Tuberculosis Is Common In Young People, Why?
Peritoneal tuberculosis is a specific inflammatory lesion of the peritoneum that is usually secondary to other tuberculosis. Peritoneal tuberculosis accounts for 6.5% in extrapulmonary tuberculosis and ranks 6th after pleural tuberculosis, lymph node tuberculosis, osteoarthritis, tuberculous tuberculosis, laryngeal tuberculosis
Easily confused with surgical abdomen
In addition to human tuberculosis bacteria, bovine tuberculosis bacteria are also uncommon and are responsible for peritoneal tuberculosis. Systemic symptoms of peritoneal tuberculosis depend on progression and stage.
However, like other tuberculosis patients, peritoneal tuberculosis patients also have a bacterial infection, poisoning with signs of fever, usually a mild fever in the afternoon, which can be as high as 39-400 C.
But because the bacteria cause damage in the peritoneum, the patient also has abdominal pain, often dull but sometimes intermittent pain, accompanied by nausea, diarrhea or constipation; abdominal distention, gradually enlarged due to fluid in the abdomen. In the stage of adhesion, the abdomen is concave; or a round and solid abdomen like a ball due to spasm (in many cases it leads to intestinal obstruction).
The above-mentioned symptoms are easily confused with other abdominal diseases such as appendicitis, ileus, non-tuberculous acute peritonitis, peritoneal cancer
. so many cases suspect surgical surgery. TB exclusion tests are therefore.
Women must be careful of peritoneal tuberculosis
Anyone can get peritoneal tuberculosis, but most often is under the age of 40, especially in the age group 20-30 years old. Tuberculosis "favored" women over men, because according to statistics, female patients accounted for 75-90%.
There are 4 ways to get TB bacteria into the peritoneum. One is from mesenteric lymphadenitis, which causes the TB bacteria to spread along the lymphatic path or access to the peritoneum
Third is spread by blood from distant tuberculosis lesions.
And especially, the fourth pathway is caused by the bacteria that spread from the Fallop tube to tuberculosis, which explains why the rate of peritoneal tuberculosis infection in women is higher.
It is worth mentioning that if you are not careful to catch the disease, especially in the reproductive age, women with peritoneal tuberculosis will be at high risk for pregnancy and childbirth, thereby lasting effects. to happiness later.
The majority of patients with peritoneal tuberculosis are young. Heavy drinkers, immunocompromised, overworked, especially in unhygienic conditions, lack of food, especially protein and vitamin deficiency are more susceptible.
In the early stages, the disease is difficult to detect because clinical symptoms are faint, poor, and in the final stage are very rich clinical manifestations because the disease has hurt other organs. If not treated promptly, the disease will progress more complex. But if detected early and taking anti-tuberculosis medication as directed by the doctor .
.. there will be a good prognosis.
The form of peritoneal tuberculosis
The clinical manifestations of peritoneal tuberculosis are diverse and abundant. Depending on the location of tuberculosis lesions, there is disseminated peritoneal tuberculosis, focal peritoneal tuberculosis. According to location and age, peritoneal tuberculosis of the elderly, children, peritoneal tuberculosis in alcoholics ...
And according to the mechanism of spread of bacteria: blood sugar, lymph, adjacent roads, depending on the virulence and number of tuberculosis bacteria as well as the reaction of the patient's body which clinically can have Acute, subacute and chronic peritoneal tuberculosis.
Because acute and subacute peritoneal tuberculosis is clinically very faint, most patients do not realize it is only when the disease has become chronic with more typical, more aggressive symptoms. Get medical examination and treatment.
In chronic form of tuberculous tuberculosis will be divided into 3 types: ascites, peptic ulcer, fibrosis.
Ascites: The first manifestation is a low fever of 37-38 ° C, usually from afternoon and night, but may be as high as 39-40 ° C or the patient does not recognize the fever.
Patients often eat poorly, anorexia, bloating, indigestion, fatigue, sweating, thinning. Persistent dull abdominal pain or intermittent pain with indiscriminate pain site, abdominal distention, gastrointestinal disturbances (erratic loose apple stools). Abdominal enlargement is usually moderate, a sense of heaviness.
The belly is horizontal, the belly button is protruding in a lying position. When the patient sits or stands, the abdomen is saggy and protruding forward. Stomach skin smooth, shiny, wax-like white.
During examination, you can see firm, scattered patches of abdomen. In addition, there may be soft, mobile, painless lymph nodes along the sternum (if there are lymph nodes, it is necessary to check for coordinated tuberculosis), there may also be pleural effusion or pericardial effusion .
Therefore, when ascites are present, comprehensive clinical examination is required to detect tuberculosis lesions in other places to see if there is multidemory tuberculosis: peritoneal, pleural, pericardial (difficult to treat multidemory tuberculosis, bad prognosis).
Tuberculous ascites tuberculosis is a mild form, if treated early, in accordance with the protocol, the majority of developments and prognosis are good. If not treated well, it will quickly turn to pulp or sclerotic pulp.
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