Chirwere chemunharaunda uye chekutanga chechirwere cheLyme, erythema migrans ironda reganda rinoonekwa panzvimbo yekurumwa kwechikwekwe chine utachiona hweBorrelia. Chitarisiko chayo chinoda kubvunzurudzwa nokukurumidza.

Chii ?

Erythema migrans ndiyo inowanzoonekwa yekiriniki (60 kusvika 90% yezviitiko) uye inonyanya kuratidza chirwere cheLyme mukutanga kwayo. Sechiyeuchidzo, chirwere cheLyme kana Lyme borreliosis chirwere chinotapukira uye chisingatapukirwe chinoparadzirwa nezvikwekwe zvine utachiona. Borrelia burgdorferi sensu lata.

Nzira yekuziva sei erythema migrans?

Kana ichinge yaonekwa, mazuva matatu kusvika makumi matatu mushure mekurumwa, erythema migrans inotora chimiro chemaculopapular lesion (diki diki repamusoro peganda rinogadzira mapundu madiki paganda) uye erythematous (yakatsvuka) kumativi ekurumwa kwekwekwe. Iri plaque harikonzeri kurwadziwa kana kukwenya.

Chironda chacho chinobva chapararira zvishoma nezvishoma kumativi ekurumwa, zvichiita chindori chitsvuku. Mushure memazuva kana mavhiki mashoma, erythema migrans inogona kusvika kusvika makumi akati wandei emasentimita mudhayamita.

Rarer fomu, akawanda localization erythema migrans inoonekwa kure nekuruma kwekwekwe uye dzimwe nguva inoperekedzwa nefivha, kutemwa nemusoro, kuneta.

Zvinhu zvinotyisa

Chero chiitiko mumaruwa, kunyanya masango nemafuro, panguva yechiitiko chekikwe, kubva muna Kubvumbi kusvika Mbudzi, chinokufumura kurumwa nezvikwekwe zvinogona kutakura mabhakitiriya anokonzera chirwere cheLyme. Nekudaro, kune mutsauko mukuru wedunhu muFrance. Iyo Mabvazuva neCentre zvakatonyanya kukanganiswa kupfuura mamwe matunhu.

Erythema migrans inoonekwa mushure mekurumwa nechikwekwe chakatakura utachiona Borrelia burgdorferi sensu loto. Chikwekwe chinogona kuruma chero padanho rekukura kwayo (larva, pupa, munhu mukuru). 

Izvi zvakajairwa kuratidzwa kwekiriniki kazhinji zvinokwana kuongororwa kwechirwere cheLyme mukutanga kwayo. Muchiitiko chekusahadzika, tsika uye / kana PCR paganda biopsy inogona kuitwa kuratidza hutachiona.

Pasina kurapwa kwemishonga inorwisa mabhakitiriya muchikamu che erythema migrans, chirwere cheLyme chinogona kufambira mberi kusvika kune inonzi nhanho yekutanga kuparadzirwa. Izvi zvinozviratidza muchimiro chemultiple erythema migrans kana neurological manifestations (meningoradiculitis, kuremara kwechiso, meningitis yakazvimiririra, acute myelitis), kana kunyange kana zvisingawanzo taurika, cutaneous (borrelian lymphocytoma), cardiac kana ophthalmological kuratidzwa.

Erythema migrans inoda antibiotic therapy (doxycycline kana amoxicillin kana azithromycin) kuitira kubvisa utachiona. Borrelia burgdorferi sensu loto, uye nokudaro kudzivirira kufambira mberi kune akaparadzirwa uyezve asingaperi mafomu. 

Kusiyana nekakwe-borne encephalitis, hapana yekudzivirira chirwere cheLyme.

Naizvozvo kudzivirira kunobva pane izvi zvakasiyana zviito:

• kupfeka zvipfeko zvinovhara, zvichida zvakaiswa nemishonga inodzinga, panguva yemabasa ekunze;
• mushure mekuratidzwa munzvimbo ine njodzi, nyatsoongorora muviri wese uchinyatsotarisisa nzvimbo dzine ganda rakatetepa uye risingaonekwe (kupeta kweganda kuseri kwemabvi, armpits, nhengo dzesikarudzi, guvhu, scalp, mutsipa, kumashure kwenzeve). Dzokorora kuongorora zuva rinotevera: sip yeropa, iyo tick inobva yanyanya kuoneka.
• kana chikwekwe chiripo, chibvise nekukasira uchishandisa chikwekwe (muma pharmacy) uchichenjerera kuremekedza aya mashoma ekudzivirira: tora chikwekwe padhuze neganda sezvinobvira, dhonza zvinyoro nyoro nekuchitenderedza, wobva watarisa kuti musoro wabviswa. Disinfectant panzvimbo yekurumwa nechikwekwe.
• mushure mekubvisa chikwekwe, tarisa nzvimbo yekuruma kwemavhiki mana, uye bvunza kune zvishoma chiratidzo cheganda.