Liteko tsa Maloetse a Lyme

Litaba

• Liteko tsa lefu la Lyme ke life?
• Li sebelisetsoa eng?
• Hobaneng ha ke hloka tlhahlobo ea lefu la Lyme?
• Ho etsahalang nakong ea tlhahlobo ea lefu la Lyme?
• Na ke tla hloka ho etsa eng kapa eng ho itokisetsa tlhahlobo?
• Na ho na le likotsi tsa liteko tsa lefu la Lyme?
• Liphetho li bolelang?
• Na ho na le eng hape eo ke hlokang ho e tseba ka liteko tsa lefu la Lyme?
• Litšupiso

Liteko tsa lefu la Lyme ke life?

Lefu la Lyme ke tšoaetso e bakoang ke libaktheria tse tsamaisoang ke liboseleise. Liteko tsa lefu la Lyme li sheba matšoao a ts'oaetso maling a hau kapa mokelikeli oa cerebrospinal.

U ka fumana lefu la Lyme haeba tšoaetso e tšoaelitsoeng e u loma. Dikgofa di ka o loma kae kapa kae mmeleng wa hao, empa hangata di o loma dikarolong tse thata ho bonwa tsa mmele wa hao tse kang botenya ba mmele, letlalo la hlooho, le mahwatla. Dikgofa tse di bakang bolwetse jwa Lyme di dinnye, di nnye jaaka sephatsanyana sa mmu. Kahoo o kanna oa se tsebe hore o lonngoe.

Haeba e sa phekoloe, lefu la Lyme le ka baka mathata a tebileng a bophelo bo botle a amang manonyeletso a hau, pelo le methapo. Empa haeba e fumanoe kapele, maloetse a mangata a ka phekoloa kamora libeke tse 'maloa tsa kalafo ka lithibela-mafu.

Mabitso a mang: Tlhahlobo ea lithibela-mafu ea Lyme, tlhahlobo ea lithibela-mafu ea Borrelia burgdorferi, Tlhahlobo ea DNA ea Borrelia, IgM / IgG ke Western Blot, tlhahlobo ea lefu la Lyme (CSF), Lisireletsi tsa Borrelia, IgM / IgG

Li sebelisetsoa eng?

Ho sebelisoa liteko tsa lefu la Lyme ho fumana hore na u na le tšoaetso ea lefu la Lyme.

Hobaneng ha ke hloka tlhahlobo ea lefu la Lyme?

U kanna ua hloka tlhahlobo ea lefu la Lyme haeba u na le matšoao a tšoaetso. Matšoao a pele a lefu la Lyme hangata a hlaha pakeng tsa matsatsi a mararo le a 30 kamora ho longoa ke liboseleise. Li ka kenyelletsa:

• Ho phatloha ho ikhethang ha letlalo ho shebahalang joaloka leihlo la poho (lesale le khubelu le nang le setsi se hlakileng)
• Feberu
• Ho bata
• Ho opeloa ke hlooho
• Mokhathala
• Bohloko ba mesifa

U kanna ua hloka tlhahlobo ea lefu la Lyme haeba u sena matšoao, empa u kotsing ea tšoaetso. U kanna oa ba kotsing e kholo haeba u:

• Tšoae e sa tsoa tlosoa 'meleng oa hau
• E tsamaea sebakeng se nang le lifate tse ngata, moo liboseleise li lulang teng, ntle le ho koahela letlalo le pepesitsoeng kapa ho apara se lelekang
• Ke entse e 'ngoe ea lintho tse boletsoeng ka holimo mme ke lula kapa ke sa tsoa etela libaka tsa leboea-bochabela kapa bophirima-bophirimela ho United States, moo ho nang le linyeoe tse ngata tsa lefu la Lyme

Lefu la Lyme le phekoleha haholo ha le qala, empa u ntse u ka rua molemo ka ho hlahlojoa hamorao. Matšoao a ka bonts'ang libeke kapa likhoeli kamora hore ts'oaetso e lome. Li ka kenyelletsa:

• Ho tšoaroa ke hlooho e bohloko
• Ho satalla ha molala
• Mahlaba a bohloko le manonyeletso
• Ho thunya bohloko, ho ba shohlo, kapa ho hlohlona matsohong kapa maotong
• Mathata a ho hopola le ho robala

Ho etsahalang nakong ea tlhahlobo ea lefu la Lyme?

Ho hlahlojoa ha lefu la Lyme hangata ho etsoa ka mali a hao kapa mokelikeli oa cerebrospinal.

Bakeng sa tlhahlobo ea mali ea lefu la Lyme:

• Ngaka ea tlhokomelo ea bophelo e tla nka sampole ea mali mothapong o letsohong la hao, e sebelisa nale e nyane. Kamora hore nalete e kenngoe, ho tla bokelloa mali a manyane ka har'a pompo ea liteko. U ka ikutloa u hlaba hanyane ha nale e kena kapa e tsoa. Hangata hona ho nka nako e ka tlase ho metsotso e mehlano.

