Dengue Hemorrhagic Fever (DHF)2

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a. Fever

Fever in dengue fever are sudden and ranged between 38.50 C-400C, In children there is a sudden increase in temperature. In the morning the children are still able to school and play, the sudden end of the day complaining of fever is very high. Fever will continue both in the morning and night and only dropped a little after being given febrifuge. In older children or adults at the time of initial symptoms are often ignored by less because of fever came suddenly. They keep doing the usual activities and had felt the pain when the following symptoms of lethargic, not eating well and so forth.

b. Listless

Besides the sudden high fever and dengue hemorrhagic fever sufferers will complain or appear lethargic and weak. The whole body is weak as there is no power, on small children can not complain, but children who are active this time will not play anymore and prefer to sit or lie quietly. Agencies will increasingly weakened by the appetite completely disappeared either drinking or eating, nausea and discomfort in the stomach and solar plexus area causing all the food and drink eaten out again. Nausea, vomiting and pain in the gut would further increase if the patient drinks febrifuge which could stimulate the stomach (see Section 3 of treatment). In small children can be accompanied by diarrhea 3-5 times a day, liquid, without mucus. Thus, if a child suffering from diarrhea accompanied by high fever we must be vigilant especially dengue fever occur in infants or small children under the age of 2 years. Dengue hemorrhagic fever as a viral disease often causes the face and body reddish children as "shrimp boil" (flushing) and when held very hot body.

c. Stomach pain

Abdominal pain is an important symptom of dengue hemorrhagic fever. These symptoms apparent in the large child or adult because they have been able to feel. Abdominal pain can be felt in the solar plexus and the area under the curve to the right ribs. Abdominal pain below the right rib arch over lead to the disease dengue hemorrhagic fever abdominal pain compared to solar plexus. The cause of abdominal pain under the right arch ribs are enlarged liver (liver) resulting in membrane stretch wrapped heart. In further signs of bleeding may be followed by small blood vessels in the membrane. While abdominal pain in the gut region that resembles the symptoms of stomach pain (stomach ulcers) can also be caused by stimulation febrifuge especially aspirin or drugs asetosal group. To ensure there is abdominal pain can be stress (feeling with emphasis) on the solar plexus region and under the right rib arch, especially in children who can not complain. It should be noted that abdominal pain can mimic the symptoms of appendicitis. Location of the appendix in the lower right abdomen near the right groin. So if there is inflammation of the appendix is going to hurt when pressed on the lower right abdomen, but the feelings children abdominal pain may spread and be felt at the navel area that is sometimes difficult to distinguish from abdominal pain in dengue hemorrhagic fever. Moreover, the symptoms of appendicitis is also accompanied by fever, vomiting, and abdominal pain. In our experience about 2 / 3 people with dengue hemorrhagic fever in children and adults complaining of abdominal pain, therefore if there is abdominal pain, high fever should be wary.

d. Bleeding signs

At the beginning of the disease dengue hemorrhagic fever, signs of bleeding that happens is a relatively mild bleeding. Bleeding skin is the most bleeding was found. Reddish spots for pins end spots like mosquito bites. Thus, to distinguish the rash caused by bleeding in dengue fever with spots for mosquito bites, look also in a protected area clothing (eg chest and back) that will almost certainly be protected from mosquito bites. Then try to press the red dot is: if it means missing a mosquito bite, and vice versa if the settlement is bleeding skin, also the touch of a mosquito bite will be felt protruding dengue fever while in the flat spots in the skin surface. This is due to mosquito bite rash caused by the dilation of blood vessels as a result of the reaction to the "poison" contained in the mosquito salivary glands and not because of skin bleeding. Red spots on dengue fever are not clustered like the measles rash, but a separate one-one.

Another bleeding is often found nosebleeds. Especially in children need to be considered whether the children often suffer from a nosebleed before. Nosebleeds, most caused by the rupture of blood vessels in the nasal mucous membranes caused by stimulation either from within or from outside the body such as high fever, the air is too cold, the air is too hot, too tired, so less rest or eat less regularly, and so on . If the child had suffered a nosebleed before, it may not dangerous nosebleeds, but to a child who has never nosebleeds and a high fever and bleeding it is necessary to watch out. Other bleeding symptoms that can be encountered is the excessive menstrual girls or bruises on the skin of the former taking blood, and bleeding gums.

e. Other symptoms

A child who has a history of seizures if fever, high fever during seizures can occur. Although there have also difikirkan other infectious diseases such as inflammation of the brain or the lining of the brain, especially if the child after the seizure did not regain consciousness. Other symptoms often complained of by a large child or adult accompany the disease dengue hemorrhagic fever are headache, pain behind the eyes, feeling sore in the muscles and joints. These complaints in adults is very disturbing so quick to seek treatment, while the children usually do not complain or a complaint is not felt disturbing.

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