Siyini isifo seLyme, izimpawu eziyinhloko nokwelashwa

-Delile

• Izimpawu eziyinhloko
• Yini ebangela isifo seLyme
• Ukudluliswa kwenzeka kanjani
• Ungakuqinisekisa kanjani ukuxilongwa
• Yelashwa kanjani
• 1. Ukusetshenziswa kwama-antibiotic
• 2. Izikhathi ze-Physiotherapy

Isifo seLyme, esaziwa nangokuthi isifo semikhaza, yisifo esidalwa ukulunywa komkhaza ongcoliswe ngamagciwane IBorrelia burgdorferi, okuholela ekubonakaleni kwendawo ebomvu eyisiyingi esikhunjeni, eyanda ngokuhamba kwesikhathi.

Ezimweni eziningi umuntu akaboni ukuthi umkhaza usulume isikhumba, uqaphela kuphela lapho izimpawu ziqala ukuvela. Ngokushesha nje lapho izimpawu zokuqala ziqashelwa, kubalulekile ukuxhumana nodokotela wezifo noma udokotela ojwayelekile ukuze kwenziwe ukuhlolwa ukuqinisekisa ukutheleleka futhi, ngaleyo ndlela, kungaqalwa ukwelashwa okufanele kakhulu, okuvame ukwenziwa ngokusetshenziswa ama-antibiotic.

Uma ukwelashwa kungenziwanga noma kwenziwa ngokungalungile, kungavela izinkinga, njenge-arthritis, i-meningitis noma izinkinga zenhliziyo, ezinciphisa kakhulu izinga lempilo.

Izimpawu eziyinhloko

Izimpawu zesifo seLyme ziyaqhubeka kanti izimpawu zokuqala, ezibizwa nangokuthi izimpawu zokuqala, zivame ukuvela ezinsukwini ezi-3 kuya kwezingama-30 ngemuva kokulunywa komkhaza onegciwane, okuyizona eziyinhloko:

• Isilonda sesikhumba nokubomvu endaweni yokuluma, kufana neso lenkunzi, phakathi kuka-2 no-30 cm, okwanda ngosayizi ngesikhathi;
• Ukukhathala;
• Ubuhlungu emisipheni, emalungeni nasekhanda;
• Imfiva nokugodola;
• Intamo eqinile.

Uma unezinye zalezi zimpawu, ikakhulukazi ezihambisana nebala nokubomvu esikhunjeni, kuyalulekwa ukuthi ubonane nodokotela ojwayelekile, noma isifo esithathelwanayo, ukuze uqinisekise ukuxilongwa bese uqala ukwelashwa ngama-antibiotic.

Kodwa-ke, uma ukwelashwa kungaqalwa ngesikhathi, izimpawu zingavela ngokuhamba kwesikhathi futhi okuvame ukuhlobene nezinkinga, njenge:

• I-arthritis, ikakhulukazi emadolweni, lapho kukhona khona izinhlungu nokuvuvukala emajoyintini;
• Izimpawu zemizwa, njengokundikindiki nobuhlungu ezinyaweni nasezandleni, ukukhubazeka kwemisipha yobuso, ukwehluleka kwememori nobunzima ekugxileni;
• I-Meningitis, ebonakala ngokuqaqanjelwa yikhanda okunzima, intamo elukhuni nokwanda kokuzwela ekukhanyeni;
• Izinkinga zenhliziyo, ukuqashelwa ngenxa yokushaya ngamandla, ukuphefumula kanzima nokuquleka.

Lapho kukhona lezi zimpawu, kunconywa ukuthi uye esibhedlela ukuthola ukwelashwa kwalesi sifo futhi ugweme ukwanda kwezinkinga okuthi, uma ziyekwe zingalashwa, zibe yingozi empilweni.

Yini ebangela isifo seLyme

Isifo seLyme sibangelwa ikakhulu ukulunywa kwemikhaza engenwe yigciwane IBorrelia burgdorferi futhi ezondla ngegazi lomuntu, ikakhulukazi imikhaza yalolu hlobo Ama-Ixode ricinus. Ukuze lezi zinhlobo zomkhaza zikwazi ukudlulisa lesi sifo kubantu, kuyadingeka ukuthi sihlale sinamathele kumuntu okungenani amahora angama-24.

Leli bhaktheriya lingaba khona egazini lezilwane eziningana, njengezinyamazane namagundane, ngokwesibonelo, futhi, lapho umkhaza upholisa lezi zilwane, uthola amagciwane, futhi ungawudlulisela kwezinye izilwane nabantu.

