Chirwere cheLyme ndicho chinowanzosavhiringidza zvirwere muUnited States. Inogona kukanganisa manotsi ako, nervous system, moyo, ganda, uye meso. Inoparidzirwa kuburikidza nekurumwa kwemamwe marudzi emitikiti inozivikanwa semagetsi-madonhwe kana mapepa. Zvipembenene zvezvipembenene zvevanhu vakuru zvinenge zvakaenzana nembeu yesame uye nymphal (mwana) maikiti angave akaenzana nenguva iyo pamugumo wemutsara uyu .
Kuderedza kuvharwa kwetikiti ndiko kuchengetedza kwako kwakanakisisa pakubata chirwere cheLyme. Pane nzira dzakasiyana-siyana dzaungashandisa kudzivirira nekudzivirira chirwere cheLyme.
Dzivisa Nharaunda Dzakasvibiswa
Kunyange zvazvo kazhinji kacho chete 1 muzana yezvipembenene zvose zvinokonzera utachiona hweRyme, pane dzimwe nzvimbo inopfuura hafu yavo inogara majekiseni. Vanhu vakawanda vane chirwere cheLyme vanotapukirwa munaMeyi kusvika munaJuly, apo majaya emishonga akawandisa. Mumamiriro okunze anopisa, nondo inoberekedza inokura uye inoruma mukati memwedzi yechando zvakare.
Dhaka dzinokanganisa dzinowanzowanikwa munzvimbo dzine matanda uye dzinosvibira dzine uswa hurefu uye mashizha emashizha, pamwe chete nemasango ane shady ari pedyo, uye anonyanyozivikanwa apo nzvimbo mbiri idzi dzinosanganiswa. Vanogonawo kugara mumasukisi neminda, kunyanya pamucheto wematanda uye pedyo nematombo ematombo akare.
Nemhaka yokuti vanhu vakukoti vakudya vanodya zvokudya, nzvimbo dzinowanzoonekwa nenyango dzinogona kunge dzakachengetwa nhamba dzakawanda dzezvipembenene zvemadota.
Paunopinda mawaniro, famba pakati pemigwagwa kuti urege kusangana neuswa hwakasvibira, mashizha, nemashizha emashizha. Inzvimbo yepaki yemunharaunda kana dhipatimendi rehutano inogona kukuudza kuti ndezvipi zvirwere zvakashata.
Kupfeka Zvakakodzera
Kupfeka dzimwe mbatya kunogona kukubatsira kuti urege kudzivirira. Chimbofunga izvi mazano:
- Pfeka mabheji akareba, shati refu-sleeve, uye masokisi marefu kuti uchengetedze zvipembenene kubva paganda rako.
- Kupfeka zvipfeko zvitsvuku kana zvitsvuku kuitira kuti zvive nyore kuona mazai.
- Pfeka chikwata.
- Isa mushure mirefu refu.
- Pfeka shangu (pasina netsoka kana shangu).
- Tuck pamakumbo mumasokisi kana mabhuti uye tuck shati muchiputi kuti ubatsire kuchengeta zvipfeko kubva mune zvokupfeka.
- Tape nzvimbo iyo mabhegi ako nemasokisi zvaunosangana nazvo kuti udzivise maikiti asingakutswi pasi pekupfeka.
- Usagara pasi zvakananga pasi kana pedyo nemabwe masvingo.
Shandisa Kushandura Kwekiti
Shandisai bhizinesi rakaputika pamapfekete uye shangu musati mapinda munzvimbo dzakaputirwa nemakiti. Shandisa chikafu ne 20% kusvika ku50 muzana DEET (N , N-diethyl-meta-toluamide ) paganda revanhu vakuru uye zvipfeko zvekudzivirira kudzivirira kurwara. Kunyange zvazvo zvakakosha zvikuru, zvinodzivirira zvinogona kukonzera mamwe madambudziko makuru, kunyanya kana iwe ukashandisa zvakanyanya kuwedzera pane ganda rako. Vacheche nevana zvikurukuru vanogona kutambura nekutadza kwakaipa kuDEET. Kana ukagara uchishandisa zvipembenene zvinokonzerwa nezvipembenene nema concentrations eDET kupfuura 15 muzana, unofanira kushamba ganda rako nesipo nemvura, uye usuke chero zvipfeko zvakasakara zvakare.
