बेरामा फुरायै सासे मानसिनियाव खनसे गायसनजायोब्ला आरो बेफोर लैखोनफोर दिनथिनो जागायो , बेयो प्राय जेब्लाबो थैहोनो हायो ।
Once the disease is fully established in a person and they begin to show symptoms it almost always leads to death .