Ungathola isifo se-Lyme ngemuva kokubethwa umuthi, ngokuvamile umkhaza wesondlo , otheleleke kumabhaktheriya we- Borrelia burgdorferi uma umkhaza ungasusiwe ngaphambi kwamahora angu-48 kuya kwangu-72. Abanye abantu bacabanga ukuthi uma usulele nge-Lyme sifo, awukwazi ukutheleleka futhi, okuyiqiniso. Yingakho kubalulekile ukwenza amasheke amathikithi nsuku zonke uma ukhona endaweni ongase uyilwe ngayo, njengamakampite, kungakhathaliseki ukuthi ungubani.
Izimpawu Ezivamile
Isibonakaliso sokuqala sesifo seLyme ngokuvamile siwukuhlaselwa okuvamile abantu abaningi abajwayele ukubizwa ngokuthi i- erythema migrans . Kodwa-ke, kubalulekile ukuqaphela zonke izimpawu zesifo seLyme ngoba zingahluka kumuntu ngamunye.
I-Erythema Migrans
Lokhu kushayisana kwesikhukhula kwenzeka endaweni ye-tick bite, cishe izinsuku eziyisikhombisa kuya kwezingu-14 emva kokulunywa, nakuba kungase kuqale ngezinsuku ezintathu noma sekupheleni kwezinsuku ezingu-30 ngemuva kokulunywa komkhaza. Ama-migrans e- Erythema athola amaphesenti angu-70 kuya kwabangu-80 abantu abanegciwane lesifo se-Lyme.
Ngenxa yokuthi ukushona kubheka kuhluke kuye kuye nangesigaba sesifo, kuwumqondo omuhle ukuba umhlinzeki wakho wokunakekelwa oyinhloko abuke noma yikuphi ukuhlaselwa okusolisayo. Uma uhlala endaweni lapho izikhawu zivame khona futhi / noma isifo seLyme sivamile, kubaluleke nakakhulu ukuqaphela noma yikuphi ukuhlukumeza okungavamile.
Lokhu kuhlaselwa kwe-erythema migrans kungachazwa ngokuthi:
- Ukuba ne-ring yangaphandle ebomvu ngaphandle kokuhlanza okubomvu okwesibhakabhaka phakathi kwendawo
- Ukuba nendandatho ebomvu yangaphandle, isikhungo esibomvu, nokuhlanza okwe-purplish phakathi kwendawo
- Ukuba nendandatho ebomvu yangaphandle, i-redse "bullseye" enkabeni, nendawo ecacile phakathi kwalababili (Lokhu kuqhuma okuphambili futhi cishe cishe kwaqala kancane kakhulu futhi kubheka kancane njenge-bullseye.)
- Ukuba mnandi, ukushisa, futhi ngezinye izikhathi ubuhlungu
- Kancane kancane kwanda kuze kube ngububanzi obungama-intshi angu-7 ukuya kwangu-14
- Ukulinganisa cishe amasonto amabili
Izimpawu Ezifana Nezikhuhlane
Ezinye izimpawu zesifo seLyme zingase zifane nomkhuhlane futhi zingabandakanya:
- Fever
- I-Myalgia (i-muscle aches)
- Ama-Chills
- Izinsizwa
- Ukukhathala
- Ubuhlungu obuhlangene (i-arthralgia)
- I-lymph nodes (i-lymphadenopathy)
Nakuba lezi zimpawu zingafana nezifo ezivamile zengculazi, izimpawu zesifo seLyme zingaphikelela noma zingase zifike futhi zihambe.
Izimpawu ezijwayelekile
Ngokuvamile, uma isifo seLyme singelashwa, ungase uhlakulele ezinye izimpawu zamasonto, izinyanga, noma ngisho neminyaka emva kokutheleleka, kubandakanya:
- Ama-migrans amaningi e-erythema aqhuma
- Ukuvuvuka kweso
- I-hepatitis (isifo sesibindi)
- Ukukhathala okukhulu
Ayikho yalezi zinkinga ezizovela ngaphandle kwamanye izimpawu ze-Lyme.
Izinkinga ze-Lyme Disease
Izimpawu ezinkulu nezinkinga zingenzeka uma isifo sakho seLyme singelashwa. Lezi zingathuthuka izinsuku ezinyangeni ngemuva kokuba ukhonjwe ngethikithi.
I-arthritis
Ngemuva kwezinyanga ezimbalwa ze- B. burgdorferi ukutheleleka, amaphesenti angu-30 kuya kuma-60 amaphesenti abantu abangaphathwa nge-antibiotics bahlakulela ukuhlaselwa okuphindaphindiwe kwamajoyina abuhlungu nokuvuvukala okuhlala ezinsukwini ezimbalwa ezinyangeni ezimbalwa. I-arthritis ingashintsha kusuka kokuhlangene komunye kuya kwesinye, futhi idolo liyathinteka kakhulu.
