Lyme borreliosis: etiology, mgbaàmà na ọgwụgwọ

Lyme borreliosis e mere site spirochetes, na a na-ebute site ná site akọrọ. Ọ bụ ọrịa na-efe ọrịa ji a-adịghị ala ala N'ezie. Ọtụtụ mgbe, ndị na-emetụta anụ ahụ, nweekwa usoro, ụjọ usoro na n'obi. N'ihi na oge mbụ nne Mmetụta kesara ọrịa Lyme edenyere na USA (wayo), otú ahụ ka ọrịa a na-akpọ mgbe ụfọdụ - ọrịa Lyme.

Lyme borreliosis: etiology.

The ọrịa na-eme ka spirochetes nke na genus Borrelia. Intermediate ụsụụ ndị agha na- akọrọ. Esite borreliosis bụ anụ ọhịa na òké. Ọtụtụ mgbe, e nwere a mbuaha ọrịa na akọrọ na-ekesa ụbụrụ na ọrịa Lyme.

Akọrọ na-ekesa ọrịa Lyme: mgbaàmà.

The ọrịa e debara aha na bụla ma e wezụga Antarctica. N'ihi jupụtara ejupụta ebe gụnyere Russia Leningrad, Kaliningrad, Tyumen, Yaroslavl, Perm, Tver, Kostroma mpaghara, nakwa dị ka Far East, na Urals na West Siberia mpaghara. Ọ na-eti na na Leningrad region nne Mmetụta kesara ọrịa Lyme na-agafere na European apịtị ọhịa akọrọ. Infestation Vektọ nwere ike si 5 90%. The incubation oge nke ọrịa bụ banyere 14 ụbọchị. Early adakarị ịrịba ama nke ọrịa nācha ọbara-ọbara (flushing) nke anụ na saịtị nke aru nke Ixodes akọrọ. flushing nke anụ na-enwekwukwa, reddened ntụpọ nwere ike ịlele ruo 10 sentimita n'obosara. Account ikpe ebe a ntụpọ ruru 60 cm ma ọ bụ karịa. N'ime oge ahụ, center nke ntụpọ amama-acha ọcha na-aghọ bluish (cyanotic) tinge etolite a mgbanaka udi. Na aru jikọrọ ọnụ na-kpụrụ na mgbe ahụ rumen. Nke a ntụpọ na-nọ maka 14-20 ụbọchị mgbe kpamkpam. 30-45 ụbọchị mgbe aru nke kwuru, adakarị mgbaàmà nke esịtidem ngwa ndisịn idem.

Akọrọ na-ekesa ọrịa Lyme: pathogenesis.

Mgbe ihe oria akọrọ ata Lyme ọrịa ọrịa. asu Borrelia nweta n'ime anụ, wee n'ime ụbọchị ole na ole nke ọzụzụ kpụ ọkụ n'ọnụ ozuzu, ife efe n'akụkụ ndị ọzọ nke dermis na esịtidem akụkụ (imeju, obi, njikọ, ụbụrụ). The causative gị n'ụlọnga maka a ogologo oge nwere ike metụtara nanị akụkụ ụfọdụ n'ime ahụ mmadụ mgbe na-eme ka ala ala ọrịa.

Lyme borreliosis: nchoputa.

Iji gosi nchoputa (ọrịa Lyme) dị mkpa iji mee ka a na-amụ ọbara. Nchoputa na ọgwụgwọ nke ọrịa na-mgbagwoju anya site eziokwu na collection of ndidi ọgwụ akụkọ ihe mere eme data adịghị egosi eziokwu nke aru. Ya mere, ndị ọrịa anaghị enweta ọgwụgwọ kwesịrị ekwesị, bụ nke pụrụ iduga nkwarụ. Serological ule rụrụ iji enzyme immunoassay. Akwara ozi ngosipụta na-enyocha spinal ọmụmụ.

Lyme borreliosis: ọgwụgwọ.

Maka ọgwụgwọ nke borreliosis Họpụtara Ịbụ causal na pathogenetic ọgwụ. Na mbụ nkebi nke ọrịa idepụta ọgwụ nje. Igba ogwu n'akwara ọgwụ nje (tetracycline n'usoro) na kacha doses na-enye zuru ezu kasịnụ ke cerebrospinal ọmụmụ. The ojiji nke ọgwụ nje ná mmalite nkebi egbochi mmepe nke gbasara obi, na akwara ozi nsogbu artralgicheskih. Cutaneous ngosipụta nke borreliosis na tetracycline doxycycline n'ime a ọnwa. Mgbe ọnya nke ụjọ usoro on ampicillin, ceftriaxone, cefazolin, roxithromycin, cephalosporin, azithromycin, erythromycin. Na otụk nkwonkwo ọma ọgwụgwọ mmetụta na-enwetara mgbe eji na-abụghị steroidal mgbochi mkpali ọgwụ ọjọọ (naproksin, hlotazol, indomethacin, plakvinil), analgesics na physiotherapy.