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Demam Denggi bukan demam biasa

So, this is the most often complains i got in the clinic..

Me: Apa khabar encik, sehat ke? Ada apa masalah boleh saya bantu?
Pt: Saya demam 5 hari
Me: Ada ambil suhu dirumah? ada ambil ubat demam?
Pt: xda. wife saya kata saya demam panas. sy ada ambil panadol sebiji semalam. hari ini sy rasa demam lagi la...
Me: Okay.. mari kita cek.

suhu: 38^
kulit: merah satu badan.

Me: demam tinggi ni encik. kena ambil darah untuk cek ada denggi ke tidak sebab sudah lebih 3 hari
Pt: saya tidak mahu..
Me: pujuk dan explain

:(


FEVER

Definition: Abnomal high body temperature.
suhu badan yang berlebihan. (Normal: 37celcius)

Dewasa: 37.5 celcius: low grade fever
>38celcius:  high fever

Kanak kanak: >37.0 celcius


Demam Denggi 

Penyakit virus (flavivirus) yang dibawa oleh nyamuk aedes aegypti / aedes albopictus
yang boleh membawa kepada maut jika tidak diubati atau dipantau.


Penyakit denggi di kalangan penduduk Malaysia makin meningkat. kenapakah itu?
hurmm..
...
...
saya rasa kalian tahu jawapannya :D
yup, benar!

1. kebersihan sekeliling
2. Hilangkan air yang bertakung di sekitar kediaman


so, kenapa untuk memastikan denggi atau tidak memerlukan 3 hari?


kerana perubahan darah akan dapat dilihat pada hari ke-3
1. Penurunan platelet (komponen darah utk pembekuan) N: 150,000-450,000
2. Kenaikan hematokrit (untuk kepekatan darah) 
3. Antibody IgG/IgM akan meningkat

Tanda tanda demam denggi:
1. Demam panas yang tinggi 
2. Muka kemerahan 
3. Kulit kemerahan
4. Sakit badan 
5. Pening kepala
6. Sakit belakang mata

Tanda bahaya demam denggi berdarah:
1. Perdarahan gusi (tiba tiba, bukan semasa berus gigi tau..)
2. Sakit ulu hati 
3. Cirit - birit
4. Muntah 
5. Hilang kesedaran






Treatment:
1. Minum air banyak banyak - anything yang kalian inginkan. tapi bukan 100plus ye.. korang da la tidak selera makan, perut kosong, ambil minuman yang bergas, bertambah teruk

2. Ambil ubat penurun panas - Panadol.

3. Jumpa doktor yang berhampiran

4. Belilah alat pengesan suhu badan (termometer) untuk pemantauan di rumah, terutamanya untuk kanak-kanak. ---> sangat penting. adalah tidak tepat memeriksa kepanasan badan dengan menggunakan tangan..







saya suka nasihatkan pesakit saya untuk membeli termometer yang tepek di dahi ni.
murah, cepat dan tepat.
harga farmasi dalam RM10-12. Tapi boleh je kalau nak beli yang digital :)




So, ambillah langkah berjaga jaga.

Remember! any fever more than 3 days, please check your blood - ask for FBC - full blood picture.
bukan datang jumpa doktor and minta antibiotik. :D

xoxo,
Dr.Abby Ismail








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