Mungathe kupeza matenda a Lyme mukalumidwa ndi nkhupakupa, kawirikawiri nkhupakupa , yomwe imadwala mabakiteriya a Borrelia burgdorferi ngati nkhupakupa siidachotsedwa maola 48 mpaka 72. Anthu ena amaganiza kuti mwakhala mukudwala matenda a Lyme, simungakhoze kachilombo kachiwiri, zomwe si zoona. Ndicho chifukwa chake nkofunika kuchita tsiku lililonse nkhuku zogwiritsira ntchito ngati mutakhala m'madera omwe mungagwidwe ndi nkhuku, monga msasa, ziribe kanthu kuti ndinu ndani.
Zizindikiro Zowonjezereka
Chizindikiro choyamba cha matenda a Lyme kawirikawiri ndi chiphuphu chomwe anthu ambiri amadziwika nacho chotchedwa erythema migrans . Komabe, nkofunika kudziwa zizindikiro zonse za matenda a Lyme chifukwa iwo akhoza kukhala osiyana kwa aliyense.
Erythema Migrans
Kuthamanga kwazomweku kumachitika pa malo a nkhupaku kuluma, pafupi masiku asanu ndi awiri kapena asanu mutatha kulumidwa, ngakhale zingayambike patangotha masiku atatu kapena patatha masiku 30 mutengowo utenge. Erythema migrans amapezeka 70 peresenti mpaka 80 peresenti ya anthu omwe ali ndi matenda a Lyme.
Chifukwa chiphuphu chimawoneka mosiyana malingana ndi munthu ndi siteji ya matendawa, ndi lingaliro loyenera kuti wothandizira wanu wamkulu ayang'ane kuphulika kulikonse. Ngati mumakhala m'dera limene nkhupakupa zambiri ndi / kapena matenda a Lyme ndi ofala, ndikofunika kwambiri kuti muzindikire zovuta zina zachilendo.
Kuthamanga kwa erythema migrans kungafotokozedwe ngati:
- Kukhala ndi chovala chofiira kunja kwina ndi kuchotsa zofiirira pakati pa dera
- Kukhala ndi mphete yofiira kunja, malo ofiira ofiira, ndi kuyeretsa kwa purplish pakati pa dera
- Kukhala ndi mphete yofiira kunja, "redseye" yofiira pakati, ndi malo omveka pakati pa ziwiri (Izi ndizophulika kwambiri ndipo mwinamwake zinayambira pang'ono kwambiri ndi kuyang'ana zochepa monga bullseye.)
- Kukhala wotentha, wotentha, ndipo nthawi zina kumapweteka
- Pang'onopang'ono kukula mpaka kukula kwa masentimita 7 mpaka 14
- Kuyesa kwa pafupi masabata awiri
Matenda-Monga Zizindikiro
Zizindikiro zina za matenda a Lyme zikhoza kufanana ndi chimfine ndipo zingaphatikizepo:
- Fever
- Myalgia (minofu ya aches)
- Chills
- Mutu
- Kutopa
- Zowawa zofanana (arthralgia)
- Kutupa ma lymph nodes (lymphadenopathy)
Ngakhale zizindikirozi zingafanane ndi matenda opatsirana a tizilombo, zizindikiro za matenda a Lyme zingapitirire kapena zimabwera.
Zizindikiro Zambiri
Nthawi zambiri, ngati matenda a Lyme sakuchitidwa, mukhoza kukhala ndi zizindikiro zina masabata, miyezi, kapena zaka zitatha, kuphatikizapo:
- Zambiri za erythema migrans rashes
- Kutupa kwa diso
- Hepatitis (matenda a chiwindi)
- Kutopa kwambiri
Palibe mavuto awa omwe angawonekere popanda zizindikiro zina za matenda a Lyme.
Mavuto a Matenda a Lyme
Zizindikiro zazikulu ndi zovuta zingatheke ngati matenda anu a Lyme sakuchitidwa. Izi zingathe kukhala masiku mpaka miyezi ingapo mutagwidwa ndi nkhupakupa.
