zimasokoneza kufalikira kwazowonjezera ndikukulitsa katundu pamtima.
10. Itsenko-Cushing's syndrome, yomwe imachitika ndi kuthamanga kwa minyewa ya adrenal kapena pogwiritsa ntchito kukonzekera kwa ma steroid.
11. Matenda a mahomoni a chithokomiro.

Amuna opitilira 50 ndi azimayi amasiya kusamba nthawi zambiri amakhala ndi vuto la angina pectoris komanso kugunda kwa mtima.

Zomwe zimayambitsa matenda a mtima, zimakulitsa njira yodwala mtima: uremia, matenda a shuga, kulephera m'mapapo. IHD imakulitsa kuphwanya kwamkati pamtima (kupingidwa kwa sinoatrial node, node ya atrioventricular, gulu la nthambi).

Magulu amakono a matenda a mtima apamtima amalola madokotala kuti adziwe momwe wodwalayo alili komanso achitepo kanthu pazamankhwala ake. Pa mawonekedwe aliwonse omwe ali ndi code ku ICD, njira zawo zodziwonera ndi njira zamankhwala zapangidwira. Kungowongoleredwa mwaulere mitundu yamatendawa, adotolo azitha kuthandiza wodwala moyenera.

Kukula kwa IHD motsutsana ndi maziko a atherosulinotic mtima

IHD ikayamba, atherosulinotic cardiosulinosis ndiyomwe imayambitsa matenda. A syndrome monga atherosulinotic mtima ndi chotsatira cha kuyambitsa kuchulukana kwa minofu yolumikizira chifukwa cha kuchepa kwa zotupa za atherosulinotic m'mitsempha yama coronary. Monga lamulo, atherosulinotic cardiossteosis imawerengedwa ngati chiwonetsero cha matenda a mtima.

Amayambitsa ndi limagwirira kukula kwa atherosulinotic mtima

Atherosulinosis ndi matenda oopsa am'magazi, omwe mitsempha yayikulu imakhudzidwa. Atherosulinotic zotupa za mitsempha yam'mimba yokhala ndi atherosclerosis nthawi zambiri imayambitsa chitukuko cha matenda monga mtima, ndiko kuti, kulowa m'malo mwa minyewa ya mtima yogwira ntchito ndi ma fibrous.

Njira zowerengera

Gawoli, ndikofunikira kudziwa kuti matenda omwe amawerengedwa si gulu lodziyimira palokha. Ichi ndi chimodzi mwazosiyana za matenda a mtima (CHD).

Komabe, ndichizolowezi kulingalira za nosologies onse malinga ndi gulu la mayiko akumatenda obwereza (ICD-10). Bukuli likugawidwa m'magawo momwe chidziwitso chilichonse chimasungidwira digito ndi zilembo. Kukula kwa chizindikirocho kwachitika motere:

• I00-I90 - matenda amthupi.
• I20-I25 - Matenda a mtima.
• I25 - matenda a mtima.
• I25.1 - matenda a mtima

Monga tafotokozera pamwambapa, choyambitsa chachikulu cha matenda ndi kuphwanya mafuta kagayidwe.

Chifukwa cha atherosulinosis yam'mitsempha yama coronary, kuunikira kwa masanjidwe am'mbuyo, komanso zizindikiro za atrophy of the myocardial fibers zimawonekera myocardium ndikusintha kwina kwa necrotic ndikupanga kwa minofu yaying'ono.

Zimaphatikizidwanso ndi imfa ya ma receptors, zomwe zimawonjezera kufunikira kwa myocardium mu oxygen.

Kusintha kotereku kumathandizira kuti matenda a coronary achuluke.

Ndizolowereka kuwonetsa zomwe zimabweretsa kuphwanya cholesterol metabolism, zomwe ndi:

1. Psycho-kutengeka kwambiri.
2. Khalidwe labwino.
3. Kusuta.
4. Kuthamanga kwa magazi.
5. Zakudya zoperewera.
6. Kunenepa kwambiri.