Rubella (German Measles): Yu no bɔt dis? Lɛ wi tɔk ditayli!

Yu go mɔs mɛmba wan sik we kin mek yu gɛt smɔl fiva ɛn smɔl smɔl rɛd blista dɛn ɔlsay na yu fes ɛn bɔdi. Sɔm pipul dɛn kin kɔl am bak ‘Jaman mizɛl’. Na dat wi go tok abaut tide, Rubella. Fɔs, yu go tink se, ‘O, dis na jɔs smɔl mizɛl.’ Bɔt dis nɔto sik we dɛn fɔ tek am layt, mɔ if i afɛkt mama we gɛt bɛlɛ, bikɔs i kin rili siriɔs fɔ di pikin we de na di bɛlɛ . So, mek wi lan ɔltin bɔt dis rubella, nɔto so?

Wetin na Rubɛla? Fɔ tɔk am simpul wan...

Rubɛla na wan sik we pɔsin kin pas . Na wan vayrɔs we dɛn kɔl `(RuV vayrɔs)` de mek am. Wan pan di men sayn dɛm fɔ dis na we yu bɔdi de rɔsh. Fɔ tɔk di kɔrɛkt tin, dɛn rɛd rɛd rash ya kin bigin na yu fes ɛn afta dat i kin skata ɔlsay na yu bɔdi. Dis na di rizin we mek sɔm pipul dɛn kin kɔl am ‘Jaman mizɛl’ ɔ ‘tri de mizɛl’ . Bɔt dis nɔto di sem wit di kɔmɔn mizɛl we wi no, bɔt di vayrɔs we de mek i kam, di rubɛla vayrɔs, bɛtɛ. So nɔ kɔnfyus dɛn tu sik ya.

Di tin we impɔtant pas ɔl na dat if mama gɛt rubɛla we i gɛt bɛlɛ, di pikin kin gɛt siriɔs wɛlbɔdi prɔblɛm . Wi go tɔk bɔt dat leta.

Wetin na di Congenital Rubella Syndrome (CRS) we pɔsin kin gɛt?

Dis na di tin we de mek pɔsin denja pas ɔl fɔ gɛt rubɛla. `(Congenital Rubella Syndrome)` ɔ `(CRS)` min se we mama we gɛt bɛlɛ gɛt rubella, di vayrɔs kin pas to di pikin we de na di bɛlɛ. Imajin, if dis sik pas frɔm mama to pikin, di pikin kin gɛt bad bad tin dɛn lɛk prɔblɛm wit in skin, i nɔ kin yɛri fayn, i nɔ kin si fayn, i kin gɛt at sik, ɛn i kin gɛt prɔblɛm dɛn we gɛt fɔ du wit in bren we i bɔn am. Na dat mek mama dɛn we gɛt bɛlɛ fɔ tek tɛm mɔ bɔt dis.

Rubella ɛn mizɛl na di sem tin?

Nɔ, dɛn sik ya na tu difrɛn sik dɛn . Pan ɔl we di sayn dɛn we pɔsin kin gɛt fiba, na tu difrɛn kayn vayrɔs dɛn kin kam wit dɛn tu sik ya . So i bɛtɛ lɛ wi nɔ kɔnfyus di tu, nɔto so?

Udat dɛn kin gɛt di sik we dɛn kɔl rubella pas ɔlman? Aw i kɔmɔn?

Fɔ tru, ɛnibɔdi kin gɛt rubɛla. bכt lεk aw wi bin se, di mכst siriכs impak na di pikin dεm we mama dεn bכn we gεt rubεla we dεn bεlε, we dεn kכl `(Congenital Rubella Syndrome - CRS)`.

Pan ɔl we wi nɔ ɔfishal wan deklare se rubɛla dɔn dɔnawe wit am na Sri Lanka lɛk aw wi dɔn du am na Amɛrika, di sik we de prɛd dɔn go dɔŋ bad bad wan naw bikɔs ɔf di vaksin. Bɔt dɛn stil de si rubɛla na sɔm kɔntri dɛn na di wɔl, mɔ na kɔntri dɛn lɛk Eshia, Afrika, ɛn di Midul Is. So, i fayn fɔ mek yu no dis if yu de travul go ɔda kɔntri.

Wetin na di sayn dɛm wae de sho se yu gɛt rubɛla?

