Lyme borreliosis: umyalezo, iimpawu kunye nonyango

Lyme borreliosis ibangwa spirochetes, kwaye sisasazwa zokukorekisha. Sisifo esosulelayo ephawuleka ikhondo esinganyangekiyo. Amaxesha amaninzi isikhumba ochaphazelekayo, inkqubo musculoskeletal, luvo kunye nentliziyo. Kuba okokuqala nokutsha komphathi wokukhusela-ndiyizalele isifo Lyme ezibhaliswe kwi-USA (Ikalika), ngoko ke esi sifo maxa wambi ebizwa - isifo Lyme.

Lyme borreliosis: umyalezo.

Isifo ebangela spirochetes akwi sodidi Borrelia. onke esiPhakathi zokukorekisha. Ichibi borreliosis zizilwanyana zasendle nezikrekrethi. Lidla kukho usuleleko ugalelwe kobuchopho lwethikh-ndiyizalele kunye nesifo Lyme.

Phawula nge-ndiyizalele isifo Lyme: iimpawu.

Isifo yabhaliswa kwilizwekazi ngalinye ngaphandle Antarctica. Kwiindawo oluxhaphake ziquka Russia iLeningrad, eKaliningrad, Tyumen, Yaroslavl, Perm, yaseTver, ummandla Kostroma, kwakunye eMpuma Ekude, le Urals kunye nemimandla West Siberian. Le wakhumbula ukuba kummandla iLeningrad nokutsha komphathi wokukhusela-ndiyizalele isifo Lyme ikhutshelwa kunye hlathi yaseYurophu ihlathi tick. zithwala ohlaselo inokuba ukusuka-5 ukuya kwi-90%. Ixesha elisuke le sifo malunga neentsuku ezili-14. uphawu Early kwezonyango sifo anozizi (ukugungxula) ulusu kwisiza esinayo silume Ixodes tick. ukuthoba isikhumba kwandiswa, indawo ogcwele sokukala ukuya iisentimitha-10 ububanzi. iimeko akhawunti apho le ndawo zafikelela-60 cm okanye ngaphezulu. Ekuhambeni kwexesha, embindini ndawo ajike emhlophe kwaye lube bamantshontsho (cyanotic) namona ukwakha imilo ngomsesane. Eqweqweni ziluma ibunjiwe ize phaya kupensi. Le ndawo ligcinwa iintsuku 14-20 ize ithi shwaka. iintsuku 30-45 emva kokuba elunyiwe, kweempawu bebona kwezonyango ukubandakanyeka omzimba lwangaphakathi.

Phawula nge-ndiyizalele isifo Lyme: Pathogenesis.

Xa uphawu egulayo uluma isifo Lyme yi wosulelekile. amathe Borrelia ukungena eluswini, emva koko kwiintsuku nje ezimbalwa lweenkomo olunzulu, iyazosulela ezinye iinxalenye dermis kunye enyama yangaphakathi (isibindi, intliziyo, amalunga, ubuchopho). I-arhente causative ixesha elide nga eyendayo emzimbeni womntu ngelixa ebangela isifo esinganyangekiyo.

Lyme borreliosis: isifo.

Ukuze uqinisekise uxilongo (disease Lyme) kuyimfuneko ukwenza isifundo igazi. Uxilongo kunye nonyango esi sifo nzima into yokuba ukuqokelelwa kwedatha imbali yezonyango isigulane akuthethi ukubonisa ubunyani unomntana. Ngoko ke isigulane akafumani unyango olufanelekileyo, nto leyo inokukhokelela nokukhubazeka. Iimvavanyo ze-serological wenziwe usebenzisa enzyme immunoassay. obubonakala luvo uze uhlole kulwelo spinal.

Lyme borreliosis: unyango.

Kuba unyango lwe borreliosis yalatha imbangela kunye nonyango pathogenetic. Kumanqanaba okuqala sifo amisele antibiotics. Emthanjeni antibiotics (tetracycline umqolo) ngeedosi ubuninzi inika boxinzelelo ezaneleyo cerebrospinal fluid. Ukusetyenziswa antibiotics kwi zigaba ekuqaleni ithintela uphuhliso zokuma, kunye nezigulo zemithambo artralgicheskih. obubonakala Cutaneous of borreliosis kunye doxycycline tetracycline ngaphakathi inyanga. Xa izitshanguba e-nervous system kwi ampicillin, ceftriaxone, cefazolin, roxithromycin, cephalosporin, azithromycin, erythromycin. Xa amalungu achaphazelekayo nemiphumo emihle zonyango lufumaneka xa usebenzisa non-steroidal amachiza-ukudumba (naproksin, hlotazol, indomethacin, plakvinil), analgesics kunye ukuyifundisa.