{"id":4457,"date":"2022-09-29T13:50:28","date_gmt":"2022-09-29T13:50:28","guid":{"rendered":"https:\/\/ibastergoes.com\/?p=4457"},"modified":"2022-11-11T02:34:59","modified_gmt":"2022-11-11T02:34:59","slug":"dengissa-kuumeilu-osoittautui-dengueksi","status":"publish","type":"post","link":"https:\/\/ibastergoes.com\/gb\/dengissa-kuumeilu-osoittautui-dengueksi\/","title":{"rendered":"Dengiss\u00e4 kuumeilu osoittautui dengueksi"},"content":{"rendered":"\n<p>J\u00e4imme molemmat kuumeen vuoksi sairaalaan y\u00f6ksi, saimme mukavan kahden hengen huoneen.<\/p>\n\n\n\n<p>Ensimm\u00e4isen\u00e4 aamuna l\u00e4\u00e4k\u00e4ri tuli kertomaan huonot uutiset: molempien dengue-testit olivat positiiviset. Shokki. Olimme vitsailleet denguekuumeen mahdollisuudesta Dengiss\u00e4, v\u00e4h\u00e4n sit\u00e4 ehk\u00e4 pel\u00e4nnytkin, mutta viimeiseen asti toivoimme, ett\u00e4 kyseess\u00e4 olisi ollut vain joku flunssa.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"770\" height=\"1024\" src=\"https:\/\/i0.wp.com\/ibastergoes.com\/wp-content\/uploads\/2022\/09\/wp-1664329170555.jpg?resize=770%2C1024&#038;ssl=1\" alt=\"\" class=\"wp-image-4362\" srcset=\"https:\/\/i0.wp.com\/ibastergoes.com\/wp-content\/uploads\/2022\/09\/wp-1664329170555-scaled.jpg?resize=770%2C1024&amp;ssl=1 770w, https:\/\/i0.wp.com\/ibastergoes.com\/wp-content\/uploads\/2022\/09\/wp-1664329170555-scaled.jpg?resize=226%2C300&amp;ssl=1 226w, https:\/\/i0.wp.com\/ibastergoes.com\/wp-content\/uploads\/2022\/09\/wp-1664329170555-scaled.jpg?resize=768%2C1021&amp;ssl=1 768w, https:\/\/i0.wp.com\/ibastergoes.com\/wp-content\/uploads\/2022\/09\/wp-1664329170555-scaled.jpg?resize=1155%2C1536&amp;ssl=1 1155w, https:\/\/i0.wp.com\/ibastergoes.com\/wp-content\/uploads\/2022\/09\/wp-1664329170555-scaled.jpg?resize=1540%2C2048&amp;ssl=1 1540w, https:\/\/i0.wp.com\/ibastergoes.com\/wp-content\/uploads\/2022\/09\/wp-1664329170555-scaled.jpg?resize=500%2C665&amp;ssl=1 500w, https:\/\/i0.wp.com\/ibastergoes.com\/wp-content\/uploads\/2022\/09\/wp-1664329170555-scaled.jpg?resize=800%2C1064&amp;ssl=1 800w, https:\/\/i0.wp.com\/ibastergoes.com\/wp-content\/uploads\/2022\/09\/wp-1664329170555-scaled.jpg?w=1925&amp;ssl=1 1925w, https:\/\/i0.wp.com\/ibastergoes.com\/wp-content\/uploads\/2022\/09\/wp-1664329170555-scaled.jpg?w=1720&amp;ssl=1 1720w\" sizes=\"auto, (max-width: 770px) 100vw, 770px\" \/><figcaption class=\"wp-element-caption\">Sairaalan momot <\/figcaption><\/figure>\n\n\n\n<p>Denguekuumetta levitt\u00e4v\u00e4t erityisesti kaupunkiymp\u00e4rist\u00f6ss\u00e4 p\u00e4iv\u00e4saikaan lent\u00e4v\u00e4t hyttyset, joten saimme tartunnan todenn\u00e4k\u00f6isesti heti saavuttuamme Nepaliin ja Kathmanduun. Taudin it\u00e4misaika on 4-7 vuorokautta, joten se selitt\u00e4\u00e4, miksi vaelluksemme