Katemera wa chiwewe

Zamkati

• Lankhulani ndi dokotala musanalandire katemera wa chiwewe ngati:

Amayi ndi matenda oopsa. Amayambitsidwa ndi kachilombo. Amayi ndi matenda a ziweto. Anthu amadwala chiwewe akamalumidwa ndi nyama zomwe zili ndi kachilomboka.

Poyamba sipangakhale zizindikiro zilizonse. Koma patatha milungu, kapena ngakhale zaka zitadulidwa, matenda a chiwewe angayambitse ululu, kutopa, mutu, malungo, ndi kukwiya. Izi zimatsatiridwa ndi khunyu, kuyerekezera zinthu m'maganizo, ndi kulumala. Amayi amadwala nthawi zambiri amapha.

Nyama zamtchire, makamaka mileme, ndizomwe zimafalitsa matenda achiwewe ku United States. Zinyalala, ma raccoon, agalu, ndi amphaka amathanso kufalitsa matendawa.

Amuna achiwembu amapezeka kawirikawiri ku United States. Pali milandu 55 yokha yomwe yapezeka kuyambira 1990. Komabe, pakati pa 16,000 ndi 39,000 anthu amathandizidwa chaka chilichonse kuti athe kudwala chiwewe atalumidwa ndi nyama. Komanso, matenda a chiwewe amapezeka kwambiri kumadera ena padziko lapansi, pafupifupi 40,000 mpaka 70,000 amafa chifukwa cha chiwewe chaka chilichonse. Kulumidwa ndi agalu opanda katemera kumayambitsa milandu yambiri. Katemera wa chiwewe angapewe matenda a chiwewe.

Katemera wa chiwewe amapatsidwa kwa anthu omwe ali pachiwopsezo chachikulu cha chiwewe kuti awateteze akawululidwa. Ikhozanso kuteteza matendawa ngati apatsidwa kwa munthu pambuyo awululidwa.

Katemera wa chiwewe amapangidwa kuchokera ku kachilombo koyambitsa matenda a chiwewe. Sangayambitse matenda a chiwewe.

• Anthu omwe ali pachiwopsezo chotenga matenda a chiwewe, monga omwe ali ndi ziweto, osamalira nyama, ogwira ntchito labotale ya ziwewe, spelunkers, ndi omwe amapangira zamoyo za chiwewe ayenera kupatsidwa katemera wa chiwewe.
• Katemerayu ayeneranso kuganiziridwa kwa: (1) anthu omwe zochita zawo zimawakhudza pafupipafupi ndi matenda a chiwewe kapena ndi nyama zachiwewe, komanso (2) apaulendo ochokera kumayiko ena omwe atha kukumana ndi nyama kumayiko ena kumene matenda a chiwewe ndizofala.
• Ndondomeko ya katemera wa chiwewe ndi milingo itatu, yomwe imaperekedwa munthawi izi: (1) Mlingo 1: Ngati kuli koyenera, (2) Dosi 2: masiku 7 kuchokera Dose 1, ndi (3) Mlingo 3: masiku 21 kapena 28 Patatha masiku Dose 1.
• Kwa ogwira ntchito ku labotale ndi ena omwe atha kudwala kachilombo ka chiwewe mobwerezabwereza, kuyezetsa magazi nthawi ndi nthawi kumalimbikitsa, ndipo kuyerekezera koyenera kuyenera kuperekedwa ngati kungafunikire. (Kuyeserera kapena kuchuluka kwa chilimbikitso sikuvomerezeka kwa apaulendo.) Funsani dokotala wanu kuti adziwe zambiri.

• Aliyense amene walumidwa ndi nyama, kapena amene mwina wadwala chiwewe, ayenera kukaonana ndi dokotala nthawi yomweyo. Dokotala adzawona ngati akufunika katemera.
• Munthu amene sanawonekere ndipo sanatengepo katemera wa chiwewe ayenera kulandira katemera wa chiwewe wa 4 - mlingo umodzi nthawi yomweyo, ndi mankhwala owonjezera tsiku la 3, 7, ndi 14. Ayeneranso kupeza kuwombera kwina kotchedwa Rabies Immune Globulin nthawi imodzimodzi ndi mlingo woyamba.
• Munthu amene adalandira katemera kale ayenera kulandira katemera wa chiwewe kawiri - kamodzi nthawi yomweyo wina tsiku lachitatu. Matenda a chiwewe Immune Globulin safunika.

