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\n\u00dcllatav, kuid kaugel ei tea k\u00f5ik, et rabies on 100% surmaga l\u00f5ppev haigus. Kui viirus on mingil moel teie organismi sattunud, algab \"tagasihoidlik kell\": viirus paljuneb ja levib j\u00e4rk-j\u00e4rgult n\u00e4rvikiudude kaudu selja- ja aju poole. Selle \"reis\" v\u00f5ib kesta p\u00e4evi v\u00f5i n\u00e4dalaid v\u00f5i isegi kuid - mida l\u00e4hemale on hammustus pea, seda v\u00e4hem aega teil on. Kogu selle aja tunnete end t\u00e4iesti normaalselt, kuid kui viirus j\u00f5uab oma sihtm\u00e4rgini, olete hukule m\u00e4\u00e4ratud. Kui see juhtub, ei tunne te veel haiguse s\u00fcmptomeid, kuid olete juba muutunud selle levitajaks: viirus ilmub organismi eritistesse. P\u00e4rast seda on rabies v\u00f5imalik tuvastada anal\u00fc\u00fcsidega, kuid selle ravimine on sellisel etapil juba hilja. Aju h\u00e4vitava viiruse paljunemise ajal ilmnevad esmalt s\u00fc\u00fctud s\u00fcmptomid, mis m\u00f5ne p\u00e4eva jooksul arenevad kiiresti progresseeruvaks ajup\u00f5letikuks ja halvatuseks. Tulemus on alati sama - surm.<\/p>\nRaudse haiguse ravi on s\u00f5na-s\u00f5nalt v\u00f5idus\u00f5it surmaga. Haigus ei arene v\u00e4lja ainult siis, kui enne viiruse j\u00f5udmist ajju on kasutusele v\u00f5etud rabiesevaktsiin ja antud sellele piisavalt aega toimimiseks. See vaktsiin sisaldab inaktiveeritud (surmatud) rabiesviirust, mida manustatakse organismi, et \"harida\" immuunsust toime tulema aktiivse viirusega. Kahjuks n\u00f5uab see \"\u00f5pe\" antikehade tootmiseks aega, samas kui viirus j\u00e4tkab tee leidmist teie ajju. Arvatakse, et vaktsiini v\u00f5ib veel manustada kuni 14 p\u00e4eva p\u00e4rast hammustust \u2014 kuid on parem seda teha nii kiiresti kui v\u00f5imalik, soovitavalt esimesel p\u00e4eval. Kui te otsustasite \u00f5igeaegselt abi otsida ja vaktsiin on manustatud, moodustab organism immuunvastuse ja h\u00e4vitab viiruse \"liikumise ajal\". Kui aga kaua viivitasite ja viirus j\u00f5udis ajju enne immuunvastuse tekkimist \u2014 v\u00f5ite endale matusetee valida. Edasist haiguse arengut ei ole v\u00f5imalik peatada.<\/p>\n
Kuidas n\u00e4ete, on see haigus \u00e4\u00e4rmiselt t\u00f5sine \u2014 ja seep\u00e4rast on k\u00fcllalt kummaline, kui murettekitavalt n\u00e4evad v\u00e4lja Venemaal levinud m\u00fc\u00fcdid selle kohta.<\/p>\n
M\u00fc\u00fct number 1<\/b>: raudse haiguse kannavad edasi ainult koerad. M\u00f5nikord mainitakse v\u00f5imalike levitajatena ka kasse ja (harva) rebaseid.<\/p>\n
Kurb reaalsus on see, et raudse haiguse levitajate hulka kuuluvad peale nimetatute veel paljud teised loomad (t\u00e4psemalt, imetajad ja m\u00f5ned linnud) \u2014 pesukaru, veised, rotid, \u00f6\u00f6bikud, kuked, \u0161aakalid ning isegi oravad v\u00f5i siilid.<\/p>\n
M\u00fc\u00fct number 2<\/b>: raudne loom on kergesti \u00e4ratuntav ebanormaalse k\u00e4itumise kaudu (loom liigub kummaliselt, tal voolab s\u00fclg, ta r\u00fcndab inimesi).<\/p>\n
