Berlioz Cuta: duka biyu bayyananne dalili, description, kuma musamman magani

Berlioz ta cuta - wani cutar daukar kwayar cutar ta hanyar cizon kwari, musamman ticks. Yana yana lalacewa ta hanyar kwayoyin cuta na HALITTAR Borrelia, da kuma dangane da nahiyar ra'ayoyi iya bambanta.

binciken

A farko records da wannan cuta ta bayyana a shekarar 1975 a Amurka. A farko idan aka rajista a cikin karamin gari na Lyme, a Connecticut. Saboda haka sunan. Dalilin da nazari an roko ga CDC (Center Kula da Cututtuka) iyaye wanda yara kamu da "na yara rheumatoid amosanin gabbai" (JRA). Daga baya ya bayyana cewa irin wannan bayyanar cututtuka ma da dama adult. Saboda haka, ba zato ba tsammani, Berlioz (Lyme cuta) da aka gano.

exciter

A m na pathogen da cutar a jihar ne kaska na HALITTAR Ixodes. Wadannan kwayoyin rayuwa da asali da HALITTAR Borrelia spirochetes. Lokacin da allura a cikin mutum kwayoyin bayan kwaro cizo da suka watsu a cikin jini da kuma wuce da jini-kwakwalwa shãmaki, samun shiga cikin cerebrospinal ruwa da kuma haddasa neurological bayyanar cututtuka.

Wannan HALITTAR na mites rayuwa a ko'ina. Musamman sau da yawa da shi ya auku a Arewacin Hemisphere. Amma a nan ya views iya bambanta, dangane da nahiyar da kuma na duniya.

rarrabuwa

Akwai da dama halaye, wanda ƙayyade da siffar da kuma irin na asibiti hanya na cutar. Ga kowane daga cikinsu akwai mai daidai sashe.

• Forms: latent (latent). bayyanãwa (bude).
• Domin: kaifi. subacute. kullum.
• Alama: bezeritemnaya. erythema.
• Shafa yankin: juyayi tsarin, fata, da gidajen abinci.
• Tsari mai tsanani: m, matsakaici, mai tsanani.
• Kamuwa: seronegative. seropositive.

Kowace daga cikin wadannan abubuwa da aka nuna a cikin asibiti ganewar asali da aka nuna a cikin magani da kuma hanya da cuta. Saboda haka, yana da muhimmanci hukunci da abin da muka yi don ya sami damar zabi da hakkin dabara.

etiology

Berlioz ta cuta ne ya sa ta kwayoyin na HALITTAR spirochete - Borrelia burgdorferi. Wannan gram-korau kananan kwayoyin ciwon flagella. Yana tsiro da kyau a cikin ruwa kafofin watsa labarai tare da hadaddun gina jiki abun da ke ciki. A form yake kama da kumshe wadansu abubuwan karkace cewa rotates sannu a hankali. A kan bãyan tẽkun kwayoyin da antigens cewa sanin su bayani dalla-dalla daga gare subpopulations, da kuma samar da compartmentalized rigakafi martani.

An ware wani dozin bambance-bambancen karatu na wannan fitowa, wanda ake samu a dukkan sassan duniya. Asibiti, an tabbatar da cewa ta Borrelia serotype m asibiti hoto da cutar. Saboda haka, a karkashin Lyme cuta ba ya nufin wani guda cuta, amma a dukan rukuni na kama, amma daban-daban a nosology etiology.

pathogenetic hoto

Bayan kaska cizo, shi kuskure da yau a cikin jijiyoyi, da kuma a cikin site na shigarwa redness bayyana a matsayin zobe da mara kyau ciki gefen kuma wani matsanancin bayyananne. A causative wakili ne ɗauke da jini a ko'ina cikin jiki, colonizing gabobin da kyallen takarda, da ke shiga cikin Lymph da kuma kashin baya ruwa.

Na rigakafi da tsarin fara rayayye amsa da mamayewa aika a shafi yankunan kumburi sel (macrophages, neutrophils), samar da cytokines, leukotrienes, prostaglandins da immunoglobulins na azuzuwan M da kuma G. Borrelia mutu, amma da fadada saki gubobi cewa adversely shafi jikin mutum. Bugu da kari, cikin jiki da kai hare hare kamuwa da kyallen takarda, ya hallaka ba kawai pathogen, amma kuma jiki Kwayoyin. Bugu da ƙari kuma, a fagen aiki ci gaban da kwayoyin kafa infiltrates na kumburi Kwayoyin da exudate ansu kafofin tarwatsa jikinsu.