Di men sayn we de sho se pɔsin gɛt rubɛla na we i gɛt rash . Dis kin bigin na di fes ɛn i kin spre dɔŋ di bɔdi. Na yɔŋ pikin dɛm, di rash kin bi di fɔs sayn fɔ sho. Bɔt pan big pikin ɛn big pipul dɛn, di rash nɔ kin apin te sɔm dez afta ɔda sayn dɛn dɔn sho.

Jɔs tink bɔt, sɔmtɛm, te to 50% pan pipul dɛm kin gɛt rubella wae nɔr kin sho ɛni sayn . Bɔt dɛn kin stil spre di sik to ɔda pipul dɛn. Dat kin mek pɔsin fred smɔl, nɔto so?

Dis na di kɔmɔn sayn dɛm wae de sho se yu gɛt rubɛla:

• Rɛd spat (fɔs na di fes, dɔn ɔlsay na di bɔdi) .
• Wan smɔl fiva.
• Kɔf
• Trot de at
• Nɔs we de rɔn
• Ed de at
• Rɛd na di yay (Pink yay / Kɔnjɔktiviti) .
• Pen na di jɔyn dɛn
• Malaise (malaise) .
• di limf no dεm we swεla (lεk na di nεk, di armpit dεm) .

Wetin kin mek pɔsin gɛt rubɛla?

di men tin we de mek yu gɛt rubɛla na wan vayrɔs we dɛn kɔl `(RuV vayrɔs)` . Vayrɔs na rili smɔl smɔl tin dɛn we gɛt layf. Dɛn nɔ go ebul fɔ liv fɔ dɛnsɛf. Wetin dɛn kin du na fɔ go insay mɔtalman, animal, ɔ plant in sɛl dɛn ɛn yuz dɛn sɛl dɛn de fɔ mek mɔ kɔpi fɔ dɛnsɛf. Fɔ tɔk am simpul wan, dɛn kin ambɔg wi bɔdi.

Yu tink se rubɛla kin pas? Aw i kin pas?

Yɛs, rubɛla na sik we pɔsin kin pas . I kin pas frɔm pɔsin to ɔda pɔsin tru di drɔp dɛn we gɛt di vayrɔs we kin kɔmɔt na di ays we pɔsin de blo, kɔf, ɔ sniz. I kin spre bak bay we yu tɔch say dɛn we dɔn gɛt di vayrɔs ɛn afta dat yu tɔch dɛn nos ɔ dɛn mɔt.

di tin we impɔtant pas ɔl na dat i kin pas bak frɔm mama we gɛt bɛlɛ to in pikin we de na di bɛlɛ . Sɔmtɛm, pɔrsin kin spre rubella wae nɔr gɛt ɛni sayn.

Bɔrku tɛm, rubɛla kin pas wan wik bifo ɛn wan wik afta di rash dɔn .

Yu tink se big pipul dɛnsɛf kin gɛt rubɛla?

Yɛs, rubɛla kin pas ɛn i kin gɛt am frɔm yɔŋ pikin dɛn, ɔda big pipul dɛn, ɔ ivin big pipul dɛn.

Wetin kin apin if yu gɛt rubɛla we yu gɛt bɛlɛ?

Dis na di impɔtant tin we wi nid fɔ pe atɛnshɔn to . If yu gɛt bɛlɛ, mɔ if yu gɛt rubɛla insay di fɔs tri mɔnt , yu pikin de pan rili ay risk fɔ gɛt di sik we wi bin dɔn tɔk bɔt bifo tɛm, we na Congenital Rubella Syndrome (CRS).

Bɔt gud nyus de! If yu gɛt vaysin agens rubɛla bifo yu gɛt bɛlɛ, yu kin protɛkt yu pikin frɔm dis sik (CRS).

wetin i min if rubella tεst we uman bεlε na ``Positiv''?

If yu nɔ gɛt ɛni sayn, ɛn yu dɔktɔ du blɔd tɛst fɔ rubella bifo ɔ we yu gɛt bɛlɛ, dɛn go chɛk fɔ si if yu gɛt antibodies fɔ rubella. Dɛn antibodi ya na spɛshal prɔtin dɛm we wi bɔdi kin mek we sɔntin we bad kam insay wi bɔdi fɔ fɛt am.

So, if yu rubella antibody test na ``Positive'', i min se yu bin dɔn gɛt rubella bifo ɔ yu dɔn gɛt vaysin fɔ am. Bɔt i min bak se yu nɔ gɛt rubɛla ɛn i nɔ go izi fɔ gɛt am igen. Dat na rili gud tin we uman gɛt bɛlɛ.

