Unokufumana isifo seLyme emva kokuba utyunjwe ngumthi wecala, ngokuqhelekileyo umthi wontanga , osuleleka kwi- Borrelia burgdorferi ibhaktheriya ukuba uphawu alukhenxwanga ngaphambi kweeyure ezingama-48 ukuya kuma-72. Abanye abantu bacinga ukuba unesifo sesifo seLyme xa ususulelekile, awukwazi ukusulelwa kwakhona, okuyinyani. Yingakho kubalulekile ukwenza iikhankanyi zeekhaksi zemihla ngemihla ukuba uhlala kwindawo apho unokubethwa yikhakiti, njengekampu, kungakhathaliseki ukuba ungubani.
Iimpawu Zamaxesha amaninzi
Isibonakaliso sokuqala sesifo seLyme ngokuqhelekileyo sisiqhelo samandulo abantu abaninzi baqhelana nabo ngokuthi i- erythema migrans . Nangona kunjalo, kubalulekile ukuba uqaphele zonke iimpawu zesifo seLyme kuba zikwazi ukuhlukana ngamnye ngamnye.
Erythema Migrans
Le ngqungquthela yokukhawuleza ivela kwisiza sokukhawulwa kwekhayi, malunga neentsuku ezisixhenxe ukuya kwele-14 emva kokuba udibene, nangona ingaqala ngeentsuku ezintathu okanye ngasekupheleni kweentsuku ezingama-30 emva kokukhawula kwekhayi. I-Erythema migrans ivela kuma-70 ekhulwini ukuya kuma-80 ekhulwini kubantu abanesifo seLyme.
Ngenxa yokuba ukugqithisa kukhangelelana ngokuxhomekeka kumntu kunye nesigaba sesifo, yinto efanelekileyo ukuba umboneleli wakho oyintloko uyakubheka naluphi na ukugqithisa okusola. Ukuba uhlala kwindawo apho amaqabunga ahlala khona kunye / okanye isifo seLyme siqhelekile, kubaluleke nakakhulu ukuba uqaphele nayiphi na into engavamile.
Le ngqungquthela ye-erythema migrans ingachazwa ngokuthi:
- Ukuba nombhobho obomvu ongaphandle kunye nokucoca obomvu phakathi kommandla
- Ukuba nomncinci obomvu ongaphandle, isikhulu esibomvu, kunye nokuhlanjululwa kwe-purplish phakathi kwendawo
- Ukuba nombhobho obomvu ongaphandle, ibomvu "ye-bullseye" phakathi, kunye nommandla ocacileyo phakathi kwezi zibini (oku kukugqithisa okuphambili kwaye okunokwenzeka mhlawumbi kwaqala kakhulu kuncinci kwaye kubheka ngaphantsi njenge-bullseye.)
- Ukuhlambalaza, ukufudumala, kunye namaxesha amnandi
- Ukunyuka ngokukhawuleza ukuya kubukhulu obuyi-7 ukuya kwe-14 intshi
- Ukulinganisa malunga neveki ezimbini
Iimpawu ezinjenge-Flu
Ezinye izibonakaliso zesifo seLyme zifana nomkhuhlane kwaye zingaquka:
- Fever
- I-Myalgia (i-acry aches)
- IChills
- Intloko
- Ukukhathala
- Intlungu ehlangeneyo (arthralgia)
- I-lymph nodes (i-lymphadenopathy)
Nangona ezi zibonakalisa zifana nezifo zintsholongwane eziqhelekileyo, iimpawu zesifo seLyme zingaphikelela okanye zize zihambe.
Iimpawu eziqhelekileyo
Ngokungaqhelekanga, ukuba isifo seLyme singaphathwa, unokuphuhlisa ezinye iimpawu zeveki, iinyanga, okanye kwiminyaka emva kokusuleleka, kuquka:
- I-erythma migrans ezininzi
- Ukuvutha kwesiso
- I-hepatitis (isifo sesibindi)
- Ukukhathala okukhulu
Akukho nenye yale ngxaki ingabonakala ngaphandle kwezinye izibonakaliso zezifo zeLyme.
Iingxaki zeLyme Disease
Iimpawu ezinzulu kunye neengxaki ezinokuthi zenzeke ukuba isifo sakho saseLyme singaphathwa. Ezi ziyakwazi ukuhlakulela iintsuku emva kweenyanga emva kokuba utyatywe ngumthi.
