Mba dini, bu intan, mama Kavindra...terima kasih banyak yah infonya...bermanfaat banget..Alhamdulillah punya banyak temen sharing...jadi gak panik dan siap menghadapi penyakit anak. Mba dini....makasih yah udah di japriin artikelnya....bu intan..udah lama gak ngobrol yah... abis YM nya kadang2 gak bisa...dimatiin ama admin...(huh...rese....). Sekali lagi makasih banyak yah....
Papanya Muhammad Hilmi Pasha Pranotosetyo http://www.babiesonline.com/babies/h/hilmi/ -----Original Message----- From: mama kavindra [mailto:[EMAIL PROTECTED] Sent: Tuesday, July 04, 2006 8:59 AM To: balita-anda@balita-anda.com Subject: Re: [balita-anda] Virus Coxachie atau Virus Singapore..?? Ini aku nemu di fileku ada beberapa artikel n tanya jawab dr web sehat ttg flu Singapore or yg sering disebut HMFD dari http://www.sehatgroup.web.id/ Tanda2nya ni penyakit ada sariawan..trus mlenting2 di kaki,tangan, dll..kadang anak demam tinggi juga... Just FYI... 2 blnan kmaren iparku yg di Tangerang crita klo temen2 TK anaknya banyak yg kena virus ini.. Trus anaknya Jeng Dini Febrina juga 1-2 bln lalu kena virus ini.. ayooo Jeng Dini sharing dunk... Uci mamaKavin+ Moga2 bisa bermanfaat yah.. Hand, Foot & Mouth disease This is a common childhood illness that is caused by the coxsackie virus A16 and is most commonly seen in the late summer and early fall. This virus can cause painful blisters to form on your child's hands, on the soles of his feet, on his buttocks. Blisters or ulcers that are surrounded by red halos can also form in the back of his mouth and on his tongue. These blisters are filled with a clear fluid that contain the coxsackie virus and are very contagious. Symptoms usually develop about three to six days after being exposed to someone else with the illness and last for five to ten days. Other symptoms can include low grade fever, decreased activity and a decreased appetite and usually preceded the formation of the ulcers. It is also possible to have an infection with the coxsackie virus that only causes the ulcers to form in the mouth and not on the hand or feet. This infection is called herpangina. Like most other viruses, there is no treatment for this infection and your child will get over it on his own. The only treatments are aimed at making your child more comfortable, and can include pain relievers, plenty of fluids, and a mixture of one-half Maalox and one-half Benadryl that can coat the blisters and make them less painful. This mixture is best used as a mouth rinse, but you can also apply it to blisters with a cotton-tipped applicator. Be careful not to exceed the recommended dose of Benadryl if your child is swallowing the mixture. Your child with hand, foot and mouth disease is contagious while he has blisters during the first week of the illness. While most children only get this illness once, it is possible to get it more than once from a different coxsackie virus. To prevent your child from getting infected with the Coxsackie virus, some steps you can take include: * regular handwashing (especially after diaper changes) * disinfecting contaminated surfaces, such as toys, etc, by household cleaners * washing soiled articles of clothing Hand,foot & mouth disease Question : Dear Dokter and SP,Saya member lumayan baru, ibu satu puta usia 29 bln. Saya punya pertanyaan;Kemarin di sekolah putra saya Nabiel, kami diberi newsletter soal Hand, Footand Mouth Disesase (HFMD) ini. Katanya minggu lalu ada salah satu murid yangterinfeksi HFMD setelah pulang dari LN, dan kedapatan sakit saat di sekolah.Setelah dicek ke dokter, to be precise the child was diagnosed with HFMD.Langsung aja sekolah mengeluarkan edaran buat para parents soal HFMD ini.Saya mau tanya dok,.kira2 apa precaution untuk pernyakit ini?..gejalanya apaya dok dan apa faktor yang paling risky untuk terinfeksi HFMD?..Saya takut putra saya terinfeksi di sekolah walau sekolah udah bilang merekasangat menjaga soal kebersihan kelas, toilet dan playing area, toys danfurniture. Tetep aja kami parents yang disekolah tsb agak waswas. Thank'sbuat tanggapan dan atensinya.Regards, Dewi Irawan - Bunda Nabiel Answer 1 : Mbak Dewi,Saya coba re-post email2 terdahulu ttg HFMD yg pernah dibahas di milis ini.Utk referensi detail ttg HFMD bisa dibrowsing di www.mayoclinic.com atau www.aap.org * Dear Dr. Wati and Smart Moms....Dr. Wati aku mau tanya, di tempat tinggalku baru saja mewabah penyakitkuku dan mulut, dengan gejala sariawan penuh di mulut sertabintik-bintik merah seperti melepuh di tangan dan kaki. Yang aku heran,bukankah penyakit kuku dan mulut itu biasanya menyerang sapi ? nah inikok bisa sampai menyerang manusia ? apa pencetusnya ? dan bagaimanapenularannya ? dan selanjutnya bagaimana pencegahannya ? karena ditempatku sudah ada kurang lebih 5 orang balita yang mengalami gejala sepertiitu, bahkan yang terkahir sampai harus dirawat di rumah sakit karenadehidrasi, tidak ada makanan bahkan minuman yang mampu masuk kemulutnya. Mama Aya * Dr Wati comment :Diana yg menyerang sapi itu bukan HFMD yang dimaksudIni penyakit pada anak2 97% mild kok hanya seriawan mulut.artinya, angka fatalitasnya rendah dan sebagaimana penyakit virus lainnya, akan sembuh sendiriyg penting minumnya diseringin kasih es batu, es krim, pasti anaknya mau minumkarena yg dingin2 mengurangi rasa sakit seriawannya. watiSemoga membantu. Lulu Answer 2 : Mba Dewi saya hanya ingin sampaikan artikel HFMD yang dulu pernah diposting di milis.------------------------------------------------------------------ ----- ---Dari : . Hand, Foot, & Mouth Disease What is hand, foot, and mouth disease? Hand, foot, and mouth disease (HFMD) is a common illness of infants andchildren. It is characterized by fever, sores in the mouth, and a rashwith blisters. HFMD begins with a mild fever, poor appetite, malaise("feeling sick"), and frequently a sore throat. One or 2 days after thefever begins, sores develop in the mouth. They begin as small red spotsthat blister and then often become ulcers. They are usually located onthe tongue, gums, and inside of the cheeks. The skin rash develops over 1to 2 days with flat or raised red spots, some with blisters. The rashdoes not itch, and it is usually located on the palms of the hands andsoles of the feet. It may also appear on the buttocks. A person with HFMDmay have only the rash or the mouth ulcers. Is HFMD the same as foot-and-mouth disease? No. HFMD is a different disease than foot-and-mouth disease of cattle,sheep, and swine. Although the names are similar, the two diseases arenot related at all and are caused by different viruses. What causes HFMD? Several different viruses cause HFMD. The most common cause iscoxsackievirus A16; sometimes, enterovirus 71 or other strains ofenteroviruses cause HFMD. The enterovirus group includes polioviruses,coxsackieviruses, and echoviruses. Is HFMD serious? Usually not. HFMD caused by coxsackievirus A16 infection is a milddisease and nearly all patients recover without medical treatment in 7 to10 days. There are no common complications. Rarely, this illness may beassociated with "aseptic" or viral meningitis, in which the person hasfever, headache, stiff neck, or back pain, and may need to be hospitalizedfor a few days. Another cause of HFMD, EV71 may also cause viralmeningitis and, rarely, more serious diseases, such as encephalitis, or apoliomyelitis-like paralysis. EV71 encephalitis may be fatal. Cases offatal encephalitis occurred during outbreaks of HFMD in Malaysia in 1997and in Taiwan, 1998. Is it contagious? Yes, HFMD is moderately contagious. Infection is spread from person toperson by direct contact with nose and throat discharges or the stool ofinfected persons. A person is most contagious during the first week of theillness. HFMD is nottransmitted to or from pets or other animals.How soon will someone become ill after getting infected?The usual period from infection to onset of symptoms is 3 to 7 days. Fever is often the first symptom of HFMD. Who is at risk for HFMD? HFMD occurs mainly in children under 10 years old, but adults may also beat risk. Everyone is susceptible to infection. Infection results inimmunity to the specific virus, but a second episode may occur followinginfection with a different member of the enterovirus group. When and where does HFMD occur? Individual cases and outbreaks of HFMD occur worldwide, more frequently insummer and early autumn. In the recent past, major outbreaks of HFMDattributable to enterovirus 71 have been reported in some South East Asiancountries (Malaysia in 1997, Taiwan, 1998). How is HFMD diagnosed? HFMD is one of many