Ukudluliswa kwenzeka kanjani

Isifo seLyme sibangelwa amagciwane IBorrelia ubordorferi ezingaba khona egazini lezilwane eziningana njengamagundane, izinyamazane noma izinyoni ezimnyama, isibonelo. Lapho umkhaza uluma esinye salezi zilwane, siphinde singcoliswe yigciwane, bese sidlulisela lelo gciwane kubantu.

Imikhaza mincane kakhulu ukuthi umuntu angahle azi ukuthi ilunyiwe, ngakho-ke uma kukhona okusolisayo, izindawo ezinhle kakhulu zokubheka umkhaza emzimbeni zifaka: ngemuva kwezindlebe, ekhanda, enkabeni, emakhwapheni , emgodini noma ngemuva kwedolo, isibonelo. Ingozi yokutheleleka iba nkulu uma umkhaza ukwazi ukuhlala esikhunjeni isikhathi esingaphezu kwamahora angama-24.

Abantu abasebenza ezindaweni ezinamahlathi njengabahamba izintaba, amakamu, abalimi, abasebenzi basehlathini noma amasosha basengozini enkulu yokulunywa imikhaza nokuthola lesi sifo. Bona ukuthi yiziphi ezinye izifo ezingabangelwa umkhaza.

Ungakuqinisekisa kanjani ukuxilongwa

Isifo seLyme sivame ukutholakala ngokuhlolwa kwegazi okungenziwa ngemuva kwamasonto amathathu kuya kwayisithupha umuntu elunywe wumkhaza, okuyisikhathi esithatha ukuthi ukutheleleka kukhule futhi kuvele ezivivinyweni. Ngakho-ke, izivivinyo ezingasetshenziswa ukuthola isifo seLyme zifaka:

• Ukuhlolwa kwe-ELISA: luhlobo lokuhlolwa kwe-serological olwenziwe ngenhloso yokuthola amasosha omzimba athile akhiqizwa amasosha omzimba alwa namagciwane futhi, ngaleyo ndlela, aqinisekise ukuminyana kwaleli bhaktheriya emzimbeni;
• Ukuhlolwa kwe- I-Western Blot: uhlobo lokuhlola lapho kusetshenziswa isampula encane yegazi ukutadisha amaprotheni ama-antibodies asetshenziswa ukulwa namagciwane abangela izifo.

Isifo seLyme siqinisekiswa lapho imiphumela yokuhlolwa kokubili iba muhle. Ngaphezu kwalokho, kungacelwa ukubalwa kwegazi okuphelele, kanye ne-biopsy yesikhumba, eyaziwa njenge I-Warthin Starry, okuthi yize kungacaciswanga, kungasiza ekuxilongweni ngenxa yokutholwa kwe-histopathological.

Yelashwa kanjani

Ukwelashwa kwesifo seLyme kwenziwa ngokusebenzisa ama-antibiotic anjengeDoxycycline, ngokwesibonelo, futhi ukwelashwa ngokushesha kuqalwa, ukusheshe kululame, kugweme izinkinga.

1. Ukusetshenziswa kwama-antibiotic

Ukwelashwa kwesifo seLyme kufanele kuboniswe njalo ngudokotela futhi, imvamisa, ukutheleleka kulashwa ngama-antibiotic, njenge-Doxycycline 100 mg, okumele ithathwe kabili ngosuku amasonto amabili kuya kwamane noma ngokweseluleko sezokwelapha. Endabeni yezingane nabesifazane abakhulelwe, ukusetshenziswa kwe-Amoxicillin noma i-Azithromycin kuboniswa ngesikhathi esifanayo.

Ngokuvamile, i-antibiotic ithathwa ngomlomo, noma kunjalo, ezimweni ezinzima kakhulu kuyadingeka ukuthi ulaliswe esibhedlela ukuze umuthi unikezwe ngqo emthanjeni futhi nezinkinga zingagwenywa. Ngaphezu kwalokho, abesifazane abancelisayo bangelashwa ngama-antibiotic ngaphandle kokuthi ingane ibe sengcupheni.

2. Izikhathi ze-Physiotherapy

Ezimweni ezinzima, isifo seLyme singadala isifo samathambo, ikakhulukazi emadolweni, okuholela ezinhlungwini nasekuvuvukeni kwamalunga. Ezimweni ezinjalo, umuntu angadinga ukuba nezikhathi ze-physiotherapy ukuze abuyele ekuhambeni futhi akwazi ukwenza imisebenzi yansuku zonke ngaphandle kobuhlungu. Amaseshini enziwa ngama-physiotherapists futhi afaka ukuzivocavoca ukuhamba nokunwebeka noma ukusetshenziswa kwemishini ngokobukhulu becala.

Kwezinye izimo, udokotela angancoma ukusetshenziswa kwezidakamizwa ezilwa nokuvuvukala, njenge-Ibuprofen ngokwesibonelo, ukunciphisa ukuvuvukala okuhlangene.