Zvese zvaunoda Kuti Uzive Nezve Chirwere cheLyme

Zvemukati

• Chii chinonzi chirwere cheLyme?
• Zviratidzo zvechirwere cheLyme
• Chirwere cheLyme zviratidzo muvana
• Chirwere cheLyme kurapwa
• Chirwere cheLyme
• Zviratidzo zvePost-Lyme zviratidzo
• Chirwere cheLyme chinotapukira here?
• Matanho echirwere cheLyme
• Stage 1: Chirwere chepakutanga
• Chikamu chechipiri: Chirwere chekutanga chakaparadzirwa cheLyme
• Stage 3: Kwapera nguva yakaparadzira chirwere cheLyme
• Chirwere cheLyme kuongororwa
• Kudzivirira chirwere cheLyme
• Chirwere cheLyme chinokonzera
• Kutapukirwa nechirwere cheLyme
• Kurarama nechirwere cheLyme
• Bvunzo kiki yechirwere cheLyme

Isu tinosanganisira zvigadzirwa zvatinofunga zvinobatsira kuvaverengi vedu. Kana iwe ukatenga kuburikidza nehukama pane ino peji, isu tinogona kuwana diki komisheni. Heano maitiro edu.

Chii chinonzi chirwere cheLyme?

Chirwere cheLyme chirwere chinotapukira chinokonzerwa nehutachiona Borrelia burgdorferi. B. burgdorferi inopfuudzwa kuvanhu nekurumwa kubva kune yakasviba-makumbo matema kana nondo. Chikwekwe chinotapukirwa mushure mekudya mhembwe, shiri, kana mbeva.

Chikwekwe chinofanirwa kunge chiripo paganda kwemaawa makumi matatu nemasere kutapurira hutachiona. Vanhu vazhinji vane chirwere cheLyme havana ndangariro dzekurumwa nechikwekwe.

Chirwere cheLyme chakatanga kuzivikanwa mutaundi reOld Lyme, Connecticut, muna 1975. Ndicho chirwere chinonyanya kutapukira muEurope neUnited States.

Vanhu vanogara kana kupedza nguva munzvimbo dzine miti dzinozivikanwa nekutapurirana chirwere ichi vanokwanisa kuwana chirwere ichi. Vanhu vane mhuka dzinochengetwa dzinoshanyira nzvimbo dzine huni zvakare vane njodzi huru yekuwana chirwere cheLyme.

Zviratidzo zvechirwere cheLyme

Vanhu vane chirwere cheLyme vanogona kuzvibata zvakasiyana, uye zviratidzo zvinogona kusiyana mukuomarara.

Kunyangwe hosha yeLyme inowanzo kuve yakakamurwa kuita nhanho nhatu - yekutanga nzvimbo, kutanga kuparadzirwa, uye kunonoka kuparadzirwa - zviratidzo zvinogona kuwanda. Vamwe vanhu vanozouyawo mune inotevera nhanho yechirwere vasina zviratidzo zvehosha yekutanga.

Izvi ndizvo zvimwe zvezviratidzo zvakajairika zvechirwere cheLyme:

• rakapetana, rakatenderedzwa mapundu rinoita kunge dzvuku denderedzwa kana bhuru-ziso chero pamuviri wako
• kuneta
• kurwadza kwemajoini uye kuzvimba
• tsandanyama aches
• musoro
• kupindwa nechando
• kuzvimba lymph nodes
• kukanganiswa kwekurara
• kunetseka kuisa pfungwa

Bata wako mupi wezvehutano nekukurumidza kana iwe uine chero cheizvi zviratidzo.

Tsvaga zvimwe nezve chirwere cheLyme zviratidzo.

Chirwere cheLyme zviratidzo muvana

Vana vanowanzoona zviratidzo zvakafanana zvechirwere cheLyme sevanhu vakuru.

