ʻO nā mea āpau āu e ʻike ai e pili ana i ka maʻi ʻo Lyme

Anter

• He aha ka maʻi ʻo Lyme?
• Nā ʻōuli o ka maʻi Lyme
• ʻO nā maʻi maʻi Lyme i nā keiki
• Lapaʻau maʻi Lyme
• Maʻi Lyme
• Nā hōʻailona maʻi Post-Lyme
• He maʻi lele paha ka maʻi ʻo Lyme?
• Nā pae maʻi Lyme
• Kahua 1: Ka maʻi maʻi kūloko
• Kahua 2: Hoʻomaopopo mua ʻia ka maʻi Lyme
• Kahua 3: Late hoʻolaha ʻia ʻo Lyme maʻi
• Kaha maʻi Lyme
• Kāohi maʻi Lyme
• ʻO ka maʻi Lyme ke kumu
• Lawe ʻia ka maʻi Lyme
• Noho me ka maʻi ʻo Lyme
• ʻO ka hōʻailona hōʻoia no ka maʻi Lyme

Hoʻopili mākou i nā huahana a mākou e manaʻo nei he pono no kā mākou poʻe heluhelu. Inā kūʻai ʻoe ma o nā loulou i kēia ʻaoʻao, loaʻa iā mākou kahi kōmike liʻiliʻi. Eia kā mākou hana.

He aha ka maʻi ʻo Lyme?

ʻO ka maʻi Lyme he maʻi lele ia e nā bacteria ʻO Borrelia burgdorferi. B. burgdorferi hoʻoili ʻia i nā kānaka e ka nahu mai ka ʻie ʻeleʻele a i ʻole ka ʻie dia. Ua hele a maʻi ka tick ma hope o ka hānai ʻana i nā dia, nā manu, a me nā ʻiole i ʻino.

Pono e loaʻa kahi kik ma ka ʻili no ka liʻiliʻi ma 36 mau hola e hoʻoili ai i ka maʻi. ʻAʻole hoʻomanaʻo nā poʻe he nui me ka maʻi ʻo Lyme i kahi nahu tick.

Ua ʻike mua ʻia ka maʻi ʻo Lyme ma ke kaona ʻo Old Lyme, Connecticut, i ka makahiki 1975. ʻO ia ka maʻi tickborne maʻamau ma ʻEulopa a me ʻAmelika Hui Pū ʻIa.

ʻO ka poʻe e noho a hoʻolilo manawa ana paha i nā wahi ulu lāʻau i ʻike ʻia no ka lawe ʻana o ka maʻi e loaʻa pinepine i kēia maʻi. ʻO ka poʻe me nā holoholona holoholona e kipa aku i nā wahi ulu lāʻau ua ʻoi aku ka nui o ka makaʻu i ka loaʻa ʻana i ka maʻi Lyme.

Nā ʻōuli o ka maʻi Lyme

Hiki i nā poʻe me ka maʻi Lyme ke ʻano ʻē aʻe iā ia, a hiki i nā ʻōuli ke loli i ke koʻikoʻi.

ʻOiai ua mahele pinepine ʻia ka maʻi Lyme i ʻekolu mau hanana - localized local, ka wā mua i hoʻolaha ʻia, a the late dissemined - hiki ke hoʻopili ʻia nā ʻōuli. E hōʻike pū kekahi poʻe i kahi ma hope o ka maʻi me ka ʻole o nā hōʻailona o ka maʻi ma mua.

ʻO kēia kekahi o nā hōʻailona maʻamau o ka maʻi Lyme:

• kahi pā palahalaha, pōʻai e like me ka oval ʻulaʻula a i ʻole ka maka o ka pipi ma kahi o kou kino
• luhi
• ʻeha puʻupuʻu a me ka ʻōhū
• ʻeha ka ʻili
• ʻeha poʻo
• fiva
• pehu lymph node
• haunaele hiamoe
• paʻakikī paʻakikī

Kāhea koke aku i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau ʻōuli.

E ʻike hou aʻe e pili ana i nā hōʻailona maʻi ʻo Lyme.

ʻO nā maʻi maʻi Lyme i nā keiki

ʻIke pinepine nā kamaliʻi i nā hōʻailona maʻi Lyme like me nā mākua.

ʻIke maʻamau lākou:

• luhi
• ʻeha puʻupuʻu a me nā ʻeha
• fiva
• nā hōʻailona like flu

Kū koke paha kēia mau ʻōuli ma hope o ka maʻi, a i ʻole mau mahina a i ʻole mau makahiki ma hope.

