typhoid abdominal or dilafal typhoid, endemic in Indonesia. That is, always present every season. The cause of Salmonella typhi.
These germs are everywhere. Log into the human body through food and drink that dicemarinya (fecal-orate. It could be through dirty hands or look healthy carriers of disease (healthy carrier).
True to turn off lightly and infrequently, but the cost to be incurred if already sick, it's really a waste of typhoid can be prevented.
Angie, 21 years already feverish week. Sometimes nausea and stomach felt uneasy. Along with that her head ached. It's almost a week the amount of waste water stagnating. He thought that ordinary colds.
My family doctor told him to check the blood. The result, no typhoid and paratifus. Not classified as severe because of the rising titer of H, rather than titer 0. Doctor to make sure that the cause of fever Angie uninterruptedly.
Typhoid Fever
Doctors in Indonesia could be missed if you fail to observe symptoms
fever patients. Worried missed diagnosis, doctors often tend to overdiagnosis. That is, not a case of typhoid diagnosed typhoid, with fear chances.
That's true more than a week of fever should be suspected typhoid fever. Typhoid fever is just beginning. More should be suspicious if other than the old fever, also accompanied by complaints such as a natural Angie, namely headache, not feeling in the stomach, and bowel movements not regular. One characteristic in typhoid, fever appeared afternoon and evening only.
Typhoid fever is usually naughty. Medicine go down, but quickly rose again. Fever picture emerging that afternoon and evening, especially if accompanied by specific complaints such as a natural Angie, possibly typhus should not be overlooked.
Suspicion of typhoid fever when looking increasingly dry lips, and tongue look like a coated milk, white with rosy edge. Physicians who have long practice, easy catch typhoid cases simply by observing the patient's facial appearance.
Allegations of physicians grew stronger leading to a diagnosis of typhoid fever when after doing a physical exam, the doctor felt a swollen liver and spleen (hepatosplenomegaly). Certainly for the certainty that the diagnosis of typhoid is true, need examination Widal, in addition to multiply bacteria from the blood.
However, examination of cultures take a long time. As a practical matter, the physical examination, and the titer the increase 0 and H in the blood, either typhus or paratifus, for the sake of saving time and cost, direct physician prescribing to typhus.
Food handler
Typhus is contagious. In addition among the housemates that if one is infected, it often happens of rice shop, restaurant, or food vendors and beverage vendors. Cases of typhoid clusters in a group of people who snack in the same place, contracted at the same time, the possibility of the source at hawker food or drink.
An apparently healthy germ carriers (healthy carrier), he was the most dangerous source of transmitting typhus. People do not suspect that healthy people carry typhoid germs.
When you look healthy carriers of the germs that are less hygienic, especially not washing hands properly before handling or serving food and beverages merchandise, it is a source of potential transmitters for those around. Especially if he put his hand in a lot of processing and serving food and drink.
Therefore, to be safe, choose snacks that are cooked like a hot soup or soup, and not Karedok, gadogado, ketoprak, salad, and fast food menus.
Carriers of typhoid germs in your body bacteria in stool. When discharged into the back of not washing hands properly, germs caught on the fingers. Germs on the fingers of the hand and then move on to the food and drinks in his hands (fecal-oraq).
Complications of perforated bowel
Typhus is rarely deadly, unless it is delayed. The most feared complication when the intestine to a hole, and its contents spill into the abdominal cavity. This is classified as abdominal emergencies (acute abdomen), and the soul can-fly when the late treated.
If complications of perforated intestine occurs characterized by sudden temperature decreases, while the pulse suddenly rising. Crosses mark the temperature with a pulse so patients facing a critical situation. Shock can occur due to emergency abdominal attacks.
To prevent complications, antibiotics to eradicate the bacteria need to be given immediately. Earlier, smaller likelihood of complications.
Quite often strayed into the gallbladder germs. When this occurs, healing is more difficult. Bacteria can also persist long in the gall bladder, with all its consequences. Suddenly stricken with typhus patients such as jaundice, probably already complicated to the gallbladder.
Wednesday, November 9, 2011
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