Haeba u na le matšoao a lefu la Lyme le amang tsamaiso ea hau ea methapo, joalo ka ho thatafala ha molala le ho ba boea matsohong kapa maotong, u ka hloka teko ea cerebrospinal fluid (CSF). CSF ke mokelikeli o hlakileng o fumanoang bokong ba hau le mokokotlong. Nakong ea teko ena, CSF ea hau e tla bokelloa ka ts'ebetso e bitsoang lumbar puncture, eo hape e tsejoang e le pompo ea mokokotlo. Nakong ea ts'ebetso:

• U tla robala ka lehlakore kapa u lule tafoleng ea litlhahlobo.
• Mofani oa tlhokomelo ea bophelo o tla u hlatsoa mokokotlo ebe o kenya moriana o thethefatsang letlalo letlalong, ka hona o ke ke oa utloa bohloko nakong ea ts'ebetso. Mofani oa hau a ka beha tranelate ea mokokotlo mokokotlong oa hau pele ho ente ena.
• Hang ha sebaka se mokokotlong oa hau se senyehile ka ho feletseng, mofani oa hau o tla kenya nale e tšesaane, e sekoti pakeng tsa li-vertebrae tse peli mokokotlong oa hau o tlase. Vertebrae ke masapo a mokokotlo a manyane a etsang mokokotlo oa hau.
• Mofani oa hau o tla hula mokelikeli o monyane oa cerebrospinal bakeng sa tlhahlobo. Sena se tla nka metsotso e ka bang mehlano.
• U tla hloka ho lula u khutsitse haholo ha metsi a ntse a huloa.
• Mofani oa hau a ka u kopa hore u robale ka mokokotlo hora kapa tse peli kamora ts'ebetso. Sena se ka u thibela ho tšoaroa ke hlooho hamorao.

Na ke tla hloka ho etsa eng kapa eng ho itokisetsa tlhahlobo?

Ha o hloke litokisetso tse khethehileng bakeng sa tlhahlobo ea mali ea lefu la Lyme.

Bakeng sa ho phunya lumbar, o ka kopuoa ho tšolla senya le mala pele ho tlhahlobo.

Na ho na le likotsi tsa liteko tsa lefu la Lyme?

Ho na le kotsi e nyane haholo ea ho etsa tlhahlobo ea mali kapa ho thunngoa lumbar. Haeba o ile oa etsa tlhahlobo ea mali, o kanna oa ba le mahlaba a fokolang kapa ho longoa moo nale e kentsoeng teng, empa matšoao a mangata a fela kapele.Haeba u e-na le kotlo ea lumbar, u ka ba le bohloko kapa bonolo mokokotlong oa hau moo nale e kentsoeng. U kanna oa tšoaroa ke hlooho kamora ts'ebetso.

Liphetho li bolelang?

Litsi tsa Tlhokomelo le Thibelo ea Mafu (CDC) li khothaletsa ts'ebetso ea liteko tse peli tsa sampole ea hau:

• Haeba sephetho sa hau sa pele sa liteko se le mpe bakeng sa lefu la Lyme, ha o hloke ho hlahlojoa hape.
• Haeba sephetho sa hau sa pele se le teng bakeng sa lefu la Lyme, mali a hau a tla fumana tlhahlobo ea bobeli.
• Haeba liphetho ka bobeli li le ntle bakeng sa lefu la Lyme hape o na le matšoao a ts'oaetso, mohlomong o na le lefu la Lyme.

Liphetho tse ntle ha se kamehla tse bolelang ho fumanoa ke lefu la Lyme. Maemong a mang, o ka ba le sephetho se setle empa o se na tšoaetso. Liphetho tse ntle li kanna tsa bolela hore o na le lefu le ikemetseng, joalo ka lupus kapa ramatiki ea ramatiki.

Haeba sephetho sa lumbar puncture se le hantle, ho kanna ha bolela hore o na le lefu la Lyme, empa o kanna oa hloka liteko tse ling ho netefatsa hore o fumanoe.

Haeba mofani oa tlhokomelo ea bophelo a nahana hore o na le lefu la Lyme, o tla fana ka kalafo ea lithibela-mafu. Boholo ba batho ba alafshoang ka lithibela-mafu qalong ea lefu ba tla fola ka botlalo.

Ithute haholoanyane ka liteko tsa laboratori, libaka tsa litšupiso, le liphetho tsa kutloisiso.

Na ho na le eng hape eo ke hlokang ho e tseba ka liteko tsa lefu la Lyme?

