Rannung hi a hlauhawm em? Rabid a ni em? Rabies hi i hlau em? Hemi chungchang hi han sawi ila!

Ramsa hi kan hmangaih vek a ni lawm ni? Mahse, a chang chuan thil tenawm tak hi kan ngaihtuah loh chuan buaina lian takah a chang thei a ni. Chu chu rabies hi a ni. A hming hriat pawh hi a hlauhawm deuhin a ri a ni lawm ni? Mahse i hriat chian a, a tul anga hma i lak chuan he dinhmun hlauhawm tak atanga him kim vek chu chutiang chuan a harsa lo. Chuvangin, vawiinah hian (Rabies) hi eng nge a nih, kan taksa a nghawng dan leh a laka kan inven theih dan tur kan sawi dawn nia.

Rabies hi eng nge ni? A awlsam zawngin...

Rabies hi virus natna hlauhawm tak leh thihna thlen thei a ni. Chu chu hrik pakhat `(Rabies virus – RABV)` tih atanga lo chhuak a ni. He virus hi kan taksaah hian he natna vei rannung chi (saliiva) nena direct contact hmangin, emaw, thluak/nervous system hmun thenkhat nen emaw direct contact hmangin a lut tlangpui. Chu chu, hliam emaw, seh emaw, vun hliam emaw hmangin emaw, mit, hnar emaw, hmui emaw ang chi mucous membrane hmangin emaw pawh a ni thei.

A pawimawh ber chu, rabies hi thihna thlentu ni mah se, ven theih vek a ni. A hmaa hmalak a ngai chauh a ni.

He natna hi mihringah leh kan in chhunga ran vulh (ui leh vawk ang chi) thlengin a kai thei a, a bik takin rannung hri kai chuan hliam a seh emaw, a chil emaw chuan a kai thei a ni.

Rabies i vei hian eng nge thleng tak tak?

Rabies vei rannungin a seh che angin han mitthla teh. Rannung hmui chhunga awm ``Rabies`` virus hi hliam kaltlangin i taksaah a lut a. Tichuan, he virus hi a kal zawi hle a, mahse a kal zel a , i nerve kaltlangin, i central nervous system, chu chu i thluak leh i ruhro (spinal cord) thlengin a kal a ni.

Buaina tak tak chu virus hian thluak a thlen atang hian a intan thin. Chutah chuan thluak chu a chhe tan a, chu chuan neurological symptom hrang hrang a thlen thin. A tawpah chuan he natna hian coma leh thihna a thlen thei a ni. Chuvang chuan a hlauhawm em em a ni.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Khawvel pumah kum tin mi maktaduai chanve chuang, a nih loh leh mi 59,000 vel chu rabies vangin an thi a ni. Mahse America ang ramah chuan hei hi a tlem hle a, kum tin mi pathum aia tlem loin an vei thin. A chhan chu mi tam takin rannungin a seh hnu lawkah vaccine an lak nghal vang a ni. Kan ramah pawh hian hemi chungchanga hriatthiamna leh enkawl vat hi a pawimawh hle.

Rabies hian tute nge a tuar ber?

He natna hi Asia leh Africa ram thingtlang lamah a tam ber a. Antarctica tih loh continent tinah hmuh tur a awm. United States-ah chuan ramsaah a tam ber. Amaherawhchu ram dang tam takah, Sri Lanka-ah te chuan ui atanga kai a ni ber. Naupang tê tête hi puitling aiin he natna hi an kai tam zawk a, a chhan chu rannung nen an inkhel a, a châng chuan a hlauhawmzia an hre chiang lo.

Rabies hian Kan Taksa A Nghawng Dan

He virus hi hliam atanga thluak thlenga a kalna hi stage engemaw zatah a thleng thin. Chu stage te chu eng nge ni tih i en ang u.

1. Hripui taksaa a awm chhung (Incubation Period) .

Hei hi virus taksa chhunga lut a, nervous system-a a kal hun chhung a ni. He hun hi ni engemaw zat atanga kar engemaw zat, a nih loh leh thla tam tak thleng pawh a ni thei. Hemi chhung hian symptoms a awm lo. Mahse, he ``incubation'' hun chhung, chu chu a lan chhuah hmaa enkawlna pek a nih chuan, rabies lo awm hi tihtawp vek theih a ni.