Wetin na di sayn dɛm fɔ di sik we dɛn kɔl `(CRS)`?

yu kin si di simptom dεm fכ congenital rubella syndrome (CRS) we dεn bכn am . If yu gɛt rubɛla we yu gɛt bɛlɛ, yu pikin kin bɔn wit wan ɔ mɔ pan dɛn sayn ya:

• Di yay we de lɔs ɔ we de pwɛl: Na bikɔs ɔf tin dɛn lɛk katarakt ɛn di yay prɛshɔn we de go ɔp (glaucoma).
• Di we aw pɔsin kin yɛri kin lɔs ɔ we i nɔ kin yɛri igen.
• At we nɔ fayn.
• di chenj dεm we de apin to di bren: di bren nכ de divεlכp fayn fayn wan, we min se dεn bכn am wit sכm bren (maycrocephaly), di bren de inflameshn, di chenj dεm we i de lan εn di bihayvya.
• Sik dɛn we de na di bon dɛn.
• di kכmכpכnt dεm na di bכdi we dεn dכn dכn: di blכd pletlet dεm we de dכn (thrombocytopenia), anemia (hεmolytic anemia).
• Tayrɔyd sik.
• di liva εn di splin big (`(hepatosplenomegaly)`).
• Tayp 1 dayabitis (`(Tayp 1 dayabitis / insulin-dipɛndent dayabitis)`).

Aw yu go no if yu gɛt rubella?

Fɔ no fɔ tru if yu gɛt rubɛla, yu dɔktɔ go fɔs chɛk yu ɛn chɛk fɔ ɛni sos na yu bɔdi. Apat frɔm dat, dɛn kin tɛst yu blɔd, yu urine, ɔ yu nos ɔ yu trot fɔ si if ɛni sayn de fɔ di rubella vayrɔs.

Us kayn tɛst dɛn kin du?

Dɛn kin yuz dɛn tɛst ya fɔ no if pɔsin gɛt rubɛla:

• Blɔd tɛst : Dɛn kin put smɔl nidul insay wan vein na yu an ɛn tek wan sɛmpul pan yu blɔd. Dis de chɛk fɔ antibodies to rubella. Dis kin no if yu gɛt dis sik naw, yu dɔn gɛt am trade, ɔ yu dɔn gɛt di vaysin.
• Nasal ɔ trot swab : Di dɔktɔ go tek wan swab frɔm yu nos ɔ trot. Di lab go tɛst am fɔ si if di rubella vayrɔs de.
• Yurin tɛst : Dɛn go aks yu fɔ pis insay klin kɔp. Dɛn go sɛn di urine sɛmpul to lab fɔ mek dɛn tɛst am fɔ di rubella vayrɔs.

Wetin i min if di rubella test na ``Positive``?

If sεmpl we dεn tek frכm yu nos, trot, כ urine sεmpl kam bak ``positiv'', i min se yu gεt rubella naw .

Bɔt if blɔd tɛst we dɛn du we yu nɔ sik kam bak ``positiv``, dat min se yu gɛt antibodies agens rubella na yu bɔdi.I min se i de de. Antibodi dεm na spεshal protin dεm we kin no invayda dεm lεk vayrus εn baktri dεm. So, if yu gɛt antibodies ``(Positive)`` we yu nɔ sik, dat min se yu dɔn gɛt rubella bifo, ɔ yu dɔn gɛt vaysin, ɛn naw yu gɛt imuniti to am. Dis min se yu bɔdi in imyun sistɛm no aw fɔ pwɛl di vayrɔs if i kam bak.

Aw dɛn kin trit rubɛla?

No patikyula tritmɛnt nɔ de fɔ rubɛla. Bɔku tɛm, i kin sɔlv fɔ insɛf insay sɔm dez. Yu kin trit yu sik na os wit mɛrɛsin wae nɔr de na kɔt.

Bikɔs rubɛla kin pas, yu dɔktɔ go tɛl yu fɔ de fa frɔm ɔda pipul dɛn (`(quarantine)`) fɔ mek di sik nɔ bɔku.

Aw fɔ kɔntrol di sayn dɛn we pɔsin kin gɛt?

