Sop Demam Berdarah Dengue

 

WAR @HECE OH_@C_CJ @HDFXH

 Da @amuehd  Da. _hvksk Pcdf dffc fcnP nPhr hrok oktt WRA Pc Jcncecd

< 2?;/WAR-EH@KW/MOC/KKK/?23; 322 322.2 .222 22/e /ee7 e7 Cpcoknc `ktheumcd fhlcnc `hece `ktceocj `hdfcd c`cdyc `uc ctcu ct cu nhokj tcd`c `cd fhlcnc nckd, `kcfdasks mnkdks `hece `hdfuh `cpct `kthfcmmcd. ?. @kcfda @kcfdasks sks Mnkd Mnkdks ks @hece @hece Ohr` Ohr`crc crcj j @hdfuh @hdfuh c. @hece ?‗6 jcrk ycdf tkeoun ehd`c`cm, ehd`c`cm, tkdffk, tkdffk, thrus-e thrus-ehdhru hdhruss (madtkduc)  o. C`cdyc ecdkihstcsk phr`crcjcd ockm ycdf ycdf spadtcd shphrtk phthmkh,  purpurc, hmkeasks, hpkstcmsks, phr`crcjcd fusk, fusk, jhecthehsks `cd ctcu ehnhdc= ecupud ohrupc ulk Paurdkquhtth ycdf pasktki g. Wcmkt Wcmkt mhpcnc, mhpcnc, ekcnfk ekcnfkc, c, crtrcnf crtrcnfkc, kc, dyhrk dyhrk rhtraa rhtraarok roktcn tcn `. C`cdyc C`cdyc mcsus `hece ohr`crcj ohr`crcj `h `hdfuh dfuh ockm ockm `k `k nkdfmudfcd nkdfmudfcd shmancj, shmancj, ruecj ctcu `k shmktcr ruecj c. Jhpctaehfcnk h. C`cdy C`cdycc mhoagar mhoagarcd cd pncsec pncsec ycdf `ktcd`ck `ktcd`ck `h `hdfcd dfcd scncj sctu< Rhdkdfmctcd dknck jhectamrkt, 4?2% `crk phehrkmsccd cwcn ctcu `crk `ctc papuncsk ehdurut ueur @ktheumcd c`cdyc hiusk pnhurc, cskths 

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Jkpacnouekdhekc, jkpaprathkdhekc g. Praeoasktaphdkc >322.222/ee7

C`cdyc `hece shphrtk `k ctcs `kshrtck `hdfcd ? ctcu nhokj ecdkihstcsk mnkdks, `ktceocj oumtk phrheohscd pncsec `cd traeoasktaphdkc gumup udtum ehdhfcmmcd `kcfdasks @hece Ohr`crcj @hdfuh. @HECE OH_@C_CJ @HDFXH

Rcfh ?

 

Pcd`c ocjcyc (wcrdkdf skfds) udtum ehdfcdtkskpcsk mheudfmkdcd thrlc`kdyc syam pc`c phd`hrktc @hece Ohr`crcj @hdfuh. Mnkdks @hecd turud tcpk mhc`ccd cdcm eheourum Dyhrk phrut `cd dyhrk thmcd co`aehd Eudtcj phrsksthd Nhtcrfk , fhnkscj Rhr`crcjcd eumasc Rheohscrcd jc Cmueuncsk gckrcd Ankfurkc Ncoarctarkue Rhdkdfmctcd mc`cr jhectagrkt ohrsceccd `hdfcd phdurudcd ghpct luencj traeoaskt Jhectamrkt cwcn dffk

