Mndandanda wa mankhwala anu a Lyme udzadalira pa mlandu wanu. Maphunziro ochepa a antibiotic angakuchiritse mosavuta ngati muli pachiyambi. Chithandizo choyenera pa milandu yovuta kwambiri, komabe, kumafuna masabata atatu kapena anai a mankhwala oletsa maantibayotiki ndipo mwinamwake mankhwala ena owonjezera. Tawonani momwe magawo osiyanasiyana ndi zizindikiro za matenda a Lyme amachiritsidwa.
Malemba
Wopereka chithandizo chaumoyo wanu angathe kuthandizira bwino matenda anu a Lyme ndi kugwiritsa ntchito mankhwala opha tizilombo . Kawirikawiri, mutangoyamba kumene kuchipatala mutatsatira matenda, mofulumira komanso mokwanira mumatha kuchira. Mankhwala opha tizilombo monga doxycycline, cefuroxime axetil, ndi amoxicillin, otengedwa pamlomo kwa milungu ingapo, akhoza kufulumizitsa machiritso anu a erthema migrans ndipo nthawi zambiri amapewa zizindikiro zotsatizana monga matenda a nyamakazi kapena mavuto a ubongo. Doxycycline imathandizanso kwambiri matenda ena osakaniza.
Ana ndi amayi omwe ali ndi pakati kapena akuyamwitsa
Chifukwa doxycycline ikhoza kuyambitsa mano osatha kukhala ndi ana ang'onoang'ono kapena ana osabereka ngati matenda a Lyme amapezeka kwa ana osapitirira zaka 9, kapena ali ndi amayi omwe ali ndi pakati kapena omwe akuyamwitsa,
- Amoxicillin
- Cefuroxime axetil
- Penicillin
Matenda a Arthritis
Ngati muli ndi nyamakazi ya Lyme, wothandizira zaumoyo wanu akhoza kukuthandizani ndi antibiotics.
Ngati nyamakazi yanu ili yovuta, mungapatsedwe mankhwalawa ndi penicillin (kudzera mwa IV). Pofuna kuchepetsa mavuto ndi kupitiriza kuchiritsa, wothandizira zaumoyo wanu akhoza:
- Perekani mankhwala monga mankhwala osagwiritsa ntchito mankhwala omwe sali otero (NSAIDs)
- Pangani chotsatira chogwirizana (kujambula madzi kuchokera kumagulu anu okhudzidwa)
- Chotsani zitsulo zomwe zimakhudzidwa
Kwa anthu ambiri, nyamakazi ya Lyme idzatha mkati mwa masabata angapo kapena miyezi ingapo pambuyo pochiza ma antibiotic. Komabe, mwa zina, zingatenge zaka kuti ziwonongeke kwathunthu. Anthu ena omwe ali ndi matenda a Lyme omwe samatengedwa kwa zaka zingapo amatha kuchiritsidwa ndi matenda awo a nyamakazi ndi mankhwala oyenera a antibiotic. Ngati matendawa akhalapo kwa nthawi yayitali, zingathe kuwononga maonekedwe a ziwalozo.
Mavuto a Neurological
Ngati muli ndi zizindikiro zoopsa zokhudzana ndi ubongo, wothandizira zaumoyo wanu akhoza kukuthandizani ndi mankhwala oletsa tizilombo toyambitsa matenda omwe amaperekedwa mwakamodzi kamodzi pa tsiku kwa mwezi. Anthu ambiri amachira kwathunthu.
Mavuto a Mtima
Osowa zaumoyo amakonda kusankha anthu omwe ali ndi matenda a Lyme omwe ali ndi zizindikiro zoopsa za mtima ndi antibiotic monga ceftriaxone kapena penicillin woperekedwa mwachangu kwa milungu itatu kapena inayi. Anthu omwe ali ndi matenda a Lyme kawirikawiri amakhala ndi kuwonongeka kwa mtima kwa nthawi yaitali.
Matenda a matenda a Lyme Disease Syndrome
Ngati muli ndi matenda a Lyme (PTLDS), mungafunike kuti dokotala wanu athetse matenda ena omwe ali ndi zizindikiro zofanana. Zizindikiro zanu zingakhalenso ndi nthawi yambiri.
Nyuzipepala ya National Institute of Allergy and Infectious Diseases (NIAID) imatenga kwambiri PTLDS ndipo imapereka ndalama zowonongeka ku malo atatu omwe amalembedwa ndi malo omwe amagwiritsidwa ntchito kuti athe kupeza njira zothandizira odwala omwe ali ndi PTLDS. Nazi zomwe adazipeza:
- Pakuyesa koyamba, odwala analandira mankhwala osokoneza bongo (IV) masiku makumi atatu (30) atatha masiku makumi asanu ndi limodzi (60) a antibiotic. Panalibe umboni woti mankhwalawa ndi opindulitsa.
