Last week adalah minggu yang memenatkan bagi aku. Memang cuti sampai Isnin sebab sambut Merdeka tapi dengan berbagai benda yang berlaku. Sebelum tu, lupa nak wish Happy Merdeka Day. Xpekan lambat. Yelah biasa kita akan sambut sampai 15 September. Selasa mula keje memang dah terasa penat. Just imagine aku balik awal untuk bulan pose dlm 4.30. Tapi at the end sampai umah almost 6 p.m. 1 jam ambik masa nak keluar dari Putrajaya. Then stuck before Hospital Serdang. Tension gila.
Kat umah memang kelam kabutla sebab adik dan SIL aku cakap nak datang buka pose. Nasib lauk dah ada. Malam after buka pose si Hasif mengadu sakit gigi. Aku ingat betulla sebab suka sangat makan gula2. Tapi kebetulan SIL belek2 kaki dia then nampak ada rashes. Banyak lak tu. Aku dah rasa semacam. Then aku belek tangan dan suruh dia buka mulut. Dengan simptom2 tu, sahla anak aku dapat Hand Foot and Mouth Disease sebab teringat cerita bos aku masa anak dia kena dulu.
Apa lagi, aku dan hubby terus bawa ke klinik. Doktor cakap memang ye and even malam tu je dah ada 2 cases HFMD. There's no antibiotic because it is viral infection. Mana anak aku dapat pun x tahu. Doktor said he need to be quarantined because it can be easily transmitted to others. Tapi camana aku nak asingkan Hazwan dan Nurin. So, terpaksala aku meng 'el' kan diri. Yela. Kang aku hantar umah babysitter berjangkit lak kat budak lain. Kesian woo. Terbang cuti aku 3 hari.
Hari khamis Hazwan dan Nurin lak yang kena. Memang aku dah jadi cam bibik kat umah. Mana nak layan yang sakit. Dengan tido x cukup sebab Nurin merengek je. Almost 3 nights I didn't get enough sleep. Dugaan betul. Cuma yang aku lega Hasif dan Nurin nak makan even ada ulcer dalam mulut. Tapi Hazwan makan sikit2 je. Tupun, mengadu sakit tiap kali makan. Minum air pun kurang. Mana aku x risau. Kang dehydrated lain lak jadinya. Dah 2 hari x makan dia mengadu lak sakit perut. Lagila aku risau. Alhamdulillah, by Sunday Nurin dan Hasif dah almost 90% recovered. Dah makan dan x nangis. Hazwan until yesterday still kurang makan. Cuma okla sebab dah boleh hisap susu.
Hari khamis Hazwan dan Nurin lak yang kena. Memang aku dah jadi cam bibik kat umah. Mana nak layan yang sakit. Dengan tido x cukup sebab Nurin merengek je. Almost 3 nights I didn't get enough sleep. Dugaan betul. Cuma yang aku lega Hasif dan Nurin nak makan even ada ulcer dalam mulut. Tapi Hazwan makan sikit2 je. Tupun, mengadu sakit tiap kali makan. Minum air pun kurang. Mana aku x risau. Kang dehydrated lain lak jadinya. Dah 2 hari x makan dia mengadu lak sakit perut. Lagila aku risau. Alhamdulillah, by Sunday Nurin dan Hasif dah almost 90% recovered. Dah makan dan x nangis. Hazwan until yesterday still kurang makan. Cuma okla sebab dah boleh hisap susu.
Tapi ada kebaikan aku x keje. Aku x perlu redah jem nak balik umah. Hehehe..... Then minyak jimat sebab kete x bergerak. Wah3...... Satu lagi dapatla aku merasa jadi isteri mithali sebab dapat memasak sepenuhnya untuk buka pose (poyo je kan. macam masak sedap sangat). Duit pun jimat sebab memang x belanja langsung. Aku bulan pose ni memang berazam nak masak dan dah penuhkan peti ais dengan macam2 lauk. Tapi kalau tengok keadaan trafik macam angan2 mat jeninla. Tu sebab bila kena cuti sekurang-kurangnya tercapai jugakla hasrat murni aku.
Ni sedikit maklumat yang aku dapat dari http://www.cdc.gov/ berkenaan HFMD. Just want to share sebab penyakit ni kalau tak rawat dengan betul boleh menyebabkan kematian. Macam kata doktor yang aku pegi tu, sekarang orang sibuk pasal H1N1 sampai lupa nak ambil tahu pasal jangkitan lain.