Arthritis
Emva kweenyanga ezininzi ze- B. burgdorferi isifo, iipesenti ezingama-30 ukuya kuma-60 ekhulwini abantu abangakhange baphathwe ngamachiza okulwa ne-antibiotics bahlakulele ukuhlaselwa okuphindaphindiweyo kwezilwanyana ezibuhlungu nezivuvulayo ezihlala iintsuku ezimbalwa kwiinyanga ezimbalwa. I-arthritis inokutshintsha ukusuka kwelinye iqhagamshelo ukuya kwelinye, kwaye idolo lixhaphake kakhulu.
Imiba yeeurological
Isifo seLyme sinokuchaphazela inkqubo yakho yesifo, okwenza iimpawu ezifana nalezi:
- Intamo yentamo kunye nentloko embi (i-meningitis)
- Ukukhubazeka okwethutyana kwimizimba yobuso apho icala elinye lobuso lugxobhoza (ukukhubazeka kweBell)
- Ubungqina, intlungu, okanye ubuthathaka kwimilenze
- Ukunyakaza kobuhlungu besisu
Utshintsho olusenyakatho luye lwadibaniswa nesifo esingasaphathwa yiLyme ezifana ne:
- Ukulahleka kwememori
- Unzima ukugxila
- Shintsha kwimizi okanye indlela yokulala
Iingxaki zenkqubo yeentlungu zingathuthukisa iiveki, iinyanga, okanye kwiminyaka emva kokusuleleka. Ezi zimpawu zenzeka malunga nama-10 kweepesenti ukuya kwi-12 ekhulwini zabantu kwaye zihlala ziphela iiveki okanye iinyanga.
Iingxaki Zengqondo
Phantse 1 ipesenti yabantu abane-Lyme sifo ziba neengxaki zentliziyo ezinjengeentliziyo ezingenasiphelo, ezinokuqala ngesisu okanye ukuphefumula okufutshane kwaye zingabonisa ikariti yeLyme-imbangela yentliziyo yesibindi. Ngonyango, le miqondiso ayidluli ixesha elide ngaphezu kweentsuku okanye iiveki ezimbalwa.
Nini ukubona iDokotela
Gcinani nikhumbule ukuba akubona bonke abantu abaneempawu zokugula ze-Lyme zezifo, ezibangela ukuba kubalulekile ukubona ugqirha wakho ukuba uhlakulele ukugqithisa okanye umkhuhlane emva kokulunywa kwekiti, ingakumbi ukuba uhlala okanye u tyelele indawo apho kukho ezininzi iziganeko zesifo seLyme. EUnited States, oku kuquka i-Northeast, Mid-Atlantic, okanye kumntla-mpuma.
Ngaphandle kwimiba yokuxhaphaza (indawo apho kukho izifo ezininzi zeLyme), umngcipheko wokuphulukisa isifo seLyme ngokuqhelekileyo uqikelelwe ukuba ngowama-3.5 kuphela kwipesenti. Kuphantsi kangangokuba nangona ama-kantsenti angama-50 eengqikithi kwimimandla engaphelelekiyo enesifo se-Lyme isifo, abaninzi abantu bayasusa iikiti ngaphambi kokuba ibhaktheriya ibe nexesha elaneleyo lokubachaphazela.
Isifo seLyme ngokuqhelekileyo siphathwa ngokulula ngamayeza athile. Ekuqaleni uphathwe isifo seLyme, bhetele, kodwa nakwiimeko zesekudala zihlala ziphendula kakuhle kumachiza. Uvavanyo olulula lwegazi, ngezinye izihlandlo kufuneka liphindwe ngokuphindaphindiweyo ukulawula ukhuseleko, lunokukunika uxolo lwentliziyo lwakho kunye nosapho lwakho.
> Imithombo:
> Bramwell KK, Teuscher C, Weis JJ. Indlela yokufikelela kwi-Genetic ye-Elucidation ye-Novel Regulators ye-Lyme Arthritis. Iimida kwiiCellar and Infection Microbiology . 2014; 4: 76. i-doi: 10.3389 / fcimb.2014.00076.
> Amasebe okuLawula nokuVimbela (iCCDC). Iimpawu kunye nezibonakaliso zezifo ezingekho phantsi kweLyme. Ukuhlaziywa kwe-Oktobha 26, 2016.
> Ixesha elide le-SS, i-prober CG, i-Fischer M. Iimigaqo kunye nokuSebenza kwezifo ezithathelwanayo. 5. Philadelphia, PA: Elsevier; 2017.
> I-Sanford C. Lyme Izifo. Ku: Jong EC, Stevens DL, eds. Izifo ezithathelwanayo zeNetter. Philadelphia, PA; Elsevier; 2012. Ithenda: 10.1016 / B978-1-4377-0126-5.00071-9.