The abdominal typhoid can proceed quite easily, and may cause severe, life-threatening complications. It is very important that these complications do not miss and give help in time, then everything will cost. Read more about abdominal complications Read in the article.
Content
Abdominal typhoid - an acute infectious disease characterized by the defeat of the intestinal apparatus (mainly small intestine), the penetration of the pathogen in the blood, the increase in the liver and spleen, rash.
Before the beginning of the XVIII in. Under the term «Tiff» combined all feverish states accompanied by permanent or loss of consciousness. In the middle of the XIX century, there were descriptions of the peculiarities of the abdominal title flow, but the allocation of it into an independent disease occurred after the discovery of the causative agent.
Specific complications of abdominal typhoid
Specific complications of abdominal typhoid - these are complications that can develop only in typhoid typhoid. They look like complications of other diseases, but they differ from them. Of the specific complications of the abdominal typhoid, the greatest importance of the disease is:
- intestinal bleeding;
- Perforated peritonitis;
- infectious-toxic shock.
Intestinal bleeding is more often observed in the 3rd week of illness. The cause of it is a violation of the purpose of the vessel in the day of the abdominal ulcers. Bleeding can simultaneously come from several sites. The first symptom pointing to possible intestinal bleeding is a black tar-shaped chair. Little bleeding usually does not affect the patient's condition. With massive bleeding, the body temperature suddenly decreases to normal, thirst arises, the pulse is studied, blood pressure drops. Massive bleeding can lead to the development of shock, which can lead to severe consequences. When developing a complication, an operation may be necessary.
Perforated peritonitis is the inflammation of the peritoneum (shell, lining the cavity of the belly from the inside) due to the breakthrough of the intestinal ulcers. It develops at the 2-4th week of illness, sometimes after temperature normalization. The emergence of the breakthrough contribute: the delay of gases, sharp movements, strong cough, diet violation. Signs of peritonitis in abdominal typhoids have a number of features: there is no sharp pain, as a dagger, characteristic of ulcer breakthrough, so the appearance of even small stomach pains should attract attention. The breakthrough of the intestines is sometimes accompanied by fainting due to a sharp decrease in blood pressure. In this case, urgent operation is necessary.
Infectious-toxic shock develops during the rank of illness. The occurrence of it is due to the massive admission to the blood of the abdominal bacteria and their toxins. In the clinical picture of the disease, infectious-toxic shock is preceded by a high temperature. When developing shock, there are observed: a sharp decrease in body temperature, increased sweating, healing of heartbeat and respiration, a sharp decrease in blood pressure, a decrease in urine release up to its absence.
Non-specific abdominal typhoid complications
Non-specific complications include:
- inflammation of the lungs (pneumonia);
- inflammation of the veins (thrombophlebitis);
- inflammation of brain shells (meningitis);
- Inflammation of the kidneys (pelitis) and t.NS.
In contrast to specific complications of the disease, they can develop not only in the abdominal title, but also with other diseases, and may also be diseases are quite independent. Regardless of the cause, manifestations will be the same.
