Which tuberculosis of intestine are to behave and how to diagnose? 's general knowledge

Which tuberculosis of intestine are to behave and how to diagnose? 's general knowledge
The disease is slow that the majority arises, the course of disease is relatively long, typical clinical manifestation is summed up as follows:
First, suffer from abdominal pain Because pathological change involves, answers in the blind department often, so pain is the most common in the right lower abdomen, can find the limitation presses the sore spot at the time of palpation. Pain can also lie in umbilicus week, pain is generally relatively light, present secret anguish or dull pain, is also shown as intermittent pain, often bring out while having meal or after the meal. When hyperplasia type tuberculosis of intestine erupts intestinal obstruction simultaneously, suffer from abdominal pain mainly as angina, and there is corresponding symptom of intestinal obstruction.
Second, suffer from diarrhoea with constipation Diarrhoea is one of the main symptoms of ulcer type tuberculosis of intestine, this is because of enteric song inflammation and stimulus of ulcer, make the intestines wriggle and accelerate, empty too fast and continuing bad hair absorptionly. Generally defecate 2-4 times a day, are mostly the pastel, the lighter only includes a small amount of mucus, the serious one suffers from diarrhoea but more than up to 10 times of every day, there are mucus and suppuration liquid, the blood is relatively rare. In addition can among have constipation,take the form of excrement of sheep excrement and urine, be or suffered from diarrhoea, one constipation appeared alternatively.
Third, belly lump Mainly see Yu Zeng's catching tuberculosis of intestine, the wall part of intestines increases and forms lump thick. At ulcer type tuberculosis of intestine and surrounding tissue adhesion, or have lymphocytic tuberculosis of mesenterium,etc., it form by lump quilt lay one's hand on and. The belly piece often lies in right lower abdomen, medium-sized hardness, there can be light tenderness.
Fourth, whole body symptom Ulcer type tuberculosis of intestine have the intersection of tuberculosis and malicious the intersection of blood and disease often, until low-heat, abnormality are hot in the afternoon, remittent fever or continued fever, with night sweating, there can be weak, become thin, anaemia malnutritive edema,etc. and symptom and physical sign, and can have outside intestines tuberculosis especially tuberculosis peritonitis, pulmonary tuberculosis,etc. has something to do with and behaves, hyperplasia type tuberculosis of intestine does not have more tuberculosis to poison symptom, the course of disease is relatively long, the whole body situation is better.
The diagnosis of the typical case generally has no difficulty. But early period such as disease, because symptom to lack characteristic to be easy to leak, examine often. Following what time can make to diagnosis basis of copies of disease.
There are generating heat for a long time, night sweats, abdominal pain, diarrhoea (or constipation) in first, clinical manifestation Between twenty and fifty patient.
Second, pulmonary tuberculosis, or original focus, patient of tuberculosis, take a favorable turn already outside the other intestines, digestive tract symptom and tuberculosis and malicious blood symptom meet the persons who aggravate instead.
Third, right lower abdomen lump accompanies the tenderness, or present incompleteness intestinal obstruction with unidentified reason and behave.
Fourth, X-ray examination of intestines and stomach go back to the blind department to surge making, person who fulls of defect or narrow sign of barium pharmaceutical.
To the patient suspected to have tuberculosis of intestine, after getting rid of relevant disease tentatively, when still it is difficult to make a definite diagnosis of, can offer antituberculotic, treat for two weeks, observe curative effect, in order to help to diagnose.
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