Aloha kākou kela kanaka.
Ma kahi o hoʻokahi makahiki i hala aku nei ua loaʻa iaʻu kahi mea ʻoluʻolu e like me ka maʻi rabies i manaʻo ʻia. Heluhelu i nehinei ua hoʻomanaʻo mai iaʻu i kēlā hihia - ʻoi aku ka nui o ka haʻi ʻole ʻia o ka rabies, ʻoiai he mea laha loa ia (ʻo ia hoʻi ma Rūsia, Asia, ʻApelika a me ʻAmelika) a me kahi maʻi hoʻopunipuni. ʻO ka mea pōʻino, ʻaʻole i hāʻawi ʻia nā pilikia e pili ana me ia i ka mea nui.
No laila he aha ka rabies? ʻO kēia hiki ole ke hoolaia he maʻi maʻi maʻi i lawe ʻia ma o ke kohu a i ʻole ke koko o nā holoholona a me nā kānaka i maʻi ʻia. I ka hapanui o nā hihia, loaʻa ka maʻi ma muli o ka nahu ʻana o kahi holoholona e lawe ana i ka maʻi.
He aha ka ʻōlelo a ka poʻe kamaʻāina maʻamau o Rūsia e pili ana i ka rabies? ʻAe, aia kekahi maʻi. E pili ana me ia, hoʻomanaʻo pinepine ʻia nā ʻīlio huhū. E hoʻohui paha ka hanauna kahiko inā nahu kēlā ʻīlio iā ʻoe, pono ʻoe e hāʻawi i 40 injections i ka ʻōpū a poina i ka waiʻona no kekahi mau mahina. ʻO ia wale nō paha.
ʻO ka mea kupanaha, ʻaʻole ʻike ka poʻe āpau he 100% ka maʻi rabies. Inā komo ka maʻi maʻi i kou kino ma kekahi ʻano a i ʻole, hoʻomaka ka "countdown": e hoʻonui mālie a hoʻolaha, neʻe ka maʻi ma nā aʻalolo a hiki i ka spinal cord a me ka lolo. Hiki i kāna "huakaʻi" ke lōʻihi mai nā lā a i ʻole nā wiki a hiki i kekahi mau mahina - ʻoi aku ka kokoke o ka nahu i ke poʻo, ʻo ka liʻiliʻi o kou manawa. I kēia manawa a pau e manaʻo ʻoe i ke ʻano maʻamau, akā inā ʻoe e ʻae i ka maʻi e hōʻea i kāna pahuhopu, ua make ʻoe. Ke hana ʻia kēia, ʻaʻole ʻoe e ʻike i nā hōʻailona o ka maʻi, akā e lilo ʻoe i mea lawe: e ʻike ʻia ka maʻi i loko o nā mea huna o ke kino. Ma hope o kēia, hiki ke ʻike ʻia ka rabies ma o ka hoʻāʻo ʻana, akā ua lōʻihi ka mālama ʻana iā ia ma kēia pae. I ka hoʻonui ʻana o ka maʻi i loko o ka lolo, hoʻomaka ka ʻike ʻana i nā hōʻailona mua ʻino ʻole, a i loko o kekahi mau lā e ulu aʻe i ka maʻi lolo a me ka lolo. Ua like mau ka hopena - make.
