
urakka vaikalyangalude anthaaraashtra vargeekaranam

urakka, urakka vaidyashaasthra mekhalayile klinishyanmaarkkum gaveshakarkkumulla praadhamika diagnostic, epidemiological, coding vibhavamaan". europian sleep research sosaitti, japanese sosaitti oof sleep research, laattin american sleep sosaitti ennivayumaayi sahakarichu american akkadami oof sleep medisin (aasm) aanu aii. sii. ezz. dii nirmmichathu. urakka vaikalya kendrangalude association (eiii. ezz. dii. sii) urakkathekurichulla psychophysiological padanathinaayulla association (eiii. ezz. dii. sii) 1979ll sleep jenalil prasidheekaricha urakkathinteyum uttejana vaikalyangaludeyum (dii. sii. eiii. dii) diagnostic vargeekaranathinte punaravalokanavum naveekaranavumayi eee vargeekaranam vikasippicheduthu. aii. sii. ezz. dii-2 enna randaamathe pathipp 2005ll aasm prasidheekarichu. moonnaamathe pathippaya aii. sii. ezz. dii-3 2014ll aasm puratthirakki. moonnaam pathippinte (aii. sii. ezz. dii-3-tii. aarr) oru vaachaka punaravalokanam 2023ll aasm prasidheekarichu.
aamukham.
1979ll association oof sleep disordezhs sentarukalum (eiii. ezz. dii. sii) association phoor psychophysiological stadiyum chernnaanu urakkathinteyum uttejana vaikalyangaludeyum (dii. sii. ezz. eiii. dii) aadyathe diagnostic vargeekaranam vikasippichath. vaikalyangale naalu pradhana vibhagangalaayi thirichirikkunnu. 
1990-ll, american akkadami oof sleep medisin (aasm) europian sleep research sosaitti, japanese sosaitti oof sleep research, laattin american sleep sosaitti ennivayumaayi sahakarichu, urakkathinteyum uthejanathinteyum vaikalyangalude aadyathe samagra vargeekaranam, internaashanal classification oof sleep disordezhs (aii. sii. ezz. dii 1990) vikasippichu. pathophysiological swabhaavasavisheshathakale adisthaanamaakki 84 urakka vaikalyangal kandupidichu. pinneedu 1997ll ithu aii. sii. ezz. dii-aarr. aayi parishkarichu. 
anthaaraashtra sleep disordezhs vargeekaranam (aii. sii. ezz. dii) klinikkal reportukalilo daattaabes aavasyangalkko roganirnayam prasthaavikkunnathinum coding cheiyunnathinum oru multy axial sisttam upayogikkunnu. saadhyamaakunnidathellaam axial sisttam rogangalude anthaaraashtra vargeekaranam (icd-9-centemeter) coding upayogikkunnu. urakka thakaraarukalude chikilsakarkkum gaveshakarkkum prathyeka thaalpparyamulla nadapadikramangalkkum shaareerika adayaalangalkkumaayi adhika kodukal ulppeduthiyittundu. roganirnayavum nadapadikramangalum moonnu pradhana "achuthandukalil" pattikappedutthukayum coode cheyyukayum cheiyunnu. akshavyavastha thaazhepparayunna reethiyil krameekarichirikkunnu
urakka thakaraarukalude oru aii. sii. ezz. dii vargeekaranam
nadapadikramangalude axis bii icd-9-centemeter vargeekaranam
axis sii icd-9-cm rogangalude vargeekaranam (urakkamillaatha roganirnayam).
aii. sii. ezz. dii-2.
2005-ll, urakka thakaraarukalude anthaaraashtra vargeekaranam cheria apdettukalkkum parishkkaranangalkkum vidheyamaayi, athinte falamaayi pathipp 2 (aii. sii. ezz. dii-2) vannu.
aii. sii. ezz. dii-2 81 sleep desorder diagnostic vibhaagangale 8 pradhana vibhagangalaayi thirichirikkunnu. oro roganirnayavum roganirnaya maanadandangal avatharippikkunna oru vivaranathil vishadamaakkiyirikkunnu. 81 roganirnayangale 8 pradhana vibhagangalaayi thirichirikkunnu, athaayath insomnia, urakkavumaayi bandhapetta shwasana vaikalyangal, kendra uthbhavathinte hypersomnia, syrcadian rhythm sleep disordezhs, parasomnia, urakkavumaayi bandhapetta chalana vaikalyangal, otappetta lakshanagal prathyakshatthil saadhaarana vakabhedangalum pariharikkappedaatha prashnangalum, mattu urakka vaikalyangalum. avasaanathe rund vibhagangal (i.iii. mattidangalil tharamthirickunna vaikalyangalumayi bandhapetta urakka vaikalyangalum urakka vaikalyangalude deferential roganirnayathil pathivayi abhimukeekarikkunna maanasika vaikalyangalum) anubandhangalil avatharippikkukayum 13 roganirnayangal kanakkaakkukayum cheiyunnu.
