Lyme borreliosis: etiology, matšoao le kalafo

Lyme borreliosis ho bakoa ke spirochetes, 'me e fetisoa ke liboseleise. Ho ke mafu a tšoaetsanoang tšoauoa ka tsela e sa foleng. Atisa ho ba letlalo amehang, musculoskeletal tsamaiso, tsamaiso ea methapo le pelo. Ka lekhetlo la pele letshwao-jere Lyme lefu ngolisitsoeng ka USA (Lime), kahoo lefu le ka linako tse ling bitsoa - lefu Lyme.

Lyme borreliosis: etiology.

Lefu le utloisang spirochetes bao e leng ea genus Borrelia. mabotho lipakeng ke liboseleise. Pokello borreliosis ke liphoofolo tse hlaha le litoeba. hangata ha ho, ho na le tshwaetso e tsoakiloeng le letshwao-jere ho ruruha ha boko le lefu Lyme.

Letshwao-jere lefu Lyme: matšoao.

Lefu lena le ile ngolisitsoeng ka mong le e mong k'honthinente ntle Antarctica. Bakeng sa dibaka tsa tloaelehile haholo kenyeletsa Russia Leningrad, Kaliningrad, Tyumen, Yaroslavl, Perm, Tver, Kostroma sebakeng, hammoho le Bochabela bo Hōle, le Urals le West Siberia libakeng. E o ile a hopola hore ka sebakeng Leningrad letshwao-jere lefu Lyme e isoa le European taiga moru na liboseleise ka. Infestation vectors e ka ba ho tloha 5 ho ea ho 90%. The poloko nako ya lefu lena le ke ka matsatsi a 14. Early litleleniki tsa pontšo ea lefu lena le ke redness (e phallang) tsa letlalo sebakeng seo ba longoa Ixodes na liboseleise ka. e phallang ea letlalo e ntlafatsoa, reddened letheba ka lekanya ho fihlela ho disentimetara 10 le bophara ba. Maemong a Account moo nģalong ena e ile ea fihla ho ba 60 cm, kapa ho feta. Ha nako e ntse, e le setsi sa hang-hang fellang kateng tšoeu 'me e ba type genus (cyanotic) tinge theha reng sebopeho. The loma banana peels Ho thehoa joale e ntan'o ba koko. nģalong ena e boloketsoeng matsatsi a 14-20 ebe disappears. matsatsi a 30-45 ka mor'a ho longoa matšoao a lemohiloeng ea tleleniki ea ho kenya letsoho ka hare le lekala.

Letshwao-jere lefu Lyme: pathogenesis.

Ha e letshwao tšoaetso loma lefu Lyme ke tšoaetso. mathe Borrelia fumana ka letlalo, 'me joale ka mor'a matsatsi a seng makae a ho ikatisa tse matla, tšoaetsa likarolo tse ling tsa dermis le litho tse ka hare (sebete, pelo, manonyeletso, boko). The moemeli causative bakeng sa nako e telele ka ho localized ka 'mele oa motho ha a etsa hore lefu le sa foleng.

Lyme borreliosis: tepelletse maikutlong.

Ho tiisetsa tepelletse maikutlong (Lyme lefu) ke ho hlokahala hore ho etsa thuto ea mali. Tepelletse maikutlong le kalafo ea lefu lena le thatafatsoa ke taba ea hore pokello ea ya data mamello histori ya kalafi ha bontsha hantle tsa loma ena. Ho joalo le ka ba le mamello ha e fumana kalafo e loketseng, e leng ho ka etsa hore ho holofala. liteko Serological atlehe ho sebelisa potlakisang tsebetso ea lik'hemik'hale immunoassay. liponahatso methapo ea kutlo le ho hlahloba mokelikeli lesapo la mokokotlo.

Lyme borreliosis: kalafo.

Bakeng sa kalafo ya borreliosis thongwe e bakang le phekolo pathogenetic. Ka mekhahlelo ea pele ea lefu lena le ho laela lithibela-mafu. Intravenous lithibela-mafu (tetracycline mola) ka tekanyetso lebetsoeng le e fana ka concentrations lekaneng ka mokelikeli cerebrospinal. Ho sebelisoa ha lithibela-mafu ka mekhahlelo e mathoasong a thibela ntshetsopele ya cardiac, 'me mathata a methapo ea kutlo artralgicheskih. liponahatso Cutaneous tsa borreliosis le tetracycline doxycycline ka hare ho khoeli. Ha diso ea tsamaiso ea methapo ea kutlo ho ampicillin, ceftriaxone, cefazolin, roxithromycin, cephalosporin, azithromycin, erythromycin. Ka manonyeletso anngoeng ke likoluoa ntle phekolo e le hantle e ile a fumana ha ba sebelisa batho bao e seng steroidal-ba khahlanong le a hlabang lithethefatsi (naproksin, hlotazol, indomethacin, plakvinil), analgesics le ea physiotherapy.