Saturday, November 05, 2011

Kami muntah berjemaah : Norwalk Virus atau SRSV - lepas kena memang NO WALK


Actually nak update pasal kitaorang pergi jalan-jalan cari pasal di Penang. Tapi entah macamana memang jadi pasal kan hehehe

Tu la mulut masin kata orang - I suspected kami satu family kena stomach flu although our panel keeps saying its food poisoning, I never think it was. Trying to trace back, banyak benda tak masuk akal, kalau ia pun it was food poisoning. Kenapa hasben yang tak ikut sama tu pun kena juga? Why did Syasya recover earlier than most of us? And why is my father pulak sekarang sakit - since when did food poisoning boleh berjangkit camtu?

OK at this moment in the UK there is an alert for Norwalk virus or SRSV.


Tapi tu kat UK kan, apsal saya kat Malaysia boleh berjangkit? Wait. Mari kita tengok dulu apa dia virus ni.

Apakah itu Norwalk Virus atau SRSV?

Penyakit muntah-muntah musim sejuk ini disebabkan oleh virus berstruktur bulat kecil (SRSV), juga dikenali sebagai virus Norwalk atau Norovirus.

Kehidupan Norovirus adalah di dalam usus dan berpindah dari seorang ke seorang yang lain kerana tahap kebersihan yang rendah selepas menggunakan bilik air - tidak mencuci tangan dengan sempurna selepas ke tandas dan kemudian menyentuh mengendalikan tandas, kerusi, pemegang pintu dan sebagainya.

Ia juga boleh merebak apabila seseorang muntah dan aerosol kecil yang mengandungi virus memasuki udara.

Gejala penyakit Norwalk Virus atau SRSV

Hanya jumlah yang sangat kecil virus yang diperlukan untuk menyebabkan penyakit dan ia mudah tersebar dalam masyarakat tertutup, seperti hospital, sekolah dan kapal-kapal pelayaran.

Tempoh inkubasi biasanya antara 24 dan 48 jam. Ini diikuti oleh muntah projektile yang teruk dan secara tiba-tiba, cirit-birit dan gejala-gejala demam, selama kira-kira 48 jam.

Rawatan dan pemulihan daripada Norwalk Virus atau SRSV

Walaupun jangkitan yang tidak menyenangkan, ia jarang berbahaya. Tiada rawatan khusus, tetapi banyak berehat dan minum air yang disyorkan. Satu masalah yang lebih besar ialah membasmikan kuman ini sepenuhnya.

Amalan kebersihan yang baik dengan mencuci tangan dengan kerap akan mengurangkan peluang memindahkan jangkitan. Orang dengan virus ini harus tidak bekerja sementara gejala-gejala masih berterusan, selama kira-kira dua hari selepas itu, apabila mereka masih boleh menjangkiti orang lain.

OK - macamana boleh berjangkit kat kami?

It started dengan Syasya. Dalam kereta semasa berhenti di RnR (sebelum Jambatan Sg Perak tu) dia tetiba sahaja muntah laju-laju. Sebelum tu dia ok. Tak pening, tak demam dan tak de cirit birit.


Flashback 24 jam sebelum itu. Sehabis sahaja kenduri kami ke Penang Hill. I takde saspek tempat lain. Situ juga sebab we all duduk dalam train macam LRT tu naik ke atas ada macam-macam manusia dah pegang semua tempat dalam train tu kan. Dan ofcourse la mesti ada PELANCONG dan PELENCUNG yang pernah naik train tu sama. Or sama2 dengan kita ada virus tu masa tu *haih*

Sampai sahaja di atas, I beli kacang putih dan biskut bantal kecil. Syasya makan dengan lahapnye WITHOUT washing her hands *dem*

Mom tak makan.
Aliya tak makan.
I pun tak makan sangat.
Mimi lagilah.


so...back 24 hours later. Berdesup laju muntah dia, kena Aliya sikit. I used Mimi's diaper wipes (anti bacterial so delayed la sikit kut benda tu nak berjangkit kat I huhuhu)

Bila kami sampai Subang Jaya, my husband bawak dia ke klinik. I SPECIFICALLY TOLD HIM, bawak bekas untuk tadah muntah tu but he said, tak apa lah (men!) and dia bawak tuala untuk lap sahaja.

48 hours after Syasya kena dia dah beransur baik - my husband kena (vomit) then Mimi vomit at 1am and followed by Aliya.

I think terus mandikan Mimi and cleaned the vomit (biarlah kembang urat tak pa) I also bathe myself. Stripped down the whole cadar semua baru sambung tidur. I bagi Mimi bf sebab takut dia dehydrate (bab ni kita paling takut kalau anak muntah/cirit) Dia vomit balik tapi tak banyak. I memula nak stop bf kejap, but thought ishk apa pulak, bf la ubat paling mujarab.