2. Prodromal phase a ni

Tunah chuan `(RABV)` virus hi nerve cells-ah a kal a, thluak leh ruhroah a lut ta a ni. Chutianga a tih chuan nerve a tichhia a ni. He `(Prodromal phase)` hi virus chu nervous system-a a luh atanga intan a ni. Tichuan kan taksa immune system chuan a do tan a, chu chuan khawsik symptoms, khawsik leh taksa na te a thlen thei a ni . Tin, i sehna hmunah chuan i rilru a buai thei a, i na a, i rilru a na bawk. He hun hi ni hnih atanga ni sawm thleng a ni thei. Thil lungchhiatthlak tak chu, hetiang dinhmun i thlen meuh chuan enkawlna tha tak a awm tawh lo tluk a ni.

3. Acute neurologic phase a awm thin

Hetiang dinhmunah hian `(Rabies)` virus hian thluak leh ruhro a tichhe tan a. Hetih lai hian symptoms hi kawng lian pahnih in a lang thei a:

• Furious Rabies: Hei hi mi hmun thuma ṭhena hmun hnih velah a awm ṭhin. Thil hahdam lo, tharum thawhna, seizures , leh hriatna hloh a thlen thin.
• Paralytic Rabies: Hei hi midang chungah a thleng thei. Taksa chu a paralyze a, nunna nei lovin a lo awm ta a ni. A sehna hmunah a intan tlangpui a, chumi hnuah taksa peng dangah a darh leh thin.

Acute rabies hi ni engemaw zat atanga kar khat thleng a awm thei. Paralytic rabies hi thla khat thleng a awm thei.

4. Coma state a ni

Mi tam tak chu natna hi a tawp berah coma-ah an tlu lut thin. A tawpah chuan rabies vanga thihna a thleng ta a ni.

Rabies natna lanchhuahna chu engte nge ni?

He virus hian taksaa a luh hnu kar engemaw zat chhung chu natna lan chhuahna a nei lo tlangpui. Virus hian central nervous system (chu chu `prodromal phase` lai) a thlen chauhvin khawsik ang chi natna a lo lang thin. A tawp berah chuan nervous system (brain) nena inzawm symptoms a lang chhuak thin.

Prodromal symptoms a awm thei

• Khawsik
• Chauhna
• Ran seh hliam inflammation, itching , numbness , na
• Khuh
• Hrawk thip
• Muscle na a na
• LuhaiTin, luak chhuak bawk
• Kawthalo

Acute neurologic symptoms a awm thei

Hengte hi ``Furious'' emaw ``Paralytic'' emaw pawh a ni thei.Rabies na tak chhinchhiahna chu a lo lang nghal thei a, rei vak lo hnuah a reh thei a, a lo kir leh thei bawk.

Furious rabies natna lan chhuah dan

• Aggressive leh restless taka awm dan
• Restlessness a awm
• Seizures a awm thin
• Hallucinations, thil awm lo hmuh /hriat
• Muscle a inthlak danglam (Fasciculations) .
• Khawsik
• Lung natna chak tak (Tachycardia) .
• Thâwk chak tak (Hyperventilation) .
• Salivation tam lutuk
• Mit pahnih (Anisocoria) iris lian leh te inang lo .
• Hmai lam natna (facial palsy) a ni
• Tui/tui in hlauhna (Hydrophobia) – Hei hi a chhinchhiahna pawimawh tak a ni
• Aerophobia chu hmaiah thli hlauhna a ni.
• Delirium (delirium) a awm

Paralytic Rabies natna lan chhuah dan

• Khawsik
• Lu na
• Kawngkhar a nghet lo
• Taksa rihna tlahniam (a bik takin rannung seh na hmun atanga tan a, taksa peng dangah a darh) .
• Numbness, rulhut an rawn tlan kual vel ang maia hriatna
• Paralysis a awm
• Coma state ah a awm

Engvangin nge rabies hi kan vei?

