SaseLyme borreliosis: omsakazo, izimpawu kanye nokwelashwa

SaseLyme borreliosis kubangelwa spirochetes, futhi idluliselwa imikhaza. Kuyinto nezifo ezithelelwanayo angase azithole elinesimo Yiqiniso ezingamahlalakhona. Ngokuvamile isikhumba abathintekayo, uhlelo zemisipha, isimiso sezinzwa futhi inhliziyo. Ngokokuqala ngqá uphawu yizinambuzane isifo saseLyme bhalisiwe e-USA (Lime), ukuze isifo ngezinye izikhathi esibizwa - isifo saseLyme.

SaseLyme borreliosis: omsakazo.

Lesi sifo okubangela spirochetes okuqondene uhlobo lwe Borrelia. Sebawoti Lesisemkhatsini kukhona imikhaza. Reservoir borreliosis yizilwane zasendle namagundane. Kaningi, kukhona igciwane exutshwe encephalitis ezithwalwa futhi isifo saseLyme.

Ezithwalwa isifo saseLyme: izimpawu.

Lesi sifo yabhaliswa wonke amazwekazi ngaphandle Antarctica. Ezindaweni sendawo zihlanganisa Russia Leningrad, Kaliningrad, Tyumen, Yaroslavl, Perm, Tver, Kostroma esifundeni, kanye neMpumalanga Ekude, esise-Ural, izifunda West laseSiberia. It is wakhumbula ukuthi esifundeni Leningrad uphawu yizinambuzane isifo saseLyme idluliswe kanye European ehlathini ihlathi imikhaza. KWAMAGUNDANE zithwala kungenzeka kusuka 5 kuya kwangu-90%. Isikhathi bayashintshana ekufukameleni lesi sifo imayelana 14 days. Early uphawu basemtholampilo lesi sifo ububomvu (ngamanzi) kwesikhumba endaweni bite ka Ixodes imikhaza. ngamanzi kwesikhumba buyaqina, indawo ogcwele ukuchitheka kungaba ukukala abafika kwabangu-10 amasentimitha ububanzi. Ezimweni akhawunti lapho le ndawo safinyelela cm 60 noma ngaphezulu. Ngokuhamba kwesikhathi, maphakathi endaweni uphendulela white bese uba bluish (cyanotic) tinge akha ukuma indandatho. Kumiswa uqweqwe bite is futhi ke rumen. Lokhu indawo kugcinwa izinsuku 14-20, ibisinyamalala. izinsuku 30-45 emva yisilwane izimpawu waphawula basemtholampilo yangaphakathi isitho ukuzibandakanya.

Ezithwalwa isifo saseLyme: pathogenesis.

Lapho i umkhaza itheleleke eluma isifo saseLyme siyisifo ngegciwane. ngamathe Borrelia singene isikhumba, bese ezinsukwini ezimbalwa yokuzalanisa olunzulu, ukuthelela ezinye izingxenye dermis kanye kwezitho zangaphakathi (isibindi, inhliziyo, amalunga omzimba, ubuchopho). I-ejenti causative isikhathi eside kungaba isebenze umzimba womuntu ngenkathi okubangela isifo esingelapheki.

SaseLyme borreliosis: uphethwe.

Ukuze uqinisekise uphethwe (isifo saseLyme) kuyadingeka ukwenza isifundo kwegazi. Ukuxilongwa kanye nokwelashwa lesi sifo kube nzima yokuthi ukuqoqwa idatha nemlandvo wetekwelashwa kwakhe nesineke akubonisi iqiniso bite. Ngakho bekezela ongawamukeli ukwelashwa okufanele, okuyinto bungaholela ekukhubazekeni. ukuhlolwa Serological eyenziwa usebenzisa enzyme immunoassay. ukubonakaliswa kwemizwa eliphelele bese ibheka uketshezi lomgogodla.

SaseLyme borreliosis: ukwelashwa.

Ukuze ekwelapheni borreliosis ekhethwe esiyimbangela futhi ukwelashwa pathogenetic. Ezigabeni zokuqala zesifo antibiotic. Intravenous ngezilapha magciwane (tetracycline irowu) ngemithamo esiphezulu inikeza lokuhlala elanele cerebrospinal fluid. Nokusetshenziswa kwamaphilisi kusaqalwa kuvimbela ukuthuthukiswa inhliziyo, kanye nezinkinga zokungasebenzi kahle kwemizwa kulandele artralgicheskih. ukubonakaliswa Cutaneous ka borreliosis ne-tetracycline doxycycline ingakapheli nenyanga. Lapho izilonda isimiso sezinzwa ku ampicillin, ceftriaxone, cefazolin, roxithromycin, cephalosporin, azithromycin, erythromycin. Ngo emalungeni ethintekile nomphumela omuhle zokwelapha eyatholakala lapho usebenzisa non-steroidal izidakamizwa eqeda ukuvuvukala (naproksin, hlotazol, indomethacin, plakvinil), analgesics futhi Physiotherapy.