The dog was bitten by a rabies vaccine.

The baby was bitten by her classmates.

The background message is very lively:

A mass: Fighting, you must fight, you know if the wound will be infected!

B people: I do n’t fight, it ’s too coquettish, which one we have not been bitten when we were young!

C crowd: It may be insurance. In case the baby was bitten by a dog before, the rabies have an incubation period!

There are also D people in the crooked building: being caught by cats, bite the rabbit to be able to murmur the rabies?

But more melon, eating ice powder, eating ice cream, eating ice cream, the masses in the background:

"Hey, Xiao Xixi, do you simply come out and take a few steps, put this hanging dragon door three!"

Native

Come, today, Dr. Zhou Lingyun, Dr. Zhou Lingyun, the Infectious Disease Center of the West China Hospital of Sichuan University, and Liang Yan in charge of the emergency department to answer this pile of questions.

Simple official version

1. Rabies will not bite or learn dogs during the occurrence period, but almost 100%will die.

2. The incubation period of rabies generally does not exceed 1 year.

3. After being bitten by a dog, according to the situation, the key is to use "treatment of wound+injection rabies passive immune preparation+vaccination rabies vaccine". The key is fast.

4. When cats and dogs who are scratched or bite when they are scratched or bite, the risk of rabies is relatively small, but it is still recommended to go to the hospital to deal with wounds and get vaccine or immunoglobulin according to the doctor's request.

【Ballad Team Edition】

1. The manifestation of rabies

Rabies is an acute infectious disease caused by rabies virus. It manifests that symptoms of fearing water, fear of light, dyspnea, mania, irritability, urinary incontinence and other symptoms will eventually die from pharyngeal muscle spasm and suffocation or respiratory cycle failure.

ask

Alas, I seem to listen to others ... I have to learn dogs when I get rabies, and do I still have AO people?

Answer: Hey, it is someone who said ... I feel that the people we can't afford to rumor the team are "people say."

If you are bitten by a dog, you have to learn the dog and AO. Everyone has been bitten by bees, ants, mosquitoes, flea ... I haven't seen any genetic mutation. (Oh, there are exceptions, such as Spider -Man)

Therefore, human infection rabies do not have symptoms of learning dogs and bite.

2. "rabies disease"

Not only related to dogs!

Although dogs are the main carriers of rabies virus, 99%of people in the world are caused by dogs infected by rabies, but this does not mean that other animals do not have anything to do with rabies.

This virus will spread between animals through mutual bite. In addition to dogs, many common animals are related to it -

For example, the cats you like to suck, as well as fox, wolf, 豺, 獾 獾, 貉, Small, raccoon, cat Itachi, and bat, etc., are all natural hosts of rabies, and can become the source of infection.

For example, when the cats on your roof were shaking outside, they caused dogs infected with rabies. They were bitten and caught and caught. They would infect rabies virus. If the cat was vaccinated regularly before, and someday it was a sip of you, then it would be open ...

3. Early infection

Can you draw blood to detect the virus?

The rabies virus has a characteristic. At the beginning, the virus did not enter the blood circulation when entering the wound. It was mainly copied in the bite muscle tissue, and then influenced the whole body through motor neurons into the peripheral nervous system.

Therefore, in the early stage of the infection, the rabies virus cannot be detected in the blood. If you detect rabies virus in the blood, it is advanced to the onset, and there is no meaning of treatment and treatment.

4. How long is the incubation period?

The entire process of rabies has a period of incubation, pre -drive period, acute neurological symptoms (excitement period), paralysis, coma, and death.

Among them, the incubation period is the most concerned about everyone. After all, many people like to cut their cats to mess with dogs when they are young. They have experienced the experience of being chased by dogs and bite by dogs.

But after all, there are still few people who have had rabies vaccine in the two years, and there are still few people who have dealt with it correctly, so someone must worry about:

"Oh, the rabies virus must not lurk in my body all the time, and suddenly the toxicity was murmured?!"

Some friends like this, have a lot of spy war dramas watched? The virus is not Yu Zicheng, and you can lurk for 10 years and 8 years in the enemy camp.

The incubation period of rabies from 5 days to several years (usually 2-3 months, rarely exceeds 1 year). The specific incubation period is related to factors such as the virus's poisoning force and the nerve distribution of the invasive part.

