Chiremba wako kana mutarisiri wehutano angave akaoma kuongorora chirwere cheLyme nokuti dzakawanda zvezviratidzo zvayo zvakafanana nezvimwe zvimwe zvirwere uye zvirwere. Chiratidzo choga chinoparadzaniswa nehosha yeLyme (iyo erythema migrans, kana kuti "ziso-ziso," rinoputika) haisipo mune chikamu chechina chevanhu vanotapukirwa. Kunyange zvazvo nharaunda yakaruma ingano inokosha yekuongororwa, vanhu vakawanda havagoni kuyeuka kunge vachangobva kunyowa nekiti.
Izvi hazvishamisi nokuti nhengo yekondo ine duku, uye kurwisa kunowanzosuruvara.
Self-Checks
Kunyangwe iwe usingakwanisi kuongorora kana kutonga kunze kwechirwere cheRyme uri woga, unogona kutarisa zviratidzo zvekutaura uye ona kuti unonzwisisa kana uchida kuona chiremba wako. Iwe unofanirwa kugara uchizviongorora iwe, vana vako, uye zvipfuwo zvako zvemakiti shure kwekunge uri kunze. Iva nechokwadi chekutarisa nzvimbo dzakasviba, dzakanyorova sepakati pakati pemakumbo, mumupura, mudumbu remuviri, pamashure emabvi, uye pamusoro. Ramba uchifunga kuti majeti anokwanisa kubva kubva pakukura kwembeu yepoppy kusvika kudarika chechina chema inchi, zvichienderana nokuti vari kupi muupenyu hwavo.
Iwe unofanira kuona chiremba wako pasi pemamiriro aya:
- Kana iwe uine mararamiro akasiyana-siyana emufrans anopisa anouya nematambudziko akawanda echirwere cheLyme, kunyange kana iwe usina chokwadi kuti wakarohwa nekoti. Iyi tsvuku tsvuku inogona kuwedzera uye inogona kutanga kutarisa seziso renzombe.
- Kana iwe une zvirwere-zvinenge zvirwere zvinenge zvisingaendi, uye kunyanya kana uchigara kana kuti uchangobva kuenda kune imwe nzvimbo yeUnited States apo chirwere cheLyme chinowanda (ichi chinosanganisira Northeast, Mid-Atlantic, nekuchamhembe- central states).
- Kana iwe uchiziva kuti iwe wakanga uine chikwata chakavharidzirwa kwemaawa anopfuura makumi maviri uye iwe une mazamu uye / kana zviratidzo zvakaita sefuru.
Iva nechokwadi chekutendera chiremba wako kuziva kana iwe wakarohwa neketi kana kuti iwe wakambosangana nemakanda, kunyange iwe usingatombozivi kuti unorumwa.
Clinical Judgment
Zvakare, vatapi vezvoutano chete vanogona kuongorora chirwere cheLyme. Mukuita kuti kuongororwa kwechirwere cheLyme, mupiki wako wehutano achakurukura zvinhu zvakasiyana:
- Tsanangudzo yezvokurapa zvechiremba
- Kuongorora kwepanyama
- Zviratidzo
- Nguva yegore (kukokwa kunoridzirwa kunowanzoitika mumwedzi yezhizha)
- Tsika / nzvimbo (somuenzaniso, kana iwe usingashandisi nguva iri panze mune imwe nzvimbo iyo chirwere cheLyme chinowanikwa)
- Nhoroondo inozivikanwa yeikombe kuruma
Mune zvimwe zviitiko, kuongororwa kwebhakato kunoshandiswa kutsigira zvinenge zvichifungidzirwa kuongororwa. Mukuwedzera, mutapi wako wehutano achaongorora zvimwe zvirwere zvinogona kukonzera zviratidzo zvako.
Labs uye Miedzo
Kune zvikamu zvitatu zvechirwere cheLyme , kusanganisira:
- Pakutanga nzvimbo yepamunharaunda
- Pakutanga kuparidzirwa
- Nguva inotevera
Zviratidzo zvechirwere chiri pamatanho aya, pamwe chete nehupi hunopfuurira kurapwa, hunogona kuedza kuedza iyo yakaoma.
Mukuwedzera, bhakitiriya rechirwere reLyme zvakaoma kuonekwa murabhoreti miedzo yezviviri zvemuviri kana mvura. Nokudaro, vazhinji vanopa utano hwehutano vanotarisa uchapupu hwehutachiona hunopesana naB burgdorferi muropa rako kuti uone basa rebhakitiriya sechikonzero chezviratidzo.