infections that result in mouth sores. Another commoncause is oral herpesvirus infection, which produces an inflammation of themouth and gums (sometimes called stomatitis). Usually, the physician candistinguish between HFMD and other causes of mouth sores based on the ageof the patient, the pattern of symptoms reported by the patient or parent,and the appearance of the rash and sores on examination. A throat swab orstool specimen may be sent to a laboratory to determine which enteroviruscaused the illness. Since the testing often takes 2 to 4 weeks to obtaina final answer, the physician usually does not order these tests. How is HFMD treated? Can it be prevented? No specific treatment is available for this or other enterovirusinfections. Symptomatic treatment is given to provide relief from fever,aches, or pain from the mouth ulcers. Preventive measures includefrequent handwashing, especially after diaper changes; disinfection ofcontaminated surfaces by household cleaners (such as diluted bleachsolution made by mixing 1 capful of household bleach containing chlorinewith 1 gallon water), and washing soiled articles of clothing. Childrenare often excluded from child care programs, schools, or other groupsettings during the first few days of the illness. These measures mayreduce the spread of infection, but they will not completely interrupt it.For further information, please contact the Respiratory and EntericViruses Branch, National Center for Infectious Diseases, at 404- 639-3607(telephone) or 404-639-4960 (facsimile).------------------------------------- -------------------Dari : Useful Information on Hand, Food Mouth Disease The purpose of this brochure is to provide helpful tips on how to care foryour child or children with Hand Foot and Mouth Disease (HFM). Weunderstand that you are very worried and concerned, and we would like toshare some useful tips on how to care for your child at home. This way,we can prevent complications like dehydration from refusing to drinkfluids. Incubation period and expected course of HFM The incubation period after contact varies from 2 to 6 days, and yourchild's fever and mouth discomfort are usually gone by Day 3 or 4. Themouth ulcers resolve by Day 5 to Day 7 of the illness, but the small waterblisters or red spots on the hands, feet (and occasionally the buttocksand limbs) can last up to 10 days. Sometimes, your child may complain ofpain over the blisters or spots located on the palms and soles. Yourchild's fever be as high as 39oC. How to care for your child at home If your child's mouth ulcers are painful, you will notice drooling andfeeding difficulties. You can give your child syrup Panadol (the actualdrug name is "acetaminophen") to relieve the severe mouth pain as well asthe fever. We suggest that you serve the syrup Panadol 30 minutes beforeeach main meal (breakfast, lunch, dinner). It is safe to serve panadol onan empty stomach. Remember to serve Panadol only at 4 or 6 or 8 hourlyintervals. If your child is allergic to Panadol, please inform your paediatrician immediately. Please seek your paediatrician's advise if you intend to serve other drugslike Voltaren or Voren (diclofenac) suppositories or oral ibuprofen syrup.These prescription drugs are stronger than Panadol and may not be suitablefor some children.If you are self-medicating or giving your child cough mixtures or oralantihistamines, please inform your paediatrician. Some children are sleepyafter drinking cough mixtures and antihistamines, and this may causedrowsiness. We suggest that you stop serving cough mixtures as your drowsychild will drink less fluid and this may lead to dehydration. Drowsinessin your child may be an early sign of brain infection as well.Encourage plenty of clear fluids and change to a soft diet. Youngerchildren with painful mouth ulcers find it difficult to suck on bottleteats - we suggest that you spoon-feed your younger child. Some childrenlike to drink from straws or cup. You can serve infants and young childrenhome- made porridge water, barley water or chrysanthenum tea. Anotheralternative is half-strength flat lemon-lime soda like 'Sprite' or '7up',served at room temperature for children above one year of age. Do notserve 'Sprite' or '7up' to infants below one year of age! Remember to