Dr. Nguyen Minh Tuan, Head of Dengue Fever, Children's Hospital 1, Ho Chi Minh City, said that most dengue cases without the risk of serious progression can be treated at home. However, recently there have been a number of deaths due to dengue fever or severe complications. In some cases, home treatment worsened by voluntary infusion.
Dr Tuan emphasized that, during inpatient treatment at the hospital, the patient does not respond to oral rehydration, the blood is much concentrated due to the loss of plasma, the warning signs are getting worse and worse, it is only indicated for infusion. Translate.
Dr. Tuan examined the child with dengue fever. Ảnh: Thư Anh
Patients with dengue fever often have a high fever that continuously leads to dehydration. If the patient is able to eat and drink, just drink plenty of water, juice, oserol solution, and eat dilute porridge to compensate for the lost fluid. Particularly, children who vomit too much, eat poorly, are lazy, parents must be hospitalized for the doctor's treatment.
At the hospital, medical staff took a blood sample to check the capacity of red blood cells. The capacity of red blood cells in the blood increased 20% higher than the normal index, showing that the plasma escaped out of the capillaries causing blood concentration, lowering blood pressure. Lúc này, tùy vào thể trạng, giai đoạn và mức độ bệnh mà bác sĩ chỉ định cũng như tính toán liều lượng, tốc độ truyền Translate.
According to Dr. Tuan, the infusion rate is very important, must match the rate of plasma loss. If the amount of fluid transfused into the blood is slower than the lost plasma, the blood cannot be diluted in time, the patient will experience anaphylaxis. Rapid and excessive infusion overloads the circulation causing pulmonary edema.
"Patients with pulmonary edema are like 'drowning on land', have severe difficulty breathing, cough up pink foam. Then respiratory failure, death if resuscitation is slow," the doctor emphasized.
In addition, during the infusion, the patient must be closely monitored for blood vessels, blood pressure, urine, breathing and blood drawn for testing. The results of blood quality improve, then the patient is safe. Self-infusion at home, the above factors are difficult to guarantee.
Bác sĩ khuyến cáo nên tuân thủ hướng dẫn của nhân viên y tế để đạt hiệu quả điều trị tốt nhất. For example, take fever-reducing medicine when the fever is over 39 degrees Celsius, drink plenty of fluids, eat soft, liquid, and easily digestible foods. Follow-up visit on time so that doctors can detect warning signs early, test blood composition to see if there are abnormalities. At home, if the fever stops but becomes more tired, drowsy, struggling, restless, cold hands and feet, abdominal pain, vomiting a lot, bleeding a lot, parents should immediately hospitalize their child, avoiding dangerous complications.
Chuyên gia cũng chỉ ra các sai lầm "chết người" nên tránh khi điều trị sốt xuất huyết tại nhà. Absolutely not shave the wind, cut off. This anti-scientific way will make skin hemorrhage worse, even lead to blood infection, septic shock, and life-threatening. Do not use high-dose antipyretic drugs such as Ibuprofen, Aspirin instead of Paracetamol. People with dengue fever easily bleed from the gastrointestinal tract, these drugs cause more peptic ulcers, causing the risk of bleeding massively, liver damage.
Children under 6 years old with fever or convulsions, parents absolutely do not wipe cool with ice or alcohol. This does not reduce fever, but also constrict blood vessels, blistering skin. Only wipe with warm water 2 degrees C lower than body temperature. Wipe on large blood vessel areas such as the neck, armpits, forehead. Wipe often for 15-30 minutes, then stop fever.
Do not eat or drink black, red, brown foods such as blood porridge, chocolate, Peppermint juice ... When vomiting, bowel movements, red fluid makes it difficult to distinguish from gastrointestinal bleeding.
Dengue fever is a year-round disease, peaking in the rainy season. Every age is at risk of disease. Dengue virus that causes dengue has four types 1, 2, 3, 4. Therefore, a person can get dengue many times. The risk of re-infection is worse than the first.
Symptoms are relatively pronounced, including high fever and hemorrhage. The first two days of illness, the patient had a sudden and continuous high fever. Body aches, fatigue, loss of appetite, but very few people have cough, runny nose. On 3, 4 onwards, the fever stopped or completely subsided. Bleeding spots on the skin appear. Patients can bleed nose, bleeding teeth, vomiting, bloody bowel movements. Women suffer from genital bleeding, menorrhagia. This is the most dangerous stage of the disease. The next day, the symptoms subside, the patient begins to recover, usually after 7 days to recover.