Txhua Yam Koj Yuav Tsum Tau Paub Txog Kab Mob Lyme

Zoo Siab

• Tus mob Lyme yog dab tsi?
• Cov tsos mob ntawm tus mob Lyme
• Cov tsos mob Lyme mob hauv cov menyuam yaus
• Lyme kho kab mob
• Lyme kab mob
• Cov tsos mob tom qab-Lyme
• Tus mob Lyme puas kis tau?
• Lyme kab mob theem
• Theem 1: Kab mob xub pib
• Theem 2: Cov kab mob Lyme ntxov thaum ntxov
• Theem 3: Tus kab mob Lyme nthuav tawm mus ntev
• Kev kuaj mob Lyme
• Kev tiv thaiv tus kab mob Lyme
• Cov kab mob Lyme ua
• Lyme kis mob
• Nyob nrog tus mob Lyme
• Kuaj seb puas muaj tus mob Lyme

Peb suav nrog cov khoom uas peb xav tias tseem ceeb rau peb cov nyeem. Yog tias koj yuav los ntawm cov txuas hauv nplooj ntawv no, peb yuav khwv tau nyiaj me me. Ntawm no yog peb cov txheej txheem.

Tus mob Lyme yog dab tsi?

Tus mob Lyme yog ib hom mob uas kis los ntawm tus kab mob Borrelia burgdorferi. B. burgdorferi kis tau rau tib neeg los ntawm kev raug tom los ntawm tus yoov tawv nqaij dub lossis tus zuam mos lwj. Tus zuam yuav kis tau tom qab pub mis rau tus mos lwj, noog, lossis nas.

Ib zuam yuav tsum muaj nyob rau ntawm daim tawv nqaij tsawg kawg yog 36 teev kom xa tus neeg mob. Coob leej neeg muaj tus mob Lyme tsis nco qab tias tus zuam tom tau zoo li cas.

Tus kab mob Lyme yog thawj zaug pom muaj nyob hauv lub nroog Old Lyme, Connecticut, xyoo 1975. Nws yog tus mob tshwm sim tshaj plaws nyob rau cov teb chaws Europe thiab Asmeskas.

Cov neeg uas nyob lossis siv sijhawm nyob rau thaj chaw ntoo uas paub tias kis tus mob tau ntau yuav kis tus mob no. Cov neeg muaj tsiaj nyob hauv thaj chaw uas tau mus saib hav zoov hav zoov hav zoov tseem muaj kev pheej hmoo siab yuav kis tau tus mob Lyme.

Cov tsos mob ntawm tus mob Lyme

Cov neeg muaj tus mob Lyme yuav mob rau nws txawv, thiab cov tsos mob kuj yuav sib txawv.

Txawm hais tias tus kab mob Lyme feem ntau raug faib ua peb theem - pib hauv zos, ntxov ntxov, thiab thaum ntxov tawm - cov tsos mob tuaj yeem sib tshooj tau. Qee tus neeg kuj yuav pom tshwm rau yav tom ntej ntawm tus kab mob yam tsis muaj cov tsos mob tshwm sim ua ntej.

Cov no yog qee cov tsos mob tshwm sim ntawm tus mob Lyme:

• ib lub tiaj thiab ncig pob uas zoo li liab lub ntsej muag liab lossis nqaij npog qhov muag nyob txhua qhov chaw ntawm koj lub cev
• nkees
• mob pob qij txha thiab o
• mob ib ce
• mob taub hau
• ua npaws
• o cov qog ntshav o
• pw tsaug zog
• teeb meem kev xav

Hu rau koj tus kws kho mob sai yog tias koj muaj cov tsos mob no.

Tshawb nrhiav paub ntau ntxiv txog Cov tsos mob ntawm tus kab mob Lyme.

Cov tsos mob Lyme mob hauv cov menyuam yaus

Cov menyuam yaus feem ntau muaj tus mob Lyme tib yam li cov laus.

Lawv feem ntau muaj kev:

• nkees
• txha thiab cov leeg mob
• ua npaws
• lwm cov tsos mob ua npaws

Cov tsos mob no yuav tshwm sim sai tom qab kis kab mob, lossis ntau hli lossis xyoo tom qab.

