International Classification of Diseases is a fundamental medical document in which all the disease known to humanity are indicated, from the most dangerous infections to rare syndromes. Even allergic reactions and their all possible varieties are allocated to a separate group consisting of several categories and many sub-paragraphs. Wherein allergic rhinitis The ICD 10 has its own specific number and a special name that most accurately characterizing the entire specificity of this disease and its symptoms.

Allergy is a specific disease, which is a consequence of the body's immune response to certain factors and irritants. In contrast to the majority of diseases provoked by the growth of bacterial microflora or viral agents, allergic reactions have an exclusively internal nature. The catalyst for their development can serve as a variety of substances, factors and their aggregate. Similar stimuli have their specific name and are called allergens. In natural condition similar substances Absolutely harmless and do not bear any harm for a person. Only a combination of certain circumstances and individual sensitivity of the body to certain components lead to the activation of protective processes. The immune system perceives such an invasion as a danger, starting the production of antibodies, which lead to the development of inflammatory processes of various properties.

The penetration of alien substances in the body is the main cause of education, which has another name - polynosis. However, it does not always lead to the development of the inflammatory process and the manifestation of negative symptoms. Only systematic oppression of the protective properties of the body leads to exacerbation of the situation and the formation of the entire variety of negative features. The list of main factors is as follows:

• systematic stress;
• overwork;
• genetic predisposition;
• presence of bad habits;
• diseases of infectious and bacterial nature;
• prolonged use of medicines;
• environmental features.

All these factors lead to a violation of the balance of the immune system, affecting its functionality and leading to malfunctions. It is a decrease in protective properties in aggregate with the effects of a catalyst provokes the formation of allergic reactions.

Rinitis Classification on ICD 10

According to international Classification Diseases 10 of revision (ICD 10), allergic reactions have a clear gradation and are divided into several categories. All of them belong to the section of diseases of the respiratory system and are included in the chapter diseases of the upper respiratory tract. At the same time, the rhinitis arising from the exacerbation of asthmatic manifestations relates to a fundamentally different category of diseases and has a J45.0 code. In turn, the ICB 10 allergic rhinitis has the following classification:

• vasomotor (J30.0);
• allergic, provoked by pollen and plants (J30.1);
• other allergic seasonal colds (J30.2);
• other allergies (J30.3);
• allergic uncomfortable (J30.4).

A similar classification of rhinitis on the ICD 10 fully covers all possible manifestations of allergies and characterizes the main causes of its formation. At the same time, negative manifestations occurred with each type of rhinitis do not have specific features and specific manifestations. Therefore, in compiling this medical document, symptoms were not taken into account.

Types of allergic rhinitis

International classification of diseases covers only the main causes of pollinosis. But it absolutely does not take into account other criteria such as the duration or intensity of manifestations. Based on this, in addition to the ICD 10, there is another gradation of an allergic rhinitis that covers the missing parameters. Depending on the period of leakage, rhinitis can be:

1. Year-round or hypertrophic. The exacerbation of manifestations lasts no more than 1-2 hours per day. However, this condition resembles more than 9 months a year, not leading to a tangible reduction in performance. Most often, household allergens serve as development catalysts.
2. Seasonal. The aggravation occurs during the increase in the concentration in the air of flower and vegetable pollen. The duration of manifestations is completely dependent on the concentration of allergen. As a rule, in the acute stage, the runny nose is not more than 3-4 days. However, the entire period of exacerbation is characterized by the strengthening of negative symptoms that can affect human activity.
3. Intermittent or episodic. Manifestations occur only with direct contact with the allergen. They are pronounced, affecting human vital activity.
4. Professional. Its occurrence is due to systematic contact with the same stimuli (dust, flour, chemical or pharmaceutical reagents). Over time the immune system Begins to perceive these substances as a threat to the body, which leads to the formation of allergic reactions. Symptomatics is not particularly pronounced and goes by itself in the absence of contact with the stimulus.

Such a classification excellent characterizes the disease by its duration. However, practically does not affect the intensity of manifestations, which does not allow the full picture of his current.

Severity

To obtain a comprehensive assessment of allergies, there is another additional scale, which characterizes the disease in terms of the intensity of manifestations. According to it, there are the following categories of estimates POLINOS:

1. Easy. It does not have clear symptoms and manifests itself in the form of a small discomfort. The manifestations of the disease are tangible, but absolutely do not affect the working capacity of the person and its life activity as a whole.
2. Average. The signs of rhinitis become more distinct. An obvious swelling of the eyelid, swelling and redness is added to the cold. Symptoms are more aggressive, affecting the quality of human life.
3. Heavy. Acute rhinitis is characterized by the full feature, ranging from the nasal congestion and ending the full female female. At the same time, they are all bright. Their aggregate leads to the impossibility of performing the simplest action and even fully rest.

The above categories of assessments of allergic rhinitis are the most complete and make it possible to get an overview picture of its flow. This allows not only to fully describe the disease, but also pick up effective therapy, allowing to neutralize its manifestations and return a person to a full life.

Clinic and diagnostics

The clinical picture of the flow of half aulinosis can be diverse due to the individuality of each human organism separately. The main features are the following manifestations:

• nasal congestion;
• rinorea (allocation of a large number of watery discharges from the nose);
• parry sneezing;
• voting change;
• deterioration of olfactory qualities;
• sensation of itching in the nose;
• increased face swelling;
• skin hyperemia;
• general malaise;
• red eyes;
• sleep disturbance;
• headaches;
• worsening hearing.

The above list is far incomplete. Since the chains of individual reactions of various people can be absolutely diverse. For some, the main sign of allergies is runny nose and sneezing, and in other areas of illness is characterized by hyperemia of the skin and the swelling of the face.

Attention! The main feature of half ancode is the cumulative nature of manifestations. The beginning and further course of the disease is expressed in the formation of not one specific feature, but a whole range of various symptoms. This makes it possible to diagnose it in a timely manner and take appropriate measures.

