Bo-rabies

Bo-rabies ke tšoaetso ea vaerase e bolaeang e hasoang haholo ke liphoofolo tse nang le ts'oaetso.

Ts'oaetso e bakoa ke kokoana-hloko ea li-rabies. Bo-rabies bo hasana ka mathe a tšoaelitsoeng a kenang 'meleng ka ho longoa kapa letlalo le robehileng. Kokoana-hloko ena e tloha leqebeng ho ea bokong, moo e bakang ho ruruha kapa ho ruruha. Ho ruruha hona ho lebisa matšoao a lefu lena. Boholo ba lefu la li-rabies bo etsahala ho bana.

Nakong e fetileng, linyeoe tsa lefu la bolotsana United States hangata li ne li bakoa ke ho longoa ke ntja. Haufinyane, linyeoe tse ngata tsa lefu la seoa tsa batho li hokahantsoe le bo-'mankhane le li-raccoon. Ho longoa ke lintja ke sesosa se tloaelehileng sa li-rabies linaheng tse tsoelang pele, haholo-holo Asia le Afrika. Ha ho so be le litlaleho tsa li-rabies tse bakiloeng ke ho longoa ke lintja United States ka lilemo tse 'maloa ka lebaka la ente e atileng ea liphoofolo.

Liphoofolo tse ling tse hlaha tse ka fetisang vaerase ea rabies li kenyelletsa:

• Liphokojoe
• Li-skunks

Maemong a sa tloaelehang, li-rabies li fetisitsoe ntle le ho loma. Mofuta ona oa ts'oaetso ho lumeloa hore o bakoa ke mathe a tšoaelitsoeng a keneng moeeng, hangata a mahaheng a mankhane.

Nako e lipakeng tsa ts'oaetso le ha o kula e tloha matsatsing a 10 ho isa ho lilemo tse 7. Nako ena e bitsoa nako ea poloko. Nako ea karolelano ea nako ke libeke tse 3 ho isa ho tse 12.

Ho tšaba metsi (hydrophobia) ke letšoao le tloaelehileng ho fetisisa. Matšoao a mang a kenyeletsa:

• Ho rotha ka metsi
• Ho oa
• Sebaka sa ho loma se hlokolosi haholo
• Maemo a fetoha
• Ho nyekeloa le ho hlatsa
• Ho lahleheloa ke maikutlo sebakeng sa 'mele
• Ho lahleheloa ke mosebetsi oa mesifa
• Feberu e tlaase (102 ° F kapa 38.8 ° C, kapa e tlase) e nang le hlooho
• Ho phatloha ha mesifa
• Ho ba lerootho le ho hlohlona
• Bohloko sebakeng sa ho loma
• Ho se phomole
• Bothata ba ho koenya (ho noa ho baka likoli tsa lentsoe la lebokose)
• Litlelase

Haeba phoofolo e u loma, leka ho bokella tlhaiso-leseling e ngata ka phoofolo ka moo ho ka khonehang. Bitsa ba boholong sebakeng sa heno ba laolang liphoofolo ho li tšoara ka mokhoa o sireletsehileng. Haeba ho belaelloa phoofolo, phoofolo e tla shebeloa lipontšo tsa li-rabies.

Teko e khethehileng e bitsoang immunofluorescence e sebelisetsoa ho sheba lisele tsa boko kamora hore phoofolo e shoele. Teko ena e ka senola hore na phoofolo e na le rabies.

Mofani oa tlhokomelo ea bophelo o tla u hlahloba le ho sheba ho longoa. Leqeba le tla hloekisoa le ho phekoloa.

Teko e tšoanang e sebelisitsoeng liphoofolong e ka etsoa ho hlahloba li-rabies bathong. Teko e sebelisa sekhechana sa letlalo ho tloha molaleng. Mofani oa thepa a ka sheba le vaerase ea hau mathe kapa mokelikeli oa mokokotlo, leha liteko tsena li sa utloisisehe ebile li ka hloka ho phetoa.