Kamar yadda cutar progresses, da adadin immunoglobulins da kuma rigakafi da gidaje ya karu, akwai giciye-antigens da antibodies zuwa gare su. The abubuwa da cewa yin up kwayoyin tsokane samar da hadin gwiwa kumburi shiga tsakani, wanda ya hallakar da hyaline guringuntsi, kuma tsokane pannus samuwar. Wannan take kaiwa zuwa asibiti bayyanar cututtuka na JRA irin.

Bayan dawo, kwayoyin iya yi zurfi a cikin jiki har zuwa shekara goma. Masana kimiyya har yanzu ba zai iya samun m bayani ga wannan. A cikin mutane, wadanda ba bakararre siffofin ta wucin gadi rigakafi, da cutar zai iya sake aukuwa bayan shekaru da dama.

cututtuka

Ta yaya Berlioz? Cutar na farko shi ne m. Yana dole wuce abin da ake kira shiryawa zamani. Yana yana har zuwa makonni biyu, amma za a iya amsawa bambance-bambancen karatu. Sa'an nan dukan tsari an rage wa 'yan kwanaki. Ko, conversely, indolent domin a lokacin da na farko bayyanar cututtuka zai iya bayyana kansu a cikin 'yan shekaru bayan da cizo. A mafi halayyar kamuwa da cuta daga Mayu zuwa Satumba, lokacin da ticks ne rayayye ciyar da kuma haihuwa.

Akwai biyu lokaci da cutar: farkon da kuma marigayi.

A mataki na farko na farkon lokaci na iya faruwa sa samun abinci ko subacute. Obscheintoksikatsionnye halin da cututtuka kamar zazzabi, zazzabi, jin sanyi, tsoka aches, ciwon kai, tashin zuciya da amai. Wani lokaci akwai catarrhal cututtuka - tari, runny hanci, ciwon makogwaro. A shafin na cizo bayyana annular erythema. Marasa lafiya ce cewa a cikin wannan wuri ji wani kona abin mamaki, itching ko zafi. Favorite sarrafawa da kwari - shi armpits, makwancin gwaiwa da fatar kan mutum. Zai yiwu rashin lafiyan halayen ga cizo, amya, conjunctivitis ko kurji.

A kananan yawan marasa lafiya na iya bayyana bayyanar cututtuka na hangula daga kwakwalwa membranes. Sun koka tashin zuciya da amai, haske da kuma phonophobia, hypersensitivity, ciwon kai. Sun kiyaye ƙãra intracranial matsa lamba, amma cerebrospinal ruwa iya zama bakarare.

A mataki na biyu na faruwa a kowane goma haƙuri. Yawancin lokaci shi zai fara wata guda bayan kamuwa da cuta. A wannan lokaci, m kumburi da meninges, nuna bayyanar cututtuka na meningitis, meningoencephalitis da girman kwanyar jijiyoyi da kuma na gefe m tsarin. A halayyar alama ne biyu mai gefe fuska inna. A 'yan watanni bayan farko na cutar da marasa lafiya' gunaguni na zuciya da jijiyoyin jini tsarin. Alama arrhythmias kuma cardiac madugu irin kawancen. Wani lokaci akwai myocarditis ko pericarditis, saboda abin da giciye-maida martani antigens.

Don da uku mataki ya kai gare shi mun gwada da kananan yawan marasa lafiya. Ta yaya Berlioz? The rashin lafiya yana fiye da watanni shida da kuma zama na kullum, wanda aka halin fata raunuka da irin atrophic dermatitis da kuma gidajen abinci. Neurological cututtuka kwanta da kuma zama mafi kamar manyan neurosyphilis. Marasa lafiya koka zafi a cikin tsokoki da kuma gidajen abinci da suke da wadanda ba na dindindin hali.

Lyme borreliosis (Lyme cuta) kuma iya faruwa a ciki mata. Domin wani lokaci na antenatal da haihuwa ba bugu ba da pathological yanayin iya ba su da, amma akwai wani hadarin kamuwa da cuta intrauterine ko da samuwar nakasar malformations na zuciya tsoka. Mun sani cewa yara kamuwa da uwãyenku mutu daga zub da jini a muhimmanci gabobin ko ne aurenmu.

By empirical kallo saukar yadda multifaceted Berlioz - wata cuta wanda cututtuka mimic mai tsanani kamuwa da cuta daga cikin juyayi tsarin.

bincikowa da

Kamar yadda ya saba, likita gudanar farko haƙuri binciken kwantanta samu daga gare shi a kan lokaci, da bayanai da kuma ta halayyar cututtuka. Nazarin haƙuri ga alamun cizon kwari, annular erythema ko urticaria. Cak neurological matsayi, kazalika da sanya rike ECG. Idan ka zargin cewa shi yana iya zama Lyme borreliosis (Lyme cuta), da aka shigar a cikin bayanin da tarihi da cutar, da kuma haƙuri aka tambaye ta auku a kan bincike na jini da kuma m yi huda daga gefen erythema su gane causative wakili.

