Dengue fever

Symptoms of Dengue Fever (DHF), Causes of DHF, First Aid, and Treatment

Indonesian society in general has enough to know the name of dengue fever. This disease is commonly
called Dengue Hemorrhagic Fever (DHF) or a disease caused by mosquito bites. This disease is known for
its very typical symptoms, namely high body temperature or heat as well as joint pain, headaches, muscles,
bones, and sore areas behind the eyes.

However, the mention of dengue fever in medical terminology is not appropriate, or can be said to be wrong.
Because actually DB (dengue fever) is a condition that is a complication of dengue fever (dengue fever)
that worsens.

DB itself in medical terms is called dengue hermorrhagic fever. But because it is familiar (sounds familiar),
the discussion of this disease will remain with the mention of the term DHF to refer to the same disease.

- Causes of Dengue Fever

Dengue Fever

Get to know the types of mosquitoes that spread the dengue fever virus

This dengue virus attacks a person through the intermediaries of Aedes eegypti and Aedes albopictus
(Latin). The characteristics of mosquitoes that spread the dengue virus are black with white streaks on their
bodies. Both types of insects are commonly found breeding in tropical climate regions, including Indonesia
and African countries. Every year there are many sufferers of dengue fever. Indonesia itself became one of
the highest with the number of cases reaching 112,511 dengue sufferers in 2013, and as many as 871 people
died from this dengue disease. In the following year, there were 71,688 dengue cases with 641 people
suffering from dengue fever. Although it has decreased in terms of the number of cases that have occurred,
this number still places Indonesia as the country with the second highest DHF after Brazil.

The two dengue mosquitoes or spreaders of dengue fever actually multiply in clear puddles around densely
populated settlements. These mosquitoes usually suck blood in the morning and evening.

- Symptoms and Signs of DHF

Recognize the symptoms and signs of developing dengue fever.

This DHF can affect anyone, both children and adults. Symptoms of dengue fever in children and adults
are actually easily recognizable. In general, the symptoms of DHF can be recognized both physically and
not, including:

1. The body temperature of very high DHF patients can reach 41 degrees Celsius

2. Appetite less even lost appetite

3. The body feels tired, lethargic and tired constantly

4. Nausea to vomiting

5. Reddish face

6. Throat hurts

7. Headache

8. Swollen lymph glands

Symptoms of DHF in children, Besides experiencing symptoms of dengue fever above, usually children
who suffer from dengue fever are always accompanied by the appearance of red spots on the skin.

For some cases of dengue symptoms, sometimes the patient's nose and gums also experience mild intensity
bleeding. The incubation period for patients with dengue mosquitoes is between 4 and 10 days after the
initial symptoms are indicated. During this incubation period it is usually difficult to differentiate between
the actual dengue fever or just the common cold.

Severe Levels of DHF that need to be known

Coma sufferers If it's too late to handle a DHF attack it can be fatal

After getting the patient's blood test results from the laboratory, the doctor will then divide the severity of
the dengue fever suffered, divided into several criteria including:

1. First Stage

Viral infection occurs with a degree of bleeding that appears only through a positive indicator at the time
of the tourniquet test, a tool for wrinkling and pressing to control blood flow.

2. Advanced stage

Marked by sudden bleeding like red spots and nosebleeds. Furthermore, it can enter the second level of
DHF, where the sufferer experiences shock (withdrawal) which is marked by the condition of cold body
temperature in the hands and feet, then the pulse is fast but weak, consciousness decreases with the pulse
pressure still measured.

3. Acute stage

In medical terms, this is referred to as DSS (Dengue Shock Syndrome), which is accompanied by signs
such as decreased consciousness and even coma. Furthermore, it is characterized by a very weak pulse that
is barely even palpable, so that the pulse pressure cannot be measured.

It is highly recommended to take care as early as possible before entering the first stage. By knowing and
doing treatment from the start, this dengue disease will be easily cured.

First Aid and Treatment for Dengue Fever

Drink mineral water

Drink plenty of water to restore fluid in the body

When contracting this dengue disease, the first step that needs to be done is to get further treatment and
treatment, namely

The best way is to go to the doctor if you find symptoms like the one above.