7. Mrkthr Mrkthrkc kc @kcfda @kcfdasks sks Ncoar Ncoarcta ctarks rks Mrkthrkc @kcfdasks Ncoarctarks `kphrnumcd udtum survckncds hpk`hekanafk, thr`krk ctcs< c. Rraoc Rraoconh onh @hdfuh @hdfuh,, cpcoknc cpcoknc `kcfd `kcfdasks asks mnkdks `kphrmuct `kphrmuct anhj jcskn  phehrkmsccd shranafk cdtk`hdfuh.  o. Gadikreh` @hdfuh, cpcoknc `kcfdasks `kcfdasks mnkdks `kphrmuct `hdfcd `hthmsk fhdaeh vkrus @hdfuh `hdfcd phehrkmsccd _P-RG_, cdtkfhd `hdfuh  pc`c phehrkmsccd DW3, ctcu cpcoknc `k`cpctmcd `k`cpctmcd shramadvhrsk  phehrkmsccd KfF `cd KfE (`crk (`crk dhfctki ehdlc`k pasktki) pc`c  phehrkmsccd shranafk ohrpcscdfcd. Ksancsk vkrus @hdfuh eheohrk dknck ycdf scdfct muct `cnce madikrecsk `kcfdasks mnkdks, dceud mcrhdc ehehrnumcd thmdanafk ycdf gcdffkj `cd  prash`ur ycdf ruekt phehrkmsccd kdk kdk oumcd ehrupcmcd phehrkmsccd ycdf rutkd `kncmumcd. 0. @k @kcf cfda dask skss Ocd Ocd`k `kdf df c. @hece mcrhdc mcrhdc kdihmsk kdihmsk vkrus vkrus (kdinuhd (kdinuhdzc zc , gjkmudf gjkmudfudyc, udyc, `cd nckd-nck nckd-nckd) d)  o. K`kapctjkg tjraeoagytaphdkg purpurc purpurc g. @hece tk tkiak` 8. Maepnkm kmccsk @hdfuh Wjagm Wyd`raeh (@WW), hdshicnapctk, fcfcn fkdlcn, fcfcn jctk Rhdctcncmscdccd maeprhjhdski (Rncd) Rhdctcncmscdccd 3. Rhdctc Rhdctcncm ncmscd scdccd ccd pc`c pc`c Rcskh Rcskhd d @hwcs @hwcscc c. Phrcp Phrcpkk skeptaectk skeptaectkm m `hdfcd `hdfcd cdcnfh cdcnfhtkm tkm cdtkpkr cdtkpkrhtkm htkm ((Rcrcsh Rcrcshtcean tcean 7x82 7x82223222 ef).  o. Rhehnkjcrccd vanueh gckrcd skrmuncsk Cnur phdcdfcdcd pcskhd `hdfcd `hece `hdfuh/`hece ohr`crcj `hdfuh, ycktu?2 eeJf, pra`umsk

Kdus mrkstcnak` Murcdfk kdus 32en/mfOO/lce mrkstcnak` PCD@C YKPCN @CD JHECPAM_KP EHEOX_XM 8en/mfOO/lce

RH_OCKMCD

RH_OCKMCD

PK@CM EHEOCKM

Murcdfk kdus mrkstcnak` 7en/mfOO/lce

Kdus mrkstcnak` 38en/mfOO/lce

RH_OCKMCD

2MAD@KWK EHEOX_XM Pcd`c syam

Pctcncmscdc shsuck prataman syam `cd phr`crcjcd

Phrcpk gckrcd `kjhdmcd ?0-0: lce

RH_OCKMCD

Fceocr 3.6 Cnur phdcdfcdcd pcskhd `hdfcd `hece `hdfuh/`hece ohr`crcj

Mrkthrkc _ulumcd 3. Phrlc` Phrlc`kk phr`crcj phr`crcjcd cd ecski ecski (jhecthe (jhecthehsks hsks,, ehnhdc). ehnhdc). ?. @hdfcd @hdfcd pheohrkcd pheohrkcd gckrcd gckrcd m mrkstcna rkstcnak` k` scepck scepck `asks `asks 38 en/ en/mf/lce mf/lce mad`ksk mad`ksk  ohnue eheockm. 7. Phrlc`k Phrlc`k maepnkm maepnkmcsk csk ctcu ctcu mhc`ccd mhc`ccd mnkdks mnkdks ycdf ycdf tk`cm tk`cm ncz nczke, ke, shphrtk shphrtk mhlcdf, phdurudcd mhsc`crcd, `cd nckddyc. ?. Rhdctc Rhdctcncm ncmscd scdccd ccd pc`c pc`c Rcsk Rcskhd hd Cdcm Cdcm @hece ohr`crcj `hdfuh (@O@) tcdpc syam c. Oknc Oknc cdcm cdcm `cpc `cpctt ekd ekdue ue 3) Ohrk Ohrkmc mcd d cdcm cdcm ocdy ocdycm cm ekdu ekdue e @HECE OH_@C_CJ @HDFXH

Rcfh 0

 

@asks ncrutcd phr arcn< 3 ‗ ? nkthr/jcrk ctcu 3 shd`am ecmcd tkcp 8 ehdkt. Lhdks ncrutcd phr arcn< ckr putkj, thj ecdks, arcnkt, lus oucj, ckr skrup, ctcu susu. ?) Ohrkmcd Ohrkmcd gckrcd gckrcd kdtrcvhdc kdtrcvhdc ((kdius kdius)) shsuck ` `hdfcd hdfcd mhoutuj mhoutujcd cd udtum udtum `hjk`rcsk sh`cdf. Ohrkmcd jcdyc ncrutcd mrkstcnak` ksatadkm, shphrtk _kdfhr Ncmtct (_N) ctcu _kdfhr Cshtct Cs htct (_C), `hdfcd `asks shsuck ohrct oc`cd shocfck ohrkmut< 

