Malaria and Anaemia m pregnancy

Malaria and anaemia in pregnancy woman

Keys
U. Malaria
Severe malaria
Cerebral malaria
Treatment

Malaria a parasite acute and chronic protozoan infection caused by parasite known as plasmodium species which affects RBC.
4species of plasmodium
P. fasciparum
P. Vivax
P. Malariea
P. Ovale

U. Malaria features
Headache
Fatigue(mchovu)
Lassitude (lethargy or lack of energy)
Joints and muscles aches/pain(kuuma)
Abd discomfort

Followed by
Chills
Fever
GBW
Anorexia and Vomiting
Worsening (mbaya) of malaise

S. Malaria features
Prostration or extremely weakness
Acute renal failure
Jaundice
Respiratory distress
Convulsions
Impaired consciousness
Severe anaemia
Collapse
Bleeding tender
Hemoglobinuria
Hypoglycemia
Parasatemia
Pulmonary edema

Treatment
U. malaria
First tremister quinine oral and Lumefentrine
Second and third tremister artemether plus Lumefentrine

S. Malaria
I.v quinine  600mg@ 10mg/kg dilute with 5-10mls in a 5% of dextrose infuse over  4hrs then 8hrs until the patient able to drink orally 300mg@ for seven days
If the patient is anaemic collect anaemia give quinine intramuscular  until anemia collected
Prevention
Use insects treated net
Use intermittent preventive treatment
Drug of choice
Sp  (sulfadoxine/primethamine)
Bid or twice a day three tablet
First dose Btn 20-24 weeks seconds dose Btn 28-32 weeks

How to treat anaemia
After investigation done will direct amount of blood patient have
Treated according the condition of the patient
Folic acid and iron
Transfusion
Treat and prevent source of anaemia