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"code": "J00",
"name": "Острый назофарингит (насморк)",
"icd_name": "Острый назофарингит (насморк)",
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"age_min": 0,
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"cause": [
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"slug": "j00_ostryy_nazofaringit_nasmork",
"lead": "Нарушение здоровья, относящееся к группе острые респираторные инфекции верхних дыхательных путей",
"description": "Острый назофарингит - это ЛОР-заболевание, в основе которого лежит воспалительный процесс слизистой оболочки носоглотки, чаще всего инфекционного происхождения (вирусы, бактерии). ",
"etiology": "<p>Острый назофарингит имеет вирусную или, реже, бактериальную этиологию. </p>\r\n<p>В роли инфекционных агентов вирусной природы в основном выступают риновирусы, бактериальной природы - стрептококки, стафилококки, диплококки, пневмококки и другая микрофлора, обычно обнаруживаемая в носоглотке в непатогенной форме. </p>\r\n<p>Среди предрасполагающих факторов можно выделить следующие: </p>\r\n<ul>\r\n<li>ослабление иммунитета; </li>\r\n<li>переохлаждение; </li>\r\n<li>травмы слизистой носа; </li>\r\n<li>авитаминоз; </li>\r\n<li>тяжелые физические нагрузки; </li>\r\n<li>вдыхание задымленного, едкого воздуха. </li>\r\n</ul>",
"pathogenesis": "<p>Входными воротами инфекции служит слизистая оболочка носа и, возможно, верхних дыхательных путей. </p>\r\n<p>Их размножение реализуется в эпителиоцитах слизистой оболочки носа, что сопровождается разрушением клеток, развитием местной воспалительной реакции катарального характера с полнокровием и расширением сосудов, умеренной инфильтрацией, резким набуханием, отёчностью слизистой оболочки и обильной секрецией. </p>\r\n<p> </p>",
"diagnostics": "<p>Для постановки диагноза проводят анализ жалоб и сбор анамнеза. Необходимо грамотно провести объективный осмотр больного, особенно полости рта и глотки пациента. </p>\r\n<p>Выполняется общий анализ крови для оценки характера заболевания. </p>\r\n<p>При неясной картине заболевания проводят специальные инструментальные исследования: риноскопию и фарингоскопию. </p>\r\n<p>Риноскопия — информативный метод осмотра полости носа. </p>\r\n<p>Фарингоскопия — методика осмотра глотки при искусственном освещении с помощью шпателя и носоглоточного зеркала. Позволяет увидеть небные миндалины, язычок, заднюю стенку глотки. </p>\r\n<p>Для подбора эффективного лечения проводится микробиологическое исследование. Определяется характер возбудителя и наиболее эффективное антибактериальное средство. </p>\r\n<p> </p>",
"treatment": "<p>При повышенной температуре тела и нарушении общего состояния рекомендуется постельный режим, прием жаропонижающих средств. Больному необходимо обильное питье, особенно полезны для этого свежевыжатые разбавленные фруктовые соки, морсы, компоты, некрепкий чай с лимоном. </p>\r\n<p>Если заболевание вызвано бактериями, врач назначает антибиотики. Чаще всего, лекарственные препараты назначаются местно в виде капель или спрея. </p>\r\n<p>При нарушении носового дыхания применяют сосудосуживающие средства. Их длительное применение более недели приводит к пересыханию слизистой оболочки и еще более выраженному нарушению носового дыхания. </p>\r\n<p>Хорошие результаты дает применение физиотерапевтических процедур: кварц, УФО, УВЧ. </p>\r\n<p>Боли в горле облегчает полоскание отварами трав или растворами антисептиков. </p>",
"prevention": "<p>Комплекс профилактических мероприятий против назофарингита складывается из нескольких правил: </p>\r\n<ul>\r\n<li>Правильного и регулярного питания. Необходимо употреблять много овощей и фруктов, пить больше воды и принимать поливитамины. </li>\r\n<li>Соблюдать санитарные условия в доме, проветривать помещение, не допускать повышения влажности. </li>\r\n<li>Регулярно промывать носовую полость. </li>\r\n<li>Необходимо больше проводить времени на свежем воздухе. </li>\r\n<li>Соблюдать режим труда и отдыха, сна и бодрствования. </li>\r\n<li>Во время процветания болезни требуется избегать большого скопления народа.</li>\r\n</ul>",
"clinical_picture": "<p>Острый назофарингит имеет 3 стадии развития: </p>\r\n<ol>\r\n<li>На начальной стадии возникает ощущение дискомфорта в носоглотке </li>\r\n<li>На втором этапе наблюдается большое количество серозного отделяемого </li>\r\n<li>На третьей стадии выделения приобретают серозно-гнойный характер. </li>\r\n</ol>\r\n<p>У взрослых заболевание протекает легче, чем у детей. Температура может оставаться нормальной или незначительно повышаться. В детском возрасте назофарингит часто сопровождается лихорадкой и нарушением общего состояния. Симптомами заболевания могут быть: </p>\r\n<ul>\r\n<li>Заложенность носа </li>\r\n<li>Покраснение и отек слизистой оболочки носа </li>\r\n<li>Вязкое отделяемое по задней стенке носоглотки </li>\r\n<li>Затруднение носового дыхания </li>\r\n<li>Нарушение обоняния </li>\r\n<li>Повышение температуры </li>\r\n<li>Боль в ушах и снижение слуха </li>\r\n<li>Головные боли. </li>\r\n</ul>\r\n<p> </p>",