Diagnosis of half aulinosis includes several directions and is based on the characteristics of the main manifestations, as well as their diversity and intensity. In this case, the classification and adults are carried out on the basis of identical techniques. This makes it possible to talk about the absence of age limits for diagnosing this problem. Most effective ways Definitions of a specific form and type of allergies are:

• physical review survey;
• laboratory research;
• instrumental diagnostics;
• differential study.

The review survey is based on the characteristics of the existing symptoms, the determination of its intensity and the primary inspection of the patient. A similar type of diagnostics is determining, since it allows you to get the initial picture of the course of the disease and sets the vector to the subsequent examination.

Laboratory studies are the next diagnostic stage, since it is possible to form a more complete picture of the disease. The main method of laboratory surveys is the fence biological material (blood or sputum), its study and analysis.

Instrumental diagnostics includes several techniques and is used if the first two methods did not indicate the exact causes of the symptoms that appeared. It is in the conduct of rhinoscopy, the radiological and endoscopic examination of the nasal cavity.

Differential study is the final stage of research and is carried out in particular cases related to chronic diseases Other properties. Their roles may be anatomical anomalies of the nasal cavity, infectious diseases or bacterial lesions of the mucous membranes.

Treatment and its features

The main task of treating vasomotor rhinitis and all its forms is the restoration of complete control over the existing manifestations of the ailment. As a rule, all therapy is carried out on outpatient conditions and does not require hospitalization. Only in the most extreme case associated with the acute course of the disease, the attending physician may decide on the patient's room in the hospital. In general, halflinosis treatment is based on the use of comprehensive impact techniques designed not only to reduce the intensity of manifestations, but also to return the person to normal life. They look like this:

• limiting the effects of allergen to the body;
• drug impact;
• immunotherapy.

For the full treatment of hypertrophic rhinitis and all its varieties, it is necessary to eliminate the catalyst responsible for the aggravation of allergy symptoms. The presence of an irritation source significantly reduces the effectiveness of any treatment, making it more complex and long. Only after it is neutralized, we can talk about the use of other therapeutic techniques and obtaining a positive result from them.

Elimination of symptoms of pollinosis with medicines is an important step of treatment, which, together with the elimination of catalysts, can lead to a complete recovery of man.

Attention! The list of medicines that are used to neutralize allergic reactions is quite extensive. In this case, only a doctor can assign specific means and their dosages. The basis for their application is the full examination of the patient and the results of the analyzes taken from it. Without the comprehensive diagnosis of the appointment of any drug, as well as the definition of the general direction of therapy, there can be no speech.

The most popular means for eliminating the consequences of allergies are (asthymizol, clementine, Loratadine, Cetirizine), antique (sodium chloride, Nafazolin, sea \u200b\u200bwater), glucocorticosteroids (betamethasone, prednisone, fluticasone).

Prevention

Requires not only timely treatment, but also further control by the person himself. In order to prevent repeated recurrence of the disease, a whole complex of techniques and procedures are applied. They are chosen again on the basis of the individual sensitivity of a person to one or another species of stimuli. However, in general, their use has a certain vector and is designed to maximally protect the person from the effects of allergens. To common preventive means relate:

• eliminating the impact on the body of nonspecific stimuli, such as tobacco smoke, exhaust gases, etc.;
• compliance with a special diet, excluding any kind of food allergens;
• systematic allergological examination;
• conducting annual medical diagnostic measures;
• complete exception of direct and indirect contact with meaningful stimuli.

All these techniques in the aggregate with professional treatment It is possible not only to completely neutralize the manifestations of half aulinosis, but also to prevent their reuse. That is why prevention plays as an important role in the overall structure of the treatment of such diseases and is the key to the full life of a person.

Conclusion

Allergic rhinitis Code of the ICD 10 is a rather serious problem that can deliver a lot of problems and significantly complicate human activity. To obtain a survey picture of the course of the disease, several types of classifications are used, characterizing the severity, duration and impact of specific types of irritants. Suppression of symptoms and full-fledged recovery of man is possible only when conducting comprehensive diagnostics With the subsequent selection of narrow-controlled treatment.

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Allergic rhinitis - Inflammatory disease, manifested by a complex of symptoms in the form of a runny nose with nasal embezzlement, chichany, itching, rinorer, the edema of the nose mucous membrane.

Code for the international classification of diseases of the ICD-10:

Frequency - 8-12% of the overall population. The predominant age of the beginning is up to 20 years.
Risk factors . Family predisposition to atopic diseases (for example, allergic dermatitis, bronchial asthma) . Early contact of the newborn (especially in the first 6 months) with animal allergens, food allergens. Smoking (including mothers during pregnancy, the presence of smoking in the family).
Classification . Seasonal allergic rhinitis occurs during the flowering of the plant excreasing causal allergens. Together with allergic conjunctivitis, it forms a clinical picture of half aulinosis. Year-round allergic rhinitis with constant or intermittent symptoms throughout the year.