Lankhulani ndi dokotala musanalandire katemera wa chiwewe ngati:

• adakhalapo ndi vuto lalikulu (lowopseza moyo) lakuthupi la katemera wa matenda a chiwewe, kapena chinthu china chilichonse cha katemera; uzani dokotala wanu ngati muli ndi vuto linalake loopsa.
• kukhala ndi chitetezo chamthupi chofooka chifukwa cha: HIV / Edzi kapena matenda ena omwe amakhudza chitetezo chamthupi; chithandizo chamankhwala omwe amakhudza chitetezo chamthupi, monga ma steroids; khansa, kapena chithandizo cha khansa ndi radiation kapena mankhwala.

Ngati muli ndi matenda ang'onoang'ono, monga chimfine, mutha kulandira katemera. Ngati mukudwala pang'ono kapena pang'ono, muyenera kudikirira mpaka mutachira musanalandire katemera wa chiwewe. Ngati mwapezeka ndi kachilombo ka chiwewe, muyenera kulandira katemera mosatengera matenda ena aliwonse omwe mungakhale nawo.

Katemera, monga mankhwala aliwonse, amatha kuyambitsa mavuto akulu, monga kusokonezeka kwambiri. Kuopsa kwa katemera wopweteketsa kwambiri, kapena kufa, ndikochepa kwambiri. Mavuto akulu ochokera ku katemera wa chiwewe sapezeka kawirikawiri.

• Kupweteka, kufiira, kutupa, kapena kuyabwa komwe kuwombera kunaperekedwa (30% mpaka 74%)
• mutu, nseru, kupweteka m'mimba, kupweteka kwa minofu, chizungulire (5% mpaka 40%)

• ming'oma, kupweteka kwa malo olumikizirana mafupa, malungo (pafupifupi 6% yamiyeso yolimbikitsira)

Matenda ena amanjenje, monga Guillain-Barré Syndrome (GBS), adanenedwa atalandira katemera wa chiwewe, koma izi zimachitika kawirikawiri kotero kuti sizidziwika ngati ndizogwirizana ndi katemerayu.

Dziwani: Katundu wambiri wa katemera wa chiwewe amapezeka ku United States, ndipo mayankho amasiyana pamitundu. Wopereka wanu atha kukupatsirani zambiri zamtundu winawake.

• Matenda aliwonse achilendo, monga kupewetsa thupi kapena kutentha thupi kwambiri. Ngati thupi lanu silinayanjane bwino, zimatha kukhala mphindi zochepa mpaka ola mutaponyedwa. Zizindikiro zakusavomerezeka zimaphatikizaponso kupuma movutikira, kuuma kapena kupuma, kutupa pakhosi, ming'oma, kutuwa, kufooka, kugunda kwamtima, kapena chizungulire.

• Itanani dokotala, kapena pitani naye kuchipatala nthawi yomweyo.
• Uzani dokotala wanu zomwe zinachitika, tsiku ndi nthawi yomwe zinachitikira, komanso nthawi yomwe katemerayo anapatsidwa.
• Funsani omwe akukuthandizani kuti anene zomwe achite polemba fomu ya Vaccine Adverse Event Reporting System (VAERS). Kapena mutha kuyika lipotili kudzera patsamba la VAERS pa http://vaers.hhs.gov/index, kapena poyimbira 1-800-822-7967. VAERS sapereka upangiri wazachipatala.

• Funsani dokotala wanu kapena wothandizira zaumoyo. Atha kukupatsirani phukusi la katemera kapena angakupatseni chidziwitso china.
• Imbani foni ku dipatimenti yazazaumoyo yanu
• Lumikizanani ndi Centers for Disease Control and Prevention (CDC): itanani 1-800-232-4636 (1-800-CDC-INFO) kapena pitani patsamba la CDC la rabies ku http://www.cdc.gov/rabies/

Chiwerengero cha Chidziwitso cha Katemera. Dipatimenti ya Zaumoyo ku United States ndi Human Services / Centers for Disease Control and Prevention. 10/6/2009

• Imovax^®
• RabAvert^®