Why dog bites happen and how to cure from Rabies virus

wehs fï n,af,da mqfida wmsj lkafka
n,af,la mQfila lEfjd;a fudlo lrkafka ,smsh lshjkak

msiaiq nÆ frda.h .ek okakjo@@

fï ,smsfhka n,af,da wmsj nhsÜ tlg .kak tl .ek l;d lrkafka ,xldfõ f¾îia ffjrih wrf.k hk m%Odk i;aj ldKavh n,af,da ksid' n,af,dkag wu;rj mQfida" ydfjda" j÷frda" ß,õ" uq.áfhdxf.ka jqk;a wmsg f¾îia ffjrih YÍr.; fjkak mqÆjka'

Rhabdoviridiea lshk RNA ffjria l=,fhka ;uhs f¾îia lshk f,fâ yefokafka' wod, f,fâ ;sfhk if;laf.a fl,j,ska ffjrih me;sfrkjd' i;d wmsj lEfjd;a" i;df.a fl, wfma Yaf,aYau, mg, tlal ñY% jqfkd;a wmsg f,fâ fndafjkak mqÆjka'

fukak ffjrfia rEmhla

fndïnhs uqghs jf.a wdihs fka@@

wehs fï n,af,da wmsj lkafka@@

• wfma nqjd,dg ;sfhk lä l=,mamqjg if;la oelalu" W!j l=,mamq lr,d .kaklï bjiqula kE' i;dg jqk;a bjikak mqÆjka iSudjla ;sfhkjd' n,a,d jqk;a bji,d bji,d neßu ;ek kyqf;g ;o fj,d f.aug tkag¾ fj,d î*a$fmdala ri neÆju b;ska n,a,E lEfjda lshdf.k fydiamsgE,a ÿjkak ;uhs b;=re fjkafka'
• iuyr fj,djg" i;d wmsj ymkafka fmdrf. wdrlaYdjg' wms jqk;a wd;,a tfla ySkhla n,df.k ksÈ lsrd jeàf.k bkak fj,djl" fudflla yß weú;a wfma j,af.a ^ ll=, ll=, & mE.=fjd;a wmsg jqk;a md.mq tldf.a ll=, lvka lkak ysf;kjd fka' i;a;=kag;a tfyu ;uhs'
• we;a;gu f¾ìia yeÈÉp n,af,la f,fâ ksidu wmsj ymkak;a mqÆjka'

msiaiq nÆ frdaf.a yeÿk if;la wmsj lEfjd;a fudllao fjkafka

wfma YÍrhg we;=,a fjk ffjrih" wfma iakdhq" udxYfmaYs j, .=Kkh fjkjd' fufyu ffjria m%udKh jeä lrf.k" ta ffjria wfma iakdhq moaO;sh Èf.a fud<h fjk .uka lrkjd' fï l%shdj,shg .;jk ld,h ffjrih YÍrhg we;=Æ jk ia:dkh" wfma m%;sYla;sh" we;=Æ jqK ffjria m%udKh wkqj fjkia fjkjd' idudkHfhka i;s 2 b|,d wjqreoaola olajd jqk;a frda. ,laYk u;= fjkak ;sfhk ld,h fjkia fjkak mqÆjka'

m%;sYla;sh ke;s flfklaf.a kï fukak fï frda.,laYk u;= fjkjd'

Paralysis
Paranoia
Hallucinations
Confusion
Agitation etc

iy yefudau okak hydrophobia ke;akï c,NS;sldj fï frda.,laYk wdfjd;a kï f.dv od.kak f.dvla wudrehs' 10] wvq m%;sY;hla ;uhs f.dv hkafka'

n,af,la lEfjd;a wms f.orÈ fudllao lrkak ´k@

uq,skau n,kak n,a,d fldfyo ld,d ;sfhkafka lsh,d iy fldÉpr ;=jd, ;sfhkjo lsh,d

B,.g jydu j;=r iy inka j,ska úkdä 5la j;a fï ;=jd, fiaru fyd¢ka fidaokak ´k' fufyu fldrdu ;=jdf,a ;sfhk úYîc m%udkh wvq lr.kak mqÆjka'

B,.g ovdjf;a hk j,a n,af,la kï lEfõ ta ;=jd, msßisÿ frÈlE,a,lska wdjrKh lrf.k "jydu" biamsß;d,hlg tkak

jydu lsõfõ mqÆjka blaukskau' iuyr nqjd,d .sh udfia n,a,d lEjkï"kd,d" ld,d" .fï .sys,a,d" pkafoa od,d hk tk .uka fï udfia biamsß;df,a weú;a hkak tkjd' tfyu lr,d kï jevla ke;' YÍr.; jqk úiîc" ta fjkfldg iakdhq Èf.a .uka lrkak mgka wrf.k;a bjrhs'

yßhg kshñ; mßÈ fnfy;a úomq f.or yok n,a,d kï lEfõ" ojia 10la n,kak mqÆjka" n,a,f.a yeisÍu fjkia fjkjo lsh,d' yenehs f.dvla ;=jd, ;sfhkjd kï" uQK" wf;a we.s,s" cqkavd jf.a jeo.;a ;ekla kï ym,d ;sfhkafka biamsß;df,a tk tl we.g .=Khs

biamsß;df,È fudkjo lrkafka@@

biamsß;df,g weú;a OPD tlg yß úfYaIfhka yo,d ;sfhk c,NS;sld hqksÜ tlg yß hkak'

t;k bkak fvdlaia m%Yak fiÜ tlla wykjd' tajg yß W;a;r fokak ´k' idudkHfhka wykafka