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Ohrct oc`cd > 38 mf < 6 en/mfOO/lce Ohrct oc`cd 38 ‗ 02 mf < 8 en/mfOO/lce Ohrct oc`cd 4 02 mf < 7 en/mfOO/lce  o. Oknc cdcm tk`cm `cpct ekdue, ohrkmcd ohrkmcd gckrcd kdius mrkstcnak` ksatadkm shsuck mhoutujcd udtum `hjk`rcsk sh`cdf shsuck `hdfcd `asks ycdf thncj `klhncsmcd `k ctcs. g. Ncmum Ncmumcd cd phecdtc phecdtcucd< ucd< tcd`c tcd`c vktcn `cd ` `kurhsk kurhskss shtkcp shtkcp lce, lce, nco ncoarcta arctarkue rkue (@RN) phr 0-9 lce. 3) Oknc thrlc`k thrlc`k phduru phdurudcd dcd jhectamr jhectamrkt kt `cd phrockm phrockmcd cd mnkdks, mnkdks, turudmcd turudmcd  luencj gckrcd shgcrc ohrtcjcp scepck mhc`ccd mhc`ccd mnkdks stcokn. ?) Oknc thrlc`k thrlc`k phrourumcd phrourumcd mnkdks, mnkdks, ncmumcd ncmumcd phdctcn phdctcncmscd cmscdccd ccd @O@ @O@ `hdfcd syam. `. Oknc cdcm `hece, `hece, ohrkmcd ohrkmcd cdtkp cdtkpkrhtkm krhtkm (Rcrcshtcea (Rcrcshtceann 32 ‗ 38 ef/mfOO/mcnk) phr arcn. Jkd`crk Koupraihd `cd Cshtascn. h. Rhdfao Rhdfaoctcd ctcd supart supartki ki nckd nckd sh shsuc suckk kd`kmc kd`kmcsk. sk. 7. @hece @hece ohr`c ohr`crcj rcj `hdf `hdfuh uh (@O@) (@O@) ` `hdf hdfcd cd syam syam c. Mad` Mad`ksk ksk kdk kdk ehrupcmcd ehrupcmcd fcwct `crurct `crurct `cd `cd ehdfjcru ehdfjcrusmcd smcd rulumc rulumcd d shfhrc mh _W.  o. Rhdctcncmscdccd cwcn< 3) Ohrkmcd Ohrkmcd amskfhd amskfhd ? ‗ 0 nkthr/ehd nkthr/ehdkt kt ehncnuk ehncnuk mcd mcdun un jk`udf jk`udf ctcu ctcu sudfmup eumc. ?) Rcscdf cmshs kdtrcv kdtrcvhdc hdc sceokn sceokn ehncmumc ehncmumcd d pudfsk pudfsk vhdc vhdc udtum udtum  phehrkmsccd @RN. 7) Ohrkmcd Ohrkmcd kdius kdius ncrutcd ncrutcd mrkstcnak` mrkstcnak` (_N ctcu ctcu _C) _C) ?2 en/mf shghpctdyc. 0) Ncmumcd Ncmumcd phecdtcu phecdtcucd cd mnkdks mnkdks (tcd`c (tcd`c v vktcn, ktcn, phriusk phriusk phrki phrkihr, hr, `cd `cd `kurhsks) shtkcp 72 ehdkt. 8) Lkmc shthncj shthncj pheohrk pheohrkcd cd gckrcd gckrcd kdkskcn kdkskcn tk`cm thrlc` thrlc`kk phrockmcd phrockmcd mnkdks, mnkdks, uncdfk pheohrkcd kdius ncrutcd mrkstcnak` ?2 en/mfOO shghpctdyc s hghpctdyc   

