Kurapa kwe borreliosis nemishonga inorwisa mabhakitiriya. Zviratidzo uye kurapwa kwekwereti inobereka borreliosis, kana chirwere cheLyme

Vamwe vanhu vanotaura nezvechiitiko ichocho sechirwere chinoruma, kwete nekushaya hanya. Asi kana ruzivo rwechidiki pamusoro pengozi yehutachiona kubva kune vakadaro, tinogona kugumisa kuti kune chimwe chinhu chingafunganya pamusoro. Migumisiro yekufamba munzira dzomusango kunogona kuva chirwere chinonzi borreliosis. Muvana nevakuru, zvinogona kukonzera zviratidzo zvakaenzana zvakaoma, izvo zvisina kutarisirwa zvinogona kutungamirira kunyange kuremara.

Chii chinonzwisiswa se-tick-borne borreliosis?

Isai borreliosis, inonziwo chirwere cheLyme kana Lyme borreliosis, chirwere chinotapukira. Inoparidzirwa nekuruma kweiyidid tick. Kubudirira kwechirwere ichi kunotungamirira pakukundwa kwenheyo dzakasiyana siyana uye nhengo. Inogona kuva mwoyo, nervous system, ganda kana manotsi. Izvi zvinokonzerwa nehutachiona husingaperi hutachiona hwakatorwa kubva ku causative agent wechirwere - chirwere cheBorrelia microorganism. Izvi zvakatanga kutanga muna 1975 pakati pevagari veguta reLaima muUnited States.

Kana iwe ukawana zviratidzo zve borreliosis munguva uye wotanga kurapwa nemishonga inorwisa mabhakitiriya, mikana yekuwana rusununguko rwekusununguka ichave yakakwirira chaizvo. Kana kuongororwa kunogadzirisa chirwere cheLyme panguva yekupedzisira uye pashure pekurapa kusina kuverenga kusati kwaitwa, borreliosis inogona kupinda muchimiro chisingaperi chisingagoneki. Nokudaro, usava nemafungiro pamusoro pekukanganiswa kwekanda.

Zvinokonzera

Mitikiti (borreliosis inopinda zvakanyatsonaka ichi chipukanana) inotakura zvinhu zvitatu zvevirusiki zvinogona kuva maitiro anokonzera zvirwere zvinotapukira. Kune avo vanoda kuzvizvidzivirira kubva pakutsvaga kwakadai sechirwere cheLyme, munhu anofanira kunyatsoteerera kurira kweetidid ticks iyo inotapukirwa apo inonwa ropa remhuka rine chirwere. Majeko akadaro anowanzowanikwa munzvimbo dzakanyanyisa, kunyanya munharaunda inosanganiswa nemasango. Sezvakakonzera nzvimbo uko kune ngozi yekutengesa dambudziko, unogona kusarudza nzvimbo dzepakati nechekumadokero kweRussia: Western Siberia, IUals, kuMabvazuva. Iyo causative agent ye borreliosis inowanikwa mune dzimwe nzvimbo dzeEurope uye USA.

Pakupera kwegore nekutanga kwezhizha, kagoti inoratidza basa guru. Nokuda kwechikonzero ichi, nekuda kwechikonzero ichi, nhamba yakakura yevanhu inotapukirwa ne borreliosis. Zvakakosha kuziva kuti hutachiona hunokwanisa kupinda muropa kwete nekuruma chete, asiwo panguva yekuputika, iyo inowanikwa nekuda kwekusabviswa kwayo kusina kunaka.

Panewo mikana yekubata chirwere ichi kuburikidza nekuendesa kwekudya. Iyo mubvunzo wekushandiswa kwezvibereko zvehuya pasina preliminary thermal processing. Inonyanya kukosha panyaya iyi mukaka wembudzi wakasvibiswa. Muchiitiko ichi, chirwere chinonzi borreliosis hachiparidzi kubva kune mumwe munhu ane hutachiwana kune imwe. Asi kana kanoti ikarova mukadzi ane pamuviri, kutapurika kwepiruterine kwehutachiona kunogona kukonzera kusaparara, zvakasiyana-siyana zvepabonde anomalies uye kunyange kufa kwechecheche. Nokudaro, avo vari kutarisira mwana vanofanira kugara vari kure nekugona kusvibiswa nzvimbo panguva yechando-zhizha.

Mechanism of development disease

Sezvambotaurwa pamusoro apa, hutachiona pachahwo hunoitika pakarepo mushure mokunge chironga chacho chakatwa. Borreliosis, uye kuti ive yakanyatsojeka, microorganism-pathogen, inopinda mumakirini emakiromita ari pedyo uye inotanga kuwanda ikoko. Mazuva mashomanana gare gare, Borrelia inopinda mukuyerera kweropa uye inotakurwa pamwe chete nayo mumuviri wose.