stirthe soda until the fizz is gone because the bubbles can bloat up yourchild's tummy, then add clean drinking water to dilute the Sprite or 7up.Avoid giving your child sour, salty or spicy foods and avoid foods thatneed much chewing. Soft jellies, melted ice cream and mashed potatoes canbe offered to "fussy eaters" in addition to the usual diet of porridge orbread.Encourage your child to drink more fluids so that they will "pee" at leastevery 3 to 5 hourly. We suggest that you wake up your sick child at 2 or 3am in the early morning to measure his or her temperature, serve thepanadol if necessary and encourage your child to drink water or fluidsbefore he or she returns to sleep. It is important to prevent dehydrationin your child. How to apply mouth gels : Use a clean piece of gauze or clean cotton towelto dab the mouth ulcers, before applying the mouth gel. If you do notgently wipe away the saliva, the gel will not stick to the ulcer! The besttime is to apply the mouth gels before meals and before bedtime. You canpurchase Medigel or Bonjela from most pharmacies without a prescription.Do not share the mouth gel with other children.Wash your hands thoroughly with soap or disinfectant after you have wipedyour child's bottom. The virus is present in stools and all body fluids.Do not allow your child to share towels, toothbrushes, cups or bottleswith family members, and remind your child to wash his or her hands. Afterthe blisters and ulcers have disappeared, do not let your childparticipate in active sports for two to three weeks after the HFM illness.Please contact your paediatrician or return to the hospital if:If your child has not urinated or 'pee' for more than 8 hoursYour child starts to act very sick ( looks dull, drowsy, pale or mottled,restless or irritable and unable to get into sleep, or develops coldsweating) The fever lasts more than 3 days The mouth pain becomes severe Your child develops weakness in any limb or throws a seizure Semoga membantu, Efi_Andra's mom Answer 3 : HAND FOOT AND MOUTH DISEASE (HFMD) This information is provided by the Paediatricians ofChildren's Medical Centre, Department of Paediatrics, NUS (National University of Singapore) Hospital. The purpose of this brochure is to provide helpful Tips on how to care for your child or children with Hand Foot and Mouth Disease (HFM). We understand that you are very worried and concerned,and we would like to share some useful tips on how to care for your child at home. This way, we can prevent complications like dehydration from refusing to drink fluids. 1. Incubation period and expected course of HFM The incubation period after contact varies from 2 to 6 days, and yourchild's fever and mouth discomfort are usually gone by Day 3 or 4. The mouth ulcers resolve by Day 5 to Day 7 of the illness, but the small water blisters or red spots on the hands, feet (and occasionally the buttocks and limbs)can last up to 10 days. Sometimes, your child may complain of pain overthe blisters or spots located on the palms and soles. Your child's fever beas high as 39oC. 2. How to care for your child at home: a) If your child's mouth ulcers are painful, you will notice drooling and feeding difficulties. You can give your child syrup Panadol (the actual drug name is "acetaminophen") to relieve the severe mouth pain as well as the fever. We suggest that you serve the syrup Panadol 30 minutes before each main meal (breakfast, lunch, dinner). It is safe to serve panadol on an empty stomach. Remember to serve Panadol only at 4 or 6 or 8 hourly intervals. If your child is allergic to Panadol,please inform your paediatrician immediately. Please seek your paediatrician's advice if you intend to serve other drugs like Voltaren or Voren (diclofenac) suppositories or oral ibuprofen syrup. These prescription drugs are stronger than Panadol and may not be suitable for some children. b) If you are self-medicating or giving your child cough mixtures or oral antihistamines, please inform your paediatrician.Some children are sleepy after drinking cough mixtures and antihistamines, and this may cause drowsiness. We suggest that you stop serving cough mixtures as your drowsy child will drink less fluid and this may lead to dehydration. Drowsiness in your child may be an early sign of