loppui nelj\u00e4nteen p\u00e4iv\u00e4\u00e4n. Mit\u00e4 ep\u00e4onnea! <\/p>\n\n\n\n<p>Tyypillisi\u00e4 oireita denguekuumeessa ovat:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Nopeasti alkava kuume \u2611\ufe0f<\/li>\n\n\n\n<li>P\u00e4\u00e4ns\u00e4rky \u2611\ufe0f<\/li>\n\n\n\n<li>Silmien takainen s\u00e4rky \u2611\ufe0f<\/li>\n\n\n\n<li>Lihas- ja nivelkivut<\/li>\n\n\n\n<li>Ihottuma<\/li>\n<\/ul>\n\n\n\n<p>Onneksi l\u00e4hdimme helikopterilla vuoristosta sairaalaan, sill\u00e4 denguekuumetta on eri vakavuusasteista ja mieluummin sairastan sen seurannassa kuin vuoristokyl\u00e4ss\u00e4 kaukana kaikesta. Asianmukaisella hoidolla pit\u00e4isi vakavan taudin riski olla aika pieni.<\/p>\n\n\n\n<p>Ensimm\u00e4inen infektio on usein liev\u00e4 tai voi olla jopa oireeton. Ongelmia voi synty\u00e4 uusintainfektion yhteydess\u00e4, jolloin vakavan infektion todenn\u00e4k\u00f6isyys on suurempi, ilmeisesti etenkin silloin, jos hyttynen kantaa toista varianttia kuin mille on itse saanut immuniteetin. T\u00e4m\u00e4h\u00e4n meit\u00e4 tietysti reissun kannalta j\u00e4nnitt\u00e4\u00e4, sill\u00e4 tuleviin matkakohteisiin sis\u00e4ltyy monia dengue-alueella olevia maita.<\/p>\n\n\n\n<p>Erillist\u00e4 hoitoa dengueen ei ole, vaan sit\u00e4 hoidetaan oireiden mukaisesti kipul\u00e4\u00e4kkeill\u00e4 ja nesteytyksell\u00e4.&nbsp;Sairaalassa painotetaan eritt\u00e4in voimakkaasti sit\u00e4, ett\u00e4 pit\u00e4\u00e4 juoda (3-4 litraa p\u00e4iv\u00e4ss\u00e4) ja sy\u00f6d\u00e4 (vaikka ruokahalua ei olisi). Erityisesti hedelmi\u00e4 suositeltiin sy\u00f6t\u00e4v\u00e4ksi. Tulehduskipul\u00e4\u00e4kkeit\u00e4, kuten ibuprofeenia, ei suositella k\u00e4ytett\u00e4v\u00e4ksi verenvuotoriskin vuoksi (denguesta voi kehitty\u00e4 vakavampi dengue-verenvuotokuume-shokkioireyhtym\u00e4), joten onneksi k\u00e4ytimme kuumel\u00e4\u00e4kkeen\u00e4 Dengiss\u00e4 parasetamolia!<\/p>\n\n\n\n<p>My\u00f6hemmin saimme kuulla, ett\u00e4 denguekuume-epidemia on r\u00e4j\u00e4ht\u00e4nyt k\u00e4siin Kathmandun laaksossa. Sairaalat ovat pullollaan denguepotilaita ja t\u00e4m\u00e4nkin sairaalan l\u00e4hes kaikki hoitajat ovat l\u00e4hiviikkoina olleet denguessa. <\/p>\n\n\n\n<p>Oppaamme k\u00e4vi vierailemassa sairaalassa kertomassa kuulumisia: yh\u00e4 useampi trekkaaja on evakuoitu vuoristosta denguen vuoksi. My\u00f6s h\u00e4nen vaimonsa oli sairastunut liev\u00e4sti viime viikolla, onneksi h\u00e4n oli jo parantunut.