Dokotala wanu kapena wothandizira zaumoyo angakhale ndi vuto lopeza matenda a Lyme chifukwa zizindikiro zake zimakhala zofanana ndi za matenda ena. Chizindikiro chokhacho chosiyana ndi matenda a Lyme (erythema migrans, kapena "bull-eye," akuphulika) sichipezeka pakati pa anthu anayi alionse amene amachilomboka. Ngakhale tizilombo toyambitsa matenda ndi chitsimikizo chofunika kwambiri kuti tipeze matendawa, anthu ambiri sangakumbukire kuti atangomenyedwa ndi nkhupakupa.
Izi sizosadabwitsa chifukwa nkhuku ya nthenda ndi yaying'ono, ndipo nkhuku kuluma nthawi zambiri imakhala yopweteka.
Odzifufuza okha
Ngakhale kuti simungathe kudziwa kapena kuthetsa matenda a Lyme nokha, mukhoza kuyang'ana zizindikiro zowonongeka ndikuonetsetsa kuti mukumvetsa pamene mukufuna dokotala wanu. Muyenera kudziyesa nokha, ana anu, ndi ziweto zanu za nkhupakupa atakhala kunja. Onetsetsani kuti muwone malo ofunda, otentha monga pakati pa matako, mu kubuula, mimba ya mimba, kumbuyo kwa mawondo, ndi pamphuno. Kumbukirani kuti nkhupakupa zimatha kuchokera ku kukula kwa mbewu ya poppy mpaka peresenti ya kotalika inchi, malingana ndi kumene iwo ali m'moyo wawo.
Muyenera kuwona dokotala wanu pansi pa izi:
- Ngati muli ndi vuto la erythema migrans yomwe imabwera ndi matenda ambiri a matenda a Lyme, ngakhale simukudziwa kuti muli ndi nkhupakupa. Mphutsi yofiirayi idzawonjezeka ndipo ingayambe kuoneka ngati diso la ng'ombe.
- Ngati muli ndi zizindikiro za chimfine zomwe sizikupita, makamaka ngati mumakhala kapena mwangoyamba kumene ku United States kumene matenda a Lyme akufalikira (izi zikuphatikizapo kumpoto chakum'mawa, mid-Atlantic, ndi kumpoto- central states).
- Ngati mukudziwa kuti muli ndi nkhuni zowonjezera maola 48 ndipo muli ndi zizindikiro zofanana ndi zizindikiro za chimfine.
Onetsetsani kuti dokotala wanu adziwe ngati mwalumidwa ndi nkhupakupa kapena ngati mwapezeka ndi nkhupakupa, ngakhale simukudziwa kuti mukulumidwa.
Chiweruzo Chachipatala
Apanso, opereka chithandizo chachipatala ndiwo okha omwe angathe kupeza matenda a Lyme. Pofuna kupeza matenda a Lyme, wothandizira zaumoyo wanu adzakambirana zinthu zingapo:
- Mbiri yakale ya zamankhwala
- Kufufuza mwakuthupi
- Zizindikiro
- Nthawi ya chaka (nkhuku limaluma nthawi zambiri zimachitika miyezi ya chilimwe)
- Zizolowezi / malo (mwachitsanzo, kaya mumakhala nthawi yina kunja kapena kumalo kumene matenda a Lyme amapezeka kwambiri)
- Mbiri yodziŵika ya nkhuku kuluma
Nthaŵi zina, kuyezetsa ma laboratory kumagwiritsidwa ntchito kuthandizira kuyerekezera kuganiza. Kuonjezerapo, wothandizira zaumoyo wanu adzafufuza matenda ena omwe angayambitse matenda anu.
Mapulogalamu ndi Mayesero
Pali magawo atatu a matenda a Lyme , kuphatikizapo:
- Gawo loyambirira
- Gawo loyamba lofalitsidwa
- Gawo lomaliza
Makhalidwe a matendawa m'zigawo izi, komanso chithandizo chamoyo chilichonse, akhoza kuyesa zovuta.
Kuonjezerapo, bactri ya matenda a Lyme ndi zovuta kuziwona m'mayesero a ma laboratory a matupi kapena madzi. Choncho, ambiri othandizira zaumoyo amafufuza umboni wa antibodies dhidi ya B. burgdorferi m'magazi anu kutsimikizira kuti kachilomboka ndi chifukwa cha zizindikiro.
Anthu ena omwe ali ndi zizindikiro za mitsempha ya mitsempha angathenso kupeza matepi a msana , omwe amalola wothandizira zaumoyo kuti azindikire ubongo ndi kupweteka kwa msana ndi kuyang'ana ma antibodies kapena mabanki a B. burgdorferi mumtsempha wamtsempha .