(ecmskecn ctcu phrtkeocdfmcd pheohrkcd ncrutcd manak` 32 ‗72 ?2ehdkt) en/mfOO/lce (ecmskecn 72 en/mfOO/?0 lce). 9) Lkmc dknck dknck Jt `cd Jo ehdurud ehdurud dceud dceud tk`cm tk`cm thr thrlc`k lc`k ph phrockmc rockmcd d mnkdks, phrtkeocdfmcd thrlc`kdyc phr`crcjcd thrsheoudyk. Ohrkmcd trcdsiusk `crcj oknc icsknktcs thrsh`kc `cd ncrutcd manak`. Whfhrc rulum. 6) Lkmc thr`cpc thr`cpctt phrockmcd phrockmcd mnkdks, mnkdks, murcdf murcdfkk luencj luencj gckrcd jkdffc jkdffc 32 en/mfOO/lce `cnce ? ‗ 0 lce. Whgcrc ohrtcjcp `kturudmcd tkcp 0  ‗ 9 lce shsuck mad`ksk mnkdks `cd ncoarctarkue. ncoarctarkue. :) @cnce ocdycm ocdycm mcsus, mcsus, gckrcd gckrcd kdtrcvhdc kdtrcvhdc `cpct `kjhdtk `kjhdtkmcd mcd sh shthncj thncj 79 79  ‗ 0: lce. Jkd`crk pheohrkcd gckrcd gckrcd shgcrc ohrnhokjcd. g. Rhdfao Rhdfaoctcd ctcd supart supartki ki nckd nckd sh shsuc suckk kd`kmc kd`kmcsk. sk. _hdgcdc Pkd`cm Ncdlut 3. @hece @hece ohr` ohr`crc crcj j `hdfu `hdfuhh (@O@) (@O@) tcdpc tcdpc syam syam c.

@HECE OH_@C_CJ @HDFXH

Rhecd Rhecdtcucd tcucd mnkdks (tcd`c (tcd`c vktcn, vktcn, phriusk phriusk phrkihr, phrkihr, `kurhs `kurhsks) ks) `kncmumc `kncmumcd d shtkcp sctu lce. Rcfh 8

 

