Ukuhlolwa Kwezifo ZaseLyme

-Delile

• Yini ukuhlolwa kwesifo seLyme?
• Zisetshenziselwani?
• Kungani ngidinga ukuhlolwa kwesifo seLyme?
• Kwenzekani ngesikhathi sokuhlolwa kwesifo seLyme?
• Ngabe kukhona engizodinga ukukwenza ukulungiselela isivivinyo?
• Ingabe zikhona izingozi ekuhlolweni kwesifo seLyme?
• Isho ukuthini imiphumela?
• Ngabe kukhona okunye engidinga ukukwazi mayelana nokuhlolwa kwesifo seLyme?
• Izinkomba

Yini ukuhlolwa kwesifo seLyme?

Isifo seLyme yisifo esibangelwa amagciwane athwalwa imikhaza. Ukuhlolwa kwesifo seLyme kubheka izimpawu zokutheleleka egazini lakho noma i-cerebrospinal fluid.

Ungasithola isifo seLyme uma umkhaza onegciwane uluma. Imikhaza ingakuluma noma ikuphi emzimbeni wakho, kepha imvamisa iluma ezingxenyeni zomzimba wakho okunzima ukuzibona njenge-groin, i-scalp, ne-armp. Imikhaza ebanga isifo seLyme mincane, mincane njengecezwana lothuli. Ngakho-ke ungahle ungazi ukuthi ulunywe.

Uma singelashwa, isifo seLyme singadala izinkinga ezinkulu zempilo ezithinta amalunga akho, inhliziyo, nohlelo lwezinzwa. Kepha uma kutholakala kusenesikhathi, izifo eziningi zeLyme zingelashwa ngemuva kwamasonto ambalwa okwelashwa ngama-antibiotic.

Amanye amagama: Ukutholwa kwamasosha omzimba eLyme, ukuhlolwa kwe-Borrelia burgdorferi antibodies, Ukutholwa kwe-Borrelia DNA, i-IgM / IgG yiWestern Blot, ukuhlolwa kwesifo seLyme (CSF), amasosha omzimba eBorrelia, i-IgM / IgG

Zisetshenziselwani?

Ukuhlolwa kwesifo seLyme kusetshenziselwa ukuthola ukuthi unesifo seLyme yini.

Kungani ngidinga ukuhlolwa kwesifo seLyme?

Ungadinga ukuhlolwa kwesifo seLyme uma unezimpawu zokutheleleka. Izimpawu zokuqala zesifo seLyme zivame ukuvela phakathi kwezinsuku ezintathu nezingama-30 ngemuva kokulunywa umkhaza. Zingafaka:

• Ukuqhuma kwesikhumba okuhlukile okubukeka njengeso lenkomo (iringi ebomvu enesikhungo esicacile)
• Imfiva
• Amakhaza
• Ubuhlungu bekhanda
• Ukukhathala
• Ubuhlungu bemisipha

Ungadinga futhi ukuhlolwa kwesifo seLyme uma ungenazo izimpawu, kodwa usengozini yokutheleleka. Ungaba sengozini enkulu uma:

• Usanda kususa umkhaza emzimbeni wakho
• Kuhanjwa endaweni enokhuni oluningi, lapho kuhlala khona imikhaza, ngaphandle kokumboza isikhumba esidaluliwe noma ukugqoka into exosha izinto
• Uke wenza eminye yale misebenzi engenhla futhi uhlala noma usanda kuvakashela izindawo ezisenyakatho-mpumalanga noma ezisentshonalanga ne-United States, lapho kutholakala khona izifo zesifo seLyme

Isifo seLyme siyelapheka kakhulu sisaqala, kepha usengazuza ngokuhlolwa ngokuhamba kwesikhathi. Izimpawu ezingabonakala emasontweni noma ezinyangeni umkhaza uluma. Zingafaka:

• Ikhanda elibuhlungu
• Ukuqina kwentamo
• Ubuhlungu obukhulu bamalunga nokuvuvukala
• Izinhlungu zokudubula, ukuba ndikindiki, noma ukuncinza ezandleni noma ezinyaweni
• Ukuphazamiseka kwememori nokulala

Kwenzekani ngesikhathi sokuhlolwa kwesifo seLyme?

Ukuhlolwa kwesifo seLyme kuvame ukwenziwa ngegazi lakho noma nge-cerebrospinal fluid.

Ukuhlolwa kwegazi lesifo seLyme:

• Uchwepheshe wezempilo uzothatha isampula yegazi emthanjeni osengalweni yakho, esebenzisa inaliti encane. Ngemuva kokuthi kufakwe inaliti, kuzoqoqwa inani elincane legazi kufakwe ithubhu yokuhlola noma isitsha. Ungase uzizwe uluma kancane lapho inaliti ingena noma iphuma. Lokhu ngokuvamile kuthatha imizuzu engaphansi kwemihlanu.