2006ll aii. sii. ezz. dii-2-nte pokkatt pathipp puratthirangi. eee pathippil, inipparayunna diagnostic vibhagangal pattikappedutthunna oru pediatric vibhaagam cherthu 
ennirunnaalum, eee vargeekaranam eee mekhalayil chila aashayakkuzhappangal srishtichu, ithu 2011 ll vargeekaranathinte punaravalokanatthilekku nayichu. vargeekaranam eee mekhalayile vidagdhar kooduthal charcha cheyyukayum aii. sii. ezz. diyude moonnaam pathippilekku nayikkukayum cheythu.
aii. sii. ezz. dii-3 (2014), aii. sii. ezz. dii-3-tii. aarr (2023).
aii. sii. ezz. dii-2-nte punaravalokanam aadyam nadathiyathu aasavum mattu anthaaraashtra samoohangalumaanu. eee punaravalokanam pediatric diagnosisine klinikkal muthirnnavarude diagnosisumaayi (obstructive sleep apnia ozhike) samyojippikkukayum 2014 ll purathirangiya aii. sii. ezz. diyude moonnaam pathippilekku nayikkukayum cheiyunnu. 
aii. sii. ezz. dii-3-ll ezhu pradhana vibhaagangalkkullile nirddishta roganirnayangalum medical, neurological disordezhsumaayi bandhapetta urakka vaikalyangalude vargeekaranathinulla oru anubandhavum ulppedunnu. oro nirddishta roganirnayathinum anusrithamaaya rogangalude anthaaraashtra vargeekaranam (icd-9-cm, icd-10-cm) kodukal icd-3-ll kandethaam. koodaathe, urakkavumaayi bandhapetta shwasana vaikalyangalozhike pediatric roganirnayangal muthirnnavarude roganirnayangalil ninnu verthirikkappedunnil.
koodaathe, urakkamillaayma, narcolepsy, parasomnia ennivayude nosologyil kaaryamaaya mattangal varuthiyittundu. primery vezhsas. secondary (i.iii. comorbid) urakkamillaayma orotta rogamaayi veendum onnichu vittumaaraatha urakkamillaayma. narcolepsy narcolepsy type 1, narcolepsy type 2 enningane thirichirikkunnu. cataplexiyude saannidhyamo abhaavamo cerebrospinal fluid hypocratine-1 level ennivayaal eee rund tharangalum verthirichirikkunnu. parasomnia sambandhichidatholam, pothuvaaya savisheshathakal orumichu grouppucheyyunna vibhagangal parishkkarichu. oduvil, chikilsayil uyarnnuvarunna sii. ezz. ayekkurichulla oru vibhaagam sii. ezz. eiii syndrome vibhaagathilekku chertthu.
ithu saadhaarana "otappetta lakshanangalum saadhaarana vakabhedangalum" charcha cheiyunnu. chilath saadhaarana urakkathil sambhavikkunnu udaaharanathinu, mikka saadhaarana urangunnavarilum urakkathil samsaarikkunnath chila samayangalil sambhavikkunnu. chilath saadhaaranaykkum asaadhaaranathinum edayilulla thudarchayilaannu udaaharanathinu, anubandha vayumarga vittuveezhchayillathe koorkkamvali, urakka takaraar allengil mattu anantharafalangal enniva adisthaanaparamaayi saadhaaranamaanu, athesamayam kanatha koorkkamvali palappozhum obstructive sleep apniyayude bhagamaanu.
koodaathe, chila savisheshathakal inii vaikalyangalalla, urakkathinteyum anubandha sambhavangaludeyum scoringinaayi "dhaa" aasm [american akkadami oof sleep medisin] maanuvalil veendum onnikkunnu niyamangal, padangal, saankethika savisheshathakal ". athinaal, aii. sii. ezz. dii eee maanuvaline sthiramaayi paraamarsikkunnu. udaaharanathinu, polysomnography nirvachanangalo nirddishta savisheshathakalo kandethaan randaamathethu anuvadikkunnu.
aii. sii. ezz. dii-3ll 83 vaikalyangalkkayi 383 pejukal kanakkakkunnu. ithu 7 pradhana vibhagangalaayi thirichirikkunnu
7. mattu urakka vaikalyangal.
urakkasambandhiyaya mattu lakshanangalo urakka thakaraarinte saadhaarana nirvachanam paalikkaatha sambhavangalo.
2023ll, moonnaam pathipp, moonnaam pathipp, tekst revision (aii. sii. ezz. dii-3-tii. aarr) (HTTT:// aasam) enniva upayogichu moonnaam pathipp parishkarichu.oorgu/klinikkal-resources/internaashanal-classification-sleep-disordezhs/).