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{
"id": 2602,
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},
{
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},
{
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},
{
"name": "Боль выше пупка"
},
{
"name": "Боль ниже пупка"
},
{
"name": "Острые боли в животе"
},
{
"name": "Боль в области живота "
},
{
"name": "Боль в области пупка"
},
{
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},
{
"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"
},
{
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},
{
"name": "Боль под ложечкой"
},
{
"name": "Боль после еды"
},
{
"name": "Боль при аппендеците"
}
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},
"code": "B70",
"name": "Дифиллоботриоз и спарганоз",
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2,
7
],
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"slug": "b70_difillobotrioz_i_sparganoz",
"lead": "гельминтозы из группы цестодозов, возбудителями которых являются ленточные черви",
"description": "",
"etiology": "<p>Наиболее распространен широкий лентец, тело которого достигает нескольких метров. Он состоит из множества члеников, каждый из которых имеет самостоятельные половые системы – мужскую и женскую. В стадии половой зрелости гельминты паразитируют в тонкой кишке человека, кошки, собаки, некоторых диких животных. После оплодотворения паразиты начинают продуцировать яйца, которые выделяются с фекалиями. Яйца развиваются в пресноводных водоемах. Личинка, плавая в воде, заглатывается пресноводными рачками (циклопами). В их теле она развивается в личинку 2-й категории (процеркоид). Дальше его развитие происходит в рыбах, которые проглатывают личинку вместе с рачком. Хищные рыбы могут тоже заражаться, поедая более мелких рыб. Личинки локализуются в мышцах и на поверхности внутренних органов. Человек заражается при питании рыбой, содержащей плероцеркоидов. Через 15–20 дней в организме развиваются взрослые особи личинок.</p>\r\n<p> </p>\r\n<p>Широкий лентец оказывает сенсибилизирующее и механическое воздействие, развивается анемия пернициозного типа.</p>",
"pathogenesis": "",
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"treatment": "",
"prevention": "<p>Проводится дегельминтизация. При анемии назначаются витамин В12, фолиевая кислота и др.</p>",
"clinical_picture": "<p>Основными жалобами у больных являются <a href=\"/symptom/slabost/\" title=\"Перейти на страницу симптома Слабость\">слабость</a>, головокружения, <a href=\"/symptom/bol_v_zhivote/\" title=\"Перейти на страницу симптома Боль в животе\">боли в животе</a>, чередование поноса и запора. Периодически с фекалиями отходят части тела лентеца. Постепенно развиваются ахилия желудка, анемия.</p>",
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},
{
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{
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{
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{
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{
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}
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}
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},
"code": "J36",
"name": "Перитонзиллярный абсцесс",
"icd_name": "Перитонзиллярный абсцесс",
"gender": 0,
"age_min": 0,
"age_max": 100,
"cause": [
2
],
"periodicity": 1,
"slug": "j36_peritonzillyarnyy_abscess",
"lead": "воспаления лимфаденоидной ткани глотки, преимущественно нёбных миндалин",
"description": "Представляет собой осложнение хронического тонзиллита или острой ангины выражающееся в воспалениях тканей глотки и небных миндалин",
"etiology": "<p>В большинстве случаев возбудителем является стрептококк, реже – стафилококк или пневмококк. При формировании перитонзиллярного абсцесса гноеродные микробы проникают в околоминдальную клетчатку из нагноившихся глубоко расположенных в ткани миндалины фолликулов или из глубоких лакун, достигающих капсулы миндалин, и вызывают там <a href=\"/symptom/vospalenie/\" title=\"Перейти на страницу симптома воспаление\">воспаление</a> с образованием нарыва.</p>",
