Documentos de Académico
Documentos de Profesional
Documentos de Cultura
I.INTRODUCTION
I.DIAGNOSIS
• Physical examination is done in the main health center or during the
scheduled survey bites in the community
➢ History taking
➢ Observation of the major and minor signs and symptoms
• Laboratory Examinations:
➢ Nocturnal Blood Examination (NBE)
– traditional diagnostic method to demonstrate microfilariae
in the peripheral blood
➢ Immunochromatographic Test (ICT)
– A commercial kit used to detect filarial antigen
– a rapid assessment method
I.TREATMENT
Medical Care:
➢ For those with Asymptomatic microfilaremia
– oral diethylcarbamazine (DEC) therapy
➢ for those with chronic filariasis and adenolymphangitis (ADL)
– requires in patient care:
antihistamines
corticosteroids
pain relief
intravenous antibiotics for secondary infections
➢ For those with large hydroceles, scrotal elephantiasis & chyluria
– surgical treatment
– correction of gross limb elephantiasis with surgery is less
successful and may require multiple procedures and skin
grafting
Diet
➢ Fatty foods are restricted in those with proven chyluria associated
with lymphatic filariasis.
Activity
➢ In patients with chronic lymphatic filariasis, mobilization of the
affected limb is encouraged with compression bandage support.
Nursing Care:
– instruct patient to comply the treatment regimen
– Bed rest, limb elevation, and compression bandages have
traditionally for those with chronic lymphedema
– Instruct patient to wash the affected area with soap & water
at least 2x a day
– Pre-op & post-op care for patient that will undergo surgery
– Restriction of fatty foods to those with chyluria
– Prevention to other infections due to possible secondary
infections
I. PREVENTION CONTROL
A. Measures aimed to control the vector:
a. Environmental sanitation such as proper drainage and
cleanliness of the surroundings
b. Spraying with insecticides (not so recommended because of
harmful effects)