the doctor is in....

[marvinofthefaintsmile]

^^ had a friend of mine na na-dengue for 3 times. lahat iba't-ibang strain ng dengue fever.

[ctan]

nmat...

Nag-take ka?

subok lang.. haha!

hehehe. nice!

[ctan]

Asking because kinagat ako ng lamok.

Immune ka na ba sa dengue kung nagkadengue ka na? Sabi kasi sa Wikipedia,

Dengue is typically transmitted by the mosquito Aedes aegypti and rarely Aedes albopictus. The virus has four different serotypes and an infection with one usually gives lifelong immunity to it but only short term immunity to the others. There is currently no available vaccine and prevention is via attempts to reduce the habitat and number of mosquitoes as well as limiting exposure to bites.

so hindi pa rin immune dahil 4 yung strains?

And bakit hindi kaya magdevelop ng vaccine since alam naman nila 4 yung strains, unlike yung common cold na laging nage-evolve?

you'll be immune only to that strain. kaso there are still three known strains. immunity in dengue is offered by type of strain. hindi makadevelop ng vaccine for that kasi the other strains are difficult to culture for study purposes and since it would take a lot experimental studies or clinical trials for a vaccine to be recommended as prophylaxis.

[ram013]

Doc- could you explain pre-eclampsia??

[carpediem]

Saan ba naka-"store" yung immunity ng isang tao? Does immunity entirely rely on antibodies, or are there other things besides antibodies that could make you immune to certain diseases?

Let's say I'm immune to disease x. If someone is a recipient of my blood, does he develop immunity to x?

[carpediem]

Thanks doc for the explanation and very nice analogy 

Ganun pala, I thought once your body develops a certain antibody, it will not "forget" it anymore and will continue to produce it. So mali pala. That means I may still get chickenpox for example even if I already had it when I was small.

[ctan]

nice one kilo. :-)


about pre-eclampsia, just an addition to what kilo said:

pre-eclampsia = gestational hypertension (BP >140/90 after 20 weeks gestation) + proteinuria (urinalysis with > +1 protein or >300mg in 24 hours)

kelangan ito ma-control dahil kapag naging severe ang pre-eclampsia, maaari magdevelop ng iba't ibang complications yung patient such as HELLP syndrome or si baby pwede magka-IUGR or intrauterine growth restriction.

basically, kapag severe pre-eclampsia, meron headache, mga visual sisturbances like blurring of vision, pananakit ng tiyan tsaka yung protein sa urinalysis > or equal to +2. yung diastolic pressure (example 120/90, yung 90 ang diastolic pressure) ay more than or equal to 110 mmHg.

ang HELLP syndrome pala, ibig sabihin nun, H for hemolysis, EL  for elevated liver enzymes and LP for low platelet count.  makikita sa CBC ng patient usually mababa ang RBC at ang platelet count. tapos yung liver function test niya, maaring mataas ang mga liver enzymes. maaaring napaka-serious ng condition na ito kasi kapag hindi ito na-diagnose early and nagtuloy tuloy yung condition, kelangan i-deliver ang baby even if premature ito.

so essentially talaga, sa mga mother's class na tinuturo namin sa mga new buntis sa OPD namin, one of the things that they should monitor during their pregnancy is their blood pressure.

[ctan]

Thanks doc for the explanation and very nice analogy 

Ganun pala, I thought once your body develops a certain antibody, it will not "forget" it anymore and will continue to produce it. So mali pala. That means I may still get chickenpox for example even if I already had it when I was small.

actually carpediem, if you get chickenpox, you will have lifelong immunity to it. it is because the memory cells already have antibodies to that. ibang story yung makakatanggap ka ng vaccine against chicken pox. recommendations from the guidelines say kelangan pa ng booster shot for it to provide lifelong immunity. :-)

[ctan]

and yes, a reinfection of the virus is called herpes zoster.... a very painful condition. :-)

[ram013]

what things should we do to avoid pre-eclampsia..anu anung food ang mga bwal at bagay na pwedeng mag trigger

[ram013]

nag grade 2 na ung placenta nya...26 weeks na sya tomorrow

[ctan]

tama si kilo ram, bp monitoring kayo sa inyo. some resources would say na iwasan din magkaroon ng risk factors for preec wife mo. for example, obesity, etc. pero isa sa mga risk factors kasi which could not be controlled na present sa iyong wife ay yung first pregnancy. kaya blood pressure monitoring talaga. :-)

[ram013]

nag grade 2 na ung placenta nya...26 weeks na sya tomorrow

oh my... ang layo pa...shucks... seryoso bantayan mo ng maaigi si misis.

thanks mga Doc..will sure do make dobleng bantay at alaga pa...

Would you recommend me buying the BP monitoring sa Mercury or Watsons na electronic??

[ctan]

Ok lang ram..

[joshgroban]

nag grade 2 na ung placenta nya...26 weeks na sya tomorrow

oh my... ang layo pa...shucks... seryoso bantayan mo ng maaigi si misis.

thanks mga Doc..will sure do make dobleng bantay at alaga pa...

Would you recommend me buying the BP monitoring sa Mercury or Watsons na electronic??

di ako doctor but having 5 kids  talagang importante yung bp monitoring tsaka dapat walang fear or stress