Matenda a Lyme amayamba chifukwa cha matenda a bakiteriya Borrelia burgdorferi . Anthu akhoza kuyamba matendawa atakodwa ndi kachilombo ka HIV. Malingana ndi Centers for Disease Control and Prevention (CDC), matenda a Lyme sangathe kupatsirana pogonana, kapena mwa kupsyopsyona kapena kumwa kuchokera mu galasi lomwelo ngati munthu amene ali ndi matenda a Lyme. Palibe mauthenga omwe amabwera kuchokera kwa munthu kapena nyama kwa munthu; imadwalitsidwa kokha ndi nkhupakupa.
Nkhupakupa
Simungaganize kuti muli pachiopsezo cha matenda a Lyme chifukwa cha kumene mukukhala. Ngakhale ambiri amachokera ku mayiko ena, matendawa amakhudza mbali iliyonse ya United States. Ndipo kumbukirani: Ngakhale kuti mungayambe kulumidwa ndi nkhuku zowonongeka zingakhale zochepa mukalowa m'bwalo lanu, zikhoza kukwera poyenda kapena kuchita zosangalatsa.
Zochitika Zowopsa Kwamoyo
Pali njira zina zomwe zimayambitsa chiopsezo chokhudzidwa ndi matendawa, ndipo, motero, kuti akhoza kutenga matenda a Lyme. Izi zikuphatikizapo:
- Kukhala mlenje
- Kukhala ndi ziweto
- Kukhala kumudzi
- Kukhala mkati, kugwira ntchito, kapena kuyendayenda kumalo amodzi a nkhuku ku United States (Kumpoto chakum'mawa, Mid-Atlantic, kapena North-Central)
- Kupatula nthaŵi muzitsamba kapena m'madontho
- Kukhala ndi ntchito kunja
Genetics
Ngakhale kuti matenda a Lyme sali obadwa, mukhoza kutenga majeremusi omwe amachititsa kuti mukhale ndi zizindikiro zowopsa ngati mutagwirizana ndi matenda a Lyme.
Chigwirizano chachikulu cha majeremusi cha matenda a Lyme chimaganiziridwa kuti chili ndi mitundu yosiyanasiyana ya majeremusi aakulu (II). MHC ili pambali yaifupi ya chromosome 6. Imaphatikizapo majeremusi a m'kalasi I, II, ndi III, zomwe zimakhudza chitetezo cha mthupi. Jini lachiwiri lachiwiri limathandiza kupanga magulu a antigen omwe ali ndi T.
Pali mitundu iwiri yosiyanasiyana ya ma HLA yambiri (genotypes) -HLA-DR4 ndi HLA-DR2-yomwe yakhala ikugwirizana ndi matenda a nyamakazi ya Lyme. Anthu akhala akudziŵika kuti kachilomboka kamene kachilombo ka Lyme kamapangika kumagwirizanitsa, chitetezo cha mthupi motsutsana nacho chimachitapo kanthu ndi anthu omwe ali ndi HLA-DR4 ndi HLA-DR2. matenda a nyamakazi.
Anthu omwe ali ndi matenda a Lyme kwambiri ndipo omwe samayankha bwino mankhwala ophera ma antibiotic nthawi zambiri amapezeka kuti ali ndi majeremusi a DRB1 * 0101 ndi 0401, omwe amasonyezanso kuti amachitapo kanthu. Kafukufuku wopitirirabe akuchitidwa pa kugwirizana pakati pa majeremusi ndi matenda a Lyme.
Matenda a matenda a Lyme Disease Syndrome
Pambuyo pa chithandizo, chiŵerengero chochepa cha anthu chidzakhala ndi zizindikiro zosayembekezereka, zomwe ena amati ndi "matenda" a Lyme . Ndizovuta kugonana. Ngakhale CDC ikuvomereza kuti zizindikiro zina zimatha kupitirira pakatha mankhwala (monga kupwetekedwa ndi ubongo), zizindikilozi zidzasinthidwa mkati mwa miyezi isanu ndi umodzi kapena iwiri. Pambuyo pa nthawiyi, pali umboni wochepa wosonyeza kuti zizindikiro zosalekeza, makamaka makamaka kutopa, zimagwirizana kwambiri ndi matenda opatsirana ndi Borrelia burgdorferi .
Kwa anthuwa, CDC yasonyeza kuti matendawa ndi matenda a Lyme matenda (PTLDS). CDC imachenjeza za mankhwala omwe amachititsa kuti mankhwala a antibiotic apitirire kuchipatala cha PTLDS.
> Zotsatira:
> JH ya Brewer, Thrasher JD, Hooper D. Matenda a Chilendo Okhudzana ndi Mold ndi Mycotoxins: Kodi Naso-Sinus Fungal Biofilm Wachilombo? Toxini. 2014; 6 (1): 66-80. pitani: 10.3390 / toxins6010066.
> JH ya Brewer, Thrasher JD, Straus DC, Madison RA, Hooper D. Kuzindikira kwa Mycotoxins kwa Odwala Odwala Matenda Odwala Matenda Odwala. Toxini . 2013; 5 (4): 605-617. do: 10.3390 / toxins5040605.
> Kalish RA, Leong JM, Steere AC. Association of Treatment-Resistant Chronic Lyme Arthritis Ndi HLA-DR4 ndi Antibody Reactivity ku OspA ndi OspB ya Borrelia Burgdorferi. Matenda ndi Chitetezo Chokwanira . 1993; 61 (7): 2774-2779.
> Strle K, Shin JJ, Glickstein LJ, Steere AC. Wothandizira Wopanda Mphamvu 1 Polymorphism Imayanjanitsidwa ndi Wothandizidwa Wothandizira T Wothandizira 1 Kutupa Kwambiri ndi Antibiotic-Refractory Lyme Arthritis. Arthritis ndi Rheumatism . 2012; 64 (5): 1497-1507. lembani: 10.1002 / art.34383.
> World Health Organization (WHO). Mycotoxins . Lofalitsidwa mu Oktoba 2011.