how to maintain “Dengue” does not shock.
Dengue fever is a public health problem caused by infection with four types of dengue virus and can be transmitted by mosquitoes. which is a vector The main features 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 appropriate treatment especially in the case of shock
Symptoms of dengue Usually, we can divide the symptoms of dengue fever into 3 stages as follows:
1. The first step For the first stage, this is the stage where the patient will have a high fever for about 5-7 days, possibly with muscle aches. A rash or red spots on the body, arms, legs, some may lose appetite and have nausea along with vomiting
2. Crisis period This is the step that requires the most care. The patient will have symptoms of fatigue and lethargy. reduced urine output Abdominal pain, especially in the right ribs including abnormal bleeding such as nosebleeds vomiting blood or black stools At this time, the fever will begin to decrease, cold hands and feet, low blood pressure . and can shock to death
3. recovery period During this period, the patient’s symptoms begin to improve. Blood pressure began to stabilize. urine coming out I started to have more appetite, abdominal pain, less bloating, and I felt more energetic. The total duration of dengue fever is about 7-10 days.
Recommendations for caring for dengue fever patients The basic things for caring for a patient with dengue fever while at home can be done as follows:
– drying to reduce fever Use 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 enough fluids In 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 don’t use aspirin or a fever reducer that contains ibuprofen.
– Monitor the patient carefully If there are severe symptoms such as vomiting, abdominal pain in the right ribs Severe bleeding, cold body, cold hands and feet, not urinating for more than 6 hours, or oozing and not feeling good Get him to see a doctor right away.
How are dengue symptoms treated?
Currently, there is no drug that directly treats or fights the dengue virus. Therefore, treating dengue fever is treating the symptoms the patient has. which can be given to reduce fever by 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 which is best for the patient Because if the disease is correctly diagnosed in the early stages In a critical condition, the doctor will be able to monitor the symptoms closely to prevent shock.
How to prevent dengue
Because there is no vaccine that can directly treat dengue fever. So the best way is to Protect 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 personal clothing
-Sleep in a room with mosquito nets or mosquito nets to prevent bites.
-Use a topical mosquito repellent
2. Remove the vector source.
– Water storage containers must always have a lid.
– Change the water in the vial. or pot every 7 days
– Spray chemicals or mosquito repellents to get rid of fully grown Aedes mosquitoes.
3. Dengue Fever Vaccine
For this dengue vaccination, it is recommended that you are vaccinated in a person who has had dengue fever to prevent it from happening again. This will reduce severity and get better results.
Dengue fever can affect people of any age. There are three stages to the symptoms, namely the initial stage, the critical stage and the recovery stage. The patient’s care should be carefully supervised to prevent shock. If the patient starts to have more serious symptoms, they should be taken to the doctor for treatment in a timely manner.
Assistant Professor Dr Chonmeth Techasaensiri
Department of Infectious Diseases Department of Paediatrics
Ramathibodi Hospital Faculty of Medicine, Mahidol University
