Mlembi: Judy Howell
Tsiku La Chilengedwe: 2 Kulayi 2021
Sinthani Tsiku: 15 Novembala 2024
Anonim
Matenda a Lyme Oyambirira - Thanzi
Matenda a Lyme Oyambirira - Thanzi

Zamkati

Kodi Matenda a Lyme Omwe Amafalikira Pati?

Matenda a Lyme omwe amafalitsidwa koyambirira ndi gawo la matenda a Lyme momwe mabakiteriya omwe amayambitsa matendawa afalikira mthupi lanu lonse. Gawo ili limatha masiku, masabata, kapena miyezi ingapo nkhuku yomwe ili ndi kachilombo ikakuluma. Matenda a Lyme ndi matenda a bakiteriya omwe amabwera chifukwa cholumidwa ndi nkhupakupa yakuda. Matenda omwe amafalitsidwa msanga ndi matenda a Lyme amalumikizidwa ndi gawo lachiwiri la matendawa. Pali magawo atatu a matenda a Lyme:

  • Gawo 1 ndimatenda amtundu wa Lyme. Izi zimachitika pakadutsa masiku angapo kulumidwa ndi nkhupakupa ndipo kumatha kuyambitsa kufiira komwe kuluma kwa nkhupakupa limodzi ndi malungo, kuzizira, kupweteka kwa minofu, komanso kukwiya pakhungu.
  • Gawo 2 limafalitsa matenda a Lyme msanga. Izi zimachitika patangotha ​​milungu ingapo kuluma kwa nkhupakupa. Matenda osachiritsidwa amayamba kufalikira mbali zina za thupi, ndikupanga zizindikilo zatsopano zosiyanasiyana.
  • Gawo lachitatu limafalitsa matenda a Lyme mochedwa. Izi zimachitika miyezi ingapo mpaka zaka kulumidwa ndi nkhupakupa koyamba, pomwe mabakiteriya afalikira m'thupi lonse. Anthu ambiri omwe ali mgululi amadwala nyamakazi komanso kupweteka pamalumikizidwe pamodzi ndi zidziwitso zamitsempha monga kuwombera, kufooka kumapeto, komanso mavuto okumbukira kwakanthawi kochepa.

Zizindikiro za Matenda a Lyme Oyambirira

Matenda oyamba a Lyme amafalikira kumatha kuyamba masiku, milungu, kapena miyezi ingapo atalumidwa ndi nkhupakupa. Zizindikirozi zikuwonetsa kuti matendawa ayamba kufalikira kuchokera pomwe panali kulumikizana kwa nkhupakupa kupita mbali zina za thupi.


Pakadali pano, matendawa amayambitsa zizindikilo zomwe zitha kukhala zapakatikati. Ali:

  • erythema migrans, yomwe ndi khungu la diso la ng'ombe lomwe limapezeka m'malo ena osati malo olumirako
  • Chifuwa cha Bell, chomwe chimafooka kapena kufooka kwa minofu mbali imodzi kapena mbali zonse ziwiri za nkhope
  • meningitis, komwe ndi kutupa kwa msana
  • kuuma khosi, kupweteka mutu kwambiri, kapena malungo ochokera ku meningitis
  • kupweteka kwambiri kwaminyewa kapena dzanzi m'manja kapena m'miyendo
  • kupweteka kapena kutupa m'maondo, mapewa, zigongono, ndi ziwalo zina zazikulu
  • mavuto a mtima, kuphatikizapo kugundana ndi chizungulire

Zomwe Zimayambitsa Matenda a Lyme Oyambirira

Matenda a Lyme ndi matenda a bakiteriya. Zimayambitsidwa ndi bakiteriya Borrelia burgdorferi. Mutha kutenga kachilomboka pamene nkhupakupa yomwe imanyamula mabakiteriya ikulumirani. Nthawi zambiri, nkhupakupa zakuda ndi nkhupakupa zimafalitsa matendawa. Nkhupakupa zimatolera mabakiteriya akamaluma mbewa kapena nswala.

Mutha kutenga kachilomboka nkhupakupa zing'onozing'ono zikadziphatika m'mbali zosiyanasiyana za thupi lanu. Zili pafupi kukula kwa mbewu ya poppy ndipo zimakonda malo obisika monga kubuula, khwapa, ndi khungu. Nthawi zambiri, amatha kukhala osadziwika m'malo awa.


