Tifoparatifozes diseases - it is paid special attention on strict observance of sanitary-and-hygienic rules and regular carrying out of current disinfection.
Care serious sick of a typhoid and paratyphoids is provided the same as and for all other highly in a fever infectious patients. From among features it is necessary to note possibility of development of an acute infectious psychosis, an intestinal bleeding and punching of the intestine, demanding special leaving and rendering of the emergency help.
The infectious psychosis develops in height of disease. One of psychosis precursory symptoms is the feeling of alarm, a sleeplessness, impellent excitation.
The delirium (delirium) proceeds with bright hallucinations of frightening character. The patient thus jumps up from a bed, aspires to escape from chamber, disappearing from imaginary persecutors, can jump out of a window. At the slightest suspicion on development of a psychosis in bed of the patient the individual post with round-the-clock watch of the personnel is established. At strong excitation to the patient enter 2 ml 2,5 %-s' amitazin's solutions, Dimedrol (1 ml 2 %-s') and magnesium Zinci sulfas (10 ml 25 %-s' solutions).
Intestine punching is one of the most serious complications of a typhoid and paratyphoids, occurs more often on 3-4 week of illness. Early diagnostics of punching plays the big role. If its signs operation the life of the patient appears in most cases out of danger is found out in due time and urgently made. In that case when from the moment of punching passes more than 6 hours, the diffuse peritonitis and the forecast develops becomes the extremely serious.
The intestinal bleeding arises in the same terms, as punching - appears blood in excrements, arterial pressure falls, pulse becomes frequent, there come sharp delicacy, temperature drop. At detection of an intestinal bleeding to the patient forbid to move, accept nutrition and to drink water. Over the bottom part of a stomach the bubble with ice is suspended, to it transfuse blood, intravenously enter 10 %-s' solution of Calcium chloratum subcutaneously and intravenously. During the first 12 ch after a bleeding of the patient do not feed and give only a small amount of the acidified water, warm sweet tea or fruit juice. Then, if the bleeding does not repeat, it is authorised to eat soft-boiled egg, jelly, kissel. Gradually a diet dilate and in 4-5 days pass to a usual food. For sick of a typhoid and paratyphoids it is necessary to watch, that they observed a bed and dietary regimen. The patient is authorised to have a seat only from 9-10th day of a normal body temperature, to get up and gradually to start to go from 14-15th day if there are no adverse symptoms. Especially attentive it is necessary to be concerning persons of advanced age, suffering chronic cardiovascular disorders. For them stay term on a confinement to bed should be enlarged. At a usual current tifoparatifoz diseases patients receive a diet № 2; 5-7 days prior to an extract them translate to a table d'hote. At intestine dysfunction in height of disease the table № 4 is given to the patient within several days.
In recover patients quite often have sharply raised appetite, therefore they are necessary for constraining from a hyperalimentation as it can lead to dysfunction of an intestine and provoke a palindromia.
Care serious sick of a typhoid and paratyphoids is provided the same as and for all other highly in a fever infectious patients. From among features it is necessary to note possibility of development of an acute infectious psychosis, an intestinal bleeding and punching of the intestine, demanding special leaving and rendering of the emergency help.
The infectious psychosis develops in height of disease. One of psychosis precursory symptoms is the feeling of alarm, a sleeplessness, impellent excitation.
The delirium (delirium) proceeds with bright hallucinations of frightening character. The patient thus jumps up from a bed, aspires to escape from chamber, disappearing from imaginary persecutors, can jump out of a window. At the slightest suspicion on development of a psychosis in bed of the patient the individual post with round-the-clock watch of the personnel is established. At strong excitation to the patient enter 2 ml 2,5 %-s' amitazin's solutions, Dimedrol (1 ml 2 %-s') and magnesium Zinci sulfas (10 ml 25 %-s' solutions).
Intestine punching is one of the most serious complications of a typhoid and paratyphoids, occurs more often on 3-4 week of illness. Early diagnostics of punching plays the big role. If its signs operation the life of the patient appears in most cases out of danger is found out in due time and urgently made. In that case when from the moment of punching passes more than 6 hours, the diffuse peritonitis and the forecast develops becomes the extremely serious.
The intestinal bleeding arises in the same terms, as punching - appears blood in excrements, arterial pressure falls, pulse becomes frequent, there come sharp delicacy, temperature drop. At detection of an intestinal bleeding to the patient forbid to move, accept nutrition and to drink water. Over the bottom part of a stomach the bubble with ice is suspended, to it transfuse blood, intravenously enter 10 %-s' solution of Calcium chloratum subcutaneously and intravenously. During the first 12 ch after a bleeding of the patient do not feed and give only a small amount of the acidified water, warm sweet tea or fruit juice. Then, if the bleeding does not repeat, it is authorised to eat soft-boiled egg, jelly, kissel. Gradually a diet dilate and in 4-5 days pass to a usual food. For sick of a typhoid and paratyphoids it is necessary to watch, that they observed a bed and dietary regimen. The patient is authorised to have a seat only from 9-10th day of a normal body temperature, to get up and gradually to start to go from 14-15th day if there are no adverse symptoms. Especially attentive it is necessary to be concerning persons of advanced age, suffering chronic cardiovascular disorders. For them stay term on a confinement to bed should be enlarged. At a usual current tifoparatifoz diseases patients receive a diet № 2; 5-7 days prior to an extract them translate to a table d'hote. At intestine dysfunction in height of disease the table № 4 is given to the patient within several days.
In recover patients quite often have sharply raised appetite, therefore they are necessary for constraining from a hyperalimentation as it can lead to dysfunction of an intestine and provoke a palindromia.
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