ʻO ka mālama ʻana i ka rabies he lāhui me ka make. ʻAʻole e ulu ka maʻi inā ʻoe e hoʻohana i ka lāʻau lapaʻau ma mua o ke komo ʻana o ka maʻi i ka lolo a hāʻawi i ka manawa e hana ai. ʻO kēia kano he maʻi rabies i hoʻohana ʻole ʻia (make) i hoʻokomo ʻia i loko o ke kino e "hoʻomaʻamaʻa" i ka ʻōnaehana pale e hakakā i ka maʻi maʻi. ʻO ka mea pōʻino, ʻo kēia "hoʻomaʻamaʻa" ka manawa e hana ai i nā antibodies, ʻoiai ke hoʻomau nei ka maʻi i kou lolo. Manaʻo ʻia ʻaʻole i lohi ka hoʻohana ʻana i ka lāʻau lapaʻau a hiki i 14 mau lā ma hope o ka nahu ʻana - akā ʻoi aku ka maikaʻi o ka hana ʻana i ka wā hiki, ʻoi aku ka maikaʻi ma ka lā mua. Inā ʻimi ʻoe i ke kōkua i ka manawa kūpono a hāʻawi ʻia i ke kano, e hana ke kino i kahi pane kūlohelohe a luku i ka maʻi "ma ka huakaʻi." Inā kānalua ʻoe a hiki i ka maʻi ke komo i loko o ka lolo ma mua o ka hoʻokumu ʻana o kahi pane immune, hiki iā ʻoe ke ʻimi i kahi i loko o ka hale kupapaʻu. ʻAʻole e pau ka ulu hou ʻana o ka maʻi.
E like me kāu e ʻike ai, he koʻikoʻi loa kēia maʻi - a ʻoi aku ka ʻokoʻa o nā moʻolelo e kū nei ma Rūsia ma kēia kumuhana.
Helu 1: ʻO nā ʻīlio wale nō e lawe i ka rabies. I kekahi manawa, kapa ʻia nā pōpoki a me nā ʻalopeke (ʻaʻole pinepine) he mau mea lawe.
ʻO ka mea kaumaha, ʻo nā mea lawe rabies, ma waho aʻe o nā mea i ʻōlelo ʻia, hiki i nā holoholona ʻē aʻe he nui (ʻoi aku ka pololei, nā mammals a me kekahi mau manu) - raccoons, pipi, ʻiole, ʻōpeʻapeʻa, moa, ʻīlio hae, a me nā squirrels a hedgehogs.
Helu 2: hiki ke ʻike maʻalahi i ka holoholona huhū ma muli o kāna ʻano kūpono ʻole (neʻe ʻē ka holoholona, drooling, holo wikiwiki i nā kānaka).
ʻO ka mea pōʻino, ʻaʻole pololei kēia i nā manawa a pau. He lōʻihi loa ka manawa o ka hoʻoulu ʻana o ka rabies, a lilo ka kohu o ka mea lawe i ka maʻi maʻi i 3-5 mau lā ma mua o ka ʻike ʻana o nā hōʻailona mua. Eia kekahi, hiki i ka rabies ke hana ma ke ʻano "silent", a nalowale pinepine ka holoholona i ka makaʻu a puka i waho i nā poʻe me ka hōʻike ʻole ʻana i nā hōʻailona hoʻoweliweli. No laila, ke nahu ʻia e kekahi holoholona ʻāhiu a ʻike ʻole paha (ʻoiai inā he olakino ia), ʻo ka hana kūpono wale nō ke nīnau koke i ke kauka, ʻoi aku ka maikaʻi ma ka lā mua, no ka loaʻa ʻana o ka lāʻau lapaʻau anti-rabies.
Helu 3: inā liʻiliʻi ka ʻeha nahu, lawa ka holoi wale ʻana me ke kopa a hoʻopau i ka maʻi.
ʻO ka manaʻo kuhihewa loa paha. ʻO ka maʻi rabies, ʻoiaʻiʻo, ʻaʻole ia e ʻae i ka hoʻopili ʻana me nā hopena alkaline - akā i mea e komo ai i loko o nā ʻiʻo o ke kino, ua lawa nā mea ʻino i ka ʻili. ʻAʻohe ala e ʻike inā ua hiki iā ia ke hana i kēia ma mua o ka hoʻomaʻemaʻe ʻana i ka ʻeha.
Helu 4: Na ke kauka e kuhikuhi pono iā ʻoe i 40 ʻeha ʻeha i loko o ka ʻōpū, a pono ʻoe e hele no kēia mau injections i kēlā me kēia lā.
ʻO kēia ka hihia, akā i ke kenekulia i hala. Pono nā lā'au lapa'au i ho'ohana 'ia i kēia manawa he 4 a 6 mau inikia ma ka po'ohiwi i kekahi mau lā ma ke ka'awale, a me ka ho'okomo 'ana ma ke kahua o ka nahu.