Loaʻa paha i kāu keiki i ka maʻi Lyme a ʻaʻohe o ka wīwī maka maka. Wahi a kahi noiʻi mua, ua hōʻike nā hopena ma kahi o ka 89 pākēneka o nā keiki i loaʻa ka wīwī.

Lapaʻau maʻi Lyme

Mālama maikaʻi ʻia ka maʻi Lyme i nā wā mua. ʻO ka mālama ʻana no ka maʻi kūloko mua he 10- a 14 mau lā o ka lāʻau antibiotic oral e hoʻopau i ka maʻi.

Hoʻohana ʻia nā lāʻau e mālama ai i ka maʻi Lyme:

• doxycycline, amoxicillin, a i ʻole cefuroxime, ʻo ia nā lālani lālani mua i nā mākua a me nā keiki.
• cefuroxime a me amoxicillin, hoʻohana ʻia e mālama i nā wahine hānai a hānai waiū paha

Hoʻohana ʻia nā lāʻau antibiotic Intravenous (IV) no kekahi ʻano o ka maʻi Lyme, me nā mea me ka cardiac a i ʻole ke kikowaena ʻōnaehana (CNS) e komo.

Ma hope o ka hoʻomaikaʻi ʻana a me ka hoʻopau ʻana i ka papa o ka mālama ʻana, e hoʻololi maʻamau nā mea lawelawe olakino i kahi regimen waha. ʻO ka papa holoʻokoʻa o ka hana maʻamau 14 14 mau lā.

, kahi hōʻailona hopena hope loa o ka maʻi Lyme i hiki i kekahi poʻe, mālama ʻia me nā lāʻau ʻaloʻalo waha no 28 mau lā.

Maʻi Lyme

Inā mālama ʻia ʻoe no ka maʻi Lyme me nā lāʻau ʻalopika akā hoʻomau i ka ʻike ʻana i nā ʻōuli, ua kapa ʻia ʻo ia ma hope o ka maʻi ʻo Lyme a me ka maʻi ʻo Lyme ma hope o ka mālama ʻana.

Ma kahi o 10 a 20 pākēneka o ka poʻe me ka maʻi ʻo Lyme ka ʻike i kēia maʻi, e like me kahi ʻatikala 2016 i paʻi ʻia ma ka New England Journal of Medicine. ʻAʻole ʻike ʻia ke kumu.

Hiki i ka maʻi ʻo Post-Lyme maʻi ke hoʻololi i kāu neʻe a me kou ʻike ʻike. Hoʻomumu nui ʻia ka mālama ʻana i ka hoʻoluʻu ʻana i ka ʻeha a me ka hōʻoluʻolu ʻole. Ola ka hapa nui o ka poʻe, akā hiki ke hala i mau mahina a mau makahiki paha.

Nā hōʻailona maʻi Post-Lyme

ʻO nā ʻōuli o ka maʻi ʻo Lyme disease e like me nā mea i kū i nā pae mua.

Pākuʻi ʻia paha kēia mau ʻōuli:

• luhi
• paʻakikī i ka hiamoe
• ʻehaʻeha nā hono a i ʻole nā ​​mākala
• ʻeha a puhū paha i kou mau hui nui, e like me kou mau kuli, nā poʻohiwi, a me nā kuʻe lima
• pilikia i ka noʻonoʻo ʻana a me nā pilikia hoʻomanaʻo wā pōkole
• pilikia pilikia ʻōlelo

He maʻi lele paha ka maʻi ʻo Lyme?

ʻAʻohe mea i hōʻike ʻia he maʻi lele ʻo Lyme ma waena o nā kānaka. Eia kekahi, e like me ka, ʻaʻole hiki i nā wahine hāpai ke hoʻoili i ka maʻi i kā lākou pēpē ma o kā lākou umauma waiū.

ʻO ka maʻi Lyme kahi maʻi i hoʻokumu ʻia e nā bacteria i hoʻoili ʻia e nā ticks blackerged. ʻIke ʻia kēia mau koʻohune i loko o nā wai o ke kino, akā ʻaʻohe mea hōʻike e hiki ke hoʻolaha ʻia ka maʻi Lyme i kekahi kanaka ma o ka ʻūlū ʻana, ka ʻū ʻana, a me ka honi ʻana paha.

ʻAʻohe mea hōʻike e hiki ai i ka maʻi Lyme ke lawe i ka moekolohe a lawe ʻia paha ma o ke transfusion.

