Yintoni isifo seLyme, iimpawu eziphambili kunye nonyango

Umxholo

• Iimpawu eziphambili
• Yintoni ebangela isifo seLyme
• Kwenzeka njani ukuhambisa
• Indlela yokuqinisekisa ukuxilongwa
• Unyango lwenziwa njani
• 1. Ukusetyenziswa kwee-antibiotics
• 2. Iiseshoni zePhysotherapy

Isifo seLyme, nesikwabizwa ngokuba sisifo samakhalane, sisifo esibangelwa kukulunywa kwakhalikhi enesifo segciwane IBorrelia burgdorferi, ekhokelela ekubonakaleni kwebala elibomvu elijikelezayo kulusu, elonyuka ngokuhamba kwexesha.

Kwiimeko ezininzi umntu akaqapheli ukuba uphawu lokukrala lulumile ulusu, luqaphele kuphela xa iimpawu ziqala ukuvela. Nje ukuba iimpawu zokuqala ziqatshelwe, kubalulekile ukuba ubonane nengcali yonyango okanye ugqirha jikelele ukuze kwenziwe uvavanyo lokuqinisekisa ukosuleleka, kwaye ke, olona nyango lufanelekileyo lunokuqalwa, oluqhele ukwenziwa kusetyenziswa iyeza lokubulala iintsholongwane.

Ukuba unyango alwenziwe okanye lwenziwe ngokungachanekanga, iingxaki zinokuvela, ezinje ngesifo samathambo, meningitis okanye iingxaki zentliziyo, ezinciphisa kakhulu umgangatho wobomi.

Iimpawu eziphambili

Iimpawu zesifo seLyme ziyaqhubeka kwaye iimpawu zokuqala, ezibizwa ngokuba ziimpawu zokuqala, zihlala zibonakala kwiintsuku ezi-3 ukuya kwezi-30 emva kokulunywa kwekhalane elosulelekileyo, ezona ziphambili zezi:

• Isikhumba kunye nokubomvu kwindawo yokuluma, ngokufana neliso lenkunzi yenkomo, phakathi kwe-2 kunye ne-30 cm, eyonyusa ubungakanani kunye nexesha;
• Ukudinwa;
• Iintlungu kwezihlunu, amalungu kunye nentloko;
• Umkhuhlane kunye nokubanda;
• Intamo elukhuni.

Xa unayo nayiphi na le mpawu, ngakumbi ehamba nebala kunye nokuba bomvu kwesikhumba, kuyacetyiswa ukuba ubonane nogqirha oqhelekileyo, okanye isifo esosulelayo, ukuqinisekisa isifo kwaye uqale unyango ngamayeza okubulala iintsholongwane.

Nangona kunjalo, ukuba unyango aluqalanga ngexesha, iimpawu zinokubonakala kamva kwaye zihlala zinxulumene neengxaki, ezinje:

• Isifo samathambo, ngakumbi emadolweni, apho kukho iintlungu nokudumba kumalungu;
• Iimpawu ze-Neurological, ezinje ngokuba ndindisholo kunye nentlungu ezinyaweni nasezandleni, ukukhubazeka kwezihlunu zobuso, ukusilela kwememori kunye nobunzima ekugxininiseni;
• I-Meningitis, ebonakaliswa yintloko ebuhlungu, intamo elukhuni kunye nokwanda kokuziva ekukhanyeni;
• Iingxaki zentliziyo, ukuqaphela ngenxa yokubetha, ukuphefumla okufutshane kunye nokufa isiqaqa.

Phambi kwezi mpawu, kuyacetyiswa ukuba uye esibhedlele uyokufumana unyango lwesi sifo kwaye uphephe ukwanda kweengxaki ezithi, xa zishiywe zinganyangwa, zisongele ubomi.

Yintoni ebangela isifo seLyme

Isifo seLyme sibangelwa ikakhulu kukulunywa kwamakhalane osulelwe yintsholongwane IBorrelia burgdorferi kwaye zondla igazi lomntu, ikakhulu amakhalane ohlobo Ixode ricinus. Ukuze ezi ntlobo zamakhalane zikwazi ukudlulisela esi sifo ebantwini, kufuneka ukuba sihlale sinamathele emntwini okungenani iiyure ezingama-24.

Le bhaktiriya inokubakho egazini lezilwanyana ezininzi, ezifana nexhama kunye neempuku, umzekelo, kwaye, xa amakhalane enwenisa ezi zilwanyana, ifumana ibhaktiriya, kwaye ingayithumela kwezinye izilwanyana nabantu.

Kwenzeka njani ukuhambisa

Isifo seLyme sibangelwa ziintsholongwane IBorrelia mzantsiweb ezinokubakho egazini lezilwanyana ezininzi ezinje ngeempuku, amaxhama okanye iintaka ezimnyama, umzekelo. Xa amakhalane eluma enye yezi zilwanyana, ikwasulelwe yintsholongwane, kwaye ingadlulisela loo ntsholongwane ebantwini.