Ho ka etsoa pompo ea mokokotlo ho batla matšoao a tšoaetso mokelikeling oa mokokotlo oa hau. Liteko tse ling tse entsoeng li ka kenyelletsa:

• MRI ea boko
• CT ea hlooho

Morero oa kalafo ke ho kokobetsa matšoao a leqeba la ho loma le ho lekola likotsi tsa ts'oaetso ea rabies. Hlatsoa leqeba hantle ka sesepa le metsi 'me u batle thuso ea litsebi tsa bongaka. U tla hloka mofani ho hloekisa leqeba le ho tlosa lintho tse tsoang kantle ho naha. Boholo ba nako, lithupa ha lia lokela ho sebelisoa bakeng sa maqeba a ho loma liphoofolo.

Haeba ho na le kotsi ea li-rabies, u tla fuoa letoto la ente e thibelang mafu. Ente ka kakaretso e fuoa litekanyo tse 5 ho feta matsatsi a 28. Lithibela-mafu ha li na tšoaetso ho vaerase ea li-rabies.

Batho ba bangata ba boetse ba fumana kalafo e bitsoang human rabies immunoglobulin (HRIG). Kalafo ena e fanoa ka letsatsi leo loma e hlahileng ka lona.

Bitsa mofani oa hau hang hang ka mor'a ho longoa ke phoofolo kapa kamora ho pepesetsoa liphoofolo tse kang bo-'mankhane, liphokojoe le likhoka. Ba kanna ba nka li-rabies.

• Letsa le ha ho sa loma.
• Ho entoa le kalafo bakeng sa li-rabies ho ka buelloa bonyane matsatsi a 14 kamora ho pepesetsoa kapa ho longoa.

Ha ho na kalafo e tsebahalang bakeng sa batho ba nang le matšoao a ts'oaetso ea lefu la ts'oaetso, empa ho bile le litlaleho tse 'maloa tsa batho ba pholohileng ka kalafo ea liteko.

Ho a khonahala ho thibela li-rabies haeba u fumana ente kapele kamora ho longoa. Ho fihla hajoale, ha ho motho United States ea seng a e-na le rabies ha a ne a fuoa ente kapele le ka nepo.

Hang ha matšoao a hlaha, ke ka seoelo motho a pholohang lefu lena, leha a fuoa kalafo. Lefu le bakoang ke ho hema hangata le etsahala pele ho matsatsi a 7 kamora hore matšoao a qale.

Bo-rabies ke tšoaetso e sokelang bophelo. Ha li sa phekoloe, li-rabies li ka lebisa ho coma le lefu.

Maemong a sa tloaelehang, batho ba bang ba ka ba le tšoaetso ea alejiki ho vaksine ea rabies.

E-ea kamoreng ea maemo a tšohanyetso kapa letsetsa 911 kapa nomoro ea lehae ea tšohanyetso haeba phoofolo e u loma.

Ho thusa ho thibela li-rabies:

• Qoba ho ikopanya le liphoofolo tseo u sa li tsebeng.
• Fumana ente haeba u sebetsa mosebetsing o kotsi kapa u etela linaheng tse nang le li-rabies tse ngata.
• Etsa bonnete ba hore liphoofolo tse ruuoang lapeng li fumana liente tse nepahetseng. Botsa ngaka ea hau ea liphoofolo.
• Etsa bonnete ba hore phoofolo ea hau ea lapeng ha e kopane le liphoofolo tse hlaha.
• Latela melaoana ea ho itšehla thajana mabapi le ho reka lintja le liphoofolo tse anyesang kantle ho naha linaheng tse se nang mafu.

Hydrophobia; Ho loma liphoofolo - li-rabies; Ho loma lintja - lefu la seoa; Ho loma bat - bo-rabies; Ho loma ha raccoon - li-rabies

• Bo-rabies
• Sisteme ea methapo e bohareng le methapo ea methapo
• Bo-rabies

Bullard-Berent J. Rabies. Ka: Marako RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Likhopolo le Tloaelo ea Kliniki. La 9th. Philadelphia, PA: Elsevier; 2018: khaolo ea 123.

Litsi tsa Taolo le Thibelo ea Maloetse. Bo-rabies. www.cdc.gov/rabies/index.html. E ntlafalitsoe ka Loetse 25, 2020. E fihlile ka la 2 Tšitoe.

Williams B, Rupprecht CE, Bleck TP. Bo-rabies (li-rhabdoviruses). Ka: Bennett JE, Dolin R, Blaser MJ, bahlophisi. Mandell, Douglas, le Bennett's Principles and Practice of Infectious Diseases. La 9th. Philadelphia, PA: Elsevier; 2020: khaolo ea 163.