Treatment and preventing of dengue fever
Treatment and preventing of dengue fever
Dengue fever is that dengue fever and virus cause, in accordance with a kind of acute infectious disease which the mosquito transmitted. The disease in order to get up of clinical feature is urgent and sudden, hyperpyrexia, whole body muscle, bone marrow and arthralgia, extremely tired, the part is suffered from and can be prone to rash, bleeding and the enlargement of lymph nodes. This disease was found in Cairo, Jakarta, Indonesia and Philadelphia, U.S.A. of Egypt in 1779, and it is hot to be named as heat of joint and fracture according to symptom. Learnt to be named as dengue fever by the royal internal medicine department of London of Britain in 1869. Not having specific therapeutic method to treat a disease yet, should pay attention to the following several points while treating: First, generally treat acute one and should stay in bed, the liquid or semi-fluid diet that offer, isolate up to totally bringing down a fever in having wards which defends mosquito's apparatus, the difficult activity of going to the fields too early, prevent the condition from becoming more serious. Keep skin and oral cavity clean. Second, treatment to the ill (1) The hyperpyrexia should take physics temperature-dropping as the core. Patient to that bleeding symptom is obvious, should prevent alcohol from wiping the bath. Solving hot anodyne will bring down a fever to this disease unsatisfactorily, and can bring out haemolysis takes place to G-6PD scarce patient, should use prudently. The patient with severe symptoms, but use low dose of adrenocortical hormone in a short time to poisoning, such as oral prednisone 5mg3 time / day. (2) Should encourage patient oral fluid infusion to profuse sweating or diarrhoea person while maintaining water level weighing apparatus, patient insufficient in capacity to frequently vomiting, can't eat or have dehydrating, blood, the infusion that should be intravenous in time, but should highly watch out for the infusion to reflect that causes the condition to become more serious, and lead to the fact the meninx encephalitis type case takes place. (3) Bleed the persons who are inclined to can select Ann for use and hold styptic medicines such as blood, etamsylate, vitamin C and K,etc. in place with a net. To the massive haemorrhage case, should input the fresh whole blood or blood platelet, heavy dose of vitamin K1 vein is instilled, BAIYAO (white drug) (sic) of oral Yunnan,etc., the persons who bleed of serious upper digestive tract can take first cyanogen miaow croak orally. (4) The shock case should infuse in order to expand the blood capacity fast, and add and use the blood plasma and take the place of the blood plasma, amalgamate the patient of DIC, should not lose the whole blood, avoids the blood is concentrated. (5) The brain type case should select 20% mannitol 250- 500ml for use in time, the fast vein is poured into, the vein is filled in the rice and loosed instilling at the same time, in order to reduce to press in the cranium, prevent the occurrence of brain hernia. Should do a good job of the epidemic situation to monitor to prevent from, in order to take measures to control spreading in time. The patient should prevent it from being bitten by mosquitoes while having illness coming on for initial 5 days, so as not to spread. The typical patient only accounts for a small part which is infected the source, so it is not enough to prevent to isolate a patient simply from popularly. The focal point of the precautionary measures lies in defending mosquitoes and killing mosquitoes. Should arouse the masses, implement, look through basin, go bankrupt pot, cram the bamboo, tree hole. To putting on and defending mosquitoes to drink the jar, changes the water hardworkingly, and put in the jar in a suitable place to breed and eat mosquito's fish. Become mosquito can spray, eliminate with dichlorvos in the room, become mosquito can loose snout moth's larva,etc. make ultralow capacity to spray with draw the intersection of sulphur and phosphorus, abate by 50% horse while being outdoor, or spray the extensive medicine in the key area. Don't open the hot gas too amply because it is cold in winter, because is outdoor very cold at this time, the mosquito gets warm equally too, bores in the room, then breed. The immunization campaign of dengue fever is still at studying stage at present, can't be used in the epidemic-stricken area.
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