Ngesinye isikhathi, emuva ngo-2007, ezinsukwini ezimbalwa ngemva kokuvakashela ihlathi, ngabona indawo ebomvu e-oval emlenzeni wami, cishe u-4 × 7 cm. Kungasho ukuthini lokho?
Ngaya emtholampilo, akekho owayekwazi ukunquma ukuthi nginesifo. Kuphela esikhungweni se-dermatological dispensary lapho ngathola khona ukuthi nginesifo se-Lyme borreliosis esithwala umkhaza. I-antibiotic ye-roxithromycin inqunywe. Ngawuphuza, ubomvu baphela.
Kodwa ngemva kwezinsuku ezimbalwa, kwavela indandatho eyisiyingi ebomvu ecishe ibe ngu-1,5 cm ububanzi, izungeze i-oval yangaphambili ebomvu. Okusho ukuthi, umuthi awuzange usize. Ngaphinde nganikezwa i-antibiotic ceftriaxone 1 g izinsuku ezingu-10, ngemva kwalokho ngalulama ngokuphelele.
Kulo nyaka umngane wami wagula, naye ngemva kokuvakashela ehlathini. Wayenobomvu obulunywe umiyane ehlombe, okwakunendandatho engu-1-2 cm ububanzi kanye no-7 cm ububanzi. Wanikezwa i-antibiotic doxycycline amasonto ama-3, ngemva kwalokho walulama.
Njengoba singabona ezibonelweni, lesi sifo sivamile, futhi yonke indawo. Kusabalele nasezweni Lethu.
Futhi manje ngokuningiliziwe mayelana nesifo ngokwaso. Kubangelwa izinhlobo eziningana zamabhaktheriya avela kuhlobo lweBorrelia.
Kunezigaba ezi-3 zesifo:
1. Ukutheleleka kwendawo, lapho i-pathogen ingena esikhumbeni ngemva kokulunywa komkhaza. Kwenzeka ukuthi umuntu akaqapheli umkhaza, kodwa usevele ebona ubomvu (30% yeziguli azizange zibone umkhaza). Ngezinye izikhathi izinga lokushisa lomzimba liyakhuphuka. Kubaluleke kakhulu ukuqaphela lesi sifo ngendlela efanele futhi uqale ukwelashwa ngesikhathi ukuvimbela:
2. Ukusatshalaliswa kweBorrelia ezithweni ezahlukahlukene. Kulesi sigaba, isimiso sezinzwa, inhliziyo ingathinteka. Kukhona izinhlungu emathanjeni, imisipha, imisipha, izikhwama ze-periarticular. Bese kuza:
3. Ukuhlulwa kwanoma yisiphi isitho esisodwa noma uhlelo. Lesi sigaba sithatha izinyanga ezimbalwa kuya eminyakeni eminingana. I-arthritis yamalunga ijwayelekile, engabangela i-osteoporosis, i-cartilage thinning, njll.
Ukuze ukwelashwa kwe-Lyme borreliosis esigabeni sokuqala, ama-antibiotic alula anele. Futhi uma lesi sifo sithuthukisiwe, kuzodingeka ukuthi usebenzise ama-antibiotic anzima isikhathi eside, kuzodingeka futhi uphathe izinkinga.
Ngokwelashwa sekwephuzile noma okunganele, lesi sifo siyathuthuka futhi siba yisifo esingelapheki. Amandla okusebenza ayancipha, okungaholela ekukhubazekeni.