Description
Hand, foot, and mouth disease (HFMD) is a common viral illness of infants and children. The disease causes fever and blister-like eruptions in the mouth and/or a skin rash. HFMD is often confused with foot-and-mouth (also called hoof-and-mouth) disease, a disease of cattle, sheep, and swine; however, the two diseases are not related—they are caused by different viruses. Humans do not get the animal disease, and animals do not get the human disease.
Illness
The disease usually begins with a fever, poor appetite, malaise (feeling vaguely unwell), and often with a sore throat.
One or 2 days after fever onset, painful sores usually develop in the mouth. They begin as small red spots that blister and then often become ulcers. The sores are usually located on the tongue, gums, and inside of the cheeks.
A non-itchy skin rash develops over 1–2 days. The rash has flat or raised red spots, sometimes with blisters. The rash is usually located on the palms of the hands and soles of the feet; it may also appear on the buttocks and/or genitalia.
A person with HFMD may have only the rash or only the mouth sores.
One or 2 days after fever onset, painful sores usually develop in the mouth. They begin as small red spots that blister and then often become ulcers. The sores are usually located on the tongue, gums, and inside of the cheeks.
A non-itchy skin rash develops over 1–2 days. The rash has flat or raised red spots, sometimes with blisters. The rash is usually located on the palms of the hands and soles of the feet; it may also appear on the buttocks and/or genitalia.
A person with HFMD may have only the rash or only the mouth sores.
Cause
HFMD is caused by viruses that belong to the enterovirus genus (group). This group of viruses includes polioviruses, coxsackieviruses, echoviruses, and enteroviruses.
Coxsackievirus A16 is the most common cause of HFMD, but other coxsackieviruses have been associated with the illness.
Enteroviruses, including enterovirus 71, have also been associated with HFMD and with outbreaks of the disease.
How It Is Spread
Coxsackievirus A16 is the most common cause of HFMD, but other coxsackieviruses have been associated with the illness.
Enteroviruses, including enterovirus 71, have also been associated with HFMD and with outbreaks of the disease.
How It Is Spread
Infection is spread from person to person by direct contact with infectious virus. Infectious virus is found in the nose and throat secretions, saliva, blister fluid, and stool of infected persons. The virus is most often spread by persons with unwashed, virus-contaminated hands and by contact with virus-contaminated surfaces.
Infected persons are most contagious during the first week of the illness.
The viruses that cause HFMD can remain in the body for weeks after a patient's symptoms have gone away. This means that the infected person can still pass the infection to other people even though he/she appears well. Also, some persons who are infected and excreting the virus, including most adults, may have no symptoms.
HFMD is not transmitted to or from pets or other animals.
Infected persons are most contagious during the first week of the illness.
The viruses that cause HFMD can remain in the body for weeks after a patient's symptoms have gone away. This means that the infected person can still pass the infection to other people even though he/she appears well. Also, some persons who are infected and excreting the virus, including most adults, may have no symptoms.
HFMD is not transmitted to or from pets or other animals.
Everyone who has not already been infected with an enterovirus that causes HFMD is at risk of infection, but not everyone who is infected with an enterovirus becomes ill with HFMD.
HFMD occurs mainly in children under 10 years old but can also occur in adults. Children are more likely to be at risk for infection and illness because they are less likely than adults to have antibodies to protect them. Such antibodies develop in the body during a person’s first exposure to the enteroviruses that cause HFMD.
Infection results in immunity to (protection against) the specific virus that caused HFMD. A second case of HFMD may occur following infection with a different member of the enterovirus group.
Diagnosis
HFMD is one of many infections that result in mouth sores. However, health care providers can usually tell the difference between HFMD and other causes of mouth sores by considering the patient’s age, the symptoms reported by the patient or parent, and the appearance of the rash and sores.
Samples from the throat or stool may be sent to a laboratory to test for virus and to find out which enterovirus caused the illness. However, it can take 2–4 weeks to obtain test results, so health care providers usually do not order tests.
Treatment and Medical Management
Samples from the throat or stool may be sent to a laboratory to test for virus and to find out which enterovirus caused the illness. However, it can take 2–4 weeks to obtain test results, so health care providers usually do not order tests.
Treatment and Medical Management
There is no specific treatment for HFMD.
Symptoms can be treated to provide relief from pain from mouth sores and from fever and aches:
Fever can be treated with antipyretics (drugs that reduce fevers).
Pain can be treated with acetaminophen, ibuprofen, or other over-the-counter pain relievers.
Mouthwashes or sprays that numb pain can be used to lessen mouth pain.
