6 Facts you should know about dengue fever & bull; hello healthy

What is dengue fever?

As described on breakdengue.org, dengue fever dengue (DHF) is a fever caused by a mosquito bite Aedes Aegypti . There are four virus serotypes dengue (DENV) are DENV-1, -2, -3, and -4, and infection from these viruses causes various symptoms such as fever, dizziness, pain in the eyeballs, muscles, joints, and rash. People infected with the virus dengue often also experience long-term fatigue. Virus dengue can develop into something that can be life threatening (severe dengue), resulting in abdominal pain and vomiting, difficulty breathing, and a decrease in blood platelets which can result in internal bleeding.

Dengue fever is common in tropical and sub-tropical areas, especially in urban and semi-urban areas. Until now, there is no specific treatment for dengue fever. However, the dengue fever vaccine was developed by WHO in April 2016. The vaccine serves to prevent the occurrence of phase 2 of dengue fever.

How about a virus dengue spread?

Virus dengue spread by a mosquito bite infection Aedes Aegypti. The mosquito gets the virus by biting an infected person. Symptoms of bleeding last after a fever for 3-7 days. High fever lasts for 5-6 days (39-40 ̊C), then the fever will go down on the third or fourth day but after that it will appear again.

We can't tell which mosquito carries the virus dengue . Therefore, we must protect ourselves from all mosquito bites.

Where are the mosquitoes Aedes Aegypti nesting?

Mosquitoes nest in rooms, in closets, and other dark places. Outside, they lived in a cold and dark place. Female mosquitoes lay eggs in water containers that are inside and in the environment at home, school, and other areas. The eggs will develop into adult mosquitoes within 10 days.

Dengue phase

There are three stages that a dengue fever sufferer will go through, namely:

1. Fever phase, the presence of a virus in the bloodstream that causes high fever. The levels of viremia and fever usually closely follow one another. Presence of viruses dengue the highest is three or four days after the first fever appears.
2. Critical phase, there are various sudden leaks of plasma into the pleural and abdominal cavities. The patient shows signs of intravascular narrowing, shock, or heavy bleeding, and should be admitted to the hospital immediately.
3. Healing phase, plasma leakage stops, along with plasma and fluid reabsorption. Indicators that indicate the entry of the healing phase are the return of appetite, stabilization of vital signs (widening pulse pressure, strong pulse), hematocrit levels returning to normal, increased urine output and recovery of rashes. dengue (the skin sometimes feels itchy and has red spots, with small round islands that do not affect the skin).

Your signs are in a critical phase

The fever is likely to disappear within the next 24 hours when there are these signs:

• New-onset leukopenia = low white blood cell count (WBC) only has WBC <5,000 cells / mm³ compared to normal WBC leukocytes 5,000-10,000 cells / mm³.
• Lymphocytosis= increase in lymphocytes (a type of white blood cell that helps the immune system)
• Increase in atypical lymphocytes= increase in blue plasma lymphocytes (reactive lymphocytes as an immune response which can indicate the presence of a virus and can be observed on the peripheral blood smear)

The disappearance of fever indicates that the patient is entering a critical phase. Indicators that indicate the patient has entered a critical phase include sudden change from a high temperature of 38 ° C to normal or below normal temperature, thrombocytopenia / decreased platelets (≤100,000 cells / mm³) with an increase in hematocrit (ratio of red blood cells to blood volume) that increases. (≥20% increase from baseline), hypoalbuminemia (lack of albumin / protein) or hypocholesterolemia (cholesterol that exceeds normal levels), pleural effusion (buildup of fluid in the chest) or ascites (buildup of fluid in the abdomen) and signs of shock. The critical phase after / when the fever has decreased can be identified by the following signs:

• Abdominal pain
• Constant vomiting
• Accumulation of clinical fluid (or pleural effusion ascites)
• Bleeding in the mucous membrane
• Limp and restless
• Swelling of the liver (± 2cm)
• Increased hematocrit along with decreased platelets

How to avoid dengue fever bites?

To avoid dengue fever, what we have to do is avoid the mosquito bites that carry the dengue virus. What are the steps that can be taken?

• Wearing long sleeved clothes and covering the body.
• Use lotion mosquito repellent.
• Use mosquito coils or electric repellents indoors during the day.
• Use mosquito nets on babies so they don't get bitten by mosquitoes.
• Make sure your body is always fit, because if your body is not fit, it will be faster to become infected with mosquito bites.