Lyme borreliosis: etiology, symptoms a me ka lapaʻau

Lyme borreliosis ua kena ae la ia e spirochetes, a ua pū i hiki ma ticks. He he infectious maʻi wehewehe aku ma ka maʻi papa. Pinepine i ka loli ana i kaʻili, musculoskeletal nenoaiu, ko mākou hopohopo nenoaiu a me ka naau. No ka mea mua manawa tick-hānau Lyme maʻi helu i loko o ka USA (Lime), no laila, i ka maʻi ua i kekahi manawa kapaia - Lyme maʻi.

Lyme borreliosis: etiology.

Ka maʻi ma o na la spirochetes pili ana i ka genus Borrelia. Kuwaena kaua i ticks. Reservoir borreliosis nā holoholona hihiu a me rodents. Muli o kona kulana pinepine, aia no he hui maʻiʻaʻai me tick-hali encephalitis a me Lyme maʻi.

Tick-hanau Lyme maʻi: symptoms.

Ka maʻi Ua kakau ma kela'āinapuniʻole koe Antarctica. No ka endemic wahi nā Rusia Leningrad, Kaliningrad, Tyumen, Yaroslavl, Perm, Tver, Kostroma māhele 'āina, e like me ka Hōʻole akula Hikina, na Urals a me West Siberian wahi. Ua Ua hoʻomanaʻo aʻela i ua hoololiia ma o ka Leningrad māhele tick-hānau Lyme maʻi a me Europa taiga ulu ticks. Infestation vectors paha e mai ka 5 a hiki i 90%. Ke incubation au o ka maʻi nei ma kahi o 14 lā. I kakahiaka nui lapaʻau hoailona o ka maʻi o redness (flushing) o ka ili i ka kahua o ka nahu o Ixodes ticks. flushing o ka ili ua hoʻokāʻoi, pualena kina hiki ana mai i ka 10 kenimika ma anawaena. Waihona moʻokāki hihia ma keia wahi i 60 knm a oi. Over manawa, i ka piko o ka wahi huli keʻokeʻo, a lilo bluish (cyanotic) tinge hana i kekahi apo shape. Ke nahu pńpa ua hana, a laila, i ka rumen. Keia wahi ua mālama no 14-20 lā, a laila nalo. 30-45 lā ma hope o ka nahu o ka nānā mau lapaʻau symptoms o na hui, komo.

Tick-hanau Lyme maʻi: pathogenesis.

Ka wā i iho mailoko o tick nahu Lyme maʻi o ka maʻiʻaʻai. tuha Borrelia komo i loko o kaʻili, a laila, i loko o kekahi mau lā o ka mālama nui? aneii, mailoko o nā māhele o ka dermis, a me ka na nā loko (akepaa, ka naau, ami, lolo). Ke causative hope paha no ka lōʻihi manawa hiki ke IIeEeAIEUIeXAIIUE i loko o ke kanaka kino ana ma o na la maʻi maʻi.

Lyme borreliosis:ʻike.

E hoʻokūpaʻa i kaʻike, (Lyme maʻi) mea e pono ia e ka ao o ke koko. ʻike, a me ka lapaau ana i ka maʻi ua huikau ma ka mea ana i ka ohi ana i hoʻomanawanui 'inikua mōʻaukalaʻikepili' aʻole e hōʻike i ka oiaio o ke nahu. No laila, i ka hoʻomanawanui 'aʻole i loaa kūpono lapaʻau, a hiki alakai i ka kīnā o ke kino. Serological ho'āʻo ai i lawe mai ka hoʻohana 'ana 'ūhū immunoassay. Neurological hoike ana a na hoike o ka spinal loli.

Lyme borreliosis: lapaau.

No ka iapaau ana o ka borreliosis i hoʻokohu 'ia causal a me pathogenetic Inc. Ma nā kuʻina ka loiloi mua o ka maʻi i hoakaka ia antibiotics. Intravenous antibiotics (tetracycline lalani) i loko o kā mākou nā māhele hoʻolako lawa nā hoʻohui like ma cerebrospinal loli. I ka hoʻohana 'ana o antibiotics ma ke kakahiaka nui kuʻina ua ālai' ka hooulu ana o ka cardiac, a me ka neurological complications artralgicheskih. Cutaneous hoikeana o ka borreliosis me ka tetracycline doxycycline i loko o ka mahina. I ka lesions o ka'emi'ōnaehana ma ampicillin, ceftriaxone, cefazolin, roxithromycin, cephalosporin, azithromycin, erythromycin. I ka loli ana o ami maikai pākōlea ai ua loaa ia ia ka hoʻohana 'ole-steroidal Anati-hoʻoʻino ai' (naproksin, hlotazol, indomethacin, plakvinil), analgesics a me physiotherapy.