Okushiwo ukwelashwa kwakho kwesifo seLyme kuzoxhomeka kuleso simo. Inkambo emfushane yama-antibiotics cishe iyokuphulukisa kalula uma usencane. Ukwelashwa okuphumelelayo kwamacala anzima kakhulu, noma kunjalo, kudinga amasonto amathathu kuya kwamane ukwelashwa kwama-antibiotic kanye nemithi yokwelapha eyengeziwe. Nakhu ukubuka ukuthi izigaba ezahlukene nezibonakaliso zesifo seLyme ziphathwa kanjani.
Imigomo
Umhlinzeki wakho wezempilo angase aphathe ngempumelelo isifo sakho seLyme ngokusebenzisa imithi elwa namagciwane . Ngokuvamile, ngokushesha uma uqala ukwelashwa kulandela ukutheleleka, ukusheshisa nokuqedela ngokwengeziwe ukutholakala kwakho kuyoba. Ama-antibiotic afana ne-doxycycline, i-cefuroxime axis, kanye ne-amoxicillin, ethathwe ngomlomo ngamasonto ambalwa, angasheshisa ukuphulukiswa kwe-erythema migrans ye-migrans futhi ngokuvamile avimbele izimpawu ezilandelayo ezifana ne-arthritis noma izinkinga ze-neurological. U-Doxycycline uyophinde aphathe kahle kakhulu ezinye izifo ezithintekayo.
Izingane nabesifazane abakhulelwe noma ababelethayo
Ngenxa yokuthi i-doxycycline ingaphazamisa amazinyo ahlala njalo ezinganeni ezincane noma ezinganeni ezingakazalwa uma isifo se-Lyme sitholakala ezinganeni ezingaphansi kweminyaka engu-9, noma kubesifazane abakhulelwe noma abancancisayo, laba bantu bavame ukuphathwa nge:
- Amoxicillin
- Cefuroxime axetil
- I-Penicillin
I-Lyme Arthritis
Uma une-Lyme arthritis, umhlinzeki wakho wezempilo uyokuphatha ngama-antibiotic omlomo.
Uma i-arthritis yakho inzima, unganikwa i-ceftriaxone noma i-penicillin ngaphakathi (nge-IV). Ukuze unciphise ukungakhululeki nokuqhubeka nokuphulukiswa, umhlinzeki wakho wezempilo angase futhi:
- Nika imithi efana nezidakamizwa ezingekho-steroidal ezilwa nokuvuvukala (ama-NSAID)
- Yenza i- aspiration ehlangene (ukudweba okuketshezi kusuka kumalungu akho afintekile)
- Susa ngokukhululekile imigqa evuliwe yamalungu akho ahlotshisiwe
Kubantu abaningi, i-Lyme arthritis iyohamba phakathi kwamasonto ambalwa noma izinyanga ezilandela ukwelashwa kwama-antibiotic. Kwezinye, kungathatha iminyaka ukuba iphele ngokuphelele. Abanye abantu abanesifo seLyme abangaphenduliwe iminyaka eminingana bangaphulukiswa isifo se-arthritis ne-antibiotic efanele yokwelapha. Uma lesi sifo siqhubeke sikwanele isikhathi eside, noma kunjalo, singalimaza unomphela isakhiwo samalungu.
Izinkinga ze-neurological
Uma unezimpawu ezinamandla ze-neurological, umhlinzeki wakho wezempilo uzokuphatha ngephilisi ye-antibayotiki ehlinzekwe nge-intravenously kanye ngosuku kuze kube yinyanga. Iningi labantu lilulame ngokuphelele.
Izinkinga zenhliziyo
Abahlinzeki bempilo bakhetha ukuphatha abantu abanesifo seLyme abanesifo esibi kakhulu senhliziyo nangama-antibiotic afana ne-ceftriaxone noma i-penicillin enikezwa nge-intravenously cishe amasonto amathathu kuya kwangu-4. Abantu abanesifo seLyme bavame ukuba nomonakalo wenhliziyo yesikhathi eside.
I-Post-Treatment Lyme Disease Syndrome
Uma une-Lyme disease syndrome (PTLDS), ungase udinge ukuba udokotela wakho alawule ezinye izifo ezinezimpawu ezifanayo. Izimpawu zakho zingase zihambe isikhathi esengeziwe.
I-National Institute ofergy and Infectious Diseases (i-NIAID) ithatha i-PTLDS ngokungathí sina futhi ixhaswe izilingo ezintathu ezilawulwa yi-placebo ukuze zithole ukusebenza kahle kwelashwa elwa namagciwane aseTPLDS. Nakhu abathola:
- Esivivinyweni sokuqala, iziguli zathola izinsuku ezingu-30 ze-antiratictic (IV) ezithathelwanayo zilandelwa izinsuku ezingu-60 zemithi yokulwa nomlomo. Kwakungekho bufakazi bokuthi ukwelashwa kuzuzisa.