E aʻo hou aʻe e pili ana inā he maʻi lele ko Lyme.

Nā pae maʻi Lyme

Hiki ke loaʻa ka maʻi Lyme i ʻekolu mau hanana:

• localized wahi mua
• hoʻolaha mua ʻia
• lohi hoʻolaha ʻia

E hilinaʻi nā ʻōuli āu e ʻike ai ma ke kahua hea ka maʻi.

Hiki ke loli ka holomua o ka maʻi Lyme e kēlā me kēia. ʻAʻole hele kekahi poʻe i loaʻa iā ia ma nā pae ʻekolu.

Kahua 1: Ka maʻi maʻi kūloko

Hoʻomaka ka hoʻomaka ʻana o nā ʻōuli o ka maʻi Lyme 1 a 2 mau pule ma hope o ka nahu ʻana o ka tick. ʻO kekahi o nā hōʻailona mua loa o ka maʻi he ʻōkō maka o ka bipi.

Kū ka pehu ma ke kahua o ka nahu kik, maʻamau, akā ʻaʻole mau, ma ke ʻano he ʻulaʻula kikowaena e hoʻopuni ʻia e kahi kiko me kahi ʻulaʻula ma ka lihi. Mahanahana paha i ka hoʻopā, akā ʻaʻole ʻeha a ʻaʻole ʻili. E mae mālie kēia hū i ka hapa nui o nā kānaka.

ʻO ka inoa kūlana no kēia ʻōpala ka erythema migrans. Ua ʻōlelo ʻia nā ʻano neʻe o Erythema no ka maʻi Lyme. Eia nō naʻe, ʻaʻohe o kēia poʻe ka nui o ka poʻe.

Loaʻa i kekahi poʻe i kahi ʻulaʻula ʻulaʻula paʻa, ʻoiai ʻo ka poʻe me nā ʻeleʻele ʻeleʻele e loaʻa paha kahi ʻōpala e like me ka ʻeha.

Hiki ke kūpikipiki me ka ʻole o ka ʻōnaehana viral a i ʻole flu.

ʻO nā ʻōuli ʻē aʻe i ʻike pinepine ʻia i kēia wā o ka maʻi Lyme:

• haʻalulu
• fiva
• hoʻonui ʻia nā lymph node
• eha ka 'ā'ī
• loli ka hihiʻo
• luhi
• ʻeha ka ʻili
• ʻeha poʻo

Kahua 2: Hoʻomaopopo mua ʻia ka maʻi Lyme

Hoʻolahalaha ʻia ka maʻi Lyme ma mua i kekahi mau pule i kahi mau mahina ma hope o ka nahu ʻana o ka tick.

E loaʻa iā ʻoe kahi manaʻo maʻamau no ka maikaʻi ʻole, a ʻike ʻia paha kahi ʻāwīwī ma nā wahi ʻē aʻe ma mua o ka nahu tick.

Kuhi ʻia kēia pae o ka maʻi e nā hōʻike o ka maʻi ʻōnaehana, ʻo ia hoʻi ka maʻi i palahalaha aʻe i loko o ke kino, me nā mea ʻē aʻe.

Hiki i nā ʻōuli ke hoʻohui pū:

• mau lehelehe erythema multiforme (EM) he nui
• nā haunaele i ka puʻuwai puʻuwai, i hiki ke kumu ʻia e Lyme carditis
• nā kūlana neurologic, e like me ka numbness, tingling, ke alo a me ka cranial nerve palsies, a me ka meningitis

Hiki ke uhi ʻia nā ʻōuli o nā pae 1 a me 2.

Kahua 3: Late hoʻolaha ʻia ʻo Lyme maʻi

Hana ʻia ʻo Late ma hope o ka maʻi Lyme ke mālama ʻole ʻia ka maʻi i nā pae 1 a me 2. Hiki i ke kahua 3 ke hana i mau mahina a mau makahiki paha ma hope o ka nahu ʻana o ka tick.