Bɔrku tɛm, dɛn kin ebul fɔ kɔntrol di rubɛla simptom dɛm na os. Yu kin yuz mɛrɛsin fɔ mɛn yu pen lɛk paracetamol, kɔf ɛn kol mɛrɛsin, ɛn ɔda tin dɛn Bɔt i bɛtɛ fɔ aks yu dɔktɔ bɔt di bɛst tritmɛnt fɔ yu sik dɛn.

Impɔtant: If yu smɔl pikin gɛt rubɛla, nɔ gi am ɛni mɛrɛsin we yu nɔ aks dɔktɔ fɔs.

Aw dɛn kin trit da `(CRS)` kɔndishɔn de?

Di tritmɛnt fɔ congenital rubella syndrome (CRS) kin difrɛn difrɛn wan bay aw i siriɔs . Sɔm sik dɛn kin trit wit mɛrɛsin ɔ ɔpreshɔn. Bɔt sɔm tin dɛn we kin pwɛl kin de sote go . If na so i bi, ɔl wetin dɛn kin du na fɔ kɔntrol di sik ɛn ɛp fɔ mek pɔsin gɛt di bɛst kwaliti fɔ liv.

Aw yu go mek yu nɔ gɛt rubella?

Di bɛst ɛn impɔtant we fɔ mek yu nɔ gɛt rubɛla na fɔ gi yu vaysin . Dat min se yu fɔ gɛt ɛni wan pan di MMR vaysin ɔ di MMRV vaysin. Apat frɔm dat, yu kin du dɛn tin ya bak fɔ protɛkt yusɛf frɔm rubɛla:

• Was yu an ɔltɛm, mɔ we yu sik.
• Nɔ sheb yu yon tin dɛn lɛk kɔp ɛn plet wit ɔda pipul dɛn .
• Kɔba yu mɔt ɛn nos we yu de sniz ɔ kɔf.
• If yu de travul go ɔda kɔntri, tray fɔ no bifo tɛm if sik dɛn we pɔsin kin gɛt lɛk rubɛla kin bɔku na da kɔntri de.
• If yu de plan fɔ bigin famili , dat na fɔ bɔn pikin, i rili impɔtant fɔ gɛt di rubella vaysin, ɔ fɔ mek dɛn tɛst yu fɔ rubella antibodies, at le wan mɔnt bifo yu tray fɔ gɛt bɛlɛ .

Wetin na di vaysin fɔ rubɛla?

Dɛn kin gi di rubɛla vaysin as di `MMR` vaysin ɔ di `MMRV` vaksin.

• `MMR` vaksin we dɛn kin yuz: Dis kin mek yu protɛkt yu frɔm ɔl di tri sik dɛn: Mizɛl, Mɔmp, ɛn Rubɛla. Ɛnibɔdi we pas 12 mɔnt kin gɛt dis vaysin.
• `MMRV` vaysin : Dis de gi protɛkshɔn agens ɔl di 4 sik dɛm: mizɛl, mɔmp, rubɛla, ɛn chukchuk (`(Chickenpox / Varicella)`). Bɔt dɛn kin jɔs gi dis vaysin to pikin dɛn we ol bitwin 12 mɔnt ɛn 12 ia .

Udat kin gɛt di rubella vaysin? Udat nɔ fɔ gɛt am?

Bɔrku pikin ɛn big pipul dɛm wae dɔn pas 12 mɔnt kin gɛt di rubɛla vaysin. Bɔt sɔm pipul dɛn nɔ nid di vaysin, ɛn ɔda wan dɛn nɔ kin fit fɔ gɛt am.

Yu nɔ nid di rubɛla vaysin if:

• If yu dɔn ɔlrɛdi gɛt di vaysin (yu kin nid fɔ rayt pruf fɔ dis we yu de travul, go skul, ɔ wok).
• If yu blɔd tɛst kɔnfirm se yu gɛt rubella antibodies (we min se yu nɔ gɛt rubella).
• If yu bɔn bifo 1957. Bikɔs dɛn biliv se ɔlmost ɔlman we dɛn bɔn bifo di vaysin bin dɔn gɛt rubɛla. (Dis kin apin to Sri Lanka to sɔm mak, bɔt i bɛtɛ fɔ aks dɔktɔ).

