This is an automatically translated article.
The article was professionally consulted by Doctor Tran Thi Phuong Thuy - Hepatobiliary specialist, Vinmec Times City International General Hospital.The North of our country is in the season of changing seasons, with high humidity and lots of rain creating favorable conditions for dengue fever to arise and spread into a dangerous disease. Dengue fever has an incubation period and a period of disease onset. So what day is the most dangerous?
1. The stages of dengue fever
The hot, humid tropical climate, with a lot of rain like Vietnam, is an ideal environment for the Aedes Aegypti mosquito to transmit the dengue virus that causes dengue fever. This species of mosquito is usually at its peak activity in the early morning and late afternoon.Dengue incubation period
Dengue fever incubation period lasts from 3 -14 days, from the time you are bitten by mosquitoes and transmit the dengue virus into your body. Depending on the location, immunity and age, the incubation period is short or long. At this time, the patient has no obvious symptoms, the disease is not dangerous.
Sốt xuất huyết không lây qua đường hô hấp, dịch tiết hoặc tiếp xúc với người bệnh. Bệnh chỉ lây qua muỗi vằn – động vật trung gian truyền bệnh
After the incubation period is the period of acute dengue fever. During this period, symptoms of severe flu-like illness last from 2-7 days.
Patients will have a sudden high fever of 39-40 degrees, body fatigue, lethargy and headache, eye socket pain, muscle pain, sore throat and nausea, upper respiratory tract infection, diarrhea. If the fever is high, paracetamol can be used to reduce fever, the total dose should not exceed 60 mg/kg body weight in 24 hours, must follow the doctor's prescription. Do not use aspirin, analgin, ibuprofen containing many non-steroidal anti-inflammatory ingredients that prevent blood clotting, making the disease worse. When dengue fever lasts for a long time, it can easily cause dehydration, make the disease worse, more dangerous, and easily lead to death. Therefore, patients with dengue fever need to be rehydrated by taking oresol. Patients with high fever should absolutely not self-administer fluid to avoid causing anaphylaxis. This stage of dengue fever is not the most dangerous, there are no complications and the patient can be treated at home.
2. What is the most dangerous day of dengue fever?
After the onset of the disease, the patient will self-freeze and this is the most dangerous period. So, dengue fever on the 4th day is the most dangerous. This day, although the patient no longer had a high fever as 3 days before, the family thought that the disease was no longer dangerous and was about to be cured. But in reality, this stage can lead to serious complications.Because the virus has weakened the immune system, the number of white blood cells and platelets is significantly reduced.
Patient has reduced fever but extravasation with pleural effusion, peritoneal effusion, liver pain, eyelid swelling, tight skin and cold hands and feet. Shock, body struggles, heart palpitations, blood pressure rise and fall suddenly. Manifestations of subcutaneous hemorrhage (nosebleeds, bleeding gums, bruised skin) Visceral hemorrhages (gastrointestinal bleeding, melena, brain hemorrhage, pulmonary bleeding and intramuscular bleeding). In women, menstruation lasts longer if it coincides with the menstrual period. During the critical period of the disease, it is necessary to take the patient to local medical facilities for blood tests to assess the degree of decrease in platelets and white blood cells. From there, the doctor will consider platelet and plasma transfusion if necessary.
Patients in shock, severe organ failure need to transfer the patient to the hospital for timely handling and treatment.
If treated correctly, the disease will be cured and there will be no complications, the patient's condition will be stable, the body will gradually recover, there will be appetite, thirst, frequent urination and stable blood activity, The heart rate begins to slow down, and blood tests show an increase in platelets and white blood cells.
3. What to do to prevent dengue fever?
To prevent dengue fever, you must definitely take the following measures:
Để tránh bị sốt xuất huyết , hãy rửa tay xà phòng, dọn quang môi trường,..tránh để muỗi làm tổ, muỗi đẻ trứng
Kill mosquitoes, larvae/larks and actively prevent mosquito bites Eliminate mosquito breeding places, cover water containers to prevent mosquitoes from entering and laying eggs. Drop fish into large water tanks, wells, jars, jars to kill larvae/larvae. Clean tanks, jars, jars, and wash basins weekly. Collect and dispose of waste items around the house that can hold standing water such as bottles, jars, broken jars, butter pipes, coconut shells, old tires, overturned tires. Hold water containers that are not in use. With these measures, mosquitoes will not have a place to live. Change the water in the vase regularly. Whenever you sleep, you need to wear a mosquito net. Use mosquito spray, anti-mosquito cream or electric mosquito net, essential oil diffuser If a family member has dengue fever, they must lie under a mosquito net to avoid mosquito bites and spread the disease to other members. Spray insecticides to kill mosquitoes and fight epidemics in indoor and outdoor areas. In addition, when a patient has dengue fever, absolutely do not take Aspirin and ibuprofen to relieve pain. Because these two drugs can make bleeding worse, bleeding under the skin or bleeding in the stomach and duodenum, vomiting blood is very dangerous.
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