Kuhi ʻia kēia pae e:

• arthritis o hoʻokahi a ʻoi paha nā hono nui
• nā maʻi lolo, e like me ka encephalopathy, hiki ke lilo i ka hoʻomanaʻo hoʻomanaʻo pōkole, paʻakikī i ka noʻonoʻo ʻana, ka noe noʻonoʻo, nā pilikia me ka pili ʻana i nā kamaʻilio a me ka haunaele hiamoe.
• ʻōlohelohe i nā lima, nā wāwae, nā lima a i ʻole nā ​​wāwae

Kaha maʻi Lyme

Hoʻomaka ka hōʻike ʻana i ka maʻi ʻo Lyme me ka loiloi i kāu mōʻaukala olakino, e pili pū ana me ka ʻimi ʻana i nā hōʻike no nā nahu tick a i ʻole kahi noho ma kahi wahi hopena.

E hana pū kekahi kāu kauka olakino i kahi hoʻokolohua kino e nānā no ke kū ʻana o kahi ʻōpala a i ʻole nā ​​ʻōuli ʻē aʻe o ka maʻi Lyme.

ʻAʻole hōʻike ʻia ka hoʻāʻo ʻana i ka wā o ka maʻi kūloko.

Kūpono loa nā hoʻokolohua koko i kekahi mau pule ma hope o ka maʻi mua, ke loaʻa nā antibodies. E kauoha paha kāu mea mālama ola i kēia mau hōʻike:

• Hoʻohana ʻia ka enzyme-linked immunosorbent assay (ELISA) e ʻike i nā mea pale kūʻē kūʻē iā ia B. burgdorferi.
• Hoʻohana ʻia ka blot komohana e hōʻoia i kahi hōʻike ELISA maikaʻi. Nānā ia no ke kūana o nā mea ʻūpili kikoʻī B. burgdorferi nā polokina.
• Hoʻohana ʻia e loiloi i ka poʻe me ka Lyme arthritis hoʻomau a i ʻole nā ​​ʻōuli ʻōnaehana. Hana ʻia ia i ka wai hui a i ʻole ka wai cerebrospinal (CSF). ʻAʻole hōʻike pinepine ʻia ka hoʻāʻo PCR ma CSF no ka ʻike ʻana i ka maʻi Lyme ma muli o ka haʻahaʻa o ka ʻike. ʻAʻole hoʻokahuli kahi hōʻike maikaʻi ʻole i ka hōʻailona. I ka hoʻohālikelike ʻana o ka hapa nui o ka poʻe i nā hopena PCR maikaʻi i loko o ka wai hui inā hoʻāʻo ʻia ma mua o ka lāʻau antibiotic.

Kāohi maʻi Lyme

ʻO ka pale ʻana i ka maʻi Lyme ka hapa nui o ka hōʻemi ʻana i kou makaʻu i ka ʻike ʻana i kahi nahu tick.

E hana i nā kaʻina hana aʻe e pale ai i nā nahu kik:

• E komo i ka pālule loloa a me nā pālule lima lōʻihi ke hele i waho.
• Hana maikaʻi ʻole i kou pā i nā tikika e ka hoʻomaʻemaʻe ʻana i nā wahi ulu lāʻau, ka mālama ʻana i ka underbrush i kahi liʻiliʻi, a me ke kau ʻana i nā wahie i nā wahi me ka nui o ka lā.
• E hoʻohana i ka mea hoʻopunipuni insect. Hoʻokahi me 10 pakeneka DEET e pale iā ʻoe ma kahi o 2 mau hola. Mai hoʻohana i ka DEET ʻoi aku ma mua o ka mea i koi ʻia no ka manawa ma waho ʻoe, a mai hoʻohana ia mea ma nā lima o nā keiki ʻōpio a i ʻole nā ​​helehelena o nā keiki ma lalo o 2 mau makahiki.
• Hāʻawi ka ʻaila o lemon eucalyptus i ka pale like me DEET ke hoʻohana ʻia i nā like like. ʻAʻole pono e hoʻohana ʻia i nā keiki ma lalo o ka makahiki 3 mau makahiki.
• E makaʻala. E hōʻoia i kāu mau keiki, nā holoholona holoholona, ​​a iā ʻoe iho no nā tick. Inā ua loaʻa ʻoe i ka maʻi ʻo Lyme, mai noʻonoʻo ʻaʻole hiki iā ʻoe ke maʻi hou. Hiki iā ʻoe ke loaʻa i ka maʻi ʻo Lyme ma mua o hoʻokahi manawa.
• Wehe i nā tick me nā tweezers. E noi i nā tweezers kokoke i ke poʻo a i ka waha o ka tick a huki mālie. E hōʻoia inā ua lawe ʻia nā ʻāpana kikiki a pau.

E kāhea aku i kāu kauka inā inā a i ka wā e nahu ai ka tikika iā ʻoe a i kāu mau mea aloha paha.