 o. Rhecdtcucd ncoarctarkue (Jt, Jo, traeoaskt) traeoaskt) `kncmumcd shtkcp 0-9  lce, ekdkecn 3 mcnk shtkcp jcrk. g. Rhecdt Rhecdtcuc cucd d gckrc gckrcd d ycdf ycdf ecsu ecsum m `cd mhnucr mhnucr.. ?. @hece @hece ohr`c ohr`crcj rcj `hdf `hdfuh uh (@O@) (@O@) ` `hdf hdfcd cd syam syam @amthr `k icsknktcs phncycdcd mhshjctcd tkdfmct phrtcec ehrulum pcskhd mh _W lkmc mad`ksk pcskhd stcokn. Rhrsycrctcd phrcwctcd `k ruecj c. Rhrsyc Rhrsycrctc rctcd d udtu udtum m pcskh pcskhd d `cd `cd m mhnu hnucrf crfcc 3) dad-s damd-syam yam(tc mhfcf mh` fcfcnc cncd skrmu skrmuncsk ncsk). ). ?) @O@ Oknc Oknc cdcm cdc `cpct `cp ct(tcdpc ekdue ekdpc due `hdf hdfcd cddc`hmu c` hmuct. ct. 7) Oknc mhnucrf mhnucrfcc ecepu ehncmumcd ehncmumcd phrcwctc phrcwctcd d `k ruecj ruecj ` `hdfc hdfcd d c`hmuct.  o. Rhrsycrctcd udtum thdcfc mhshjctcd 3) C`cdyc C`cdyc 3 `amthr `amthr `cd `cd phrcwct phrcwct thtcp thtcp ycdf ycdf ohrtcdf ohrtcdffudf fudf lcwco lcwco  phduj thrjc`cp tctcncmscdc pcskhd. ?) Wheuc mhfkctcd mhfkctcd tctcncmsc tctcncmscdc dc `cpct `cpct `kncmscdc `kncmscdcmcd mcd `hdfcd `hdfcd ockm ockm `k `k ruecj. 7) @amthr @amthr `cd/ctcu `cd/ctcu phrcwc phrcwctt ehe-iannaw ehe-iannaw u up p pcskhd pcskhd shtkcp shtkcp 9 ‗ : lce `cd shtkcp jcrk, shsuck mad`ksk mnkdks. 0) @amthr @amthr `cd/ctcu `cd/ctcu phrcwct phrcwct `cpct `cpct ohrmaeu ohrmaeudkmcsk dkmcsk shcrc ncdgcr ncdgcr `hdfcd mhnucrfc pcskhd shpcdlcdf ecsc tctcncmscdc. Mrkthrkc _ulumcd 3. @O@ `hdfc `hdfcd d syam (thr` (thr`cpc cpctt mhfcfcnc mhfcfcncd d skrm skrmunc uncsk) sk).. ?. Oknc cdcm cdcm tk`cm tk`cm `cpct `cpct ekdue ekdue `hdfcd `hdfcd c`hmuct, c`hmuct, csupcd csupcd sunkt, wcncup wcncupud ud tk`cm c`c mhfcfcncd skrmuncsk. 7. Oknc mhnucr mhnucrfc fc tk`cm tk`cm ecepu ecepu ehncmumcd ehncmumcd phrcwctcd phrcwctcd `k `k ruecj ruecj `hdfcd `hdfcd c`hmuct, wcncupud @O@ tcdpc syam. Madshnkdf `cd H`umcsk 3. Rhdlhncscd Rhdlhncscd ehdfhd ehdfhdck ck `kcfdasks, `kcfdasks, maepn maepnkmcsk, kmcsk, prafd prafdasks, asks, `cd `cd rhd rhdgcdc gcdc tctcncmscdc. ?. Rhdlhncscd Rhdlhncscd ehdfhd ehdfhdck ck tcd`c-tcd tcd`c-tcd`c `c ocjcyc ocjcyc (wcrdkd (wcrdkdf f skfds) skfds) ycdf phrnu `kwcspc`ck `cd mcpcd jcrus shfhrc mh ncycdcd mhshjctcd. 7. Rhdlhncscd Rhdlhncscd ehdfhd ehdfhdck ck luencj luencj gckrcd gckrcd ycdf `koutujmcd `koutujmcd anhj cdcm. 0. Rhdlhncscd Rhdlhncscd ehdfhdck ehdfhdck `kht dutrk dutrksk sk ycdf ycdf p phrnu hrnu `kohrkmcd. `kohrkmcd. 8. Rhdlhn Rhdlhncscd cscd ehdfhd ehdfhdck ck gcrc gcrc ekdue ekdue aoct aoct.. 9. Rhdlhncscd Rhdlhncscd ehdfhd ehdfhdck ck icmtar icmtar rkskma rkskma `c `cd d gcrc-gcr gcrc-gcrcc phdghfcjc phdghfcjcd d ycdf  ohrmcktcd `hdfcd phrockmcd jkfkhdh jkfkhdh phrsadcn, phrockmcd scdktcsk nkdfmudfcd, thrutcec ehta`h 0E pnus shekdffu shmcnk, ycdf thr`krk ctcs< c. Ehdfurcs Ehdfurcs wc`cj wc`cj ckr, shphrtk shphrtk ocm ecd`k, ecd`k, thepcycd thepcycd,, heohr, heohr, vcs  oudfc, thepct ekdue ourudf, ourudf, `cd phdcepudf ckr munmcs cfcr cfcr thnur `cd lhdtkm Ch`hs chfyptk ectk.  o. Ehdutup rcpct sheuc wc`cj ckr cfcr dyceum dyceum Ch`hs chfyptk tk`cm `cpct ecsum `cd ohrthnur. g. Ehdfuour Ehdfuour ctcu eheusdcjmcd eheusdcjmcd sheuc ocrcdf ocrcdf ohmcs ohmcs ycdf `cpct `cpct ehdcepudf ckr julcd cfcr tk`cm ehdlc`k scrcdf s crcdf `cd thepct ohrthnur dyceum Ch`hs chfyptk. `. Ehecdtcu Ehecdtcu sheuc sheuc wc`cj wc`cj ckr ycdf ycdf `cpct `cpct ehdlc` ehdlc`kk thepct thepct dy dyceum ceum Ch`hs chfyptk ohrmheocdf okcm. h. Pk`cm ehdffcdtud ehdffcdtudf f oclu, ehdfjkd`cr ehdfjkd`crkk fkfktcd fkfktcd dyceu dyceum, m, eheououjmcd ououm cocth, `cd ehehnkjcrc kmcd. Rrafdasks Rrafdasks lkmc tcdpc maepnkmcsk ueuedyc `uokc c` oadce, mcrhdc jcn kdk thrfcdtudf `crk `hrclct ohrctdyc phdycmkt.

@HECE OH_@C_CJ @HDFXH

Rcfh 9

 

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32. Rhncmscdc 33. @amuehd thrmckt 3?. _hmcec _hmcecd d jkstark jkstark  phruocjcd

3. Rhdycepckcd Rhdycepckcd kdiarecsk kdiarecsk eu`cj eu`cj `kpcjce `kpcjcekk ?. Rhehrkmsccd Rhehrkmsccd ycdf ycdf ohdcr `cd phdfaoc phdfaoctcd tcd ycdf thpct  thpct  3. ?. 7. 0. 3.

Rhd`citcrcd Rank Xeue Cpathm   nco @amthr ueue

?. Rhrcwct 3. Wtctus _hmce Eh`ks  Da

@HECE OH_@C_CJ @HDFXH

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Ksk phruocjcd

Rcfh 6

Pcdffcn eunck `kohrncmumcd