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"slug": "krovavaya_rvota",
"lead": "Рвота с кровью это состояние, которое означает, что Вы должны вызвать «скорую помощь» или самому обратиться в отделение неотложной помощи.",
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"danger": true
},
{
"id": 2602,
"synonyms": [
{
"name": "Живот болит"
},
{
"name": "Боли в животе"
},
{
"name": "Боль в левой части живота"
},
{
"name": "Боль выше пупка"
},
{
"name": "Боль ниже пупка"
},
{
"name": "Острые боли в животе"
},
{
"name": "Боль в области живота "
},
{
"name": "Боль в области пупка"
},
{
"name": "Боль в правой жасти живота"
},
{
"name": "Пупок тянет"
},
{
"name": "Болит пупок"
},
{
"name": "Болит живот снизу"
},
{
"name": "Болит живот сверху"
},
{
"name": "Боль в правой части живота"
},
{
"name": "Боль в животе у ребенка"
},
{
"name": "У ребенка болит живот"
},
{
"name": "Острая боль в животе"
},
{
"name": "Резь в животе"
},
{
"name": "Боль под ложечкой"
},
{
"name": "Боль после еды"
},
{
"name": "Боль при аппендеците"
}
],
"body_points": [
{
"x": 440,
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"r": 721
}
],
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"name": "Боль в животе ",
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"lead": "Боль в животе может быть признаком многих заболеваний, если боль появилась внезапно или продолжительная, обратитесь к врачу",
"image": null,
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}
],
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{
"id": 14705,
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{
"id": 14704,
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},
"code": "K46",
"name": "Грыжа брюшной полости",
"icd_name": "Грыжа брюшной полости неуточненная",
"gender": 0,
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"cause": [
3,
0
],
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"lead": "выхождение внутренних органов через естественные либо приобретенные отверстия",
"description": "",
"etiology": "<p>Грыжи возникают вследствие действия различных неблагоприятных факторов. Предрасполагающими факторами являются астеническое или гиперстеническое телосложение, резкое снижение или повышение массы тела, молодой или пожилой возраст, увеличение в объеме органов брюшной полости. Также образованию грыж способствуют травмы или атрофия мышц передней брюшной стенки, запоры и <a href=\"/symptom/meteorizm/\" title=\"Перейти на страницу симптома Метеоризм\">вздутие</a> живота, <a href=\"/symptom/kashel/\" title=\"Перейти на страницу симптома Кашель\">кашель</a>, затяжные роды, <a href=\"/symptom/ascit/\" title=\"Перейти на страницу симптома Асцит\">асцит</a>, беременность.</p>",
"pathogenesis": "<p>Составными частями грыжи являются грыжевые ворота, грыжевой мешок и грыжевое содержимое. В грыжевом мешке выделяют устье, шейку, тело, дно.</p>\r\n<p>К внутренним грыжам относят диафрагмальные грыжи и грыжи внутреннего ущемления. Диафрагмальные грыжи подразделяются на истинные (грыжевым мешком являются париетальная брюшина и париетальная плевра) и ложные (врожденные, при которых отсутствует грыжевой мешок). Грыжи пищеводного отверстия диафрагмы подразделяются на скользящие и параэзофагеальные. Скользящие грыжи подразделяются на кардиальные, пищеводные, кардиофундальные, желудочные субтотальные и тотальные. Параэзофагеальные грыжи подразделяются на фундальные, антральные, кишечные, желудочно-кишечные, сальниковые.</p>",
"diagnostics": "<p>Проводится на основании жалоб, данных анамнеза, объективного осмотра. Необходимо проведение рентгеноконтрастного исследования, УЗИ, эзофагоскопии, внутрипищеводной pH-метрии.</p>",
"treatment": "<p>Неосложненные скользящие грыжи подлежат консервативной терапии (назначается прием щелочных растворов, антацидов, обволакивающих средств, седативных средств, а также местных анестетиков). Оперативное лечение показано при наличии параэзофагеальных грыж, пептических стриктур, кровотечения, при безуспешности консервативной терапии. Методы оперативного вмешательства: крурорафия, низведение органов.</p>",
"prevention": "",
"clinical_picture": "<p>Скользящие грыжи характеризуются развитием рефлюкс-эзофагита. Больные предъявляют жалобы на жгучие боли за грудиной, усиливающиеся при наклонах туловища, в горизонтальном положении. Возможно появление дисфагии при развитии стриктуры пищевода. При появлении пептического эзофагита возможно появление кровотечения.</p>\r\n<p>Для параэзофагеальных грыж также характерны жалобы на боли за грудиной, развитие дисфагии. Параэзофагеальные грыжи склонны к ущемлению. При развитии ущемления появляются <a href=\"/symptom/kolika/\" title=\"Перейти на страницу симптома Колика\">резкая боль</a>, а также <a href=\"/symptom/rvota/\" title=\"Перейти на страницу симптома Рвота\">рвота</a> с кровью.</p>",