The reasons

Etiology. Diverse aero allergens: DERMATOPHAGOIDEUS PERONISSIMUS ET FARINAE), wool and saliva domestic animals (primarily cats, dogs), cockroaches, dispute of certain types of mold mushrooms, pollen plants.
. General properties of aero allergens .. The particle size is usually less than 50 microns. They have a small mass, so long time is in the air of suspended state and spread with the wind (dust of wind-sour plants). More severe pollen of plants pollinated by insects does not cause allergic rhinitis .. Allergens fall into the environment in large quantities .. in composition, this is usually proteins with MR \u003d 10 000-40,000.
. Allergens with a seasonal nature of distribution .. Allergens of pollen trees (birch, flashes, cock, elm, alder, etc.) in the middle lane cause symptoms in the second half of April and in May .. Allergens of the pollen of herbs (mattle, breadth, Timofeevka, oatmeal and Dr.) and cultural cereals (rye, oats, wheat) determine the emergence of symptoms in June and July. Since in the specified period, the poplar flies abundantly, the shensitization to the pollen of herbs is often mistakenly called allergies to the poplar fluff .. allergens of weeding herbs (swans, wormwood, in the southern regions - ambrosia) lead to exacerbation of pollinosis in August and September ... Seasonality profile for each type of pollen is constant, but the amount of pollen varies depending on the environmental conditions ... The beginning of the season of exacerbation of allergic rhinitis can shift by 1.5-2 weeks due to the climatic features of the spring - summer period .. The disputes of mushrooms appear in early spring, reach The peak of prevalence in July and August, disappear after the first frosts. Clinically most significant than Alternaria, Cladosporium, Aspergillus. The maximum concentration of the dispute is observed with a strong wind after several days of raw and rainy weather.
. Allergens with a year-round character of distribution .. Home dust. Main antigenic component - DERMATOPHAGOIDES PTERONYSSINUS and D. FarinaeDes tick products .. animal allergens - wool, epidermis, saliva components .. Spores of mushrooms living in homes: Aspergillus, Penicillium, Rhisopus, MUCOR .. Professional allergens - flour, wood dust, Enzymes in the composition of washing powders.

Pathogenesis . The interaction of IgE and allergen includes a cascade of processes in a fat cell, leading to the following effects. The output of the mediators contained in the granules (histamine, proteases) .. The formation of new pro-inflammatory mediators (leukotrienes, GHG and platelet activation factor). Immediate (15-30 minutes after contact with an allergen) The symptomatic reaction passes into a persistent (4-8 h or more) a delayed reaction associated with tissue infiltration by activated eosinophils, neutrophils and mononuclear cells, as well as the damaging effects of their products. The mediators of immediate and delayed reactions have an impact on the surrounding tissues, causing clinical symptoms: nasal congestion, itching, chisanium, etc.
Clinical picture . Chihania attacks (15-20 times in a row), arising more often in the early morning, as well as in contact with the guilty allergen. Itching nose, nose and pharynx are common and can lead to "allergic salute" (repeated harnessing of the tip of the nose in the ascending direction), often causing the appearance of transverse fold on the back of the nose. The watery separated from the nasal cavity is combined with nasal mortgage and the difficulty of nasal respiration, so the breath is more often oral. Excessive tear, itching and painful feelings In the eyes often accompany allergic rhinitis. The loss of smell and taste sensations can be a consequence of heavy chronic congestive processes in the nasal mucosa. Sometimes medium otites and sinusites are developed, due to impaired drainage of the hearing pipe and the incomplete sinuses.

Diagnostics

Treatment

TREATMENT
Diet. Patients with allergies to pollen plants are shown a diet with the exception of cross-reacting products of plant origin (forest nuts and hazelnuts - with allergies to the flavary, apples - for 50% of patients with allergies to the pollen of birch, halva and sunflower seeds - with allergies to the sunflower pollen and T .d.).
Specific therapy. Elimination. Be sure to eliminate or limit contact with a causal allergen .. The most effective elimination with allergies to the pet is most effective .. when sensitizing to allergens of home dust - maintenance of the affected regime .. Non-specific irritants (lime dust, sharp smells, tobacco smoke) can also provoke clinical manifestations. Air conditioners reduce the concentration of pollen and dispute mushroom dispute, but their proper technical operation is needed to prevent fungal contamination. Immunotherapy (in the absence of contraindications) .. With the ineffectiveness of the elimination of possible allergens and the use of drugs. Specific hyposensibilization - extracts of causing allergens, usually determined when carrying out skin samples, insertion in increasing doses.

Drug therapy.
. Antihistamines .. Preparations for reception inside (see Urticaria) .. Preparations for local use, such as Levokabastin (GISTIMET) in the form of nasal sprays.
. Vasociabling drugs .. oral  - adrenomimetic drugs. Effective to reduce the severity of nasal congestion, but not rinorera. CNS is possible, a combination with H1 receptor I generations is necessary for prophylaxis. Preferably short-term courses (less than 10 days) .. Locally phenylephrine or xylometazoline reduces nasal congestion, but with regular use for 4-5 days and more leads to a pronounced hint of nasal breathing (ricochet syndrome, drug rhinitis) .. Combined means: phenylpropanolamine + Chloropenamine, etc.
. Cromoglycial acid in the form of spray .. GK (locally), such as Beclomethasone, Fluticazone .. The system purpose of the GC is permissible only in separate urgent cases and only briefly.
Surgery - plastic of the nasal partition when its curvature is quite essential to influence the results of drug therapy.
Complications. Sinusitis. Secondary infection. Nose bleeding. Medium otitis. Nosooplotum lymphoid hyperplasia. Side effects Medicinal therapy.
Concomitant pathology - Other IgE - dependent states, most often - conjunctivitis, as well as bronchial asthma and allergic dermatitis.
Prevention . Elimination is most patients with aero allergen allergies completely recover after eliminating contact with an allergen. Air conditioning and limited stay outside the premises during the flowering period is very efficient in patients with pollen allergies. Training of patients sensitized to allergens of home dust ticks, optimal methods for maintaining cleanliness in the house and eliminate this allergen. It is necessary to limit contact with animals. Impact of environmental irritants should be avoided, for example, stop smoking (both active and passive). The use of special antiallergic coatings, especially on mattresses and pillows.
Abbreviation. Rad is a radio allergosorbent test.

MKB-10. J30 Vasomotor and allergic rhinitis

The ICD-10 has been introduced into the practice of health throughout the territory of the Russian Federation in 1999 by order of the Ministry of Health of Russia from 27.05.97. №170

A new revision (ICD-11) is planned to be planned in 2017 2018.

With changes and additions to WHO.