Permethrin chimwe chimiro chekudzivirira chinouraya zvikanda pahutano. Inogona kuwanikwa pazvitoro zvinotakura magasi uye zvigadzirwa.
Chimwe chekushanda kune zvipfeko uye shangu zvinowanzobudirira kuburikidza nekuwanda kwemashes. Permethrin haifaniri kushandiswa zvakananga paganda.
Shandisa Pesticides (Acaricides)
A pesticide yakagadzirirwa kuuraya makatekiti anonzi acaricide inogona kubudirira mukuderedza zvipembenene zvinopoteredza imba yako. Kana zvakakodzera nguva, kushanda kumwe chete pakupera kwaMay kana kutanga kwaJune (uye zvisarudzo munaSeptember kudzora vanhu vakukoti) zvinogona kuderedza kuwandisa kwevanhu vakawanda. Kunyora pamwero mukuru, zvisinei, zvingasave zvisingakwanisi zvehupfumi uye zvinogona kukonzera kukanganisa kwezvakatipoteredza kana nezvehutano.
Iwe unogonawo kuongorora kufunga nezvekuchengetedza imba yako nebhait box dzinobata mapurisa emusango ne acaricide.
Yakashandiswa zvakajeka, izvi zviyero zvakave zvichiratidzwa kuti kuderedze majee kumativi edzimba neanopfuura 50 muzana. Chikwata hachikuvadza mapurisa. Mushonga wakafanana nemishonga inoshandiswa kudzora fleas nemakiti pamhuka dzemhuka. Mabhokisi emabhadha ikozvino anowanikwa kubva kumakambani ane chirwere chinorambidza chirwere chepest in many states.
Zvidzidzo zviri kuitikawo kubudirira kwepamusoro-soro yakashandiswa acaricides kusvika kune dzimwe nzara panzvimbo yekudyisa. Sezvo nondo dzikadya, dzinobhururuka dzichirwisana nevaranda vanobata acaricide. Kusvika ikozvino, mhinduro dzave dzichikurudzira.
Tarisa NeVane Vehutano Vehutano
The Environmental Protection Agency (EPA) uye nyika yako inodzora zvinouraya. Tarisa nehutano hwehutano pamusoro penharaunda yakanakisisa yekushandisa acaricide munharaunda yako, pamwe nemitemo nemitemo chero ipi zvayo inobatanidza nekushandiswa kwemishonga inoshandisa pesticide paimba yekugara. Iwe unogonawo kuonana nekambani yekambani yezvinouraya kushandisa pesticidhe pamba pako.
Gadzira Chikwata-Chekuchengeteka
Mitikiti inotapira chirwere cheLyme inokura munzvimbo dzine huni huni. Vanofa nokukurumidza mumamiriro okunze ezuva uye akaoma. Maererano neAmerica Lyme Disease Foundation (ALDF), zvipembenene zvedondo hazvigoni kumhanya kana kubhururuka, uye hazvirevi kubva kumusoro kune chipfuwo chinopfuura. Vanhu vanogona kuwana (iyo inosanganisira shiri dzose dzomusango nemhuka dzomusango, mhuka dzomukati, uye vanhu) kuwana maikiti chete nekusangana navo zvakananga.
Kutevera izvi maitiro ekugadzira zvigaro kunogona kubatsira kuderedza nhamba yevanhu vanopoteredza imba yako, munda, kana yadhi:
- Bvisai mashizha emashizha uye bvisa brashe uye uswa pamadzimba uye pamiganhu yegwenzi.
- Itai matanda chiganda kana girava pakati pemakwenzi uye nzvimbo dzine matanda kuti zvirege kudzika kuenda kune imwe nzvimbo kunonakidza.
- Svetera uswa uye bvisa bharashi nemashizha emashizha kazhinji.
- Chengetedza pasi pasi pekudya shiri shiri dzakachena.
- Tora matanda zvakanaka uye munzvimbo dzakaoma.
- Chengetedza midziyo yekuchengetedza, nzvimbo, uye mapao kubva kumativi ejeri nemiti.