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},
"code": "I95",
"name": "Гипотензия",
"icd_name": "Гипотензия",
"gender": 0,
"age_min": 0,
"age_max": 100,
"cause": [
3
],
"periodicity": 1,
"slug": "i95_gipotenziya",
"lead": "низкий уровень артериального давления при показателях ниже, чем 90/60 это только результат измерения, но не болезнь и не является жизнеугрожающим состоянием ",
"description": "У лиц с пониженным артериальным давлением (артериальная гипотензия) также могут быть жалобы, причиняющие выраженный дискомфорт. В частности, гипотензия в некоторых случаях проявляется приступами головокружения, снижением внимания и повышенной утомляемостью. Пониженное артериальное давление может оказывать неблагоприятное влияние на умственную деятельность. У здоровых людей на фоне гипотензии возможно замедление реакции и угнетение способности к сосредоточению.",
"etiology": "<p>Постоянная <a href=\"/symptom/nizkoe_davlenie/\" title=\"Перейти на страницу симптома Низкое давление\">артериальная гипотензия</a> может носить характер наследственной. Так называемая эссенциальная гипотензия (первичная гипотензия) является наиболее распространенной формой снижения артериального давления. Первичная гипотензия встречается в основном у молодых женщин с пониженной массой тела, чаще в тех случаях, когда существует семейная предрасположенность. В настоящее время отсутствует четкое объяснение причины стойкой гипотензии. Так или иначе, предрасположенность к низкому уровню артериального давления может переходить из поколения в поколение. Например, гипотензия часто наблюдается в одной семье у матери и у дочери. Если жалобы, связанные с низким уровнем артериального давления, отсутствуют, то эссенциальная гипотензия не причинит вреда организму. Более того, гипотензия способна предупреждать развитие заболеваний, связанных с повышенным уровнем артериального давления. Для лиц с гипотензией характерен меньший риск формирования склероза кровеносных сосудов (артериосклероз), а также его последствий, таких как ишемическая болезнь сердца, инфаркт миокарда, инсульт и облитерирующий артериит.</p>\r\n<p>Вторичной гипотензией называется снижение артериального давления вследствие заболевания или действия лекарственного препарата.</p>\r\n<p>Причиной развития гипотензии могут быть следующие заболевания:</p>\r\n<ul>\r\n<li>Гипофункция щитовидной железы (гипотиреоз)</li>\r\n<li>Гипофункция коры надпочечников (болезнь Аддисона)</li>\r\n<li>Гипофункция гипофиза (недостаточность передней доли гипофиза)</li>\r\n<li>Патология сердца (например, сердечная недостаточность, нарушения сердечного ритма, перикардит)</li>\r\n<li>Длительный постельный режим</li>\r\n<li>Дефицит жидкости (гиповолемия)</li>\r\n<li>Дефицит соли (гипонатриемия)</li>\r\n</ul>",
"pathogenesis": "",
"diagnostics": "<p>Опасение должна вызывать не сама гипотензия, а причины низкого давления. Следует выявить истинные причины такого состояния и обратить на них пристальное внимание, чтобы не допустить развития серьезных заболеваний сердечно-сосудистой и нервной систем.</p>\r\n<p><a href=\"/symptom/nizkoe_davlenie/\" title=\"Перейти на страницу симптома Низкое давление\">Артериальная гипотензия</a> чаще всего является физиологическим состоянием организма и опасности не представляет. Наоборот, легче сказать, чем не опасна <a href=\"/symptom/nizkoe_davlenie/\" title=\"Перейти на страницу симптома Низкое давление\">гипотония</a>. Гипотоникам не страшна самая коварная болезнь современности, порождающая инфаркты и инсульты, – <a href=\"/symptom/vysokoe_davlenie/\" title=\"Перейти на страницу симптома Высокое давление\">гипертония</a>. При гипотонии кровеносные сосуды дольше остаются чистыми и им не страшен атеросклероз. По статистике, люди с хронической гипотонией живут значительно дольше гипертоников.</p>",
"treatment": "<p>В большинстве случаев медикаментозное лечение гипотонии не требуется. Самые распространенные причины низкого давления – неправильный образ жизни и стрессы. Физиологическую гипотонию лечить <a href=\"/symptom/erektilnaya_disfunkciya/\" title=\"Перейти на страницу симптома Эректильная дисфункция\">не стоит</a>, но о ней нужно обязательно помнить, чтобы не допускать скачков давления. Если беспокоит какой-то один симптом гипотензии, к примеру, <a href=\"/symptom/sonlivost/\" title=\"Перейти на страницу симптома Сонливость\">сонливость</a>, то, прежде всего, стоит наладить режим дня. Одного этого бывает достаточно, чтобы справиться с неприятным состоянием. Можно призвать на борьбу с гипотонией народную медицину.</p>",