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"770\" height=\"1024\" src=\"https:\/\/i0.wp.com\/ibastergoes.com\/wp-content\/uploads\/2022\/09\/IMG20220927201959-1.jpg?resize=770%2C1024&#038;ssl=1\" alt=\"\" class=\"wp-image-4462\" srcset=\"https:\/\/i0.wp.com\/ibastergoes.com\/wp-content\/uploads\/2022\/09\/IMG20220927201959-1-scaled.jpg?resize=770%2C1024&amp;ssl=1 770w, https:\/\/i0.wp.com\/ibastergoes.com\/wp-content\/uploads\/2022\/09\/IMG20220927201959-1-scaled.jpg?resize=226%2C300&amp;ssl=1 226w, https:\/\/i0.wp.com\/ibastergoes.com\/wp-content\/uploads\/2022\/09\/IMG20220927201959-1-scaled.jpg?resize=768%2C1021&amp;ssl=1 768w, https:\/\/i0.wp.com\/ibastergoes.com\/wp-content\/uploads\/2022\/09\/IMG20220927201959-1-scaled.jpg?resize=1155%2C1536&amp;ssl=1 1155w, https:\/\/i0.wp.com\/ibastergoes.com\/wp-content\/uploads\/2022\/09\/IMG20220927201959-1-scaled.jpg?resize=1540%2C2048&amp;ssl=1 1540w, https:\/\/i0.wp.com\/ibastergoes.com\/wp-content\/uploads\/2022\/09\/IMG20220927201959-1-scaled.jpg?resize=500%2C665&amp;ssl=1 500w, https:\/\/i0.wp.com\/ibastergoes.com\/wp-content\/uploads\/2022\/09\/IMG20220927201959-1-scaled.jpg?resize=800%2C1064&amp;ssl=1 800w, https:\/\/i0.wp.com\/ibastergoes.com\/wp-content\/uploads\/2022\/09\/IMG20220927201959-1-scaled.jpg?resize=1280%2C1702&amp;ssl=1 1280w, https:\/\/i0.wp.com\/ibastergoes.com\/wp-content\/uploads\/2022\/09\/IMG20220927201959-1-scaled.jpg?w=1925&amp;ssl=1 1925w, https:\/\/i0.wp.com\/ibastergoes.com\/wp-content\/uploads\/2022\/09\/IMG20220927201959-1-scaled.jpg?w=1720&amp;ssl=1 1720w\" sizes=\"auto, (max-width: 770px) 100vw, 770px\" \/><figcaption class=\"wp-element-caption\">Nepalissa on k\u00e4yt\u00f6ss\u00e4 Fahrenheit-asteikko <\/figcaption><\/figure>\n\n\n\n<figure class=\"wp-block-image\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"860\" height=\"1144\" src=\"https:\/\/i0.wp.com\/ibastergoes.com\/wp-content\/uploads\/2022\/09\/IMG20220928111542-1-scaled.jpg?resize=860%2C1144&#038;ssl=1\" alt=\"\" class=\"wp-image-4463\" srcset=\"https:\/\/i0.wp.com\/ibastergoes.com\/wp-content\/uploads\/2022\/09\/IMG20220928111542-1-scaled.jpg?w=1925&amp;ssl=1 1925w, https:\/\/i0.wp.com\/ibastergoes.com\/wp-content\/uploads\/2022\/09\/IMG20220928111542-1-scaled.jpg?resize=226%2C300&amp;ssl=1 226w, https:\/\/i0.wp.com\/ibastergoes.com\/wp-content\/uploads\/2022\/09\/IMG20220928111542-1-scaled.jpg?resize=770%2C1024&amp;ssl=1 770w, https:\/\/i0.wp.com\/ibastergoes.com\/wp-content\/uploads\/2022\/09\/IMG20220928111542-1-scaled.jpg?resize=768%2C1021&amp;ssl=1 768w, https:\/\/i0.wp.com\/ibastergoes.com\/wp-content\/uploads\/2022\/09\/IMG20220928111542-1-scaled.jpg?resize=1155%2C1536&amp;ssl=1 1155w, https:\/\/i0.wp.com\/ibastergoes.com\/wp-content\/uploads\/2022\/09\/IMG20220928111542-1-scaled.jpg?resize=1540%2C2048&amp;ssl=1 1540w, https:\/\/i0.wp.com\/ibastergoes.com\/wp-content\/uploads\/2022\/09\/IMG20220928111542-1-scaled.jpg?resize=500%2C665&amp;ssl=1 500w, https:\/\/i0.wp.com\/ibastergoes.com\/wp-content\/uploads\/2022\/09\/IMG20220928111542-1-scaled.jpg?resize=800%2C1064&amp;ssl=1 