Nyaradza Dhiabhorosi
Pane zviito zvakasiyana-siyana zvaunogona kutora izvo zvingabatsira kuderedza zvipembenene zvinopoteredza imba yako muchiedza kubatsira kudzivirira chirwere cheLyme, kusanganisira:
- Usafudza nzara pane yako. Zvinogona kunge zvakakosha kubvisa shiri vafudzi uye kuchenesa zvakasvibiswa shiri.
- Ita zvipingamupinyi zvemuviri (kukudzivirira masvingo) kudzivisa nzara kupinda mujeri rako.
- Batsira kudzora nzara nemiti isingagadziki kana kuti mbeu-uchapupu.
Chengetai Makikiti
Iyo ALDF inotaura kuti mutsara wako wakanakisisa wezvidziviriro pakusangana nechirwere cheLyme ndeyekuti uzviongorore iwe kamwechete zuva rega rega uye kubvisa maikiti ose asati avhara (kuvhurika) neropa. Ita zuva rimwe nerimwe cheki checks kana uri kunze, kunyange iwe pachako. Nyatsoongorora zvose zvipfeko zvako, ganda, uye muviri, kunyanya munzvimbo dzakanyorova, kusanganisira:
- Armpits
- Backs of the knees
- Nape yemutsipa
- Navel area
- Scalp
- Gadzira nzvimbo
- Buttocks
- Waist
Bvisai Makikiti nokukurumidza
Kana iwe ukawana tsanga yakaputirwa muganda rako, usavhunduka. Haasi majee ose ane utachiona. Uyezve, maererano ne ALDF, zvidzidzo zvakaratidza kuti majee ane utachiona kazhinji haagoni kutanga kutumira spirochete (ibhakitiriya inokonzera utachiona hweRyme) kusvikira yabatanidzwa maawa anenge 36 kusvika ku48.
Ramba uri mupfungwa, kana ukawana chikafu chinosungirirwa paganda rako chisati chave chichigadzirwa, zvichida hachina kuvapo kwenguva yakakwana yekudhinda chirwere cheLyme.
Bvisa kanoti pakarepo kushandisa zvishandiso izvi:
- Zvinyoro zviduku zviduku
- Magirazi kana kukudza girazi (kana zvichibatsira / zvinodiwa)
- Gorove kana tisiki
Chenjerera kutevera chimwe nechimwe chezviito izvi zvinokosha:
- Chengetedza kutanga: Tevera zvidziviriro zvepasi rose uye upfeke zvishandiso zvemunhu oga , kana iwe uine.
- Nyorera tsanga pamwe chete nejecha rinoswedera pedyo neganda.
- Shingairira nounyoro, kusingaperi. Kukwezva zvakanyanya kunoparadza shanduko uye kusiya zvimwe. Tora nguva yako. Ikoti iri kuedza kubatisisa, asi iwe uchakunda.
- Ongorora huti kuti uone kuti yose yakabviswa. Iva nechokwadi chekuti muromo wekiti unenge wakasimba; yakatsvaira mitsetse uye musoro wakagadzirwa nemiseve.
- Kana pane imwe yenyoka isipo (kana chiripo, inowanzova musoro), tsvaga kurapwa nokukurumidza kuti uderedze ngozi yako yehutachiwana hwehutachiona. Usadana 911, asi enda kune kliniki yekukurumidza yekuchengetedza kwekugadzwa kwezuva rimwe chete.
- Chengetedza kamuti mune mudziyo usina kuvhara (usaibaya nemaoko asina maoko). Zviri kutakura mabhakitiriya anogona kukurwara iwe, kunyange kana asingakurumidzi zvakare.
- Tarisa murwere (kana iwe pachako) kwemazuva mazhinji. Kana zviratidzo zvechirwere cheLyme zvichionekwa, tsvaka rubatsiro rwechiremba pakarepo. Chiratidzo chekutanga uye chinonyanya kutaura nezvechirwere cheRyme ndechokuti "bullseye rash", inozivikanwa seyerythema migrans.
Zvausingafaniri Kuita Pakubvisa Chikoro
Kusasvibiswa kwekusvitsa kemikisi kunowedzera mukana wekiti inoparadzira utachiona. Chengetedza mazano aya mupfungwa:
- Usapindira, kupwanya, kuseka, kana kukwevera kanoti. Iwe unomhanyira njodzi yekudzikisa musoro wayo.