Amakhalane mancinci kangangokuba umntu angazi ukuba ulunywe, ngoko ke ukuba kukho urhano, ezona ndawo zokujonga ikhalane emzimbeni zibandakanya: ngasemva kweendlebe, entlonzeni, enkabeni, ekhwapheni , emgodini okanye ngasemva kwedolo, umzekelo. Umngcipheko wokosuleleka mkhulu xa ikhalane likwazi ukuhlala eluswini ngaphezulu kweeyure ezingama-24.

Abantu abasebenza kwimimandla yehlathi njengabakhweli ntaba, iinkampu, amafama, abasebenzi basehlathini okanye amajoni basemngciphekweni omkhulu wokulunywa ngamakhalane kunye nokufumana esi sifo. Jonga ukuba zeziphi ezinye izifo ezinokubangelwa yingcongconi.

Indlela yokuqinisekisa ukuxilongwa

Isifo seLyme sihlala sifunyaniswa kuvavanyo lwegazi olunokwenziwa kwiiveki ezi-3 ukuya kwezi-6 emva kokuba umntu elunywe yingqele, eli lixesha elithathayo ukuba usulelo lukhule kwaye luvele kwiimviwo. Ke, iimvavanyo ezinokusetyenziselwa ukufumanisa isifo seLyme zibandakanya:

• Uviwo lwe-ELISA: luhlobo lovavanyo lwe-serological olwenziwe ngenjongo yokuchonga ii-antibodies ezithile eziveliswa ngamajoni omzimba ngokuchasene neentsholongwane kwaye, ke, kungqinisisa ukuxinana kwale bhaktiriya emzimbeni;
• Uviwo lwe ENtshona Blot: luhlobo lovavanyo apho kusetyenziswa isampulu yegazi encinci ekufundeni iiprotein ezisetyenziselwa izilwa-buhlungu ukulwa nezifo ezibangela iintsholongwane.

Isifo seLyme siqinisekiswa xa iziphumo zovavanyo zombini zilungile. Ukongeza, inani elipheleleyo legazi linokucelwa, kunye ne-biopsy yolusu, eyaziwa njenge I-Warthin eneenkwenkwezi, ethi, nangona ingachazwanga, inokuba luncedo ekuchongeni isifo ngenxa yokufunyanwa kwayo.

Unyango lwenziwa njani

Unyango lwezifo zeLyme lwenziwa ngokusetyenziswa kwezibulala-ntsholongwane ezinje ngeDoxycycline, umzekelo, kwaye unyango olukhawulezileyo luqalisiwe, ukukhawulezisa ukuchacha, ukuthintela iingxaki.

1. Ukusetyenziswa kwee-antibiotics

Unyango lwezifo zeLyme kufuneka luhlale luboniswa ngugqirha kwaye, ngesiqhelo, usulelo lunyangwa ngamayeza okubulala iintsholongwane, njenge-Doxycycline 100 mg, ekufuneka ithathwe kabini ngemini iiveki ezi-2 ukuya kwezi-4 okanye ngokweengcebiso zonyango. Kwimeko yabantwana kunye nabasetyhini abakhulelweyo, ukusetyenziswa kwe-Amoxicillin okanye iAzithromycin kubonisiwe kwangelo xesha linye.

Ngokubanzi, isibulala-zintsholongwane sithathwa ngomlomo, nangona kunjalo, kwiimeko ezinzima kakhulu kufuneka ukuba ulaliswe esibhedlele ukuze iyeza lilawulwe ngqo emthanjeni kwaye iingxaki zinokuthintelwa. Ukongeza, abasetyhini abancancisayo banokunyangwa ngamayeza okubulala iintsholongwane ngaphandle kokuba umntwana abe semngciphekweni.

2. Iiseshoni zePhysotherapy

Kwiimeko ezinzima, isifo seLyme sinokubangela isifo samathambo, ngakumbi emadolweni, esikhokelela kwintlungu kunye nokudumba kumalungu. Kwiimeko ezinjalo, umntu unokufuna ukuba neeseshoni ze-physiotherapy ukuze abuyele kwakhona kwaye akwazi ukwenza imisebenzi yemihla ngemihla ngaphandle kwentlungu. Iiseshoni zenziwa zii-physiotherapists kwaye zibandakanya imithambo yokuhamba nokusolula okanye ukusebenzisa izixhobo ngokobunzima becala.

Ngamanye amaxesha, ugqirha unokucebisa ukuba kusetyenziswe amachiza okuthomalalisa, njenge-Ibuprofen umzekelo, ukunciphisa ukudumba ngokudibeneyo.