Thai people besides having to deal with hot and humid weather. Still have to encounter various insects. that came into our house without knowing, especially ‘Aedes mosquito’ which grows well in tropical cities like Thailand And often creates a nuisance by biting the body. It causes red bumps, itching, allergic reactions, or scars. It also makes us more likely to have ‘Dengue fever’ and may have severe symptoms that are life-threatening The Department of Disease Control revealed that in 2023 there were 156,079 dengue fever cases and 175 deaths.
Today, Dr. Baramee Ponglikitmongkol Family medicine specialist The Internal Medicine Center at Wimut Hospital will tell you about the dangers of the disease. dengue fever Ready to recommend ways to prevent and treat In order to deal with this disease correctly
Dr. Baramee explained that 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 contact via Aedes mosquitoes that are disease carriers Bitten someone who had previously been infected with the virus and then bit another person later. Normal if we are infected with disease dengue fever The first time there may be no 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.
“Dengue fever It can be divided into 3 stages. The first stage is the high fever stage, 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 the fever phase. 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 fever patients are in the critical phase for about 24-48 hours, they will begin to enter the recovery phase. It is a period when the body gradually Recover until symptoms It got better quickly in order.”
Dr. Baramee further explained that Dengue fever It can happen to anyone when it hits. Aedes mosquitoes infected with bites Especially for 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, vaccination should be done to prevent it.
“Currently, vaccines dengue fever Covers all 4 species. Qdenga vaccination is recommended. It is a live attenuated vaccine with attenuated effects of all 4 strains. Injected with 2 injections, 3 months apart from each injection, it can prevent infection by 80%. It also prevents complications, reduces severity, and reduces the chance of shock by up to 90%. The vaccine can be administered from ages 4 – 60 to both 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”
For treatment methods ‘Dengue fever’ Dr. Baramee said that at present there is 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. Chances that we will be sick Dengue fever Therefore increased as well. The best way is for us to protect ourselves. By avoiding mosquito bites destroy breeding grounds Aedes mosquitoes around the house and vaccinate against dengue fever early on Because dengue fever can recur throughout life. When an infection occurs, you will be able to prevent severe symptoms. and can be restored to strength more quickly,” Dr. Baramee concluded.
2024-02-13 07:45:00
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