Fluid intake should be enough to prevent dehydration (lack of body fluids). If moderate-to-severe dehydration develops, it can be treated medically by giving fluids through the veins.
Prevention
A specific preventive for HFMD is not available, but the risk of infection can be lowered by following good hygiene practices.
Good hygiene practices that can lower the risk of infection include
Washing hands frequently and correctly (see Clean Hands Save Lives! ) and especially after changing diapers and after using the toilet
Cleaning dirty surfaces and soiled items, including toys, first with soap and water and then disinfecting them by cleansing with a solution of chlorine bleach (made by adding 1 tablespoon of bleach to 4 cups of water)
Avoiding close contact (kissing, hugging, sharing eating utensils or cups, etc.) with persons with HFMD
Vaccination Recommendations
Symptoms can be treated to provide relief from pain from mouth sores and from fever and aches:
Fever can be treated with antipyretics (drugs that reduce fevers).
Pain can be treated with acetaminophen, ibuprofen, or other over-the-counter pain relievers.
Mouthwashes or sprays that numb pain can be used to lessen mouth pain.
Fluid intake should be enough to prevent dehydration (lack of body fluids). If moderate-to-severe dehydration develops, it can be treated medically by giving fluids through the veins.
Prevention
A specific preventive for HFMD is not available, but the risk of infection can be lowered by following good hygiene practices.
Good hygiene practices that can lower the risk of infection include
Washing hands frequently and correctly (see Clean Hands Save Lives! ) and especially after changing diapers and after using the toilet
Cleaning dirty surfaces and soiled items, including toys, first with soap and water and then disinfecting them by cleansing with a solution of chlorine bleach (made by adding 1 tablespoon of bleach to 4 cups of water)
Avoiding close contact (kissing, hugging, sharing eating utensils or cups, etc.) with persons with HFMD
Vaccination Recommendations
No vaccine is available to protect against the enteroviruses that cause HFMD.
Complications
Complications from the virus infections that cause HFMD are not common, but if they do occur, medical care should be sought.
Viral or "aseptic meningitis can rarely occur with HFMD. Viral meningitis causes fever, headache, stiff neck, or back pain. The condition is usually mild and clears without treatment; however, some patients may need to be hospitalized for a short time.
Other more serious diseases, such as encephalitis (swelling of the brain) or a polio-like paralysis, result even more rarely. Encephalitis can be fatal.
There have been reports of fingernail and toenail loss occurring mostly in children within 4 weeks of their having hand, foot, and mouth disease (HFMD). At this time, it is not known whether the reported nail loss is or is not a result of the infection. However, in the reports reviewed, the nail loss has been temporary and nail growth resumed without medical treatment.
Complications
Complications from the virus infections that cause HFMD are not common, but if they do occur, medical care should be sought.
Viral or "aseptic meningitis can rarely occur with HFMD. Viral meningitis causes fever, headache, stiff neck, or back pain. The condition is usually mild and clears without treatment; however, some patients may need to be hospitalized for a short time.
Other more serious diseases, such as encephalitis (swelling of the brain) or a polio-like paralysis, result even more rarely. Encephalitis can be fatal.
There have been reports of fingernail and toenail loss occurring mostly in children within 4 weeks of their having hand, foot, and mouth disease (HFMD). At this time, it is not known whether the reported nail loss is or is not a result of the infection. However, in the reports reviewed, the nail loss has been temporary and nail growth resumed without medical treatment.
Trends and Statistics
Individual cases and outbreaks of HFMD occur worldwide. In temperate climates, cases occur more often in summer and early autumn.
Since 1997, outbreaks of HFMD caused by enterovirus 71 have been reported in Asia and Australia.
HFMD caused by coxsackievirus A16 infection is a mild disease. Nearly all patients recover in 7 to 10 days without medical treatment.
HFMD caused by enterovirus 71 has shown a higher incidence of neurologic (nervous system) involvement.
Fatal cases of encephalitis (swelling of the brain) caused by enterovirus 71 have occurred during outbreaks.
Since 1997, outbreaks of HFMD caused by enterovirus 71 have been reported in Asia and Australia.
HFMD caused by coxsackievirus A16 infection is a mild disease. Nearly all patients recover in 7 to 10 days without medical treatment.
HFMD caused by enterovirus 71 has shown a higher incidence of neurologic (nervous system) involvement.
Fatal cases of encephalitis (swelling of the brain) caused by enterovirus 71 have occurred during outbreaks.
No comments:
Post a Comment