Uma unezimpawu zesifo seLyme esithinta uhlelo lwakho lwezinzwa, njengokuqina kwentamo kanye nokuba ndikindiki ezandleni noma ezinyaweni, ungadinga ukuhlolwa kwe-cerebrospinal fluid (CSF). I-CSF iwuketshezi olucacile olutholakala ebuchosheni nakumgogodla wakho. Phakathi nalolu vivinyo, i-CSF yakho izoqoqwa ngenqubo ebizwa ngokuthi i-lumbar puncture, eyaziwa nangokuthi umpompi womgogodla. Ngesikhathi senqubo:

• Uzolala ngohlangothi noma uhlale etafuleni lezivivinyo.
• Umhlinzeki wezokunakekelwa kwempilo uzohlanza umhlane wakho bese ejova i-anesthetic esikhumbeni sakho, ngakho ngeke ubuzwe ubuhlungu ngesikhathi senqubo. Umhlinzeki wakho angafaka ukhilimu oyindikindiki emhlane wakho ngaphambi kwalomjovo.
• Lapho indawo esemhlane wakho isikindiki ngokuphelele, umhlinzeki wakho uzofaka inaliti encane, engenalutho phakathi kwama-vertebrae amabili emgogodleni wakho ophansi. IVertebrae yimigogodla emincane eyenza umgogodla wakho.
• Umhlinzeki wakho uzokhipha inani elincane le-cerebrospinal fluid ukuze ihlolwe. Lokhu kuzothatha cishe imizuzu emihlanu.
• Uzodinga ukuhlala uthule kakhulu ngenkathi kukhishwa uketshezi.
• Umhlinzeki wakho angakucela ukuthi ulale ngomhlane ihora noma amabili ngemuva kwenqubo. Lokhu kungakuvimbela ekutholeni ikhanda ngemuva kwalokho.

Ngabe kukhona engizodinga ukukwenza ukulungiselela isivivinyo?

Awudingi noma yimaphi amalungiselelo akhethekile okuhlolwa kwegazi lesifo seLyme.

Ukuze uthole ukubhoboza i-lumbar, ungacelwa ukuthi ukhiphe isinye sakho namathumbu ngaphambi kokuhlolwa.

Ingabe zikhona izingozi ekuhlolweni kwesifo seLyme?

Kunobungozi obuncane kakhulu bokuhlolwa kwegazi noma ukubhoboza i-lumbar. Uma uhlolwe igazi, ungaba nobuhlungu obuncane noma ukulinyazwa lapho kufakwe khona inaliti, kodwa izimpawu eziningi ziyaphela ngokushesha.Uma ngabe unesihlakala sesigaxa, ungahle ube nobuhlungu noma isisa emhlane wakho lapho kufakwe khona inaliti. Ungase futhi uthole ikhanda ngemuva kwenqubo.

Isho ukuthini imiphumela?

I-Centers for Disease Control and Prevention (CDC) incoma inqubo yokuhlolwa okubili kwesampula sakho:

• Uma umphumela wakho wokuqala wokuhlola ungenayo isifo seLyme, awudingi okunye ukuhlolwa.
• Uma imiphumela yakho yokuqala inesifo seLyme, igazi lakho lizothola isivivinyo sesibili.
• Uma yomibili imiphumela inesifo seLyme futhi unezimpawu zokutheleleka, mhlawumbe unesifo seLyme.

Imiphumela emihle akusho ngaso sonke isikhathi ukuxilongwa kwesifo seLyme. Kwezinye izimo, ungaba nomphumela omuhle kepha ungabi nokutheleleka. Imiphumela emihle ingasho nokuthi unesifo esizimele, njenge-lupus noma i-rheumatoid arthritis.

Uma imiphumela yakho yokubhoboza i-lumbar muhle, kungasho ukuthi unesifo seLyme, kepha ungadinga izivivinyo eziningi ukuqinisekisa ukutholakala.

Uma umhlinzeki wakho wezempilo ecabanga ukuthi unesifo seLyme, uzokunikeza ukwelashwa ngama-antibiotic. Abantu abaningi abaphathwa ngama-antibiotic esigabeni sokuqala sesifo bazolulama ngokuphelele.

Funda kabanzi mayelana nokuhlolwa kwelabhorethri, ububanzi bezinkomba, nemiphumela yokuqonda.

Ngabe kukhona okunye engidinga ukukwazi mayelana nokuhlolwa kwesifo seLyme?

