{"id":80444,"date":"2022-07-13T03:50:38","date_gmt":"2022-07-13T03:50:38","guid":{"rendered":"https:\/\/akashgyanvatika.com\/test\/?p=80444"},"modified":"2023-08-22T09:35:30","modified_gmt":"2023-08-22T09:35:30","slug":"dengue-fever-prevention-is-the-only-cure-2","status":"publish","type":"post","link":"https:\/\/akashgyanvatika.com\/test\/dengue-fever-prevention-is-the-only-cure-2\/","title":{"rendered":"Dengue Fever : Prevention is the only cure"},"content":{"rendered":"\n

Akash Gyan Vatika, 13 July 2022, Wednesday, Dehradun<\/strong>.<\/p>\n\n\n\n

Dengue Fever<\/span><\/strong><\/h1>\n\n\n\n

Dengue is a leading illness in many underdeveloped as well as developing countries mainly during rainy seasons.<\/p>\n\n\n\n

Dengue fever occurs because of a viral infection due to the Dengue Virus (DENV). They are usually of 4 types : DEN 1-4. These belong to the species of virus called Flevivirus. Generally these virus enter the body of a person from a mosquito bite.<\/p>\n\n\n\n

As we all know \u201cAedes aegypti\u201d female mosquito is the leading cause of dengue. This mosquito contains the dengue virus in it\u2019s saliva and transmits it to a person when sucking his\/her blood. A dengue mosquito if noticed has typical white markings on the legs and a marking on the thorax. Females are larger than males, and can be distinguished by small sensing organs tipped with silver or white scales.<\/p>\n\n\n\n

Do Dengue mosquitoes bite at night ? <\/h2>\n\n\n\n

Aedes mosquito is usually most active during daytime but can bite even at night in well lighted areas.<\/p>\n\n\n\n

Where do the Aedes mosquito bite ?<\/p>\n\n\n\n

The spots this mosquito bites is below the elbow and the knee; neck bites are also seen sometimes.<\/p>\n\n\n\n

Dengue virus when enters the body through the skin it infects mostly the immune cells in the body. For a period of 3-14 days the virus usually divides in the body and then the symptoms might appear when it enters the blood through these immune cells.<\/p>\n\n\n\n

Can Dengue be transmitted from one person to another ?<\/h2>\n\n\n\n

Say a person, has been infected by Dengue fever, and Aedes mosquito bites that individual again , then the virus from the person blood will get into the mosquito and the same mosquito when biting another person can infect him. This is why Dengue is usually spread fast to all members of a family if one has it. The period till when  a person can spread the infection maximal is about 12 days.<\/p>\n\n\n

\n
\"\"<\/figure>\n<\/div>\n\n\n

Dengue – Principal Symptoms:<\/h2>\n\n\n\n

\u27b2 Patient usually has headache, high fever usually rising and dropping 2 times (Bi-phasic) and , as we all take paracetamol for fever, one might complain of no effect of paracetamol on dengue fever.
\u27b2 Severe joint pain to this degree that the person might say that he feels if he has been beaten with sticks.
\u27b2 Pain behind eyes is also common
\u27b2 A rash is usually seen during the illness.<\/p>\n\n\n\n

Several other warning signs may also be present:<\/strong><\/h2>\n\n\n\n

\u27b2 Virus usually effects the platelets and leucocytes so there is a decrease in infection fighting as well as clotting. So non stoppable bleeds are common.<\/p>\n\n\n\n

\u27b2 Their might be decrease in blood supply to the brain and one may present with restlessness. In case of infants with dehydration and non opening eyes.
\u27b2 Bleeding usually frequently is common from the nose
\u27b2 Patient can also show frequent vomiting due to the infection.<\/p>\n\n\n\n

Severe Dengue:<\/mark><\/h2>\n\n\n\n

Most patients are usually cured on their own due to good nutrition. But in some after 2-7 days as the fever declines, critical period starts. They can develop Dengue shock syndrome \/ Dengue Hemmorhagic fever. A fall is usually seen in the BP of such individuals    <\/p>\n\n\n\n

Organ damage may also occur later.<\/h2>\n\n\n\n
\n

Lungs:<\/strong> Fluid build up in the lungs can be seen as their is increase leakiness of capillaries in this disease.<\/p>\n\n\n\n

Liver: <\/strong>Hepatomegaly can also be seen (2 cm below ribs)<\/p>\n\n\n\n

Stomach:<\/strong> In severe cases their is severe distension of the stomach due to Ascites or fluid build up.<\/p>\n\n\n\n

Such patients need immediate IV fluid treatment. But 1\/2 normal saline should not be given. Platelet count  should be monitored and the platelet should only be given if the count is low and declining otherwise it can aggravate the fluid build up.<\/p>\n\n\n\n

In some patients it might be possible that no warning signs appear, but joint pain may be common.<\/p>\n<\/div>\n\n\n\n

Cure :<\/h2>\n\n\n\n

As such their is no perfect cure, fluid therapy and a less liver load diet is recommended. So prevention is the best cure.<\/strong><\/mark><\/p>\n\n\n\n

\u27b2 Aedes mosquito usually dwells in water so proper drainage of water and not allowing water to accumulate is a must.
\u27b2 In case of indoor plants water never to be allowed to accumulate in them too.
\u27b2 Sanitation and cleaning of the house to be done in a proper scale.
\u27b2 Also water from the coolers might need to be removed once a week.
\u27b2 Full sleeved T shirts to be worn so that the mosquito cannot penetrate.
\u27b2 Mosquito repellents like odomas can also be used but those containing permethrin chemical must be avoided directly application to the skin.
\u27b2 Asthmatics to avoid repellents. Rather they can use oils to the skin.
\u27b2 In case of epidemics fogging to be done of the affected areas.
\u27b2 In case of a family member with the symptom mosquito repellents and aerosols to be used in the house and plenty of fluids to be given to the person.
\u27b2 Aspirin, Ibuprofen not to be taken to reduce pain.<\/p>\n\n\n\n

Food to be taken and avoided :<\/h2>\n\n\n\n

Food to be Avoided :<\/span><\/strong><\/p>\n\n\n

\n
\"Dengue_Take
Dr. AKASH JOSHI <\/strong>
MBBS <\/strong>(Intern.)
HIMS, JollyGrant <\/strong> <\/figcaption><\/figure>\n<\/div>\n\n\n

Non veg. , fatty food that provide load on liver.
Caffeine (coffee)<\/p>\n\n\n\n


Carbonated drinks (Cold drinks),\u00a0spicy food<\/p>\n\n\n\n

<\/figure>\n\n\n\n

Food to be taken :<\/span><\/strong><\/p>\n\n\n\n

Vegetables, fruits
Papaya leaves , Coconut water
Nuts
Aloe-vera
Yogurt(Dahi)<\/p>\n

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Akash Gyan Vatika, 13 July 2022, Wednesday, Dehradun. Dengue Fever Dengue is a leading illness in many underdeveloped as well as developing countries mainly during rainy seasons. Dengue fever occurs because of a viral infection due to the Dengue Virus (DENV). They are usually of 4 types : DEN 1-4. These belong to the species …<\/p>\n

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