Seperti yang dirancang dalam entry ini kali ni Mama buat entry tentang pengalaman anak-anak dijangkiti Rotavirus. Untuk rujukan teori Mama quote dari medicinenet (jawapan italic) . Selain itu disertakan juga pengalaman dari Mama sendiri (jawapan biru).
What is rotavirus ?
Rotavirus is a virus that infects the bowels. It is the most common cause of severe diarrhea among infants and children throughout the world and causes the death of about 600,000 children worldwide annually. The name rotavirus comes from the characteristic wheel-like appearance of the virus when viewed by electron microscopy (the name rotavirus is derived from the Latin rota, meaning "wheel").
Almost all children have become infected with rotavirus by their third birthday. Repeat infections with different viral strains are possible, and most children have several episodes of rotavirus infection in the first years of life. After several infections with different strains of the virus, children acquire immunity to rotavirus. Children between the ages of 6 and 24 months are at greatest risk for developing severe disease from rotavirus infection. Adults sometimes become infected, but the resulting illness is usually mild.
What are rotavirus symptoms?
The time period from initial infection to symptoms (incubation period) for rotavirus disease is around two days. Symptoms of the disease include fever, vomiting, and watery diarrhea. Abdominal pain may also occur, and infected children may have profuse watery diarrhea up to several times per day. Symptoms generally persist for three to nine days.
Dini mula muntah pada pagi Rabu (27/10). Just muntah sahaja tanpa tanda-tanda lain. Cikgu nurseri inform dia muntah kira-kira 3 kali before Mama sampai ke nurseri pada jam 2.30 petang. Mama sangat risau sebab takut-takut dia muntah sebab kesan daripada jatuh atau terhantuk benda keras yang mungkin kami tak sedar. Kesian sangat dekat princess seorang ni sebab dia memang berselera makan. Lepas muntah je dia akan mintak nak makan balik . Tak lama lepas tu muntah balik. Mama bawa dia ke KJMC tapi bahagian outpatient je sebab klinik Dr Syed (Paed) bermula pukul 7 malam. Sepanjang jalan almost 3 times dia muntah lagi. Since dia dah muntah banyak kali Dr bagi Primperan ubat tahan muntah masuk ikut rectal. Untuk bawak balik Dr prescribed ubat tahan muntah (Novimin), paracetamol dan Oral Rehydration Salt (ORS) . Episod watery diarrhea bermula pada malam tersebut. Suhu badan pun mula naik sedikit. Tengah tidur dia melepas. Memang watery habis. Mami Poko pun tak mampu nak serap. Bocor habis cadar (Thank you to my matress protector). Boleh dengar perut dia berbunyi-bunyi. Alhamdulillah dia tak meragam. Mujur Dini masih breastfeeding. Asyik melekap ajela (kalau tak sakit pun malam memang asyik melekap je). Dini masih muntah-muntah the next day dan lebih kerap cirit. Tapi masih aktif. Hari Jumaat (hari ke-3) baru dah tak muntah tetapi masih cirit-cirit sekali sekala.
How is rotavirus spread?
Rotavirus infection is highly contagious. The primary mode of transmission of rotavirus is the passage of the virus in stool to the mouth of another child. This is known as a fecal-oral route of transmission. Children can transmit the virus when they forget to wash their hands before eating or after using the toilet. Touching a surface that has been contaminated with rotavirus and then touching the mouth area can result in infection.
There also have been cases of low levels of rotavirus in respiratory-tract secretions and other body fluids. Because the virus is stable (remains infective) in the environment, transmission can occur through ingestion of contaminated water or food and contact with contaminated surfaces. Rotavirus can survive for days on hard and dry surfaces, and it can live for hours on human hands.
How is rotavirus diagnosed?
The diagnosis may be made by rapid detection of rotavirus in stool specimens. Strains of rotavirus may be further characterized by special testing with enzyme immunoassay or polymerase chain reaction, but such testing is not commonly available or necessary.
There is no specific treatment for rotavirus. For people with healthy immune systems, rotavirus infection of the bowel (gastroenteritis) is a self-limited illness, lasting for only a few days. The treatment consists of increased fluid intake (oral rehydration) to prevent dehydration. About one in 40 children with rotavirus infection of the bowel requires hospitalization for intravenous fluid.
Because the virus is so prevalent, it is very difficult or even impossible to prevent rotavirus infection. Even places with excellent standards of hygiene and sanitation can become contaminated. Vaccination is the most effective preventive measure.
Our paed ada cadangkan rotavirus vaccines sebelum ini. Tapi masa tu rasa macam tak penting (ketuk kepala sendiri). Kami fokus hanya pada imunisasi biasa (seperti dalam jadual). Untuk tambahan ambil pneumococcal vaccines (that cost 1K plus for complete package for both of them). InsyaAllah kalau rezeki dapat anak lagi perlu pertimbangkan Rotavirus vaccine ni.