Unganciphisa amathuba akho okuthola isifo seLyme ngokuthatha lezi zinyathelo ezilandelayo:

• Gwema ukuhamba ezindaweni ezinezihlahla ezinotshani obuphezulu.
• Hamba maphakathi nemizila.
• Gqoka amabhulukwe amade uwafake emabhuzwini akho noma kumasokisi.
• Faka isicelo sokuxosha izinambuzane eziqukethe i-DEET esikhunjeni nasezingutsheni zakho.

Izinkomba

1. I-ALDF: I-American Lyme Disease Foundation [i-Intanethi]. ILyme (CT): I-American Lyme Disease Foundation, Inc .; c2015. Isifo seLyme; [kubuyekezwe i-2017 Dec 27; kukhonjiwe ngo-2017 Dec 28]; [cishe izikrini ezi-2]. Kutholakala kusuka: http://www.aldf.com/lyme-disease
2. Izikhungo Zokulawula Nokuvimbela Izifo [i-Intanethi]. I-Atlanta: UMnyango Wezempilo Nezinsizakalo Zabantu e-U.S. Isifo seLyme; [kubuyekezwe i-2017 Nov 16; kukhonjiwe ngo-2017 Dec 28]; [cishe isikrini esingu-1]. Kutholakala kusuka: https://www.cdc.gov/lyme/index.html
3. Izikhungo Zokulawula Nokuvimbela Izifo [i-Intanethi]. I-Atlanta: UMnyango Wezempilo Nezinsizakalo Zabantu e-U.S. Isifo SaseLyme: Ukuvimbela Ukulunywa Kwamathikithi Kubantu; [kubuyekezwe 2017 Apr 17; kukhonjiwe ngo-2017 Dec 28]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://www.cdc.gov/lyme/prev/on_people.html
4. Izikhungo Zokulawula Nokuvimbela Izifo [i-Intanethi]. I-Atlanta: UMnyango Wezempilo Nezinsizakalo Zabantu e-U.S. Isifo SeLyme: Izimpawu Nezimpawu Zesifo Esingalashwa seLyme; [kubuyekezwe i-2016 Oct 26; kukhonjiwe ngo-2017 Dec 28]; [cishe izikrini ezi-2]. Kutholakala kwa: https://www.cdc.gov/lyme/signs_symptoms/index.html
5. Izikhungo Zokulawula Nokuvimbela Izifo [i-Intanethi]. I-Atlanta: UMnyango Wezempilo Nezinsizakalo Zabantu e-U.S. Isifo seLyme: Ukudluliswa; [kubuyekezwe u-2015 Mar 4; kukhonjiwe ngo-2017 Dec 28]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://www.cdc.gov/lyme/transmission/index.html
6. Izikhungo Zokulawula Nokuvimbela Izifo [i-Intanethi]. I-Atlanta: UMnyango Wezempilo Nezinsizakalo Zabantu e-U.S. Isifo seLyme: Ukwelashwa; [kubuyekezwe ngo-2017 Dec 1; kukhonjiwe ngo-2017 Dec 28]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://www.cdc.gov/lyme/treatment/index.html
7. Izikhungo Zokulawula Nokuvimbela Izifo [i-Intanethi]. I-Atlanta: UMnyango Wezempilo Nezinsizakalo Zabantu e-U.S. Isifo seLyme: Inqubo Yezinyathelo ezimbili Yokuhlolwa Kwelebhu. [kubuyekezwe u-2015 Mar 26; kukhonjiwe ngo-2017 Dec 28]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://www.cdc.gov/lyme/diagnosistesting/labtest/twostep/index.html
8. UHinkle J, Cheever K. Brunner & Suddarth's Handbook of Laboratory and Diagnostic Test. 2nd Ed, Kindle. IPhiladelphia: I-Wolters Kluwer Health, Lippincott Williams & Wilkins; c2014. Isifo Sezifo SaseLyme; k. 369.
9. Ukuhlolwa Kwelebhu Ku-inthanethi [i-Intanethi]. I-American Association for Clinical Chemistry; c2001–2017. Ukuhlaziywa kweCerebrospinal Fluid (CSF); [kubuyekezwe i-2017 Dec 28; kukhonjiwe ngo-2017 Dec 28]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://labtestsonline.org/tests/cerebrospinal-fluid-csf-analysis
10. Ukuhlolwa Kwelebhu Ku-inthanethi [i-Intanethi]. I-American Association for Clinical Chemistry; c2001–2017. Isifo seLyme; [kubuyekezwe ngo-2017 Dec 3; kukhonjiwe ngo-2017 Dec 28]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://labtestsonline.org/conditions/lyme-disease
11. Ukuhlolwa Kwelebhu Ku-inthanethi [i-Intanethi]. I-American Association for Clinical Chemistry; c2001–2017. Izivivinyo Zezifo ZaseLyme; [kubuyekezwe i-2017 Dec 28; kukhonjiwe ngo-2017 Dec 28]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://labtestsonline.org/tests/lyme-disease-tests