E aʻo hou aʻe e pili ana i ka pale ʻana i ka maʻi ʻo Lyme ke nahu ʻia ʻoe e kahi tick.

ʻO ka maʻi Lyme ke kumu

Hoʻokumu ʻia ka maʻi Lyme e ka maʻi bacteria ʻO Borrelia burgdorferi (a kākaʻikahi ka, Borrelia mayonii).

B. burgdorferi i ka poʻe ma o ka nahu ʻia ʻana o kahi tick blacklegged, i ʻike ʻia hoʻi me ka tick deer.

Wahi a ka CDC, nā ticks blacklegged i hoʻouna i ka maʻi Lyme ma ka Northeheast, Mid-Atlantic, a me North Central United States. Lawe nā ticks komohana komohana i ka maʻi ma ke Kai Pākīpika o ʻAmelika Hui Pū ʻIa.

Lawe ʻia ka maʻi Lyme

Nā ticks i loaʻa i ka maʻi koʻohune B. burgdorferi hiki ke hoʻopili i kekahi ʻāpana o kou kino. ʻIke pinepine ʻia lākou i nā wahi o kou kino i paʻakikī e ʻike, e like me ka maʻi poʻo, nā ʻāpana lima, a me nā wahi ʻeha.

Pono e hoʻopili i ka tick tick i kou kino ma ka liʻiliʻi he 36 mau hola i mea e hoʻouna ai i ka maʻi bacteria.

ʻO ka hapa nui o ka poʻe me ka maʻi ʻo Lyme ua nahu ʻia e nā ʻōkule ʻole, i kapa ʻia ʻo nymphs. He paʻakikī loa kēia mau kikiki liʻiliʻi e ʻike. Hānai lākou i ka wā o ka puna a me ke kauwela. Lawe pū nā ticks mākua i ka bacteria, akā maʻalahi ka ʻike a hiki ke wehe ʻia ma mua o ka hoʻoili ʻana.

ʻAʻohe mea hōʻike e hiki ke lawe i ka maʻi Lyme ma o ka ea, meaʻai, a wai paha. ʻAʻohe mea hōʻike e hiki ke lawe ʻia ma waena o ka poʻe ma o ka pā ʻana, ka honi ʻana, a me ka moekolohe ʻana.

Noho me ka maʻi ʻo Lyme

Ma hope o kou mālama ʻia ʻana no ka maʻi Lyme me nā lāʻau ʻaloʻalo, e hala paha he mau pule a mau mahina paha e nalo ai nā ʻōuli a pau.

Hiki iā ʻoe ke hana i kēia mau kaʻina e kōkua e paipai i kou ola ʻana:

• ʻAi i nā meaʻai olakino a pale i nā meaʻai i loaʻa ka nui o ke kō.
• E hoʻomaha maha.
• E hoʻāʻo e hoʻēmi i ke koʻikoʻi.
• E lawe i kahi lāʻau anti-inflammatory inā pono e hōʻoluʻolu i ka ʻeha a me ka hōʻoluʻolu ʻole.

ʻO ka hōʻailona hōʻoia no ka maʻi Lyme

E hoʻāʻo kekahi mau hale hana kālepa i nā ticks no ka maʻi ʻo Lyme.

ʻOiai makemake paha ʻoe e hōʻoia i kahi tikika ma hope o ka nahu ʻana iā ʻoe, ʻaʻole koi ka (CDC) i ka hoʻāʻo ʻana no nā kumu aʻe:

• ʻAʻole koi ʻia nā hale hana kalepa e hāʻawi nei i ka hoʻokolohua kelekiko e loaʻa i nā pae hoʻohālikelike o ke ʻano koʻikoʻi e like me nā keʻena diagnostical diagnostics.
• Inā hōʻoia ka tick i kahi meaola maʻi-kumu, ʻaʻole pono ia he maʻi Lyme kāu.
• ʻO kahi hopena maikaʻi ʻole e alakaʻi iā ʻoe i ka manaʻo wahaheʻe ʻaʻole ʻoe i maʻi. Ua nahu ʻia ʻoe a maʻi ʻia e kahi tick ʻē aʻe.
• Inā ua loaʻa ʻoe i ka maʻi ʻo Lyme, hoʻomaka paha ʻoe e hōʻike i nā ʻōuli ma mua o ka loaʻa ʻana o nā hopena hōʻoia tick, a mai kali ʻoe e hoʻomaka i ka lāʻau.