Mumps is an infectious disease where someone is infected by a virus (paramyxovirus) which attacks the salivary glands (parotid glands) in between the ears and jaw, causing swelling of the neck of the top or bottom cheek.
As for they who are at greater risk for suffering or contracting this disease are they who use or consume certain drugs to suppress the thyroid gland hormones and their Iodine deficiency in the body.
Transmission of Disease Mumps
Spread of the virus can be transmitted through direct contact, splashing saliva, vomit material, possibly with urine. The virus can be found in the urine from the first day until the fourteenth day after the enlargement of the gland.
Mumps disease is extremely rare in children less than 2 years because generally they still have or be protected by good anti-bodies. Someone who had suffered from mumps disease, and then he will have lifetime immunity.
Diagnosis Disease Mumps (Mumps or Parotitis)
Diagnosis is established when there is clearly an infection symptom of epidemic parotitis in physical examination, including details of contact with the mumps 2-3 weeks before. In addition, it is by examination of laboratory results of urine and blood.
In addition to leucopenia with relative limfosiotsis, it is also showed that the increase in serum amylase levels that reached a peak after one week and then be back to normal within two weeks.
If the patient did not show any swelling of glands below the ear, but other signs and symptoms leads to mumps so it doubt the diagnosis, Doctors will give an order to do further tests such as blood serum. At less there are 3 test serums (serologic) to prove the specific mumps antibodies: antibodies, complement fixation (CF), Hemagglutination inhibitor antibodies (HI), virus neutralizing antibodies (NT).
Complications Due to Mumps
Almost all children who suffer from mumps will recover fully without complications, but sometimes the symptom comes back worse after about 2 weeks. This condition can cause complications which the virus can attacks other organs. This may occur especially if the infection occurs after puberty.
Below are the complications that can occur due to handling or a lack of early treatment:
1. Orchitis, inflammation of one or both testicles. After recovery, the affected testis may shrink. It rarely becomes permanent testicular damage resulting in infertility.
2. Ovoritis: inflammation of one or both ovaries telus. Arise mild abdominal pain and rarely causes sterility.
3. Encephalitis or meningitis: inflammation of the brain or the lining of the brain. Symptoms include headache, neck stiffness, drowsiness, coma or convulsions. 5-10% of sufferers experience meningitis and most of them will recover completely. 1 of 400-6000 patients experiencing enserfalitis likely suffered brain damage or permanent nerve, such as deafness or paralysis of facial muscles.
4. Pancreatitis: inflammation of the pancreas can occur at the end of the first week. Patients feel the nausea and vomiting accompanied by abdominal pain. These symptoms will disappear within 1 week and patients will recover completely.
5. Kidney inflammation can cause sufferers take the thick urine out in significant amounts
6. Inflammation of the joints can cause pain in one or several joints.
Treatment of Disease Mumps
Treatment aims to reduce complaints (symptomatic) and rest during the sufferer heat and gland (parotid) swelling. We can use heat and pain relief medication (antipyretics and analgesics) such as paracetamol and the like. Aspirin should not be given to children because it has a risk of Reye’s syndrome (Effect of aspirin in children).
In patients who experience swelling of the testicles, the patient should undergo a rest in bed. The pain can be reduced with ice compress on the swollen testicle area. While patients who experienced a virus attack in pancreas organ (pancreatitis), which cause symptoms of nausea and vomiting should be given fluids intravenously.
Giving Corticosteroids for 2-4 days and 20 ml of convalescent gammaglobulin is expected to prevent the occurrence of orchitis. For the virus itself can not be influenced by the anti-microbial, so treatment is only oriented to relieve symptoms until the patient returned either by itself.
Mumps disease is classified in the “self-limiting disease” (a disease which heals itself without treatment). People with mumps should avoid sour food or drink so sore is not getting worse, given the liquid diet and soft diet.
Prevention of Mumps
Mumps vaccination is part of routine immunization in childhood, namely immunization MMR (mumps, morbili, rubella) given by injection at the age of 15 months.
MMR immunization can also be given to adolescents and adults who have not yet Mumps. This immunization does not cause heat or other symptoms. Simply eating foods that contain iodine levels can reduce the risk of mumps disease attack.