Eia kekahi, hiki i ke kauka (ka maʻi maʻi maʻi maʻi a i ʻole ka rabiologist) ke hoʻoholo i ke kūpono ʻole o ka hoʻopaʻa ʻana, e pili ana i ke kūlana o ka nahu a me ke kūlana epidemiological kūloko (e loiloi ʻia ke ʻano o ka holoholona, inā he home a he hihiu paha, i hea a pehea i hana ʻia ai, inā i hoʻopaʻa ʻia ma nā wahi o ka rabies a pēlā aku).
Helu 5: He nui nā hopena ʻaoʻao o ka lāʻau rabies a hiki iā ʻoe ke make mai ia mea.
Loaʻa nā hopena ʻaoʻao o kēia ʻano lāʻau lapaʻau - ʻo ia ke kumu nui i hoʻopaʻa pinepine ʻia ai ka poʻe i ka rabies ʻaʻole me ka prophylactically, akā inā loaʻa ka pilikia o ka maʻi. ʻAʻole ʻoluʻolu kēia mau "hopena ʻaoʻao", akā ʻo ka pinepine ʻaʻole lōʻihi loa lākou, a ʻo ka hoʻomanawanui ʻana ʻaʻole ia he kumu kūʻai nui e uku ai e noho ola. ʻAʻole hiki iā ʻoe ke make i ka lāʻau lapaʻau iā ʻoe iho, akā inā ʻaʻole ʻoe e loaʻa iā lākou ma hope o ka nahu ʻia ʻana e kekahi holoholona kānalua a i ʻole e hoʻolei i ka hoʻopaʻa ʻana i nā lāʻau lapaʻau, a laila hiki iā ʻoe ke make i ka rabies.
Helu 6: Ina oe e hopu a pepehi paha i kekahi holoholona i nahu ia oe, aole pono oe e lapaau, no ka mea, e hiki no i na kauka ke hana i ka hoao a e ike i ka rabies.
He hapalua wale no keia. Inā loaʻa kahi holoholona a ʻaʻole hōʻike i nā hōʻailona o ka rabies, hiki ke hoʻokaʻawale ʻia, akā ʻaʻole kēia e hoʻopakele iā ʻoe mai ka lāʻau lapaʻau. Hiki i nā kauka ke hoʻoholo e hoʻopau iā ia wale nō inā ʻaʻole maʻi a make paha ka holoholona i loko o 10 mau lā - akā ma ʻaneʻi paha ʻoe e ʻike ai i kahi puʻupuʻu e like me ka rabies atypical. ʻO kēia ka wā e ola ai kekahi holoholona maʻi nui ʻoi aku ka lōʻihi ma mua o kēlā mau lā 10 - a i kēia manawa he mea lawe ia o ka maʻi, me ka ʻole o ka hōʻike ʻana i nā hōʻailona waho o ka maʻi. ʻAʻohe manaʻo pono. Eia nō naʻe, pono e hoʻomaopopo ʻia e like me nā helu helu, he kakaikahi ka rabies atypical - akā ʻoi aku ka maikaʻi o ka hoʻopau ʻana i ka papa hoʻomaka o ka hoʻomaʻamaʻa ʻana ma mua o ka pau ʻana i kēlā mau helu like a hōʻoia ma hope i ka honua e hiki mai ana he coincidence pōʻino.
I ka hihia kahi i pepehi ʻia ai ka holoholona ma kahi a i ʻole i hopu ʻia a euthanized, hiki ke ʻike ʻia ma o ke aʻo ʻana i nā ʻāpana lolo, akā pehea ka lōʻihi (a inā e hana ʻia) e hilinaʻi nui ʻia ma kahi i hana ʻia ai. a ma kahi āu i huli ai no ke kōkua. I ka hapanui o nā hihia, ʻoi aku ka palekana o ka hoʻomaka koke ʻana i ke kaʻina hana a hoʻōki inā ʻaʻole hōʻoia ʻia ka rabies e ka hoʻāʻo ʻana.
