Chithandizo ndi mankhwala borreliosis. Zizindikiro ndi mankhwala a matenda Lyme kapena matenda Lyme

Anthu ena amanena kuti zodabwitsazi ngati Mafunso Chongani kuluma, ndithu nonchalantly. Koma ngati kuzindikira pang'ono mu mutu wa kusatetezeka pidalumwa izi, Ndizachidziwikire kuti pali nkhawa. Chifukwa cha kuyenda pamodzi kudutsa m'nkhalango akhoza kukhala matenda amatchedwa matenda Lyme. Ana ndi akulu, zingayambitse zizindikiro mofanana oopsa, amene ngakhale kungachititse kuti kulumala, popanda mankhwalawa.

Kodi ayenera kumvetsa ndi Mafunso Chongani ofalitsidwa Lyme matenda?

Lyme borreliosis, amatchedwanso matenda Lyme kapena Lyme borreliosis ndi matenda opatsirana. Imafalikira ndi kuluma kwa Ixodes Mafunso Chongani. Chitukuko cha matenda kumayambitsa kugonjetsedwa kwa ziwalo zosiyanasiyana ndi kachitidwe. Zimenezi zingakhale mtima, mantha dongosolo, khungu ndi mafupa. Dzina la matenda zachilengedwezi focal aakulu anatola kwa tizilomboto matendawa - Borrelia chamoyo. matenda Izi unkakhazikitsidwa mu 1975 anthu a m'tauni ya Lyme mu US.

Ngati yake kudziwa zizindikiro za borreliosis ndi kuyamba chithandizo ndi mankhwala, mwayi kuchira ndi unproblematic ndi mkulu mokwanira. Ngati diagnostics azindikire matenda Lyme pa nthawi kenako chithandizo osaphunzira, matenda Lyme angathe kuchitidwa kusamukira ku aakulu Osamva. Choncho simuyenera asatipusitsenso ndi Mafunso Chongani kuluma.

zimayambitsa

Kakobiri (kutanthauza borreliosis infects tizilombo) ndi chotengera cha mitundu itatu ya tizilombo okhoza kukhala causative nthumwi za matenda. Amene akufuna kudziteteza ku matenda monga matenda Lyme, m'pofunika kukhala tcheru kumvetsera kulumidwa wa nkhupakupa kuti ali ndi kachilombo nthawi ya woyamwa magazi a nyama ndi matenda. nkhupakupa awa amapezeka kawirikawiri m'madera ndi nyengo kotentha, makamaka m'dera limene mukukhala nkhalango losanganikirana. Madera ndi kuderako, pamene pali ngozi kulumidwa ndi oopsa, mukhoza kudziwa chapakati ndi kumadzulo zigawo Russia: Western Siberia, ndi Urals, Far East. Nthumwi causative wa borreliosis amadziwikanso pa dera la m'madera a ku Ulaya ndi United States.

Kumapeto kwa kasupe ndi kumayambiriro kwa chilimwe mite akusonyeza ntchito kwambiri. Borreliosis chifukwa chimenechi, matenda chiwerengero pazipita anthu nthawi zina. M'pofunikanso kudziŵa komanso kuti matenda ndi kupeza mu magazi, osati ndi kuluma, koma nthawi yopuma mite, kumene kumachitika chifukwa kuchotsa zoipa.

Palinso mwayi kukakwera matenda kudzera kufala zakudya. Tikuyankhula zokhudza ntchito mkaka popanda kutentha isanafike mankhwala. Makamaka oopsa pankhaniyi ndi yaiwisi mbuzi mkaka. Pankhaniyi, matenda Lyme si kuchokera munthu kachilombo wina. Koma ngati Mafunso Chongani kuluma mkazi wapakati, kufala intrauterine matenda kungachititse kuti padera, anomalies zosiyanasiyana kobadwa nako, ndi imfa ngakhale mwana. Choncho, anthu amene ali woyembekezera m'chaka ndi yotentha ndi bwino kukhala kutali ndi malo zingakhale zakhudzana.

Limagwirira a matenda

Monga tanenera, mwachindunji yokha matenda limapezeka pokhapo Mafunso Chongani kuluma chaonekera. matenda Lyme, kapena kukhala enieni kwambiri, ndi bakiteriya tizilomboto akulowa yapafupi lymph mfundo n'kuyamba kuchulukana kumeneko. Patapita masiku angapo Borrelia kulowa mu mtsempha wa magazi, ndi unafalikira thupi lonse.