Processing and transferring changes © MKB-10.com

Acute rhinitis - all familiar disease as a runny nose

Acute rhinitis is inflammation of the mucous membrane of the nose. This stage of the disease is characterized by the rate of development of symptoms and their intensity. Inflammation may be caused by hitting the apparent sinuses of the nose of a specific allergen, bacterial or viral infection.

Common symptoms of rhinitis include huming pain and pressure in the area of \u200b\u200bthe nose, cheeks, the separation of mucus (most often transparent), increase temperature. More than 70% of cases, acute rhinitis is manifested against the background of a cold.

therefore simple people Without medical education, this condition is more known as a runny nose. Professional physicians in communication with patients can also use a spaticrous name, but most often they are diagnosed according to the approved classifier of diseases. Rinith according to the ICD 10 is encrypted under the J00 code.

What subtypes of acute rhinitis can be allocated?

In official medical sources, the classification of the disease is rare. Since the sharp rhinitis itself is only a step. However, pushing out the trigger, it is possible to conditionally allocate the following types of rhinitis at the acute stage:

Provoked by a specific allergen, usually lasts a few days, but it may pass without treatment, after eliminating contact with the trigger.

Divided into bacterial and viral. It is dangerous that the patient can be contagious for others, continues up to two weeks.

Provocosed by the injury of the nose, it can last until restoring the anatomical shape of the partition.

Appears under the influence of dust, smoke, irritating gas; May last a few minutes / hours. A similar runny nose passes without treatment, immediately after entering fresh air.

Sometimes, the concept of acute catarrhal rhinitis is also used. In the ICD-10 there is no mention of this kind of illness. Moreover, the term "catarrhal" is most often used to describe the chronic form of the disease, and means inflammation of the mucous membranes.

Given that the acute rhinitis itself indicates inflammation of the mucous nose, the use of the term "catarrhal" is redundant (but not erroneous).

What are the symptoms of acute rhinitis?

And although the runny nose in an adult lasts (in acute form) no more than two weeks, and does not seem some serious problem, the absence of treatment can lead to difficult consequences. Think about therapy immediately after the following signs of rhinitis appear:

• Nasal congestion;
• Mucus release;
• Sneezing;
• Feeling of pressure in the ears;
• Headache;
• Loss of smelling and feeling of taste.

Due to the fact that the symptoms of rhinitis in adults can interfere with daily work, the disease is the basis for the design of the hospital leaf (but not more than 6 days).

Of course, with the usual flow from the nose, ENT is unlikely to meet and give a certificate. To consult a doctor, if the sharp rhinitis is accompanied by a temperature, does not disappear even after taking medication.

Treatment methods of infectious rhinitis

Knowing the types of runny nose and their symptoms can be determined in how to treat the disease. Since infectious rhinitis is most often diagnosed (and viral appears much more often than bacterial) most pharmacy drugs are aimed at eliminating this problem.

If the washing of the nose does not help get rid of the cold, it is allowed to use vesseloring drops (Afrins, rinonorms).

However, the use of drugs of this type should not exceed 5 days. To relieve breathing, you can smear the skin under the nose with such ointments as an asterisk, Dr. Phuto.

The treatment of acute rhinitis in outpatient conditions is complemented by ultraviolet irradiation (popular quartzing). In order to fully get rid of an unpleasant symptom, you will need only only the work.

Quartzing is usually held once a day in the morning. Under the influence of a special lamp, not only bacteria, but also viruses, fungi, disputes die. In modern clinics can offer laser therapy. The advantage of the procedure is that it allows you to completely get rid of the cold for 3 procedures.

All the well-known Dr. Komarovsky proposes to treat rhinitis in children without the use of drugs. The pediatrician recommends installing the humidifier in the room and rinse the baby's nose regularly with a salt solution.

But if rhinitis prevents the baby to eat normally, then you need to additionally use the nasal aspirator, which helps to physically remove the mucus from the nose. Some pharmacy saline solutions (for example, Refivine Baby) are sold complete with a special tube.

How to cope with other types of rhinitis?

If there is no opportunity to turn to the therapist, and determine which type of disease is developing, it is recommended to trace the time as long as the runny nose lasts.

When viral infection (especially if the patient is regularly washed with a nose, consumes a large amount of fluid), the nasal passages are cleaned about 7 days. If a person ignored the primary treatment, and the body "fought" with viruses himself, then the state facilitations can be expected in two weeks.

If the symptomatic treatment of acute rhinitis did not help, and after two weeks the runny nose aggravated, or from the nose there was a selection of green or dirty-yellow color, then this means that the disease progresses. In this case, the acute rhinitis of antibiotics will have to be treated.

In the event of a runny nose caused by allergies, it is necessary to drink an antihistamine drug chosen by the doctor. However, in most cases, allergic rhinitis is chronic, and therefore it is possible to take preventive measures.

Professional and traumatic rhinitis requires the elimination of the problem trigger, but for the momentary relief of breathing, you can wash the nose with physiological or brine.

How to ease your breath in a cold?

It is quite simple to prevent the complication of rhinitis at home. The main thing to adhere to three simple rules:

Drink enough liquid.

Normal clean water will help to activate drainage in nasal passages. But drinks containing caffeine or alcohol, while running better to avoid. Even 2-3 cups of strong liquid will provoke nasal swelling.

It is possible to facilitate its condition, simply breathing steam from a hot water pan, and if you add a few drops of essential oils there, the procedure will be more efficient.

It is also worth monitoring the humidity in the room, the dry warm air does not contribute to the speedy recovery, but rather the opposite. It is best to install a moisturizer in the apartment that will support the perfect environment.

Regularly handle nasal passages.

You can use ready-made pharmacy preparations (sialor, aquamaris, etc.), or prepare your own nasal solution. It is only necessary to mix the teaspoon of a shallow pure salt (without a slide) with a liter of purified water.