Don't say more than ten years, as long as you have no disease for more than 1 year, the possibility is basically less!

5. Can rabies be cured?

Answer: There are currently no effective treatment for rabies, so once rabies occur, 100%will be! die!

ask

The rabies were died. In case the animal that was suffering from rabies was bitten, or there was a wound on their bodies that they were licked by them. Isn't it necessary to solve it?

Answer: Of course, we say that the attack will die, but you can solve the problem before the attack.

Come, come and teach you a professional term that can be taken out at any time -rabies expose.

Rabies exposure is a saliva or tissue that can be bitten by rabies, suspected rabies, or can not determine whether rabies have rabies.

According to the nature and severity of the exposure and severity, the rabies are exposed into three levels, with different levels. The corresponding disposal methods are different: 1

Level I exposure

Contact or feed animals, or intact skin is licked.

That is, you usually touch the dog, give the cat for the cat, or encounter it on the road. They licked your hands and legs, emphasizing that the skin that is licked must be intact.

Treatment: No need to deal with it, no need to worry about being infected with rabies.

2

Class Ⅱ exposure

The naked skin is bitten, or the bleeding is slightly scratching or abrasion.

The dog just bites you lightly or scrapes you a bit. Although there is no bleeding and no obvious wounds, this situation still needs to be dealt with!

Processing method: Immediately handle the wound+inoculation of rabies vaccine.

3

Class III exposure

Single or multi -placed penetrating skin bite, scratching, or licking of damaged skin, or open wounds and mucous membranes are contaminated by animal liquid.

Anyway, no matter whether there is one or several dogs that are bitten and scratched by dogs, you have bitten blood, or the original wounds are licked by the dog, etc., all!

Processing method: immediately handle wound+injection of rabies passive immune preparations+inoculation rabies vaccine.

Correspondingly the injured of rabies exposed to II and III levels above must go to the hospital to vaccinate rabies as soon as possible.

If you are lucky, you are miserable, the hospital is next to you, then rush to the doctor as soon as possible! But if you are still far away, then process it according to the following method, and then rush to the hospital quickly.

1. debridement and simple processing

01 completely rinse

The flushing is to clean the wounds, the maximum removal of animals (cats, dogs) saliva, oops, they are stuttering!

① Use soapy water (or other weak alkaline cleaners such as laundry powder, soap powder) and a certain pressure of flowing water alternately and rinse all wounds for at least 15 minutes;

② Wash the wound with physiological saline (can be replaced by water);

02 disinfection treatment

After thoroughly rinse, use iodophor or 75%alcohol to paint.

If the wound is not large, do not bandage, do not stick to it, do not stick gauze, try to be exposed as much as possible, avoid forming a hypoxic environment, and anaerobic bacteria infection.

If the wound is big, you should not wrap them out of the hospital first, and quickly cut the hospital for suture!

2. Inoculation of rabies vaccine

When the wound is deep and polluted, in addition to the complete debridement, disinfection, and inoculation of rabies vaccine, it may also break the wound anti -toxin or tetanus immunoglobulin.

3. Passive inoculation rabies

Immune preparation

For those who have a high -level and III exposure of grade III and III exposure, before the wound is thoroughly cleaned and before vaccination, it is necessary to infiltrate injection and muscle injection passive immune preparations around the wound to prevent the virus from entering the nerve tissue to obtain rapid protection effect.

ask

What are the people with severe immune function?

Answer: The low immunohistic people include infants and young children, elderly people, tumor patients, patients with immunosuppressants, patients with AIDS.

PS: Passive immune preparations are best used with injection vaccine as soon as possible, and the meaning of using it one week after injury is not great.

1. Do not make it easy to tease, approach, and contact strange animals, especially stray dogs and cats.

2. Breeding animals, good for it for it, must be vaccinated regularly for animals.

3. For dogs who love to bite or bark, remember to bring a reliable mouth cover when you go out. You must give the dog a rope when you walk. Don't think that I am good at dogs, I am obedient, just wait for it to run away. Essence

4. People who often come into contact with animals can consider inoculation of rabies vaccine in advance.

Question 1: I have been caught by dogs and cats many times, so I have n’t been good for many years, are you too nervous?

