Dengue (sign, symptoms,treatment and prevention)

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Dengue Fever is a disease caused by dengue virus is transmitted through the bite of Aedes aegypti and Aedes albopictus, which causes disturbances in capillary blood vessels and the blood clotting system, resulting in bleeding-bleeding.

The disease is commonly found tropical areas like Southeast Asia, India, Brazil, the United States including in all corners of Indonesia, except in places a height of more than 1000 meters above sea level. Physicians and other health personnel such as midwives and Mantrihas ;-) diagnosis is often wrong in the rule, because the tendency of the early symptoms that mimic other diseases such as influenza and typhoid (typhoid).

# Signs and Symptoms of Dengue Fever

The period of bud / incubation for 3-15 days after a person develops dengue virus, then the patient will show signs and symptoms of dengue fever as follows:

1. The sudden high fever 2-7 days (38-40 degrees Celsius).

2. On examination torniquet test, it appears the larvae (puspura) bleeding.

3. The presence of bleeding inner eye (conjunctiva), nosebleed (Epitaksis), bowel movements with stool (peaces) in the form of mucus mixed with blood (Melena), and others.

4. Liver enlargement (Hepatomegaly).

5. Decreased blood pressure, causing shock.

6. In laboratory tests (blood) day to 3-7 a decline in platelet count below 100,000 / mm3 (thrombocytopenia), an increase in hematocrit values above 20% of normal value (hemoconcentration).

7. The emergence of several clinical symptoms that accompany such as nausea, vomiting, decreased appetite (anorexia), abdominal pain, diarrhea, chills, cramps and headaches.

8. Bleeding at the nose (nosebleeds) and gums.

9. Fever sufferers perceived causes complaints sore / pain in the joints.

10.Appear red spots on the skin due to rupture of blood vessels.

# The process of Dengue Hemorrhagic Disease Transmission

The spread of dengue fever is transmitted through mosquito bites of Aedes aegypti and Aedes albopictus, so that the region had been no dengue disease attacks there may be other patients will even be able to cause outbreaks remarkable for the surrounding population.

# Treatment of Dengue Fever Disease

The focus of treatment in patients with DHF is to overcome the bleeding, prevent or treat shock, namely to try to get people with a lot to drink about 1.5 to 2 liters of water in 24 hours (water tea or milk and sugar syrup).

The addition of body fluids through an IV (intravenous) may be needed to prevent excessive dehydration and hemoconcentration. Platelet transfusions performed if the platelet count dropped dramatically. Next is the provision of drugs to complaints that arise, for example:

- Paracetamol helps to lower fever

- Electrolyte Salts (ORS) if accompanied by diarrhea

- Antibiotics are useful to prevent secondary infection

Apply cold compress, do not need the ice because it can have an impact shock. Even some of the medical team can recommend a compress made with alcohol. Alternative medicine is commonly known by drinking guava juice bangkok, but efficacy has not been proven medically, but the guava can restore fact intravenous fluids and an increase in the value of blood platelets.

# Prevention of Dengue Fever Disease

Prevention is done by avoiding mosquito bites at a time when the morning until the afternoon, because the aedes mosquito is active during the day (not night). For example avoid being in a location that many mosquitoes in the daytime, especially in areas where there is it.