TEMPO.CO, Jakarta – Pediatrician Nita Dewanti urges parents to be aware of signs of the preshock phase in sufferers hemorrhagic fever Dengue fever (DHF) which is the initial entry into the advanced stage of DHF.
“Stage of preshock or going to shock where at this stage the children are sufferers DBD will experience a decrease in blood pressure, the child will become weaker, or even shock may occur,” he said.
He said the pre-shock phase was a sign that the child was entering the third stage of dengue fever caused by the Aedes aegypti mosquito. In this condition, the child’s blood pressure will weaken and the heart rate will also be faster, which is called tachycardia. If the child enters this phase, fluid administration must be sufficient, both from drinking and infusion, so that stage 4 does not occur, namely shock stage.
“If you have entered the shock stage, you must be monitored closely because you are usually in the ICU and must be monitored closely. Fluids must also be precise, not excessive, not lacking,” he said.
Four stages
Nita said dengue hemorrhagic fever consists of four stages, starting with the first stage, the symptoms are not as severe as other viral diseases or just fever. However, if it continues to the second stage, red spots will appear as a sign of bleeding on the skin.
“Red spots are bleeding on the skin, children can also have nosebleeds and what is most feared is bleeding in the digestive tract or brain,” said Nita.
In addition to dengue fever, a disease that also often stalks children is measles caused by a group virus paramyxovirus. This virus will usually cause symptoms such as fever and weakness in children, then on the third day usually a red rash will appear on the skin like small spots which is called a morbilliform rash.
Measles is usually accompanied by symptoms such as runny nose and cough. Even more severe conditions can become bronchopneumonia or inflammation of the lungs.
“Measles It can occur all year round and is highly contagious. So, it’s very easy for children to get infected from their friends, brothers or sisters,” he said.
Also read: Can a Person Get Dengue Fever More Than One Time?
