Uhlobo lwendawo kanye nolwakuqala lwesifo seLyme, i-erythema migrans isilonda esikhumbeni esibonakala endaweni yokulunywa komkhaza otheleleke ngamagciwane e-Borrelia. Ukubukeka kwayo kudinga ukubonisana ngokushesha.

Kwenzenjani ?

I-Erythema migrans iwukubonakaliswa komtholampilo okuvamile (60 kuya ku-90% wamacala) futhi iphakamisa kakhulu isifo se-Lyme esigabeni saso sokuqala. Njengesikhumbuzo, isifo seLyme noma i-Lyme borreliosis yisifo esithathelwanayo futhi esingatheleleki esisakazwa imikhaza etheleleke ngamagciwane. I-Borrelia burgdorferi okusho ukuthi ihlobo.

Ungawabona kanjani ama-erythema migrans?

Uma kubonakala, ezinsukwini ezi-3 kuya kwezingu-30 ngemva kokulunywa, i-erythema migrans ithatha isimo se-maculopapular lesion (amachashaza amancane esikhumba enza amaqhubu amancane esikhumbeni) kanye ne-erythematous (ebomvu) eduze nokulunywa komkhaza. Lolu qweqwe alubangeli ubuhlungu noma ukulunywa.

Isilonda sibe sesisakazeka kancane kancane sizungeze ukulunywa, senze indandatho ebomvu ewuphawu. Ngemva kwezinsuku noma amasonto ambalwa, i-erythema migrans ingafinyelela kumashumi amaningana amasentimitha ububanzi.

Ifomu elingavamile, i-erythema migrans yendawo eminingi ivela kude nokulunywa komkhaza futhi ngezinye izikhathi ihambisana nomkhuhlane, ikhanda elibuhlungu, ukukhathala.

Izici zengozi

Noma imuphi umsebenzi emaphandleni, ikakhulukazi emahlathini nasemadlelweni, ngesikhathi somsebenzi wemikhaza, kusukela ngo-Ephreli kuya kuNovemba, kukubeka engozini yokulunywa imikhaza engase ithwale amagciwane abangela isifo seLyme. Kodwa-ke, kunokwehluka okukhulu kwesifunda eFrance. I-East kanye neSikhungo empeleni kuthinteke kakhulu kunezinye izifunda.

Abafuduki be-Erythema bavela ngemuva kokulunywa umkhaza ophethe amagciwane Borrelia burgdorferi sensu loto. Umkhaza ungaluma kunoma yisiphi isigaba sokukhula kwawo (isibungu, isiphungumangathi, umuntu omdala). 

Lokhu kubonakaliswa komtholampilo okuvamile kuvame ukwanele ekuxilongeni isifo seLyme ekuqaleni kwaso. Uma kwenzeka ungabaza, isiko kanye / noma i-PCR ku-biopsy yesikhumba ingenziwa ukukhombisa amabhaktheriya.

Ngaphandle kokwelashwa ngama-antibiotic esigabeni se-erythema migrans, isifo se-Lyme singadlulela kulokho okubizwa ngokuthi isigaba sokusatshalaliswa kwangaphambi kwesikhathi. Lokhu kuzibonakalisa ngendlela ye-erythema migrans eminingi noma ukubonakaliswa kwemizwa (i-meningoradiculitis, ukukhubazeka kobuso, i-meningitis ehlukanisiwe, i-myelitis eyingozi), noma ngisho noma ingavamile kakhulu, i-cutaneous (borrelian lymphocytoma), ukubonakaliswa kwenhliziyo noma ophthalmological.

I-Erythema migrans idinga ukwelashwa ngama-antibiotic (i-doxycycline noma i-amoxicillin noma i-azithromycin) ukuze kuqedwe amagciwane. Borrelia burgdorferi sensu loto, futhi ngaleyo ndlela ugweme ukuqhubekela phambili kumafomu asakazwayo kanye nangamahlalakhona. 

Ngokungafani ne-encephalitis ethwalwa umkhaza, awukho umuthi wokugomela isifo seLyme.

Ngakho-ke ukuvimbela kusekelwe kulezi zenzo ezihlukene:

• gqoka izingubo zokumboza, okungenzeka ukuthi zifakwe izinto zokuxosha, ngesikhathi semisebenzi yangaphandle;
• ngemva kokuchayeka endaweni eyingozi, hlola ngokucophelela wonke umzimba ngokunaka ngokukhethekile ezindaweni ezinesikhumba esincane nesingabonakali (ukugoqa kwesikhumba ngemva kwamadolo, amakhwapha, izitho zangasese, inkaba, isikhumba sekhanda, intamo, ngemuva kwezindlebe). Phinda ukuhlolwa ngosuku olulandelayo: phuza igazi, umkhaza uzobe usubonakala kakhulu.
• uma umkhaza ukhona, wususe ngokushesha ngangokunokwenzeka usebenzisa i-tick puller (emakhemisi) ngokunakekela ukuhlonipha lezi zindlela zokuphepha ezimbalwa: thatha umaka eduze nesikhumba ngangokunokwenzeka, uwudonse ngobumnene ngokuwuzungezisa, bese uhlola ukuthi ikhanda lisusiwe. Khipha amagciwane lapho okulunywe khona umkhaza.
• ngemva kokususwa komkhaza, qapha indawo ekulunywe kuyo amasonto angu-4, futhi uthintane ukuze uthole uphawu oluncane lwesikhumba.