Isifo saseLyme - siyingozi futhi esikhohlisayo

isifo saseLyme obizwa nangokuthi isifo saseLyme eba abantu ngokusebenzisa bite imikhaza abathwele amagciwane. Waqale echazwe odokotela American kule 70s yaphakathi. Ikhulu lamashumi amabili, futhi lwegciwane yayo isehlane ngo-1982 Igama lesi sifo siqanjwe ngo-edolobhaneni saseLyme, Connecticut. Kulapha ososayensi baqala izifundo zabo, benze kunakwe yezinga eliphezulu arthritis ezinganeni.

Isifo saseLyme ngokuvamile itheleleke entwasahlobo nasehlobo. Ngalesi sikhathi, imikhaza ezimatasa, futhi umuntu ehamba emahlathini Ungaqeda ukusilaphazeka. Lwegciwane borreliosis ingena phakathi umzimba kanye ngamathe we umkhaza. Isifo saseLyme avame (80% amacala) iqala ukubonakala isikhumba endaweni papules yizinyoka, bese - erythema annulare, ububomvu ububanzi 10-20 cm noma ngaphezulu. Isikhathi bayashintshana ekufukameleni lesi sifo ngokuvamile amasonto 1-2 (cishe uhhafu iziguli). Ngakho-ke, kwenzeka ezinsukwini ezimbalwa ezedlule bite umkhaza kunikeza isizathu sokusola isifo saseLyme. Nokho, kwezinye izimo, isifo saseLyme ukwazi ukufihla emzimbeni iminyaka eminingi, akufakazeli uqobo, noma cishe akukho izimpawu zenzeka, kepha efaniswe esime a umkhuhlane ukukhanya.

In parallel erythema avele ngobuthakathaka, ngizwa ubuhlungu emisipheni nasemalungeni amathambo. Ukwandiswa lokushisa komzimba - ngezinye izikhathi afinyelela ku-40 °. Ngo kwesigamu amacala anda erythrocyte sedimentation izinga egazini. Izimpawu zokuqala borreliosis ngaleyo ndlela elifana izimpawu ka-acute nezifo zokuphefumula noma SARS, futhi kwezinye izimo uphethwe isifo kungase kube nzima. In iziguli eziningi, ngemuva ngokungabikho izinsukwana, ngemuva ukubonakala erythema kwenzeka ukuqubuka yesibili osayizi amancane.

Isifo saseLyme is isinyathelo sesibili kungase kuhambisane nezimpawu meningeal: isicanucanu nokuhlanza yansukuzonke, photophobia, izinhlungu zekhanda ezinamandla. Ezinye iziguli i isibindi lakhulisiwe futhi sibi zokusha kwesibindi. Kusukela senhliziyo kuzibonakalisa myocarditis futhi pericarditis. Ubuhlungu obonakaliswe amalunga nemisipha. Borreliosis e lesi sinyathelo futhi kungenzeka conjunctivitis, ukucinana kwemigudu yokuphefumula, kanye namathansela, ukukhathala. Kungase kubonakale esikhumbeni izilonda erythematous amaningi, kanye Borrelia limfotsitomy, isimo sanoma INGENA ISINYENYELA bluish-bomvu.

Isici salokhu Isikhathi sokugula inhlanganisela zimpawu - meningitis, paresis neuropathy radiculoneuritis. Kulokhu, ukulungiselelwa uphethwe ngokuvamile kuqondile. Konke qophelo izimpawu ezichazwe ngenhla borreliosis yesibili sivame ukuba ngemva imfiva, erythema futhi ubuthi lidlule. Kulokhu, abakwazi ukuxhumana e umfanekiso lo ogulayo ndawonye.

In the ukungabikho usizo lwezokwelapha olufanele borreliosis wabe esigabeni sesithathu. Le nkathi libhekene izilonda emalungeni (isifo sokuqaqamba kwamalunga), ezingamahlalakhona acrodermatitis atrophic (Izilonda); on the ingxenye isimiso sezinzwa - encephalitis, encephalomyelitis, polyneuropathy. Yaqanjwa edolobheni eMelika saseLyme, lesi sifo singumbulali ngakho ezihlukahlukene kakhulu obubonakala ngendlela. Leli qiniso lihlotshaniswa Borrelia ikhono nomthelela izicubu kanye izitho.

Isifo saseLyme iphathwa ngezilapha magciwane - doxycycline, amoxicillin, ceftriaxone. Ukukhethwa zomuthi, umthamo yayo kanye nesikhathi Yiqiniso kuxhomeke nesigaba lesi sifo kanye izici ngamunye yebo yayo, futhi ukusabela komzimba yokwelapha ngemithi elwa namagciwane. Ngaphezu kwalokho, ukusebenzisa ukwelashwa okunezimpawu: sokuqaqamba kwamalunga - izidakamizwa ezingekho steroidal anti-inflammatory, ukubhucunga nokunyakazisa umzimba, nge kuwukubonakaliswa inhliziyo - asparkam, riboksin, enomkhuhlane - antipyretics.

Ukuvimbela lesi sifo ngesikhathi umsebenzi umkhaza Kunconywa ukuhamba ehlathini e izingubo nge ezinemikhono emide. Emikhawulweni trouser kufanele ifake uphethiloli e Amasokisi nezicathulo (amabhuzu enjoloba). I ikhanda nentamo zivikelwe iduku, indima evulekile yomzimba iphathwa ugcobe izinto ezixosha. Ngemva ukuhamba ehlathini, ahlole izingubo futhi umzimba ngokucophelela. Endabeni uzingela izibungu engathandeki ngokususa kubo. Ucwaningo lubonisa ukuthi ukususwa okungafanele izinambuzane ezimweni eziningi kuholela ukutheleleka. Kungcono ukuba baphendukele odokotela - abayikho, ngaphezu usizo lokuqala, thumela umkhaza kule-laboratory. Uma kuyotholakala Amagciwane, kubalulekile ukuba sithathe izinyathelo eziphuthumayo: isifo saseLyme, okuyinto akunakwenzeka uyephuza ukwelashwa, kungathi phambili esikhathini esizayo ekukhubazekeni.