Mtundu wamba komanso woyambirira wa matenda a Lyme, erythema migrans ndi chotupa chapakhungu chomwe chimawonekera pamalo pomwe nkhupakupa imakhudzidwa ndi mabakiteriya a Borrelia. Maonekedwe ake amafuna kukaonana mwamsanga.

Ndi chiyani ?

Erythema migrans ndiyomwe imawonekera pafupipafupi (60 mpaka 90% ya milandu) komanso yomwe imawonetsa matenda a Lyme kumayambiriro kwake. Monga chikumbutso, matenda a Lyme kapena Lyme borreliosis ndi matenda opatsirana komanso osapatsirana omwe amafalitsidwa ndi nkhupakupa zomwe zimakhala ndi mabakiteriya. Borrelia burgdorferi kutanthauza chilimwe.

Kodi mungadziwe bwanji erythema migrans?

Zikawoneka, 3 mpaka masiku 30 pambuyo pa kulumidwa, erythema migrans imatenga mawonekedwe a maculopapular zilonda (ting'onoting'ono ta khungu tomwe timapanga tokhala ting'onoting'ono pakhungu) ndi erythematous (yofiira) kuzungulira nkhupakupa. Cholemba ichi sichimayambitsa kupweteka kapena kuyabwa.

The chotupa ndiye pang`onopang`ono kufalikira padziko kuluma, kupanga khalidwe wofiira mphete. Pakatha masiku kapena masabata angapo, erythema migrans imatha kufika masentimita angapo m'mimba mwake.

Rarer mawonekedwe, angapo kutanthauzira erythema migrans limapezeka patali ndi nkhupakupa kuluma ndipo nthawi zina limodzi ndi malungo, mutu, kutopa.

Zowopsa

Zomwe zimachitika kumidzi, makamaka m'nkhalango ndi m'madambo, panthawi ya nkhupakupa, kuyambira Epulo mpaka Novembala, zimakupatsirani kulumidwa ndi nkhupakupa zomwe zimatha kunyamula mabakiteriya omwe amayambitsa matenda a Lyme. Komabe, pali kusiyana kwakukulu kwachigawo ku France. Kum'mawa ndi Pakati ndizokhudzidwa kwambiri kuposa madera ena.

Erythema migrans imawonekera pambuyo polumidwa ndi nkhupakupa yonyamula mabakiteriya Borrelia burgdorferi sensu loto. Nkhupakupa imatha kuluma nthawi iliyonse yakukula kwake (mphutsi, pupa, wamkulu). 

Kuwonekera kwachipatala kumeneku nthawi zambiri kumakhala kokwanira kuzindikira matenda a Lyme atangoyamba kumene. Ngati mukukayikira, chikhalidwe ndi / kapena PCR pakhungu la biopsy zitha kuchitidwa kuti ziwonetse mabakiteriya.

Popanda mankhwala opha maantibayotiki mu gawo la erythema migrans, matenda a Lyme amatha kupita kumalo otchedwa siteji yofalikira. Izi zimawonekera mu mawonekedwe a erythema migrans angapo kapena mawonetseredwe amitsempha (meningoradiculitis, kufa ziwalo za nkhope, meninjitisi yodzipatula, pachimake myelitis), kapena ngakhale osakhala articular, cutaneous (borrelian lymphocytoma), mawonetseredwe amtima kapena ophthalmological.

Erythema migrans amafunika mankhwala opha tizilombo (doxycycline kapena amoxicillin kapena azithromycin) kuti athetse mabakiteriya. Borrelia burgdorferi sensu loto, ndipo potero kupewa kufalikira kwa mawonekedwe ofalitsidwa kenako osatha. 

Mosiyana ndi nkhupakupa, palibe katemera wa matenda a Lyme.

Choncho kupewa kumatengera zochita zosiyanasiyana izi:

• kuvala zovala zotchinga, zomwe mwina zidayikidwa ndi zodzitetezera, panthawi yantchito zakunja;
• mutatha kuwonekera pamalo owopsa, yang'anani mosamala thupi lonse ndi chidwi makamaka kumadera omwe ali ndi khungu lopyapyala komanso losaoneka bwino (makwinya akhungu kumbuyo kwa mawondo, m'khwapa, maliseche, mchombo, scalp, khosi, kumbuyo kwa makutu). Bwerezaninso kuyendera tsiku lotsatira: kumwa magazi, nkhupakupa idzawonekera kwambiri.
• ngati nkhupakupa ilipo, chotsani mwachangu momwe mungathere pogwiritsa ntchito chokoka nkhupakupa (m'ma pharmacies) ndikusamala kulemekeza njira zingapo zodzitetezera: tengani nkhupakupa pafupi ndi khungu momwe mungathere, ikokeni pang'onopang'ono pozungulira, kenako fufuzani kuti mutu wachotsedwa. Phatikizanipo tizilombo toyambitsa matenda pamalo amene nkhupakupa zalumidwa.
• Mukachotsa nkhupakupa, yang'anani malo omwe alumidwa kwa milungu inayi, ndipo funsani ngati pali chizindikiro chaching'ono chapakhungu.