• n,a,d f.or yok flfkla o@
• n,a,j tkak;a lr,d ;sfhkjo@
• n,a,j l=,mamq lr,o yemqfõ@@ ke;akï mrK ffjrlaldrfhla jf.a oelal .uka tf,daf.k weú;a yemqjo@@
• ljoo@ fldhs fj,dfjo yemqfõ@@ ^ fïlg fvdldf.a u, cïmaia fkdlr yßhg W;a;r fokak' Wod) Bfha rd;%S 7g muK " ke;=j Bfha ? yemqfõ lsh,d jevla kE &
•  f.orÈ lf¾ fudkjo@
• óg l,ska n,af,d ld,d fnfy;a úo,d ;sfhkjo@@
• fnfy;a we,ðla fj,d ;sfhkjo
• wka;sug lEu lEfõ lShgo@

Bg miafia fvdld O¾u foaYkhl=;a fohs folla kjdf.k ysgmq fj,djl n,a,g mhska .y,d ymj .;a;d kï

Bg miafia Thdj hjkjd i¾ðl,a leYqj,aá fjdaâ tllg$ c,NS;sld hqksÜ tlla ;sfhkjd kï talg

taflÈ wdfh;a mdrla wr m%YaKu wykak mqÆjka t;k bkak fvdlaia

Bg miafia Thdf.a nr ukskjd'YÍr nrg wkqj ;uhs úÈkak ´k fnfy;a m%udKh ;SrKh lrkafka'

;=jd, fj,d ;sfhk ;eka fvdlshqukaÜ lr.kakjd' ;=jd, fj,d ;sfhk ;ek wkqj fïc¾ tlaiafmdaY¾ tlla o uhsk¾ tlaiafmdaY¾ tlla o lsh,d ;Srkh lrkjd'

fïc¾ tlaiafmdaY¾ tlla lshkafka

• TÆj " uQk" fn,a," mmqj" wf;a by, fldgi" w,a," we.s,s ;=vq" ll=f,a we.s,s" ,sx.sl wjhj imd ld,d kï ^ .eUqre$fkd.eUqre &
• uQfka" TÆfõ .eUqre iSßï ;sfhkjd kï
• isref¾ ´ku ;ekl .eUqre imd lEï ;sfhkjd kï
• Yaf,aYau, mg, iu. fl< ñY% jqKd kï
• jk if;la$ovdjf;a hk if;la imd lEjd kï

Minor exposure lshkafka

• wef.a wr Wäka lshmq ia;dk wer wks;a ia:dk j, fkd.eUqre imdlEula kï Wod) nv" msg" n;a flKav'
• yu f,a tkafk ke;s fjkak imd ld,d kï' ^ o;a mdr ysákak &
• l,ska ;snqk ;=jd,hlg fl< jeá,d kï
• msiaiq nÆ f,fâ yeÿk if;la f.a lsß ìõjd kï Wod yrla" tÆ lsß

Bg miafia ;=jd, iy" imd ldmq i;d wkqj ARS ¤ ARV folu fokak ´ko" ARV ú;rla ÿkaku we;s o lsh,d ;SrKh lrkjd

fudkjo fï ARS" ARV lshkafka@@

ARS lshkafka Anti Rabies Serum' fïfla ;sfhkafka Rabies ffjrihg úreoaOj yomq m%;sfoay' f,dafla kï fuõjd wiamhkaf.a iy ukqiamhkaf.a ;r, j, ;uhs yokafka' ,xldfõ kï jeämqr ;sfhkafka ñf,ka wvq wiamhkaf.a ;r, j, yomq ARS' fuõjd j, frä fïâ m%;sfoay ;sfhk ksid" we;=,a fj,d ;sfhk úiîc j,g neiaáh fokjd

 

ARV lshkafka Anti Rabies Vaccine'fïl 1960 .Kkaj, b|ka mdúÉÑfha ;sfhkjd' oex mdúÉÑ lrk tkakf;a f¾ìia ffjrifhka .kak fm%daáka" wmsg ydkslr fkdjk ffjrihlg noaO lr,d ;sfhkafka',xldfõ mdúÉÑ lrkafka

