Sunday, April 10, 2011

Measles Disease in Infants and Children

Measles Disease in Infants and Children, October 15, 2008, our son was 17 months exposed to visible (measles). Yet our children have diimunasi measles when aged 9 months. I tried searching on the internet about this disease. After learning a few articles that I encountered was on our children the symptoms have appeared since about two weeks ago. I still remember the night takbiran about twelve and a half hours the night we brought our son to the hospital because his temperature reached 38.6 C and a cough, flu and vomiting. At that time our pediatrician diagnosed esophageal inflammation and was given medication and antibiotics for fever and flu cough medicine.

Measles Disease in Infants and Children, The next morning his temperature had dropped, but before the night his temperature rose again to reach 38.5 C, whereas the next day we had to fly home to Kilkenny. Early in the morning as usual we decided to invite children to our streets and bask in the outdoors. Not bad, so fresh and his body sweating and after his body temperature was measured at the normal point of 36.5 C. I was a little breath of relief and we were able to fly to Palembang with delight. Over at the airport and along the way our children look happy and like not being sick (coincidence of our children, including children, who actively, even in conditions of illness).

Arriving in Kilkenny appear new problems, our children will not eat, even if not wanted snacks or cakes, it was not much. Luckily our kids hooked drinking water and milk so that helped keep her hydrated. Our assumption that time he did not want to eat and high body temperature due to teething, because after we noticed was there are 6 teeth that will grow as well, including the rear upper and lower molars. However, we remain vigilant and continue to control his temperature regularly. On the feast day of the fourth child's body temperature we experienced its peak, which is 39.4 C. While trying to stay calm, as parents we still panic. Thankfully, after being given a febrifuge and a bit of traditional herb-style village is slowly starting his temperature gradually decreased from 38.2 C to end at the normal point of 36.3 C.

On arrival in Jakarta, his temperature condition remains unstable, and its flu cough has not healed, plus diarrhea and difficulty eating. Our contention remains because his teeth are growing process. Later we just know ... .. well because it is the process of teething, this condition was also because the virus attacked his body was visible. That, too, we realized after the body out of red spots and after reading a few articles that I have come across the internet. Now the red spots have started to shrink, it may have started entering the healing phase, hopefully. Perhaps for merely sharing, here I convey the contents of the article about the looks that I read. Hopefully useful.

STEP EFFECTIVE COPING WITH MEASLES
Measles is actually present throughout the year without a summer. Although infected only once, do the anticipation for the child not to have complications.
Measles or more often called tampek easily transmitted. The virus can live and spread through the air, "Because this disease is still endemic throughout the year in some areas, particularly in dense settlements," said dr. Rudy Firman, Sp.A, from RSAB Harapan Kita Jakarta. Measles disease in a foreign language called measles, is caused by the measles virus or morbili. The virus is found in outdoor air. When you get into the child's body, especially the body resistance is weak, it is very possible he contracted the measles. We recommend that if there is one child exposed to measles, the other children are encouraged to not having contact with him. The virus that came out via breath or saliva spray (droplets) can be inhaled through the nose or mouth and will infect other children.

According to Rudy, measles only happens once in a lifetime. When the little child had been exposed to measles then after that he normally would not be affected again. However, because this assumption has been too popular in the community many parents who deliberately infecting children with measles so that later he did not hit anymore. "This is a wrong action," commented Rudy.

Precisely every child should be fortified from this disease with measles immunization. It is not guaranteed 100%, but even if up to measles virus, then the conditions are not too severe. Immunization can be done twice. First at the age of 9 months, this age was chosen because the baby antibodies derived from the mother through the placenta has been progressively decreasing, so need additional antibodies through immunization. In order for your child's immune better then repeated measles vaccination at age 15 months with immunization MMR (Measles, Mumps and Rubella). Next, measles immunization conducted when the child was 6 years old. Why need to be prevented? Because measles can cause fatal complications.

FOUR PHASES OF MEASLES and handling
For measles attack does not become too heavy, we can do the following things on the basis of the phase-phase:
(1) Incubation Period
Incubation phase lasts about 10-12 days. In this phase of infection is somewhat difficult to detect because the symptoms are still common even not visible at all. Maybe some children have a fever but generally children do not feel any change. Red patches that are characteristic of measles was not yet out.

What to do: Keep your children well balanced nutrition for body resistance remains high. For example by eating vegetables, fruits, and maintain body fitness. If it is later measles really attacking the possibility of not going too badly.

(2) Phase Prodormal
Is the phase in which symptoms of the disease has begun to arise, such as colds, coughs, colds, and fever. Child's eyes will look reddish and watery. Not only that, children can not see clearly into the light because he felt the glare (photo phobia). Another feature, next to the mouth appear white spots that will last 3-4 days. Some children also experience diarrhea. One-two days later a high fever that go up and down, ranging from 38 to 40.5 ° C. In the second phase of the red spots have not appeared.

What to do: Quickly check the child to the doctor when flu, coughs, colds, and fever began to appear. Do not wait for the appearance of the rash because the child needs help immediately. Quick action is helpful to anticipate the severity of disease.