Masta sabi pipul dɛn se i nɔ fayn fɔ gɛt di rubɛla vaysin pan dɛn kayn tin ya:

• If yu gɛt alɛji fɔ ɛnitin we de insay di vaysin .
• If yu gɛt bɛlɛ .
• If yu imyun sistɛm wik (`(wik imyun sistɛm)`) - fɔ ɛgzampul, bikɔs ɔf `(HIV/AIDS)`, kansa, ɔ sɔm mɛrɛsin dɛn we yu de tek.
• If dɛn jɔs dɔn gi yu blɔd , aks yu dɔktɔ if yu fɔ put di vaysin bifo tɛm .
• If yu gɛt TB (Tuberculosis) .
• If yu dɔn gɛt ɛni ɔda vaysin insay di las 4 wiks .

If yu brus izi, blɔd izi, ɔ gɛt ɛni famili mɛmba we gɛt prɔblɛm wit di imyun sistɛm, mek shɔ se yu tɔk to dɔktɔ bifo yu gɛt di rubɛla vaysin.

Wetin a fɔ ɛkspɛkt if a gɛt rubɛla? Aw lɔng i go las?

Rubɛla kin prɛzɛnt lɛk wan sik wae nɔr bɔrku ɛn wae kin sɔlv fɔ insɛf. Bɔt i kin pas tu wiks, so i bɛtɛ fɔ de fa frɔm ɔda pipul dɛn as yu ebul we yu gɛt di sik ɛn fɔ wan wik afta di rash dɔn klin.

If yu gɛt rubɛla we yu gɛt bɛlɛ, tɔk to yu dɔktɔ bɔt aw i go afɛkt yu pikin we de na yu bɛlɛ.

Di sayn dɛm fɔ rubɛla kin las fɔ lɛk tri dez . Ɔda sayn dɛm kin te frɔm sɔm dez to lɛk wan wik.

Ustɛm a kin go bak na wok/skul?

Rubɛla kin pas fɔ te wan wik afta di rash dɔn bigin. So if yu gɛt rash ɔ ɛni ɔda sayn, nɔ go wok ɔ skul. Bifo yu go bak, aks yu dɔktɔ, yu wokples, yu skul, ɔ yu pikin in skul wetin fɔ du.

Wetin na di prɔblɛm dɛn we pɔsin kin gɛt we i gɛt rubɛla?

di kכmכn εn siriכs kכmplikεshכn dεm f כ rubεla na we uman kin bכn pikin εn di congenital rubella syndrome (CRS) we wi bin tכk bכt. CRS kin apin pan pikin dεm we mama dεn bכn we gεt rubεla we dεn bεlε.

Apat frɔm dat, di prɔblɛm dɛn we nɔ kin apin so ɔltɛm na:

• Atraytis we pɔsin kin gɛt
• di blɔd pletlɛt dɛn we nɔ de bɔku (thrombocytopenia) .
• Di bren we de swel (ɛnsɛfalaytis) .

Yu tink se rubɛla kin mek uman gɛt bɛlɛ?

Yɛs, if uman we gɛt bɛlɛ gɛt rubɛla, i kin gɛt bɛlɛ. Dɔn bak, di pikin kin gɛt prɔblɛm dɛn we dɛn bɔn am lɛk katarakt, at sik, ɛn we i nɔ de yɛri fayn.

Ustɛm a fɔ go to dɔktɔ bɔt rubɛla?

If yu ɔ yu pikin gɛt rubɛla, go to yu dɔktɔ wantɛm wantɛm . If yu de plan fɔ gɛt bɛlɛ, tɔk to yu dɔktɔ bɔt aw fɔ protɛkt yusɛf frɔm rubɛla bifo yu gɛt bɛlɛ.

Ustɛm yu fɔ go na di imejensi rum (ER)?

If yu gɛt bɛlɛ ɛn yu gɛt ɛni wan pan dɛn sik ya, go to dɔktɔ wantɛm wantɛm, ɔ go na di imejensi rum we de nia yu:

• Blɔd we de kɔmɔt pasmak
• Bɛlɛ de pen
• Fiva
• Chills we de mek pɔsin kol

Us kwɛstyɔn dɛn yu fɔ aks di dɔktɔ?

Yu kin aks yu dɔktɔ kwɛstyɔn dɛn lɛk dɛn wan ya:

• Aw a go trit mi sik dɛn na os?
• Wetin a fɔ du fɔ mek a nɔ go skata rubɛla to ɔda pipul dɛn?
• Aw a go protɛkt misɛf frɔm rubɛla?
• If a gɛt bɛlɛ, ɔ a gɛt bɛlɛ, aw a go protɛkt mi pikin we nɔ bɔn yet frɔm rubɛla?
• A fɔ gɛt vaysin agens rubɛla?