Adhering to such simple rules, it is possible not to fear that the runny nose will ever develop into chronic.

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Propolis from a cold: basic methods of cooking

Rinith sharp - description, reasons, treatment.

Short description

Acute rhinitis - acute inflammation of the mucous membrane of the nasal cavity.

The reasons

Etiology. Bacteria (Staphilococci, Streptococci, Gonococci, Corinbacteria), viruses (influenza, paragrippa, measles, adenoviruses).

Classification Acute catarrhal rhinitis acute traumatic rhinitis (nose injuries, burns, frostbite, other physical factors) acute allergic rhinitis (seasonal shape is an immediate response).

Stages I - dry, characterized by a feeling of dryness and stress in the nose, nasal mortgage, swelling of the mucous membrane II - wet. The feeling of nasal congestion is growing, nasal breathing is sharply difficult (often absent), abundant mucous membranes from nose III - suppuration. Reducing the swelling of the mucous membrane, improving the nasal respiration, is separated by mucous - purulent (first - in large quantities, then gradually decrease). Coming recovery.

Clinical picture. The course of acute catarrhal rhinitis depends on the state of the mucous membrane of the nasal cavity to the disease: if it is atrophied, the reactive phenomena will be expressed less, and the sharp period is shorter. With hypertrophy of the mucous membrane, on the contrary, sharp phenomena and the severity of symptoms will be expressed much more sharp, the flow will be longer.

Features In infections, infections are infected with hemorrhage, right up to abundant nosebleed, rejection of the epithelium of the mucous membrane of the nose formation. All this is so characteristic that it allows you to diagnose the influenza nature of a cold until the results of serological examination and serves as an indication of the need to use IFN for injection into the nose, the diphtherulent rhine is especially dangerous when the catarrhal nose diphtheria is accompanied by a violation general status patient and increasing body temperature; Such patients become bacillos and infect others. For this form, the cold is characterized by mucous - succulent discharges from the nose, expressed dermatitis on the eve of the nose, the lack of effect from the usual treatment of a rhinery during measles - the usual phenomenon in the long period; For it, a richly separated mucous membrane of the nose is characterized, during the front rosicopy, separate red spots in the field of the bottom of the nasal sink are detected, standing out against the background of a hyperemic mucous membrane. These stains are watching a short time and only in the exhaust period, the scarlat's runny nose is no specificity and proceeds as a regular catarrhal rhinitis runny nose with gonor can occur at the child if his infection occurred in childbirth. Therefore, the runny nose, which emerged during the first days of life is always suspicious of Honorian.

The duration of symptoms is 7-8 days, in some cases, with good immune status, acute catarrhal rhinitis occurs abortively for 2-3 days, with a weakened state of protective forces can be delayed to 3-4 weeks with a tendency to transition to a chronic form.

Diagnostics are instrumental methods for the study of ENT organs, in particular the nasal cavity (front rosicopy).

Treatment

Tactics of maintenance Mode in most cases outpatient. With acute catarrhal ritin, with ritin, accompanying infectious diseases - treatment in infectious hospital Patients with acute rhinitis should be considered temporarily disabled thermal, distracting procedures, such as legs, manual, lumbar baths, mustard plasters on the orphan muscles physiotherapy: UFO, UHF or diathermy Nose area.

In case of bacterial etiology - antibiotics, 20% P - p sulfacetamide (locally) vesseloring agents (locally), for example, phenylephrine (0.25% r - p) every 3-4 hours, not more than 7 days. Long (more than a week) The use of vasoconstrictors can lead to the development of medicinal rhinitis. Simanovsky ointment ointment (protargol - 0.4; menthol - 0.4; diphenhydramine - 0.1; Vaseline oil - 4.0; Vaseline - 16.0) Assign on a cotton ball for 15 min 2-3 p / SUT CAMTIN, INGAKAMUF ASKORBINK ACILT ON 1 G / D / DVI in I and II Stages of the disease to accelerate the reconvaluation period - 20% glonaging ointment.

The forecast in adults is favorable, although it is possible to translate infection to the incomplete sinuses and the lower respiratory tract, especially in individuals prone to diseases of the lungs. At breast aged, the sharp rhinitis is always dangerous, especially for weakened children, predisposed to various lightweight, allergic complications.

Prevention. Hardening the body to cooling, overheating, humidity and dryness of air. The struggle for the purity of air in workers and residential premises, maintaining optimal temperatures and humidity in them.

MKB-10 J00 Acute Natural Pattern [Rubber]

Allergic rhinitis - Code of ICD 10

In connection with the unstable environmental situation in the world, the number of allergies continues to grow. Approximately 25% of the world's population suffer from allergic rhinitis (pollinosis), which is a factor in the risk of bronchial asthma.

IN childhood It provokes the development of adenoiditis, otites, sinusitis, throat diseases. Allergic rhinitis (AR) is an IgE-dependent inflammation of the nasal mucosa caused by allergens. Patients rarely associate pollinosis with a disease, despite the rapid symptoms of the violating performance and quality of life in general. Therefore, for treatment, independent therapy is used, which often only aggravates the inflammatory process.

It turns out vicious circle - No diseases - symptoms do not give life. There is some confusion. The patient does not want to be treated, but in the pharmacy buys various drops to alleviate the symptoms. Let's deal with.

Classification of rhinitis on the ICD 10

From the point of view of medicine, allergic rhinitis is definitely pathology, and allocated in the international classifier of diseases (ICD-10) as a separate disease - J30.0 Vasomotor and allergic rhinitis. This code is assigned to an allergic, vasomotor and spasmodic rhinitis, except for an allergic runny nose, which proceeds against the background of bronchial asthma (J45.0).

In the literature, allergic rhinitis is often called polynosis or hay fever. But under all these names, the same disease lies, accompanied by abundant transparent discharge from the nose, sneezing, puffiness of the nasal cavity, flowing the mucus on the rear wall of the pharynx, headache.

