Understanding Dengue hemorrhagic fever Disease – Dengue hemorrhagic fever is an infection caused by dengue virus. This dengue virus is transmitted by Aedes aegypti mosquitoes. Dengue hemorrhagic fever can make the sufferer experience severe pain as if his bone is broken. In some patients, dengue hemorrhagic fever can be a very life-threatening disease.

Dengue Hemorrhagic Fever in Indonesia
Dengue hemorrhagic fever is still one of the public health problems in Indonesia. The extent of the outbreak is the highest among Southeast Asian countries.

Throughout the year 2013, the Ministry of Health recorded there were 103,649 patients with death toll reached 754 people. The involvement of doctors in primary health care is needed to reduce the incidence and mortality of dengue fever.

Complications of dengue hemorrhagic fever may cause damage to some organs, such as the lungs, liver, and heart. Blood pressure can also decrease drastically, to a very dangerous level and can lead to death.

Diagnosis of Dengue Hemorrhagic Fever Disease

In the laboratory examination at the beginning of the fever phase, normal white blood cells will be found. Then, that number will decrease during the fever phase.

The number of red blood cells at the beginning of the fever, in general, will also remain normal. However, the decrease in the amount is usually found between the third day to the seventh. Therefore, this red blood cell examination needs to be repeated.

Keep in mind that the increase in red blood cells is always found in dengue hemorrhagic fever. This is an indicator of the leakage of plasma, where blood cells should be stored. Chest x-rays can also be done to see the existence of leakage of fluid into the chest cavity.

Symptoms of-of Illness Dengue Hemorrhagic Fever

A sudden fever of up to 39 degrees Celsius is the main symptom of dengue hemorrhagic fever. This fever will last for 2-7 days, then drop quickly and usually follow the following signs:

  • Headache
  • Chills and weakness
  • Pain behind the eyes, muscles, and bones
  • Skin rash to redness
  • Difficulty swallowing food and drink
  • Nausea and vomiting

Furthermore, the above signs will be followed by signs of bleeding, such as:

  • Bleeding gums
  • Nosebleed
  • Red spots appear on the skin
  • Vomiting blood
  • Black bowel movements

In the fever phase, dengue hemorrhagic fever is usually followed by a critical phase for 2-3 days. In this critical phase, the body temperature decreases, until the body parts such as hands and feet are cold and usually feel like they are healed. In fact, in this phase, you must be vigilant, because it can occur dengue shock syndrome that can be life-threatening.

Treatment of Illness Dengue Hemorrhagic Fever

The initial treatment of dengue hemorrhagic fever can be done at home. The principle is that the patient should consume plenty of fluids to prevent dehydration, which leads to a decrease in platelets and shock. Consumption of 2-3 liters per day is a must.

Dehydration can result from high fever, difficulty swallowing food and drink, and vomiting. Types of recommended beverages are fruit juice, sweet tea, syrup, milk, and oral solution. If oral fluids cannot be administered, patients should be treated with intravenous fluids.

Patients are expected to rest completely during fever as well as the phase of shock. It is also important to always monitor platelet levels and red blood cell count in the blood until it reaches the normal limit again.

To overcome the fever can be done full body compress, especially in the armpit and groin. Paracetamol may also help to reduce fever. After all done, immediately bring the patient to the hospital to prevent complications arise.


Cause of Disease Dengue Hemorrhagic Fever

Dengue hemorrhagic fever is caused by dengue virus that is transmitted to humans by Aedes aegypti mosquitoes. When the dengue virus infects mosquitoes and mosquitoes bite humans, it can deliver the virus into the body.

Aedes aegypti is generally smaller in size, thick black body with two white vertical lines on the back and horizontal white stripes on the legs. These mosquitoes usually ‘work’ from morning to evening, although sometimes also bite at night. He likes dark and cool places, so much more is found inside the house than outside the hothouse.

Prevention of Illness Dengue Hemorrhagic Fever

Basically, efforts to prevent dengue hemorrhagic fever can be made by maintaining the cleanliness of the house. Also, make sure you also maintain the cleanliness of the environment around you.

The best way to control Aedes aegypti mosquitoes is to get rid of the habitat. You must empty the open water container so that the mosquitoes can not lay their eggs inside the open containers.

To prevent mosquito bites, you can wear clothes that cover the skin completely. Using a lotion and mosquito net while resting can also help.