- Pachiyeso chachiwiri, odwala analandira ma antibayotiki masiku makumi asanu ndi awiri (IV). Odwala adanena kuti kusintha kwakukulu, komabe panalibe phindu la kuzindikira zamaganizo ndipo asanu ndi limodzi omwe anali nawo anali ndi zoopsa kwambiri zothandizira maantibayotiki, anayi omwe amafunika kuchipatala. Ofufuzawo anapeza kuti mankhwala ena owonjezera maantibayotiki "sankathandizidwa ndi umboni."
- Phunziro lachitatu, odwala omwe ali ndi vuto la kukumbukira malingaliro analandira masabata khumi ndi anayi a IV, mankhwala a anti-cephalosporin, ndipo 26 peresenti anali ndi vuto lalikulu. Ochita kafukufuku anamaliza kuti mankhwalawa sanali njira yabwino.
Mfundo yofunika kwambiri: Mankhwala oletsa ma antibiotic nthawi yaitali sali abwino kuposa mankhwala ochepa omwe amachititsa kuti athane ndi maantibayotiki ndipo angakhale ovulaza. NIAID ikuyang'ana kuthandizira kafukufuku wambiri pofuna kupeza chifukwa cha PTLDS ndi mankhwala ochiritsira, makamaka omwe achoka m'mbuyo mwa mabakiteriya kumbuyo.
Mankhwala Okwanira
Anthu ena ayamba kufufuza njira zothandizira matenda a Lyme monga samento ndi banderol. Chophimba cha katsamba -mankhwala omwe amadziwika kuti mankhwala a nyamakazi-amatchedwa matenda a Lyme mwa kuwonjezera chitetezo chanu cha mthupi. Banderol imachotsedwa pamakungwa a mtengo waku South America wotchedwa Otoba parvifolia ndipo akuganiza kuti agogoda mabakiteriya okhudzana ndi Lyme.
Kugwiritsidwa ntchito kwa samento ndi banderol monga mankhwala achilengedwe a matenda a Lyme kunasindikizidwa kwambiri ndi mbali ya Richard Horowitz, MD, wolemba wa "Chifukwa Chiyani Sindingathe Kupeza Bwino? Kuthetsa Zinsinsi Zambiri za Lyme ndi Matenda Odwala." Malingana ndi Horowitz, mankhwala onse a zitsamba angathandize kuthana ndi matenda a Lyme mwa kuchotsa mabakiteriya.
Samento ndi Banderol: Ntchito ndi Kafukufuku
Ochirikiza banderol ndi samento amalimbikitsa iwo ngati njira zowonjezera maantibayotiki, omwe ndi mankhwala ochiritsira matenda a Lyme. Zimanenedwa kuti mankhwala awa amathandiza odwala kuti athetse mavuto omwe nthawi zina amagwiritsidwa ntchito ndi maantibayotiki, monga kuchepetsa m'mimba.
Othandizira amanenanso kuti banderol ndi samento thandizo pochiza matenda a Lyme mwa kuchepetsa kutupa kosatha. (Kafukufuku wina amasonyeza kuti kutupa kungapangitse nkhani zaumoyo zokhudzana ndi Lyme monga kufooka kwa mitsempha, kukumbukira, kupweteka mutu, ndi kupsinjika maganizo.)
Kuwonjezera pamenepo, banderol ndi samento nthawi zina amagwiritsidwa ntchito kuthetsa matenda a Lyme matenda (PTLDS). Kwa anthu okhala ndi PTLDS, zizindikiro zimatha nthawi yaitali atatha kumaliza mankhwala. Zizindikiro zimenezi zimaphatikizapo kutopa, kupweteka kwa thupi, kugona tulo, ndi kusinthasintha.
Panthawi imeneyi, pali umboni wochepa wosonyeza kuti banderol kapena samento ingathandize kuthana ndi matenda a Lyme. Pali kafukufuku kunja komweko komwe kusonyeza kuti kuphatikiza kwa samento ndi banderol kungathandize kuthana ndi Borrelia burgdorferi, bakiteriya omwe amachititsa matenda a Lyme. Kafukufuku wina amasonyezerapo, komabe, sakhala ndi ndondomeko yapamwamba ya anzawo. Asayansi asanatsimikizire zotsatila izi kapena za kafukufuku wowonjezereka m'mayesero a zachipatala odwala matenda a Lyme.
Samento vs. Cat's Claw
Ngati mukuganiza zogwiritsira ntchito samento pochiza matenda a Lyme, ndikofunika kudziwa kusiyana pakati pa chingwe cha samento ndi cat. Ngakhale kuti ali a mitundu yofanana, mankhwala awiriwa ali ndi mitundu yosiyanasiyana ya mankhwala.