- Esivivinyweni sesibili, iziguli zathola ama-antibiotic ezinsuku ezingu-28 ze-IV. Iziguli zabika ukuthuthukiswa okukhulu, kepha kwakungekho izinzuzo zomsebenzi wokuqonda futhi abahlanganyeli abayisithupha babe nezenzakalo ezimbi kakhulu eziphathelene nokuphathwa kwezidakamizwa, ezine ezidinga ukunakekelwa esibhedlela. Abacwaningi baphetha ngokuthi ukwelashwa okwengeziwe kwama-anti-anti "akusekelwa ubufakazi."
- Esikhathini sesifundo sesithathu, iziguli ezinezinkinga zokukhumbula imemori zathola amasonto angu-10 we-ceftriaxone, i-cephalosporin antibiotic, kanti amaphesenti angu-26 abe nesenzo esibi. Abacwaningi baphetha ngokuthi ukwelashwa kwakungeyona isu eliphumelelayo.
Okubalulekile: Ukwelashwa kwe-antibiotic isikhathi eside akuyona into engcono kunayo yokwelashwa kwemishanguzo yesikhashana futhi ingase ibe yingozi. I-NIAID ibuka ukusekela ucwaningo oluthe xaxa ukuthola isizathu se-PTLDS kanye nokwelashwa okusebenzayo, ikakhulukazi labo abangashiyi izinsalela zebhaktheriya ngemuva.
Imithi Ephelele
Abanye abantu baye baqala ukuhlola ukusetshenziswa kwemithi yemvelo yesifo se-Lyme, njenge-samento ne-banderol. Uhlobo oluthile lwe - cat's-umuthi owaziwa kakhulu njengendlela yokwelapha i-arthritis-samento kuthiwa uphathe isifo se-Lyme ngokuthuthukisa isimiso sakho somzimba omzimba. I-Banderol inqunywe emgodini wesihlahla saseNingizimu Melika esibizwa ngokuthi i- Otoba parvifolia futhi kucatshangwa ukuthi igodle amabhaktheriya ahlobene ne-Lyme.
Ukusetshenziswa kwe-samento kanye ne-banderol njengendlela yokwelapha yemvelo yesifo seLyme kwaphakanyiswa ingxenye kaRichard Horowitz, MD, umbhali we-"Kungani Angikwazi Ukuthola Okungcono? Ukuxazulula Imfihlakalo Ye-Lyme Nezifo Ezigulayo." Ngokusho kukaHorowitz, kokubili amakhambi omuthi angasiza ekunakekeleni isifo seLyme ngokukhipha umzimba webhaktheriya.
I-Samento ne-Banderol: Ukusetshenziswa Nokucwaninga
Abagqugquzeli be-banderol ne-samento batusa njengezinye izindlela ezilwa nemithi elwa namagciwane, okuyizo zokwelashwa ezijwayelekile zesifo seLyme. Kuthiwa ukuthi lezi zindlela zokwelapha zingasiza iziguli ukuba ziqede imiphumela emibi ngezinye izikhathi ezihlotshaniswa nokusetshenziswa kwamagciwane, njengokucindezeleka kwamathumbu.
Abasekeli bathi futhi banderol kanye nesamento aid ekwelapheni isifo seLyme ngokunciphisa ukuvuvukala okungapheli. (Ucwaningo oluthile lubonisa ukuthi ukuvuvukala kungaholela ezindabeni zezempilo ezihlobene neLyme njengobuthakathaka bemisipha, ukulahlekelwa inkumbulo, ukuphathwa ikhanda nokucindezeleka.)
Ngaphezu kwalokho, i-banderol ne-samento ngezinye izikhathi isetshenziselwa ukulawula isifo se-Lyme disease syndrome (PTLDS). Kubantu abane PTLDS, izimpawu zihlala isikhathi eside ngemuva kokuba seziqede inkambo yama-antibiotic. Lezi zimpawu zihlanganisa ukukhathala, ubuhlungu bomzimba nobuhlungu, ukuphazamiseka kokulala, nokushintsha kwemizwa.
Kodwa-ke, kulokhu, kukhona ubufakazi obuncane kakhulu bokusekela izimangalo ukuthi i-banderol noma i-samento ingasiza ekuphatheni isifo seLyme. Kukhona ucwaningo olwenziwe lapha olubonisa ukuthi inhlanganisela yesi-samento ne-banderol ingasiza ekunqotheni uBerglia burgdorferi, ibhethri ephethe isifo seLyme. Ucwaningo olulodwa luvame ukukhomba, kodwa, alukho ukubuyekezwa kontanga olunzulu. Ososayensi abakakaqinisekisi lezi zithole noma lezo zocwaningo oluhlobene nokuhlolwa kwamakhambi okubandakanya iziguli zesifo seLyme.
Samento vs. vs. Claw
Uma ucabanga ukusebenzisa isilwane ukuze uphathe isifo se-Lyme, kubalulekile ukwazi umehluko phakathi kwesigqoko sika-samento nesikhathi. Nakuba zingabanye izinhlobo ezifanayo, lezi zindlela ezimbili zinezimo ezihlukahlukene zokwenza amakhemikhali.
