Isifo SeLyme Sesiseduze Nokusipika Kanzima Kulelihlobo

-Delile

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Uma uhlala eNyakatho-mpumalanga, usalelwe amasonto ambalwa ukusuka ekupakisheni amagilavu ​​akho epaki nawasebusika. (Ngokujulile, intwasahlobo, ukuphi?!) Kodwa akukashayi kakhulu ukuqala ukucabanga ngengozi eyodwa yezempilo yasehlobo engase ibheke kuwe: Isifo se-Lyme.

Emuva ngo-2015, isimangaliso sesifo seLyme saqala ukusakazeka-ubungozi besifo bukhuphuke ngamaphesenti angama-320 esikhathini seminyaka engama-20, ngokusho kweCenters for Disease Control and Prevention, njengoba sibike kuLyme Disease Has Spiked In i-US Yize amaphesenti angama-95 amacala enzeka emazweni aseNyakatho-mpumalanga naseNyakatho Ephakathi, ngokusho kweCDC, nakanjani iyasakazeka (vele ubheke lawo mabalazwe ngezansi). Ingxenye esabisa nakakhulu? Izimpawu zakuqala zikhombisa ukuthi u-2017 uzoba yi-doozy yehlobo.

Isizathu? Amagundane. Ngokusobala, kwakukhona "isifo samagundane" esikhulu e-Hudson River Valley enyakatho yeNew York ehlobo eledlule (abagxeka yonke indawo!). Ngenxa yokuthi amagundane mahle ekudluliseleni iLyme (athelela amaphesenti angama-95 emikhaza edla ngawo), isifo samagundane ngokuvamile sisho ukuthi inani lemikhaza lizokhuphuka ehlobo elizayo, ngokusho kwesazi sezinto eziphilayo nendawo yonke kanye nongoti waseLyme u-Rick Ostfeld, Ph.D., njengoba kubikwe yi-NPR. Futhi ngokusho kuka-Ostfeld, lokhu kusho ukuthi nezinye izindawo zaseNyakatho-mpumalanga zisengcupheni. Inani eliphakeme lezinyamazane (ezilunywa yimikhaza futhi lisize ukuzisabalalisa nxazonke), ukuguquka kwesimo sezulu, nokushintsha kwezwe lamahlathi konke kube yizinto ezisengcupheni yokwanda kwesifo seLyme, utshele iNPR.

I-ICYMI, isifo seLyme yisivumelwano esikhulu se-effing. Eqinisweni, “iLyme iwubhubhane oluthathelwanayo olukhulu olusithintayo njengamanje,” kusho uKent Holtorf, MD, umqondisi wezokwelapha we-Holtorf Medical Group, kanye nochwepheshe waseLyme onalesi sifo ngokwakhe.

Ingase ifike nezimpawu ezingathi sína njengekhanda elibuhlungu elibuhlungu, ukuqubuka, isifo samathambo esinobuhlungu obukhulu emalungeni kanye nokuvuvukala, ukukhubazeka kobuso (ukulahlekelwa ithoni yemisipha noma ukuwohloka ohlangothini olulodwa noma kuzo zombili izinhlangothi zobuso), ukushaya kwenhliziyo, ukuvuvukala kobuchopho nomgogodla, kanye nezinkinga zenkumbulo yesikhashana, ngokusho kwe-CDC. Inkolelo yendabuko ukuthi iziguli eziningi ziyalulama ngokushesha nangokuphelele ngemuva kokuthola ukwelashwa ngama-antibiotic, kepha kumaphesenti amancane ezimweni, izimpawu zihlala izinyanga ezingaphezu kweziyisithupha-okuthile kwesinye isikhathi okubizwa ngokuthi "isifo seLyme esingapheliyo," futhi saziwa ngokusemthethweni njengesifo seLyme post-treatment i-syndrome (i-PTLDS). Nokho, ucwaningo olwengeziwe lubonisa ukuthi ngisho nabantu abelashelwa isifo seLyme futhi bayeka ukubona izimpawu abalokothi balulame ngokugcwele empilweni yabo yangaphambi kweLyme, kusho uHoltorf. I-Lyme ingase ibe nekhono lokucasha ngaphakathi emzimbeni wakho (okufana nenkukhu) futhi iphakamise ikhanda layo lapho ikhushulwa ukucindezeleka noma ezinye izici, okuholela ezimpawu ezingaba kusukela ezinkingeni zesisu kanye nezinkinga zemizwa kuya ezinkingeni zokulala, uthi. (TBH, ingxoxo emayelana ne-Lyme yesikhathi eside ingase idideke. Nakhu okudingeka ukwazi ngesifo seLyme esingamahlalakhona.)