- Usaedza kupisa tsanga. Paunenge uchitsvaira kuisa mutambo, zvinogona kudzorera ropa rako rose (uye mamwe mabhakitiriya) mumuviri wako uchiedza kuzviita zvishoma kudarika. Kunyangwe iwe ungangodaro wakabviswa nyore nyore kubvisa chirwere ichi, iwe uchave wakanyanya kuwana chirwere cheLyme.
- Usaedza kusvuta fikiti ne petroleum jelly, mineral oil, nail polish, kana zvimwe zvigadzirwa.
- Usabata ruvara rwebhuka. Zvinogona kuita kuti urware.
Kutarisana Nechuti-Yakaratidzwa Ganda, Mvere, uye Zvokupfeka
Kune bvudzi rakaputika uye ganda, kuratidza uye shampoo yakasimba inogona kubatsira kubvisa chero majee, asi ALDF inoti izvi zvinongoshanda chete. Nezvokupfeka, zvinosuruvarisa, kungoshambidza zvipfeko zvako hazvisi kuuraya maikiti. Zvipfeko zvinosungirirwa zvinofanira kunge zvichishanda kuburikidza nesimbi yakasviba pahutano hwakanyanya kwemaminitsi makumi matatu kana kupfuura. Kuchema zvipfeko zvako zvinogona kuurayawo mazai ose asina kuonekwa akasiyiwa pane zvipfeko zvako.
Tarisa Mhuka Dzenyu
Chengetedza mapepa emakiti asati asvitsa mumba, sezvo mhuka dzeshiri dzichigona kutakura nadzo. Aya makateti anogona kugwa asingatori chikafu chako uye obata pamwe nekuruma vanhu. Kunyanya, mhuka dzinogona kuwedzera zviratidzo zvechirwere cheRyme zvakare.
Chengeta Chikoro Chinoitwa
Kana karoti yakabatanidzwa paganda rako kwemaawa masere anopfuura makumi maviri, mukana wako wokuwana chirwere cheLyme chiri chiduku zvikuru. Asi kuti ugare wakachengeteka, chengetedza hutano hwako huri shure kwekukurumidzira kuruma uye uchenjerere chero zviratidzo nezviratidzo zvezvirwere zvinotapirwa . ALDF inokurudzira kuti iwe uone nzvimbo yekurumwa kwekuonekwa kwechirwere chinoratidzika se-bullseye kwemazuva matatu kusvika makumi matatu mushure mekurumwa. Kana kukanganisa kana zvimwe zviratidzo zvokutanga zvichatanga, ona chiremba pakarepo. Kunyangwe iwe ungangodaro warasikirwa nehwindo nekuda kwekudzivirira chirwere cheLyme, kuongororwa kwepakutanga kunogona kukubatsira kuti utange kurapwa nguva pfupi.
Taura Nechiremba Wako
Kana ukapindura "hongu" kumibvunzo inotevera, kurukurai mikana yekutora antibiotics nachiremba wako kana mupi wehutano wehutano:
- Wakanga uri mune imwe nzvimbo iyo chirwere cheRyme chinowanzosvika apo iwe wakagamuchira kagoti yakaruma?
- Iko kanga kacho kakanyanyobatanidzwa kwezuva rimwechete rakazara here?
- Izvo zvave zvichange zvisingasviki kwemazuva matatu kubva pawakabvisa kagoti kana kuti yakabva kwauri?
Kunyange zvazvo kutora mishonga inorwisa mabhakitiriya mushure mekurumwa kwechirwere hakusi nguva dzose inokurudzirwa, zvinogona kubatsira kune vamwe vanhu munzvimbo dzine chirwere cheRyme. Mushandi wako wehutano anofanira kutarisa kana zvakakosha zvekuisa ma antibiotics mushure mekukanganwa kukura kupfuura zvisingabatsiri. Mungozi yekudzivirira chirwere cheLyme kubva kune chirwere chinokonzera chirwere chiduku, kunyange munzvimbo dzakawanda kwazvo, saka vashandi vakawanda vezvehutano vanosarudza kusashandisa mishonga inorwisa mabhakitiriya kuti vabate vanhu vanyoreswa nezvikwereti kunze kwokunge vaine zviratidzo zvechirwere cheLyme.
