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Lead a healthy life 123

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  Sleep hygiene When we were young, our parents were very conscious about our sleep. They never let us stay up at night to do anything, including studying, they used to say – “There is no alternative to healthy sleep - to lead a healthy life . If we do not sleep properly, our head will not be well, which means the brain will not function properly. If the brain does not function properly, it means that the day is wasted”.  God has also designated night for rest and day for work.  But unfortunately, in the present era of extreme modernity, people have turned day into night – and night into day, we see every where!!   Desire is - I went to sleep, again - spent a few days without sleeping. Or having to take sleeping pills because you can't sleep, going to bed late, so getting up late the next day - none of this is healthy. It is not right to become dependent on sleeping pills because you are not sleeping. Said the expert - There is no substitute for adequate sleep t...

Lead a healthy life 123

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What to do in dengue shock syndrome

What to do in dengue shock syndrome


Experts say that the symptoms of dengue fever clearly appear four to seven days after being bitten by a mosquito carrying the dengue virus. 

Some common symptoms of this disease are fever, which is much higher than that of a common viral fever, and can reach up to 105 degrees Fahrenheit. Persistent headache, severe pain in the bones and joints, nausea, vomiting, swollen glands, rash all over the body, pain behind the eyes, etc.

If dengue attacks for the first time and if it affects someone of young age or children, then in most cases there are no symptoms. There is not even much fever. In typical dengue/classical dengue, fever may be accompanied by a cold and cough.

The doctor advises - if the fever is below 102 degrees Fahrenheit, take paracetamol every 6 hours, if it is above 102, give paracetamol suppositories. Drink plenty of coconut water, saline solution and fruit juice. The appetite will decrease a lot, but still, even if you force yourself to eat.

Do not take any painkillers other than paracetamol. Because, taking painkillers can cause bleeding, and even death. Paracetamol is an effective medicine for fever and body aches.

Dengue usually recovers within one to two weeks. However, in some patients, the situation can become risky. These complex situations are dengue hemorrhagic fever and dengue shock syndrome.

One type of hemorrhagic fever can cause bleeding. Another type of patient can go straight into shock.

Among hemorrhagic fevers, those that go into shock, as well as extended dengue shock syndrome, are unstable or at risk. They can even die.

Symptoms of dengue shock syndrome include difficulty breathing or increased breathing rate. Cold skin. Red spots on the skin due to bleeding under the skin. Blood in vomit, stool or urine, severe stomach pain and continuous vomiting, bleeding from the nose and gums and fatigue. Sometimes bleeding inside the brain can occur. If such deterioration is observed, the doctor advises the patient to be taken to the hospital immediately.

When is dengue fatal? -

Daily News Paper “Prothom Alo” reports from Professor Khwaja Nazimuddin (Medicine Specialist) that the normal level of platelets or platelets in the blood is 150,000 to 450,000.

It is normal for platelets to decrease in dengue. About 90 percent of patients have a decrease in platelets. However, it does not drop below 100,000.

In addition, platelets can also decrease in various types of viral fever. However, in 10 to 20 percent of patients affected by dengue, the matter becomes complicated. 5 percent of dengue patients have serious bleeding. In this case, it should be remembered that if the platelets drop below 20,000, there is a risk of bleeding. And if it is less than 5,000, then there is a risk of bleeding in the brain, kidneys, and heart.

If the blood pressure drops, the heart rate increases, and the hemoglobin is less than 10,000 due to bleeding, then the question of donating blood arises. However, if blood is donated, the number of platelets in the patient increases by only 20,000 per unit. So it's not much of a benefit.

According to research, platelets are not needed in the treatment of dengue. The number of platelets in the patient's blood helps to understand the severity of dengue.

According to the World Health Organization, in dengue hemorrhagic fever, the number of platelets in the blood drops below one hundred thousand or the hematocrit (the ratio of the total amount of red blood cells to the total amount of blood) increases by more than 20 percent. Along with this, other complications including decreased protein due to bleeding in the blood vessels, fluid accumulation in the chest and abdomen also occur.

Dengue hemorrhagic fever usually occurs when infected for the second or third time. The outbreak of dengue in Bangladesh has started since 2000. Therefore, many of those who have been infected since then are being infected for the second or third time.

Dengue hemorrhagic fever is again of two types.

·        Hemorrhagic fever grade-1 is the same as normal dengue fever. There is no bleeding, only blood spots can be seen under the skin in the tourniquet test.

·        Grade-2 causes bleeding in the eyes, nose, and under the skin. Warning signs include vomiting, stomach pain, bleeding from the esophagus, urethra, and vagina in women, and these should gradually increase. If this happens, you must be hospitalized.

 

The World Health Organization has redefined dengue. Accordingly, there are three types of dengue.

(1). Dengue without warning signs, (2). Dengue with warning signs, (3). Severe dengue.

Severe dengue occurs after the fever subsides, i.e. on the sixth, seventh, or eighth day of the disease. At this time, blood pressure drops, vomiting blood occurs, black stools, blood may be present in the urine, blood accumulates under the skin, urine decreases, and the liver enlarges. In addition, water accumulates in the chest and abdomen, and water accumulates in the lungs, causing difficulty breathing. A significant drop in blood pressure can lead to restlessness, incoherent speech, and multiple organs may become ineffective. 

If you treat it properly from the beginning and give fluids in the right amount, dengue does not become serious. If you keep the patient under close observation and give treatment, dengue can be completely cured. You have to be careful to lead a healthy life.

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