Lyme borreliosis: etiology, zviratidzo uye kurapwa

Lyme borreliosis kunokonzerwa spirochetes, uye pachishandiswa zvikwekwe. It is zvirwere dzinoratidzwa chirwere kosi. Kazhinji sei ganda, zvetsandanyama nemapfupa hurongwa, tsinga uye mwoyo. Kokutanga tick nezvipembenene chirwere cheLyme vakanyorwa muna USA (Lime), saka hosha unowanzonzi - chirwere cheLyme.

Lyme borreliosis: etiology.

The anokonzera zvirwere spirochetes kungova genus Borrelia. Zvenguva wehondo vari zvikwekwe. Dam borreliosis vari mhuka uye nemakonzo. Kazhinji, pane zvakasiyana chirwere pamwe chishambwe nezvipembenene encephalitis uye chirwere cheLyme.

Gupa nezvipembenene chirwere cheLyme: zviratidzo.

The chirwere rakanyoreswa kumativi ose kondinendi kunze Antarctica. For endemic nzvimbo dzinosanganisira Russia Leningrad, Kaliningrad, Tyumen, Yaroslavl, Perm, Tver, Kostroma nharaunda, uyewo East Far, ivo Urals uye West Siberian kumatunhu. Zvinonzi akayeuka kuti Leningrad nharaunda tick nezvipembenene chirwere cheLyme Kutamiswa uye European taiga dondo nezvikwekwe. Infestation vectors zvingava 5 kusvika 90%. The incubation Nguva chirwere anenge 14 days. Early kunotoda chiratidzo chirwere ndiyo akatsvuka (Flushing) ganda iri nzvimbo kuruma Ixodes nezvikwekwe. Flushing ganda kunosimudzirwa, reddened gwapa anogona kuyera kusvika 10 masendimita ari dhayamita. Account zviitiko apo nzvimbo iyi zvasvika masendimita 60 kana kupfuura. Nokufamba kwenguva, Nhongonya gwapa akatendeuka chena uye anova rinokwanisa kucheneruka (cyanotic) tinge kuumba mhete chimiro. The nokuruma goko achiumbwa uye ipapo rumen. nzvimbo iyi yakaramba kwemazuva 14-20 uye haarambi. Mazuva 30-45 mushure kuruma akaona zvekuchipatara zviratidzo yomunyika nhego kubatanidzwa.

Gupa nezvipembenene chirwere cheLyme: pathogenesis.

Kana ane utachiona gupa inoruma chirwere cheLyme utachiona. mate Borrelia kupinda ganda, uye ipapo mashomanana mazuva ndichibvunza maberekero, kombera dzimwe dermis uye zvomukati (chitaka, mwoyo, majoini, pfungwa). The causative mumiririri kwenguva refu nguva inogona vemunyika mumuviri womunhu apo anokonzera chirwere.

Lyme borreliosis: kuongorora chirwere.

Kuzosimbisa chirwere (chirwere cheLyme) Zvakakodzera kuti kudzidza ropa. Chirwere uye pakurapa chirwere rakaoma nokuti kuunganidzwa murwere yezvokurapa nhoroondo Data hariratidzi chokwadi pamusoro nokuruma. Saka murwere haagamuchiri zvakakodzera kurapwa, izvo zvingaita kuti vakaremara. Serological nemiedzo kunze kushandisa enzayemu immunoassay. kuratidzwa chetsinga uye kuongorora musana mvura.

Lyme borreliosis: kurapwa.

Nokuti kurapa borreliosis ratidzai causal uye pathogenetic kurapa. In kwokutanga nzendo chirwere mishonga inorwisa mabhakitiriya. Intravenous mishonga (tetracycline mutsara) mu kunonyanyisa mishonga hunopa kuwanda zvakakwana mune cerebrospinal mvura. Kushandiswa inorwisa mabhakitiriya ari tanga kunodzivisa kutanga cardiac, uye chetsinga matambudziko artralgicheskih. Cutaneous Kuratidza borreliosis pamwe tetracycline doxycycline mukati mwedzi. Apo maronda ose tsinga iri ampicillin, ceftriaxone, cefazolin, roxithromycin, cephalosporin, azithromycin, erythromycin. In njodzi majoini zvakanaka kuchirapa kushanda inotengwa paaishandisa non-steroidal Anti-anogumbura zvinodhaka (naproksin, hlotazol, indomethacin, plakvinil), analgesics uye physiotherapy.