The makulitsidwe nyengo ya matenda ndi pakati pa 7 ndi 14 Patapita masiku Mafunso Chongani kuluma. Chifukwa cha polojekitiyi mwachindunji Borrelia kwa mwanabele akhale zowombetsa mkota lymphadenopathy.

Chifukwa, matenda afika mu minofu, dongosolo chapakati mantha, mafupa, mtima, ndipo akhoza kukhala kumeneko kwa nthawi yaitali, kupitiriza kuchulukana. Ndipo ngakhale ngakhale kuti ntchito ya chitetezo umabala chitetezo kuwononga tizilombo ankhanza kwathunthu kuchotsa matenda sizingatheke. Pamavuta ngozi maofesi wina m'thupi, zomwe zinachititsa kuti zikamera wa tizilomboto borreliosis, chifukwa hule ndondomeko autoimmune. Izi zikutanthauza kuti chitetezo cha kuukira HIV salinso, ndipo zimakhala za thupi, iwo ayenera poyamba kutetezedwa.

Lyme Disease Zizindikiro

Kukula kwa matenda opatsirana akhoza kugawidwa mu magawo angapo:

- The nyengo makulitsidwe (nthawi kuchokera matenda isanayambike zizindikiro).

- I siteji. Umayamba pa nthawi imene tizilombo kuswana ndondomeko chimaposa kwa mwanabele.

- II siteji. Iwo limafanana ndi gawo limene Borrelia anagawira thupi lonse ndi magazi.

- III siteji. Iwo akhoza chimatanthauza aakulu. Nthawi imeneyi, kugonjetsedwa kwa poyera dongosolo lililonse makamaka (minofu ndi mafupa kapena mantha).

Ine ndi II amaonedwa siteji oyambirira a nyengo chitukuko matenda, ndi sitepe III limanenedwa ngati nthawi mochedwa. Pankhaniyi, mugawo ili ndi umasinthasintha chifukwa nthawi yeniyeni ya kusintha pakati pawo.

Gawo loyamba

Borreliosis zizindikiro panthawi imeneyi ndi onse mawonetseredwe m'deralo ndi ambiri. Pamene zizindikiro ambiri zingadziŵike nseru, kuchuluka thupi kutentha (38 ° C), mutu, kuzizira, malaise, zopweteka thupi ndi ululu molumikiza ndi minofu. Mu zina catarrhal zochitika: kukhosomola, scratchy ndi zilonda zapakhosi, chimfine mphuno kuwala.

Koma zizindikiro za lokolo, zizindikiro deta zotsatirazi: kumalo kumene kuluma chidachitika, pali kutupa, redness ndi kuyabwa ndi kuchisonyeza. Komanso mapangidwe erythema annulare, chomwe chili mu alumidwa theka wamkulu (70%). Ilo liri ndi mtundu wa maphunziro wandiweyani wofiira, kuwonjezera kwa masiku angapo. Pa mbali ya mawonekedwe a erythema akufanana mphete wofiira. Pa nthawi yomweyo mu mtima ikhala malo otchuka kumene kuluma anapangidwa: ndi zambiri paler. Round kapena chowulungika mawonekedwe redness angakhale ndi awiri a 10 60 mm.

Pamene maganizo a zosasangalatsa, awo erythema annular si kupulumutsa. Only mu nthawi zina, redness ndi kuyabwa anaphikira. Gawo loyamba ukhoza kwa masiku angapo miyezi ingapo. Koma nthawi zambiri m'pofunika kusunga avareji masiku 30.

Mbali yachiwiri

Anatsegula nkhaniyi: "Lyme borreliosis: Zizindikiro ndi Chithandizo", ayenera kulabadira siteji kumene matenda ayamba kuwononga mtima, khungu, mfundo ndi mantha dongosolo. Kutalika stepi ino angakhalenso miyezi ingapo. Ndi nthawi izi zimachitika ngati siteji ya matenda, zizindikiro, khalidwe kwa nthawi yoyamba, kutha. Nthawi imene Ixodes Chongani ofalitsidwa matenda Lyme anayamba nthawi yomweyo ku gawo lachiwiri popanda kusonyeza obscheinfektsionnogo syndrome ndipo anakakonza annular erythema.