Dole a yi serological gwajin domin sanin irin da Borrelia jinsunan, kazalika da tabbatar da dalilin da wani mataki na cuta a cikin mutum marasa lafiya. Bincike titer ga tabbaci da ganewar asali ne dauke shi a 1 ga 64. Tun da farkon matakai na bincike zai iya bayar da wani ƙarya-korau sakamakon, shi ne shawarar zuwa maimaita shi kwana ashirin ko wata daya daga bisani, a lokacin da adadin immunoglobulin zai zama mafi kuma za su zama Mai isa ga samar da dauki. Zai yiwu ƙarya tabbatacce halayen. An same su a cikin marasa lafiya da syphilis, dauke da kwayar cutar mononucleosis, relapsing zazzabi, rheumatic cututtuka.

bambanci ganewar asali

Berlioz bambanta da cutar bukatar Tick-haifa encephalitis, erysipelas, kuma ko da cellulite. Wannan shi ne mataki na farko. A tsakiyar cutar da fore rheumatic cututtukan zuciya da kuma hadin gwiwa cardiomyopathy. The uku mataki a cikin wannan jerin suna kara Reiter ta cutar da neurosyphilis.

magani

Yana da muhimmanci ga gane asali lokaci Berlioz - cutar, da magani daga wanda zai iya daukar watanni da dama, ko ma shekaru (saboda da wadanda ba bakararre rigakafi). A nada magani daukan la'akari mataki na tsari, da etiology da asali pathogenetic manifestations.

Kwayoyin far ya kamata ba daga mataki na farko, da jima da mafi alhẽri. Sa'an nan kuma akwai damar cewa cutar ba za ta yi lokacin da za a samu a cikin gabobin da kyallen takarda, kuma ta haka ne za su iya kauce wa rikitarwa. Kwayoyi don magani aka zaba kamar "Tetracycline", "Doxycycline" "amoxicillin" da sauransu. Bã su da wani sakamako a kan bacteriostatic Borrelia, don haka ka bukatar kullum kula da taro a cikin jini.

Idan ka har yanzu Gabar lalacewar samu, sa'an nan sanya tetracyclines hatsari cututtuka bada shawarar ficewa domin penicillin ko cephalosporins.

Lokaci guda tare da maganin rigakafi wajabta symptomatic da pathogenetic far wa aiki a kan duk links a cikin sarkar na pathological. Don yin wannan, gudanar da wani detoxification na wani haƙuri ta jiki, dehydration cire ƙãra intracranial matsa lamba, jiki far, domin kawar da cututtuka na raunuka na girman kwanyar jijiyoyi da arthralgia. Domin maganin sa barci amfani NSAIDs ko analgesics.

Sau da yawa a lokacin jiyya, bayan wani taƙaitaccen lokaci na haske ya auku kaifi deterioration. Yana an haɗa tare da m asarar spirochetes da su guba effects. Modern likitoci suna sane da cewa wannan shi ne abin da aka nuna borreliosis. A bayyanar cututtuka da kuma lura da Lyme cuta sanprosvetrabote ake magana a kai, tun a cikin wannan harka muhimmanci dace fara magani.

Outlook

A yanayin da hasashen da ya dogara da yadda sauri da mutum Masani ne ga matsalar da ka nemi taimakon likita. Berlioz ta cutar za a iya warkar a wani wuri mataki da kuma hana ta hira cikin chronization, amma pathogen a cikin wani karamin adadin zai har yanzu kewaya a cikin jiki, kamar rigakafi gidaje kafa.

Dispensary kallo ne aka nuna a Keyes yanayi (cututtuka hukuma) ga shekara guda bayan da na asibiti dawo. Marasa lafiya da aka gwada wa pathogen a cikin makonni uku bayan sallama, sa'an nan da watanni uku, watanni shida, kuma a karshe, a shekara daga baya.

rigakafin

Specific rigakafin ba ya zama, amma a lokacin kiwo kakar na ticks bada shawarar a sanya a kan yanayin da dogon-sleeved tufafi da wando da kuma amfani da kwari repellents su hana cizo. Bayan da yawo tabbatar da duba kanka da kuma dabbobi a gaban mites, kamar yadda su ne kananan isa, kuma su cizon ne kusan m.

Ga wani mai sauri Siffar game Lyme cuta, haddasawa, cututtuka, da magani a dauke da kwayar cutar asibiti. Zama sane da hadarin kamuwa da cuta a cikin bazara da kuma bazara, kuma kada ka ji tsoro don zuwa likita.