Kahjuks ei vasta see kaugeltki alati t\u00f5ele. Raudse haiguse inkubatsiooniperiood on piisavalt pikk ning nakkuse levitaja s\u00fclg muutub nakkavaks 3-5 p\u00e4eva enne esmaste s\u00fcmptomite ilmnemist. Lisaks v\u00f5ib raudne haigus kulgeda \"vaikses\" vormis ja loom kaotab sageli hirmu ning tuleb inimeste l\u00e4hedale, n\u00e4idates v\u00e4liselt mingeid \u00e4hvardavaid s\u00fcmptomeid. Seet\u00f5ttu on iga metsiku v\u00f5i lihtsalt tundmatu looma (isegi kui see n\u00e4gi v\u00e4lja terve) hammustamise korral ainus \u00f5ige tegevus \u2014 v\u00f5imalikult kiiresti, soovitatavalt esimesel p\u00e4eval, p\u00f6\u00f6rduda arsti poole rabiesevaktsiini saamiseks.<\/p>\n
M\u00fc\u00fct number 3<\/b>: kui haav hammustusest on v\u00e4ike, piisa sellest, et see lihtsalt seebiga puhtaks pesta ja desinfitseerida.<\/p>\n
See on t\u00f5en\u00e4oliselt k\u00f5ige ohtlikum eksiarvamus. Raudrohi viirus ei talu t\u00f5epoolest leeliselisi lahuseid \u2014 kuid selleks, et tungida organismi kudedesse, piisab sellest, et nahk oleks kahjustatud. Pole olemas viisi, et teada, kas viirus on juba tunginud kudedesse enne haava loputamist. <\/p>\n
M\u00fc\u00fct number 4<\/b>: arst m\u00e4\u00e4rab kindlasti teile 40 valulikku s\u00fcsti k\u00f5htu ja peate neid s\u00fcsti tegema iga p\u00e4ev.<\/p>\n
See t\u00f5epoolest oli nii, kuid eelmisel sajandil. Praegu kasutatavad marut\u00f5ve vaktsiinid vajavad 4 kuni 6 s\u00fcsti \u00f5lavarde mitme p\u00e4eva jooksul ning lisaks on v\u00f5imalik veel \u00fcks s\u00fcst hammustuse kohta.<\/p>\n
Lisaks v\u00f5ib arst (nakkushaiguste spetsialist v\u00f5i raboloog) otsustada vaktsineerimise mitteproportsionaalsuse \u00fcle, l\u00e4htudes hammustuse asjaoludest ja kohaliku epideemilise olukorra hindamisest (hindamine, milline loom see oli, kas kodune v\u00f5i metsik, kuidas ja kus k\u00f5ik toimus, kas antud piirkonnas on esinenud marut\u00f5ve juhtumeid jne).<\/p>\n
M\u00fc\u00fct number 5<\/b>: marut\u00f5ve vaktsiinil on palju k\u00f5rvaltoimeid ja selle t\u00f5ttu v\u00f5ib isegi surra.<\/p>\n
Selle vaktsiiniliigi k\u00f5rvaltoimed on t\u00f5epoolest olemas \u2014 see on peamine p\u00f5hjus, miks marut\u00f5ve vastu vaktsineeritakse tavaliselt mitte ennetuseks, vaid ainult nakkusohtu arvestades. Need \"k\u00f5rvaltoimed\" on \u00fcsna ebameeldivad, kuid enamasti pole need pikad ning nende talumine ei ole nii suur hind, et ellu j\u00e4\u00e4da. Vaktsiinide t\u00f5ttu surra ei saa, kuid kui p\u00e4rast hammustust kahtlase looma poolt neid ei tehta v\u00f5i j\u00e4tkatakse vaktsineerimise vahelej\u00e4tmisega \u2014 siis on marut\u00f5vesse surma v\u00f5imalus t\u00e4iesti olemas.<\/p>\n
M\u00fc\u00fct number 6<\/b>: kui p\u00fc\u00fcda v\u00f5i tappa teid hammustanud looma, siis ei ole vaktsineerimist vaja, sest arstid saavad anal\u00fc\u00fcsi teostada ja selgitada, kas see oli haige marut\u00f5vega.<\/p>\n