Vanowanzoona:

• kuneta
• musana uye kurwadziwa kwemhasuru
• kupindwa nechando
• zvimwe zviratidzo zvakaita sefuru

Zviratidzo izvi zvinogona kuitika nekukurumidza mushure mehutachiona, kana mwedzi kana makore gare gare.

Mwana wako anogona kunge aine chirwere cheLyme uye asina nzombe-yeziso kuputika. Zvinoenderana nekutanga kudzidza, mhedzisiro yakaratidza dzinenge 89 muzana yevana vane mapundu.

Chirwere cheLyme kurapwa

Chirwere cheLyme chinonyanya kurapwa mumatanho ekutanga. Kurapa kwechirwere chekutanga chiri nyore inguva yegumi nemana-gumi nemana nzira yemishonga inorwisa mabhakitiriya kubvisa hutachiona.

Mishonga inoshandiswa kurapa chirwere cheLyme inosanganisira:

• doxycycline, amoxicillin, kana cefuroxime, ayo ari ekutanga-mutsara marapirwo muvakuru nevana
• cefuroxime uye amoxicillin, ayo anoshandiswa kurapa vakadzi vanoyamwisa kana kuyamwisa

Intravenous (IV) mishonga inorwisa mabhakitiriya inoshandiswa kune mamwe marudzi echirwere cheLyme, kusanganisira avo vane moyo kana chepakati system (CNS) kubatanidzwa.

Mushure mekuvandudzwa uye kupedzisa nzira yekurapa, vatapi vezvehutano vanowanzo chinja kune remuromo regimen. Iyo yakazara nzira yekurapa inowanzo kutora mazuva 14-28.

, chiratidzo chinononoka-chikamu chehosha yeLyme inogona kuuya mune vamwe vanhu, inorapwa nemuromo mishonga inorwisa mabhakitiriya kwemazuva makumi maviri nemasere.

Chirwere cheLyme

Kana iwe ukarapwa chirwere cheLyme nemishonga inorwisa mabhakitiriya asi uchiramba uchiona zviratidzo, zvinonzi post post Lyme chirwere chirwere kana mushure mekurapa chirwere cheLyme chirwere.

Vanenge gumi kusvika makumi maviri muzana yevanhu vane chirwere cheLyme vanoona chirwere ichi, sekureva kwechinyorwa che2016 chakaburitswa muNew England Journal of Medicine. Chikonzero hachizivikanwe.

Post-Lyme chirwere chirwere chinogona kukanganisa kufamba kwako uye kugona kugona. Kurapa kunonyanya kutarisana nekurerutsa kurwadziwa uye kusagadzikana. Vanhu vazhinji vanopora, asi zvinogona kutora mwedzi kana makore.

Zviratidzo zvePost-Lyme zviratidzo

Zviratidzo zvemashure chirwere cheLyme chirwere chakafanana neicho chinoitika mumatanho ekutanga.

Zviratidzo izvi zvinogona kusanganisira:

• kuneta
• kunetseka kurara
• kurwadza majoini kana mhasuru
• kurwadziwa kana kuzvimba mumajoini ako mahombe, akadai semabvi ako, mapendekete, kana magokora
• kunetseka kuisa pfungwa uye pfupi-kwenguva ndangariro matambudziko
• matambudziko ekutaura

Chirwere cheLyme chinotapukira here?

Iko hakuna humbowo hwekuti chirwere cheLyme chinotapukira pakati pevanhu. Zvakare, sekureva kwaavo, vakadzi vane pamuviri havagone kuendesa chirwere ichi kumwana wavo kuburikidza nemukaka wavo wemukaka.

Chirwere cheLyme chirwere chinokonzerwa nehutachiona hunotapuriranwa nezvikwekwe zvemhembwe nhema. Aya mabhakitiriya anowanikwa mune zvinwiwa zvemuviri, asi hapana humbowo hwekuti chirwere cheLyme chinogona kupararira kune mumwe munhu kuburikidza nekuhotsira, kukosora, kana kutsvoda.

