感染基孔肯雅热后关节痛会持续多久?患者可否自行用药?专家解释|女警被藏獒大g又粗又长
中新网广州7月28日电 (记者 蔡敏婕)怀疑感染了基孔肯雅热该怎么办?感染基孔肯雅热后关节痛会持续多久?患者可否自行用药?
中山大学附属第三医院感染科主任医师林炳亮27日对上述社会普遍关心的话题作出解释。
怀疑感染了基孔肯雅热该怎么办?林炳亮表示,病人被伊蚊叮咬后会传播给家人及邻居,为了大家的健康,如果出现发热、关节疼痛、皮疹等症状,请及时前往医疗机构就诊。
如果您近期有基孔肯雅热流行地区旅居史,或者有明确的蚊虫叮咬史,可主动向接诊医生说明。这些信息对于医生及时、准确地作出诊断至关重要。一旦确诊应配合医院和社区要求做好防蚊隔离。
治疗以退热、关节炎止痛、缓解皮疹瘙痒等支持、对症治疗为主,不建议使用阿司匹林等非甾体抗炎药,儿童避免使用水杨酸类药物。如果病情需要,可选择对乙酰氨基酚。
感染基孔肯雅热后关节痛会持续多久?林炳亮称,基孔肯雅热这个疾病的名称来源于非洲坦桑尼亚,原意是“弯腰驼背”,形容患者因剧烈关节疼痛而被迫蜷缩身体的姿态。这也反映了其最典型的临床症状,就是关节疼痛致身体蜷曲。关节疼痛主要累及手腕和踝趾等小关节,也可涉及膝和肩等大关节,腕关节受压引起剧烈疼痛是本病的重要特征,通常1~3周缓解,部分病例关节疼痛可持续数月甚至数年。
患者可否自行用药?林炳亮表示,当出现发热症状时,建议及时前往发热门诊就诊,由医生进行专业判断后再开具药物。在未排除登革热之前,不建议自行使用布洛芬、阿司匹林等药物,以免因用药不当而加重病情或引发其他不良反应。(完)
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