"image": null,
"image_alt": null,
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"danger": 31,
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"parent": null,
"block_rubric": 113,
"standards": []
},
{
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{
"id": 2829,
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{
"name": "расстройство пищеварения"
},
{
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},
{
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}
],
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"lead": "Нарушение пищеварения не является самостоятельным заболеванием, а представляет собой лишь симптом какой-либо болезни.",
"image": null,
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},
{
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{
"name": "Боль в подвздошной области слева"
},
{
"name": "Боль в подвздошной области справа"
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{
"name": "Боль внизу живота"
},
{
"name": "Боль над лобком"
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{
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{
"name": "десквамация"
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{
"name": "псориаз"
},
{
"name": "перхоть"
},
{
"name": "шелушение"
},
{
"name": "отшелушивание"
},
{
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"name": "Шелушение кожи ",
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"slug": "shelushenie_kozhi",
"lead": "Шелушение кожи нормальный процесс, но патологическое сильное шелушение требует лечения",
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},
{
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{
"name": "Болит левый бок"
},
{
"name": "Тянущая боль в левом боку"
},
{
"name": "Колики в левом боку"
},
{
"name": "Дискомфорт в левом боку"
},
{
"name": "Боль в боку при ходьбе "
}
],
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},
"code": "K50",
"name": "Регионарный энтерит",
"icd_name": "Болезнь Крона [регионарный энтерит]",
"gender": 0,
"age_min": 0,
"age_max": 100,
"cause": [
3,
0
],
"periodicity": 1,
"slug": "k50_regionarnyy_enterit",
"lead": "хроническое рецидивирующее заболевание кишечника аутоиммунной природы, когда в воспалительный процесс вовлекаются все слои кишечника",
"description": "",
"etiology": "<p>Природа заболевания не выяснена. Существуют инфекционная, алиментарная и аутоиммунная теории. Трансмуральные воспалительные изменения могут быть единичными или множественными, при этом измененные участки чередуются с неизмененными.</p>",
"pathogenesis": "",
"diagnostics": "<p>Диагностика производится на основании характерной клинической картины, данных объективного осмотра, результатов лабораторно-инструментальных методов исследования. Рентгенологическая картина представляет собой «булыжную мостовую» с сегментарными сужениями пораженных участков («симптом шнура»).</p>",
"treatment": "<p>Во время незначительной активности заболевания и в целях стабилизации ремиссии назначают сульфасалазин и препараты 5-АСК – баминосалициловая кислота, при обострениях – глюкокортикоиды, иммунодепрессанты. Для терапии гнойных осложнений болезни Крона применяются антибиотики широкого спектра действия.</p>",
"prevention": "",
"clinical_picture": "<p>Симптомы заболевания обусловлены локализацией патологического процесса: в тонкой или толстой кишке, желудке, пищеводе, на слизистой оболочке рта. Внекишечные признаки болезни: кожные заболевания (узловатая <a href=\"/symptom/pokrasnenie_kozhi/\" title=\"Перейти на страницу симптома Покраснение кожи\">эритема</a>, <a href=\"/symptom/shelushenie_kozhi/\" title=\"Перейти на страницу симптома <a href=\"/symptom/shelushenie_kozhi/\" title=\"Перейти на страницу симптома Шелушение кожи\">Шелушение</a> кожи\">псориаз</a> и т. д.), поражения суставов (артриты, сакроилеит), воспалительные заболевания глаз, заболевания печени и желчевыводящих путей, васкулит, амилоидоз, остеопороз.</p>",
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"parent": null,
"block_rubric": 114,
"standards": [
4932,
5099
]
},
{
"id": 6683,
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{