U ka fokotsa menyetla ea ho fumana lefu la Lyme ka ho nka mehato e latelang:

• Qoba ho tsamaea libakeng tse nang le lifate tse nang le joang bo phahameng.
• Tsamaea bohareng ba litselana.
• Apara borikhoe bo bolelele 'me u bo kenye ka har'a lirifi tsa hao kapa likausi.
• Sebelisa moriana o lelekang likokoanyana o nang le DEET letlalong la hao le liphahlo.

Litšupiso

1. ALDF: Motheo oa Mafu a American Lyme [Internet]. Lyme (CT): Mokhatlo oa American Lyme Disease Foundation, Inc .; c2015. Lefu la Lyme; [e ntlafalitsoeng 2017 Dec 27; e qotsitsoeng ka 2017 Dec 28]; [li-skrini tse ka bang 2]. E fumaneha ho: http://www.aldf.com/lyme-disease
2. Litsi tsa Tlhokomelo le Thibelo ea Maloetse [Internet]. Atlanta: Lefapha la Bophelo le Litšebeletso tsa Botho la U.S. Lefu la Lyme; [e ntlafalitsoeng 2017 Nov 16; e qotsitsoeng ka 2017 Dec 28]; [skrine e ka bang 1]. E fumaneha ho tsoa ho: https://www.cdc.gov/lyme/index.html
3. Litsi tsa Tlhokomelo le Thibelo ea Maloetse [Internet]. Atlanta: Lefapha la Bophelo le Litšebeletso tsa Botho la U.S. Lefu la Lyme: Ho thibela ho loma batho ba bang; [e ntlafalitsoeng 2017 Apr 17; e qotsitsoeng ka 2017 Dec 28]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://www.cdc.gov/lyme/prev/on_people.html
4. Litsi tsa Tlhokomelo le Thibelo ea Maloetse [Internet]. Atlanta: Lefapha la Bophelo le Litšebeletso tsa Botho la U.S. Lefu la Lyme: Matšoao le Matšoao a Boloetse bo sa Laoloang ba Lyme; [e ntlafalitsoeng 2016 Oct 26; e qotsitsoeng ka 2017 Dec 28]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://www.cdc.gov/lyme/signs_symptoms/index.html
5. Litsi tsa Tlhokomelo le Thibelo ea Maloetse [Internet]. Atlanta: Lefapha la Bophelo le Litšebeletso tsa Botho la U.S. Lefu la Lyme: Phetiso; [e ntlafalitsoeng ka 2015 Mar 4; e qotsitsoeng ka 2017 Dec 28]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://www.cdc.gov/lyme/transmission/index.html
6. Litsi tsa Tlhokomelo le Thibelo ea Maloetse [Internet]. Atlanta: Lefapha la Bophelo le Litšebeletso tsa Botho la U.S. Lefu la Lyme: Phekolo; [e ntlafalitsoeng 2017 Dec 1; e qotsitsoeng ka 2017 Dec 28]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://www.cdc.gov/lyme/treatment/index.html
7. Litsi tsa Tlhokomelo le Thibelo ea Maloetse [Internet]. Atlanta: Lefapha la Bophelo le Litšebeletso tsa Botho la U.S. Lefu la Lyme: Mehato e 'meli ea Teko ea Laboraro; [e nchafalitsoeng 2015 Mar 26; e qotsitsoeng ka 2017 Dec 28]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://www.cdc.gov/lyme/diagnosistesting/labtest/twostep/index.html
8. Hinkle J, Cheever K. Brunner & Suddarth's Handbook ea Liteko tsa Laboraro le Tlhatlhobo. 2nd Ed, mosa. Philadelphia: Wolters Kluwer Bophelo, Lippincott Williams & Wilkins; c2014. Serology ea Maloetse a Lyme; leq. EA-369-TK
9. Liteko tsa Lab Marang-rang [Inthaneteng]. Mokhatlo oa Amerika oa Clinical Chemistry; c2001–2017. Tlhatlhobo ea Cerebrospinal Fluid (CSF); [e ntlafalitsoeng 2017 Dec 28; e qotsitsoeng ka 2017 Dec 28]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://labtestsonline.org/tests/cerebrospinal-fluid-csf-analysis
10. Liteko tsa Lab Marang-rang [Inthaneteng]. Mokhatlo oa Amerika oa Clinical Chemistry; c2001–2017. Lefu la Lyme; [e ntlafalitsoeng 2017 Dec 3; e qotsitsoeng ka 2017 Dec 28]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://labtestsonline.org/conditions/lyme-disease
11. Liteko tsa Lab Marang-rang [Inthaneteng]. Mokhatlo oa Amerika oa Clinical Chemistry; c2001–2017. Liteko tsa Mafu a Lyme; [e ntlafalitsoeng 2017 Dec 28; e qotsitsoeng ka 2017 Dec 28]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://labtestsonline.org/tests/lyme-disease-tests