NOT ONLY THAT - pagi sebelum bertolak ke Subang Jaya, I had yogurt for breakfast. Habiskan stok sampai tak larat dah! Aliya makan sikit. Mimi of course la no excuse. Syasya langsung tak mahu.
Probiotics, bacteria that are beneficial to a person's health, are recommended during the recovery phase of gastroenteritis. Specifically, live cultures of Lactobacillus acidophilus are said to be effective in soothing the digestive tract and returning the intestinal flora to normal. L. acidophilus is found in live-culture yogurt, as well as in capsule or powder form at health food stores. The use of probiotics is found in folk remedies and has some support in the medical literature. Castor oil packs to the abdomen can reduce inflammation and also reduce spasms or discomfort. (http://medical-dictionary.thefreedictionary.com/Inflammation+of+intestine)
So naturally memang perut I terlindung. Mimi pun sama (read about probiotics in breastmilk - http://www.sciencedaily.com/releases/2010/06/100602193326.htm). Aliya sebab dia degil tak mahu habiskan yogurt dia. My mother also had the rest of the yogurt and she takes other supplementary vitamins as well so somehow that might explain why dia sampai sekarang alhamdulillah sihat. My dad - ok memang akan durian runtuh kalau suruh dia makan yogurt huhuhu.

Mind you, my mother memang kena muntah dengan Syasya (she later told me it was so projectile sampai tak nampak anak mata) We owe it to her untuk tidak jadi worse coz Syasya duduk dengan dia di depan supaya tak expose so much to Mimi yang lebih fragile.

My dad was the one who handled Syasya's vomit 3rd time she vomited (after lunch kat RnR) - manalah kita tahu dia nak vomit lagi ingatkan it was car sickness kan : ( So I guess that's how he got the virus : (

OK what we did to recover in a way no one would be hospitalized?
Our main goal was to make sure everyone was HYDRATED.

My mother (thank you Allah swt for giving mak yang IQ and General Knowledge sangat mavles) kept Syasya hydrated by asking her to sip air sekejap-kejap.

Pagi tu DH pergi 7 Eleven beli 2 bottles of Gatorade untuk prevent dehydration and electrolyte imbalance. I suh beli Gatorade sebab dia tak ada gas - but we later bought 1 big bottle of 100 plus and drank it diluted. I read that if u drink it diluted its more easier absorbed (we was me and my husband. Anak2 kami bagi air kelapa sahaja)

Walaupun rasa sadis but we were on the Gardenia Toast (Oatmeal Raisins) Diet. BRAT (a term I learned since being active in the Homemade Food for Babies group) was a life saver. I gave Syasya and Mimi plain bubur kosong (masih rasa sadis bagi anak makan macam ni but now I think I saved their lives) sebab I teringat this menu from the panel doc semasa my dad kena cirit-birit and demam selepas balik dari Indonesia dulu. Aliya I tak bagi makan bubur, but roti bakar sahaja. She was also sipping Gatorade slowly ( I kata 2 sudu besar sekali sip).

I kena right after lunch hour. WHY?
Because when vomiting and cirit birit happends in the family - toilet kena bersih segila-gilanya. I learnt this when Mimi was hospitalized for UTI kat PPUM. So maybe kena serangan bertubi-tubi di dalam tandas tempat mereka bersuka ria party sampai no last call on the bar la kan itu virus semua *haih* (dah la takde Detol masa tu - MUST STOCK UP DETOL ALWAYS!!)

How does it feel?
Memang gile punya rasa nak muntah macam recycle bin dalam pc. Everything must go. As I am writing this I still have pains in my abdomen. DH kata from projecting vomit tu.

I gigil kesejukkan masa matahari tegak atas kepala (2pm) Pakai baju sejuk, comforter, siap mintak satu lagi selimut kat my daughter. Aliya said I was hot tempered, ada sikit gila, and slept the whole day. Sakit dia tangkap sampai ke sendi. You will want to do NOTHING.

I am writing this just in case kalau another mother came across this panic situation. No1 DONT PANIC hehehe, the first thing I remember when ada kes emergency, was my husband's voice "you're at home and have the internet access"

All the steps I took even from the very beginning was because I memang jenis tak puas hati satu jawapan sahaja. Ini dari zaman tak ada internet when I ada slip disc and all I ada was a whole library full of medical books for the American Degree Program and A levels (but I took TESL). Besides that I have to thank my college writing lecturer jugak - Miss Asmahan. Dalam nada lembut she will always response to my statement
" So? " sampai dia berpuas hati dengan statement terakhir (means its backed up FIRMLY, jawapan TEPAT)

I know our panel doctor never concluded what it was we caught tapi if u read what we went through memang it wasnt Rotavirus (sebab adults uncommon kalau kena). If it wasn't what my cousin commented in my FB status, I would have not spent so many night searching for answers.

We are lucky it didn't get worst but we did get medical help as soon as possible. Kalau ada anak kecil dan muntah-muntah without stop memang 1st thing is to see a panel doktor (family doktor yang dah biasa rawat anak kita) refer : http://www.parents.com/toddlers-preschoolers/health/sick-toddler/should-you-take-baby-to-the-hospital/

Tapi kalau ada tanda-tanda yang listed down here,
 http://www.nhs.uk/Planners/birthtofive/Pages/Recognisingsigns.aspx
sila la ke Wad Kecemasan. I recommend PPUM sebab diaorang ada Pediatric Emergency so yang tengok adalah Pakar Kanak-Kanak (pastinya!)

Btw, kami tak balik kampung sebab masih tak berapa sihat sepenuhnya. Kalau ada anak kecil tu rajin-rajin la bagi makan yogurt atau beli probiotic tu di farmasi. Jangan lupa BASUH TANGAN sebelum makan walaupun just snack kecil2 ye and especially selepas keluar dari toilet atau change diaper anak.

Take care *hugs*

No comments:

Post a Comment