Koj tus menyuam tej zaum yuav muaj tus mob Lyme thiab tsis muaj pob ua pob qhov muag. Raws li kev tshawb pom ntxov, cov ntsiab lus pom tau tias 89 feem pua ​​ntawm cov menyuam yaus muaj pob xoo.

Lyme kho kab mob

Tus kab mob Lyme yog kho tau zoo thaum ntxov. Kev kho rau cov kab mob hauv zos ntxov yog yooj yim 10-14 hnub ntawm cov tshuaj tua kab mob qhov ncauj kom tshem tawm tus mob.

Cov tshuaj siv los kho tus mob Lyme suav nrog:

• doxycycline, amoxicillin, lossis cefuroxime, uas yog thawj cov kab kev kho mob hauv cov neeg laus thiab menyuam yaus
• cefuroxime thiab amoxicillin, uas yog siv los kho tus poj niam uas pub niam mis lossis pub niam mis

Kev siv tshuaj tiv thaiv (IV) tshuaj tua kab mob yog siv rau qee yam mob Lyme, suav nrog cov mob plawv los yog mob hlab plawv (CNS) kev koom tes.

Tom qab txhim kho thiab kom tiav qhov kev kho mob tiav, cov kws kho mob yuav hloov mus rau qhov ncauj noj. Lub hom phiaj tiav ntawm kev kho mob feem ntau yuav siv 14-28 hnub.

, cov kev mob tshwm sim ntawm cov kab mob Lyme tuaj lig uas yuav tshwm sim rau qee leej neeg, raug kho nrog tshuaj tua kab mob rau hauv 28 hnub.

Lyme kab mob

Yog tias koj tau kho tus mob Lyme nrog cov tshuaj tua kab mob tab sis tseem muaj cov tsos mob, nws raug xa mus rau tom qab kab mob Lyme mob los yog kev kho mob tom qab mob Lyme.

Li ntawm 10 txog 20 feem pua ​​ntawm cov neeg muaj tus mob Lyme muaj tus mob no, raws li tsab xov xwm 2016 luam tawm hauv New England Journal of Medicine. Cov tsis paub yog vim li cas.

Cov mob ntsws Post-Lyme tuaj yeem cuam tshuam rau koj qhov kev mus ncig thiab qhov kev txawj ntse. Txoj kev khomob yog tsom rau kev kho kom yooj yim thiab tsis xis nyob. Feem ntau ntawm cov neeg rov qab, tab sis nws tuaj yeem siv ntau lub hlis lossis xyoo.

Cov tsos mob tom qab-Lyme

Cov tsos mob ntawm tus mob Lyme mob zoo ib yam li cov uas tshwm sim ua ntu zus.

Cov tsos mob no yuav suav nrog:

• nkees
• teeb meem pw tsaug zog
• mob pob qij txha lossis cov leeg
• mob lossis o ntawm koj cov pob qij txha loj, xws li koj lub hauv caug, xub pwg, lossis lauj tshib
• teeb meem kev xav thiab qhov cim xeeb nyob ib ntu
• teeb meem hais lus

Tus mob Lyme puas kis tau?

Tsis muaj pov thawj qhia tias Lyme mob kis ntawm tib neeg. Tsis tas li, raws li, cov pojniam cev xeeb tub tsis tuaj yeem xa tus kabmob mus rau lawv tus menyuam hauv lub mis tau.

Tus mob Lyme yog ib hom mob los ntawm cov kab mob kis los ntawm cov zuam mos lwj dub. Cov kab mob no muaj nyob hauv lub cev ntawm lub cev, tab sis tsis muaj pov thawj qhia tias muaj tus mob Lyme tuaj yeem sib kis rau lwm tus neeg los ntawm kev txham, hnoos, lossis hnia.

Kuj tsis muaj pov thawj qhia tias Lyme mob tuaj yeem sib deev lossis sib kis los ntawm cov ntshav sib kis tau.