~ Purified chick embryo cell culture vaccine ^PCEC& fyda
~ Purified Vero cell rabies vaccine ^PVRV&

tajd ARS j,ska úkdY fkdjqkq ffjri úkdY lr,d" ;j;a ld,hlhg wfma isref¾ f¾ìia ffjrihg úreoaOj m%;sYla;sh we;s lrkjd' fï m%;sYla;sh ;djld,slhs' wdfh;a n,af,la lEfjd;a fnfy;a úÈkak fjkafka ta ksihs'

yß ARS$ARV .ek oek.;a;d fka' oex n,uq ARS úÈkafka fldfyduo lsh,d' Thdf.a nr 5ka fno,d úÈkak ´k ARS ud;%dj ñ,s,Sg¾ j,ska .kakjd' Wod nr 60 kï 12ml úÈkak ´k' fï m%udKfhka Nd.hla ;=jd,hg iy" b;=re Nd.h thighs j,g úÈkjd' ;=jd, f.dvla ;sfhkjd kï jeämqr fia,hska od,d iEu ;=jd,hlgu úÈkak mqÆjka úÈhg mßudj jeä lr.kakjd

mßudj .Kkh lr.;a;g miafia ARS we,ðla fjkjo n,kak" Sensitivity Test lsh,d tlla lrkjd' taflÈ ARS 0'1 ml wf;a yug úo,d" úkdä 20lska n,kjd r;= fj,d" mÆ od,d" likak wrf.ko lsh,d' tfyu fjkjd kï ffjoHjrhdg jydu oekqï fokak ´k

we,ðla ke;akï úkdä 20lg miafia ;=jd, 70] Alcohol or providine Iodine j,ska fidao,d wod, fnfy;a mßudj ;=jd, j,g iy thighs j,g úÈkjd'

fnfy;a úomq .uka lvdf.k f.or hkak nE' meh 2la jdÜgqfõ bkak ´k" jerÈ,dj;a we,ðla fjkjo n,kak

Sensitivity Test tl Positive jqk whf.a ;;ajh kï fidapkShhs' thd,g Operation Theater tlg hkak fjkjd' t;kÈ ;uhs fnfy;a úÈkafka' we,ðla jqfkd;a fokak ´k wekaáfvdaÜ" yqiau .kak myiq lrk WmlrK" Tlaiscka t;k f,aia;s lrf.k ;uhs fnfy;a úÈkafka

Tlafldu fkdau,a kï meh follg miafia fmdä ÑÜ tll=;a tlal Thdj jdÜgqfjka äiapd¾Ê lrkjd' fï ÑÜ tfla ;sfhkafka ARV úo.kak lsh,d' tal wrf.k ARV úÈk lduf¾g hkak ´k

ARV ,xldfjÈ úÈkafka yug ^fï tkak; f.dvla ñ, wêl ksid wvq m%udKla úÈkak mqÆjka&

D0 ^uq,skau biamsß;df,a wdmq oji& " D3"D7"D30 lshk ojia 4 weú;a fnfy; úo.kak ´k'

óg wu;rj" fggkia fgdlafidhsâ tl" wekaá nfhdálaia ,nd fokjd' f,dl= ;=jd,hla ke;akï ueyqï odkafka ke;' Tkak Tfyduhs n,af,d lEfjd;a fnfy;a úo.kafka

jeo.;a lreKq

f.or n,af,dkag l,g fj,djg fnfy;a úÈkak n,af,d$ mQfida l=,mamq lr,d b,a,x áxlsß .d.kak tmd

f.or n,a,d imd ld,d" iqÆ ;=jd,hla jqfkd;a ojia 10la n,kak mqÆjka'

Major Exposure tlla yß ovdjf;a hk n,af,la" mQfila" jk if;la yemqfjd;a blaukg biamsß;d,.; jkak

biamsß;df,È Thdg jvd wudre f,âvqkaghs uq,a ;ek yïfnkafka' tal ksid jdÜgqfõ jev j,g ndOd fjk úÈhg" m%uqL;djh b,a,f.k lE.,d jd;hla fjkak tmd ^ n,af,la lEjd lshk tlg jvd m%uqL;djh yïfnk emergency cases jdÜgqfõ ;sfhkjd &

úkdä 20" meh 2 úÈhg uu hk fj,dj od,d ;snqkg ta fj,djg jvd jeä fj,djla hkjd' ARS jf.a fnfy;a T!IO .nvdfjka ksl=;a lrkak úfYaI b,a,Sï lrkak ´k' talg Thdf.a BHT ^we| bym;a igyk & hjkak ´k' tal hj,d" fnfy;a f.kak .kak ;rul fj,djla hkjd'

fï fnfy;a mÜg .Kka' tl vial tlla 35000¤ idudkHfhka jevqkq mqoa.,fhlag wvqu vial 2la j;a ´k' remsh,a 70000¤ fnfy;a ;uhs fï kslka ,nd fokafka' tal ksid rfÜ i,a,s kdia;s fjk úÈhg jev lrkak tmd

l,ska fnfy;a úo,d ;sfhkjd kï fï procedure tl ;rula fjkia fjkjd' fokak ´k fnfy;a m%udKh wvq fjkjd' ta ksid ta .ek úia;r yßhg ffjoHjrhdg ,nd fokak