Isihluthulelo se-samento nesikhathi sine-alkaloids ye-pentacyclic oxindole (i-POAs), okuyizinto ezihlanganiswayo zokugqugquzela ukusebenza komzimba nokusiza iziguli zeLyme ukuba zilulame. Kodwa-ke, ngokungafani nokugquma kwekati, i-samento ayinakho isigaba samakhemikhali okuthiwa i-tetracyclic oxindole alkaloids (TOAs). I-TOA ikholelwa ukuthi iphazamisa umsebenzi wesistimu yezinzwa eziphakathi futhi ifinyelela imiphumela ye-POAs.
Ezinye iziNsiza Zemvelo
I-Samento ingenye yezindlela eziningi zokwelashwa ezicatshangelwe ukuzuzisa abantu abanesifo seLyme. Abanye abaxhasi bezokwelapha okunye baphakamisa ukuthi amakhambi afana ne- astragalus ne-echinacea angasiza ekuvuseleleni amasosha omzimba wakho futhi asule umzimba wakho wezincikwane. Izithako ezinjengama- methylsulfonylmethane (MSM) kuthiwa zikhulule ubuhlungu obuhlangene, futhi i-gingko biloba ithathwa ngendlela engokwemvelo yokwandisa ukucaciswa kwengqondo.
Nokho, njengoba kunjalo ne-banderol ne-samento, okwamanje kuntuleka kocwaningo ukusekela ukusetshenziswa kwanoma iyiphi yalezi zindlela zokwelashwa kwesifo seLyme.
Xhumana nodokotela wakho ngaphambi kokusebenzisa izixazululo zemvelo
Uma unolwazi mayelana ne-banderol, i-samento, noma ezinye izifo zokwelapha, xoxa nodokotela wakho mayelana nokufaka noma iyiphi yalezi zixazululo ohlelweni lwakho lwezokwelapha lwe-Lyme. Yize kungase kube ukuzama ukufuna ukuzama, ukwelashwa okungalungile kwesifo seLyme kungaholela ezinkingeni ezinzima ezifana nezinkinga ezihlanganyelwe kanye nezinkinga zesistimu zesisindo, ngakho-ke ukuzitholela izidakamizwa akukhuthazwa.
Futhi kubalulekile ukukhumbula ukuthi imiphumela emibi kanye nezingozi zalezi zitshalo ezijwayelekile noma eziphakeme kakhulu azikwaziwa, futhi ukuphepha kwabo ezinganeni, abesifazane abakhulelwe noma abahlengikazi, noma abantu abanezinye izimo zezempilo. Udokotela wakho angakusiza ukuba ulinganise izingozi ngezinzuzo.
I-Lyme Disease Treatment Research
Ukulandela ukwelashwa kwesifo seLyme, ungase ube nesifo se-muscle, izimpawu ze-neurological ezifana nezinkinga zememori nokugxila, nokukhathala. Lezi zimpawu zivame ukuhamba zodwa ngesikhathi. Izikhungo Zikazwelonke Zempilo (NIH) -abacwaningi abathintekayo baqhuba izifundo ukuze bathole imbangela yalezi zimpawu nokuthi bangayiphatha kanjani kangcono.
Ucwaningo lubonisa ukuthi abantu abahlukunyezwa yi- Lyme isifo esingapheli , i-PTLDS, bangase bahlelwe ngokwezakhi zofuzo ukuze bahlakulele impendulo engezona ezenza izimpawu zabo. Abacwaningi manje bahlola ukubaluleka kwalokhu kutholakala ngokuningiliziwe, kanye nokuqhuba izifundo ukuze bathole isikhathi esiphezulu sokunikeza ama-antibiotics ngezibonakaliso ezihlukahlukene zesifo seLyme.
I-NIH iqhuba futhi isekela ucwaningo lwezokwelapha oluhloswe ukuhlangabezana nezinselelo zesifo seLyme, futhi ososayensi bathola ukuqonda okungcono ukuphendula komzimba okuholela kuwo. Isibonelo, bambulela izindlela ezithintekayo isifo samathambo esingamelana ne-Lyme. Ukuqonda kangcono ukuphendula komzimba kwamuntu kungabangela amathuluzi angcono okuxilonga nokubikezela.
> Imithombo:
> Amasevisi Okulawula Nokuvimbela Izifo (CDC). I-Post-Treatment Lyme Disease Syndrome. Kubuyekezwe i-Disemba 1, 2017.
> Datar A, Kaur N, Patel S, Luecke DF, Sapi E. In Vitro Ukuphumelela kwe-Samento ne-Banderol Extracts ye-Herbal kwiMifuziselo Ehlukile Yezimpawu ze-Borrelia Burgdorferi. Letter Townsend . Julayi 2010.
> Melia MT, i-Auwaerter PG. Isikhathi Sendlela Ehlukile Yezifo ZaseLyme and Izimpawu Zesikhathi Eside. I-New England Journal of Medicine . Mashi 31, 2016; 374: 1277-1278. i-doi: 10.1056 / NEJMe1502350.
> Isikhungo Sikazwelonke Sokungezwani Komzimba Nezifo Ezibangelwa Izifo. Isifo Esithathelwanayo Sengculaza. Kubuyekezwe ngo-September 3, 2015.