Iinkcukacha zonyango lwakho lwezonyango luya kuxhomekeka kwimeko yakho. Ikhosi emfutshane ye-antibiotics iyakucholisa ngokulula xa usenqanaba lokuqala. Impatho ephumelelayo kwiimeko ezininzi ezinzima, nangona kunjalo, kufuna iiveki ezintathu ukuya kwezine zonyango lwe-antibiotic kwaye mhlawumbi unyango olongezelelweyo. Nantsi ingqalelo indlela amayeza ahlukeneyo kunye neempawu zeSyrme ziphathwa ngayo.
Imigaqo
Umboneleli wakho wezempilo unokuphulukisa ngokufanelekileyo isifo sakho saseLyme ngokusetyenziswa okufanelekileyo kwezilwabiyoti . Ngokuqhelekileyo, ngokukhawuleza uqala unyango emva kokusuleleka, ukhawuleza kwaye uzalise ngakumbi ukubuyiswa kwakho. I-antibiotics efana ne-doxycycline, i-cefuroxime axxe, kunye ne-amoxicillin, ithathwa ngomlomo kwiiveki ezimbalwa, inokukhawulezisa ukuphilisa i-erythema migrans yakho kwaye iyakuthi ikhusele iimpawu ezilandelayo ezifana ne-arthritis okanye iingxaki ze-neurological. I-Doxycycline nayo iya kuphucula ngokuthe ngangoko ezinye izifo ezithintekayo.
Abantwana kunye nabafazi abakhulelweyo okanye abancinci
Ngenxa yokuba i-doxycycline inokutshabalalisa amazinyo asisigxina ekukhuleni kwabantwana abancinci okanye iintsana ezingakazalwa xa isifo seLyme senziwa kubantwana abangaphantsi kweminyaka engama-9, okanye kubhinqa abakhulelweyo okanye abancancisayo, aba bantu bahlala bephathwa nge:
- Amoxicillin
- Cefuroxime
- Penicillin
Lyme Arthritis
Ukuba unayo i-Lyme arthritis, umboneleli wakho wezempilo unokukuphatha ngamachiza omlomo.
Ukuba i-arthritis yakho inzima, unokunikezwa i-ceftriaxone okanye i-penicillin nge-intravenously (nge-IV). Ukunciphisa ukungakhululeki nokuphulukisa phambili, umniki-nkonzo wakho wezempilo uya kuphinda:
- Ukunikezela imishanguzo enjenge-non-steroidal anti-inflammatory drugs (NSAIDs)
- Yenza umxhelo ohlangeneyo (umzobo odwebayo kumalungu akho achaphazelekayo)
- Susa ngokubanzi ukhupha olushushu lwabaxhamli bakho abachaphazelekayo
Kwinkoliso yabantu, i-Lyme arthritis iya kuhamba emva kweeveki ezimbalwa okanye iinyanga emva kokwelashwa kwamayeza. Kwezinye, ke, kunokuthatha iminyaka ukuphela ngokupheleleyo. Abanye abantu abanesifo seLyme abangaphendulwanga iminyaka emininzi banokuphiliswa kwi-arthritis yabo kunye neyonyango yokulwa neyeza. Ukuba eso sifo sihlale sikwanele, nangona kunjalo, sinokuyonakalisa ngokusisigxina isakhiwo samalungu.
Iingxaki zeNewlogical
Ukuba unempawu ezinkulu ze-neurological, umboneleli wakho wonyango uya kukuphatha ngento elwa ne-antibiotics yecaffriaxone enikezwe kwangaphakathi kanye ngenyanga ngemini. Uninzi lwabantu luyabuya ngokupheleleyo.
Iingxaki Zengqondo
Ababoneleli bezempilo banqwenela ukuphatha abantu abane-Lyme isifo esineempawu ezinzima ze-cardiovascular antibiotics ezifana ne-ceftriaxone okanye i-penicillin enikezwe kwangaphakathi kwiiveki ezintathu ukuya kwezine. Abantu abanesifo seLyme bahlala benomonakalo wentliziyo.
Isifo se-Lyme Disease Syndrome
Ukuba une-Lyme disease syndrome (PTLDS), unokufuna ukuba ugqirha wakho abone ezinye izifo ezinempawu ezifanayo. Iimpawu zakho zingaphinde zihambe ixesha elininzi.
I-National Institute of allergies and Infectious Diseases (i-NIAID) ithatha i-PTLDS ngokukhawuleza kwaye ixhaswe ngeemvavanyo ezintathu ezilawulwa yi-placebo ukufumana ukuphumelela kwonyango olukhuselekileyo lwe-antibiotic kwizigulane ezine-PTLDS. Nantsi into abayifumeneyo:
- Kwilingo lokuqala, izigulana zanikwa iintsuku ezingama-30 ze-antiratictic (IV) ze-antibiotics ezilandelwa iintsuku ezingama-60 zomlomo we-antibiotics. Kwakungekho ubungqina bonyango oluncedo.
