Yu tink se animal denja? Yu tink se i gɛt rabid? Yu de fred fɔ gɛt rabis? Lɛ wi tɔk bɔt dis!

Wi ɔl lɛk animal, nɔto so? Bɔt sɔntɛnde, smɔl tin kin tɔn to big prɔblɛm we wi nɔ de tink bɔt am. Na dat na wetin rabis bi. Ivin fɔ yɛri di nem kin mek pɔsin fred smɔl, nɔto so? Bɔt if yu no bɔt am ɛn tek di step dɛm we yu nid, i nɔr kin tranga fɔ de kɔmplit sef frɔm dis denja kɔndishɔn. So, tide, lɛ wi tɔk bɔt wetin na (Rabies) , aw i kin afɛkt wi bɔdi, ɛn aw wi kin protɛkt wisɛf frɔm am.

Wetin na Rabies? Simply put am...

Rabis na wan vayral sik we rili denja ɛn we kin kil pɔsin. Na wan vayrɔs we dɛn kɔl `(Rabies virus – RABV)` de mek am. Dis vayrɔs kin kam insay wi bɔdi tru dairekt kɔntakt wit di saliva fɔ animal we gɛt dis sik, ɔ wit sɔm pat dɛn na di bren/nɛvɔ sistɛm. Dat min se, sɔntɛm tru wan skrach, bayt, ɔ tru wan wund na di skin, ɔ tru di mukɔs mɛmbran dɛn lɛk di yay, nos, ɔ mɔt.

Di impɔtant tin na dat, pan ɔl we rabis kin kil pɔsin, na sik we pɔsin kin ebul fɔ avɔyd kpatakpata. I jɔs nid fɔ tek akshɔn kwik kwik wan.

Dis sik kin pas to mɔtalman ɛn to animal dɛn we wi kin mɛn (lɛk dɔg ɛn pusi) na wi os, mɔ if animal we gɛt di sik bit ɔ skrach wund.

Wetin kin rili apin we yu gɛt rabis?

Imajin se animal we gɛt rabis bit yu. di ``Rabies`` vayrus, we de insay di animal in saliva, de go insay yu bכdi tru di wund. Dɔn, dis vayrɔs de travul sloslo, bɔt i de travul , along yu nerv dɛm, to yu sɛntral nervous system, dat na yu bren ɛn spaynal kɔd .

Di rial prɔblɛm kin bigin we di vayrɔs rich na di bren. Na da tɛm de di bren kin bigin fɔ pwɛl, we kin mek i gɛt difrɛn nyurolɔjik sayn dɛn. As tɛm de go, dis sik kin mek i go na kɔma ɛn day. Na dat mek i rili denja.

Aw dis sik kin kɔmɔn?

Ɔlsay na di wɔl, i pas af milyɔn, ɔ lɛk 59,000 pipul dɛn we kin day pan rabis ɛvri ia. Bɔt na kɔntri dɛn lɛk Amɛrika, dis nɔ kin apin so ɔltɛm, nɔto tri pipul dɛn kin gɛt am ɛvri ia. Di rizin fɔ dis na bikɔs bɔku pipul dɛn kin gɛt di vaysin wantɛm wantɛm afta animal dɔn bit dɛn. Insay wi kɔntri bak, fɔ no bɔt dis ɛn fɔ gɛt tritmɛnt kwik kwik wan rili impɔtant.

Udat dɛn kin gɛt di sik we dɛn kɔl rabis pas ɔlman?

Dis sik kin bɔrku pasmak na di rural eria dɛm na Eshia ɛn Afrika. I de na ɔl kɔntinɛnt pas Antaktika. Insay Amɛrika, i kin bɔku pan wayl animal dɛn. Bɔt na bɔku ɔda kɔntri dɛn lɛk Sri Lanka, na dɔg dɛn kin gɛt am mɔ. Yɔŋ pikin dɛn kin gɛt dis sik pas big pipul dɛn, bikɔs dɛn kin ple wit animal ɛn sɔntɛnde dɛn nɔ kin ɔndastand di denja gud gud wan.