Ngeshwa, isifo seLyme akuyona ukuphela kwengozi esabekayo eza nokulunywa umkhaza: "Cabanga ngomkhaza njengenaliti engcolile," kusho uHoltorf. Lezi zinambuzane futhi zidlulisa izifo eziningi (sikhuluma nge-15 +), ngokusho kwezifo ze-CDC konke ekuphakameni. Okubili okuphawulekayo: i-babesiosis (ephawulwa ngobuhlungu bemisipha, ukujuluka ebusuku, ngisho nokukhuluphala) kanye ne-bartonella (ephawulwa ukucindezeleka, ukukhathazeka, nokuhlaselwa uvalo, eyaziwa nangokuthi isifo sokuklwebheka ekati), kusho uHoltorf. Ngenxa yokuthi ubungozi beLyme kuleli hlobo bubangelwa inani eliphezulu lomkhaza, ubungozi bakho balezi ezinye izifo bungase bukhule.

Ngokusobala, sekuyisikhathi sokulungisa uhlelo lwakho lomdlalo wokulwa nomkhaza: Qiniseka ukuthi usebenzisa uhlobo olufanele lwesinqamuleli, ukuvala amaqakala akho, futhi uhlole izindawo ezishisayo (njengamakhwapha namadolo) ngemva kokuchitha isikhathi ngaphandle. Ukuqapha amakhizane okulayisha mahhala kubaluleke kakhulu. Kuthatha amahora angama-36 okunamathiselwe ukuze ukudluliswa kwesifo seLyme kwenzeke, ngokusho kweCDC, ngakho-ke uma ukwazi ukubona umunci kanye ne-yank 'em ngaphambi kwalokho, ngeke ube namathuba amancane okuthola lesi sifo. Qiniseka ukuthi uhlola kahle izinwele nesikhumba sakho, ngoba lezi zinambuzane zingaba ncane njengekhanda lephini, kusho uHoltorf. (Funda ezinye izindlela zokuzivikela emikhikheni.)

Uma u yenza ukulunywa umkhaza, qiniseka ukuthi uyawukhipha kuso kanye isisekelo noma usebenzise ikhithi yokususa umkhaza ukuze uqiniseke ukuthi uyayisusa yonke into. Ngaphandle kwalokho, ubeka engcupheni umkhaza "ohlanza" amathumbu awo nesifo-esikhunjeni sakho, kusho uHoltorf. (Siyazi, okwedlulele.) Futhi akunakulimaza ukubona idokodo ngokushesha ngemuva kokulunywa - ungathola ngisho nomkhaza uqobo ohlolelwe uLyme ngemuva kokuthi uwukhiphile, usho kanjalo. Futhi ungakhiphi i-Lyme ngoba awukhulisi i-bull's-eye rash. Cishe amaphesenti angama-20 kuphela abantu abathola leso sibonakaliso ngqo. Ngokuvamile, abantu babika ukukhathazeka nokukhathala okufana nomkhuhlane nokukhathala, imvamisa kuhlanganiswa nanoma yiluphi uhlobo lokuqubuka, kusho uHoltorf.

Futhi, yebo, ngenkathi isifo seLyme sisabeka kancane, ungasivumeli sikuvimbe ekujabuleleni okuhle ngaphandle kuleli hlobo. Mane ukhumbule zonke izinzuzo zezempilo eziza nokuphuma ngaphandle.

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