Mitsempha kuwonongeka panthawi imeneyi zingadziŵike ndi mbali zotsatirazi: njira zowononga zikuchitika mu misempha cranial ndi mizu msana mitsempha (chimatanthauza radiculopathy).

Ndi zotheka kukhala ndi matenda oumitsa khosi serous, amene ali kanthu koma kutupa meninges lapansi. Iye amasonyezabe tilinazo unakula zikuchitika, zolimbitsa mutu, photophobia, kutopa kwambiri ndi kuphwanya kwa thupi mu khosi. chizindikiro china cha matenda oumitsa khosi akhoza kukhala tulo.

Pankhani misempha cranial, ndi zambiri nkhope zimakhudzira. Mfundo chiwonongeko zidzasonyeze ziwalo minofu nkhope: pakamwa imagwera chakudya, maso usanayambe, ndi nkhope mowonekera molakwika. Nthawi zambiri atathana matenda amgwirizano, imene poyamba akusokoneza mbali imodzi ya nkhope ndi masiku kapena milungu ina - wachiwiri. Kuwonjezera nkhope njira zowononga zikugwirizana misempha zithunzi ndi Makutu. Tikhoza kuona ngati strabismus, kumva matenda kuwonongeka, masomphenya, ndi kayendedwe eyeballs.

Poganizira Mafunso Chongani ofalitsidwa Lyme matenda, mavuto obwera sipangakhalenso anamva koposa ndi Dziwani kuti msana mitsempha mizu pa mfundo chiwonongeko ali anamva palpable ululu mphukira kupyolera mu nthambi imatsogoleredwa kuchokera pamwamba mpaka pansi, ndipo thunthu amatenga nsungu khalidwe.

Mbali yachitatu

Nthawiyi chitukuko cha matenda angayambe ngakhale zaka zingapo kuluma. Pa nthawi imeneyi zotsatira borreliosis ali chikhalidwe zotsatirazi: acrodermatitis atrophicans, kuwonongeka kwa mitsempha (encephalopathy, polyneuropathy ndi encephalomyelitis), aakulu nyamakazi.

Nthawi zambiri, zinakhudza dongosolo wina: mafupa, mantha dongosolo ndi khungu. Koma ngati nthendayo asamakangane, mu njira ya chitukuko, lingachititse kuti kugonjetsedwa kwa kachitidwe pamodzi.

Pamene maziko a matenda monga Ixodes Chongani ofalitsidwa matenda Lyme kukhala aakulu nyamakazi, mmene yowononga akhoza amagwiritsa ntchito pa mfundo zazikulu ndi zazing'ono. Pamene chichereŵechereŵe izi zikuoneka kuti anayamba ndi kuotcha, olowa adzakhala deforming njira, ndi kufooka kwa mafupa chidzasintha mu dongosolo fupa. Chiwonongeko ndondomeko bata adzakhudzidwa ndipo ali pafupi minofu ulusi (aakulu myositis).

Kuwonongeka kwa wamanjenje dongosolo mu ndime yachitatu ungadziwike mu njira zosiyanasiyana. Angathe paresthesia, kuchuluka kapena kuchepa tilinazo, zikamera cha zowawa zosiyanasiyana ndipo ngakhale paresis. N'chinthu chanzeru kuyembekezera matenda m'bongo (zinthu, nzeru) ndi ntchito koordinatornyh (moyenera). Angathenso kuvutika kumva. Sitiyenera kukusalani matenda ziwalo m'chiuno ndi maonekedwe a khunyu khunyu. Dziwani chakuti ambiri odwala kuona kufooka, kutopa kwambiri, ndi matenda a m'maganizo.

Mawonekedwe aakulu matenda Lyme

Mukamanyalanyaza lipole ndi kulola matenda ulere kanthu pa thupi, mudzichonga ofalitsidwa Lyme matenda akulowa siteji aakulu. Mu mawonekedwe a matenda adzakhala khola undulation kuwonongeka. Ngati inu kuunikila ambiri syndromes matenda kuti kukhala borreliosis aakulu, ndi bwino powasamalira matenda otsatirawa:

- atrophic acrodermatitis;

- zosiyanasiyana nyamakazi;

- kuwononga mantha dongosolo okhudzidwa mu ndondomeko ya aliyense wa nyumba yake (ndi fupa lothyoka foci angakhale);

- limfotsitomy.

chithandizo

Ngati panali amaganiziridwa Mafunso Chongani ofalitsidwa Lyme matenda, wodwala ayenera yomweyo m'chipatala mu opatsirana matenda kuchipatala. Makamaka ngati mwanayo anavulala. Lyme matenda ana zingachititse mavuto aakulu. Izo zinali kokha ndi thandizo la madokotala angafunikire kuchititsa mankhwala zovuta, cholinga ndi kuwononga tizilombo toyambitsa matenda a matenda Lyme. M'pofunikanso kukumbukira kuti popanda chithandizo chokwanira yake ya matenda Lyme kungachititse kuti olumala.

