Nzira yekuona sei chirwere cheLyme-pasina nzombe tsvuku yemaziso

Dzidzo yehutano

Apo mwanakomana wangu Evan aive mugiredhi rechitanhatu, akaenda parwendo rweusiku nekambi yake. Akave nenguva yakanaka neshamwari dzake uye haana kurangarira achirumwa nechinhu. Mavhiki uye mavhiki gare gare, takanga tiri pasi kumahombekombe eDelaware pazororo, uye Evan akatanga kugunun'una pamusoro pemusoro nemhasuru. Rimwe zuva manheru pataibuda tichienda kuice cream, akatiudza kuti mwenje dzemota dzainetsa meso ake. Zviratidzo izvi zvese zvaiita sekunge zvinowedzera kuchirwere cheLyme-asi iye aive asina mukurumbira wekutsvaira nzombe yemaziso.

Mangwanani akatevera, ndakafonera chiremba wedu wevana, Dr. Bruce Lockman we Lockman naLubell Associates muFort Washington, Pennsylvania. Akandikurudzira kutyaira Evan kumba, uko kwaakaedzwa naLyme. Muedzo wakadzoka wakanaka, uye akabva aiswa munzira ye pawone . Isu takagumisa kuti anofanira kunge akatapukirwa kweinenge mwedzi miviri panguva ino (pamwe akarumwa nechikwekwe chenondo pane iyo campout), saka chiremba akamuchengeta pamishonga inorwisa mabhakitiriya kwemavhiki matanhatu. Pakupedzisira, zviratidzo zvakadzikira, uye hupenyu hwakadzokera kune hwakajairwa Evan.

Vamwe vanorwara neLyme havana rombo rakanaka uye vanotsungirira zvakakomba zvenguva refu zvekurapa. Izvi zvinowanzoitika kana chirwere chichienda chisina kurapwa. Pane zvinhu zvinoverengeka zvinonetsa izvo zvinogona kukonzeresa kunonoka kuongororwa. Mhembwe nondo pachayo idiki (nymph chishiki kukura kwembeu yepoppy) uye kuruma kwayo kazhinji hakuonekwe. Iyo nzombe-yeziso kuputika ndicho chinowanzozivikanwa chiratidzo chechirwere cheLyme, asi kusvika pamakumi matatu muzana evanotambura havambowana rash zvachose. Nekudaro, vanhu vazhinji vane hutachiona havana ruzivo rwekuti pane dambudziko kusvikira vaine Lyme kwemavhiki (kana kunyange mwedzi).

Chiyero chekutanga kuongorora chirwere cheLyme chinonzi ELISA (enzyme-yakabatana immunosorbent assay). Inoedza ropa rako kune maLyme antibodies. Immune system yako inogadzira masoja ekudzivirira hutachiona hweLyme. Zvisinei, masoja ekudzivirira chirwere aya kazhinji anotora mavhiki mushure mekunge munhu atapukirwa kuti aoneke muropa rako. Naizvozvo, kududzira mhedzisiro kunogona kunetsa.

Atypical Lyme chirwere zviratidzo

Kana iwe wanga uchinzwa pasi-pemamiriro ekunze mushure mekupedza nguva panze, izvi ndezvimwe zvishoma-zvinozivikanwa zviratidzo zvechirwere cheLyme:

• musoro
• muviri kurwadza
• kunzwisisika kuchiedza
• kuzvimba lymph nodes
• kurwadziwa kwemutsipa
• kuomesa kwemutsipa
• epfupi-kwenguva ndangariro matambudziko

Nhanho dzechirwere cheLyme

Ndakataura naDr Lockman uyo akatsanangura zvakawanda nezve chirwere chinonetsa ichi. Kune matanho maviri eLyme:

• localized (mazuva matatu kusvika makumi matatu mushure mehutachiona)
• kuparadzirwa (inopfuura mwedzi mumwe mushure mehutachiona)

Muchiitiko chake chemudhorobha rePhiladelphia, Dr. Lockman anoti anoona vana vakati wandei mukutanga, nzvimbo yakasarudzika, uye nzira pfupi yemishonga inorwisa mabhakitiriya [vhiki mbiri kusvika kumatatu] yakakwana kuti ibudise masisitimu avo.

Lockman akaronga mamwe ematanho anogona kuitika ekupedzisira nhanho yakaparadzirwa Lyme. Izvi zvinosanganisira arthritis, ine kuzvimba majoini. Moyo unogona zvakare kukanganiswa (kuzvimba kuchikonzera matambudziko emutsindo wemwoyo). Zviratidzo zveNeurologic zvinogona kusanganisira kupora kwaBell (kuoma mitezo kweimwe divi rechiso), meningitis, uye matambudziko ekufunga (kufunga). Iko kunogona zvakare kuve neshanduko yeziso (tsvuku, inflamed iris kana cornea) uye chiropa uye spleen kuzvimba. Nekuparadzira Lyme, IV maantibhakitiriya dzimwe nguva anodikanwa kwenguva yakareba. Kunyangwe, Lockman akawedzera, pane yakanaka yakanaka yekukakavadzana mune rezvekurapa nezve mapatani eanotevera chirwere cheLyme.

Chirwere cheLyme chinowanikwa kupi?

Ikozvino pane mazana matatu nemakumi matatu ezviuru zvechirwere cheLyme gore rega rega muUS makumi masere neshanu muzana ezviitiko izvi zvakawanikwa mumatunhu gumi nemana, kunyanya kumaodzanyemba kwakadziva kumabvazuva (yakatanga kuwanikwa muLyme, Connecticut). , uye Washington nyika. Mwanakomana wangu — airara panze kumaodzanyemba kwakadziva kumabvazuva kwePennsylvania — ndiye ainyanya kuda kurumwa nezvikwekwe nemhara.

Chikwekwe chinotakura chirwere cheLyme chawedzera huwandu hwacho muNorth America nekuda kwekutemazve masango [uye] kuputika kweyevheitera vanhu, anotsanangura Dr. Patrick Gaffney weKoreji yePasi, Ocean uye Nharaunda. kuYunivhesiti yeDelaware.

Nzira yekudzivirira chirwere cheLyme

Kubva muna 2018, kwave paine zviitiko zveLyme mumatunhu ese makumi mashanu. Asi izvi hazvireve kuti hauna nzira yekuzvidzivirira. Kana iwe uchizove uri panze munzvimbo dzine matanda, dzikisa kuratidzwa kweganda rako pahuswa nekupfeka mabhurugwa ane maoko marefu neshati, uye shandisa chishambadza chinodzinga. Nyatsoongorora ganda rako mushure mekuve panze, uye nyatso bvisa chero zvikwekwe nekukasira. (Verenga zvizere ruzivo rwekubviswa kwechikwekwe pano .)

Kunyangwe iwe wakarumwa nechikwekwe kana kwete, gara uchiteerera kune echirwere-kunge zviratidzo sengekutemwa nemusoro, dzungu, kupisa muviri, kurwadziwa kwemhasuru, uye kuneta,izvo zvinogona kuve zviratidzo zvechirwere cheLyme. Uye, zveshuwa, chenjera nzombe-yemaziso kuputika. Kana iwe ukasangana nechimwe cheizvo zvataurwa pamusoro, ona chiremba ipapo ipapo.