"prevention": "<p><a href=\"/symptom/nizkoe_davlenie/\" title=\"Перейти на страницу симптома Низкое давление\">Гипотония</a>, если она не вызвана органическими нарушениями, прекрасно может быть скорректирована правильным образом жизни. Чтобы для лечения гипотензии не понадобились лекарства, следует:</p>\r\n<ol>\r\n<li>Соблюдать режим дня;</li>\r\n<li>Высыпаться (как правило, гипотоникам нужно большее количество сна, чем людям с нормальным давлением);</li>\r\n<li>Правильно питаться, обеспечивая себя всеми витаминами и минералами, а если это невозможно при обычном питании, стоит принимать витаминные комплексы;</li>\r\n<li>Пить достаточно воды;</li>\r\n<li>Чаще бывать на воздухе, желательно каждый день совершать прогулку не менее получаса;</li>\r\n<li>Заниматься спортом – даже минимальная физическая нагрузка творит чудеса, это не должен быть профессиональный спорт, конечно, достаточно утренней гимнастики, активных игр с детьми;</li>\r\n<li>Принимать водные процедуры – обливаться прохладной водой, плавать, закаливаться;</li>\r\n<li>Посещать баню или сауну, которые благотворно действуют на тонус сосудов;</li>\r\n<li>Сохранять хорошее настроение и не беспокоиться по пустякам.</li>\r\n</ol>\r\n<p>Это базовые рекомендации, которые необходимо соблюдать всем людям с разным уровнем давления, однако для гипотоников такая профилактика может полностью заменить лечение.</p>",
"clinical_picture": "<p>Кровяное давление – величина измеряемая, его можно определить при помощи тонометра. Если прибор показывает значения 90 мм ртутного столба систолического (так называемого верхнего) и 60 мм ртутного столба диастолического (нижнего) давления или ниже, то такое состояние можно назвать артериальной гипотензией или пониженным давлением.</p>\r\n<p>Помимо показаний тонометра существуют следующие симптомы гипотонии:</p>\r\n<ul>\r\n<li><a href=\"/symptom/slabost/\" title=\"Перейти на страницу симптома Слабость\">слабость</a>, <a href=\"/symptom/sonlivost/\" title=\"Перейти на страницу симптома Сонливость\">сонливость</a>;</li>\r\n<li><a href=\"/symptom/razdrazhitelnost_i_ozloblenie/\" title=\"Перейти на страницу симптома Раздражительность и озлобление\">раздражительность</a>;</li>\r\n<li>чувствительность к погодным изменениям;</li>\r\n<li>эмоциональная неустойчивость, <a href=\"/symptom/apatiya/\" title=\"Перейти на страницу симптома Апатия\">апатия</a>;</li>\r\n<li>рассеянность, ухудшение памяти;</li>\r\n<li><a href=\"/symptom/vyalost/\" title=\"Перейти на страницу симптома Вялость\">вялость</a> по утрам;</li>\r\n<li>повышенная <a href=\"/symptom/potlivost/\" title=\"Перейти на страницу симптома потливость\">потливость</a>;</li>\r\n<li>нарушение терморегуляции (холодные кисти и стопы);</li>\r\n<li>чувствительность к смене климатических условий;</li>\r\n<li><a href=\"/symptom/odyshka/\" title=\"Перейти на страницу симптома Одышка\">одышка</a> и сильное <a href=\"/symptom/narushenie_serdechnogo_ritma/\" title=\"Перейти на страницу симптома Нарушение сердечного ритма\">сердцебиение</a> при физических нагрузках;</li>\r\n<li>бледность;</li>\r\n<li><a href=\"/symptom/golovnaya_bol/\" title=\"Перейти на страницу симптома Головная боль\">головная боль</a>, обычно тупая, стягивающая, распирающая или пульсирующая чаще в лобно-височной или лобно-теменной области;</li>\r\n<li>головокружения;</li>\r\n<li>склонность к укачиванию, <a href=\"/symptom/toshnota/\" title=\"Перейти на страницу симптома Тошнота\">тошнота</a>.</li>\r\n</ul>\r\n<p>Артериальная <a href=\"/symptom/nizkoe_davlenie/\" title=\"Перейти на страницу симптома Низкое давление\">гипотония</a> очень часто проявляется обмороками, особенно в душных помещениях. В целом, можно сказать, что люди с пониженным давлением негативно реагируют на малейшие изменения внешней среды – на изменение температуры воздуха, влажности, на духоту, а также на различные эмоциональные раздражители.</p>\r\n<p>Сами по себе перечисленные признаки не являются симптомами, точно подтверждающими наличие гипотензии. Единичные случаи слабости или головокружения не говорят о низком давлении. А вот если симптомов несколько и они постоянны, то стоит обратиться к доктору.</p>",
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"parent": null,
"block_rubric": 99,
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},
{
"id": 11320,
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{
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