Disease Mumps is an infectious disease where someone is infected by a virus (paramyxovirus) which attacks the salivary glands (parotid glands) in between the ears and jaw, causing swelling of the neck of the top or bottom cheek.
Mumps disease spread all over the world and can occur in endemic or epidemic, this disorder tends to attack children aged 2-12 years. In adults, these infections can attack the testes (testicles), central nervous system, pancreas, prostate, breast and other organs.
As for those who are at greater risk for suffering or contracting this disease are those who use or consume certain drugs to suppress the thyroid gland hormones and their Iodine deficiency in the body.
Mumps Disease Transmission
Disease Mumps (Mumps or Parotitis) spread of the virus can be transmitted through direct contact, splashing saliva, vomit material, possibly with urine. The virus can be found in the urine from the first day until the fourteenth day after the enlargement of the gland.
Mumps disease is extremely rare in children younger than 2 years, it is because generally they still have or be protected by good anti-bodies. Someone who had suffered from mumps disease, then he will have lifetime immunity.
Signs and Symptoms of Mumps Disease
Not all people infected by the virus paramyxovirus complain, even about 30-40% of patients showed no signs of illness (subclinical). However, they are the same as other patients who have complaints, which can be a source of transmission of the disease.
The period of bud (incubation period) Mumps disease approximately 12-24 days with an average of 17-18 days. The signs and symptoms that arise after infection and the development of the buds can be described as follows:
In the early stages (1-2 days) Mumps sufferers experience symptoms: fever (body temperature 38.5 - 40 degrees Celsius), headaches, muscle aches, loss of appetite, pain when chewing the back of the jaw and occasionally accompanied by stiff jaw (hard to open mouth .)
Furthermore, because of a swollen gland under the ear (parotid) that begins with swelling of one side of the gland and then the two have swollen glands.
Swelling usually lasts about 3 days and then gradually deflated.
Sometimes swelling of glands under the jaw (submandibular) and the glands under the tongue (sublingual). In the men behind adalanya legally scrotal swelling (testes) due to spread via the bloodstream.
Diagnosis Disease Mumps (Mumps or Parotitis)
Diagnosis is established when there is clearly a symptom of infection in pemeirksaan physical epidemika parotitis, including details of contact with the disease mumps (Mumps or Parotitis) 2-3 weeks earlier. In addition it is by examination, laboratory results of urine (urine) and blood.
Laboratory examination
In addition to leucopenia with relative limfosiotsis, also showed that the increase in serum amylase levels that reached a peak after one week and then be back to normal within two weeks.
If the patient did not show any swelling of glands below the ear, but other signs and symptoms of mumps disease that leads to doubt the diagnosis. Doctors will give an order to do further tests such as blood serum. At less there are 3 test serum (serologic) to prove the specific mumps antibodies: antibodies, complement fixation (CF), Hemagglutination inhibitor antibodies (HI), virus neutralizing antibodies (NT).
Complications Due to Illness Mumps
Almost all children who suffer from mumps will recover fully without complications, but sometimes the symptoms come back worse after about 2 weeks. This condition can cause complications, which the virus can invade organs other than salivary glands. This may occur especially if the infection occurs after puberty.
Below are the complications that can occur due to handling or a lack of early treatment:
Orchitis, inflammation of one or both testicles. After recovery, the affected testicle may be shrinking. Rarely testicular permanent damage resulting in infertility.
Ovoritis: inflammation of one or both ovaries TELUS. Arise mild abdominal pain and rarely causes sterility.
Encephalitis or meningitis: inflammation of the brain or the lining of the brain. Symptoms include headache, neck stiffness, drowsiness, coma or convulsions. 5-10% have meningitis and most patients will recover completely. 1 in 400-6000 patients experiencing enserfalitis likely suffered brain damage or permanent nerve, such as deafness or paralysis of facial muscles.
Pancreatitis: inflammation of the pancreas, can occur at the end of the first week. Patients feel the nausea and vomiting accompanied by abdominal pain. These symptoms will disappear within 1 week and patients will recover completely.
Kidney inflammation can cause sufferers out of the thick urine in significant amounts
Inflammation of the joints can cause pain in one or several joints.
Mumps Disease Treatment
Treatment aims to reduce complaints (symptomatic) and rest for people with heat and gland (parotid) to swell. Can use heat and pain relief medication (antipyretics and analgesics) such as paracetamol and the like, aspirin should not be given to children because it has a risk of Reye's syndrome (Effect of aspirin in children).
In patients who experience swelling of the testicles, the patient should undergo a rest bed rest in bed. The pain can be reduced with ice compress on the swollen testicle area. While patients who experienced a virus attack on organ pancreas (pancreatitis), which cause symptoms of nausea and vomiting should be given fluids intravenously.
Corticosteroids for 2-4 days and 20 ml of convalescent gammaglobulin is expected to prevent the occurrence of orchitis. Against the virus itself can not be influenced by the anti-microbial, so treatment is only oriented to relieve symptoms until the patient returned either by itself.
Mumps disease was classified in the "self-limiting disease" (a disease which healed itself without treatment). People with mumps illness should avoid food or drink is sour so sore from getting worse, given the liquid diet and soft diet.
If the antiquity of mumps patients are given Blau (blue for washing clothes), it actually has nothing to do clinically. Most likely just for children affected by the disease Mumps is embarrassed when playing out with his face covered in Blau, so hope the child is resting at home is enough to help the healing process.
Disease Prevention Mumps (Mumps / Parotitis)
Mumps vaccination is part of routine immunization in childhood, namely immunization MMR (mumps, morbili, rubella) given by injection at the age of 15 months.
MMR immunization can also be given to adolescents and adults who have not had Mumps. This immunization does not cause apanas or other symptoms. Simply eating foods that contain iodine levels, can reduce the risk of mumps disease attack.
Friday, June 3, 2011
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