12. IMayo Clinic [Inthanethi]. IMayo Foundation for Medical Education and Research; c1998–2017. Isifo seLyme: Ukuxilongwa kanye nokwelashwa; 2016 Apr 3 [icashunwe ngo-2017 Dec 28]; [cishe izikrini ezi-5]. Kutholakala kusuka: https://www.mayoclinic.org/diseases-conditions/lyme-disease/diagnosis-treatment/drc-20374655
13. Uhlobo Lokuthengwa Kwamakhasimende we-Merck [Internet]. IKenilworth (NJ): IMerck & Co Inc .; c2017. Isifo seLyme; [kucashunwe ngo-2017 Dec 28]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.merckmanuals.com/home/infections/bacterial-infections-spirochetes/lyme-disease
14. Uhlobo Lokuthengwa Kwamakhasimende we-Merck [Internet]. IKenilworth (NJ): IMerck & Co Inc .; c2017. Ukuhlolwa kobuchopho, umgogodla, nokuphazamiseka kwemizwa; [kucashunwe ngo-2017 Dec 28]; [cishe izikrini ezi-3]. Kutholakala kusuka: -ubuchopho, -intambo yomgogodla, -nokuphazamiseka kwemizwa-yezinzwa
15. I-National Heart, Lung, ne-Blood Institute [i-Intanethi]. I-Bethesda (MD): UMnyango Wezempilo kanye Nezinsizakalo Zabantu e-U.S. Ukuhlolwa Kwegazi; [kucashunwe ngo-2017 Dec 28]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.nhlbi.nih.gov/health-topics/blood-tests
16. I-University of Rochester Medical Center [i-Inthanethi]. URochester (NY): Isikhungo Sezokwelapha sase-University of Rochester; c2017. I-Health Encyclopedia: I-Borrelia Antibody (Igazi); [kucashunwe ngo-2017 Dec 28]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid;=borrelia_antibody_lyme
17. I-University of Rochester Medical Center [i-Inthanethi]. URochester (NY): Isikhungo Sezokwelapha sase-University of Rochester; c2017. I-Health Encyclopedia: IBorrelia Antibody (CSF); [kucashunwe ngo-2017 Dec 28]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid;=borrelia_antibody_lyme_csf
18. I-University of Rochester Medical Center [i-Inthanethi]. URochester (NY): Isikhungo Sezokwelapha sase-University of Rochester; c2017. I-Health Encyclopedia: Ukuhlolwa Kokuxilonga Ukuphazamiseka Kwemizwa; [kucashunwe ngo-2017 Dec 28]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=85&contentid;=P00811
19. I-UW Health [Inthanethi]. UMadison (WI): Izibhedlela zase-University of Wisconsin kanye neGunya Lemitholampilo; c2017. Imininingwane Yezempilo: Ukuhlolwa Kwezifo ZaseLyme: Imiphumela; [kubuyekezwe ngo-2017 Mar 3; kukhonjiwe ngo-2017 Dec 28]; [cishe izikrini eziyi-8]. Kutholakala kusuka: https://www.uwhealth.org/health/topic/medicaltest/lyme-disease-test/hw5113.html#hw5149
20. I-UW Health [Inthanethi]. UMadison (WI): Izibhedlela zase-University of Wisconsin kanye neGunya Lemitholampilo; c2017. Imininingwane Yezempilo: Ukuhlolwa Kwesifo seLyme: Ukubuka konke kokuhlolwa; [kubuyekezwe ngo-2017 Mar 3; kukhonjiwe ngo-2017 Dec 28]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://www.uwhealth.org/health/topic/medicaltest/lyme-disease-test/hw5113.html
21. I-UW Health [Inthanethi]. UMadison (WI): Izibhedlela zase-University of Wisconsin kanye neGunya Lemitholampilo; c2017. Imininingwane Yezempilo: Ukuhlolwa Kwezifo ZaseLyme: Kungani Kwenziwa; [kubuyekezwe ngo-2017 Mar 3; kukhonjiwe ngo-2017 Dec 28]; [cishe izikrini ezi-4]. Kutholakala kusuka: https://www.uwhealth.org/health/topic/medicaltest/lyme-disease-test/hw5113.html#hw5131

Imininingwane ekulesi siza akufanele isetshenziswe esikhundleni sezokunakekelwa kwezokwelapha noma iseluleko. Xhumana nomhlinzeki wezempilo uma unemibuzo ngempilo yakho.