Aw Rabis De Afɛkt Wi Bɔdi

di joyn fכ dis vayrus frכm di wund to di bren de apin insay sεvεra stej dεm. Lɛ wi si wetin na dɛn stej dɛn de.

1. Di tεm we di vayrus de de na di bכdi (Incubation Period) .

Dis na di tɛm we i kin tek fɔ mek di vayrɔs go insay di bɔdi ɛn travul go na di nervɔs sistɛm. Dis tɛm kin kɔmɔt frɔm sɔm dez to sɔm wiks, ɔ ivin sɔm mɔnt. Insay dis tɛm, no sayn nɔr kin de. Bɔt if dɛn gi tritmɛnt insay dis ``inkubashɔn'' tɛm, dat na bifo di simptom dɛn sho, dɛn kin stɔp di divɛlɔpmɛnt fɔ rabis kpatakpata.

2. Prodromal fεz

naw di `(RABV)` vayrus de travul along di nεv sεl dεm εn i de go insay di bren εn di spεnal kכd. As i de du dat, i de pwɛl di nerv dɛn. dis `(Prodromal phase)` de bigin we di vayrus go insay di nεv sεstem. Dɔn wi bɔdi in imyun sistɛm kin bigin fɔ fɛt am, we kin mek wi gɛt sayn dɛn lɛk kol lɛk fiva ɛn bɔdi pen . Dɔn bak, yu kin fil lɛk se yu nɔ gɛt bɛtɛ trɛnk, yu kin fil pen, ɛn it na di say we yu bit yu. Dis tɛm kin te frɔm tu to tɛn dez. Di sɔri tin na dat, wans yu rich dis stej, i kin lɛf smɔl fɔ lɛ yu gɛt ɛni tritmɛnt we go wok fayn.

3. Akyu nyurolɔjik faz

na dis stej, di `(Rabies)` vayrus de bigin fכ damej di bren εn di spεnal kכd. Na dis tɛm, di sayn dɛm kin apia tu men we dɛm:

• Furious Rabies: Dis kin apin to lɛk tu-tɛd pan pipul dɛm. I kin mek i nɔ de rɛst, i kin mek i vɛks, i kin gɛt sik , ɛn i nɔ kin no natin.
• Paralytic Rabies: Dis kin apun to ɔda pipul dɛm. Di bɔdi kin paralayz ɛn nɔ gɛt layf. I kin bigin na di say we di pɔsin bit am ɛn afta dat i kin go na ɔda pat dɛn na di bɔdi.

Akyu rabis kin te frɔm sɔm dez to wan wik. Paralaytik rabis kin las fɔ wan mɔnt.

4. Kɔma stet

Bɔrku pipul dɛn kin fɔdɔm na kɔma na di las stej dɛm fɔ di sik. Dɔn, pɔsin kin day bikɔs ɔf rabis.

Wetin na di sayn dɛm fɔ Rabies?

Bɔku tɛm, di vayrɔs nɔ kin sho ɛni sayn fɔ sɔm wiks afta i dɔn go insay di bɔdi. na we di vayrus rich di sεntri nεv sεstem (dat na, di tεm we di `prodromal phase`) de simptom dεm we lεk kol de sho. insay di las stej dεm, di simptom dεm we de fכm di nεv sεstem (bren) de sho.

Prodromal simptom dεm

• Fiva
• Taya we yu taya
• Animal bayt wund inflameshn, it , numbness , pen
• Kɔf
• Trot de at
• Mɔsul dɛn kin pen
• VɔmitƐn fɔ vɔmit
• Rɔnbɛlɛ

Akyu nyurolɔjik simptom dɛn

Dɛn tin ya kin bi ``Furious'' ɔr ``Paralytic.'' Di sayn dɛm fɔ siriɔs rabis kin kam wantɛm wantɛm, kin stɔp afta sɔm tɛm, ɛn kin kam bak.