Anthu ambiri omwe amadwala matenda a Lyme akuti sanawone nkhupakupa m'thupi lawo. Chikho chimafalitsa mabakiteriya atalumikizidwa kwa maola pafupifupi 36 mpaka 48.

Matenda oyambitsidwa ndi Lyme ndiye gawo lachiwiri la matendawa. Zimachitika pakangodutsa milungu ingapo kuluma kwa nkhupakupa, matendawa akapanda kuchiritsidwa.

Zowopsa Zoyambitsa Matenda a Lyme Oyambirira

Muli pachiwopsezo chofalitsa matenda a Lyme koyambirira ngati mwalumidwa ndi nkhupakupa ndikukhala osalandira chithandizo koyambirira kwa matenda a Lyme.

Muli pachiwopsezo chachikulu chotenga matenda a Lyme ngati mumakhala m'dera limodzi momwe matenda a Lyme amafotokozedwera. Ali:

  • aliwonse kumpoto chakum'mawa kuchokera ku Maine kupita ku Virginia
  • kumpoto chapakati, komwe kumachitika kwambiri ku Wisconsin ndi Minnesota
  • gombe lakumadzulo, makamaka kumpoto kwa California

Zochitika zina zimathandizanso kuti mukhale ndi mwayi wokumana ndi kachilombo koyambitsa matendawa:


  • kulima, kusaka, kukwera mapiri, kapena kuchita zina zakunja m'malo omwe matenda a Lyme ndiwowopsa
  • kuyenda kapena kukwera mapiri kapena malo okwera
  • kukhala ndi ziweto zomwe zimatha kunyamula nkhupakupa m'nyumba mwanu

Kuzindikira Matenda a Lyme Oyambirira

Kuti mupeze matenda a Lyme, adokotala amalamula kuti mukayezetse magazi omwe amafufuza ma titers, kapena kuchuluka kwa ma antibacteria omwe amayambitsa matendawa. Njira yolumikizira ma immunosorbent assay (ELISA) ndiyeso lofala kwambiri la matenda a Lyme. Kuyezetsa kwa Western blot, mayeso ena a antibody, atha kugwiritsidwa ntchito kutsimikizira zotsatira za ELISA. Mayesowa atha kuchitika nthawi imodzi.

Ma antibodies ku B. burgdorferi Zitha kutenga milungu iwiri kapena isanu ndi umodzi mutadwala matenda kuti ziwonekere m'magazi anu. Zotsatira zake, anthu omwe adayesedwa mkati mwa milungu ingapo yoyambilira yamatenda amatha kuyesa kuti alibe matenda a Lyme. Poterepa, adotolo angasankhe kuwunika matenda anu ndikuyesanso nthawi ina kuti atsimikizire kuti ali ndi matenda.

Ngati muli m'dera lomwe matenda a Lyme amapezeka, dokotala wanu amatha kudziwa matenda a Lyme mu gawo 1 potengera zizindikiritso zanu komanso zomwe adakumana nazo.

Ngati dokotala akukayikira kuti mwafalitsa msanga matenda a Lyme ndipo matendawa afalikira mthupi lanu lonse, kuyesa madera omwe angakhudzidwe kungakhale kofunikira. Mayesowa atha kuphatikiza:

  • electrocardiogram kapena echocardiogram kuti muwone momwe mtima wanu ukugwirira ntchito
  • kachizindikiro ka msana kuti muyang'ane madzi a m'mimba mwanu
  • MRI yaubongo kuyang'ana zizindikilo zamitsempha

Mavuto Amatenda Oyambilira a Matenda a Lyme

Ngati simulandila chithandizo kumayambiriro kofalitsa, zovuta za matenda a Lyme zitha kuphatikizaponso kuwonongeka kwa malo anu am'mimba, mtima, komanso mantha amanjenje. Komabe, ngati matenda a Lyme amapezeka pakadali pano, zizindikirazo zitha kuchiritsidwa bwino.

