ʻO ka maʻi Lyme kūloko a me ke ʻano mua, ʻo ka erythema migrans he ʻili ʻili e ʻike ʻia ana ma ke kahua o ka nahu ʻana o kahi maʻi i loaʻa i ka maʻi bacteria Borrelia. Pono e kūkākūkā koke kona helehelena.

He aha kēīa ?

ʻO Erythema migrans ka hōʻike maʻi maʻi pinepine loa (60 a 90% o nā hihia) a ʻo ka manaʻo nui o ka maʻi Lyme i kona wā mua. I mea hoʻomanaʻo, ʻo ka maʻi Lyme a i ʻole Lyme borreliosis he maʻi lele a ʻaʻole hoʻi i hoʻouna ʻia e nā maʻi i loaʻa i ka maʻi bacteria. ʻO Borrelia burgdorferi ke ʻano o ke kauwela.

Pehea e ʻike ai i ka erythema migrans?

Ke ʻike ʻia, 3 a 30 mau lā ma hope o ka nahu ʻana, loaʻa ka erythema migrans i ke ʻano o ka maculopapular lesion (nā kiko liʻiliʻi liʻiliʻi o ka ʻili e hoʻokumu ana i nā puʻupuʻu liʻiliʻi ma ka ʻili) a me ka erythematous (ʻulaʻula) a puni ka ʻili. ʻAʻole kēia plaque e ʻeha a ʻeha paha.

Laha mālie ka lesion a puni ka nahu, e hana ana i ke apo ʻulaʻula. Ma hope o kekahi mau lā a i ʻole mau pule, hiki i ka erythema migrans ke piʻi i nā ʻumi kenimika ke anawaena.

ʻO ke ʻano kakaʻikahi, ʻike ʻia nā erythema migrans ma kahi mamao mai ka nahu o ka tick a i kekahi manawa hele pū ʻia me ke kuni, ke poʻo, ka luhi.

Nā mea pilikino

ʻO kēlā me kēia hana ma ke kuaʻāina, ʻo ia hoʻi nā ululāʻau a me nā ʻuala, i ka wā o ka hana tick, mai ʻApelila a Nowemapa, e hōʻike ana iā ʻoe i nā nahu mai nā ticks e lawe ana i ka maʻi bacteria e hoʻokumu ai i ka maʻi Lyme. Eia nō naʻe, aia kahi ʻokoʻa kūloko nui ma Farani. ʻOi aku ka hopena o ka Hikina a me ka Center ma mua o nā wahi ʻē aʻe.

Hōʻike ʻia ka Erythema migrans ma hope o ka nahu ʻia ʻana e ka ʻiʻo e lawe ana i ka bacteria Borrelia burgdorferi sensu loto. Hiki ke nahu ka ma'i i kēlā me kēia pae o kona ulu 'ana (larva, pupa, makua). 

Ua lawa kēia hōʻike maʻamau no ka ʻike ʻana i ka maʻi Lyme i kona wā mua. Inā kānalua, hiki ke hana ʻia kahi moʻomeheu a / a i ʻole PCR ma kahi biopsy ʻili e hōʻike i ka maʻi bacteria.

Me ka loaʻa ʻole o ka lāʻau antibiotic i ka pae erythema migrans, hiki i ka maʻi Lyme ke holomua i ka pae i kapa ʻia ʻo ka hoʻolaha mua ʻana. Hōʻike kēia iā ia iho ma ke ʻano o ka nui o ka erythema migrans a i ʻole nā ​​hōʻike neurological (meningoradiculitis, facial paralysis, isolated meningitis, acute myelitis), a i ʻole a i ʻole a i ʻole a i ʻole nā ​​​​articular, cutaneous (borrelian lymphocytoma), cardiac a ophthalmological manifestations.

Pono ʻo Erythema migrans i ka lāʻau antibiotic (doxycycline a i ʻole amoxicillin a i ʻole azithromycin) i mea e hoʻopau ai i ka maʻi bacteria. Borrelia burgdorferi sensu loto, a pēlā e pale aku ai i ka piʻi ʻana i ka hoʻolaha ʻana a ma nā ʻano maʻi maʻi. 

ʻAʻole like me ka encephalitis i lawe ʻia i ka tick-borne, ʻaʻohe lāʻau lapaʻau e kūʻē i ka maʻi Lyme.

No laila, hoʻokumu ʻia ka pale ʻana i kēia mau hana like ʻole:

• ʻaʻahu i nā lole uhi, i hoʻopili ʻia paha me nā repellents, i ka wā o nā hana waho;
• ma hope o ka ʻike ʻia ʻana i kahi wahi pilikia, e nānā pono i ke kino holoʻokoʻa me ka nānā pono ʻana i nā wahi me ka ʻili lahilahi a ʻike ʻole ʻia (pepa ʻili ma hope o nā kuli, nā ʻāʻī, nā wahi genital, piko, poʻo, ʻāʻī, hope o nā pepeiao). E hana hou i ka nānā ʻana i ka lā aʻe: ʻānai i ke koko, a laila e ʻike hou ʻia ke kiko.
• inā loaʻa kahi kiko, e wehe koke ia me ka hoʻohana ʻana i ka huki tikiki (ma nā hale kūʻai lāʻau) e mālama pono i kēia mau mea e mālama ai: e lawe i ka ʻili kokoke loa i ka ʻili, e huki mālie ma ka ʻōwili ʻana, a laila e nānā i ka ua hemo ke poo. Disinfect i ka wahi o ka nahu o ka tick.
• ma hope o ka wehe ʻia ʻana o ka tick, e nānā i ka wahi nahu no 4 pule, a e nīnau no ka hōʻailona liʻiliʻi o ka ʻili.