- Kwilingo lesibini, izigulane zafumana iintsuku ezingama-28 ze-IV antibiotic. Izigulane zichaze ukuphuculwa komgangatho wonke, kodwa akukho zibonelelo zokusebenza kwengqondo kunye nabathathi-nxaxheba abathandathu babeneziganeko ezimbi kakhulu ezinxulumene neyeza zonyango, ezine ezifuna ukulaliswa esibhedlele. Abaphandi baphetha ngelithi unyango olongezelelweyo lwe-antibiotic "aluxhaswa bubungqina."
- Kwisifundo sesithathu, izigulane ezinokukhubazeka kweememori zengqondo zifumene iiveki ezili-10 ze-ceftriaxone, i-cephalosporin antibiotics, kunye neepesenti ezingama-26 zineempendulo ezimbi. Abaphengululi baphetha ukuba unyango aluyisicwangciso esisebenzayo.
Umgca ongundoqo: Ulwaphulo oluqhubekayo lwe-antibiotics alukho olungcono kunonyango olufutshane lwe-antibiotics kwaye lunokuba luyingozi. I-NIAID ijonge ukuxhasa ophando olongezelelweyo ukufumana isizathu se-PTLDS kunye nonyango oluchanekileyo, ingakumbi abo abangashiyi iinqununu zebhaktheriya ngasemva.
LweMithi yoNyango
Abanye abantu baye baqala ukuhlola ukusetyenziswa kwezixhobo zendalo zeso sifo, njenge-samento kunye ne-banderol. Uhlobo lwe-cat's-claw-isityalo esinokuthiwa sisisombululo se-arthritis-samento kuthiwa siphathe isifo seLyme ngokunyusa umzimba wakho wokuzivikela. I-Banderol ifakwe kwi-bark yomthi waseMzantsi Melika obizwa ngokuthi ngu- Otoba parvifolia kwaye ucingelwa ukuba unqabile ibhaktheriya ehlobene neLyme.
Ukusetyenziswa kwe-samento kunye ne-banderol njengezonyango zemvelo zesifo seLyme kwaphakanyiswa inxalenye kaRichard Horowitz, MD, umbhali we "Kutheni Ndikwazi Ukufumana Ulunge? Ukuxazulula Ingqibelelo Ye-Lyme neZifo Ezigugu." Ngokutsho kweHorowitz, izixhobo zombini zonyango zingancedisa ukuphatha isifo seLyme ngokukhupha umzimba webholongwane.
Samento kunye neBanderol: Ukusetyenziswa kunye noPhando
Abaxhasi be-banderol kunye ne-samento bancomela njengenye indlela yokulwa ne-antibiotiki, ezona ziyeza zonyango kwi-Lyme. Kuthiwa ukuba ezi ziyeza zonyango zingancedisa izigulane ezicacileyo kwiziphumo ezithile ngamanye amaxesha ezinxulumene nokusetyenziswa kwamagciwane, njengengxakini yesisu.
Abaxhasi bathi kwakhona i-banderol kunye ne-samento uncedo ekwenzeni unyango lwesiLyme ngokunciphisa ukutshabalalisa okungapheliyo. (Olunye uphando lubonisa ukuba ukuvuvukala kunokuncedisa kwiinkalo zempilo ezinxulumene neLyme njengobuthakathaka obuthathaka, ukulahleka kweememori, intloko, kunye nokudandatheka.)
Ukongezelela, i-banderol kunye nesilo ngamanye amaxesha kusetyenziswa ukulawula ukunyanga kwe-Lyme disease syndrome (PTLDS). Kubantu abane-PTLDS, iimpawu zihlala ixesha elide emva kokuba zigqibe ikhosi ye-antibiotics. Ezi zimpawu ziquka ukukhathala, iintlungu kunye kunye kunye, ukuphazamiseka kokulala, kunye nokuguquka kwemizwelo.
Kule nkalo, ke, kukho ubungqina obuncinane bokuqinisekisa ukuba i-banderol okanye i-samento inokunceda ukuphatha isifo seLyme. Kukho uphando apho kukho ukubonisa ukuba ukudibanisa i-samento kunye ne-banderol kunokunceda ukunqothula uBerglia burgdorferi, ibhetri ejongene nesifo seLyme. Uphando oluthile lubhekisela kuyo, nangona kunjalo, alukho uhlolo olubukhali lwabaontanga. Iingcali zenzululwazi zisaqinisekisile ezi ziphumo okanye ezo zophando ezinxulumene nezilingo zonyango ezibandakanya izigulane zezifo zaseLyme.
Samento vs. vs. Claw
Ukuba ucinga ukusebenzisa isalathisi ukuphatha isifo seLyme, kubalulekile ukwazi ukumahluko phakathi kwesandla sika-samento kunye nekati. Nangona bezahlulo ezifanayo, ezi zimbini izilwanyana zineendlela ezahlukeneyo zokwenza imichiza.