Wetin na di difrɛns bitwin rubɛla, mizɛl, ɛn chukchuk?

Rubɛla, mizɛl, ɛn chukchuk kin tan lɛk, bikɔs dɛn ɔl kin mek pɔsin gɛt rash. Bɔt dɛn na tri difrɛn sik dɛn . Dɛn kin kam wit difrɛn kayn vayrɔs dɛn .

Us kayn vayrɔs na rubɛla?

Rubella na wan vayrɔs we de na di `(Rubivirus)` famili, we de insay di `(Matonaviridae)` famili. in jεnεtik infכmeshכn de insay `(RNA)`. dis vayrus gεt wan prכtektiv shεl (`(capsid)`) εn wan kכva (`(envכlop)`) we de εp am fכ go insay mכtalman sεl dεm. (Dis na sayɛns smɔl, bɔt i fayn fɔ no smɔl.)

Wan smɔl istri bɔt rubɛla ɛn vaysin

Trade, bifo dɛn fɛn vaysin fɔ rubɛla, bɔku pipul dɛn ɔlsay na di wɔl bin gɛt rubɛla. Da tɛm de, rubɛla, mɔ pan uman dɛn we gɛt bɛlɛ, bin gɛt fɔ du wit bɔku bɔku pipul dɛn we gɛt di sik we dɛn kɔl congenital rubella syndrome (CRS), we kin kɔmɔt na bɛlɛ, ɛn we pikin dɛn we jɔs bɔn kin day.

Bɔt afta dɛn bigin fɔ yuz di rubɛla vaysin (arawnd 1969), di nɔmba fɔ di wan dɛn we gɛt rubɛla ɔlsay na di wɔl bin go dɔŋ bad bad wan. Naw, bikɔs ɔf di vaysin, dɛn nɔ kin si rubɛla. Bɔt bikɔs rubɛla stil de na sɔm kɔntri dɛn, i impɔtant fɔ mek wi ɔl no bɔt dis ɛn fɔ gɛt di vaysin ɛn fɔ protɛkt wisɛf.

Pan ɔl we rubɛla na sik we nɔ kin gɛt bɛtɛ trɛnk, i kin rili denja fɔ uman dɛn we gɛt bɛlɛ . If yu gɛt rubɛla we yu gɛt bɛlɛ, yu pikin de pan big risk fɔ pwɛl in ɔgan dɛn ɛn gɛt tin dɛn we go mek i day. If yu gɛt di vaysin, dat kin rili ridyus di risk fɔ gɛt rubella ɛn fɔ mek i go to ɔda pipul dɛn.

Di impɔtant tin dɛn we yu fɔ mɛmba frɔm dis atikul (Take-Home Message) .

Okay, so wi don tok plenti boht rubella. Fɔ tɔk smɔl, na sɔm tin dɛn ya we yu fɔ rili mɛmba:

• Rubɛla na sik we wan vayrɔs kin kam wit . Di men sayn na we yu gɛt rash.
• Pan ɔl we ɛnibɔdi kin gɛt rubɛla, i kin denja pas ɔl if mama we gɛt bɛlɛ gɛt am . i kin mek wan siriכs kכndyushכn na di pikin we dεn bכn we dεn kכl ``Congenital Rubella Syndrome (CRS)``.
• CRS kin mek di pikin nɔ de si fayn, i nɔ de yɛri fayn, in at, ɛn in bren .
• Di bɛst we fɔ mek yu nɔ gɛt rubɛla na fɔ gɛt di MMR vaysin , mɔ bifo yu gɛt bɛlɛ.
• Rubɛla kin pas tru we yu kɔf, snis, ɔ tɔch tin dɛn we gɛt di vayrɔs .
• If yu gɛt sayn fɔ rubɛla, go to dɔktɔ wantɛm wantɛm ɛn nɔ de nia ɔda pipul dɛn.
• If yu gɛt bɛlɛ ɛn yu gɛt sɔm sayn dɛn fɔ rubɛla (espɛshali we yu de blɔd bɔku, yu bɛlɛ de pen, yu gɛt fiva, yu de kol), go to dɔktɔ wantɛm wantɛm.

A op se dis infɔmeshɔn go yusful to yu. Stay wit wɛlbɔdi!

` Rubɛla, Jaman Mizl, Kɔnjɛnital Rubɛla Sindrom, vaksin