Treatment kunye antibiotics borreliosis. Iimpawu kunye nonyango lwesifo Lyme okanye isifo Lyme

Abanye abantu zibhekisela kulo mba njengoko tick kokuba elunyiwe, kakhulu nonchalantly. Kodwa ukuba ingqiqo encinane ibe umxholo ingozi yosulelo kwaba iluma, kunokwenziwa isigqibo ukuba kukho nto yakuzixhalisa malunga nayo. Le ngenxa yokuhamba ecaleni ezityhutyhayo ehlathini ingaba nesifo ekuthiwa isifo Lyme. Abantwana kunye nabantu abadala, oko kunokubangela iimpawu ezinobungozi ngokulinganayo, nto leyo nokuba kunokukhokelela yokukhubazeka, ngaphandle unyango olufanelekileyo.

Yintoni kufuneka kuqondwe sisifo Lyme lwethikh-ezibazeleyo?

Lyme borreliosis, ezikwabizwa ngokuba isifo Lyme okanye Lyme borreliosis sisifo esosulelayo. Isasazeka ngokuthi isilwanyana esinayo silume ka Ixodes tick. Uphuhliso kwesi sifo kukhokelela ngokoyiswa amalungu kunye neenkqubo ezahlukeneyo. Lo isenokuba intliziyo, luvo, ulusu kunye namalungu. Igama le usuleleko zendalo focal ezingapheliyo yathatha ukusuka lwegciwane le sifo - Borrelia ephilayo. Esi sifo lamiswa ngo-1975 yi abemi kwedolophu Lyme kwi-US.

Ukuba ngexesha ukubona iimpawu borreliosis kwaye uqale unyango kunye nemithi, amathuba recovery ezi unproblematic liphezulu ngokwaneleyo. Ukuba noxilongo ukubona isifo Lyme kamva uze unyango ongafundanga, isifo Lyme enokwenziwa zizame ezigulo ezondeleyo zimpi. Ngoko ke kufuneka ukuba makangakhohlisi kunye tick unomntana.

oonobangela

Kwezinambuzane (oko kukuthi borreliosis yosulela isinambuzane) inaso ngeentlobo ezintathu ezincinane ezinako ukuba arhente causative kwezifo ezosulelayo. Abo banqwenela ukuba bazikhusele isifo ezifana nesifo Lyme, kuyimfuneko ukuba ingqalelo ukulunywa amakhalane ukuba bosulelekile ngexesha owanyayo igazi lezilwanyana kunye usulelo. Ezi samakhalane kakhulu eziqhele ukufunyanwa kwiindawo sezulu sifudumele, ingakumbi kummandla ahlala kuyo amahlathi mixed. Njengomntu iindawo zikho, apho kukho ingozi yokuba umthamo eziyingozi, uyakwazi ukubona imimandla esembindini yasentshona Russia: Western eSiberia, Urals, Far East. Iarhente causative of borreliosis ikwafunyanwa kwi kummandla ezinye kwimimandla Europe nase-United States.

Ekupheleni kwentwasahlobo womShunem kwehlobo ebonisa umsebenzi mkhulu. Borreliosis ngenxa yesi sizathu, abanentsholongwane inani eliphezulu labantu yothuba elithile. Kubalulekile ukwazi nokuba usulelo uyakwazi ukufumana egazini, hayi kuphela ngokuthi isilwanyana esinayo silume, kodwa ngexesha gazi lekhefu, olwenzeka ngenxa ukususwa engafanelekanga.

Kukho kwakhona ithuba ukubamba esi sifo ngokuthi transmission yesondlo. Sithetha malunga nokusetyenziswa kwemveliso yobisi ngaphandle unyango ubushushu kwangaphambili. Ingakumbi yingozi kulo mba ubisi ibhokhwe ekrwada. Kulo mzekelo, isifo Lyme ayikho sivela umntu onayo iye kwenye. Kodwa ukuba uphawu nomntana umfazi omithiyo, ukosuleleka intrauterine zosulelo kunokubangela kwesisu, mgaqweni ezahlukeneyo enaso, kunye nokufa nkqu wosana olo. Ngoko ke, abo balindele usana kwi zentlako-hlaza nezasehlotyeni kubhetele ukuhlala kude kwiindawo ezinokuba ingcolisekile.

Indlela kwesifo

Njengoko kukhankanyiwe ngasentla, ngqo ngokwayo usuleleko kwenzeka kuphela emva kokuba elunyiwe tick sele yenziwe. isifo Lyme, okanye ukuba ngqo ngakumbi, lo pathogen silwanyana engena kwiindawo nkovu elikufutshane kwaye iqala ukuze nande khona. Kwiintsuku ezimbalwa kamva Borrelia bangene umsinga igazi, yaye nalo wonke umzimba.