Mayeso a Antibody
Opeza zaumoyo sangathe nthawi zonse kukhazikitsa ngati mabakiteriya a Lyme akuyambitsa zizindikiro. Pakatha masabata angapo mutatha kuchipatala, mayesero a antibody sali odalirika chifukwa chitetezo chanu cha mthupi sichinapangitse ma antibodies omwe amapezeka. Maantibayotiki amene amaperekedwa msanga pa matendawa amachititsanso kuti ma antibodies anu asamafike pozindikira, ngakhale kuti mabakiteriya a Lyme akuyambitsa matenda.
Mayeso a anti-antibody omwe amagwiritsidwa ntchito nthawi zambiri amatchedwa EIA (enzyme immunoassay), yomwe imavomerezedwa ndi Food and Drug Administration (FDA). Ngati EIA yanu ili yabwino, wothandizira zaumoyo wanu ayenera kutsimikiziranso ndi mayeso achiwiri, enieni otchedwa Western blot . Zotsatira zonse ziwiri ziyenera kukhala zabwino kuti zithandize matenda a Lyme. Koma kachiwiri, zotsatira zoipa sizikutanthauza kuti mulibe matenda a Lyme, makamaka pachiyambi. Kuyezetsa magazi kwa EIA sikukutanthauza kuti muli ndi matenda a Lyme mwina ngati zowonongeka.
Kuyesa Kitikiti
Ngakhale nkhupakuka ikayesedwa ndikupezeka kuti ikukhala ndi mabakiteriya a Lyme Borrelia burgdorferi , mwina sizingatheke kupatsirana mabakiteriya kwa aliyense yemwe waluma. Choncho, kuyesa nkhuku sikungakhale chisonyezero cholondola chakuti munthu wina waluma walandira matenda a Lyme.
Chifukwa kuyesa nkhupakupa si chizindikiro chabwino cha kutuluka kwa matenda a Lyme, ma chipatala ambiri kapena chipatala sichidzayesa nkhupakupa kwa mabakiteriya a Lyme. Komabe, pali mabungwe ambiri omwe adzayese nkhupakupa kwa mabakiteriya ndi mitengo yochokera ku $ 75 mpaka mazana a madola.
Mayesero atsopano Pakukula
Osowa zaumoyo amafunika kuyesedwa kuti athe kusiyanitsa pakati pa anthu omwe adalandidwa kuchokera ku kachilombo koyambako ndi omwe akupitiriza kuvutika ndi matenda opatsirana. Pofuna kuti chiwerengero cha matenda a Lyme chikhale choyenerera, akatswiri ofufuza a National Institutes of Health (NIH) akuyambiranso mayesero omwe alipo ndipo akuyesa mayesero atsopano omwe amalonjeza kukhala odalirika kuposa omwe alipo.
Asayansi a NIH akupanga mayesero omwe amagwiritsa ntchito njira yodziwika bwino yotchedwa polymerase chain reaction (PCR) komanso teknoloji ya microarray kuti apeze tizilombo toyambitsa matenda a Lyme matenda kapena mankhwala omwe ali m'thupi ndi madzi. Mapuloteni a bakiteriya, mapuloteni apansi (Osp) C, akuwathandiza kuti ayambe kutulukira ma antibodies oyambirira mwa anthu omwe ali ndi matenda a Lyme. Popeza kuti majeremusi a B. burgdorferi akhala akugwiritsidwa ntchito, njira zatsopano zopezeka kumvetsetsa matendawa ndi zomwe zimapezeka.
Kusanthula Kusiyanasiyana
Matenda a Lyme nthawi zina amatchedwa "Great Imitator" chifukwa nthawi zambiri amatsanzira matenda ena ambiri, malinga ndi LymeDisease.org, yopanda phindu yomwe imalimbikitsa chithandizo chaumoyo kwa anthu omwe ali ndi matenda a Lyme komanso matenda ena okhudzidwa ndi nkhuku. Mosiyana ndi zimenezi, matenda ena a nyamakazi kapena matenda ena omwe amadzimadzimadzimadzi amatha kudziwika ngati matenda a Lyme.
Zizindikiro za matenda a Lyme zingathe kutsanzira mikhalidwe monga:
- Chifuwa (chimfine)
- Matenda a mononucleosis
- Matenda a nyamakazi
- Fibromyalgia
- Matenda otopa nthawi zonse
- Multiple sclerosis
- Matenda a Alzheimer
- Matenda a mtima
- Mutu wa mutu wa Migraine
- Lymphoma
Wopereka chithandizo chaumoyo wanu adzalingalira zonsezi ngati ataphunzira.