Nguva yekudzivirira iyo chirwere ichi kubva pamashure manomwe kusvika kwemazuva mana mushure mokunge chirwere chichiruma. Mhedzisiro yekutsvaira zvakananga kuna Borrelia pane lymph nodes inogona kuve yakagadzirwa lymphadenopathy.

Somugumisiro, utachiona hunopinda mumasumbu, hutachiona hwehutachiona, hutano, mwoyo uye hunogona kugara imomo kwenguva yakareba, kuramba uchiwedzera. Uye kunyange pasinei nokuti chimiro chemuviri chekuzvidzivirira chitema chinogadzira zvirwere zvekare kuitira kuti zviparadze zvipembenene zvinorwisa, hazvibviri kubvisa zvachose chirwere chacho. Pano pane imwe njodzi: ma immune complexes, kusvika pakuonekwa kwakakonzera causative agent ye borreliosis, ndizvo zvinokonzera chirongwa chemotokari. Izvi zvinoreva kuti ma antibodies haasisiri kurwiswa nehutachiona, asi nehutachiviri hwomuviri, iyo yavanofanira kutanga kudzivirira.

Disease borreliosis: zviratidzo

Kubudirira kwechirwere ichi chinotapukira kunogona kugoverwa muzvikamu zvakasiyana:

- Kubata nguva (nguva kubva panguva yekutapukisa kusvika pakuonekwa kwezviratidzo zvekutanga).

- Ndinotamba. Inotanga panguva apo microorganisms iri kuenda kune imwe nzira yekuberekazve mumakirini.

- II danho. Inofanana nechikamu apo borrelia ichipararira kuburikidza nemuviri pamwe neropa.

- III danho. Inogona kurondedzerwa sekusingaperi. Munguva ino, imwe nzira (musculoskeletal kana kutya) inobatwa.

I uye zvikamu zviviri zvinonzi ndezvenguva yekutanga kwechirwere ichi, uye danho rechitatu rinorondedzerwa semakore ekupedzisira. Munyaya iyi, kupatsanurwa uku kwakagadzikana, sezvo pasina kuchinja kwakajeka pakati pavo.

Nzvimbo yekutanga

Zviratidzo zve borreliosis panharaunda ino dzine zvose zviripo uye zvese zvinoratidzwa. Sezviratidzo zvinowanzoonekwa, kusuruvara, fever (38 ° C), musoro, chills, general malaise, aches uye marwadzo muzvibatanidza nemisungo zvinogona kugadziriswa. Mune zvimwe zviitiko, catarrhal phenomena zvinogoneka : kukwezva, kupfupa uye kurwadziwa kwehuro, kamuviri kadiki kamuti.

Kana zviri zviratidzo zvemukati, zviratidzo izvi ndezvizvi: pane imwe nzvimbo iyo chiruma chakaitwa, kune kuvhara, kubwinya uye kuchenesa. Uyewo pane kuumbwa kwegore rinonzi erythema, iro rinozviratidza kune chikamu chikuru chechingwa (70%). Iine chimiro chekudzivirira kwakatsvuka kwakatsvaira kwemazuva akawanda. Kubva kumativi maitiro erythema akafanana nechende yekundu. Panguva imwecheteyo, nzvimbo iyo chiruma chakanga chaitwa inoonekwa pakati: yakaoma zvikuru. Nzira yakakomberedza kana yeovheta yerubvu inogona kuva nemamita 10 kusvika ku 60 mm.

Nekuda kwekunzwa kusingafadzi, erythema yavo yakaita sendiri haisunungu . Muzviitiko zvisingawanzoitiki, kubwinya kunokonzera uye kunya. Nharaunda yekutanga inogona kugara kubva mumazuva mashoma kusvika kumwedzi yakawanda. Asi mune dzimwe nguva, inofanira kuonekwa pamusana pemazuva makumi matatu.

Chikamu chechipiri

Kuwedzera nyaya yacho: "Shingairira zvinokonzera borreliosis: zviratidzo uye kurapwa", zvakakosha kuteerera nzeve apo utachiona hunotanga kuchinja mwoyo, ganda, mafundo uye nervous system. Nguva yenguva ino inogonawo kuva mwedzi yakawanda. Nenguva iyo danho iri rechirwere rinokura, zviratidzo zvinoratidza kuti nguva yekutanga inonyangarika. Paiva nenhoroondo dzakanyorwa apo ixodial tick-borne borreliosis yakatanga pakarepo kubva pachikamu chechipiri kunze kwekuratidzwa kwehuwandu hwehutachiona hwehutachiona uye yegore inonzi erythema.

Kukundwa kwenheyo yehutano panguva iyi kunogona kutsanangurwa nezviratidzo zvinotevera: zvinoparadza zvinowanzoitika mumatope emakumbo uye midzi yemitsipa yemagunha (inotsanangurwa sa radiculopathy).