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{
"name": "копчик болит"
},
{
"name": "копчик стреляет"
},
{
"name": "болит копчик"
},
{
"name": "болит копчик при наклоне"
},
{
"name": "болит низ спины"
},
{
"name": "боль в области копчика"
}
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"lead": "Копчиком называется самый нижний отдел позвоночника, образованный 4-5 недоразвитыми сросшимися позвонками.",
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},
{
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{
"name": "Дорсалгия"
},
{
"name": "Боль в нижней части спины"
},
{
"name": "Боль в области поясницы"
},
{
"name": "Боль в спине"
},
{
"name": "Спина внизу болит"
},
{
"name": "Боль в крестце"
},
{
"name": "Боль в области крестца"
},
{
"name": "Боль в пояснице при беременности"
},
{
"name": "Боль в пояснице справа"
}
],
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"image": null
}
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},
"code": "K73",
"name": "Хронический гепатит",
"icd_name": "Хронический гепатит, не классифицированный в других рубриках",
"gender": 0,
"age_min": 0,
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"cause": [
2,
7,
8,
9,
10
],
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"lead": "Поражение гепатоцитов, вызванное различными причинами, характеризующееся гепатоцеллюлярным некрозом и воспалением, длящееся более 6 месяцев",
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"etiology": "<p>Вирусы гепатитов В, С, Д, Е, аутоиммунные реакции, токсины и лекарственные средства.</p>",
"pathogenesis": "<p>Под воздействием повреждающих агентов происходят цитолиз и некробиоз гепатоцитов. На фоне длительно существующего хронического гепатита часто развивается цирроз печени.</p>",
"diagnostics": "<p>Проводится на основании жалоб, данных анамнеза, объективного осмотра, лабораторно-инструментальных методов исследования. Необходимо провести биохимическое исследование крови с исследованием уровня прямого и непрямого билирубина, АЛТ, холестерина, щелочной фосфатазы. Обязательными являются проведение тимоловой пробы, оценка сулемового титра. Проводят серологическое исследование крови, электронную иммунную микроскопию. В моче определяют уровень уробилиногена.</p>\r\n<p> </p>\r\n<p>Одним из важнейших методов диагностики является биопсия печени.</p>\r\n<p>Дифференциальная диагностика</p>\r\n<p>Проводится с циррозом печени, острыми гепатитами А, В, С, Д, Е, гастроэнтеритом, а также с надпеченочной или подпеченочной желтухой.</p>",
"treatment": "<p>Необходимо соблюдение диеты. При хроническом вирусном гепатите назначают интерферон—2α.</p>",
"prevention": "",
"clinical_picture": "<p>Клиническая картина, как правило, стерта. Больные предъявляют жалобы на <a href=\"/symptom/slabost/\" title=\"Перейти на страницу симптома Слабость\">слабость</a>, повышенную <a href=\"/symptom/utomlyaemost/\" title=\"Перейти на страницу симптома <a href=\"/symptom/slabost/\" title=\"Перейти на страницу симптома Слабость\">Утомляемость</a>\"><a href=\"/symptom/slabost/\" title=\"Перейти на страницу симптома Слабость\">утомляемость</a></a>, потерю аппетита. Возможны <a href=\"/symptom/toshnota/\" title=\"Перейти на страницу симптома <a href=\"/symptom/toshnota/\" title=\"Перейти на страницу симптома Тошнота\">Тошнота</a>\"><a href=\"/symptom/toshnota/\" title=\"Перейти на страницу симптома Тошнота\">тошнота</a></a>, тупые боли в области живота. <a href=\"/symptom/zheltuha/\" title=\"Перейти на страницу симптома Желтуха\">Желтуха</a>, изменение цвета мочи и кала, <a href=\"/symptom/zud/\" title=\"Перейти на страницу симптома Зуд\">зуд</a> наблюдаются редко. Уровень сывороточных ферментов (АЛТ, АСТ) повышен в периоды обострения и нормализуется в периоды ремиссии. Показатели печеночных функций (сывороточный билирубин, альбумин, протромбиновый индекс) повышены незначительно.</p>",
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4948
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"icd_name": "Другие болезни поджелудочной железы",
"gender": 0,
"age_min": 0,
"age_max": 100,
"cause": [
3
],
"periodicity": 1,
"slug": "k86_drugie_bolezni_podzheludochnoy_zhelezy",
"lead": "",
"description": "",
"etiology": "",
"pathogenesis": "",
"diagnostics": "",
"treatment": "",
"prevention": "",
"clinical_picture": "",
"image": null,
"image_alt": null,
"standard_type": 3,
"danger": 1,
"published": 1,
"parent": null,
"block_rubric": 118,
"standards": [
4936
]
}
]
}
