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What is Dengue Fever?

Dengue is a virus caused by a virus that is transmitted from one dengue patient to another through the bite of a mosquito bite. Three types of dengue fever can develop in a person infected with the virus. These can also be referred to as types of dengue fever. They are:

1. Simple Dengue Fever
2. Dengue Hemorrhagic Fever (DHF) (Dengue Hemorrhagic Fever)
3. Dengue Shock Syndrome (DDS)

What are the symptoms of dengue fever?

The most common early symptoms of dengue fever are high fever, joint pain, muscle aches, headaches, back pain, loss of appetite, vomiting, and abdominal pain. In the early days of the flu, it is very difficult to differentiate dengue fever from other viral flu symptoms by keeping only the symptoms.

What are the types of dengue fever and its characteristics?

1. Simple Dengue Fever - (Common Dengue Fever)
This type of dengue fever does not cause any dangerous conditions. This is similar to the normal viral flu. Symptoms of dengue fever include fever, headache, joint pain, muscle aches, loss of appetite, and vomiting. Platelet may be less than 100. But Plasma Leakage is not a dangerous condition.

2. Dengue Hemorrhagic Fever (DHF) (Dengue Hemorrhagic Fever)
People with this type of dengue fever may have Plasma Leakage in addition to the symptoms of dengue fever mentioned above. This means that the fluid in the blood leaks out of the small blood vessels and gets out of the blood vessels and stays in the airways and stomach. This can cause shortness of breath and bloating. Thus the blood solidifies as the fluid leaks out of the blood vessels. The amount of blood will decrease. Lowers blood pressure. This can lead to decreased blood flow to the liver, kidneys, brain, dizziness, abdominal pain, vomiting, urinary incontinence, fainting, nausea, and bleeding through the urine.

3. Dengue Shock Syndrome (DDS)
It is the most dangerous form of dengue fever. Plasma Leakage is a condition in which excess fluid is released and blood pressure is very low. Liver, brain, lungs, kidneys and heart are inactive.
No one can guess what kind of dengue fever a person has on the first day of dengue fever. A patient diagnosed with dengue fever can be monitored continuously at regular intervals to detect dangerous dengue with Plasma Leakage. Dengue Hemorrhagic Fever (DHF) and Dengue Shock Syndrome (DDS) usually occur on days 4, 5, and 6 with a platelet count below 100.

Why does platelet deficiency occur during dengue fever?

Platelet deficiency can occur not only in dengue fever but also in normal viral fever. The number of platelets decreases as the platelet breaks down and dies due to the impact of stress and chemical changes in the body caused by the virus. Platelet fever can be as low as 100 000 in normal viral fever but as low as 100 000 in dengue fever.

Dengue fever is a 7 or 8 day illness. The fever usually lasts for the first 4 or 5 days. The platelet gradually decreases from the first day to the 5th or 6th or 7th day, and then the continuous increase in platelet count is considered as evidence of a person recovering from dengue fever. Although much lower than platelet 100 in normal dengue fever. Dangerous bleeding does not occur.

What is the Critical Period of Dengue?

Dengue Hemorrhagic Fever (Dengue Hemorrhagic Fever) is a period of bleeding; The patient does not have to have a fever at the onset of this risk period, which usually lasts 48 hours. Blood pressure and urine volume vary according to the rate of fluid leakage in each patient. Is the dengue patient a normal dengue patient? Or a dengue patient with hemorrhage? It can be seen from the decrease in the amount of urine and the decrease in blood pressure. Therefore, when there are dengue patients in the hospital, it is mandatory to urinate at regular intervals and measure the early detection of the dangerous period of dengue by starting treatment and careful continuous monitoring to prevent dengue from reaching the most dangerous stage of Dengue Shock Syndrome.

How many days after a fever should a blood test be done?

There are blood tests that can accurately diagnose dengue fever on the first day of fever. Two blood tests, such as FBC and NS1, should be performed on the first (1) or second (2) day after the onset of the fever, along with other symptoms of dengue. Conventional medicine should not be done until three days after the onset of fever.

What is NS1?

It is a component of the dengue virus that can confirm that a person is infected with the dengue virus while it is in the blood. NS1 is eliminated from the blood on the 4th or 5th day after the onset of the flu as the virus levels decrease. Therefore, it is not advisable to test for NS1 on the 4th or 5th day after the onset of fever.