Kawm kom paub ntxiv seb tus mob Lyme puas kis tau.

Lyme kab mob theem

Tus mob Lyme tuaj yeem tshwm sim ua peb ntu:

• Ntxov laus
• thaum ntxov tshaj tawm
• lig kis

Cov tsos mob koj ntsib yuav yog nyob ntawm theem twg tus kab mob mus.

Cov mob tshwm sim ntawm tus mob Lyme tuaj yeem sib txawv ntawm tus neeg. Qee cov neeg uas muaj nws tsis txhob ua kom tag nrho peb ntu.

Theem 1: Kab mob xub pib

Cov tsos mob ntawm tus mob Lyme feem ntau pib 1 rau 2 lub lis piam tom qab zuam tom. Ib qho ntawm cov xub pib ntawm tus kabmob kis yog ua pob liab vog rau qhov muag.

Cov pob khaus tshwm sim rau ntawm thaj chaw ntawm zuam tom, zuaj ntau zaus, tab sis tsis tas li, xws li qhov chaw liab liab ib puag ncig los ntawm qhov chaw pom tseeb nrog thaj chaw ntawm daim tawv nqaij liab ntawm ntug. Nws yuav sov siab rau qhov kov, tab sis nws tsis mob thiab tsis khaus. Cov pob xoo no yuav maj mam ploj mus rau feem ntau ntawm cov neeg.

Lub npe raug rau cov pob khaus no yog erythema tsiv teb tsaws. Erythema migrans hais tias yog tus yam ntxwv ntawm tus mob Lyme. Txawm li cas los xij, ntau tus neeg tsis muaj cov tsos mob no.

Qee tus neeg muaj cov pob liab liab uas tawv liab, thaum cov neeg uas tsaus nti tuaj yeem ua pob liab liab uas zoo li ua kom doog ntshav.

Cov pob khaus tawm tuaj yeem tshwm sim nrog lossis tsis muaj tus kabmob lossis kis mob sib xws.

Lwm cov tsos mob feem ntau pom nyob rau theem ntawm tus kab mob Lyme no muaj xws li:

• ua daus no
• ua npaws
• tsam mob txhab ntshav
• mob caj pas
• kev pom kev hloov
• nkees
• mob ib ce
• mob taub hau

Theem 2: Cov kab mob Lyme ntxov thaum ntxov

Cov mob Lyme thaum ntxov tau pom tshwm sim ntau lub lis piam mus rau hlis tom qab zuam tom.

Koj yuav mloog tau tias koj tsis xis nyob, thiab tawm pob rau ntawm thaj chaw uas tsis yog zuam tom.

Qeb theem ntawm tus kabmob yog qhov tseem ceeb los ntawm cov pov thawj ntawm cov kabmob sib kis, uas txhais tau tias kis tau kis thoob plaws lub cev, suav nrog rau lwm yam kabmob.

Cov tsos mob tuaj yeem suav nrog:

• ntau yam erythema multiforme (EM) txhab
• muaj kev ntxhov siab nyob rau hauv kev mob plawv, uas tuaj yeem tshwm sim los ntawm Lyme carditis
• cov mob puas hlwb, xws li loog, txhaws qa, ntsej muag thiab cranial hlab ntaws, thiab mob hlwb.

Cov tsos mob ntawm qib 1 thiab 2 tuaj yeem sib tshooj.

Theem 3: Tus kab mob Lyme nthuav tawm mus ntev

Tus kab mob Lyme thaum ntxov raug rau thaum mob kis tsis tau kho nyob rau theem 1 thiab 2. Theem 3 tuaj yeem tshwm sim ntau lub hlis lossis xyoo tom qab raug zuam.

Theem no yog tsiag ntawv los ntawm:

• mob caj dab ntawm ib los yog ntau cov pob qij txha loj
• mob hlwb, xws li encephalopathy, uas tuaj yeem ua rau lub cim xeeb luv luv, ua rau muaj teeb meem nyuaj, lub hlwb tawg, muaj teeb meem nrog cov lus sib tham tom qab no thiab pw tsaug zog.
• loog rau ntawm caj npab, ceg, tes, lossis txhais taw

Kev kuaj mob Lyme

Kev kuaj mob Tus kab mob Lyme yuav pib nrog kev txheeb xyuas koj li keeb kwm kev noj qab haus huv, uas suav nrog saib cov ntawv qhia txog zuam tom lossis chaw nyob ntawm thaj chaw muaj kab mob.