Hei hi a chhan chu virus `(RABV)` an tih vang a ni. He virus hian kan taksa chhunga nerve hrang hrangah a kal kual a, nerve te a tichhe thin. A bik tak chu he virus hian thluak a thlen hma loh chuan kan taksa hriselna (immune system) atangin a inthup tlat a ni. Thluak a thlen hnuah chauh chhiatna a thlen a, a tawpah chuan a that ta a ni.

Engtin nge rabies hi a kai theih?

Rabies hi rannung thisen lum (mammal)-ah a awm a, a bik takin an hmuiah a awm. A tlangpuiin hri kai rannung seh atanga kai a ni.

Rannung, bat, skunks, raccoon, leh fox te ah a awm tam ber. Mahse, ui leh vawk ang chi rannungah pawh hmuh tur a awm bawk. I vunah hliam tenau tak pawh hi ran hri kai hmui nen a inzawm chuan Rabies hi i vei thei a ni.

A tlem hle a, organ transplantation (organ donation) lai pawhin a kai tawh bawk.

Eng rannung nge rabies kai tam ber?

Ramsa, a bik takin bat-ah a awm tam ber. Ram thang mek, chu chu kan ram ang ramteah chuan mi tam takin in chhunga ui (a bik takin ui vakvai) atanga rabies an vei thin.

America ang ramah chuan hei hi bat seh vang a ni fo. Bat seh avanga hliam hi a te hle a, pencil tip ang vel a ni. Chuvangin a chang chuan bat hian a seh tih pawh tumahin an hre lo. Chumi avang chuan, .Bat nen eng ang chiah pawha in inhnaih tawh a nih chuan, emaw, i seh leh seh loh i rinhlelh chuan doctor i pan ngei tur a ni.

Engtin nge doctor-te hian rabies hi an hriat theih? (Diagnosis) tih a ni.

Natna dang ang lo takin rabies i hriat theih nan symptom i neih hma chu nghah a tha lo. Ramsa emaw, rannung emaw, rabies vei nia i hriatin a seh emaw, a chil emaw a nih chuan doctor pan nghal rawh. I hliam chu an enfiah ang a, zawhna an zawt ang a, rabies enkawlna i mamawh leh mamawh loh an rel ang.

Doctor chuan hetiang zawhna hi a zawt thei ang:

• Engtin nge i hliam?
• Eng rannung nge alert emaw alert emaw?
• Chu rannung chu i enfiah thei ang em, ni engemaw zat i en thei ang em?

Ran pakhatin rabies a vei nia rinhlelh a nih chuan ran chu ni 10 vel enkawl a ni a, a theih chuan, a nih loh leh test a ni bawk (ran test tur chuan tihhlum a ngai).

Diagnosis hriat theihna tur test neih thin

Symptoms a lan hnuah a hnuaia test te hi tih theih a ni:

• Saliva test: Saliva sample lak a, rabies chhinchhiahna zawng turin lab-ah thawn a ni.
• Skin biopsy: Kawr hnunglam atanga vun te tak te lakchhuah a ni a, lab-ah thawn a ni.
• Cerebrospinal fluid test (Lumbar Puncture): He tui hi hnungzang hnuai lam atanga needle hmanga lak chhuah a ni a, test turin thawn a ni.
• Thisen test: Thisen sample lak a, antibody a awm leh awm loh enfiah a ni.
• Magnetic resonance imaging (MRI) scan: Thluak thlalak a la a, chu chuan natna lan chhuah chhan zawn nan a pui thin.

Rabies enkawlna tur engte nge ni?

Rabies natna hi a lan chhuah veleh enkawlna pawm a awm lo. Chuvang chuan kan ti a, he hri hi i kai ve mai thei nia i ngaih chuan (i seh emaw, i chil emaw, ran damlo nena inzawmna i neih emaw) chuan a rang thei ang bera doctor pan rawh.

Hliam chu sahbawn leh tui hmangin minute 15 tal silfai tur a ni . A theih chuan 10% povidone-iodine solution hmang ang che. Hliam tihfai dan tur chungchangah doctor hnenah thurawn dang zawt rawh.

