how to maintain “Dengue” does not give shock.
Dengue fever is a public health problem caused by infection with four strains of the dengue virus and can be transmitted by mosquitoes. which is a vector The main characteristics of the disease are high fever, bleeding symptoms. And if not treated in a timely manner, it can lead to shock, which can lead to death. and provide proper treatment especially in the case of shock
Dengue symptoms Usually, we can divide the symptoms of dengue fever into 3 stages as follows:
1. The first phase For the first stage, this is the stage where the patient will have a high fever for about 5-7 days, with possibly muscle aches. A rash or red spots on the body, arms, legs, some may lose appetite and have nausea accompanied by vomiting
2. Crisis period This is the phase that requires the most caution. The patient will have symptoms of fatigue and lethargy. less urine output Abdominal pain, especially in the right ribcage including abnormal bleeding such as nosebleeds vomiting blood or black stools At this stage, the fever will begin to decrease, cold hands and feet, low blood pressure. and can cause shock to death
3. recovery period During this phase, the patient’s symptoms begin to improve. Blood pressure began to stabilize. urine comes out I started to have more appetite, abdominal pain, less bloating, and I felt more energized. The total duration of dengue fever is approximately 7-10 days.
Recommendations for caring for dengue fever patients The basics of caring for a patient with dengue fever while at home can be done as follows:
– wipe to reduce fever Using a damp cloth to rub the body with water. Then start wiping the face, neck, behind the ears, then gently compress the neck, armpits, groin, crooks.
– Drink plenty of fluids. In the case of vomiting, it is recommended to take a sip of mineral water to relieve fatigue and keep the body hydrated.
– Give paracetamol to reduce fever. But do not use aspirin or ibuprofen-containing fever reducer.
– Closely monitor the patient If there are severe symptoms such as vomiting, abdominal pain in the right ribcage Severe bleeding, cold body, cold hands and feet, not urinating for more than 6 hours, or seeping and not feeling well. Please bring him to see a doctor immediately.
How are dengue symptoms treated?
At present, there is no drug that directly treats or combats dengue virus. Therefore, the treatment of dengue fever is to treat the symptoms that the patient has. which can be given to reduce fever using paracetamol together with antipyretic wipes But do not use other types of antipyretic drugs such as aspirin or ibuprofen, which takes the patient to the doctor for prompt treatment is best for the patient Because if the disease is diagnosed correctly in the early stages In a critical condition, the doctor will be able to closely monitor the symptoms to prevent shock.
How to prevent dengue
Because there is no vaccine that can directly treat dengue fever. So the best way is Protecting Yourself from Dengue Virus In other words, it is to protect yourself from being bitten by mosquitoes. which we can protect as follows:
1. Protect yourself
-Wear intimate clothing
-Sleep in a room with mosquito nets or mosquito nets to prevent bites.
-Use a topical mosquito repellent
2. Eliminate the vector source.
– Water storage containers must always have a lid.
– Change the water in the vase. or pot every 7 days
– Spray chemicals or mosquito repellent to get rid of adult Aedes mosquitoes.
3. Dengue Fever Vaccine
For this dengue vaccination, it is recommended to be vaccinated in a person who has had dengue fever to prevent recurrence. This will reduce the severity and have better results.
Dengue fever can affect people of any age. There are 3 stages of symptoms, which are the initial stage, the critical stage and the recovery stage. The care of the patient should be closely supervised to prevent shock. In the event that the patient begins to have more severe symptoms, they should be taken to the doctor for treatment in a timely manner.
Asst.Prof.Dr. Chonmeth Techasaensiri
Department of Infectious Diseases Department of Pediatrics
Faculty of Medicine Ramathibodi Hospital, Mahidol University