Dengue hemorrhagic fever is an infection caused by the dengue virus. Dengue virus is transmitted by the mosquito Aedes aegypti.
Dengue hemorrhagic fever can make sufferers experience severe pain as if the bones were broken. In some patients, dengue fever can be a disease that is life-threatening.
Dengue fever in Indonesia
Dengue hemorrhagic fever is still one public health problem in Indonesia. The level of disease outbreak is the highest among Southeast Asian countries.
Throughout the year 2013, the Ministry of Health noted that there are 103 649 people with the death toll reached 754 people.
The involvement of doctors in primary health care is needed to suppress the incidence and mortality rate of dengue.
Complications in dengue hemorrhagic fever can lead to damage a number of organs, such as lungs, liver, and heart.
Blood pressure can also be decreased significantly, to a level which is very dangerous and can lead to death.
In laboratory tests in the early phases of fever, we will see the number of normal white blood cells. Then, the amount will be decreased during the febrile phase.
The number of red blood cells at the beginning of a fever generally will also remain normal. However, the decline in the number usually found between the third until the seventh. Therefore, the examination of the red blood cells it needs to be repeated.
Keep in mind that an increase in the red blood cells is always found in dengue hemorrhagic fever. It is an indicator of plasma leakage, which should have been stored blood cells.
Chest X-ray examination can also be done to see any leakage of fluid into the chest cavity.
A sudden high fever up to 39 degrees Celsius are the main symptoms of dengue fever. This fever will take place continuously for 2-7 days, then falls rapidly and is usually followed by signs as follows:
- Chills and fatigue
- Pain behind the eyes, muscle, and bone
- To reddish skin rash
- Difficulty swallowing food and beverage
- Nausea and vomiting
Furthermore, the signs above will be followed by signs of bleeding, such as:
- bleeding gums
- Embossed red spots on the skin
- Vomiting blood
- Black defecation
In the phase of fever, dengue fever is usually followed by a critical phase for 2-3 days. In this critical phase of decreased body temperature, up to parts of the body such as hands and feet cold and usually feel like is cured.
In fact, in this phase, you have to be vigilant because it could happen dengue shock syndrome can be life-threatening.
Early treatment of dengue fever can be done at home. The principle is that patients should consume plenty of fluids to prevent dehydration, which leads to a decrease in platelets and shock. Consumption of 2-3 liters a day is a must.
Dehydration may result from a high fever, difficulty swallowing food and drinks, as well as vomiting.
The recommended type of drink is fruit juice, sweet tea, syrup, milk, and ORS. If the oral fluid can not be given, the patient should be treated with a given fluids intravenously.
Patients are expected to be rested as long as fever and shock phase. It is also important to monitor the levels of platelets and red blood cell levels in the blood until it reaches the normal limit back.
To cope with a fever can be done to compress the entire body, especially in the armpits and groin. Paracetamol can also help to reduce fever. After all done, immediately take the patient to the hospital to prevent complications.
Basically, the prevention of dengue fever can be done by keeping the house. In addition, make sure you also keep the environment around you.
The best way to control the Aedes aegypti mosquito is to get rid of the habitat. You must empty the water container is open so that mosquitoes can not lay eggs in the open containers.
To prevent mosquito bites, you can wear clothes that cover the skin completely. Using lotions and mosquito netting while resting can help.
Dengue hemorrhagic fever caused by dengue virus is transmitted to humans by the mosquito Aedes aegypti. Currently, dengue virus infects mosquitoes and mosquito bites a human, it can deliver the virus into the body.
Aedes aegypti are generally smaller, solid black body with two white vertical stripe on the back and white horizontal stripes on the legs.
Mosquitoes are usually ‘worked’ from morning to evening, although sometimes biting at night.
He liked the dark and cool place, so it is more commonly found in the home than outside the hot house.