Tuesday 11 September 2012

customized fat loss - What is Central European encephalitis (TBE)?



Central European encephalitis is a rare inflammation of the meninges and the brain, triggered by a virus. The virus is Transmitted by bites of infected ticks (Ixodes ricinus), der in turn got it from other animals in the forest, som mice, deer, etc.

In some areas of Central Europe deltager the disease is endemic. This betyder det Occurs every spring and summer (month from March to November, mostly in July and August), but to a very limited grad. In addition to Central Europe and Siberia having the disease in recent years GAINED more foothold in Northern Europe, elsewhere some dove two climate change in the form of warmer winters and dermed better living conditions for ticks.

virus-infected ticks are bl.a.også in southern Sweden. In Denmark the only Bornholm, elsewhere a demonstrated significantly Party of forest workers (20%) have antibodies against the disease, but without Any of disse not have been sick.

What is the risk of being bitten by an infective tick and get sick?

risk of contracting an infection depends very much on elsewhere you are. The frequency of the virus in ticks in Europe varies mellem 0.1% and 5%. In some parts of Central Europe, the incidence of TBE 3-4 fold over the last 10 years. In Austria Offered vaccination to all, and here we have the seen a decrease of 90% of the number of sick.

Countries in Europe, som recorded mest customized fat loss, the Czech Republic, Slovakia, Slovenia, Lithuania, Poland and (South-) Germany. Men, it is probably only a maximum of 25% of infected dem der utvikle betydelig disease, and disse perhaps about. third, Experiencing symptoms of encephalitis.



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How does the disease itself?

Sygdmmen ofte Occurs in two phases. From infection to go there about a week (which may take up to three weeks). Symptoms in the first phase, der Lasts about 5 days, similar til flu:

Fever

Headache

Muscle Pain

General Weakness.

In cirka two Thirds of patient than up with the disease, the fever disappears og de bli completely healthy.

The residue may Men after a symptom-free interval of one week's time utvikle nervous system symptoms in the second phase:

Encephalitis with kraftiug headache and stiff neck (meningitis)

encephalitis with confusion, ændret consciousness, perhaps. faintness, trembling and management besværligheder (encephalitis)

inflammation of the brain and nervous rygmarvsvævet with severe pain, partial paralysis, or sensory disturbances (meningoencephalo-myelitis, - radikulitis).

A large part of the påvirket fully recover from the disease, but the studies have the vist incomplete healing of the problems in the nervous system of approx. 40% of the patient der udviklet real encephalitis (encephalit). It is especially adults over 60 years som kan badly påvirket, hvprimod children ofte escape much nemmere from the disease.

How is it diagnosed?

Diagnosis is made by a blood test. Only about half of patients having noticed som de har bitten by a tick, and the diagnosis kan not be made without a blood test. The sample used primarily for border against andre infectious diseases with similar symptoms.

, The preferred method to get a definite diagnosis is two look for antibodies two hjernebetændelses virus. These Substances ska almost always be detected in a blood test da symptoms from the nervous system begins.

How is Central European encephalitis?

There is no specific treatment for the Central European encephalitis, once it has occurred, there is it is recommended for people living in areas at high risk of infection with viruses der having a preventive vaccination. This gælder også people traveling two disse areas and fordi of the special leisure aktiviteter deemed særlig vulnerable two tick bites.

Previously, it was recommended two give a special so-called "hyperimmunoglobulin" by injection two people in risk areas were er bitten by ticks. Imidlerrtid ice effkten very Controversial, and there are fears att this treatment in some, may aggravate the disease, given this immunoglobulin is no longer.

What can you do yourself?

If you have to travel tll areas in Central and Eastern Europe with high incidence of TBE, and you have two be out in nature (forests and uncultivated areas), kan vælge be vaccinated against Central European encephalitis. The vaccine består inactivated virus, som injected into the muscle of the shoulder. It is given in three stages:

dose

dose 28 to 90 days later

dose 5:02 a.m. 12 months later.

Protection starts about two weeks after the second vaccination and Lasts for three years. Should rabies vaccination every three years.

What are the side effects of vaccination?

The type hjernebetændelses vaccine used in Denmark (TicoVac), is well tolerated by musts. Men, in some cases cause discomfort in the form of redness and swelling at the injection site and fever, especially in children. Emoluments paid symptoms are headache, muscle and joint pain. In turn giver the full vaccination with three doses probably more than 90% protection against the disease. Children between 1 and 16 years must have only half dose (TicoVac junior).

When ska vaccination be omitted?

To ulike acute feverish infections and diseases, der påvirket the immune system.

City hypersensitivity two eggs (albumen) or against the vaccine preservative.

In pregnancy and lactation perioder vaccination ska used only after careful betragtning of the benefit two risk, as it lacks experience in this field. Since it is a "killed" vaccine and the risk of damage, HOWEVER, is very small.

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