According to the CMB-10 classification, Polynosis belongs to the J30-J39 unit, which is called "other diseases of the upper respiratory tract". Allergic rhinitis includes positions J30.0-J30.4. We provide their exact definition on the ICD-10:

• J30.0 Vasomotor rhinitis and allergic rhinitis.
• J30.1 Allergic rhinitis caused by pollen plants (caused directly during pollen scattering);
• J30.2 Other seasonal allergic rhinitis.
• J30.3 Other allergic rhinitis.
• J30.4 Allergic rhinitis Uncomfortable (after differential diagnosis, the diagnosis remained in question).

The ICD-10 is used in international health care for clear analysis and systematization of various diseases. The classifier is revised once every 10 years and make the necessary adjustments. For simple patients encoding this system no useful information They do not provide, and many have not even heard about it.

Allergic rhinitis (in another way - hay fever, polynomus), according to the classification, it has its own types, let's stop in detail.

Types of rhinitis

Types of rhinitis are directly related to the cause of their appearance, but let's talk about it later. So, there are three types of pollinosis:

• rhinitis, which develops at a certain time of the year - seasonal or intermitting;
• rhinitis arising in any period of the annual cycle - year-round, it is also called persistent;
• rinith arising from constant contact with a certain type of allergen - professional.

These types of rhinitis undoubtedly belong to the acute form of AP, which develops on a chain: Contact with an allergen is an instantaneous reaction of the nasal mucosa (allergic).

Let us dwell on each form in detail to understand what these allergic rhinitis may differ.

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Intermitting (seasonal) allergic rhinitis

Seasonal rhinitis is usually associated with the pollen of the plant, which is in the flowering phase. Such a phenomenon is found in 80% of cases in spring and early summer. A poplar fluff, blooming lilac, ambrosia, lilies and many other plants become a direct threat to the development of hay fever.

Patients complain about the morning swelling of the eyelid and the pronounced redness of the eyeballs (proteins "are exhausted" with small vessels). Sometimes hearing deterioration is joined - this testifies to Evstachitis (the inflammation of the Eustachius pipe connecting two cavities: the nasal and ear). The patient notices obvious signs of congestion in the ears.

Nasal breathing is difficult due to severe swelling, although the appearance of snipes does not always take place. But, in most cases, the patient will present the following complaints, this is:

• ticking in the nose;
• root and itch in the eyes;
• sneezing;
• adhesion after sleeping;
• mortgage in the nose and ears;
• bred cough;
• itching in the throat;
• headaches;
• watery allocations from nasal moves;
• irritability,
• apathy;
• subfebrile temperature (not always);
• depression.

How to treat a seasonal (intermitting) rhinitis?

To begin with - to protect the patient from allergen as much as possible. For example, if there is an ambrosia nearby, then the plant can be seeded, but the situation with the poplar is more complicated. For this, the following recommendations have been developed for people suffering from allergies:

• wearing safety glasses;
• install protective nets on windows;
• carry out frequent wet cleaning indoors;
• wear a bottle of water with you (if possible, wash your face right on the street, if you feel unpleasant symptoms);
• do not touch allergens;
• avoid walks with windy weather;
• after walking, shaking clothes and take a shower;
• be sure to change to home things;
• carry a drop prescribed by the doctor.

Persisting (year-round) rhinitis

Year-round allergic rhinitis has many reasons and is difficult to amenable to therapy. Therefore, allergologists and immunologists on the basis of the patient's complete history of the patient are developing a diagram of treatment of this form. Most often, dust, animal wool, chronic infection in the nasopharynge, fungal microorganisms, contaminated room and others become the source of year-round halfline.

The patient suffers from painful congestion in the nose, which remains a long period. Red eyes, eyelids thickened, mouth is constantly ajar. At night, cough bouts appear. Dark circles are visible under the eyes, and the tip of the nose sometimes has a red color.

Grozny complications of allergic rhinitis become sinusites, nose cavity polypose, otitis and others inflammatory processes in nearby organs.

How to improve the condition of patients with persistent rhinitis?

The best way is to break up with an allergen forever, but to be honest, the task is not the easiest. Most likely, an allergist will give the following recommendations:

• use moisturizing devices;
• do wet cleaning;
• sharing the blankets, bedspreads, pillows (in winter it is possible to exhibit bedding on the frost, and in the summer to dry under the sunny rays);
• moisten the nose mucosa (only the doctor picks up);
• caution to use vasoconstrictor nasal drops;
• refuse smoking and alcohol;
• more often wash curtains;
• purchase a vacuum cleaner that allows you to moisturize carpeting.

For effective struggle With year-round rhinitis, be sure to carry out the general cleaning of the room with maximum getting rid of unnecessary and old things that have accumulated dust reserves. All "naphtalin" things - away! You do not need to shift them for years, and then also to decades to granute in the garage. Old books, clothing, fur crafts and many other things can be harmful dust drives.

Professional allergic rhinitis

This type of rhinitis occurs against the background of a permanent contact of a person with a harmful substance (allergen). It can be anything. The miners are in contact with dust, medicines with drugs, such as ethers, builders are susceptible to allergyizing paints, varnishes, adhesives.

Sure, allergic reaction It does not arise from everyone, but only in those people who have a tendency to such a process.

Patients note that at home all the symptoms decrease or disappear at all. The most frequent symptoms of professional allergic rhinitis can be:

• night snoring;
• overlay and passing in the throat;
• eye swelling;
• transparent snot;
• tear;
• eugene under the eyes and "bags";
• others.

How to eliminate professional runny nose?

The answer is short - change the generation of activities, or change the objects of labor. For example, change the detergent or choose another mastic. No contact with an allergen - no problem.

