01:38to the risk of having dengue given na they're more outside and most of them are in schools.
01:45So, importante yung prevention talaga, especially during the month wherein we have to be aware of dengue.
01:52Another would be, ano nga ba ang kailangan nating bantayan, especially when it comes to dengue as a disease?
01:58Kailan ba tayo dapat magpacheck? Ano ba ang kailangan nating gawin kapag nakaranas tayo ng sintomas?
02:04And the third one, of course, is we have to know ano yung mga lunas.
02:10We know that dengue does not have cure. Nawala siyang tulad ng antibiotic. We cannot give antibiotic for dengue cure.
02:16Pero ang dengue po, namamanage siya. Isa po siya sa mga madaling i-manage ng mga diseases.
02:23Although, ang gusto natin, especially kapag dengue, ayaw nating mag-progress siya into severe dengue.
02:29Well, nabanggit mo na, Doktora, yung sintomas. Kahit ilang beses na nating tinalakay dito sa programa ang dengue,
02:36hindi tayo magsasawa sa ating mga kapabay na paulit-ulit natin i-inform sila.
02:41Ano po ba yung mga sintomas na ito? Dahil, kasi yung sintomas nito, pangkaraniwan lang,
02:45plagnat, sakit. Ano yung kaibahan kapag dengue na?
02:48Yes. Ang dengue kasi meron siyang incubation period tulad ng mga ibang infectious diseases.
02:55So, dengue is caused by a virus carried by a certain type of mosquito, Aedes aegypti mosquito.
03:04So, what happens if, kunyari, na-infect ka ng dengue, hindi ka pa magkakasakit agad-agad.
03:10There is an incubation period of 3 to 14 days. Usually, nakikita natin from 4 to 7 days after ka ma-infect ng dengue.
03:20Doon pa lang, nagma-manifest yung mga symptoms.
03:23Tsaka yung symptoms, ito yung mga karaniwang natin nakikita na lagnat, pananakit ng katawan.
03:30Minsan, another symptom would be yung pain sa back ng eyes.
03:36Okay.
03:36Another would be rashes.
03:38However, ang kailangan nating bantayan, especially kapag dengue and dengue season, kapag tag-ulan,
03:45is we already have to consult. Kasi minsan, nadedetect yung dengue during the earlier stages.
03:54May mga tests na dengue is detected at the earlier stages of the disease.
03:58Okay.
03:58So, day 1 pa lang, nagkalagnat ka, nagkaroon ng sakit ng katawan,
04:03you already have to go to your nearest facility to be checked.
04:07Kasi may mga tests tulad ng dengue NS1 na the earlier kang magpa-check, the earlier nadedetect yung dengue sa inyong katawan.
04:17So, yun yung mga common symptoms.
04:20And yung symptoms na yun during the febrile phase, yung first phase ng dengue, it can last up to 2 to 7 days.
04:27But, ang binabantayan natin kapag dengue, ay mga tinatawag natin na warning signs.
04:33Kasi yung dengue is a hemorrhagic type of disease, nadudugo ka kapag dengue.
04:39So, one of the things na binabantayan natin, and usually, we advise confinement kapag nakikita natin yung warning signs tulad ng pananakit ng chan.
04:49Tulad ng pagdurugo ng ilong, oral mucosa, or yung gums natin.
04:55Another would be vomiting.
04:56Yun, yun yung mga warning signs.
05:00Another is enlargement of the liver.
05:02Nakakapa namin yung liver, usually kapag may dengue na medyo nakikita namin na may warning signs.
05:08Pag ganun, we usually advise na makonfine for further management at observation.
05:15Ayun.
05:16Eh, di mo dook may stages yan?
05:18Yes.
05:19So, paano natin malalaman, uy, naka stage 1 or 2 na to, how do the doctors diagnose this?
05:25Um, probably what you meant is the serotypes.
05:28Yan.
05:28So, there are four serotypes ng dengue.
05:30Usually, no, when you already get the one serotype of dengue, you're immune to it, no?
05:36Okay.
