Chirwere cheLyme - nengozi uye achinyengera

Chirwere cheLyme ainziwo chirwere cheLyme ikabuda muvanhu kuburikidza kuruma Zvikwekwe vakatakura utachiona. Wakatanga kurondedzerwa kuvarapi American pakati pezana 70s. Zita chirwere remakore rechimakumi maviri, uye ayo utachiona hwakakura voga muna 1982. inonzi pashure musha Lyme, Connecticut. Zviri pano kuti masayendisiti akatanga zvidzidzo zvavo, vazvione. mukuru kuitika yemajoini muvana.

Chirwere cheLyme Kazhinji kutapukirwa muchirimo uye chirimo mwedzi. Panguva ino, zvikwekwe vari kupfuura basa, uye chero kufamba musango anogona kugumisa hutachiona. Utachiona hwakakura borreliosis chinopinda kupinda muviri pamwe nemate yacho chishambwe. Chirwere cheLyme kazhinji (80% nyaya) rinotanga pakuonekwa ganda munzvimbo kuruma papules, uye ipapo - erythema annulare, akatsvuka dhayamita pakati 10-20 masendimita kana kupfuura. The incubation nguva nokuti chirwere rinowanzova 1-2 masvondo (vanenge hafu varwere). Saka, zvakaitika mazuva mashoma apfuura kuti gupa ikaruma anopa chikonzero kufungidzira chirwere cheLyme. Zvisinei, mune zvimwe zviitiko, chirwere cheLyme anogona kuvanda mumuviri kwemakore akawanda, hazviratidzi pacharo, kana anenge asina zviratidzo kuitika, akafanana chimiro chiedza besa.

In kufanana erythema kuoneka muutera, ndichinzwa kurwadza tsandanyama uye mapfupa. Inosimudzira muviri tembiricha - dzimwe nguva kusvika 40 inegumi. In hafu Muzviitiko yakawedzera erythrocyte sedimentation mwero muropa. Zviratidzo zvokutanga borreliosis saka yakafanana zviratidzo chakasimba kufema chirwere kana SARS, uye mune zvimwe zviitiko nechirwere chirwere kungava kwakaoma. Varwere vakawanda, pashure pemazuva mashoma pashure nechitarisiko erythema kunoitika mapundu wechipiri hukuru zviduku.

Chirwere cheLyme danho rechipiri angaperekedzwa meningeal zviratidzo: svoto uye idzokororo kurutsa, photophobia, yakanyanya nomusoro. Vamwe varwere vane yakawedzerwa chiropa uye runyoro muchimiro nehepatitis. Kubva mwoyo chirwere kunoratidza pacharo myocarditis uye pericarditis. The akaratidza kurwadziwa mapfundo tsandanyama. Borreliosis padanho rino zvingaitikawo conjunctivitis, bronchitis, uye tonsillitis, kurukutika. Zvinogona kutaridzika paganda vakawanda erythematous maronda, uyewo Borrelia limfotsitomy vane chimiro rinokwanisa kucheneruka-tsvuku nda.

Mamirire nokuti iyi chirwere mubatanidzwa zviratidzo - yomumuzongoza, peripheral paresis uye radiculoneuritis. Panyaya iyi, nechirwere marongero ari kazhinji zvakarurama. All kwechikuva yechipiri zviratidzo pamusoro apa borreliosis kazhinji kwakacherechedzwa mushure fivhiri, erythema uye toxicity akapfuura. Muchiitiko chino, havagoni kutaura mukufananidzira vanorwara pamwechete.

Pasina zvakakwana rubatsiro rwokurapa borreliosis yacho Danho rechitatu. Nguva iyi kunoratidzwa maronda ari mapfundo (yemajoini), chirwere atrophic acrodermatitis (ganda maronda); kudivi tsinga - encephalitis, encephalomyelitis, polyneuropathy. Mazita American taundi Lyme, chirwere chacho saka zvikuru siyana mune kuonekwa. Izvi chokuita Borrelia kukwanisa sei chero zvinyama nenyere.

Chirwere cheLyme ikarapwa pamwe nemishonga - doxycycline, amoxicillin, ceftriaxone. Selection zvinodhaka, ayo chipimo chemushonga uye nguva chokwadi kuvimba pavaipfuura chirwere uye munhu maitiro ayo Chokwadi, uye muviri apindura asingaurayiwi kurapa. Uyezve, shandisa symptomatic kurapwa: yemajoini - asiri steroidal Anti-anogumbura zvinodhaka, panyama kurapa, pamwe kuratidzwa nomwoyo - asparkam, riboksin, nefivha - antipyretics.

Kudzivirira chirwere panguva gupa basa inokurudzirwa kufamba musango nguvo pamwe refu maoko. Kumigumo trouser vanofanira wedzera mu masokisi neshangu (rabha majombo). Musoro nomutsipa vanodzivirirwa wekumeso, chikamu akazaruka muviri zvakaipa nomushonga wezvipembenene. Pashure kufamba musango, ongorora mbatya uye muviri kunyatsoongorora. Kana Detective zvisingadiwi mites nokubvisa navo. Ongororo dzinoratidza kuti kubviswa zvisina kufanira tupukanana muzviitiko zvakawanda kunotungamirira chirwere. Zviri nani kuenda vanachiremba - vari, mukuwedzera rwekutanga, ndinotuma gupa kusvikira murabhoritari. Kana vachawanikwa utachiona, zvakakodzera kutora nokukurumidza matanho: chirwere cheLyme, pazviri pasingabviri kunonoka kurapwa, dai mune ramangwana mutobvu kuti vakaremara.