Senin, 08 Juni 2009

Kaki Gajah disease (Filariasis or Elephantiasis)

Kaki Gajah disease (Filariasis or Elephantiasis) is the infectious disease caused by the worm Filaria is transmitted through the different types of mosquitoes. Once bitten mosquitoes, parasites (flyblow) akan creep up on and when the network system lympa then become berkembanglah disease.

This disease is chronic (chronic) and when we do not get treatment, can cause defects such as enlargement settle feet, arms and genitals both women and men. Kaki Gajah diseases that kill the disease is not, however, for people may be perceived to be something that can embarrass even the day-to-day activities.

Kaki Gajah disease generally found in many tropical regions. According to information from WHO, the order states that there are people with a disease foot elephant is South Asia (India and Bangladesh), Africa, the Pacific and the United States. Later also occurred in many countries and Thailan Indonesia (Southeast Asia).

# Diseases of Kaki Gajah

This disease is transmitted through mosquitoes which suck the blood of someone who has contagious before. The blood of the infected and contain flyblow and will be transmitted to other people when an infected mosquito bite or suck blood person.

Unlike malaria fever and bleeding, Filariasis can be transmitted by mosquitoes from 23 species of the genus Anopheles, Culex, Mansonia, Aedes & Armigeres. Because this is, Filariasis can spread very quickly.

# Alert and Symptoms Diseases Kaki Gajah

A person infected with the disease generally occurs elephant foot at the age of childhood, where in a long time (many years) began to be perceived development।

The acute symptoms that can occur include:

* Fever repeated for 3-5 days, fever may be lost if the rest and appears again after the heavy work

* Lymph gland swelling (without injury) didaerah bending thigh, axilla (lymphadenitis), which appear to redness, heat and pain

* Channel resolvent lymph gland that feels hot and sore from the base of the stalk or base of feet towards the end of the arm (retrograde lymphangitis)

* Filarial abses often suffer due to lymph gland swelling, can shatter and remove pus and blood

* Pembesaran leg, arm, breast, penis fruit that looks a bit reddish and feels hot (early lymphodema)


While the symptoms of chronic diseases such as foot elephant that is within the enlargement (elephantiasis) in the leg, arm, breast, penis fruit (elephantiasis skroti).

# Checking Diseases Diagnostic Footwashing Elephant

Elephant foot disease is generally detected through microscopic examination of blood, At the moment it still feels difficult because only microfilaria appear and show themselves in the blood at the time of the night for several hours only (nocturnal periodicity).

In addition, various methode inspection is also done to diagnose the disease elephant feet. Among them is the system known as membrane Penjaringan, Method and Knott concentration technique precipitation.

Examination method approach towards a more recognized and diagnosed by the WHO is the way the examination system "test card", This is very simple and sensitive to detect the spread of parasites (flyblow). Namely by taking a sample finger prick blood droplets system diwaktu at any time, should not be at the day.

# Handling of Medicine and the disease centers Elephant

The main objective in the handling of people with early disease elephant foot is killing parasites or flyblow in a growing body of people, so that the level of transmission and can be reduced.

Dietilkarbamasin (diethylcarbamazine (DEC)) is the only drug effective filariasis is good for filariasis bancrofti and malayi, are makrofilarisidal and mikrofilarisidal. Medicine are cheap, safe and no drug resistance. People who get this drug therapy may provide akan systemic reactions and local side of a temporary and easily fixed with medication simtomatik.

Dietilkarbamasin can not be used to khemoprofilaksis. Oral treatment is given after dinner, quickly absorbed, reaching peak concentration in the blood in 3 hours, and diekskresi water through urine. Dietilkarbamasin not diberikanpada children aged less than 2 years old, pregnant women / breastfeeding, and people with serious illness or
in a weak situation.

However, in the case of the elephant foot disease severe enough (already up) because it is not detected early, in addition to the provision of drugs would require further steps such as the operation action.

# Prevention Kaki Gajah

For people with the disease are expected kesadarannya elephant to get examined kedokter and handling drug-obtan so it does not spread the infection to other people. It is necessary for the education and introduction of disease to people and people of surrounding areas.

Mosquito eradication diwilayah each is important to cut off the chain of transmission of this disease. Maintain environmental hygiene is the cornerstone for preventing the occurrence of mosquito diwilayah it.