"pathogenesis": "",
"diagnostics": "<p>Диагноз не представляет особых затруднений. Обычно перитонзиллярному абсцессу предшествует ангина, совокупность вышеперечисленных клинических симптомов позволяет установить правильный диагноз.</p>",
"treatment": "<p>Обязательно проведение массивной антибактериальной терапии антибиотиками широкого спектра действия (предпочтительно – полусинтетическим производным пенициллина, цефалоспорина), местно применяют антисептические растворы (борную кислоту, перманганат калия), 40 %-ные спиртовые согревающие компрессы на шею, при сильных болях – обезболивающие средства, при высокой температуре – жаропонижающие. Сформировавшийся <a href=\"/symptom/abscess/\" title=\"Перейти на страницу симптома абсцесс\">абсцесс</a> необходимо вскрыть, удалить гной и санировать полость абсцесса.</p>\r\n<p>Прогноз<br />Благоприятный. После вскрытия абсцесса, удаления гноя и проведения консервативной терапии наступает полное выздоровление.</p>",
"prevention": "<p>Очень важна и заключается в соблюдении гигиены полости рта, лечении хронических тонзиллитов, кариозных зубов и гнойных воспалений придаточных пазух носа. При отсутствии противопоказаний проводится тонзилэктомия.</p>",
"clinical_picture": "<p>Обычно больной, только что перенесший ангину и уже выздоравливающий, начинает опять жаловаться на нарастающие боли при глотании, чаще с одной стороны, температура тела вновь повышается, все явления ангины, но в более тяжелой форме, возобновляются. Резко покрасневшая одна половина мягкого нёба начинает инфильтрироваться, закрывает постепенно миндалину и смещает отечный язычок в противоположную сторону. Боль выражена сильнее, чем при лакунарной или фолликулярной ангине. Она ощущается больным даже в спокойном состоянии, принимает острый, колющий характер, иррадиирует в ухо, усиливается при глотании, кашле, каждом движении. Больной с трудом раскрывает рот, держит голову неподвижно, наклоненной в больную сторону. Шейные и подчелюстные лимфатические узлы увеличиваются. Из-за почти полной неподвижности отечного мягкого неба голос становится гнусавым, больные с трудом принимают пищу, иногда при попытках проглотить даже жидкую пищу последняя часто вытекает из носа.<br /> <a href=\"/symptom/abscess/\" title=\"Перейти на страницу симптома абсцесс\">Абсцесс</a> может развиться в самой миндалине, но чаще он локализуется в околоминдальной клетчатке сверху или позади миндалин. <a href=\"/symptom/abscess/\" title=\"Перейти на страницу симптома абсцесс\">Абсцесс</a>, развивающийся в самой миндалине, обычно не достигает больших размеров, так как строение миндалины, пронизанной глубокими лакунами, облегчает вскрытие абсцесса в одну из лакун. <a href=\"/symptom/abscess/\" title=\"Перейти на страницу симптома абсцесс\">Абсцесс</a> миндалины проявляется краснотой, припухлостью и выпячиванием ее в полость зева, затруднения дыхания и глотания наблюдаются редко. Через 2–3 дня сглаженные, выпирающие в одном месте контуры сильно покрасневшей миндалины указывают на место образования гнойника, очень часто <a href=\"/symptom/abscess/\" title=\"Перейти на страницу симптома абсцесс\">абсцесс</a> вскрывается самостоятельно, обычно во время сна. Наиболее часто формируется верхний или передневерхний околоминдаликовый <a href=\"/symptom/abscess/\" title=\"Перейти на страницу симптома абсцесс\">абсцесс</a>, он образуется между передневерхней поверхностью нёбной дужки и миндалиной, здесь расположено наибольшее количество легко инфицируемой со стороны миндалины рыхлой клетчатки. Миндалина, покрытая воспаленной передней дужкой, постепенно отодвигается кнутри, книзу и несколько кзади. Отечность язычка и дужек бывает наибольшей при этой локализации абсцесса, наблюдается усиленное отделение слюны и вязкой слизи, отхаркивание которой сопровождается резкой болезненностью. В связи с этим больной не может очистить полость рта и глотки, появляется неприятный