Di sayn dɛm fɔ Furious rabies

• Agresiv ɛn rɛstlɛs bihayvya
• We pɔsin nɔ de rɛst
• Di sik dɛn we kin mek pɔsin sik
• Hallucinations, fɔ si /yɛri tin dɛn we nɔ de
• Di mɔsul dɛn we de twitch (Fasciculations) .
• Fiva
• At bit kwik kwik wan (Tachycardia) .
• Fɔ blo kwik kwik wan (Hyperventilation) .
• Fɔ pul wata pasmak
• difrεns pan di sayz fכ di ayris fכ di tu yay dεm (Anisocoria) .
• Fes palsi we pɔsin kin gɛt
• Fɔ fred wata/drin wata (Hydrophobia) – Dis na di men sayn
• Aerophobia na di fred fɔ briz na yu fes.
• Delirium we gɛt di sik

Di sayn dɛm fɔ Paralaytik Rabies

• Fiva
• Ed de at
• Nek stiffness
• di wet we yu bכdi de lכs (sεf fכ stat na di say we di animal bit εn i go spre to כda pat dεm na di bכdi) .
• Numbness, wan filin lɛk se ant de kray rawnd
• Paralayz we pɔsin kin gɛt
• Kɔma stet

Wetin mek wi kin gɛt rabis?

di rizin fכ dis na wan vayrus we dεn kכl `(RABV)`. Dis vayrɔs de travul along di nɛv dɛm na wi bɔdi ɛn i de pwɛl di nerv dɛm. Di spɛshal tin na dat dis vayrɔs de ayd frɔm wi imyun sistɛm te i rich na di bren. Na afta i rich na di bren nɔmɔ i kin pwɛl ɛn leta i kin kil.

Aw dɛn kin pas di sik we dɛn kɔl rabis?

Dɛn kin si rabis pan animal dɛn we gɛt wam blɔd (mammal), mɔ na dɛn saliva. Bɔku tɛm, i kin pas tru di bayt we animal we gɛt di sik bit.

Dɛn kin si am mɔ pan animal dɛn lɛk bat, skunks, rakun, ɛn fɔks. Bɔt yu kin si am bak pan animal dɛn we dɛn kin mɛn lɛk dɔg ɛn pusi. Yu kin gɛt rabis if ivin smɔl kɔt na yu skin kam nia di saliva fɔ animal we gɛt di sik.

Na smɔl tɛm nɔmɔ, i dɔn pas bak we dɛn de transplant ɔgan (ɔgan doneshɔn).

Us animal dɛn kin gɛt rabis mɔ?

I kin de mɔ pan wayl animal dɛn, mɔ di bat dɛn. Na divɛlop kɔntri dɛm, dat na kɔntri dɛm lɛk wi yon, bɔku pipul dɛn kin gɛt rabis frɔm dɔg dɛm na os (especially stray dogs).

Insay kɔntri dɛn lɛk Amɛrika, bɔku tɛm na bikɔs bat kin bit dis. Di wund we bat bit kin mek i rili smɔl, i kin tan lɛk pensil tip. So sɔntɛnde, nɔbɔdi nɔ kin ivin no se bat dɔn bit dɛn. Bikɔs ɔf dat, .If yu dɔn gɛt ɛni kayn kɔlishin wit bat, ɔ if yu de dawt if dɛn bit yu ɔ nɔ bit yu, yu fɔ rili go to dɔktɔ.

Aw dɔktɔ dɛn kin no se pɔsin gɛt rabis? (Diagnosis) .

Nɔr lɛk ɔda sik dɛm, i nɔr fayn fɔ wet te yu gɛt sɔm sayn dɛm fɔ no se yu gɛt rabis. If wayl animal ɔ animal we yu tink se go gɛt rabis dɔn bit yu ɔ skrach yu, go to dɔktɔ wantɛm wantɛm. Dɛn go chɛk yu wund, aks kwɛstyɔn, ɛn disayd if yu nid tritmɛnt fɔ rabis.