Chophimba cha samento ndi cha cat chimakhala ndi pentacyclic oxindole alkaloids (POAs), zomwe zimagwiritsidwa ntchito popangitsa thupi kuteteza thupi komanso kuthandizira odwala matenda a Lyme kuti ayambe kuchira. Komabe, mosiyana ndi chingwe cha paka, samento mulibe magulu a mankhwala omwe amatchedwa tetracyclic oxindole alkaloids (TOAs). AAA amakhulupirira kuti akusokoneza ntchito ya pakatikati ya mitsempha ndi kuchepetsa zotsatira za POAs.
Zilombo zina zakuthupi
Samento ndi imodzi mwa mankhwala ambiri omwe amaganiziridwa kuti apindule ndi anthu omwe ali ndi matenda a Lyme. Ena othandizira mankhwala osaphatikizapo amasonyeza kuti zitsamba zofanana ndi astragalus ndi echinacea zingakuthandizeni kuti chitetezo chanu cha mthupi chitengeke bwino ndikutsuka ma tizilomboti. Mavitamini monga methylsulfonylmethane (MSM) amanenedwa kuti amathetsa ululu wamadzimodzi, ndipo gingko biloba imakhala ngati njira yachilengedwe yoonjezera kumveka kwa maganizo.
Komabe, monga momwe ziliri ndi banderol ndi samento, pakalipano pali kusowa kofufuza kuti zithandizire kugwiritsa ntchito njira iliyonse yothetsera matenda a Lyme.
Funsani Dokotala Wanu Asanayambe Kugwiritsa Ntchito Zothetsera Zachilengedwe
Ngati mukufuna kudziwa za banderol, samento, kapena mankhwala enaake a mankhwala, kambiranani ndi dokotala za momwe mungagwiritsire ntchito njira iliyonse yothetsera matendawa. Ngakhale zingakhale zokopa kuti afune kuyesera, chithandizo chosayenera cha matenda a Lyme chingayambitse mavuto aakulu monga mavuto a mgwirizano ndi matenda a mitsempha, momwe kudzipangira ndi zitsamba sikoyenera.
Komanso, ndibwino kukumbukira kuti zotsatira zake ndi zoopsa za zitsambazi nthawi zonse sizidziwikanso, komanso chitetezo chawo kwa ana, amayi oyembekezera kapena okalamba, kapena anthu omwe ali ndi thanzi labwino. Dokotala wanu akhoza kukuthandizani kuti muone kuopsa kwake ndi phindu.
Matenda a Lyme Matenda Ofufuza
Potsatira chithandizo cha matenda a Lyme, mukhoza kukhalabe ndi mitsempha ya minofu, zizindikiro za ubongo monga mavuto ndi kukumbukira, ndi kutopa. Zizindikirozi nthawi zambiri zimawathawa pakapita nthawi. Ofufuza a National Institutes of Health (NIH) akuchititsa maphunziro kuti adziwe chifukwa chake zizindikirozi ndi momwe angachitire bwino.
Kafukufuku amasonyeza kuti anthu omwe amadwala matenda a Lyme , PTLDS, akhoza kukhala ndi machitidwe omwe amachititsa kuti azikhala ndi mayankho omwe amachititsa zizindikiro zawo. Ofufuza tsopano akufufuza kufunika kwa chidziwitsochi mwatsatanetsatane, komanso kupanga maphunziro kuti apeze nthawi yabwino kwambiri yopereka maantibayotiki pa zizindikiro zosiyanasiyana za matenda a Lyme.
NIH imayendetsa ndikuthandizira kufufuza zamoyo kuti zithetse mavuto a matenda a Lyme, ndipo asayansi akukumvetsa bwino momwe munthu akumvera. Mwachitsanzo, akuwululira njira zomwe zimayambitsa matenda a nyamakazi a Lyme. Kupititsa patsogolo kumvetsetsa za momwe munthu amatengera ku chitetezo cha mthupi kungapangitse zida zabwino zowunikira ndi kulengeza.
> Zotsatira:
> Zomwe Zingathetsere Kudwala ndi Kuteteza Matenda (CDC). Matenda a matenda a Lyme Disease Syndrome. Idasinthidwa Disemba 1, 2017.
> Datar A, Kaur N, Patel S, Luecke DF, Sapi E. In Vitro Mphamvu za Samento ndi Banderol Zitsamba Zotsamba pa Zosiyana Zosiyanasiyana za Borrelia Burgdorferi. Tsamba la Townsend . July 2010.
> Melia MT, Awawaerter PG. Nthawi Yophatikizapo Matenda a Lyme ndi Zizindikiro Zakale. The New England Journal of Medicine . March 31, 2016; 374: 1277-1278. lembani: 10.1056 / NEJMe1502350.
> Chitukuko cha National Institute of Zigwiritsidwe ndi Matenda Opatsirana. Matenda Achilendo Achilendo. Kusinthidwa pa September 3, 2015.