Doctor chuan rabies virus vanga rabies natna laka invenna tur vaccine hrang hrang a pe ang che. Rabies vaccine i la la ngai lo a nih chuan hliam direct-a antibody treatment pek i ni bawk ang.

Contact nia rinhlelh te tan damdawi

Hei hi post-exposure prophylaxis (PEP) an ti a. Heng damdawi te hian thluaka virus a thlen loh nan a titawp a ni.

• Rabies vaccine pek dan tur:Ni 14 chhungin dose pali pek thin a ni. Tun hmaa pre-exposure vaccine i lo dawng tawh a nih chuan dose hnih chauh pek a ni. He vaccine hian i taksa chu rabies virus hi i thluak a thlen hmain a tihchhiat theih nan a zirtir a ni.
• Human rabies immune globulin (HRIG): Hei hi hliam chhehvelah pek thin a ni. HRIG hian i taksaah antibodies direct-in a thlen a, chu chuan i taksa immune system a thawk tan hma loh chuan hliam bula virus chu a that thei a ni. HRIG hi a hmaa vaccine la tawh chuan pek a ni lo.

Enkawlna avanga side effects awm thei

Rabies vaccine hian side effect tenau te a thlen thei a:

• Injection na hmuna natna, itching, swelling
• Luhai
• Lu na
• Muscle na a na
• Luak chhuak thei

Side effect na tak i neih chuan doctor hnenah hrilh rawh.

Rannungin min seh emaw, min hrual emawin min hliam a nih chuan engtin nge ka tih ang?

• Hliam chu sahbawn leh tui luang (minute 15 tal) hmangin uluk takin silfai nghal tur a ni. A theih chuan 10% `Povidone-iodine` solution hmang ang che.
• Doctor emaw, i awmna hmuna public health office emaw chu a rang thei ang bera zawhfiah rawh. Eng thil nge thleng tih sawifiah la, rannung chungchanga i hriat chipchiar zawng zawng pe rawh (ramsa a ni em? ran vulh a ni em? eng rannung nge? engtin nge a awm?).
• Doctor hnenah hliam tihfai dan tha ber leh rabies vaccine lak a ngai em tih zawt rawh.
• Ramsa tharum thawhin a rawn bei a nih chuan ran control hnenah hriattir tur a ni.

Engvangin nge rabies hi damdawi a awm loh?

Virus hian thluak a thlen veleh rabies hi damdawi a awm lo a, a chhan chu thisen leh thluak inkharkhip hian a venghim a ni .

``Blood-brain barrier'' hi i thluak leh i lu chhunga thisen kalna kawng inkara venhimna a ni. Filter tha tak ang mai a ni. I thisen atanga i thluaka toxins leh thil hlauhawm lo lut tur a titawp thin.

Researcher-te chuan an la chiang lo nachungin, rabies virus hian he barrier hi a tikhauh lehzual a, chuvangin virus that thei damdawi chu thluaka a lut thei lo.

Rabies lakah engtin nge i inven theih ang? (Invenna) 1.1.

Rabies hi ven theih vek a ni.

• I ran vulh (ui, vawk) te chu an rabies vaccine pek dan tur hriat reng tur a ni.
• I ran vulhte chu enkawltu tur awm lovin nangmah chauhin chhuah tir suh.
• Ramsa lakah hlat rawh. Ran hliam tuar emaw, ramsa khawih tum emaw suh.
• Mi mutna pindan pakhatah bat a awm chuan chu mi chu bat-in a seh niin ngai rawh. Bat seh hi a te hle a, a bo nghal vat bawk. Chuvangin doctor hmu rawh.
• Ramsain a seh emaw, a hrual emaw, thil dangin rabies a vei emaw i tih chuan doctor pan nghal rawh.
• Rabies vei theihna hlauhawm tak i nih chuan (ran enkawltu, ran enkawltu officer ang chi) i kai hmain vaccine hrang hrang lak hmasak a tha (Pre-exposure prophylaxis – PREP).

Exposure hmaa invenna (PREP) hmanga invenna (PREP) .