Poyambirira vs. Kutulukira Kwadzidzidzi
Matenda a Lyme apezeka kale kwa nthawi yaitali, ndipo mabakiteriya opatsirana omwe amachititsa kuti azindikire mosavuta, kuti odwala ambiri omwe ali ndi matenda a Lyme oyambirira amatha kupeza dokotala yemwe angamudziwe molondola. Ngakhalenso odwala omwe poyamba akuuzidwa ndi dokotala kuti zizindikiro zawo zonse ziri pamutu pawo nthawi zambiri amatha kupeza dokotala wina kuti awathandize kupeza chidziwitso cholondola.
Koma nthawi zina, odwala amavutika kwambiri kupeza matenda a Lyme matenda. Ndipo chifukwa chake pali kutsutsana komwe kumapangitsa kuti odwala omwe sakhala ndi zizindikiro mpaka atakhala ndi nthawi yaitali. Ngakhale kuti anthu ena amasonyeza zizindikiro, kuphatikizapo kuthamanga kwa diso la "ng'ombe," pakangoyamba nkhuku kuluma, ndizotheka kuti zizindikiro sizidzatha kwa miyezi kapena zaka zitatha.
Kuwonjezera apo, odwala ena amachiritsidwa msanga ndi mankhwala opha tizilombo, koma maantibayotiki samapha konse mabakiteriya a Lyme Borrelia , kapena zizindikiro zina zimachitika ngakhale kuti palibe chizindikiro chilichonse cha matenda othawa.
"Matenda Osautsa" Odwala Matenda a Lyme
Ngakhale palibe amene amakana kuti anthu ena amachitira bwino matenda a Lyme amakhala ndi zizindikiro zosaleka, pali kutsutsana kwakukulu pa zomwe zimatchedwa, chomwe chimayambitsa, ndi momwe zimathandizira. Amatchedwa "matenda aakulu a Lyme"; Zomwe Zimayambitsa Matenda ndi Kupewa Matenda (CDC) zimayitanitsa matenda a Lyme matenda (PTLDS).
Kugwiritsira ntchito mawu akuti "osachiritsika" kumasonyeza kuti matenda ndi kutupa akadakalipo, koma kwa PTLDS, palibe umboni wosonyeza kuti izi ndizochitika. Zokambiranazo sizodziwika ngati odwala adakali ndi zizindikiro za thupi komanso ngati ali ndi matenda opatsirana ndipo ngati anthu omwe ali ndi PTLD amawachiza mankhwala opha tizilombo-mankhwala omwe sangathe kulangizidwa koma angapangitse odwalawa mavuto aakulu .
Ndipotu CDC imagwirizanitsidwa ndi mabungwe ena azachipatala odziwika bwino komanso olemekezeka ku United States pofotokozera kuti umboni umenewo ulipo sagwirizana ndi lingaliro lakuti "matenda a Lyme" amayamba chifukwa cha matenda opatsirana ndi mabakiteriya a Lyme; Ichi ndi chifukwa chake amasankha dzina lakuti "matenda a Lyme matenda." Maguluwa akuphatikizapo Infectious Diseases Society of America (IDSA), American Academy of Neurology, ndi NIH.
Kuwonjezera apo, akatswiri azachipatala amene amachiza PTLDS ndi mankhwala a antibiotic nthawi yaitali akhoza kuika odwala awo pangozi yosafunikira komanso kuchuluka kwa mabakiteriya omwe sagonjetsedwa.
Kufufuza Zomwe Zili M'moyo Wosatha
Ngati mukukhulupirira kuti muli ndi PTLDS, kapena matenda aakulu a Lyme, funsani dokotala yemwe amamvetsa sayansi yamakono ya matenda a Lyme ndi matenda a Lyme matenda, pambuyo pake ngakhale atadzitchula kuti Lyme osalekeza.
> Zotsatira:
> Blaser M. Antibiotic Overuse: Musalole Kupha kwa Mabakiteriya Opindulitsa. Chilengedwe . August 25, 2011; 476: 393-394. lembani: 10.1038 / 476393a.
> Zomwe Zingathetsere Kudwala ndi Kuteteza Matenda (CDC). Njira Yoyesera ya Zipatala Zachiwiri. Kusinthidwa pa March 26, 2015.
> Chitukuko cha National Institute of Zigwiritsidwe ndi Matenda Opatsirana. Matenda Achilendo Achilendo. National Institutes of Health. Kusinthidwa pa September 3, 2015.