800w, https:\/\/i0.wp.com\/ibastergoes.com\/wp-content\/uploads\/2022\/09\/IMG20220928111542-1-scaled.jpg?resize=1280%2C1702&amp;ssl=1 1280w, https:\/\/i0.wp.com\/ibastergoes.com\/wp-content\/uploads\/2022\/09\/IMG20220928111542-1-scaled.jpg?w=1720&amp;ssl=1 1720w\" sizes=\"auto, (max-width: 860px) 100vw, 860px\" \/><\/figure>\n\n\n\n<p>Tyypillisesti kuumeilu kest\u00e4\u00e4 5-7 p\u00e4iv\u00e4\u00e4, mutta oppaamme kertoi my\u00f6s tapauksista, joissa kuume oli kest\u00e4nyt 19 p\u00e4iv\u00e4\u00e4. Kuumeen laskettua palautuminen voi vied\u00e4 useita viikkoja, joten voi hyvinkin olla, ett\u00e4 meilt\u00e4 j\u00e4\u00e4 Annapurnan vaellus tekem\u00e4tt\u00e4. Nepalin suunnitelmat siis menev\u00e4t pitk\u00e4lti uusiksi.<\/p>\n\n\n\n<p>Saimme sairaalaan my\u00f6s yll\u00e4tysvieraan: kanadalainen tuttumme oli my\u00f6s lenn\u00e4tetty helikopterilla Dengist\u00e4 samaan sairaalaan ja h\u00e4nen saksalainen puolisonsa tuli moikkaamaan ja palauttamaan meid\u00e4n kuumemittarimme. Ilmeisesti osa vaellusporukasta oli p\u00e4\u00e4ssyt jo aika pitk\u00e4lle Manaslu Circuit trailill\u00e4, mutta yll\u00e4tt\u00e4v\u00e4n moni evakuoitu dengue-ep\u00e4ilyn vuoksi. <\/p>\n\n\n\n<p>Uutisissa jo puhutaan pahimmasta dengue-epidemiasta aikoihin. Ilmeisesti pitk\u00e4lle jatkunut monsuuni on tehnyt otolliset olosuhteet dengue-virusta levitt\u00e4ville hyttysille. Epidemian ennustetaan jatkuvan viel\u00e4 pitk\u00e4lle marraskuulle.<\/p>\n\n\n\n<p>Jos siis matkustat Nepaliin tai muulle dengue-alueelle:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Suojaudu hyttysilt\u00e4 vaatetuksella ja hyttysmyrkyin my\u00f6s <strong>p\u00e4iv\u00e4ll\u00e4<\/strong> <\/li>\n\n\n\n<li>V\u00e4lt\u00e4 kaupunkiymp\u00e4rist\u00f6ss\u00e4 erityisesti paikkoja, jossa on seisovaa vett\u00e4 <\/li>\n\n\n\n<li>K\u00e4yt\u00e4 kipu- ja kuumel\u00e4\u00e4kkeen\u00e4 ensisijaisesti parasetamolia<\/li>\n<\/ul>\n\n\n\n<p>Me t\u00e4ss\u00e4 loikoilemme, kunnes olemme t\u00e4ysiss\u00e4 voimissa jatkamaan matkaa \ud83d\udcaa<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<span class=\"embed-youtube\" style=\"text-align:center; display: block;\"><iframe loading=\"lazy\" class=\"youtube-player\" width=\"860\" height=\"484\" src=\"https:\/\/www.youtube.com\/embed\/U_kdhBwu0Tc?version=3&#038;rel=1&#038;showsearch=0&#038;showinfo=1&#038;iv_load_policy=1&#038;fs=1&#038;hl=en-GB&#038;autohide=2&#038;wmode=transparent\" allowfullscreen=\"true\" style=\"border:0;\" sandbox=\"allow-scripts allow-same-origin allow-popups allow-presentation allow-popups-to-escape-sandbox\"><\/iframe><\/span>\n<\/div><figcaption class=\"wp-element-caption\">Dengue-special <\/figcaption><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>J\u00e4imme molemmat kuumeen vuoksi sairaalaan y\u00f6ksi, saimme mukavan kahden hengen