This Reasons Why Not Allow Dengue Patients Less liquid


Jakarta, currently affected by infectious diseases dengue hemorrhagic fever, patients are usually advised to consume lots of fluids so that his condition rapidly improved. Why fluid is critical for dengue patients?

"Fluid intake is important to replace water and ions out of the blood vessels due to a leak," said Dr. Leonard Nainggolan, SpPD-KPTI the 2012 conference event Pocari Sweat 'on The Importance of People's Education to Keep Liquids and Ion Everyday Health' in Hotel Le Meridien, Jakarta, Monday (12/03/2012).

Dr Leonard said that when the Aedes aegypti mosquito bite will give rise to immune system response against the virus. This condition causes the body to release chemicals such as cytokines.

These substances will eventually empties into the capillary blood vessels that have only one layer so that he is prone to leakage or discharge because of the wide cracks.

These capillaries contain blood composition (white blood cells, red blood cells and platelets) and blood plasma consists of water, proteins, sugars and ions. When a leak then it will exit the blood plasma of the blood vessels, the fastest out of the water, ions and sugars.

Over time will become more concentrated, if the more concentrated it will slow the blood flow to supply nutrients and oxygen is reduced so that the body can be shocked to death.

"The signs if it is concentrated laboratory test results for the hematocrit increases. If it were concentrated diobatinnya with fluid intake," said the doctor who is also a consultant team of dengue hemorrhagic fever Ministry of Health.

Dr. Leonard explained if the view of laboratory results should not only platelets, but see also the hematocrit because it is dangerous. If the higher value it takes a lot more fluid.

"How quickly the gap is widening blood vessels depends on how many substances are released mainly cytokines, the more you take the faster opening. This condition depends on genetic factors, most white people more quickly," he said.

Other than that in obese people, the leak is more impactful. This is because in general the total amount of water in the body much less than normal people. As well as in obese people the body's ability to neutralize virus less because their immune reaction has been used in part to fight the fat.

Dr Leonard said until now there is no drug that can kill the dengue virus and no cure. For it is a treatment performed by treating a symptom such as headache medicine, febrifuge and also a lot of fluid intake.

"If the patient can still eat and drink and platelet levels of more than 100,000, then the patient can be ambulatory but have a lot to drink at least 2 liters per day, heat and monitor the consumption of drugs such as hematocrit and platelet laboratory," says Dr. Leonard.

Even so the children needed a more painstaking attention because the stimulation system of the child's sense of thirst is not perfect, so sometimes he can make it a bit to drink more missed or died.

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