Your doctor can collect blood samples to test for chikungunya and other mosquito-borne diseases. You should see your doctor if you experience any of the following:  Fever for more than five days or above 103 °F (39°C) Dizziness (possibly due to a neurological issue or dehydration) Cold fingers or toes (Raynaud's) Bleeding from mouth or under skin (this can be Dengue) Rash Joint pain, redness, stiffness, or swelling Low urine output (this can be from dehydration that can lead to kidney damage) Your doctor will take blood samples to send to labs. Several tests or methods will be run on the samples for diagnosis. ELISA (enzyme-linked immunoassay) will look for specific antibodies against the virus. These antibodies normally develop toward the end of the first week of illness and peak around three to weeks lasting up to two months. If they are negative, your doctor may repeat the blood test to see if they have risen.  Viral cultures will also look for growth. These are usually used within the first 3 days of illness, when the virus is rapidly growing.  RT-PCR (reverse transcriptase polymerase chain reaction) methods use virus-specific gene coding proteins to replicate specific genes of chikungunya. If it is chikungunya, then the lab will see higher than normal chikungunya genes displayed on a computerized graph. There is no approved/specific treatment or cure for this virus nor a vaccine to prevent you from getting it. Treatment is purely symptom management. The World Health Organization recommends that you start home care treatment by resting. This will provide relief and time for your body to recover. Rest in an environment that is not damp or too hot, which could aggravate your joint symptoms. Apply a cold pack to reduce pain and inflammation. You can use a bag of frozen vegetables, packaged steak, or an ice pack. Wrap the frozen back in a towel and apply it to painful areas. Avoid applying a frozen pack or ice directly to your skin, which could cause tissue damage. If you're experiencing fever and joint pain, take paracetamol or acetaminophen. Take up to two 500mg tablets with water up to four times a day. Be sure to drink plenty of water throughout the day. Since fever can lead to dehydration and electrolyte imbalance, try to drink at least two liters of water a day with added salt (which mimics electrolyte sodium).  If you have pre-existing liver or kidney issues consult your doctor before taking paracetamol/acetaminophen. Talk to your pediatrician or pharmacist for dosing for children. Do not take aspirin or other nonsteroidal anti-inflammatory drugs (NSAIDS) like ibuprofen, naproxen, etc. Chikungunya can mimic other mosquito-borne diseases like dengue which can cause excessive bleeding. Aspirin and NSAIDS can thin your blood and increase the bleeding. Your doctor must rule out Dengue first. Your doctor may recommend NSAIDs for the joint symptoms after ruling out Dengue. If you have unbearable joint pain or no relief after your doctor has advised you to take NSAIDs, your doctor may prescribe you hydroxychloroquine 200 mg orally once a day or chloroquine phosphate 300 mg once per day for up to 4 weeks. You should only perform mild exercises so you don't aggravate your muscle or joint pains. If possible, arrange an appointment with a physical therapist to undergo physiotherapy treatment. This can help strengthen your muscles around the joints which can reduce pain and stiffness. Try to exercise in the morning, when your joints may be the stiffest. Try some of these simple movements:  Sit on a chair. Extend one leg parallel to the floor and hold for 10 seconds before lowering your leg with the sole flat on the floor. Do the same with the other leg. Repeat this several times a day, doing two to three sets of 10 repetitions per leg. Try standing on your toes with both feet close together and place your heels up and down, up and down. Turn to your side. Raise one leg upwards for a second before bringing it down atop your other leg. Do this 10 times for that leg. Then, turn to the other side, and repeat. Do a set of 10 raises for each leg several times a day. You can also do your own low-impact aerobic exercise. The idea is not to do aggressive movements or use weights. You may experience scaling dryness (xerosis) or an itchy rash (morbilliform rash). These don't need treatment, but you can treat the itchiness and rebuild your skin's natural conditions and moisture. Apply mineral oils, moisturizing creams, or calamine lotion. If you have the itchy rash, take oral antihistamines, like diphenhydramine, as directed on the package. This can reduce inflammatory cells from releasing proteins that cause itching.  Be careful using antihistamines, as they can make you drowsy. Don't drive or operate machinery after taking them. Soaking in a warm bath with added colloidal oatmeal can help soothe your skin. Persistent hyperpigmented spots can be treated with hydroquinone-based products. This will help whiten or lighten the spots.  Since a variety of liquids and creams are available to treat skin irritation, you may want to ask your doctor's advice about what to use. It's been suggested that many combinations of herbs and plants can help relieve the symptoms of chikungunya. While you can find most of these at drug stores, you should always consult with your doctor before trying herbal supplements or remedies. Herbal remedies include:  Eupatorium perfoliatum 200C: This is the number one homeopathic remedy for chikungunya. It is a plant-based extract that you should use while experiencing the symptoms. It can relieve symptoms and joint pain. To use, take six drops at full strength for a month, while symptoms exist. Echinacea: This is a flower-based extract used to treat chikungunya symptoms by improving your immune system's effectiveness. Take 40 drops a day, divided into three daily doses.
اعلم متي ينبغي أن تتلقي معونة طبية. افهم نتيجة تحاليل الشكونجونيا. لابد أن تنال قسطًا من الراحة. استخدم مسكنات الألم. التمارين الرياضية. استخدم الزيت والكريم لتهيج الجلد. جرب العلاج بالأعشاب.