Di dɔktɔ kin aks kwɛstyɔn dɛn lɛk dɛn wan ya:

• Aw yu bin gɛt injury?
• Us kayn animal we de wach ɔ we de wach?
• Yu go ebul fɔ chɛk da animal de ɔ wach am fɔ sɔm dez?

If dɛn tink se animal gɛt rabis, dɛn kin wach di animal fɔ lɛk 10 dez, if i pɔsibul, ɔ dɛn kin tɛst am (fɔ tɛst di animal, dɛn fɔ kil am).

Test fɔ no if pɔsin gɛt di sik

Afta di sayn dɛn dɔn sho, dɛn kin du dɛn tɛst ya:

• Saliva test: Dɛn kin tek saliva sɛmpul ɛn sɛn am na lab fɔ luk fɔ sayn dɛm fɔ rabis.
• Skin biopsy: Dɛn kin tek wan smɔl pat pan di skin frɔm di bak pat na di nɛk ɛn sɛn am na di lab.
• sεribrospεnal fכluid tεst (Lumbar Puncture): dεn kin tek dis wata frכm di lכw bכk wit nidul εn sεn am fכ tεst.
• Blɔd tɛst: Dɛn kin tek blɔd sɛmpul fɔ chɛk fɔ si if i gɛt antibodi.
• Magnɛtik rɛsɔnans imej (MRI) skan: I de tek pikchɔ dɛn na di bren fɔ ɛp fɔ no wetin mek di sik de kam.

Wetin na di tritmɛnt fɔ rabis?

Nɔr tritmɛnt nɔr de we dɛn dɔn gri fɔ gi rabis wans di sayn dɛm dɔn sho. Na dat mek wi se, if yu tink se yu go dɔn gɛt di vayrɔs (bay we dɛn bit yu, skrach yu, ɔ yu gɛt kɔntakt wit animal we sik), go to dɔktɔ kwik kwik wan.

Wash di wund fayn fayn wan wit sop ɛn wata fɔ at le 15 minit . If i pɔsibul, yuz 10% povidɔn-ayodin sɔlvushɔn. Aks yu dɔktɔ fɔ ɔda advays bɔt aw fɔ klin di wund.

Di dɔktɔ go gi yu sɔm vaysin fɔ mek yu nɔ gɛt rabis we di rabis vayrɔs kin kam wit. If yu nɔr ɛva gɛt rabis vaysin bifo, dɛn go gi yu bak antibodi tritmɛnt dairekt to di wund.

Mɛrɛsin fɔ pɔsin we dɛn tink se gɛt kɔntakt

Dɛn kɔl dis post-exposure prophylaxis (PEP). Dɛn mɛrɛsin ya kin stɔp di vayrɔs fɔ rich na di bren.

• Rabis vaysin: .Dɛn kin gi 4 dos dɛn fɔ 14 dez. If yu dɔn gɛt prɛ-ɛksplɔshɔn vaysin bifo, na tu dos nɔmɔ dɛn kin gi yu. Dis vaysin de tich yu bɔdi fɔ pwɛl di rabis vayrɔs bifo i rich yu bren.
• Human rabies immune globulin (HRIG): Dɛn kin gi dis rawnd di wund. HRIG de gi antibodi dεm dairekt to yu bכdi fכ kil di vayrus nia di wund te yu bכdi in imyun sistεm bigin fכ wok. Dɛn nɔ de gi yu HRIG if dɛn dɔn gi yu di vaysin bifo.

Di sayd ɛfɛkt dɛn we di tritmɛnt kin gɛt

Rabies vaysin kin mek smɔl smɔl sayd ɛfɛkt dɛn:

• Pen, it, swel na di say we dɛn injekt
• Vɔmit
• Ed de at
• Mɔsul dɛn kin pen
• Diziz we pɔsin kin gɛt

If yu gɛt siriɔs sayd ɛfɛkt, tɛl yu dɔktɔ.