See on \u00f5igustatud ainult pooleldi. Kui loom on p\u00fc\u00fctud ja tal ei esine marut\u00f5ve tunnuseid \u2014 v\u00f5ib ta minna karantiini, kuid see ei vabasta teid vaktsineerimisest. Arstid saavad vaktsineerimise l\u00f5petamise otsuse teha ainult siis, kui loom ei haigestu ja ei sure 10 p\u00e4eva jooksul \u2014 kuid siin v\u00f5ib teid tabada selline ebameeldivus nagu at\u00fc\u00fcpiline marut\u00f5bi. See on olukord, kus haige loom elab. oluliselt<\/i> kauem kui need 10 p\u00e4eva \u2014 ja kogu selle aja jooksul on see viiruse kandja, n\u00e4idates haiguse v\u00e4liseid s\u00fcmptomeid. Kommentaarid on \u00fcleliigsed. Tuleb siiski m\u00e4rkida, et ebat\u00fc\u00fcpiline raev esineb statistika j\u00e4rgi \u00e4\u00e4rmiselt harva \u2014 kuid siiski on parem viia alustatud vaktsineerimiskursus l\u00f5puni, kui sattuda just sinna statistika hulka ja hiljem t\u00f5estada sealpool, et juhtus trag\u00f6\u00f6dia.<\/p>\n
Kui loom on kohapeal tapetud v\u00f5i p\u00fc\u00fctud ja magama pandud \u2014 on see anal\u00fc\u00fcs v\u00f5imalik l\u00e4bi aju l\u00f5ike uurimise, kuid kui kaua seda tehakse (ja kas seda tehakse) \u2014 s\u00f5ltub v\u00e4ga palju sellest, kus k\u00f5ik juhtus ja kuhu te abi otsima l\u00e4ksite. Enamasti on ohutum alustada vaktsineerimiskursust kohe ja l\u00f5petada see, kui raev ei kinnitu laboratoorses uuringus.<\/p>\n
Kui teid hammustanud loom on p\u00f5genenud \u2014 on see selge n\u00e4idustus vaktsineerimiseks, ja riskitaset peaks hindama vaid arst. Loomulikult v\u00f5ib vaktsineerimiskursuse l\u00e4bimine osutuda liikseks ettevaatlikkuseks \u2014 te ei tea ju kindlalt, kas loom oli raevu nakatunud. Kuid kui vaktsineerimist ei tehta, ja loom oli viiruse kandja \u2014 olete te garanteeritud piinava surma l\u00e4bi paar n\u00e4dalat v\u00f5i kuud. <\/p>\n
M\u00fc\u00fct number 7<\/b>: kui teid hammustas loom, kellel on raevu vastu vaktsiin, ei ole vaktsineerimist vaja.<\/p>\n
See on t\u00f5ene, kuid mitte alati. Vaktsiin peab olema, esiteks, dokumentaalselt kinnitatud (registreeritud vaktsineerimistunnistuses), ja teiseks \u2014 ei tohi see olla aegunud v\u00f5i antud v\u00e4hem kui kuu aega enne juhtumit. Lisaks, isegi kui dokumentatsioon on korras, kuid loom k\u00e4itub ebanormaalselt \u2014 tuleks p\u00f6\u00f6rduda arsti poole ja j\u00e4rgida tema soovitusi.<\/p>\n
M\u00fc\u00fct number 8<\/b>: raevu v\u00f5ib saada, kui puudutate haige looma, v\u00f5i kui see teid kriimustab v\u00f5i limpsib.<\/p>\n
See, this is not quite correct. The rabies virus cannot survive in the external environment, so it cannot be present on the skin or fur of an animal, or on claws (such as those of cats). It thrives excellently in saliva, but it cannot penetrate intact skin. In the latter case, however, it is important to wash the salivated area of the skin with soap immediately and disinfect it, and then seek medical advice to determine the need for further action.<\/p>\n
M\u00fc\u00fct number 9<\/b>: during and after vaccination against rabies, one cannot consume alcohol, otherwise it neutralizes the effect of the vaccine.<\/p>\n