гнилостный <a href=\"/symptom/zapah_izo_rta/\" title=\"Перейти на страницу симптома Запах изо рта\">запах изо рта</a>. Наружный околоминдальный <a href=\"/symptom/abscess/\" title=\"Перейти на страницу симптома абсцесс\">абсцесс</a> формируется значительно реже, но отличается наиболее длительным и тяжелым течением и вызывает тяжелые осложнения. <a href=\"/symptom/abscess/\" title=\"Перейти на страницу симптома абсцесс\">Абсцесс</a> развивается кнаружи от миндалины, вызывая увеличение и болезненность под углом нижней челюсти, кпереди от грудиноключично-сосцевидной мышцы. Голова находится в вынужденном положении, наклонена в больную сторону, иногда наступает <a href=\"/symptom/trizm/\" title=\"Перейти на страницу симптома Тризм\">сведение челюстей</a> (<a href=\"/symptom/trizm/\" title=\"Перейти на страницу симптома Тризм\">тризм</a>). Резко выражены симптомы интоксикации: высокая температура, <a href=\"/symptom/golovnaya_bol/\" title=\"Перейти на страницу симптома Головная боль\">головная боль</a>. В зеве воспалительные изменения менее интенсивны, чем под углом нижней челюсти снаружи. Миндалина оттеснена к средней линии.</p>",
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"image_alt": "Ангина флегмонозная",
"standard_type": 1,
"danger": 33,
"published": 1,
"parent": null,
"block_rubric": 103,
"standards": [
4688
]
},
{
"id": 6607,
"symptoms": [
{
"id": 2732,
"synonyms": [
{
"name": "расстройство голоса"
},
{
"name": "охриплость"
},
{
"name": "слабый голос"
},
{
"name": "фальцет"
},
{
"name": "Дисфония"
},
{
"name": "Осиплость голоса"
},
{
"name": "Сиплый голос"
}
],
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{
"x": 464,
"y": 1891,
"r": 155
}
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"etiology": "<p>Возникает при повторяющихся острых ларингитах, длительных и чрезмерных напряжениях <a href=\"/symptom/sluhovye_gallyucinacii/\" title=\"Перейти на страницу симптома Слуховые галлюцинации\">голоса</a>, злоупотреблении спиртными напитками и курением, вдыханием пыли и некоторых других профессиональных вредностей, оказывающих неблагоприятное влияние на слизистую оболочку гортани и ее нервно-мышечный аппарат. В ответ на это немедленно возникает защитная реакция в виде сужения голосовой щели, кашля, повышения секреции желез и отека гортани. Страдает голосообразовательная функция гортани. Предрасполагающими факторами являются воспалительные процессы дыхательных путей, заболевания сердца и легких, которые приводят к застою в верхних дыхательных путях.</p>",
"pathogenesis": "",
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"treatment": "<p>Используются средства местного и общего действия. Необходимо прекратить курение, не употреблять алкоголь, не перенапрягать голос, не есть очень горячую или холодную пищу, проводить лечение заболеваний носа и носоглотки, поскольку дыхание через рот вредно отражается на состоянии гортани. Используются ингаляционные процедуры типа щелочно-соляных и масляных ингаляций, инстилляций противовоспалительных средств (10 %-ный раствор иманина, химотрипсин, разведенный на изотоническом растворе хлорида натрия, гидрокортизон, сок каланхоэ), вяжущих средств (3 %-ный раствор колларгола, водно-глицериновый раствор танина). При атрофическом ларингите хроническом назначают йодоглицериновые или сероводородные ингаляции, сочетая с ними щелочные и масляные ингаляции. При выраженной сухости рекомендуются полоскания настойкой ромашки или липового цвета.</p>",
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"clinical_picture": "<p> При ларингите хроническом изменения происходят главным образом в области голосовых складок и межчерпаловидной области. Клинические проявления ларингита хронического выражаются в появлении хрипоты различной степени выраженности, ощущения упорного першения и неловкости в горле, кашля, стенозирования. Различают три основные формы ларингита хронического: катаральную, гипертрофическую и атрофическую.</p>",
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