Inā pakele ka holoholona nāna ʻoe i nahu, he hōʻailona maopopo kēia no ka hoʻopaʻa ʻana, a na ke kauka wale nō e nānā i ke kiʻekiʻe o ka pilikia ma ʻaneʻi. ʻOiaʻiʻo, ʻo ka hoʻopau ʻana i kahi papa o nā lāʻau lapaʻau hiki ke lilo i mea hōʻoia hou - ʻaʻohe ou ala e ʻike maopopo ai inā ua loaʻa ka holoholona i ka rabies. Akā inā ʻaʻole i hana ʻia ka lāʻau lapaʻau, a ʻo ia ka holoholona i lawe i ka maʻi maʻi, a laila e hōʻoiaʻiʻo ʻia ʻoe he make ʻeha i loko o kekahi mau pule a i ʻole mau mahina.
Helu 7: Inā nahu ʻia ʻoe e kekahi holoholona i loaʻa i ka maʻi rabies, ʻaʻole koi ʻia ka lāʻau lapaʻau.
Heʻoiaʻiʻo kēia, akā,ʻaʻole i nā manawa a pau. ʻO ka mua, pono e kākau ʻia ka lāʻau lapaʻau (i hoʻopaʻa ʻia i loko o ka palapala hōʻoia ʻana), a ʻo ka lua, ʻaʻole pono e pau a hāʻawi ʻia ma lalo o hoʻokahi mahina ma mua o ka hanana. Eia kekahi, inā maikaʻi nā mea a pau e like me nā palapala, akā hana hewa ka holoholona, pono ʻoe e nīnau i ke kauka a hahai i kāna mau ʻōlelo aʻoaʻo.
Helu 8: Hiki iā ʻoe ke loaʻa i ka maʻi rabies ma ka hoʻopā ʻana i kahi holoholona maʻi, a i ʻole inā e ʻakaʻaka a palu iā ʻoe.
ʻAʻole ʻoiaʻiʻo loa kēia. ʻAʻole hiki i ka maʻi rabies ke noho ma waho, no laila ʻaʻole hiki ke loaʻa ma ka ʻili/hulu o kahi holoholona a i ʻole ma nā maiuu (e like me ka pōpoki). Manaʻo maikaʻi ia i ka ʻili, akā ʻaʻole hiki ke komo i loko o ka ʻili paʻa. I ka hihia hope, akā naʻe, pono ʻoe e holoi koke me ke kopa a hoʻomaʻemaʻe i ka wahi drooled o ka ʻili, a laila pono ʻoe e nīnau i ke kauka a ʻae iā ia e hoʻoholo i ka pono o ka hana hou.
Helu 9: I ka wā a ma hope o ka hoʻopaʻa ʻana i ka rabies, ʻaʻole pono ʻoe e inu i ka waiʻona, inā ʻaʻole ia e hōʻemi i ka hopena o ke kano.
ʻAʻohe kumu ʻepekema no ka ʻōlelo ʻana e pāpā ana ka waiʻona i ka hana ʻana o nā antibodies i ka wā o ka lāʻau lapaʻau. Hoʻolaha wale ʻia kēia moʻolelo weliweli ma nā ʻāina o ka USSR mua. ʻO ka mea maʻamau, ʻaʻole i lohe nā kauka ma waho o ke kahua hoʻomoana socialist mua i kēlā mau pāpā ʻana, a ʻaʻole i loaʻa i nā ʻōlelo aʻoaʻo no nā lāʻau lapaʻau nā contraindications e pili ana i ka waiʻona.
Ke hoʻi nei kēia moʻolelo weliweli i ke kenekulia i hala, i ka wā i hoʻohana ʻia ai nā lāʻau lapaʻau o ka hanauna i hala, i hoʻokomo maoli ʻia i loko o ka ʻōpū no 30-40 mau lā i ka lālani. ʻO ka hala ʻole o ka hoʻokō ʻana aʻe, i kēlā manawa a i kēia manawa, hiki ke hōʻole i ka hopena o ka lāʻau lapaʻau, a ʻo ka ʻona kekahi o nā kumu maʻamau o ka hōʻike ʻole ʻana i ke kauka.
