Lyme borreliosis: etiology, zizindikiro ndi mankhwala

Lyme borreliosis amayamba ndi spirochetes, ndipo imafalikira ndi nkhupakupa. Ndi matenda yodziwika ndi njira aakulu. Nthawi zambiri khungu anakhudzidwa, minofu ndi mafupa dongosolo, mantha dongosolo ndi mtima. Kwa nthawi yoyamba bango ofalitsidwa Lyme matenda mayina a USA (Layimu), kotero matenda limatchedwa - matenda Lyme.

Lyme borreliosis: etiology.

The matenda kuchititsa spirochetes a mtundu Borrelia. makamu wapakatikati ndi nkhupakupa. Mosungiramo borreliosis ndi nyama zakuthengo ndi makoswe. Nthawi zambiri pali matenda wothira Mafunso Chongani ofalitsidwa encephalitis ndi matenda Lyme.

Chongani ofalitsidwa matenda Lyme: zizindikiro.

Matendawa anawalemba pa paliponse kupatula Antarctica. Pakuti madera kuderako monga Russia Leningrad, Kaliningrad, Tyumen, Yaroslavl, Perm, Tver, Kostroma dera, komanso Far East, Urals ndi West Siberia zigawo. Iwo anakumbukira kuti m'dera Leningrad bango ofalitsidwa matenda Lyme ndi anasamutsidwa ndi European nayonso nkhalango nkhupakupa. Infestation zamoyo zina kungakhale 5 mpaka 90%. The makulitsidwe nyengo ya matenda ndi 14 masiku. Kumayambiriro matenda chizindikiro cha matenda ndi redness (ankatenthetsa) wa khungu pa malo analumidwa Ixodes nkhupakupa. ankatenthetsa wa khungu kumatheka, reddened malo angathe kuyeza kwa masentimita 10 m'mimba mwake. Nthawi nkhani imene malo anafika masentimita 60 kapena kuposa. M'kupita kwa nthawi, likulu la malo akutembenukira woyera ndipo bluish (cyanotic) kum'chitira kupanga mphete mawonekedwe. The kuluma kutumphuka likakhazikitsidwa komanso ndiye rumen. malo kusungidwa kwa masiku 14-20 kenako kusiyiratu. masiku 30-45 pambuyo kuluma zizindikiro ananena matenda zokhudza mkati limba.

Chongani ofalitsidwa matenda Lyme: pathogenesis.

Pamene mudzichonga kachilombo uyo matenda Lyme ndi matenda. malovu Borrelia kulowa khungu, kenako pakapita masiku ochepa a kuswana kwambiri, kugwira mbali zina za dermis ndi ziwalo (chiwindi, mtima, mafupa, ubongo). Nthumwi causative kwa nthawi yaitali akhoza isanafalikire mu thupi la munthu pamene kuchititsa matenda aakulu.

Lyme borreliosis: matenda.

Kutsimikiza matenda (Lyme matenda) n'kofunika kuti kuphunzira magazi. Matendawa ndi chithandizo cha matenda ndi zovuta chifukwa chakuti zosonkhanitsira deta mtima mbiri zachipatala silimanena mfundo za kuluma. Choncho wodwala salandira chithandizo choyenera, tingayambe chilema. mayesero Serological ikuchitika ntchito enzyme immunoassay. mawonetseredwe a ubongo ndi kufufuza madzimadzi msana.

Lyme borreliosis: chithandizo.

Zochizira borreliosis tisonyezeni causal ndi mankhwala pathogenetic. Mu masiteji koyamba matenda mankhwala mankhwala. Mtsempha mankhwala (angamwe tetracycline mzere) pa mlingo pazipita amapereka woipa okwanira mu madzimadzi cerebrospinal. Kugwiritsa ntchito mankhwala mu magawo oyambirira kumathandiza chitukuko cha mtima, ndi mavuto ubongo artralgicheskih. mawonetseredwe Cutaneous wa borreliosis tetracycline doxycycline pasanathe mwezi umodzi. Pamene zotupa ya ubongo pa ampicillin, ceftriaxone, cefazolin, roxithromycin, cephalosporin, azithromycin, amwe erythromycin. Mu mfundo zinkakhala zabwino achire zotsatira analandira ntchito sanali steroidal odana ndi yotupa mankhwala (naproksin, hlotazol, indomethacin, plakvinil), analgesics ndi physiotherapy.