Ixesha elisuke esi sifo kukuba 7 no-14 iintsuku emva tick unomntana. Iziphumo nefuthe ngqo Borrelia ukuya kwiindawo nkovu libe lymphadenopathy ngokubanzi.

Ngenxa yoko, usulelo ingena izihlunu, inkqubo luvo, amalunga, intliziyo, yaye aphambukele khona ixesha elide, baqhubeke phinda. Kwaye nkqu nangona umsebenzi amajoni omzimba ukhupha izilwa ukuba atshabalalise magciwane abanenzondo ngokupheleleyo balahle isifo akwenzeki. Nantsi impendulo enye ingozi izakhiwo omzimba, nto leyo eyakhokelela ekubeni ukuvela le borreliosis pathogen, unobangela ukuqala inkqubo sokuhlasela. Oku kuthetha ukuba antibodies ezihlasela intsholongwane ayisekho, kunye nezihlunu lomzimba, kufuneka ekuqaleni kukhuseleka.

Disease Lyme Iimpawu

Uphuhliso kwesi sifo ezosulelayo angohlulwa ngezigaba ezininzi:

- I okuthatha (ixesha ukususela ekusulelekeni nokuqalisa kwe-iimpawu).

- I banga. Iqala ngalo mzuzu xa Cya lwemfuyo inkqubo ingeniso kwiindawo nkovu.

- sigaba II. Siyafana linqanaba apho Borrelia isasazwe kuwo wonke umzimba kunye negazi.

- sigaba III. It singachazwa njengento engapheliyo. Ngeli xesha, ekubulaleni kwabenza nayiphi na inkqubo ethile (musculoskeletal okanye ethukile).

I and II zithathwa kumabakala okuqala phuhliso sifo, kwaye inyathelo III ichazwa njenge ixesha emva kwexesha. Kulo mzekelo, eli candelo na olithandayo kuba mzuzu ngqo okhoyo phakathi kwabo.

Inqanaba lokuqala

Iimpawu Borreliosis kweli nqanaba zombini ezibonisa zasekuhlaleni ngokubanzi. Njengoko iimpawu jikelele kumiselwa isicaphucaphu, ubushushu bomzimba ukwanda (38 ° C), intloko ebuhlungu, kuthibaza, umkhuhlane, iingqaqambo zomzimba kunye neentlungu kwamalungu kunye nezihlunu. Kwezinye iimeko nesenzeko catarrhal: ekhohlela, umqala scratchy ezinobubi, esihambisayo impumlo ukukhanya.

Njengoko kuba iimpawu zasekuhlaleni, iimpawu le datha ilandelayo: kuloo ndawo apho kwenziwa unomntana, kukho ukudumba, ububomvu kunye ukurhawuzelela ziviwa. Kwakhona ukuyilwa erythema annulare, apho siboniswa enkulu kwisiqingatha ulunywe (70%). It has uhlobo lwemfundo ashinyeneyo obomvu, ukwandisa iintsuku eziliqela. Ngomhla inxalenye uhlobo erythema ufana isangqa ebomvu. Ngelo xesha entliziyweni kuhlala kwindawo esemboniselweni apho inyeke yenziwa: kuba paler kakhulu. Round okanye okweqanda imilo bomvu unokuba ububanzi of ukususela-10 ukuya kuma-60 mm.

Njengoko ngokuba iimvakalelo ezingentle, yabo erythema thunzi ayikwazi. Kuphela kukwiimeko ezinqabileyo, ububomvu kunye ebhaka ukurhawuzelela. Inqanaba lokuqala unokuthatha iintsuku eziliqela iinyanga eziliqela. Kodwa kwiimeko ezininzi kuyimfuneko ukuba uvuya avareji leentsuku ezingama-30.

Isigaba sesibili

Ukwandisa isihloko: "Lyme borreliosis: Iimpawu and Treatment", kufuneka sinikele ingqalelo kwinqanaba apho usulelo uqalisa umonakalo intliziyo, isikhumba, amalungu kunye nenkqubo luvo. Ngethuba lokuqhuba kwale nyathelo nayo iinyanga eziliqela. Ngexesha oku kwenzeka njengoko ibakala sifo, iimpawu, uphawu ngenxa kwixesha lokuqala, unyamalale. Kwiimeko apho Ixodes lwethikh-ndiyizalele isifo Lyme waqala ngoko nangoko ukusuka Inqanaba lesibini ngaphandle ebonisa obscheinfektsionnogo syndrome yaye ezisisigxina erythema thunzi.

umonakalo luvo kweli nqanaba nga emiselwe mpawu zilandelayo: iinkqubo etshabalalisayo othatha indawo kwi-luvo cranial kunye neengcambu luvo spinal (kuchazwa radiculopathy).