Iko hakuna zvakare humbowo hwekuti chirwere cheLyme chinogona kutapuriranwa pabonde kana kutapurirana kuburikidza neropa.

Dzidza zvakawanda nezve kana chirwere cheLyme chinotapukira.

Matanho echirwere cheLyme

Chirwere cheLyme chinogona kuitika mumatanho matatu:

• yekutanga nzvimbo
• kutanga kuparadzirwa
• kunonoka kuparadzirwa

Zviratidzo zvaunosangana nazvo zvinoenderana nedanho riri muchirwere.

Kufambira mberi kwechirwere cheLyme kunogona kusiyana nemunhu. Vamwe vanhu vanazvo havafambe nematanho matatu.

Stage 1: Chirwere chepakutanga

Zviratidzo zvechirwere cheLyme zvinowanzotanga vhiki imwe kana maviri mushure mekurumwa kwechikwekwe. Chimwe chezviratidzo zvekutanga zvechirwere ndeye bhuru-ziso kuputika.

Iko kumhanyisa kunoitika panzvimbo yekurumwa kwechikwekwe, kazhinji, asi kwete nguva dzose, senzvimbo yepakati tsvuku yakakomberedzwa nenzvimbo yakajeka ine nzvimbo yehutsvuku kumucheto. Inogona kunge ichidziya kune iyo bata, asi haina kurwadza uye haikurumidze. Uku kupenga kunopera zvishoma nezvishoma muvanhu vazhinji.

Iro zita chairo rekukasira uku ndiko erythema migrans. Erythema migrans inonzi inoratidzira chirwere cheLyme. Zvisinei, vanhu vazhinji havana chiratidzo ichi.

Vamwe vanhu vane mapundu ayo akatsvuka akatsvuka, nepo vanhu vane rima kuomarara vanogona kunge vane rash rinofanana nemavanga.

Iko kuputika kunogona kuitika pamwe kana pasina systemic hutachiona kana echirwere-sezviratidzo.

Zvimwe zviratidzo zvinowanzoonekwa mune ino nhanho yechirwere cheLyme zvinosanganisira:

• chills
• kupindwa nechando
• akawedzera lymph node
• huro inorwadza
• maonero anochinja
• kuneta
• tsandanyama aches
• kutemwa nemusoro

Chikamu chechipiri: Chirwere chekutanga chakaparadzirwa cheLyme

Chirwere chekutanga chakaparadzirwa cheLyme chinoitika vhiki dzinoverengeka kusvika kumwedzi mushure mekurumwa nechikwekwe.

Iwe unenge uine kunzwa kwese kwekusagadzikana, uye kumhanyisa kunogona kuoneka mune dzimwe nzvimbo kunze kwekurumwa nechikwekwe.

Iyi nhanho yechirwere inonyanya kuratidzwa nehumbowo hwehutachiona hwehurongwa, zvinoreva kuti hutachiona hwapararira mumuviri wese, kusanganisira kune dzimwe nhengo.

Zviratidzo zvinogona kusanganisira:

• akawanda erythema multiforme (EM) maronda
• kukanganiswa mumoyo mutinhimira, izvo zvinogona kukonzerwa neLyme carditis
• mamiriro eurourologic, senge chiveve, kurira, kumeso uye kwakakomba tsinga palsies, uye meningitis

Zviratidzo zvematanho 1 ne2 zvinogona kuwanda.

Stage 3: Kwapera nguva yakaparadzira chirwere cheLyme

Chirwere cheLyme chakanonoka kupararira chinoitika kana hutachiona husati hwarapwa mumatanho 1 ne 2. Chikamu chechitatu chinogona kuitika mwedzi kana makore mushure mekurumwa kwechikwekwe.

