Dengue Hemorrhagic Fever (DHF)

Source:  Dengue Hemorrhagic Fever (DHF)    Tag:  brazilian hemorrhagic fever

Dengue Hemorrhagic Fever (DHF) (medical language is called Dengue Hemorrhagic Fever (DHF)) is a disease caused by dengue virus is transmitted by Aedes aegypti mosquitoes and Aedes albopictus, which causes interference with the capillary blood vessels and blood clotting system, resulting in bleeding-bleeding.

The disease is found in many tropical regions like Southeast Asia, India, Brazil, United States, including in all corners of Indonesia, except in places where height of more than 1000 meters above sea level. Doctors and other health personnel such as midwives and Mr. Mantri ;-) enforcement is often wrong in the diagnosis, because the tendency of the early symptoms that resemble other illnesses such as flu and Tipes (Typhoid).

Signs and Symptoms of Dengue Hemorrhagic Fever

Early bud / incubation for 3 - 15 days after someone attacked by dengue virus, then the patient will reveal a variety of 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, looked the larvae (puspura) bleeding.
3. The presence of dikelopak bleeding inside the eye (conjunctiva), Nosebleed (Epitaksis), Defecation with dirt (Peaces) of mucus mixed with blood (melena), and others.
4. Enlargement of the liver occurs (Hepatomegaly).
5. Decreased blood pressure, causing shock.
6. In laboratory tests (blood) days from 3 to 7 following a decline in platelet 100,000 / MM3 (thrombocytopenia), an increase Hematocrit values above 20% of normal values (Hemokonsentrasi).
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 in the nose (nosebleeds) and gums.
9. Patients experienced fever causes sore complaint / pain in the joints.
10.Munculnya red spots on the skin due to rupture of blood vessels.

Process Transmission of Dengue Hemorrhagic Fever

The spread of dengue disease transmitted by Aedes aegypti mosquitoes and Aedes albopictus, so that in areas of known existence of dengue disease will be no other person would even cause great plague to the surrounding population.

Treatment of Dengue Fever Disease

The focus of treatment in DHF patients is to resolve the bleeding, prevent or treat shock / presyok, namely by ensuring that patients drink plenty of approximately 1.5 to 2 liters of water in 24 hours (water and sugar syrup, tea or milk).

The addition of body fluids through an IV (intravenous) may be needed to prevent dehydration and excessive hemokonsentrasi. Platelet transfusions performed if the platelet count dropped dramatically. Next is the provision of drugs to complaints that arise, for example:
- Paracetamol helps reduce fever
- Salt electrolyte (oralit) if accompanied by diarrhea
- Antibiotics are useful to prevent secondary infection

Do kompress cold, do not need the ice because it can 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 Khasiatnya never medically proven, but the fact that guava can restore intravenous fluids and increase the value of blood platelets.

Prevention of Dengue Fever

Prevention is 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 nyamuknya in the daytime, especially in the area are his DHF patients. Some of the most effective way of preventing disease through the method of controlling dengue or vector control are:

1. Eradication of mosquitoes nest (PSN), solid waste management, modification places. mosquito breeding byproduct of human activities, and improving home design.
2. Maintenance of larvae-eating fish (fish contest / fish hickey) on the pond water, and bacteria (Bt.H-14).
3. Smoking / fogging (using malathion and fenthion).
4. Giving abate powder (temephos) in places such as water reservoirs, water barrel, vase of flowers, ponds, and others.