brain infection as well. c) Encourage plenty of clear fluids and change to a soft diet. Younger children with painful mouth ulcers find it difficult to suck on bottle teats - we suggest that you spoon-feed your younger child. Some children like to drink from straws or cup. You can serve infants and young children home-made porridge water,barley water or chrysanthenum tea. Another alternative ishalf-strength flat lemon-lime soda like 'Sprite' or '7up', served at roomtemperature for children above one year of age. Do not serve 'Sprite' or '7up' to infants below one year of age! Remember to stir the soda until the fizz is gone because the bubbles can bloat up your child's tummy, then add clean drinking water to dilute the Sprite or 7up. Avoid giving your child sour, salty or spicy foods and avoid foods that need much chewing. Soft jellies, melted ice cream and mashed potatoes can be offered to "fussy eaters" in addition to the usual diet of porridge or bread. d) Encourage your child to drink more fluids so that they will "pee" at least every 3 to 5 hourly. We suggest that you wake up your sick child at 2 or 3 am in the early morning to measure his or her temperature, serve the panadol if necessary and encourage your child to drink water or fluids before he or she returns to sleep. It is important to prevent dehydration in your child. e) How to apply mouth gels : Use a clean piece of gauze or clean cotton towel to dab the mouth ulcers, before applying the mouth gel. If you do not gently wipe away the saliva, the gel will not stick to the ulcer! The best time is to apply the mouth gels before meals and before bedtime. You can purchase Medigel or Bonjela from most pharmacies without a prescription. Do not share the mouth gel with other children. f) Wash your hands thoroughly with soap or disinfectant after you have wiped your child's bottom. The virus is present in stools and all body fluids. Do not allow your child to share towels,toothbrushes, cups or bottles with family members, and remind your child to wash his or her hands. After the blisters and ulcers have disappeared, do not let your child participate in active sports for two to three weeks after the HFM illness. Please contact your paediatrician or return to the hospital if: 1. If your child has not urinated or 'pee' for more than 8 hours. 2. Your child starts to act very sick (looks dull,drowsy, pale or mottled, restless or irritable and unable to get intosleep, or develops cold sweating). 3. The fever lasts more than 3 days. 4. The mouth pain becomes severe. 5. Your child develops weakness in any limb orthrows a seizure. To: <balita-anda@balita-anda.com> Subject: [balita-anda] Virus Coxachie atau Virus Singapore..?? From: "Hardiandika.P" <[EMAIL PROTECTED]> Add to Contacts Date: Tue, 4 Jul 2006 08:53:31 +0700 View Message Source Dear Smart Parents, Assalamu'alaikum....smart parent, ada yang punya pengalaman dengan virus coxachie / virus Singapore gak? Atau ada yang punya artikelnya? Kemarin itu anakku (umur 9,5 bulan), di tangannya terdapat bintil-bintil mirip seperti cacar....tapi kok tiba2 menyerang mulut hingga di lidah, gusi dan langit2 mulut. Sehingga timbul seperti sariawan...kasian ngeliatnya...sampe rewel gak mau makan dan minum....Nah ...katanya itu terkena virus singapore atau virus coxachie...Bener gak sih...?? Terima kasih banyak atas bantuan smart parents.... Wassalamu'alaikum wr wb Papanya Muhammad Hilmi Pasha Pranotosetyo http://www.babiesonline.com/babies/h/hilmi/ Uci mamaKavin http://oetjipop.multiply.com Get your Free E-mail at http://balita.zzn.com ___________________________________________________________ Get your own Web-based E-mail Service at http://www.zzn.com ------------------------------------------------------------------------ -- Kirim bunga, http://www.indokado.com Info balita: http://www.balita-anda.com unsubscribe dari milis, e-mail ke: [EMAIL PROTECTED] Peraturan milis, email ke: [EMAIL PROTECTED] menghubungi admin, email ke: [EMAIL PROTECTED] -------------------------------------------------------------------------- Kirim bunga, http://www.indokado.com Info balita: http://www.balita-anda.com unsubscribe dari milis, e-mail ke: [EMAIL PROTECTED] Peraturan milis, email ke: [EMAIL PROTECTED] menghubungi admin, email ke: [EMAIL PROTECTED]