12. Mayo Clinic [Inthaneteng]. Motheo oa Mayo oa Thuto ea Bongaka le Patlisiso; c1998–2017. Lefu la Lyme: Tlhahlobo le Phekolo; 2016 Mmesa 3 [e qotsitsoeng ka 2017 Phato 28]; [li-skrini tse ka bang 5]. E fumaneha ho tsoa ho: https://www.mayoclinic.org/diseases-conditions/lyme-disease/diagnosis-treatment/drc-20374655
13. Phetolelo ea Merck Manual Consumer [Inthanete]. Kenilworth (NJ): Merck & Co Inc .; c2017. Lefu la Lyme; [e qotsitsoeng ka la 2017 Tlhakubele 28]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.merckmanuals.com/home/infections/bacterial-infections-spirochetes/lyme-disease
14. Phetolelo ea Merck Manual Consumer [Inthanete]. Kenilworth (NJ): Merck & Co Inc .; c2017. Liteko tsa Brain, Spinal Cord, le Mathata a Metsing; [e qotsitsoeng 2017 Dec 28]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: http://www.merckmanuals.com/home/brain,-spinal-cord,-and-nerve-disorders/diagnosis-of-brain,-spinal-cord,-and-nerve-disorders/tests-for -bongo, -e leng mokokotlong, -le-methapo-kutlo
15. National Heart, Lung, le Setsi sa Mali [Internet]. Bethesda (MD): Lefapha la Bophelo le Litšebeletso tsa Botho la U.S. Liteko tsa Mali; [e qotsitsoeng ka la 2017 Tlhakubele 28]; [li-skrini tse ka bang 3]. E fumaneha ho tsoa ho: https://www.nhlbi.nih.gov/health-topics/blood-tests
16. Setsi sa Bongaka sa Rochester [Internet]. Rochester (NY): Setsi sa Bongaka sa Univesithi ea Rochester; c2017. Health Encyclopedia: Borrelia Antibody (Mali); [e qotsitsoeng ka la 2017 Tlhakubele 28]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid;=borrelia_antibody_lyme
17. Setsi sa Bongaka sa Rochester [Internet]. Rochester (NY): Setsi sa Bongaka sa Univesithi ea Rochester; c2017. Health Encyclopedia: Borrelia Antibody (CSF); [e qotsitsoeng ka la 2017 Tlhakubele 28]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid;=borrelia_antibody_lyme_csf
18. Setsi sa Bongaka sa Rochester [Internet]. Rochester (NY): Setsi sa Bongaka sa Univesithi ea Rochester; c2017. Health Encyclopedia: Litlhahlobo tsa Tlhahlobo ea Mathata a Neurological; [e qotsitsoeng 2017 Dec 28]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=85&contentid;=P00811
19. Bophelo ba UW [Marang-rang]. Madison (WI): Univesithi ea Wisconsin Lipetlele le Bolaoli ba Litleliniki; c2017. Litaba tsa bophelo bo botle: Teko ea lefu la Lyme: Liphetho; [e ntlafalitsoeng 2017 Mar 3; e qotsitsoeng ka 2017 Dec 28]; [li-skrini tse ka bang 8]. E fumaneha ho tsoa ho: https://www.uwhealth.org/health/topic/medicaltest/lyme-disease-test/hw5113.html#hw5149
20. Bophelo ba UW [Marang-rang]. Madison (WI): Univesithi ea Wisconsin Lipetlele le Bolaoli ba Litleliniki; c2017. Tlhahisoleseling ea Bophelo: Teko ea Mafu a Lyme: Tlhatlhobo ea Teko; [e ntlafalitsoeng 2017 Mar 3; e qotsitsoeng ka 2017 Dec 28]; [li-skrini tse ka bang 2]. E fumaneha ho tsoa ho: https://www.uwhealth.org/health/topic/medicaltest/lyme-disease-test/hw5113.html
21. Bophelo ba UW [Marang-rang]. Madison (WI): Univesithi ea Wisconsin Lipetlele le Bolaoli ba Litleliniki; c2017. Tlhahisoleseling ea Bophelo: Teko ea Maloetse a Lyme: Hobaneng e Etsoa; [e ntlafalitsoeng 2017 Mar 3; e qotsitsoeng ka 2017 Dec 28]; [hoo e ka bang li-skrini tse 4]. E fumaneha ho tsoa ho: https://www.uwhealth.org/health/topic/medicaltest/lyme-disease-test/hw5113.html#hw5131

Tlhahisoleseling e fumanehang sebakeng sena sa marang-rang ha ea lokela ho sebelisoa ho nka sebaka sa tlhokomelo ea bongaka le likeletso. Ikopanye le mofani oa tlhokomelo ea bophelo haeba u na le lipotso ka bophelo ba hau.