Cancer Care

DISEASE dengue still becoming bogey per annum. In last range of time five years, this disease endemy enough wide in approximant of all area in Indonesia, especially in urban.

Dengue rapidlying grow in trop. can groan who is sajaTak children only, adult also can become victim. Department of Public Health Data shows, during last five years, average of per annum 61 thousand becomes victim and 800 among others pass away.

From the case amounts, 17,73 percentage of the case amounts is age balita. Last data of which enough concerning obtained from Public Health Service DKI JAKARTA, what mentions finite of April 2007, number of dengue patients since January 2007 reaching 11094 with mortality 42. Increases enough signifikan compared to data January 2007 reaching 2459 patients, with death victim of eight.

Medical Doctor Tying Chief Child Of Branch Indonesia Jakarta ( IDAI JAYA) dr Badriul Hegar SpA(K) tells, fever is symptom klinis which often makes parent to worry and wishs sigh of terebut is overcome soon. But, fever managery at unegual chlid like adult. In consequence, required handling understanding of fever is not even by the medical energies, also by parent.

He also lays open concern with the many cases DBD in region DKI Jakarta so snatching soul some chlids. Dengue case dengue seems to be case which can be met during the year, with manifestasi klinis which is specific not.

” In one party(sides, we don’t wish to come late gives therapy. But, on the other hand, we nor may give abundant managery. In consequence, required understanding and allert in facing cases suspected by dengue,” says Badriul in scientific meeting with topic ” Fever Managery and Dengue Dengue to Anak”.

Meanwhile, dr H Hindra Irawan SpA ( K) MTROP PAED from Departemen Ilmu Kesehatan Anak FKUI-RS Cipto Mangunkusumo ( RSCM) lays open, virus infection dengue is not always causes dengue dengue. Might possibly, effect [of] the virus infection only fever dengue. Because that, need to be comprehended difference from fever dengue and dengue dengue. Any kind of its(the difference?

Symptom experienced by by chlid with lighter relative dengue fever compared to dengue dengue. Though child of seen squeezing and weakens, do not happened haemorrahage. ” Temporary, if have been infected dengue dengue, usually already happened vein leakage. This thing can cause child of shock,” says Hindra.

Usually, stall phase for dengue dengue experienced by chlid at fifth finite fourth day, with cool body. Though, at third finite first day, chlid is experiencing high fever. At the stall phase, usually child nor will wake up, sleeps on, do not want to eat, and cool extremity is accompanied [by] stomachache.

” If the symptom experienced by chlid, must be taken heed child of suffering dengue dengue,” papar Hindra, what reachs for title Master of Tropical Paediatrics in University Liverpool, English. If proven chlid is infected [by] dengue, which must be avoided is shock which is not overcome in one hours, recuring shock, shock with excitement haemorrahage, and shock with penyulit, like failing breath, heart-failure, renal failure, spastic. If the situation found at chlid, chlid must soon is handled in intensive space of care unit ( ICU).

Step Of Precise Handle Fever

Parent usually directly gives drug penurun temperature so(after child of they are fever. Simply this way do not forever is required along the length of body temperature child of at the most 38º Celsius and chlid still seen ceria.

Remembers, fever needed to to increases impenetrability of body when happened infection. drug administration of Hot penurun excessively exactly is worryed of can affect negativity. According to dr Alan Tumbelaka SpA(K), one of drug type that is sufficiently long is applied and safe relative is parasetamol. Temporary, usage some other antidemam drugs, namely faction of acetylsalicylic acid ( ASA) and ibuprofen, requires attention, especially in the situation certain.

” Basically, usage of antidemam or antipiretik at child of having to pays attention to indication, kontraindikasi, and toxicity,” explicitly Alan. Meanwhile, Dr H Hindra Irawan SpA(K) MTROP PAED affirms, when fever epidemic dengue, if child of suffering fever during tigahari successively with sudden temperature of height, muscle pain in bone, squeezing eye, body weakens, followed pain in bone symptom in ulu liver, chlid must be investigated to medical doctor. Besides, does inspection of blood to ascertain infection dengue or not.

” If required [by] drug antidemam, parasetamol enough safe given for fever dengue. This thing must be followed with asupan dilution that is enough, that is oralit, fruit juice, milk, and others,” assertive of birth man of Tokyo,10 Juni 1954,tersebut.

An independent research is now to lays open that consumption of acidulous antidemam of asetilsalisila at child of in urban region in Indonesia still enough heights. WHO mentions that parasetamol is drug antidemam which safe is relative applied at fever dengue.

Temporary, acetylsalicylic acid or drug antiinflamasi nonsteroid ( NSAID) is not continued at fever dengue. According To Hindra, parasetamol can be given to child of at fever phase 10 interval mg/kg/dosis four hours. Meanwhile, ibuprofen is not suggested by can cause number of trombosites to decline and stimulates stomach. Head of Marketing Analgesic/ Respiratory GlaxoSmith Kline ( GSK) Consumer Healthcare Indonesia Elsia Chandrawati tells, still many Indonesia families which has not had handling knowledge of correct fever for chlid.

In consequence, GSK supports effort edukasi for related medical public and energy and commits provides correct antidemam drug for chlid. He says, parasetamol as fever drug has been confessed special quality and its(the security and safety and recommended by hygienist and medical doctor child of in the world.