To strengthen the diagnosis, the doctor will usually direct the patient to do a blood test. From the sample of
this patient's blood, it will be easy to find the type of the disease. A patient is declared stricken with DHF
if the results of a blood test are classified as follows:

1. There is thickening of the blood or called hemoconcentration. This occurs because of plasma permeation,
with the Hct (Hematocrit) value ranging from 20% from normal

2. Platelets below 150,000 / cubic millimeters, with normal numbers ranging from 150,000 to 450,000 /
cubic millimeters. This condition is known as thrombocytopenia

In the initial phase of dengue attack, much of the literature states that this fever can indeed be cured by
home care techniques. This is the time when you have not entered the first stage or changed from dengue
fever to dengue and DSS. In the initial phase or light can do the treatment yourself, such as:

1. Get enough rest

2. Take paracetamol and acetaminophen according to the dosage to relieve fever and pain
 3. Avoid heavy activities until the condition is completely recovered

4. Consume plenty of mineral water to prevent dehydration, due to high body temperature and vomiting

5. Generally doctors prohibit the consumption of drugs such as ibuprofen, naproxen sodium, as well as
aspirin because it can trigger internal bleeding.

How to Prevent Dengue Fever

Fogging

Illustration of eradicating mosquitoes by smoking or fogging

To prevent the outbreak of dengue fever, it is necessary to pay attention and do a number of things as
follows:

1. Cultivate a clean life, together maintain the cleanliness of the surrounding environment

2. Using mosquito repellent lotion, with the content of N-diethylmetatoluamide which is generally proven
effective, but the use of lotion is not recommended for children under 2 years of age.

3. Install mosquito repellent wire in the ventilation area of the house

4. Clean the mosquito nesting place, by closing the water reservoir which has the potential to become a
nest of mosquito larvae.

5. Sprinkle the abate powder so that the mosquito larvae die

6. Eradicate mosquitoes with Fogging (fumigation). As a step to sterilize the environment and suppress the
mosquito population, fogging is effective enough to suppress mosquito larvae to grow and multiply.

Prevent DHF by Keeping the Environment Clean

Although including a disease that can be at risk of being fatal, dengue fever can be cured with intensive
home remedies. As long as you carry out treatment recommendations correctly, the condition can recover
as soon as possible.

Usually, sufferers will start showing signs of improvement on 3-5 days. However, this does not mean that
patients can be free to return to their activities immediately. Because in this phase, if the fever returns, then
the disease can actually enter the advanced stage. If it is not handled immediately, then this will be a critical
phase that has a fatal impact. Therefore, it is still highly recommended for sufferers to still see a doctor
even after entering the 5th day the fever has begun to show signs of improvement. The total recovery time
is usually up to 2 weeks.
But the most important thing is to prevent this dengue disease as early as possible by maintaining the
cleanliness of the surrounding environment. If you get dengue fever, you may take the necessary action as
soon as possible.
 Hospital Dr. Cipto Mangunkusumo

Dr. National Center Hospital Cipto Mangunkusumo (abbreviated as RSPN Dr. Cipto Mangunkusumo or
RSCM) is a government hospital located in Central Jakarta, Indonesia. Besides being a government
hospital, RSCM also functions as an education hospital, one of which is the Faculty of Medicine, University
of Indonesia. The name of this hospital is taken from the name Dr. Tjipto Mangoenkoesoemo, a figure of
the Indonesian struggle in the colonial period.

At RSCM thousands of doctors and medical personnel together serve thousands of patients from all over
Indonesia who visit this hospital every day. RSCM is a national referral center for government hospitals
and is a place of education for general practitioners, I specialist doctors and subspecialists, nurses and other
health workers.

In 2008 it was inaugurated by President Ri a new 8-storey maintenance building namely the Integrated
Inpatient Unit Building A. This building is the main inpatient building of the RSCM with a capacity of
almost 700 beds.

In 2010 the Indonesian Minister of Health inaugurated the RSCM Kencana Building with International
Class Services (previously to be named International Wing). This 6-storey building has a capacity of 30
beds. Besides the RSCM Kencana, the Minister of Health also inaugurated the RSCM Integrated
Laboratory.

In 2013 the President of the Republic of Indonesia inaugurated the RSCM Kirana Building for a complete
eye health service. The 6-storey building is located in Jalan Kimia, Cikini, Central Jakarta.

In 2011 the construction of the Mother and Child Health Center Building (PKIA) began until January 2014,
the construction is still in the final stages of completion.

VISION AND MISSION

RSCM's vision

Creating a special experience for all through the Academic Health System (Creating Infinite Experience for
All Through Academic Health System)
Mission of RSCM

1. Providing complete and quality health services and is affordable by all levels of society.

2. Organizing education that produces superior graduates, research-based in international standard

hospitals.

3. Carry out medical research and research on international standard medical education, across disciplines
to overcome and anticipate future health problems.

4. Play an active role in helping the central government and local government in the field of health services,
health education and research.

5. Organizing integrated, effective, efficient and accountable organizational governance so as to realize

financial growth and reliable management.