Iyi nhanho inozivikanwa ne:

• arthritis yeimwe kana kupfuura makuru majoini
• kusagadzikana kwehuropi, senge encephalopathy, iyo inogona kukonzeresa-kurasika ndangariro, kunetseka kuisa pfungwa, fogginess yepfungwa, matambudziko nekutevera kukurukurirana uye kukanganisa kurara
• chiveve mumaoko, makumbo, maoko, kana tsoka

Chirwere cheLyme kuongororwa

Kuongorora chirwere cheLyme kunotanga nekuongorora nhoroondo yako yehutano, iyo inosanganisira kutsvaga mishumo yekurumwa nezvikwekwe kana kugara munzvimbo ine vanhu.

Anopa hutano hwako anozoitawo bvunzo dzepanyama kuti atsvage kuvapo kwekumhanyisa kana zvimwe zviratidzo zvinoratidza chirwere cheLyme.

Kuedzwa munguva yekutanga hutachiona hwemunharaunda hakuna kukurudzirwa.

Kuongororwa kweropa kunonyanya kuvimbika masvondo mashoma mushure mekutanga hutachiona, apo masoja ekudzivirira aripo. Mubatsiri wako wehutano anogona kuraira bvunzo dzinotevera:

• Enzyme-yakabatana immunosorbent assay (ELISA) inoshandiswa kuona masoja ekudzivirira B. burgdorferi.
• Western blot inoshandiswa kusimbisa yakanaka ELISA bvunzo. Inoongorora kuvapo kwemaantibhakitiriya kune yakatarwa B. burgdorferi mapuroteni.
• inoshandiswa kuongorora vanhu vane chirwere cheLyme arthritis kana zviratidzo zvehutano. Inoitwa pamubatanidzwa fluid kana cerebrospinal fluid (CSF). PCR kuyedza paCSF yekuongororwa kwechirwere cheLyme hakuwanzo kukurudzirwa nekuda kwekunzwisisa kwakaderera. Chiyero chisina kunaka hachidzora kuongororwa. Mukupesana vanhu vazhinji vanozove neakanaka PCR mhedzisiro mujoin fluid mvura kana yakaedzwa pamberi pemishonga inorwisa mabhakitiriya

Kudzivirira chirwere cheLyme

Kudzivirira chirwere cheLyme kazhinji kunosanganisira kudzikisira njodzi yako yekutapurwa nechikwekwe.

Tora matanho anotevera ekudzivirira kurumwa nechikwekwe:

• Pfeka mabhurugwa marefu nemashati marefu-maoko kana uri panze.
• Ita kuti yadhi yako isashamwaridzane nezvikwekwe nekubvisa nzvimbo dzine matanda, kuchengetedza underbrush kusvika padiki, nekuisa matanda munzvimbo dzine zuva rakawanda.
• Shandisa zvipembenene zvinodzinga. Mumwe ane gumi muzana DEET ichakudzivirira kwemaawa maviri. Usashandise DEET yakawandisa pane izvo zvinodiwa panguva yaunenge uri kunze, uye usashandise pamaoko evana vadiki kana kumeso kwevana vari pasi pezera remwedzi miviri.
• Oiri yemononi eucalyptus inopa chengetedzo imwechete seDEET kana ichishandiswa munzvimbo dzakafanana. Haifanire kushandiswa pane vana vari pasi pezera re3 makore.
• Svinurira. Tarisa vana vako, zvipfuwo, uye iwe pachezvako zvikwekwe Kana iwe uine chirwere cheLyme, usafunge kuti haugone kutapukirwa zvakare. Unogona kuwana chirwere cheLyme kanopfuura kamwe.
• Bvisa zvikwekwe netweezers. Isa zvigunwe padyo nemusoro kana pamuromo wechikwekwe uye dhonza zvinyoro nyoro. Tarisa kuve nechokwadi chekuti mateki ese akabviswa.

Bata wako mupi wezvehutano kana uye chero papi pacho chikwekwe chikakuruma iwe kana vadiwa vako.