huoneen. Ensimm\u00e4isen\u00e4 aamuna l\u00e4\u00e4k\u00e4ri tuli kertomaan huonot uutiset: molempien dengue-testit olivat positiiviset. Shokki. Olimme vitsailleet denguekuumeen mahdollisuudesta Dengiss\u00e4, v\u00e4h\u00e4n sit\u00e4 ehk\u00e4 pel\u00e4nnytkin, mutta viimeiseen asti toivoimme, ett\u00e4 kyseess\u00e4 olisi ollut vain joku flunssa. Denguekuumetta levitt\u00e4v\u00e4t erityisesti kaupunkiymp\u00e4rist\u00f6ss\u00e4 p\u00e4iv\u00e4saikaan lent\u00e4v\u00e4t hyttyset, joten saimme tartunnan todenn\u00e4k\u00f6isesti heti &hellip; <\/p>\n<p class=\"link-more\"><a href=\"https:\/\/ibastergoes.com\/gb\/dengissa-kuumeilu-osoittautui-dengueksi\/\" class=\"read-more\">Lue lis\u00e4\u00e4<span class=\"screen-reader-text\">Dengiss\u00e4 kuumeilu osoittautui dengueksi<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":4462,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"nf_dc_page":"","jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_vp_format_video_url":"","_vp_image_focal_point":[],"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[231,255,24],"tags":[],"class_list":["post-4457","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-mym","category-nepal","category-sairaalaelamaa"],"translation":{"provider":"WPGlobus","version":"3.0.2","language":"gb","enabled_languages":["fi","gb"],"languages":{"fi":{"title":true,"content":true,"excerpt":false},"gb":{"title":false,"content":false,"excerpt":false}}},"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/ibastergoes.com\/wp-content\/uploads\/2022\/09\/IMG20220927201959-1-scaled.jpg?fit=1925%2C2560&ssl=1","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/pazqkD-19T","_links":{"self":[{"href":"https:\/\/ibastergoes.com\/gb\/wp-json\/wp\/v2\/posts\/4457","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ibastergoes.com\/gb\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ibastergoes.com\/gb\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ibastergoes.com\/gb\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/ibastergoes.com\/gb\/wp-json\/wp\/v2\/comments?post=4457"}],"version-history":[{"count":2,"href":"https:\/\/ibastergoes.com\/gb\/wp-json\/wp\/v2\/posts\/4457\/revisions"}],"predecessor-version":[{"id":4633,"href":"https:\/\/ibastergoes.com\/gb\/wp-json\/wp\/v2\/posts\/4457\/revisions\/4633"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ibastergoes.com\/gb\/wp-json\/wp\/v2\/media\/4462"}],"wp:attachment":[{"href":"https:\/\/ibastergoes.com\/gb\/wp-json\/wp\/v2\/media?parent=4457"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ibastergoes.com\/gb\/wp-json\/wp\/v2\/categories?post=4457"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ibastergoes.com\/gb\/wp-json\/wp\/v2\/tags?post=4457"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}