Izinkinga Zezinzwa
Isifo se-Lyme singathinta isimiso sakho sezinzwa, esibangela izimpawu ezifana nalezi:
- Intamo yentamo kanye nekhanda elibi (i-meningitis)
- Ukukhubazeka okwesikhashana kwemizwa ebusweni lapho ohlangothini olulodwa lwesobuso bubheke khona (ukukhubazeka kukaBell)
- Ubumbulu, ubuhlungu, noma ubuthakathaka emlenzeni
- Ukungahambi kahle kwemisipha
Izinguquko eziningi ezicashile nazo ziye zahlotshaniswa nesifo esingasaphathwa yiLyme ezifana nalokhu:
- Ukulahlekelwa kwememori
- Ukubunzima ukugxila
- Shintsha imimoya noma imikhuba yokulala
Izinkinga zesistimu zezinzwa zingathuthukisa amasonto, izinyanga, noma ngisho neminyaka elandela ukutheleleka okungelashwa. Lezi zimpawu zenzeka ngamaphesenti angaba ngu-10 kuya kwabangu-12 abantu futhi ngokuvamile zihlala amasonto noma izinyanga.
Izinkinga zenhliziyo
Emaphesenti angu-1 abantu abanesifo seLyme bahlakulela izinkinga zenhliziyo ezinjengokushaya kwenhliziyo okungajwayelekile, okungaqala ngokuzondeka noma ukuphefumula futhi kungabonisa ikhadi le-Lyme-imbangela yenhliziyo. Uma ukwelashwa, lezi zibonakaliso azivami ukugcina izinsuku ezimbalwa noma amasonto ambalwa.
Nini Ukubona Udokotela
Khumbula ukuthi akubona bonke abantu abanezibonakaliso zesifo esidala saseLyme, okwenza kubalulekile ukubona udokotela wakho uma uhlakulela ukushisa noma umkhuhlane ngemuva kokulunywa umaka, ikakhulukazi uma uhlala noma uvakashele indawo lapho kuningi khona wezinkinga zesifo seLyme. E-United States, lokhu kufaka eNyakatho-mpumalanga, eMid-Atlantic, noma enyakatho-central state.
Ngisho nasezindaweni zokuxhaphaza (izindawo lapho kunezinkinga eziningi zeLyme), ingozi yokuthuthukisa isifo seLyme ivame ukucatshangwa ukuthi ibe ngamaphesenti angu-3.5 kuphela. Kuyinto ephansi kakhulu ngoba nakuba amaphesenti angamaphesenti angama-50 ezindaweni ezincane ezithathelwana ngamabhaktheriya abangela isifo se-Lyme, iningi labantu lisusa imikhakha ngaphambi kokuba amabhaktheriya abe nesikhathi esanele sokubaphazamisa.
Isifo se-Lyme ngokuvamile siphathwa kalula ngama-antibiotic ajwayelekile. Ngaphambilini ulashwa ngesifo seLyme, okungcono, kepha ngisho nasesikhathini esilandelayo amacala avame ukuphendula kahle ngemithi. Ukuhlolwa kwegazi okulula, okuyinto ngezinye izikhathi okumele kwenziwe ngokuphindaphindiwe ukuze kugweme ukutheleleka, kungakunika ukuthula kwengqondo nomndeni wakho.
> Imithombo:
> Bramwell KK, Teuscher C, Weis JJ. Izindlela Zokudluliswa Ngokwemvelo Zokwelapha Elucidation of Regulators Novel of Lyme Arthritis Ubuhlungu. Imingcele ye-Microbiology ye-Cellular and Infection . 2014; 4: 76. doi: 10.3389 / fcimb.2014.00076.
> Amasevisi Okulawula Nokuvimbela Izifo (CDC). Izimpawu Nezibonakaliso Zezifo ZaseLyme Engaziwa. Kubuyekezwe ngo-Okthoba 26, 2016.
> I-SS emide, i-prober CG, imigomo ye-Fischer M. kanye nokusebenza kwezifo ezithathelwanayo zezingane. 5th ed. Philadelphia, PA: Elsevier; 2017.
> I-Sanford C. Lyme Izifo. Ku: Jong EC, Stevens DL, eds. Izifo ezithathelwanayo zikaNetter. Philadelphia, PA; Elsevier; 2012. ini: 10.1016 / B978-1-4377-0126-5.00071-9.