Izvo zvinokwanisika kubudirira kwe serous meningitis, iyo haisi chinhu kunze kwekuputika kwemashoko. Zvinoratidzika se hypersensitivity kune zvinogumbura, nyoro nyoro, photophobia, kuneta kwakakomba uye kushungurudzika kwemisungo mu nape yemutsipa. Chimwe chiratidzo chemaningitis chingangodaro.

Kana iri mitsipa yakaoma, kakawanda vamwe vanovhiringidzwa nehutano hwepiso. Izvozvo zvekukundwa zvicharatidzwa nekupora kwemaziso emeso: chikafu chinowira mumuromo, meso haasati azarura zvachose, uye chiso chinotaridzika chikaonekwa. Kakawanda kemukari yakagadzikana yakasimbiswa, umo basa reimwe rutivi rwechiso rinotanga kupwanyika uye mazuva mashomanana kana masvondo gare gare - yechipiri. Mukuwedzera kumeso, zvinoparadza zvinogona kukanganisa kuongorora uye optic mitsipa. Izvi zvinogona kuratidzirwa nenzira yekushungurudzika, kuora kwekunzwa, kuonekwa nekuvhiringidzwa kwemaziso ebiso.

Tichifunga nezvekwereti inobereka borreliosis, iyo migumisiro inogona kunge inogona kudarika, inofanira kucherechedza kuti midzi yemigunha yemupempa kana paine chiremera ichiita kuti inzwe seine marwadzo anorwadza, anorwadza, ayo munharaunda yacho inotungamirirwa kubva kumusoro kumusoro, uye munharaunda inotora mutezo.

Chikamu chechitatu

Iyi nguva yekuvandudzwa kwechirwere inogona kuitika kunyange makore mashomanana mushure mekurwa. Panguva ino, borreliosis ine zvinotevera zvinotevera: atrophic acrodermatitis, kukuvadza kwehutachiona hwehutachiona (encephalopathy, polyneuropathy uye encephalomyelitis), chirwere chisingaperi chine arthritis.

Muzviitiko zvizhinji, imwe nzira inoshandiswa: majoints, nervous system kana ganda. Asi kana chirwere ichi chisina kurwisana, zvino mukugadzirwa kwekugadzirisa kunogona kutungamirira mukukundikana kwakakanganiswa kwemaitiro.

Kana chirwere chisingaperi chine arthritis chichirwisana nemamiriro ekutapukanana seyxodic tick-borne borreliosis, zvinogona kukuvadza zvinogona kuiswa kune zvose zviduku uye zviduku. Muchiitiko ichi, martilaginous tishu inogona kutanga kuonda, kuora kwemaitiro kunowanikwa muzvibatanidza, uye osteoporosis inokura mumasangano asina kukwana. Muchigadziriro chekuparadzwa kwakachengeteka, mishonga iri pedyo yakasangana (chronic myositis) ichabatanidzwawo.

Kukundwa kwenheyo yenheyo muchikamu chechitatu kunogona kuzviratidza nenzira dzakasiyana. Zvinokwanisika kukura paresthesia, kuwedzera kana kuderedza kunzwisisika, kuitika kwe marwadzo akasiyana-siyana uye kunyange paresis. Zvinonzwisisika kutarisira kukanganisa kwepfungwa (chiyeuchidzo, njere) uye mutungamiri mabasa (kuenzanisa). Nzeve inogonawo kutambura. Usabvisa kushungurudzwa kwezvikamu zvepachiviri uye kubuda kwesimba rekufa. Zvakakosha kuziva uye kuti vazhinji vanorwara vanoona kushaya simba, kuneta kukuru uye kushungurudzika mupfungwa.

Chimiro chechirwere chechirwere cheLyme

Kana iwe usina hanya nehutano hwehutano uye uchibvumira kuti utachiona husati hwasvibiswa mumuviri, iyo tick borreliosis inopinda muchigarire chisingaperi. Nechimiro chechirwere ichi, pachava nekugara kwakasimba-kufanana nekuderera kwechiitiko. Kana ukasarudza zvipatara zvechirwere zvechirwere zvinowedzera mumhando isingaperi ye borreliosis, iwe unofanirwa kuterera kune zvirwere zvinotevera:

Atrophic acrodermatitis;

- maitiro akasiyana earthritis;

- kukundwa kwenheyo yenheyo nekubatanidzwa kwezvimwe zvezvivako zvayo (zvinogona kunge zvakaparadzwa zvizhinji);

- lymphocytoma.

