In those countries that are in the humid tropics such as Thailand. It is often impossible to escape the problem of the spread of infectious diseases that are carried by mosquitoes. Especially when the weather starts to rain. Being bitten by a mosquito that carries dengue fever can lead to critical illness.
Female Medical Instructor Rojanee Lertbun Rian Pediatrician lecturer in critical care medicine Department of Pediatrics Faculty of Medicine Ramathibodi Hospital Mahidol University revealed that currently the pediatric critical care ward Ramathibodi Hospital Faculty of Medicine Ramathibodi Hospital Mahidol University. There are beginning to be more children who are obese and have symptoms of severe dengue fever infection. One important reason is due to the nature of the outbreak. Often found more during the beginning of the rainy season. And the symptoms will begin to worsen after the fever subsides for about 3-5 days.
In addition, it was found that children who are obese are at higher risk of severe dengue fever than normal children. This is because there is inflammation in the ยูฟ่าเบท body that may be more severe than normal children. More difficult to notice symptoms. It was also found that when drawing blood for testing Or providing treatment with fluids during a crisis. Such as giving the right amount of saline and intravenous medicine is more difficult than normal children. This needs to be done by a specialist.
Normally in providing treatment to young patients who are found to have dengue fever who are healthy. The pediatrician will give medicine according to symptoms, such as medicine to reduce fever and mineral salts to reduce dehydration. and have parents look at symptoms at home first in the beginning. Then make an appointment to follow up with your symptoms at the hospital for a blood test. That there is a chance of bleeding or shock or not again on days when the fever lasts more than 3-5 days, or if after the fever subsides. The patient has symptoms of fatigue, not being able to eat, and producing little urine. or have signs of bleeding, such as a nosebleed. There are bleeding spots on the skin. Vomiting blood or black diarrhea
But if symptoms worsen Mahidol University By the pediatrician team Faculty of Medicine Ramathibodi Hospital Ready to deal with and resolve the situation 24 hours a day. In the past, we have tried to produce new innovations in detecting dengue fever to support this. Such as the urine test method as an alternative for young patients with limited incomes for blood testing.
Meanwhile, the hope of seeing Thai people producing their own dengue vaccine is approaching reality. Not long ago, Mahidol University announced the success of inventing a vaccine to protect against 4 strains of dengue fever in the same syringe. To be able to inject it in children under 9 years of age. Which will provide immunity for up to 5 years. Currently it is being tested before entering the production process so that it can be used safely.
Female Medical Instructor Rojanee Lertbunriang said there is still debate about the age range of at-risk groups. This may affect the push towards a policy that will require dengue fever vaccination as the basic vaccine for Thai people in the future. Because nowadays it is found that the age range for dengue fever outbreak is not at childhood like in the past. But it began to be found in more patients in early adulthood.
“However, it is still necessary to eliminate the root cause of the problem by preventing bites from Aedes mosquitoes. Which are the vectors of dengue fever. And most importantly, you should always maintain good physical health. Especially in the at-risk group who are children. You should be careful not to be overweight and become obese. It will increase the risk of severe conditions when infected with dengue fever.”