Kungenzeka kwakhona ukuba ukuphuhlisa meningitis serous, nto leyo ingeyiyo ukudumba meninges. Abonisa uvakalelo esiba ziyakhuthazeka, intloko ngcathu, photophobia, ukudinwa kakhulu kunye izihlunu imimoya entanyeni. Olunye uphawu meningitis kunokuba ugwayi.

Ngokuphathelele luvo cranial, kaninzi ubuso linayo. Isibakala wentshabalalo kubonisa ukushwabana imisipha yobuso: umlomo uwa ukutya, amehlo na avuleka ngokupheleleyo, kwaye ubuso ngokubonakalayo zonakaliswa. Kudla esisigxina isifo amabini, apho ekuqaleni lungqubano elinye icala ubuso neentsuku nje ezimbalwa okanye iiveki kamva - owesibini. Ngaphandle iinkqubo yobuso etshabalalisayo zingangqamana luvo zokubonwayo eziviwayo. Oku kunokubonwa strabismus, ukuva ukuphazamiseka ongaboniyo, umbono, kunye nentshukumo amehlo.

Ukuqwalasela esi sifo Lyme lwethikh-umna, imiphumo yayo obungqingqwa ngaphezu kubalulekile ukukhumbula ukuba iingcambu luvo spinal kwi isibakala yentshabalalo waziva ihlumelo intlungu uvalo ngokusebenzisa ukuba kwesebe sibhekiswe ukusuka phezulu ukuya ezantsi, kwaye yomqeshi ithatha herpes umlinganiswa.

Isigaba sesithathu

Eli thuba yophuhliso sifo kwenzeka iminyaka eliqela emva kokuba elunyiwe. Kweli nqanaba iziphumo borreliosis na uhlobo ilandelayo: acrodermatitis atrophicans, umonakalo luvo (Encephalopathy, polyneuropathy kunye encephalomyelitis), samathambo esinganyangekiyo.

Kwiimeko ezininzi, abachaphazelekayo inkqubo ethile mnye: amalunga, luvo nolusu. Kodwa ukuba esi sifo singalwi, ngexesha kuphuhliso, oko kunokukhokelela ngokoyiswa iinkqubo zidityanisiwe.

Xa imvelaphi sisifo ezifana Ixodes lwethikh-ndiyizalele isifo Lyme ukuphuhlisa samathambo esinganyangekiyo, impembelelo etshabalalisayo ukuze ube mkhulu kakhulu umthwalo emalungwini ezinkulu nezincinane. Xa olu intlala kungenzeka ukuba aqale nciphisa, joint iya kuba iinkqubo deforming, kwamathambo kubakho amathambo. Le ukutshatyalaliswa Inkqubo uzinzo iya kuba inxaxheba kwaye Imicu kwezihlunu osecaleni (myositis ezingapheliyo).

Umonakalo luvo kwi inyathelo wesithathu ibonakalaliswe ngeendlela ezahlukeneyo. Inokuphuhlisa paresthesia, ukwanda okanye ukuncipha onovakalelo, ukuvela yeentlungu ezahlukeneyo kunye paresis. Iyavakala lokulindela ukuphazamiseka kwengqondo (inkumbulo, ubukrelekrele) kunye nemisebenzi koordinatornyh (balance). Ngamana kwakhona ubunzima kunye nokuva. Asimele ngaphandle ukuphazamiseka amalungu zangasese kunye ukubonakala sokuwa. Kubalulekile ukuphawula ukuba uninzi lwezigulane bafumana ubuthathaka, ukudinwa kakhulu, kunye nezigulo neemvakalelo.

Ifom ezingapheliyo sisifo Lyme

Ukuba ngoyaba inkqubo impiliso uze uvumele usulelo ukuba ngokukhululekileyo emzimbeni, esi sifo Lyme lwethikh-ndiyizalele ongena nqanaba ezigulo ezondeleyo. Kule fomu kwesi sifo iya kuba undulation ukonakala izinzile. Ukuba u kandziyisa i syndromes zixhaphakileyo lwezonyango ukuba kukhule borreliosis ezingapheliyo, kubalulekile ukunikela ingqalelo ezi zifo zilandelayo:

- acrodermatitis atrophic;

- iintlobo ezahlukeneyo ze samathambo;

- umonakalo inxaxheba luvo kwinkqubo naziphi na izakhiwo zayo (kunye ngokwaphulwa nakujoliso olutsha kungaba);

- limfotsitomy.

unyango

Ukuba kukho isifo uphawu-ebemzele kurhanelwa Lyme, isigulane kufuneka ngoko nangoko esibhedlele esibhedlele izifo ezosulelayo. Ingakumbi ukuba umntwana lonzakele. isifo Lyme ebantwaneni kungakhokelela kubunzima ezinzulu. Kwaba kuphela ngoncedo yeengcali zonyango ukuze unyango esimbaxa aqhube, injongo kukuba atshabalalise amagciwane yesifo Lyme. Kubalulekile ukukhumbula ukuba ngaphandle unyango ngokupheleleyo ngexesha sifo Lyme kunokukhokelela nokukhubazeka.