Kurapa

Kana chirwere chinonzi borreliosis chakanga chichifungidzirwa, murwere anofanira kuiswa muchipatara pasina nguva muchipatare chinotapukira. Kunyanya kana mwana wacho akuvara. Borreliosis muvana inogona kutungamirira kumatambudziko makuru. Uye chete nekubatanidzwa kwechiremba vanachiremba zvinokwanisika kuita chirwere chakakosha, chinangwa chaicho ndechokuparadza ma causative avo vechirwere cheLyme. Zvakakosha kuyeuka kuti pasina kukwana kwakakwana uye panguva yakakodzera, borreliosis inogona kutungamirira kukuremara.

Muchiitiko ichi, kurapa kwe borreliosis nemishonga inorwisa mabhakitiriya kunogona kurondedzerwa senzira inonyanya kushandiswa yekutaridzirwa kwezvirwere zvinokuvadza. Nhau dzakanaka ndeyokuti pakudzvinyirirwa kwehutachiona nemishonga inorwisa mabhakitiriya, kunyange pamutambo wekutanga kune mikana yose yekudzivisa kuve kwehupenyu hwepfungwa neurological and arthrologic.

Nokuda kwechikonzero ichi, kurapwa kwe borreliosis nemishonga inorwisa mabhakitiriya inofanira kutanga sezvichibvira.

Kana tichitaura nezvekutanga kwekutapukirwa, zvakakosha kuziva kuti panguva iyi, mushonga we "Amoxicillin" unoshandiswa kuderedza chirwere ichi. Ichi chirapa chinopera mazuva anenge makumi maviri nemakumi matatu. Yakashandiswa zvakasimba mukutanga kwekutanga uye "tetracycline." Kana iwe usingashande pane erythema, inogona kuenderera kwemwedzi, asi apo Borreliosis inobatwa nemishonga inorwisa mabhakitiriya, kuvhara mhete kunogona kuenderera mberi kare.

Yakapupurira kazhinji kubudirira kwayo uye mishonga yakadai se "Doxycycline." Inonyanya kukosha kune avo varwere vakagadzira chirwere cheganda (benign skin lymphoma, kutama kwegore rinonzi erythema).

Vaya vane chirwere chemagetsi emutsara muchikamu chechipiri vanorayirwa penicillin. Pachigamba chekutanga, zvinoshanda mune zvakaitika kune zvakagadziriswa arthralgia uye myalgia. Sezvinonyanya kukosha ma antibiotic kubva kune boka re cephalosporins, zvinokwanisika kutsanangura "Ceftriaxone". Kushandiswa kwaro kwakakurudzirwa kwekutanga uye nekupedzisira kwehutano hwepfungwa. Iyi mishonga inobatsira kune avo varwere vakagadzira dhigirii yakakura ye arthrioventicular kudzivirirwa pakurarama kwechirwere cheRyme kana arthritis, kusanganisira kusingaperi.

Kazhinji, kurapwa kwe borreliosis nemishonga inorwisa mabhakitiriya kwakaratidza pachako kubva kune zvakanakisisa.

Matanho ekudzivirira

Chirwere cheLyme chinonyanya kukurumidza kuongororwa kuitira kuti irege kukanganwa. Saka, kana zvichikwanisika, nzira yakanakisisa ndeyokudzivirira hutachiona uye kudzivirira nzira isina kunaka yekuratidzira kune utachiona hutachiona pamuviri.

Prophylaxis ye borreliosis zvinoreva kugara munzvimbo dzinogona kugara, zvipfeko zvakapfigwa uye zvipfeko zvinoputira muviri wose (bhuru refu, bhuruku rinonyangadza, sleeve nemikombe). Izvo hazvingave zvisingashamisi kushandisa zvipembenene zvinogona kudzosera zvipembenene.

Kana zvikaitika kuti mite yakasva paganda uye yava nenguva yekuyamwisa, zvino iwe unofanirwa kutarisa dhipatimendi rezvirwere zvinotapukira zvechipatara chiri pedyo pasina nguva. Vachatora ropa kuBorreliosis uye vaone kana utachiona hwaitika. Kuita miedzo, pasina nguva, inokosha inokosha inogona kuregererwa. Kana zvisina kudaro, iwe unofanira kutarisana nezviratidzo zvakakomba zvikuru. Saka, iwe unofanira kushandisa pakarepo mushonga unorayirwa. Kudzivirira kwe borreliosis kuchave kwakanyatsoshanda kana mushure mekuruma kwemazuva mashanu kutora mahwendefa maviri emudhaka "Doxycycline" pazuva.

Zviri pachena kuti chirwere cheLyme, nezvose zvinogona kuparadza, zvinogona kukundwa pasina kunyanya kunetseka kana munhu ane utachiona achikurumidza kubvunza vanachiremba uye anotevera mazano avo.

Saka, takabvunzurudza zvirwere zvinokonzerwa nekwereti, zviratidzo uye kurapa kwehutachiona uye zvinogona kudzivirira. Ngwarira utano hwako!