Answer: In fact, whether it is an animal raised in the home or the wild animals outside, it may be the host of rabies virus.

For dogs and cats who regularly inject rabies vaccines in their own homes, and determined that animals who have not been suspected of rabies have been bitten, only if there is only a slight bite or scratch, it is really not necessary to be nervous, because their saliva does not contain rabies virus. No rabies virus.

However, if you are bitten by a strange cat and dog, even if you are home, do you know if they are vaccinated regularly? Are there any rabies virus?

Therefore, the best way to deal with is that as long as you are bitten by cats and dogs, they are caught, they are licking to your wound, you can follow the exposure method above+go to the hospital for treatment!

Question 2: I was bite by rabbits, turtles, mouses, pigs, snakes, and rabies?

Answer: If rabbits, mouses, and pigs are bitten by dogs with rabies virus, they may be infected, but they will not spread rabies, so after they are bitten, generally do not need to be a rabies vaccine.

Poultry, fish, insects, lizards, turtles and snakes such as chickens, ducks, and goose will not be infected and spread rabies.

Question 3: After being bitten by a dog, is it a good thing to get a rabies vaccine?

Answer: No!

It is necessary to go to a regular hospital to conduct standard debris and preventive treatment in accordance with the bitterness of the bite to effectively prevent rabies.

Nowadays, rabies vaccine is hit every year, but it is still a case of illness. Most of them are because they have not accepted regular disposal, or the vaccine does not have enough times, or it is difficult to clean the wounds. Especially when the doctor shouted to inoculate the passive immune preparation of rabies, many people thought that the doctor was chaotic, wanted to charge more, and did not want to fight. In the end ... finally, I became ill!

Therefore, go to a regular hospital for regular treatment, and obediently listen to the doctor's words.

In addition, the current rabies vaccine and rabies passive immune preparations can be injected in most regular hospital emergency departments, disease control centers, and community hospitals.

PS: The Department of Emergency Department of West China Hospital Momo Dog Vaccine and Rabies Passive Immunoh Inciphers!

Specific vaccination points can inquire or call local municipal or district -level disease prevention and control centers, as well as nearby community hospitals.

Question 4: The pregnant mother was bitten, and the passive immune preparation of rabies vaccine or rabies had to affect the fetus?

Answer: Pregnant women can use rabies vaccine. It is recommended that conditions can inject passive immunoglobulin in rabies.

Question 5: This vaccine is just like a flu vaccine.

Answer: It is not so relaxed. Rabies vaccine needs to inject 5 stitches in 0, 3, 7, 14, and 28 days. If not enough, it is likely to affect the effect.

6. The ultimate question:

"Bite

Isn't the rabies vaccine? "

A seriously told you that if the bite is not a rabies vaccine, it depends on whether the person who bite people has been bitten by a dog or cat infected by rabies virus before. You can do a rabies virus -related test for the bite person to confirm the diagnosis.

If you are diagnosed, the person who is bitten really needs to be a rabies vaccine.

If the person who bites is not a problem, you will not worry about it. If the wound is deeper, disinfect it.

Um,

Dogs and cats are all good friends of human beings.

But the rabies virus that may be carried on them are human killers.

Don't feel trouble, expensive, expensive,

Or think that when they are ju needles, they are so evil,

If it really causes things, it is not just dogs and cats that make evil.

that time,

Do you think that life will give you a hand like parents, come, come here, let's talk about the reason?

Life will only give you one ear to overturn you on the ground,

Gua Wazi, learn something!

references

1. FOOKS, A.R., et al., Current Status of Rabies and Prospects for Elimination.lancet, 2014.384 (9951): p. 1389-99.

2. zhu, S. And C. Guo, Rabies Control and Treatment: From Prophylaxis to Strategies with Curative Potential.viruses, 2016. 8 (11).

3. Rabies disease prevention control technology guide (2016 edition)

4. Analysis of the characteristics of rabies disease epidemic disease in China 2016

5. Research on the impact of human rabies immunoglobulin infiltration on pregnant women (2017)

(The author of this article is Dr. Zhou Lingyun at the Infectious Disease Center of Huaxi Hospital of Sichuan University, and the head of the emergency department Liang Yan, the picture comes from the Internet)

Article Source: West China Hospital of Sichuan University

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