Vamwe vanhu vane zvirwere zvehutachiona zviratidzo vanogonawo kuwana mutsara wepelinha , iyo inobvumira muchengeti wehutano kuti aone huropi uye musana wechipupuriro kuvhiringidza uye kutarisa maitiro kana mazita ekuberekwa kweB B. burgdorferi mumupfupa wemvura .
Anorifukidza Anoidza
Vashandi vehutano havagoni kugara vakanyatsosimbisa kana chirwere cheRyme chinokonzera zviratidzo. Mumavhiki mashomanana okutanga mushure mekutapukirwa, maitiro e-antibody haatendeseke nokuti maitiro ezvirwere zvemuviri wako haana kubereka ma antibodies akakwana kuti aonekwe. Mishonga inorwisa mabhakitiriya inopiwa kare munguva yeutachiona inogonawo kudzivirira ma antibodies kuti asvike pakuonekwa, kunyange zvazvo mabhakitiriya eLyme ari kukonzera zviratidzo zvako.
Chirwere chepachirwere chinowanzoshandiswa chinonzi EIA (enzyme immunoassay) test, iyo inogamuchirwa neKudya uye Drug Administration (FDA). Kana EIA yako yakanaka, mupi wehutano wehutano anofanira kurisimbisa nechipiri, kuongorora kwakajeka kunonzi Western blot . Miviri miviri yekuedza inofanira kuva yakanaka kutsigira kuongororwa kwechirwere cheLyme. Asizve, migumisiro yakaipa hairevi kuti hauna chirwere cheLyme, kunyanya mukutanga. Chiitiko cheEIA chakanaka hachirevi kuti une chirwere cheRyme kana seanhema-zviitiko zvinoitika.
Batidzira kuongorora
Kunyangwe kana tsanga yakaedzwa uye inowanikwa kuva neRyme Borrelia burgdorferi mabhakitiriya, zvingave zvisingafaniri kuparadzira mabhakitiriya kune ani zvake akarwa. Nokudaro, kuedza kanoti hakuzove chiratidzo chakarurama chekuti mumwe munhu akarwa akawana chirwere cheLyme.
Nokuti kuedza kanoti haisi chiratidzo chinoratidza kutapurirwa kwechirwere cheLyme, zvipatara zvakawanda kana kuti maitiro ekurapa anoitwa nehurumende haazotaridzi maikirusi emabhakitiriya emuLyme. Zvisinei, kune mazana akawanda emakwenzi ega ega anozoedza majeke emabhakitiriya nemitengo kubva pa $ 75 kusvika kumazana emadhora.
Matambudziko Matsva Pasi Purogiramu
Vashandi vehutano vanoda miedzo kuti vatsaure pakati pevanhu vakagadziriswa kubva kune utachiona hwekare uye avo vanoramba vachirwara nehutachiona hwehutachiona. Kuvandudza kururamisa kwechirwere cheLyme chinorwara, National Institutes of Health (NIH) -batsiri vatsvakurudzo vari kuongororazve kuongororwa kwemazuva ano uye kukura mimwe miedzo mitsva inopikira kuva yakatendeka kune iyo iripo ikozvino.
NIH masayendisiti vari kuwedzera miedzo inoshandisa inonzi sentictic genetic engineering technique inozivikanwa se polymerase chain reaction (PCR) uye microarray teknolojia yekuona zvikamu zviduku zvakanyanya zvezvisikwa zvebhakitiriya reLyme kana zvimwe zvigadzirwa mumatumbu uye mumvura. Puroteni yebhakitiriya, kunze kwepasi protein (Osp) C, iri kuratidza kuti inobatsira pakuona kare ma antibodies mune vanhu vane chirwere cheLyme. Sezvo maitiro eBB burgdorferi ave akabatanidzwa, matsva matsva anowanikwa pakuvandudza kunzwisisa kwechirwere uye kuonekwa kwahwo.
Kusiyanisa Kuongorora
Chirwere cheRyme dzimwe nguva chinonzi "Great Imitator" nokuti inowanzonyengedza zvimwe zvirwere zvakawanda, maererano neRymeDisease.org, isiri purogiramu inotsigira kutarisira kwehutano kuvanhu vane chirwere cheLyme pamwe nezvimwe zvirwere zvinokonzerwa nekate. Zvimwewo, mamwe maitiro eArthritis kana zvimwe zvirwere zvinokonzerwa nehutachiona zvinogona kuonekwa zvisina kunaka sechirwere cheRyme.
Zviratidzo zvechirwere cheLyme zvinogona kutevedzera mamiriro akadai se:
- Influenza (chirwere)
- Infectious mononucleosis
- Rheumatoid arthritis
- Fibromyalgia
- Chronic tired fatigue syndrome
- Multiple sclerosis
- Chirwere cheAlzheimer
- Chirwere chemoyo
- Migraine headaches
- Lymphoma
Mupiki wako wehutano achabva atarisa zvose izvi zvingaitika pakuita kuongororwa.