Wetin a fɔ du if animal we dɔn bit mi ɔ skrach mi wund?

• Wantɛm wantɛm, was di wund fayn fayn wan wit sop ɛn wata we de rɔn (fɔ at le 15 minit). If i pɔsibul, yuz 10% `Povidone-iodine` sɔlvushɔn.
• Kɔntakt dɔktɔ ɔ yu lokal pɔblik wɛlbɔdi ɔfis kwik kwik wan. Ɛksplen wetin apin ɛn gi ɔl di ditil dɛm we yu no bɔt di animal (na bin wayl animal? na bin animal fɔ mɛn? us kayn animal? aw i bin de biev?).
• Aks di dɔktɔ aw fɔ klin di wund fayn fayn wan ɛn if dɛn nid fɔ gɛt rabis vaysin.
• If wayl animal we de fɛt wɔ atak, tɛl di animal dɛn we de kɔntrol am.

Wetin mek no mɛrɛsin nɔ de fɔ mɛn rabis?

No mɛrɛsin nɔ de fɔ mɛn rabis wans di vayrɔs dɔn rich na di bren, bikɔs di blɔd ɛn bren barɛri de protɛkt am .

di ``blכd-bren barεri'' na wan protεktiv mεmbran bitwin yu bren εn di bכdi vεsul dεm na yu ed. I tan lɛk fayn fayn filta. I de stɔp pɔyzin ɛn tin dɛn we denja fɔ kam insay yu bren frɔm yu blɔd.

Pan ɔl we di wan dɛn we de stɔdi bɔt dis nɔ shɔ yet, di rabis vayrɔs de tayt dis barɛri mɔ, so drɔgs we go kil di vayrɔs nɔ kin ebul fɔ go insay di bren.

Aw fɔ protɛkt yusɛf frɔm Rabies? (Prɛvenshɔn) .

Dɛn kin ebul fɔ avɔyd rabis kpatakpata.

• Mek shɔ se yu animal dɛn we yu de mɛn (dɔg, pusi) de ɔp-to-dɛt bɔt dɛn rabis vaysin.
• Nɔ mek yu animal dɛn kɔmɔt de dɛn wan we yu nɔ gɛt pɔsin fɔ kia fɔ dɛn.
• Stay away frɔm wayl animal dɛn. Nɔ ol animal dɛn we wund ɔ tray fɔ ol wayl animal dɛn.
• If bat de na rum usay pɔsin de slip, tek am se na bat bit di pɔsin. Bat bayt dɛn kin rili smɔl ɛn dɛn kin dɔn kwik kwik wan. So go to dɔktɔ.
• If yu tink se wayl animal dɔn bit yu ɔ skrach yu ɔ ɔda we we yu gɛt rabis, go to dɔktɔ wantɛm wantɛm.
• If yu gɛt ay risk fɔ gɛt rabis (lɛk vetɛriana, animal kɔntrol ɔfisa), i fayn fɔ gɛt sɔm vaysin bifo yu gɛt di sik (Pre-exposure prophylaxis – PREP).

Prε-εkspכzishכn prכfylaksis (PREP) .

If yu gɛt bɔku risk fɔ gɛt rabis, i bɛtɛ fɔ mek yu gɛt di vaysin bifo yu gɛt di sik. dis dεn kכl am ``Prε-εkspכzכn prכfylaksis (PREP)``. Dis na wan siriɔs tu shot. Aw ɔltɛm yu nid ``Booster`` shot de dipen pan yu risk.

Pipul dɛn we gɛt ay risk:

• Pipul dɛn we de wok wit wayl ɔ domestik animal dɛn (vetɛriana, wayl animal ɔfisa, animal kipa).
• Pipul dɛn we kin go bɔku tɛm na say dɛn usay bat kin de ɛn usay dɛn kin kev.
• Pipul wae de woke na lab wae de woke wit de rabies virus.
• Pipul dɛn we de travul go na say dɛn usay rabis kin bɔku pan dɔg.

