2024-02-05 09:41:26
Thai people besides having to deal with hot and humid weather. We still have to face various insects that come into our homes without realizing it, especially ‘Aedes mosquitoes’ which grow well in hot countries like Thailand. And often cause annoyance to us by biting the body. It causes red bumps, itching, allergic reactions, or scars. It also makes us more likely to have ‘Dengue fever’ which causes us to have a high fever and may have severe symptoms that are life-threatening The Department of Disease Control revealed that in 2023 there were as many as 156,079 people infected with dengue fever and 175 deaths! today Dr. Baramee Phonglikitmongkol Family medicine specialist (Family Medicine), Internal Medicine Center, Wimut Hospital Will tell you about the dangers of dengue fever. Ready to recommend ways to prevent and treat In order to deal with this disease correctly
Severe ‘dengue fever’ can be life-threatening!
Dengue fever It is caused by infection with dengue virus, which has 4 strains: DENV-1, DENV-2, DENV-3 DENV-4. This disease is not transmitted directly from person to person. But it is transmitted through mosquitoes that carry the disease. Bitten someone who had previously been infected with the virus and then bit another person later. “Normally, if we are infected with dengue fever for the first time, we may not have symptoms. or have only minor symptoms But if the infection is repeated a second time, it will be a different strain than the first time. Patients are likely to have severe symptoms such as high fever, nausea, vomiting, abdominal pain, and some have fluid leakage from their blood vessels. It causes shock, dehydration, and in some cases severe bleeding that can cause death,” Dr. Baramee Ponglikitmongkol explained.
Dengue fever It can be divided into 3 phases. The first is the febrile phase, in which the patient will have an acute high fever of more than 38.5 degrees Celsius without any symptoms of the respiratory system. But there are other associated symptoms such as headache, muscle pain, joint pain, bone pain, nausea and vomiting, abdominal pain, and fever usually subsides in about 3-7 days. The second phase is the critical phase after Fever period Most dengue fever patients reach critical stage on days 5-7 of the fever, when fluid leaks from the blood vessels. Sometimes it can be so severe that it causes the patient to go into dengue shock. and there is a chance of death The last phase is the recovery phase. After dengue hemorrhagic fever patients have been in the critical phase for approximately 24-48 hours, they will begin to enter the recovery phase. This is a period in which the body gradually recovers until symptoms improve quickly in turn.
Doctors recommend getting the ‘Dengue Fever’ vaccine, which prevents infection by 80%.
Dengue fever can affect anyone when bitten by an infected Aedes mosquito. Especially in children between the ages of 5-14 years, special caution must be taken. This is because they are the group that has the highest rate of sickness. Everyone can protect themselves in many ways, such as applying mosquito repellent and wearing clothing that covers everything. And it’s best to avoid getting bitten by mosquitoes. But it may not always be avoided. Therefore, the vaccine should be vaccinated for protection. Dr. Baramee Ponglikitmongkol Telling about the vaccination “Currently, the dengue fever vaccine covers all 4 strains. It is recommended to get the Qdenga vaccine. It is a live attenuated vaccine that has attenuated effects on all 4 strains. Two injections, 3 months apart from each injection, can prevent infection. 80% and also prevents complications, reduces severity, and reduces the chance of shock by up to 90%. The vaccine can be injected from the age of 4 – 60 years, both to those who have and have not had dengue fever before. However, it is contraindicated for those with impaired immune systems, such as patients taking immunosuppressive drugs. Cancer patients receiving chemotherapy, HIV patients, etc., including pregnant women and breastfeeding.”
How to treat ‘dengue fever’
There is currently no specific antiviral drug for dengue virus. Disease treatment therefore focuses on treating the symptoms. and the duration of the disease, such as taking painkillers to reduce fever, paracetamol, wiping to reduce fever, drinking mineral water. But in cases where the patient has severe symptoms or starting to enter a crisis period You should immediately see a doctor. Because the patient may have fluid leaking from the blood vessel. severe bleeding leading to shock or death Therefore it is necessary to be under close medical supervision.
“Today, global temperatures are gradually increasing, causing Aedes mosquitoes to reproduce faster. The chance of us being sick with dengue fever increases as well. The best way is for us to protect ourselves. By avoiding mosquito bites Destroy the breeding grounds for Aedes mosquitoes around the house and get vaccinated against dengue fever early because dengue fever can recur throughout life. When an infection occurs, you will be able to prevent severe symptoms. and can recover and become stronger more quickly.” Dr. Baramee Phonglikitmongkol Concluding remarks
–Arincare joins hands with Zoom to develop Telemedicine solution for the first time in Thailand. Aiming at raising the level of public health in the country
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