There is no scientific basis for claims that alcohol blocks the production of antibodies during rabies vaccination. This frightening tale is spread exclusively in the countries of the former USSR. Notably, outside the former socialist bloc, doctors have not heard of such prohibitions, and instructions for rabies vaccines do not contain any contraindications related to alcohol.<\/p>\n
This scare has its roots in the last century when vaccines of the previous generation were used, which indeed required injections in the abdomen for 30-40 consecutive days. Missing another injection, both then and now, threatens to nullify the effect of vaccination, and drunkenness is one of the common reasons for not appearing at the doctor\u2019s. <\/p>\n
M\u00fc\u00fct number 10<\/b>: Rabies is curable. Americans cured a sick girl according to the Milwaukee protocol after the onset of symptoms.<\/p>\n
This is highly debatable. Indeed, there exists such an extremely complicated and expensive (about $800,000) method of treating rabies at the stage of symptom manifestation, but worldwide, only a handful of successful cases have been confirmed. In addition, science still cannot explain how they differ from the much larger number of cases where treatment according to this protocol did not yield results. Therefore, it is unwise to rely on the Milwaukee protocol\u2014the success rate there hovers around 5%. The only officially recognized and effective way to avoid rabies in the case of exposure risk remains timely vaccination.<\/p>\n
Kokkuv\u00f5tteks jagan ma \u00f5petlikku lugu. Elan Saksamaal ja meil, nagu paljudes naaberriikides, ei esine \u201ekohalikku\u201c marut\u00f5be loomadel (ja seega ka juhtumeid, kus inimesed on nakatunud) t\u00e4nu valitsuse ja tervishoiuorganisatsioonide pingutustele. Ent \u201eimport\u201c v\u00f5ib m\u00f5nikord siiski l\u00e4bi p\u00e4\u00e4seda. Viimane juhtum oli umbes 8 aastat tagasi: mees toodi haiglasse kaebustega k\u00f5rge temperatuuri, neelamisraskuste ja liikumise koordineerimise probleemide \u00fcle. Ahnustumise kogu k\u00e4igus mainis ta, et kolm kuud enne haiguse algust naasis ta Aafrika reisilt. Talle tehti koheselt marut\u00f5ve test \u2013 ja tulemus oli positiivne. Haige j\u00f5udis veel r\u00e4\u00e4kida, et teda hammustas reisi ajal koer, kuid ta ei pidanud seda oluliseks ega p\u00f6\u00f6rdunud kuhugi. See mees suri peagi eraldatud toas. Ja k\u00f5ik kohalikud epidemioloogilised teenistused, sealhulgas tervishoiu ministeerium, olid sel ajal juba \u00e4revil \u2013 loomulikult, esimene marut\u00f5ve juhtum riigis juba aastaid... Nad tegid titaanilise t\u00f6\u00f6, otsides ja vaktsineerides k\u00f5ik, kellega surnud p\u00e4rast seda \u00f5nnetut reisi kokku puutus. <\/p>\n
\u00c4rge alahindage loomahammustusi, isegi koduloomade omad, kui need ei ole vaktsineeritud \u2013 eriti riikides, kus marut\u00f5bi on levinud. \u00d5ige otsuse tegemise vajaduse kohta igas konkreetses juhul saab teha ainult arst. Kui te j\u00e4tate selle t\u00e4helepanuta, seadate ohtu oma elu ja oma l\u00e4hedaste elu.
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