Rabies vei theihna hlauhawm tak i nih chuan i kai hmain vaccine lak hmasak phawt a tha ber. Hei hi ``Pre-exposure prophylaxis (PREP)`` an ti a. Hei hi shot pahnih series a ni. ``Booster`` shot i mamawh zat chu i risk ah a innghat.

Risk sang zawka awmte:

• Ramsa emaw, ran vulh emaw (ran enkawltu, ramsa officer, ran vulhtu) nena thawk ho te.
• Bat awmna hmun leh lungpui hmuna kal fo thinte.
• Rabies virus nena thawk ho lab-a thawkte.
• Ui zinga rabies vei tamna hmuna zin mite.

Rabies i vei a nih chuan eng nge i beisei theih ang?

Rabies i vei chuan kar hnih vel hnuah vaccine i lak a ngai dawn a ni. Vaccine te hian side effect tenau te a thlen thei a, injection na hmuna natna leh nuam lo te pawh a awm thei bawk.

Rabies natna hi i damchhuak thei ang em?

Ni e, rabies hi i exposure atanga ni engemaw zat chhunga enkawlna i hmuh chuan, a symptoms a lan hmain i ven theih a ni. Mahse, vawikhat rabies i vei tawh a, chu chu symptoms i nei tihna a ni a, enkawlna tha tak a awm tawh lo. Vaccine pek vat loh leh antidote hmanga enkawl loh chuan rabies hi a thihpui fo mai.

Eng chen nge rabies nen hian i dam theih ang?

Mite chu an exposure hnuah kar tam tak, thla tam tak chhung pawh asymptomatic an ni thei. Mahse, a lan chhuah tirh atanga ni reilote chhungin thihna a thleng thin.

Ran seh avanga hliam i nih emaw, rabies i vei tawh emaw chuan engtikah nge doctor thurawn i lak ang?

A lak vat a ngai a ni. Rabies natna vei hi emergency a ni.

Chutiang a nih chuan a rang thei ang bera doctor pan tur a ni:

• Ramsain a hliam a nih chuan, a seh emaw, a hliam emaw a nih chuan.
• Rabies nei thei nia i ngaih rannung eng pawhin a seh emaw, a chil che emaw a nih chuan.
• Mi pakhat mutna pindan pakhatah bat a awm a nih chuan.
• Kawng dangin rabies i tawk tawh mai thei nia i ngaih chuan.

Engtin nge i hliam, eng rannung nge a nih, ni engemaw zat chu rannung chu i enfiah thei em tih ang chi zawhnate chhan turin inpeih rawh.

Engtikah nge ER (Emergency Room) ah ka kal ang?

Hliam a thuk a nih chuan, thisen chhuah a reh lo a nih chuan, emaw, hliam hi hmai emaw, kawr emaw a nih chuan emergency room-ah kal nghal tur a ni.

Doctor hnenah eng zawhna nge ka zawh ang?

• Hliam tihfai dan tha ber chu eng nge ni?
• Rabies ka vei avangin vaccine lak a ngai em?
• Ka vaccine pek hun tur chu engtin nge a awm?
• Ni dangah vaccine ka lak a ngai a nih chuan eng nge thleng ang?
• Rabies ka vei theihna chance a sang zawk em?
• Pre-exposure prophylaxis (PREP) schedule-a kal ka ngai em?

Ui zawng zawng hian rabies an nei vek em?

Asia leh Africa ram changkang zawkah chuan uiah hian Rabies hi a awm fo thin. Mahse, ram changkang, United States, Canada, leh Europe chhim lamahte chuan rabies hi ran vulh uiah hmuh tur a awm lo. Kan ramah hian ui vakvai leh ui vaccine mumal lote lakah fimkhur a pawimawh hle.

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

Rabies hi natna khirh tak a ni a, a thihpui fo mai. Mahse, vanneihthlak takin enkawl vat chuan ven theih vek a ni . Rannungin a seh che a , rabies i vei nia i ngaih chuan doctor pan nghal hreh suh. I nunna chhanhim turin a pui ang. I ran vulhte chu a hun taka vaccine pek theihnghilh suh.