05:37However, ang binabantayan natin sa mga serotypes ng dengue, no, kapag nagkaroon ko ulit ng dengue, you can expect a more severe disease, no?
05:48Ayun.
05:48Oo, kasi, no, ang binabantayan natin dito, hindi ka immune to other serotypes, eh.
05:53So, you can expect na medyo mas severe yung mararamdaman mo or yung mga sintomas, no?
05:59Ako twice na ako nagka-dengue.
06:01So, noong first ko, hindi ko alam na dengue pala yun, pero nilagnat ako ng matinde.
06:06Yes.
06:06So, usually, yes.
06:07Yung second ko, parang wala lang.
06:09Oo.
06:09Tapos, bigla na ako kinunfind yung platelets ko daw, parang 20 na lang.
06:13Bumaba.
06:14Oo.
06:14Although, hindi naman scientifically proven, pero ewan ko, nung kumain ako ng quail eggs ba yun, tapos pinainom ako ng tawa-tawa, tumaas yung platelets ko.
06:25Ayun na nga yung itatanong ko, yun na nga itatanong ko kay doktora, yung pag-self-medicate ba, tsaka itong mga nababasa natin na gumagamit ng tawa-tawa at iba pang herbal, ano pong opinion niya dito, doktora?
06:37Okay. For dengue kasi, ano siya, eh, it's symptomatic management, no?
06:43Ang dengue, usually, 80% of the cases are mild and manageable.
06:48Nagpo-progress lang siya into severe dengue, especially dun sa mga immunocompromise natin.
06:52So, it's easily treatable.
06:54Minsan, kapag walang warning sign, pinapa-uwiin namin yung patient for supportive management.
06:59Babalik na lang.
07:00Oo, usually, pinapating na namin, pinapa-observe namin dun sa mga warning signs important, yun.
07:06Ang minention ni Sir Audrey about quail eggs and tawa-tawa, may mga pag-aaral dun, pero wala pang conclusive proof that it can raise the platelets, no?
07:17So, we're waiting for studies.
07:19Pinag-aaralan pa rin yun, no?
07:21But, kasi supportive yung treatment, no?
07:24Important pa rin dito, as what I've always mentioned, no?
07:27When you get sick, no, diet has to be, um, diet has to be observed, no?
07:32So, proper diet has to be observed.
07:34Quail eggs kasi is rich in protein also, no?
07:36Important din yun for repair, no, ng katawan, no?
07:40That's probably why, no?
07:41Ah, minsan na ma-observe natin na kapag we, we eat, no?
07:46Or we have those things, no?
07:47Medyo gumaganda yung pakiramdan natin.
07:49Okay.
07:49But there are still no studies that would prove na.
07:52Ah, so pwede naman, pero hindi man siya talaga recommended na gawin, no?
07:55Subukan.
07:56Pwede subukan.
07:57Oo, pero it's more of management.
07:59Hindi pa rin siya replacement dun sa hydration.
08:01Kasi yung pinaka-symptomatic management talaga for dengue is you hydrate, no?
08:07Ayaw.
08:08Ngayong Dengue Awareness Month, ano po yung pinaka-information na gusto nyo iparating sa publiko?
08:15For Dengue Awareness Month, important pa rin talaga yung prevention.
08:19Okay.
08:20The Department of Health has been issuing a lot of, um, a lot of announcements regarding dengue.
08:28First is yung, in-emphasize pa rin natin yung 4S, no?
08:31No, search and destroy, yung habitats, no?
08:33Yung mga pinamumugaran ng mga moskitos na dapat natin linisin, no?
08:38Another is self-protection, no?
08:40Yung insect repellents, you have to always use it.
08:44Another is seek medical treatment agad, no?
08:48And the last one, no, is support fogging kung may, ano lang, kung may outbreaks.
08:54Pag walang outbreaks, hindi kailangan.
08:55Okay.
08:55Kasi parang iniiwas lang yung lamok.
08:57Pupita daw sa ibang area, pag ganon.
08:59Ayun.
08:59On that note, maraming salamat po ang Doktora Villa Galvan sa pagbabahagi ng inyong kalamaan at mahalagang paalala patungkol po sa dengue.