Izibini zomlomo kunye nekati ziqukethe i-alkaloids ye-pentacyclic ye-alkaloids (i-POAs), eziyi-compounds ezithi zivuselele ukusebenza komzimba kwaye zincede izigulane zezifo zakwaLyme ukuba ziphinde zibuye. Nangona kunjalo, ngokungafani ne-cat's claw, i-samento ayinayo iklasi yeemveliso ezibizwa nge-tetracyclic oxindole alkaloids (TOAs). Ii-TOA zikholelwa ukuba ziphazamise umsebenzi we-system central ne-nervous system kwaye iyanciphisa iziphumo ze-POAs.
Ezinye iziLungiso zendalo
I-Samento ingomnye wamanyathelo amaninzi acinga ukuba ancede abantu abanesifo seLyme. Abanye abaxhasi bonyango olongezelelweyo bakhombisa ukuba imifuno efana ne- astragalus ne-echinacea inokukunceda ukuhlaziya isistim sakho somzimba kunye nokucima umzimba wakho we-microbes. Izibonelelo ezinjenge- methylsulfonylmethane (MSM) zifunwa ukunciphisa intlungu edibeneyo, kwaye i-gingko biloba ifakwe njengendlela yendalo yokwandisa ukucaca kwengqondo.
Nangona kunjalo, njengokuba kunjalo ne-banderol ne-samento, ngoku kukho ukungabikho kophando ukuxhasa ukusetyenziswa kweyiphi na le miyeza ekhatyweni kwesifo seLyme.
Qhagamshelana noGqirha wakho Ngaphambi kokusebenzisa iziNyango eziMveli
Ukuba unomdla malunga ne-banderol, i-samento, okanye ezinye izibonelelo zonyango, qhagamshelana nodokotela wakho malunga nokuba ungayifaka naziphi na ezi zilungiso kwisicwangciso sakho sokunyanga kwesifo seLyme. Nangona kunokuba kunzima ukuzama ukuzama, unyango olungalunganga lwesifo seLyme lungakhokelela kwiinkathazo ezinzulu ezifana neengxaki ezidibeneyo kunye neengxaki zenkqubo yeentlanzi, ngoko ke ukunyanga nokunyanga kwamacube akukhuthazwa.
Kwakhona kubalulekile ukukhumbula ukuba iziphumo ezichaphazelekayo kunye neengozi zala mayeza kwiimeko eziqhelekileyo okanye eziphezulu aziwazanga, kwaye ukhuseleko lwabo kubantwana, abakhulelweyo okanye abahlengikazi, okanye abantu abaneemeko zempilo. Ugqirha wakho unokukunceda uqikelele ingozi ngeenzuzo.
I-Lyme Disease Treatment Research
Ukulandela unyango lwe-Lyme sifo, usenokuba nesifo se-muscle, iimpawu ze-neurological ezifana neengxaki zememori kunye nokuxinwa, kunye nokukhathala. Ezi zihlandlo zihlala zihamba ngokwazo ngexesha. Amaziko eZiko lezeMpilo (i-NIH) -abaphandi abaxhasiweyo baqhuba izifundo ukuze baqaphele imbangela yale mpawu kunye nendlela yokuphatha ngayo.
Uphando lubonisa ukuba abantu abanezifo ezingapheliyo ze-Lyme , i-PTLDS, banokuthi bavelwe ngokusemthethweni ukuze bahlakulele impendulo engenzileyo eyenza iimpawu zabo. Abaphandi ngoku bavavanya ukubaluleka kwesi sifundo ngokubanzi, kunye nokuqhuba izifundo ukuze bafumane ixesha elifanelekileyo lokuba banike ii-antibiotiki kwimpawu ezahlukahlukeneyo kunye neempawu zesifo seLyme.
I-NIH iqhuba kwaye ixhasa uphando lwezinto eziphilayo ezijoliswe ekuhlangabezaneni nemingeni yesifo seLyme, kwaye izazinzulu zifumana ukuqonda okungcono impendulo yomzimba yomntu ekhokelela kuyo. Ngokomzekelo, bafumanisa iindlela ezijongene ne-Lyme's arthritis enganyangekiyo. Ukuqonda okuphuculweyo kwempendulo yomntu ongakhusela umzimba kungakhokelela kwizixhobo zokuxilonga nokubhekiselele.
> Imithombo:
> Amasebe okuLawula nokuVimbela (iCCDC). Isifo se-Lyme Disease Syndrome. Ukuhlaziywa kweDisemba 1, 2017.
> Datar A, Kaur N, Patel S, Luecke DF, Sapi E. In vitro Impumelelo yeSamento kunye neBanderol Amacandelo e-Herbal kwiimpawu ezahlukeneyo zeMorphological forms ze-Borrelia Burgdorferi. Letter Townsend . Julayi 2010.
> Melia MT, i-Auwaerter PG. Ixesha leNkqubo eyahlukileyo kwiiLyme neziGulane zexesha elide. I-New England Journal of Medicine . Matshi 31, 2016; 374: 1277-1278. i-doi: 10.1056 / NEJMe1502350.
> Isizwe seSizwe soButhakathaka kunye nezifo ezithintekayo. Izifo eziPhezulu. Ukuhlaziywa kweSeptemba 3, 2015.