Kulo mzekelo, unyango kunye antibiotics borreliosis inokuchazwa ndlela isebenzayo elikhulu iintsholongwane eziyingozi. Iindaba ezimnandi kukuba xa kwimeko kwezithandani iziyobisi amagciwane isekhona kwinqanaba lokuqala yonke ithuba ukuthintela uphuhliso arthrologic ezesifuba iingxaki luvo.

Ngenxa yesi sizathu, unyango antibiotics borreliosis kufuneka ziqale ngokukhawuleza kangangoko kunokwenzeka.

Ukuba sithethe kumabakala okuqala zosulelo, kubalulekile ukuphawula ukuba i "Amoxicillin" ichiza lisetyenziswa ngeli thuba Nokwethisa esi sifo. unyango olunjalo ithatha malunga 20-30 iintsuku. Ukuthatha ezisetyenziswa isanda kunye "Tetracycline". Ukuba ngaba wenze kwi erythema, oko ungaya kwi inyanga, kodwa xa antibiotics borreliosis alunyangwanga, lo anozizi khonkcweni angaya kakhulu ngaphambili.

Ngokuphindaphindiweyo yaba impumelelo yayo kunye neziyobisi efana "Doxycycline". Kubaluleke kakhulu efanelekileyo kwabo izigulane liphuhlise izifo zolusu (lymphoma isikhumba nabungozi, migrans erythema thunzi).

Abo sesibini isigaba sabhalwa umonakalo luvo, penicillin emiselweyo. Inxaxheba kwinqanaba lokuqala kuyaphumelela xa esisigxina arthralgia kunye myalgia. Njengoko zintsholongwane kakhulu esematheni kwiqela cephalosporin, uyakwazi ukuchaza "Ceftriaxone". ukusetyenziswa kwaso kucetyiswa omabini phambi kwexesha nasemva kwexesha nokuphazamiseka luvo. Eli chiza esihambelana ezo izigulane kwisiqalo lwesifo Lyme lenze iqondo eliphezulu artrioventikulyarnoy kwafa okanye samathambo, ezinganyangekiyo ngokunjalo.

Ngokubanzi, unyango lwe antibiotics borreliosis saba ngokwayo kuphela ngesandla ilungileyo.

amanyathelo othintelo

isifo Lyme yeyona isigulo kakhulu kunene, ukuze ukuba kubethwa ngoyaba. Ngoko ke, ukuba kunokwenzeka, kukho indlela engcono ukuthintela usuleleko kunye nokuthintela inkqubo exposure krakra usuleleko kakhulu emzimbeni.

Prevention borreliosis kuthetha ukuhlala kwiindawo apho amakhalane angaphila izihlangu ezivaliweyo neempahla egubungela ngokupheleleyo emzimbeni (iblukhwe elide, imilenze trouser enemikhono kutsala kunye cuffs). Uyacetyiswa ukuba usebenzise Izigxothi enokuba zigxothe zokukorekisha.

Ukuba kwenzeka ukuze yenze ufumana kwisikhumba sakho, kwaye wendele, kuyimfuneko ukuba kutyelela nangoko isebe ezosulelayo esibhedlele ekufutshane. Apho, athathe igazi izifo Lyme kunye ukufumanisa ukuba ingaba le ntsholongwane. Uhlahlelo, kwaye ngaphandle kokulibazisa - ngumlinganiselo kuyimfuneko, angena kubethwa ngoyaba. Kungenjalo uya kufuneka nazo mpawu ezimandundu kakhulu. Ngoko ke, kufuneka ngoko nangoko usebenzise amayeza olucetyiswayo. Prevention borreliosis uya kuba yimpumelelo ukuba unomntana iintsuku ezi-5, ukuthatha iipilisi 2 ichiza "Doxycycline" ngosuku.

Kucacile ukuba isifo Lyme, kunye onke amandla alo atshabalalisayo oyiswa ngaphandle ezinobuzaza xa gciwane ngokukhawuleza kufuna uncedo lonyango liya kulandela izindululo zabo.

Ngenxa yoko, nathi abahlola phawula isifo Lyme, iimpawu kunye nonyango lwe usuleleko kunye namanyathelo kunokwenzeka zokuthintela. Qhaphela xa impilo yakho!