Dzidza zvakawanda nezve nzira yekudzivirira chirwere cheLyme kana chikwekwe chikakuruma.

Chirwere cheLyme chinokonzera

Chirwere cheLyme chinokonzerwa nebhakitiriya Borrelia burgdorferi (uye kashoma, Borrelia mayonii).

B. burgdorferi kune vanhu kuburikidza nekurumwa kwechirwere chine blacklegged tick, chinozivikanwawo sechiva chehuku.

Sekureva kweCDC, zvikwekwe zvitema zvine hutema zvinopfuudza chirwere cheLyme kuNortheastern, Mid-Atlantic, uye North Central United States. Zvikwekwe zvemuWestern blacklegged zvinoparadzira chirwere kuPacific Coast muUnited States.

Kutapukirwa nechirwere cheLyme

Zvikwekwe zvine hutachiona B. burgdorferi inogona kunamatira kune chero chikamu chemuviri wako. Izvo zvinowanzo kuwanikwa munzvimbo dzemuviri wako izvo zvakaoma kuona, senge ganda remusoro, armpits, uye nzvimbo yekugomera.

Chikwekwe chine hutachiwana chinofanira kusungirirwa mumuviri wako kwemaawa makumi matatu nemasere kuitira kuti utapure utachiona.

Vazhinji vanhu vane chirwere cheLyme vakarumwa nezvikwekwe zvisina kukura, zvinodaidzwa kunzi nherera. Zvikwekwe izvi zvidiki zvakaoma kuona. Vanodya mukati megore uye zhizha. Zvikwekwe zvevakuru zvinotakurawo hutachiona, asi zviri nyore kuona uye zvinogona kubviswa usati waendesa.

Iko hakuna humbowo hwekuti chirwere cheLyme chinogona kutapuriranwa kuburikidza nemhepo, chikafu, kana mvura. Iko hakuna zvakare humbowo hwekuti inogona kutapurirana pakati pevanhu kuburikidza nekubata, kutsvoda, kana kuita bonde.

Kurarama nechirwere cheLyme

Mushure mekunge warapwa chirwere cheLyme nemishonga inorwisa mabhakitiriya, zvinogona kutora vhiki kana mwedzi kuti zviratidzo zvese zvinyangarike.

Iwe unogona kutora aya matanho ekubatsira kusimudzira kupora kwako:

• Idya chikafu chine hutano uye dzivisa chikafu chine huwandu hwakawanda hweshuga.
• Wana zororo rakawanda.
• Edza kuderedza kunetseka.
• Tora mushonga unorwisa-kuzvimba kana zvichidikanwa kuti udzikise kurwadziwa uye kusagadzikana.

Bvunzo kiki yechirwere cheLyme

Mamwe marabhoritari ekushambadzira anozoongorora zvikwekwe zvechirwere cheLyme.

Kunyangwe iwe ungangoda kuve nechikwekwe chakaedzwa mushure mekurumwa kwako, iyo (CDC) haikurudzire kuyedzwa nekuda kwezvikonzero zvinotevera:

• Makorabhorabhoritari emabhizimusi ayo anopa kuyedzwa kwechikwekwe haadiwe kuti ave neyakaomarara yepamusoro kudzora mwero seayo emakirabhoritari ekuongorora chirwere.
• Kana chishambwe chikaongorora chakanakira chirwere chinokonzera chirwere, hazvireve hazvo kuti une chirwere cheLyme.
• Mhedzisiro yakaipa inogona kukutungamira mukufungidzira kwenhema kwekuti hauna kutapukirwa. Iwe unogona kunge wakarumwa uye utapukirwa nechimwe chikwekwe.
• Kana iwe watapukirwa nechirwere cheLyme, iwe ungangotanga kuratidza zviratidzo usati wawana zviongororwa zveongororo, uye haufanire kumirira kutanga kurapwa.