Helu 10: Hiki ke hoola i ka rabies. Ua mālama nā ʻAmelika i ke kaikamahine maʻi me ka hoʻohana ʻana i ka Milwaukee Protocol ma hope o ka ʻike ʻana o nā hōʻailona o ka maʻi.
He mea hoopaapaa loa keia. ʻOiaʻiʻo, aia kahi ʻano paʻakikī a me ka pipiʻi (e pili ana i $800000) o ka mālama ʻana i ka rabies ma ke ʻano o ka hōʻike ʻana o nā hōʻailona, akā he mau mea liʻiliʻi wale nō i hōʻoia ʻia ma ka honua holoʻokoʻa. Eia kekahi, ʻaʻole hiki i ka ʻepekema ke wehewehe i ke ʻano o ko lākou ʻokoʻa mai nā hihia ʻē aʻe kahi i loaʻa ʻole ai ka hopena ma lalo o kēia protocol. No laila, ʻaʻole pono ʻoe e hilinaʻi i ka Milwaukee Protocol - ʻo ka hiki ke kūleʻa ma laila e lele ana ma kahi o 5%. ʻO ke ala i ʻike ʻia a maikaʻi hoʻi e pale aku ai i ka rabies inā loaʻa ka maʻi ʻo ia wale nō ka lāʻau lapaʻau i ka manawa.
I ka hopena, e haʻi wau iā ʻoe i kahi moʻolelo aʻo. Noho wau i Kelemānia, a ma ʻaneʻi, e like me nā ʻāina e pili ana, "local" rabies i loko o nā holoholona (a, no laila, nā hihia o ka maʻi kanaka) ua lōʻihi ka hoʻopau ʻia ʻana ma muli o nā hana a ke aupuni a me nā hui olakino. Akā ʻo ka "imported" i kekahi manawa e lele i waho. ʻO ka hihia hope loa ma kahi o 8 mau makahiki i hala aku nei: ua hoʻokomo ʻia ke kanaka i ka haukapila me nā hoʻopiʻi o ke kuni kiʻekiʻe, nā spasms i ka wā e ʻai ai a me nā pilikia me ka hoʻonohonoho ʻana o nā neʻe. I ka wā o ke kaʻina hana moʻolelo, ua ʻōlelo ʻo ia he 3 mau mahina ma mua o ka hoʻomaka ʻana o ka maʻi ua hoʻi mai ʻo ia mai kahi huakaʻi i ʻApelika. Ua hoʻāʻo koke ʻia ʻo ia no ka rabies a ua maikaʻi ka hopena. Ua hiki i ka mea maʻi ke haʻi aku ua nahu ʻia ʻo ia e ka ʻīlio i ka wā o ka huakaʻi, ʻaʻole naʻe ʻo ia i hoʻopili i kēia mea a ʻaʻole i hele i kahi. Ua make koke ke kanaka ma kahi keʻena kaʻawale. A ʻo nā lawelawe epidemiological āpau āpau, a hiki i ke Kuhina o ke Ola, aia ma ko lākou mau pepeiao i kēlā manawa - ʻoiai, ʻo ka hihia mua o ka rabies ma ka ʻāina no ke Akua ʻike i ka nui o nā makahiki ... Ua hana lākou i kahi hana titanic, i loko. 3 mau lā e ʻimi ai a hoʻopaʻa i ka poʻe a pau i launa pū me ka mea i make ma hope o ka hoʻi ʻana mai ia huakaʻi pōʻino.
Mai haʻalele i nā nahu mai nā holoholona, a me nā holoholona, inā ʻaʻole lākou i hoʻopaʻa ʻia - ʻoi aku hoʻi ma nā ʻāina i maʻamau ka rabies. Hiki i ke kauka ke hoʻoholo i ka pono o ka lāʻau lapaʻau i kēlā me kēia hihia. Ma ka ʻae ʻana i kēia, ke kau nei ʻoe i kou ola a me ke ola o kāu poʻe aloha i ka pilikia.
Source: www.habr.com