Causes and predisposing factors for the development of allergic rhinitis

Cause One - Allergen. But why is not developing the disease from everyone, but chooses your victims? Any pathological condition of the organism has factors that help cause disease. In our case, such can be:

• anatomical nasopharynx problems;
• genetic predisposition;
• stress;
• immunodeficiency;
• exchange disorders;
• long-term contact with an allergen;
• blood coagulation impairment (increase);
• hypotension;
• frequent ORVI;
• dysbacteriosis;
• gastrointestinal diseases;
• antibacterial therapy.

To eliminate the causes of the disease and installation, it is necessary to undergo differential diagnosis. Otherwise, inadequate therapy will only strengthen the available symptoms.

Diagnostic methods

On the visit, the doctor collects detailed history: Specifies complaints, heredity, chronic diseases, social conditions. And only then assigns the following study (to choose from):

• rososcopy;
• provocative samples (endonazal);
• rinomanometry;
• general I. biochemical analysis blood;
• coagulogram;
• determination of specific antibodies in the blood;
• general urine analysis;
• carrying samples for allergens;
• computer bronchonephonography;
• others.

According to the results of research, consultations of the allergologist, a otolaryngologist, immunologist and other specialists are consulted.

Treatment of allergic rhinitis

The ICB-10 allergic rhinitis code allows you to orient your doctor in any corner of the world. If the patient found himself in another country, he became bad, but with him there are medical documents, then the ambulance doctor on codes can assume the cause of such a state. Such codes are relevant when sugar diabetes, heart pathologies, bronchial asthma and other hazardous diseases.

Allergic rhinitis (J30.0) is not so easy to treat, so the main task is to eliminate all kinds of contact with the allergen. If Allergen was found - there is a big chance to get rid of the problem forever. In other cases, symptomatic and anti-inflammatory therapy is selected.

Vasaconishing (naphazoline, oxymetazoline, deryvin), antihistamine (phenkarol, tavern, telfast) and hormonal agents are used. Kromons (Cromosol, Khorgexal), intranasal H1-blockers (allergenic, geisimet spray), anti-styling drugs are used. Often choose combined tools: Cricarinase, vibration, allergeft, Ropront and others.

The ICD-10 no wonder allocates allergic rhinitis into a separate disease. After reviewing the drugs that are prescribed for the treatment of half ancode, one can safely talk about serious and long-term therapy, especially when allergen is not installed.

ABOUT independent treatment Polleozov even and speech can not be. Algorithm one: differential diagnosis - Competent treatment under the control of laboratory and other diagnostic methods.

How to quickly cure allergic rhinitis

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ORVI, ORZ, rhinitis, Noodopharyngitis

RCRZ (Republican Center for Health Development MD RK)

Version: Archive - Clinical protocols MD RK (Order No. 764)

general information

Short description

ORZ - acute respiratory disease.

Rinith is inflammation of the mucous membrane of the nose.

Acute rhinitis is an acute catarrhal inflammation of the mucous membrane of the nose, accompanied by sneezing, tearing and abundant secretion of water mucus, usually caused by the virus.

Caseous rhinitis is chronic rhinitis, characterized by filling the cavities of the nose of bad smelling, similar to cheese, substance.

Nosephorgitis is inflammation of the mucous membrane of the Hoang region and the upper pharynx. Unpleasant sensations in the nasopharynx (burning, tingling, dryness), headache In the back of the head, hindered nasal breathing, bent, the accumulation of the mucous membrane is discharged, which sometimes acquires a blood form and is difficult to leave the nasopharynx. In adults, nucleargite occurs without increasing body temperature. It is divided into acute, chronic and nonspecific napodargites (with diphtheria, meningitis). Research on diphtheria stick and staphylococci (strokes from zea and nose) are needed.

Classification

ARZ is divided into two groups: viral and bacterial-mixed etiology.

Risk factors and groups

1. The presence of foci of chronic infection (tonsillitis, rinofaring, bronchitis).

For vasomotor rhinitis: a changed reactivity of the body, functional shifts in the endocrine, CNS and the vegetative nervous system.

Acute rhinitis (acute runny nose) - information review

Acute rhinitis (acute runny nose) is an acute nonspecific inflammation of the nasal cavity mucosa.

Code of the ICD-10

J00 Acute Naphorriage (Rubber).

Code of the ICD-10

Epidemiology of acute rhinitis

Acute rhinitis is considered one of the most common diseases in both children and adults, there are no accurate epidemiological data.

Causes of acute rhinitis

In the etiology of acute catarrhal rhinitis, the main importance is the decrease in the local and general resistance of the body and the activation of microflora in the nasal cavity. This is usually happening with general or local supercooling, which violates protective neuro-reflex mechanisms. The weakening of local and general immunity when the entire body or its parts is reduced (legs, head, etc.) leads to an increase in the pathogenic activity of the microorganisms of the nose of the nose, in particular staphylococci, streptococci, and some others, especially in people, not hardened and cold and sharp temperature drops. The impact of supercooling is faster in persons with reduced resistance, especially against the background of chronic diseases, in patients who are weakened by acute diseases.

Symptoms of acute rhinitis

In the clinical picture of acute catarrhal rhinitis, three stages are distinguished. Sequentially passing one, to another:

• dry stage (irritation);
• stage of serous discharge;
• the stage of mucous-purulent discharge (permissions).

For each of these stages, specific complaints and manifestation are characterized, therefore, approaches to treatment will be different.

The duration of the dry stage (irritation) is usually several hours, rarely 1-2 days. Patients note the feeling of dryness, voltage, burning, scratching, testes in the nose, often in the throat and larynx, is worried about sneezing. At the same time, there is airsdown, to cognition, patients make complaints of gravity and pain in the head, more often in the field of forehead, an increase in body temperature to subfebrile, less often to febrile values. In this stage, the mucous membrane of the nose is hyperemic, dry, it gradually swells, and nasal moves narrow. Breathing through the nose is gradually violated, the deterioration of smell (respiratory hyposmy), the weakening of taste sensations is noted, a closed bent appears.