Wetin yu kin ɛkspɛkt if yu gɛt rabis?

If yu gɛt rabis, yu go nid fɔ gɛt di vaysin lɛk tu wiks afta dat. Di vaysin kin mek smɔl smɔl sayd ɛfɛkt, lɛk pen na di say we dɛn injekt ɛn nɔ kin fil fayn.

Yu kin sev frɔm rabis?

Yɛs, yu kin avɔyd rabis if yu gɛt tritmɛnt insay sɔm dez afta yu dɔn gɛt am, bifo yu si di sik. Bɔt, wans yu gɛt rabis, we min se yu gɛt sɔm sayn dɛm, nɔr fayn tritmɛnt nɔr de. If dɛn nɔ gi yu di vaysin kwik kwik wan ɛn tritmɛnt fɔ di antidɔt, i kin kil pɔsin ɔltɛm.

Aw lɔŋ yu kin liv wit rabis?

Pipul kin nɔr gɛt ɛni sayn fɔ sɔm wik, ivin sɔm mɔnt, afta dɛn dɔn gɛt dis sik. Bɔt, day kin apin insay sɔm dez afta di sik bigin.

Ustɛm yu fɔ go to dɔktɔ if animal bit yu wund ɔ if yu dɔn gɛt rabis?

I nid fɔ tek am wantɛm wantɛm. Fɔ gɛt rabis na imejensi.

If na so i bi, go to dɔktɔ kwik kwik wan:

• If wayl animal wund yu, lɛk we dɛn bit yu ɔ skrach yu.
• If ɛni animal we yu tink se kin gɛt rabis bit yu ɔ skrach yu.
• If bat de na rum usay pɔsin bin de slip.
• If yu tink se yu kin dɔn gɛt rabis pan ɛni ɔda we.

Rɛdi fɔ ansa kwɛstyɔn dɛn lɛk aw yu wund, us kayn animal i bi, ɛn if yu kin wach di animal fɔ sɔm dez.

Ustɛm a fɔ go na di ER (Imejɛnsi Rum)?

If di wund dip, if di blɔd nɔ stɔp, ɔ if di wund de na yu fes ɔ yu nɛk, go na imejensi rum wantɛm wantɛm.

Us kwɛstyɔn dɛn a fɔ aks di dɔktɔ?

• Wetin na di bɛst we fɔ klin wund?
• A nid fɔ gɛt vaysin bikɔs a bin gɛt rabis?
• Aw mi vaksin schedule de?
• Wetin go apin if a fɔ gɛt vaysin ɔda de?
• A kin gɛt mɔ risk fɔ gɛt rabis?
• A nid fɔ go pan prɛ-ɛksplɔshɔn prɔfylaksis (PREP) schedule?

Ɔl dɔg gɛt rabis?

Rabis na kɔmɔn tin fɔ dɔg dɛn na di divɛlɔp rijyɔn dɛn na Eshia ɛn Afrika. Bɔt na divɛlɔp kɔntri dɛn lɛk Amɛrika, Kanada, ɛn Wɛstin Yurop, dɛn nɔ kin si rabis pan dɔg dɛn we dɛn kin mɛn na os. Insay wi kɔntri, i rili impɔtant fɔ tek tɛm wit dɔg dɛn we nɔ de waka ɛn dɔg dɛn we nɔ gɛt di rayt vaysin.

Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .

Rabis na wan sik we rili siriɔs, we kin kil pɔsin ɔltɛm. Bɔt, fɔtunate wan, dɛn kin ebul fɔ avɔyd am kpatakpata if dɛn trit am kwik kwik wan. If yu tink se animal dɔn bit yu ɛn yu dɔn gɛt rabis , nɔ shem fɔ go to dɔktɔ wantɛm wantɛm. I go ɛp fɔ sev yu layf. Nɔ fɔgɛt fɔ gi yu animal dɛn vaysin di rayt tɛm.