Matendawa akapitilira kuyambira pagawo loyambirira kufalitsa mpaka kumapeto kwa gawo lofalitsa, kapena gawo lachitatu, popanda chithandizo, zimatha kubweretsa zovuta kwa nthawi yayitali. Izi zingaphatikizepo:

  • Matenda a nyamakazi, omwe amachititsa kutupa kwa mafupa
  • Zovuta pamtima
  • kuwonongeka kwa ubongo ndi mitsempha
  • kuchepa kukumbukira kwakanthawi kochepa
  • zovuta kukhazikika
  • ululu
  • dzanzi
  • mavuto ogona
  • kuwonongeka kwa masomphenya

Kuchiza kwa Matenda a Lyme Oyambirira

Matenda a Lyme akamapezeka koyambirira kapena kufalikira koyambirira, mankhwalawa amakhala masiku 14 mpaka 21 a maantibayotiki apakamwa. Doxycycline, amoxicillin, ndi cefuroxime ndi mankhwala omwe amagwiritsidwa ntchito kwambiri. Maantibayotiki ena kapena mankhwala amitsempha atha kukhala ofunikira kutengera momwe muliri komanso zina zowonjezera.

Mutha kuyembekezera kuchira mwachangu komanso kwathunthu ngati mungalandire maantibayotiki gawo limodzi mwamagawo oyamba a matenda a Lyme.

Chiyembekezo cha Matenda a Lyme Oyambirira

Ngati mwapezeka ndikuthandizidwa ndi maantibayotiki panthawiyi, mutha kuyembekezera kuchiritsidwa matenda a Lyme. Popanda chithandizo, zovuta zimatha kuchitika, koma zimakhalabe zochiritsika.

Nthawi zambiri, mutha kukhala ndi kupitiliza kwa matenda a Lyme mukalandira mankhwala a maantibayotiki. Izi zimatchedwa matenda a Lyme matenda, kapena PTLDS. Anthu ena omwe adalandira chithandizo cha matenda a Lyme amafotokoza kupweteka kwa minofu ndi mafupa, mavuto ogona, kapena kutopa atamaliza mankhwala awo. Ngakhale chomwe chimayambitsa izi sichikudziwika, ofufuza amakhulupirira kuti mwina ndichifukwa chodzitchinjiriza momwe chitetezo chamthupi chanu chimagwilira minyewa yathanzi kapena chitha kulumikizidwa ndi matenda opitilira ndi mabakiteriya omwe amayambitsa matenda a Lyme.

Malangizo Othandizira Kuteteza Matenda a Lyme

Malangizo Othandizira kupewa Matenda a Lyme

Mukamadziteteza, mungapewe kukumana ndi nkhupakupa. Izi zitha kuchepetsa mwayi woti mutenge matenda a Lyme ndikuwapangitsa kuti afalikire koyambirira:

  • Gwiritsani ntchito mankhwala obwezeretsa tizilombo pa zovala zanu ndi pakhungu lonse lowonekera mukamayenda m'malo amitengo kapena audzu omwe nkhupakupa zimakula bwino.
  • Yendani pakatikati pa misewu kuti mupewe udzu wapamwamba mukamayenda.
  • Mutayenda kapena kukwera mapiri, sinthani zovala zanu ndikuwonetsetsa nkhupakupa, ndikuyang'ana kubuula, khungu, ndi m'khwapa.
  • Onetsetsani ziweto zanu ngati nkhupakupa.
  • Chitani zovala ndi nsapato ndi permethrin, yomwe ndi mankhwala othamangitsa tizilombo omwe amakhalabe ogwira ntchito posamba kangapo.

Lumikizanani ndi dokotala wanu ngati nkhupakupa ikulumani. Muyenera kuwonedwa masiku 30 pazizindikiro za matenda a Lyme.

Malangizo Othandizira Kuteteza Matenda a Lyme Kukula Patsogolo

Dziwani zisonyezo zamatenda oyambilira a Lyme kuti muthe kukafuna chithandizo mwachangu mukadwala. Mukalandira chithandizo munthawi yake, mutha kupewa zovuta zomwe zingayambidwe ndimatenda a Lyme oyambilira komanso magawo ena amtsogolo.

Zizindikiro za matenda oyambilira a Lyme zimatha kuchitika patatha masiku atatu kapena 30 chikwangwani chili ndi kachilombo. Yang'anani:

  • chifuwa chofiira, chokulitsa cha ng'ombe yamphongo pamalo olumphira nkhupakupa
  • kutopa
  • kuzizira
  • kumva kwanthawi yonse yakudwala
  • kuyabwa thupi lanu lonse
  • mutu
  • kumva chizungulire
  • kumva kukomoka
  • kupweteka kwa minofu
  • kupweteka pamodzi
  • kuuma khosi
  • zotupa zam'mimba zotupa

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