On-the-Horizon Strategies
Maererano neCDC, dzimwe nzira dzokudzora majeti ari pasi pekuongorora dzinosanganisira:
- Miti uye kugadziriswa kwekugara
- Fungal agents for biological control
- Zvinyorwa zvakasikwa zvinodzora zvakachengeteka
- Chirwere chekudzivirira kurwisa chirwere cheLyme
Chirwere cheRyme Disease Vaccine
Muna December 1998, FDA yakabvumira chirwere chinorwisana neLymerix, LYMErix, yakabudiswa naSmithKline Beecham. MunaFebruary 2002, muiti weLYMErix akazivisa kuti kugadzirwa kwepikisano inopesana kwakagadziriswa, kureva kusakwana kwemutengo wavatengi. CDC inotaura kuti kuchengetedzwa kunoitwa nemushonga uyu kunoderera kwenguva. Nokudaro, kana iwe wakagamuchira chirwere ichi cheRyme kare 2002, zvichida iwe hausisiri kudzivirirwa nehosha yeLyme.
Zvisinei, muna July 2017, Chikafu neDrug Administration (FDA) yakapa mutsara wokutsvaga chirwere chechirwere chinonzi VLA15. Kutsanya-rondedzero kunoreva kuti kuongorora kwechirwere ichi kuchaendeswa mberi, uye ziso rinotarisa kuwanikwa kwepamberi kuvanhu vose. Ichi chirwere chakanga chichikurumidza kutsvaga kurwisana nechinetso chinokura chechirwere cheLyme, icho chinogona kukonzera kuremara kwakakura uye kutambura kwenguva refu kune vamwe.
VLA15 chirwere chinowedzera, izvo zvinoreva kuti inopa kudzivirirwa kune zvinopfuura rimwechete B Borrelia , mabhakitiriya anokonzera chirwere cheRyme. Kunyanya kunyanya, VLA15 inoratidzira kunze kwepasi protein A (OspA), iyo ndiyo puroteni inonyanya kukosha muBorrelia inotamirwa nemakiti. Nokuti inokonzera mitanhatu yakasiyana-siyana yeOspA-inomiririra mitanhatu yakasiyana yakasiyana-siyana yeBorrelia-ichi chirwere chinogona kudzivirirwa kurwisana neLyme chirwere muUnited States, Europe, uye pasi rose.
Muchiedza chekutsvaga kutsvaga, Valneva, kambani inogadzira VLA15, yakasimudza chirongwa chechipiri chemakiriniki. Maererano nekusunungurwa kwekubudiswa kwegore raJuly 2017, chikamu chekutanga I keriniki miedzo inosanganisira vatori vechikamu 180 vanobva munzvimbo nhatu, mbiri muUnited States uye imwe muBelgium.
Muchidzidzo ichi chakasarudzwa, vatsvakurudzi vari kuongorora kuchengetedza uye kushivirira kwemaitiro akasiyana-siyana uye maitiro emuviri weVLA15. Vatsvakurudzi vanozoona kusagadzikana, kana kukwanisa kwechirwere kunokonzera mhinduro yekuzvidzivirira pamuviri, nekuyera maitiro eAnunoglobulin G (IgG) anorwisana nematanhatu matanhatu anowanzoitwa Lyme borreliosis muUnited States neEurope.
Zvirwere zveGG zvinomiririra makumi mapfumbamwe kubva muzana emakiromita mumuviri. Izvi zvinopesana nehutachiona zvinodiwa kuti tidzivirire zvirwere zvebhakitiriya uye hutachiona.
> Sources:
> American Lyme Disease Foundation.
> The Connecticut Agricultural Experiment Station. Yakabatana Tick Management .
> Hinckley AF, Meek JI, Ray JAE, et al. Kubudirira kweReidential Acaricides Kuchengetedza Lyme uye Zvimwe Zvirwere Zvinotakura Muvanhu. Journal of Infectious Diseases . July 15, 2016; 214 (2): 182-188. doi: 10.1093 / infdis / jiv775.
> MPR. Chirwere cheLyme Disease Chinotora Fast Track Status. Yakabudiswa musi waJuly 24, 2017.