Miyezo ya Zamankhwala Yamasewera Olembetsa ndi Osankhidwa

Mphepete ndi ziwalo za sacroiliac

Mavuto ochiritsidwa azachipatala alembedwa m'munsimu. Dongosolo Lachibadwidwe la Matenda (ICD) zizindikiro zalembedwa m'mabuku otsogolera motsatira ndondomeko iliyonse.

Zomwe zimayambitsa kukanidwa, kulembedwa, ndi kulowetsa (popanda chiwomerezo chovomerezeka ) ndi mbiri yotsimikizirika ya:

Pakalipano kapena mbiri ya antikylosing spondylitis kapena spondylopathies (inflammatory inflammatory).

Pakali pano kapena mbiri ya chikhalidwe chilichonse, kuphatikizapo, koma osati kwa msana kapena ziwalo za sacroiliac, kapena popanda zizindikiro zomwe:

(1) Zimalepheretsa munthu kuti athandizidwe motsatira malingaliro amtundu wa moyo waumphawi (724) kapena omwe akugwirizanitsidwa ndi ululu wamtundu kapena kumapeto kwake, kupunduka kwa minofu, kupunduka kwapambuyo, kapena kuchepetsa kuyendayenda sikulepheretsa.

(2) Amafuna kuthandizidwa kunja ndikutayika.

(3) Kufuna kuchepetsa zochitika zolimbitsa thupi kapena kuchitidwa chithandizo nthawi zambiri sikoyenera.

Kupotola pakalipano kapena kupotoka kwa msana (737) kuchokera ku mgwirizano, kapangidwe, kapena ntchito yowonongeka ndikosavomerezedwa ngati:

(1) Zimalepheretsa munthu kuti asatengere ntchito yokhudzana ndi moyo wamba.

(2) Zimasokoneza chovala choyenera cha zida zankhondo kapena zankhondo.

(3) Ndi chizindikiro.

(4) Pali lumbar scoliosis yaikulu kuposa madigiri 20, thoracic scoliosis yaikulu kuposa madigiri 30, kapena kyphosis ndi lordosis kuposa madigiri 55 pamene amayeza njira ya Cobb. d. Mbiri ya congenital fusion (756.15), yomwe imaphatikizapo matupi opitirira awiri oletsedwa ndikulephera. Kusakanikirana kulikonse kwa mavitamini a msana (P81.0) sikukuyenera.

Pakalipano kapena mbiri ya fractures kapena kusokonezeka kwa ma vertebrae (805) ndi oyenerera. Kuwonongeka kwa kupanikizana, kuphatikizapo zosakwana 25 peresenti ya vertebra imodzi sikulepheretsa ngati chovulaka chinachitika patatha chaka chimodzi musanayambe kufufuza ndipo wopemphayo ali ndi zizindikiro zomveka. Mbiri ya zophulika zapambuyo kapena zamagetsi sizotsutsa ngati wopemphayo ali ndi mphamvu yokwanira.

Mbiri ya achinyamata epiphysitis (732.6) ndi kusintha kwina kulikonse komwe kumasonyezedwa ndi x-ray kapena kyphosis ndi yosayenera.

Masiku ano nthenda yapakhungu yotchedwa heniated pulpusus (722) kapena mbiri ya opaleshoni yokonzanso vutoli ndi yosayenera.

Pakalipano kapena mbiri ya spina bifida (741) pamene chizindikiro, ngati pali mlingo umodzi wa vertebra wogwirapo kapena wodwala wa khungu lopitiriralapa sichiyenera. Mbiri ya kukonzanso opaleshoni ya spina bifida imalephera.

Panopa kapena mbiri ya spondylolysis (congenital (756.11) kapena yomwe inapezedwa (738.4) ndi spondylolisthesis (congenital (756.12) kapena yomwe inapezedwa (738.4)) ikuletsedwa.

Kuchokera ku Dipatimenti ya Chitetezo (DOD) Directive 6130.3, "Makhalidwe Abwino Osankhidwa, Kulembetsa, ndi Kulowetsa," ndi DOD Malamulo 6130.4, "Zofunikira ndi Zomwe Zikufunikiratu pa Malamulo a Kukonzekera, Kulembetsa, kapena Kugonjetsa Zida. "