Pankhaniyi, chithandizo ndi mankhwala borreliosis akhoza limanenedwa ngati njira zothandiza kwambiri chikoka pa tizilombo zoipa. Uthenga wabwino kuti nkhani ya yimitsira mankhwala matenda akadali mu gawo loyamba pali mwayi uliwonse kupewa chitukuko cha mtima ndi mavuto a muubongo arthrologic.

Pachifukwa ichi, chithandizo cha mankhwala borreliosis ayenera kuyamba posachedwapa.

Ngati ife kulankhula za siteji oyambirira a matenda, ndi Dziwani kuti "Amoxicillin" mankhwala ntchito nthawi imeneyi kuti n'chongoletsa matenda. mankhwala amenewa kumatenga za 20-30 masiku. Mwakhama ntchito siteji koyamba ndi "Tetracycline". Ngati mulibe kanthu pa erythema, zikhoza kupita ku mwezi, koma pamene maantibayotiki Popanda kuchitapo kanthu borreliosis, ndi redness a mphete mukhoza kupita kale kwambiri.

Mobwerezabwereza anasonyeza nchito zake ndipo ngati mankhwala monga "Doxycycline". Ndi zogwirizana kwambiri kwa odwala amene anayamba matenda khungu (chosaopsa khungu lymphoma, annular erythema migrans).

Anthu amene gawo lachiwiri chinalembedwa kuwonongeka kwa wamanjenje dongosolo, Kwalamulidwa Penicillin. Mu gawo loyamba ndi ogwira pamene atathana arthralgia ndi myalgia. Monga apakhungu mankhwala ambiri a cephalosporin gulu, mukhoza akuti "Ceftriaxone". ntchito yake bwino onse pa oyambirira ndi mochedwa ndi matenda a ubongo. Izi mankhwala ndi zogwirizana anthu odwala pa maziko a matenda Lyme zachitika digiri yapamwamba ya artrioventikulyarnoy anatseka misewu kapena nyamakazi, aakulu komanso.

Ambiri, chithandizo cha mankhwala borreliosis lasonyeza yekha ndi dzanja bwino.

zodzitetezera

matenda Lyme ndi matenda aakulu, kuti akhoza ananyalanyaza. Choncho, ngati n'kotheka, njira yabwino ndi kupewa matenda ndi kuteteza zosasangalatsa kukhudzana ndondomeko matenda aakulu mu thupi.

Kuteteza borreliosis zikuphatikizapo m'madera nkhupakupa angakhale mu nsapato chatsekedwa ndipo zovala kwathunthu kubisa thupi (mathalauza, trouser miyendo ndi manja kuwomba ndi cuffs). Iwo m'pofunika kugwiritsa ntchito mankhwala othamangitsa kuti akhoza amawateteza nkhupakupa.

Ngati izo zinachitika kuti mudzichonga afika pa khungu lanu, ndipo akhoza odzipereka, m'pofunika yomweyo pitani dipatimenti opatsirana a kuchipatala. Kumeneko, kutenga magazi matenda Lyme ndi kukhazikitsa ngati nthenda anali. Analysis, ndipo mosachedwa - ndi muyeso zofunika, zomwe sitingakane. Apo ayi inu nawo zizindikiro kwambiri. Choncho, tiyenera nthawi yomweyo ntchito mankhwala osavomerezeka. Kuteteza borreliosis adzakhala ogwira mtima ngati nsikidzi kwa masiku 5, mapiritsi 2 a mankhwala "Doxycycline" patsiku.

Zikuonekeratu kuti Lyme matenda, ndi umatha zonse zowononga akhoza anagonjetsa popanda mavuto kulikonse ngati matenda mwamsanga kupempha thandizo ku chipatala ndipo potsatira malangizo awo.

Choncho, takambirana bango Lyme matenda, zizindikiro ndi kuchiza matenda ndi zotheka zodzitetezera. Samalani ndi thanzi lanu!