What to do if I have dengue fever.

01-See a doctor very soon and seek advice. The doctor will determine when you should be admitted to the hospital based on the day of the onset of fever and the symptoms of the disease.

02-Need to retire from work known as dengue...

03-Use only Panadol or Panadine for pain and headache.

03-Do not take drugs like Diclofenac Sodium which are normally used for ailments.

04- If you are a daily user of pills like Aspirin (Clopidogrel) from a heart condition, you can bring this to the notice of the doctor immediately and temporarily stop taking the pills as per his instructions.

05-Menstruation during dengue fever can cause excessive blood loss so if you are menstruating or just a few days before the onset of menstruation you should bring this to the attention of your doctor.

06-After being admitted to the hospital, you should drink the amount of water prescribed by the doctor. It is mandatory to measure the urine at regular intervals and record it including the time of urination.

07-If there is dizziness, abdominal pain, vomiting, urinary incontinence, nosebleeds or any other bleeding during waking, it should be brought to the attention of the nurse or doctor immediately.

08-Drink the best drinks like juvenile, jivani, garden juice, fruit juice, porridge as prescribed by the doctor. It is best to avoid plain water as much as possible.
09-Beetroot, apple juice and other soft red varieties that have a slight red color and sugar must be avoided.

What are the medical treatments to cure dengue fever?

Since dengue is a disease caused by the virus, no direct cure for dengue has yet been found. There are common medications to control symptoms such as fever, headache, and vomiting. Appropriate dehydration management is the mainstay of treatment for dengue patients. (Fluid Management) The first two days after the onset of fever are more likely to cause dehydration due to high fever. Therefore, it is important to take care not to become dehydrated by drinking enough water.

After admission to the hospital, the doctor will instruct the patient to measure the amount of water needed by measuring the urine continuously at regular intervals. Most importantly be very careful and meticulous in measuring the patient's urine. Try to urinate at regular intervals even if the urine is not heavy.

Avoid drinking less or too much water as advised by your doctor. Excess water loss such as vomiting and diarrhea can be reported to the doctor and the amount of excess water can be determined with the doctor's advice.

Depending on the amount of urine and the patient's condition, the doctor will treat the loss of water orally or by saline. In case of bleeding (mucus, nose, intestines, foamy liver) blood transfusion may be required as needed.

Can drinking papaya leaf juice cure dengue?

This has not been confirmed by any research so far. Papaya leaf extract can cause a slight increase in platelets in some patients and thus cannot cure dengue. This is because dengue alone is not the only cause of dangerous conditions due to low platelet count, but also the risk of dengue hemorrhagic hemorrhage. No further benefit from drinking papaya leaf juice has been established so far so it is better to avoid papaya leaf juice.

How to prevent the spread of dengue.

1. Elimination of dengue virus outbreaks in their environment:

It breeds by laying its eggs in places where the water is slightly stagnant. For example, yoghurt cups, jugs of water, broken utensils, tires, the base of a banana leaf, the roof of a house, pots, and water stagnant in the lids of water tanks can cause a proliferation of these larvae. Therefore, the spread of dengue can be prevented by completely removing such areas from their environment, preventing waterlogging in such areas and keeping their gardens clean.

2. Avoidance of dengue mosquito bites

Dengue mosquitoes usually bite during the day. Students and teachers spend time in schools, staff in the office, and workers in the workplace. So sleeping in mosquito nets at night alone will not save you from dengue mosquito bites. Therefore, mosquito repellents (Soffell, Odomos, Citrenella oil) should be used during the day to protect themselves from mosquito bites and to keep the environment free from dengue mosquitoes during the day.

3. Protecting dengue patients from further mosquito bites.

A high number of dengue virus is found in the blood of a dengue fever patient. When they are bitten by a dengue mosquito, the mosquitoes have a chance to catch the virus and spread it to others. Therefore, it is important for the dengue patient to use mosquito repellents as well as mosquito nets while in the hospital.

Knowing about dengue and its implications, what should I do to control dengue?

Prevention is better than Cure A joint effort is needed to control the spread of dengue. Destroy dengue mosquito breeding grounds in public places during the day, such as hospitals, and encourage joint efforts in their workplaces and offices.
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