Pakutanga vs. Nekuona Kuziva
Chirwere cheLyme chakaonekwa kwenguva yakareba, uye mabhakitiriya anotapukira anoita kuti zvive nyore kukwanisa kuziva, kuti varwere vazhinji vane chirwere chekutanga cheLyme vanogona kuwana chiremba anogona kunyatsozvifungisisa. Kunyangwe avo varwere avo vanotaurirwa nachiremba kuti zviratidzo zvavo zvose zviri mumisoro yavo vanowanzokwanisa kuwana mumwe chiremba kuti avabatsire kuwana zvakajeka kuongororwa.
Asi mune dzimwe nguva, varwere vanowana kuoma kukuru mukuwana chirwere cheLyme kuongororwa. Uye izvi ndezvokuti pane gakava rinopoteredza chirwere chakadaro kune varwere vasingatambudzi zviratidzo kusvikira kwenguva refu mushure mekunge vangave vachinge vachinge vachinge vachinge vachingororwa. Kunyange zvazvo vamwe vanhu vachiratidza zviratidzo, kusanganisira yekare "ziso reziso," zvinotanga kukurumidza kuruma, zvinoita kuti zviratidzo zvisazoonekwa kwemwedzi kana makore pashure pokunge watapukirwa.
Uyezve, vamwe varwere vanorapwa kare nemishonga inorwisa mabhakitiriya, asi iyo mishonga inorwisa mabhakitiriya haiti kuparadza zvachose bhakitiriya reLyme Borrelia , kana zvimwe zviratidzo zvinowanikwa kunyange kana pasina chiratidzo chehutachiona hunopera huripo.
"Chirwere" Chirwere cheRyme Kugona Kurwisana
Kunyange zvazvo pasina munhu anoramba kuti vamwe vanhu vakabata zvakakodzera chirwere cheLyme vanoramba vachiratidza zviratidzo, kune mhirizhonga huru pamusoro pezvaanodanwa, chii chinokonzera, uye kuti chinonyatsorapwa sei. Yakanzi "chirwere chisingaperi chine Lyme"; ICentral for Disease Control and Prevention (CDC) inoshevedza iyo inorapwa-Lyme disease syndrome (PTLDS).
Kushandisa izwi rokuti "risingaperi" rinoratidza kuti hutachiona nekuputika zvichiripo, asi kune PTLDS, pane uchapupu hushoma hwokuti iyi ndiyo mamiriro. Nhaurirano yacho haina zvishoma pamusoro pekuti varwere vachiri kurwara zviratidzo zvemuviri uye zvakawanda pamusoro pekunge zvakakonzerwa nehutachiona hunoramba huripo uye kana vanhu vane PTLDS vachifanira kurapwa nemishonga inorwisa mabhakitiriya-mushonga unogona kunge usingangorangarirwi chete asi unogona kuunza matambudziko makuru kune ava varwere .
Kutaura zvazviri, CDC inobatanidzwa nedzimwe masangano anozivikanwa uye anoremekedzwa mune zvehutano uye zviremera muUnited States mukujekesa kuti uchapupu huripo hahutsigiri pfungwa yokuti "chirwere chisingaperi chine Lyme" chinokonzerwa nehutachiona hunoramba huripo neByme bacterium; ichi ndicho chikonzero vanosarudza zita rokuti "post-treatment Lyme disease syndrome." Aya mapoka anosanganisira Infectious Diseases Society of America (IDSA), American Academy of Neurology, uye NIH.
Uyezve, vashandi vehutano vanobata PTLDS nemishonga yakareba kwenguva refu inogona kunge vari kuisa varwere vavo pangozi isina kukodzera uye kuwedzera mazana emishonga inorwisa mabhakitiriya.
Kutsvaka Kusingaperi Kuziva
Kana iwe uchida kuti une PTLDS, kana chirwere chisingagumi cheRyme, tsvaga chiremba anonzwisisa shanduro yemazuva ano iri shure kwechirwere cheLyme uye mushure mekurapa Lyme chirwere chirwere, kunyange kana vasingakwanisi kudana chiRyme chisingaperi.
> Sources:
> Blaser M. Antibiotic Overuse: Rega Kuuraya kweBabheriya Inobatsira. Nature . August 25, 2011; 476: 393-394. doi: 10.1038 / 476393a.
> Centers for Disease Control and Prevention (CDC). Testing Process-Two-Step Laboratory. Yakarongwa musi waMarch 26, 2015.
> National Institute of Allergy and Infectious Diseases. Chirwere Chisingaperi Chirwere. National Institutes of Health. Yakapedzwa musi waSeptember 3, 2015.