What is bothering?

Classification of acute runny nose

• acute catarrhalis acuta (Rhinitis Cataralis Acuta);
• acute catarrhal rinofaring;
• acute traumatic rhinitis.

Diagnosis of acute rhinitis

For the diagnosis of acute rhinitis, anterior rinoscopy and endoscopic examination of the nasal cavity are used.

What do you need to examine?

Who to contact?

Treatment of acute rhinitis

The treatment of acute rhinitis is aimed at relieving the symptoms of acute rhinitis, a decrease in the duration of the disease.

Acute rhinitis is treated, as a rule, outpatient, in rare cases of severe runn nose, accompanied by a significant increase in body temperature, recommend bed mode. The patient is better to highlight the room with warm and moistened air, which reduces the painful feeling of dryness, voltage and burning in the nose. Do not use sharp, annoying food. It is necessary to monitor the timeliness of physiological shipments (stool, urination). During the closure of the nasal moves, it is not necessary to abidely breathe the nose, it is impossible to blow the rooking without much effort and simultaneously only through one half of the nose, so as not to attempt the pathological discharge through the hearing pipes in the middle ear.

Additionally about treatment

Medicine

Medical Expert Editor

Portnov Alexey Alexandrovich

Education: Kiev National Medical University. A.A. Bogomolets, specialty - "Therapeutic business"

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Acute rhinitis - acute inflammation of the mucous membrane of the nasal cavity.

Code for the international classification of diseases of the ICD-10:

The reasons

Etiology. Bacteria (Staphilococci, Streptococci, Gonococci, Corinbacteria), viruses (influenza, paragrippa, measles, adenoviruses).
Classification . Acute catarrhal rhinitis. Acute traumatic rhinitis (nasal injuries, burns, frostbite, other physical exposure factors). Acute allergic rhinitis (seasonal shape is an immediate reaction).
Stage. I - dry, characterized by a feeling of dryness and stress in the nose, nasal mortgage, swelling of the mucous membrane. II - wet. The sense of nasal congestion is growing, the nasal breathing is sharply difficult (often absent), abundant mucous membranes from the nose. III - suppuration. Reducing the swelling of the mucous membrane, improving the nasal respiration, is separated by mucous - purulent (first - in large quantities, then gradually decrease). Coming recovery.
Clinical picture. The course of acute catarrhal rhinitis depends on the state of the mucous membrane of the nasal cavity to the disease: if it is atrophied, the reactive phenomena will be expressed less, and the sharp period is shorter. With hypertrophy of the mucous membrane, on the contrary, sharp phenomena and the severity of symptoms will be expressed much more sharp, the flow will be longer.
. Features in infections .. Infections are characterized by hemorrhage, right up to heavy nosebleed bleeding, rejection of the epithelium mucous membrane of the nose formation. All this is so characteristic that it allows you to diagnose the influenza nature of the runny nose to obtain the results of the serological examination and serves as an indication of the need to use IFN for injection into the nose. Diffexer runny nose is particularly dangerous when the catarrhal of the nose diphtheria is not accompanied by a violation of the overall state of the patient and increasing body temperature; Such patients become bacillos and infect others. For this form, the cold is characterized by mucous - succulent discharge from the nose, expressed dermatitis on the eve of the nose, the lack of effect from the usual treatment .. Rubber in measles - the usual phenomenon in the long period; For it, a richly separated mucous membrane of the nose is characterized, during the front rosicopy, separate red spots in the field of the bottom of the nasal sink are detected, standing out against the background of a hyperemic mucous membrane. These stains are watching a short time and only in the longitudinal period .. Scarlatinous runny nose is no specificity and flows like a regular catarrhal rhinitis. Renzach with gonor can occur from a child if his infection occurred in childbirth. Therefore, the runny nose, which emerged during the first days of life is always suspicious of Honorian.
. The duration of symptoms is 7-8 days, in some cases, with good immune status, acute catarrhal rhinitis occurs abortively for 2-3 days, with a weakened state of protective forces can be delayed to 3-4 weeks with a tendency to transition to a chronic form.
Diagnostics are instrumental methods for the study of ENT organs, in particular the nasal cavity (front rosicopy).

Treatment

TREATMENT
Tactics of keeping . Mode in most cases outpatient. With acute catarrhal, with ritin, accompanying infectious diseases - treatment in the infectious hospital. Patients with acute rhinitis should be considered temporarily disabled. Heat, distracting procedures, such as foot, manual, lumbar baths, mustard pieces on the ionic muscles. Physiotherapy: UFO, UHF or diathermy on the nose area.

Drug therapy.
. In case of bacterial etiology - antibiotics, 20% p - p sulfacetamide (locally) .. The vasoconducting agents (locally), for example, phenylephrine (0.25% p - p) every 3-4 hours, not more than 7 days. Long (more than a week) The use of vasoconstrictors can lead to the development of medicinal rhinitis. Simanovsky ointment ointment (protargol - 0.4; menthol - 0.4; diphenhydramine - 0.1; Vaseline oil - 4.0; Vaseline - 16.0) Assign on a cotton ball for 15 min 2-3 p / SUT .. CAMTIN, INGAKAMUF .. Ascorbic acid of 1 g / day in the I and II stages of the disease .. To accelerate the reconvaluation period - 20% of the splenic ointment.
Forecast In adults, favorable, although the transition of infection on the incomplete sinuses and the lower respiratory tract is possible, especially in persons who are inclined to diseases of the lungs. At breast aged, the sharp rhinitis is always dangerous, especially for weakened children, predisposed to various lightweight, allergic complications.
Prevention. Hardening the body to cooling, overheating, humidity and dryness of air. The struggle for the purity of air in workers and residential premises, maintaining optimal temperatures and humidity in them.

MKB-10. J00 Acute Natural Pattern [Rubber]