Arthritis
Pambuyo pa miyezi ingapo ya matenda a burgdorferi , 30 peresenti mpaka 60 peresenti ya anthu omwe sakhala ndi mankhwala opha tizilombo amakhala ndi zida zowawa zomwe zimakhalapo kwa masiku angapo mpaka miyezi ingapo. Matenda a nyamakazi amatha kusuntha kuchokera ku umodzi umodzi, ndipo mawondo amawopsya.
Nkhani Zokhudzana ndi Nkhono
Matenda a Lyme angasokoneze dongosolo lanu la mitsempha, zomwe zimayambitsa zizindikiro monga:
- Imani khosi ndi mutu waukulu (meningitis)
- Kufa kwa kanthawi kwa minofu ya nkhope yomwe mbali imodzi ya nkhope imamera (matenda a Bell)
- Kukhumudwa, ululu, kapena kufooka kwa miyendo
- Kusayenda bwino kwa minofu
Kusintha kwowonongeka kwina kunayanjananso ndi matenda osatetezedwa a Lyme monga:
- Kutaya kwaiwala
- Kuvuta kuika maganizo
- Sinthani maganizo kapena kugona
Matenda a dongosolo la mitsempha amatha kukhala ndi masabata, miyezi, kapena zaka zikutsatira matenda osatetezedwa. Zizindikiro zimenezi zimapezeka pafupifupi 10 peresenti mpaka 12 peresenti ya anthu ndipo nthawi zambiri zimatenga milungu kapena miyezi.
Mavuto a Mtima
Pafupifupi 1 peresenti ya anthu omwe ali ndi matenda a Lyme amakhala ndi mavuto a mtima monga kusagwirizana kwa mtima, komwe kungayambike ndi chizungulire kapena kupuma pang'ono ndipo kungasonyeze khadi la Lyme-chifukwa cha mtima wamkati. Ndi mankhwala, zizindikirozi sizitha masiku angapo kapena masabata.
Nthawi Yomwe Muwone Dokotala
Kumbukirani kuti si anthu onse omwe ali ndi zizindikiro za matenda a Lyme, zomwe zimapangitsa kuti muwone dokotala wanu ngati mukukula kapena kutentha thupi pambuyo pa kuluma kwa nkhuku, makamaka ngati mumakhala kapena mumapita kudera lomwe muli zambiri za matenda a Lyme. Ku United States, izi zikuphatikizapo kumpoto chakumwera, Mid-Atlantic, kapena kumpoto.
Ngakhale m'madera osokoneza bongo (malo omwe ali ndi matenda ambiri a Lyme), chiopsezo chotenga matenda a Lyme kawirikawiri chimangokhala 3.5 peresenti. Ndizochepa kwambiri chifukwa ngakhale kuti nkhumba zapakati pa 50 peresenti zimakhala ndi kachilombo ka bakiteriya omwe amachititsa matenda a Lyme, anthu ambiri amachotsa nkhupakupa kuti mabakiteriya asanakhale ndi nthawi yokwanira kuti awaphe.
Matenda a Lyme amachiritsidwa mosavuta ndi mankhwala omwe amadziwika nawo. Poyamba mumachiritsidwa ku matenda a Lyme, bwino, koma ngakhale milandu yam'mbuyo nthawi zambiri amamvera bwino mankhwala. Kuyesera magazi kosavuta, komwe nthawi zina kumayenera kubwerezedwa kuti athetse matenda, kungakupatseni mtendere wa mumtima.
> Zotsatira:
> Bramwell KK, Teuscher C, Weis JJ. Kupita Patsogolo kwa Ma Genetic for Elucidation of Novel Regulators of Lyme Arthritis. Malire a ma Cellular ndi Infection Microbiology . 2014; 4: 76. do: 10.3389 / fcimb.2014.00076.
> Zomwe Zingathetsere Kudwala ndi Kuteteza Matenda (CDC). Zizindikiro ndi Zizindikiro za Matenda Osavomerezeka a Lyme. Idasinthidwa pa October 26, 2016.
> Zambiri za SS, Zotsatira za CG, Fischer M. Principles ndi Practice of Matenda a Matenda Opatsirana. 5th ed. Philadelphia, PA: Elsevier; 2017.
> Matenda a Sanford C. Lyme. Mu: Jong EC, Stevens DL, eds. Matenda a Netter's Infectious Diseases. Philadelphia, PA; Elsevier; 2012. doi: 10.1016 / B978-1-4377-0126-5.00071-9.