(3) Phase Makulopapuler
Phase makulopapuler the release of red spots that often accompanied by high fever between 38 to 40.5 ° C. Initially, these spots appear only in some parts of the body, usually behind the ears, neck, chest, face, hands and feet. To distinguish from other diseases, measles is generally the color patches would be very peculiar; red with a size that is not too big but not too small.
Typically, red spots all over the body will meet within one week although this depends on the endurance of each child. In children who had good endurance red patches are generally only in some parts of the course. But in children who have weak immune system, the more red spots. This also indicates that measles suffered by children, including weight.

What to do: Stay consult your doctor everything. Usually the doctor will try to get red spots on the child not to appear in the whole body. If indeed his whole body full of patches, this means campaknya quite heavy. Especially if you have symptoms of complications, then consult your doctor whether the child needs to be treated or not.

Most people assume that the more red spots that looked the better because it means the child will recover quickly. This opinion is wrong because we are actually required to be more vigilant. But when the diagnosis was established, and no complications, the child is treated at home.

(4) Phase of Healing
If the red spots had come out, usually fever will come down by itself. Furthermore, the red spots will turn black and scaly skin, called hyperpigmentation. In the end spots will flake or fall out or heal by itself. Generally, it takes up to 2 weeks until the child recovers completely from the remnants of measles.

All you need do: Fixed give medicine that is given by the physician while maintaining a balanced intake of nutritious foods and regular breaks. Do not ever assume that the red spots are reduced and the symptoms are gone means campaknya virus has been lost. We still need to continue treatment until the child is completely healed.

OTHER THINGS THAT NEED ATTENTION
Do not take medication according to their own rules but must be based on doctor's instructions. When you do have to take medicine 3 times a day it must be done well. If there are other symptoms that arise, such as seizures or shortness of breath, consult your doctor.

We recommend that you give easily digested foods such as rice porridge. This is to avoid the spread of other infections, like strep throat, flu, or other. It is advisable to provide an easily digested food for a month later to his condition fully recover.

Because easily transmitted by air, the child should measles be treated in their own room so as not to transmit the disease. But remember, do not be impressed if the child is isolated, give toys to entertain so she would not get bored.
Every sick child needs adequate rest. Children measles so, give time to rest to maximum.

Do not let infants who have not received measles immunization against measles adjacent to the patient until the disease is completely cured. Very probably the measles virus will infect the baby.

Keep your child's body to stay clean so she still feels comfortable. It's okay to children bathed or wiped her whole body. Opinion that say that children should not be bathed measles is wrong because when her body was dirty and sweating will cause a sense of incredible sticky and itchy. The urge to scratch an itchy skin can cause infection in the form of small boils fester. Use baby soap that is not too stimulating the skin and gently rub her skin. After bathing, dry and sprinkle with talc powder salycyl.
During the child's illness and in recovery should we separate the dining and bathroom equipment, such as plates, cups, spoons, towels, and clothes sprai. This is to avoid the occurrence of transmission through indirect contacts.

TREATMENT BY symptomatic
Rudy explains, are only symptomatic treatment of measles, which is treating the symptoms alone. For example, when they appear so that untreated fever is a symptom of fever. When you have a cough then cough medicine used to relieve cough. Similarly, if the child diarrhea then the doctor will give antidiarrheal medication. In some children who are gifted seizures, these symptoms can arise so that the doctor will prepare antikejang drug. While until recently, said Rudy, not yet found a drug that could directly address the measles virus.

Treatment of symptoms is very important because if not handled properly can be very dangerous measles. Complications can occur, especially in severe measles. The characteristics of severe measles, besides bercaknya in the whole body, the symptoms do not improve after treatment for 1-2 days. Conversely, if for 1-2 days of treatment the symptoms had improved, children generally suffer only a mild measles.

Complications that occur normally in the form of inflammation of the lungs (pneumonia bronchodilating) and brain inflammation (encephalitis). This occurs because the measles virus can spread through the bloodstream to other body tissues. These complications are generally the most frequent cause of death in children.

To determine whether complications had occurred or not is usually characterized by distinctive signs. When it happens encephalitis usually occur one time or recurring seizures, awareness of children declines, and high body temperature or hard to go down because the infection has reached the brain.

While pneumonia is indicated by symptoms of cough with phlegm, runny nose, and shortness of breath. It may be said, death is not caused by measles itself but the complications that occur. Normally this will happen to children who are malnourished and have a weak immune system.

DIFFERENT FROM GERMAN MEASLES
Measles usual, Rudy said, is different from German measles or rubella. German Measles generally have milder effects and is not fatal. Generally also occur in children aged 5 to 14 years.

It's symptoms are almost the same as regular measles, such as colds, coughs, colds and high fever. What distinguishes, red spots on rubella does not arise too much and not as bad as ordinary measles, also rapidly disappeared within 3 days. Other symptoms, usually a child's appetite will decrease due to a swelling of the spleen.

Instead we should be more worried if rubella attack pregnant women because the virus can spread to the fetus through the placenta. When the fetus is infected, the child will be born with congenital rubella syndrome abnormalities, such as infant's eyes had cataract, can not hear, there was calcification in the brain, there are also many children grow up with growth retardation.

Rudy stressed, every girl should have rubella vaccination. This is to anticipate the occurrence of rubella as well as protecting the fetus later. Not only in women, rubella vaccination is also important for men. Pointless prevent rubella and infect not attacked his wife, who probably was pregnant later.

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