Koj tus kws saib xyuas kev noj qab haus huv tseem yuav kuaj mob lub cev mus nrhiav seb puas muaj pob khaus lossis lwm cov tsos mob ntawm tus mob Lyme.

Pom zoo thaum kuaj thaum muaj kab mob hauv ib cheeb tsam tsis raug pom zoo.

Kev kuaj ntshav yog qhov zoo tshaj plaws nyob hauv ob peb lub lis piam tom qab kis tus kab mob thawj zaug, thaum lub cev tiv thaiv kab mob. Koj tus neeg saib xyuas kev noj qab haus huv tuaj yeem xaj kev sim hauv qab no:

• Enzyme-linked immunosorbent assay (ELISA) yog siv los kuaj cov tshuaj tiv thaiv B. burgdorferi.
• Western blot yog siv los ua kom paub tseeb txog kev ntsuas ELISA zoo. Nws kuaj xyuas seb puas muaj cov tshuaj tiv thaiv rau qhov tshwj xeeb B. burgdorferi cov nqaijrog.
• yog siv los ntsuas cov tib neeg mob Lyme mob caj dab los yog cov tsos mob ntawm lub paj hlwb. Nws yog ua rau cov kua nruab nrog cev los sis kua cerebrospinal kua (CSF). Kev kuaj PCR ntawm CSF rau kev kuaj mob ntawm tus kab mob Lyme tsis yog ib txwm pom zoo vim tias tsis muaj rhiab. Qhov kev kuaj tsis zoo tsis cuam tshuam qhov kev kuaj mob. Qhov sib piv ntawm cov neeg feem coob yuav muaj txiaj ntsig zoo ntawm PCR hauv kev sib koom ua ke yog tias sim ua ntej siv tshuaj tua kab mob.

Kev tiv thaiv tus kab mob Lyme

Kev tiv thaiv tus mob Lyme feem ntau yuav txo qis koj qhov kev pheej hmoo yuav muaj tus zuam tom.

Ua raws li cov kauj ruam nram no los tiv thaiv kev tom zuam:

• Hnav cov ris ntev thiab tsho ntev ntev thaum mus nraum zoov.
• Ua kom koj lub vaj nyom tsis zoo rau zuam los ntawm kev rhuav tshem thaj chaw thaj chaw ntoo, ua kom thaj chaw qis qis rau qhov tsawg kawg nkaus, thiab tso woodpiles hauv thaj chaw uas muaj ntau lub hnub.
• Siv tshuaj tua kab. Ib zaug nrog 10 feem pua ​​DEET yuav tiv thaiv tau koj li 2 teev. Tsis txhob siv DEET ntau dua li qhov xav tau rau lub sijhawm koj tsis nyob sab nraud, thiab tsis txhob siv nws rau ntawm txhais tes ntawm cov menyuam yaus lossis lub ntsej muag ntawm cov menyuam yaus hnub nyoog qis dua 2 hlis.
• Roj ntawm txiv qaub eucalyptus muab kev tiv thaiv zoo ib yam li DEET thaum siv ntau ntau. Nws tsis siv rau cov menyuam yaus hnub nyoog qis dua 3 xyoos.
• Ua neeg xyuam xim. Kuaj xyuas koj cov menyuam, tsiaj, thiab koj tus kheej rau zuam. Yog tias koj muaj tus mob Lyme, tsis txhob xav tias koj tsis tuaj yeem kis mob ntxiv lawm. Koj tuaj yeem mob Lyme ntau dua li ib zaug.
• Tshem tawm cov zuam nrog tweezers. Siv cov tais daig rau ze lub taub hau lossis lub zuam tawm thiab rub maj mam muab. Kuaj xyuas kom ntseeg tau tias txhua daim zuam raug tshem tawm.

Hu rau koj tus kws kho mob yog tias thiab thaum twg zuam tom koj lossis cov neeg koj hlub.

Kawm ntxiv txog yuav tiv thaiv tus mob Lyme li cas thaum uas zuam tom koj.

Cov kab mob Lyme ua

Tus mob Lyme tshwm sim los ntawm tus kab mob Borrelia burgdorferi (thiab tsis tshua muaj, Borrelia mayonii).

B. burgdorferi yog rau cov tib neeg los ntawm kev tom ntawm tus zuam blacklegged, tseem hu ua zuam mos lwj.

Raws li CDC, cov zuam raug mob kis tau tus mob Lyme hauv Tus Qaum Tebchaws Northeastern, Mid-Atlantic, thiab North Central Tebchaws Asmeskas. Western blacklegged zuam kis tus kab mob rau ntawm Pacific Ntug dej hiav txwv ntawm Tebchaws Meskas.

Lyme kis mob

Cov zuam uas muaj tus kab mob B. burgdorferi tuaj yeem muab txuas rau ib qho ntawm koj lub cev. Feem ntau lawv pom muaj nyob hauv thaj chaw ntawm koj lub cev uas nyuaj rau pom, xws li tawv taub hau, qhov tso quav, thiab puab tais.

Tus zuam kis tau yuav tsum txuas rau ntawm koj lub cev ntev li 36 teev thiaj li xa tus kab mob mus rau lwm tus.

Feem ntau cov neeg muaj tus mob Lyme tau raug tom los ntawm cov zuam mos, hu ua nymphs. Cov zuam me me no nyuaj saib heev. Lawv pub mis thaum lub caij nplooj ntoo hlav thiab lub caij sov. Cov zuam cov laus kuj nqa tau cov kab mob, tab sis lawv pom tau yooj yim dua thiab tuaj yeem tshem tawm ua ntej nws kis tau.

Tsis muaj pov thawj qhia tias Lyme mob tuaj yeem kis tau los ntawm huab cua, zaub mov, lossis dej. Kuj tsis muaj pov thawj qhia tias nws tuaj yeem sib kis tau ntawm tib neeg los ntawm kov, sib hnia, lossis muaj kev sib deev.

Nyob nrog tus mob Lyme

Tom qab koj tau kho tus kab mob Lyme nrog tshuaj tua kab mob, nws yuav siv sijhawm ntau lub lim tiam lossis ntau hli rau tag nrho cov tsos mob kom ploj.

Koj tuaj yeem ua cov kauj ruam no los pab txhawb koj rov qab los:

• Noj zaub mov kom zoo thiab zam cov zaub mov uas muaj cov piam thaj ntau.
• So kom txaus.
• Sim txo kev ntxhov siab.
• Siv tshuaj tiv thaiv kab mob thaum tsim nyog ua kom yooj yim mob thiab tsis xis nyob.

Kuaj seb puas muaj tus mob Lyme

Qee lub chaw kuaj ua lag luam yuav sim cov zuam rau cov mob Lyme.

Txawm hais tias koj yuav xav kom kuaj tau tus zuam tom qab nws tom koj, tab sis (CDC) tsis xav kom kuaj rau qhov laj thawj nram qab no:

• Lub chaw soj ntsuam kuaj lag luam uas muab cov zuam sim tsis tas yuav muaj qhov nruj zoo ib yam li cov kev kuaj ntsuas cov chaw kuaj mob.
• Yog zuam kuaj pom tus kab mob ua rau muaj mob, nws tsis txhais tau tias koj muaj tus mob Lyme.
• Qhov tshwm sim tsis zoo tuaj yeem coj koj mus rau qhov kev xav cuav uas koj tsis kis tus kab mob. Koj tuaj yeem raug tom thiab zuam los ntawm lwm tus zuam.
• Yog tias koj kis tau tus mob Lyme, koj yuav pib pib tshwm sim ua ntej koj mus kuaj mob zuam, thiab koj tsis tas tos kom pib kho.