Tick ​​mapiritsi kuvanhu: kuongororwa uye kurapwa kwemhedzisiro yekurwiswa kweparasite ine njodzi

Sei kurumwa nezvikwekwe zvine njodzi?

Kuzviruma kwechikwekwe pachacho hakuna ngozi kupfuura kurumwa netumbuyu chero ripi zvaro rinosveta ropa. Asi hunyengeri hweparasite huri mukukwanisa kutakura zvirwere zvinotakura zvikwekwe, izvo zvinokonzera kukura kwezvirwere zvakakomba - encephalitis, chirwere cheLyme nezvimwe. Sezvo mutemo, zvirwere izvi zvakanyanya, zvinoda kurapwa kwenguva refu uye, mumatambudziko akaoma, zvinokonzera kuremara mumunhu.

Chii chinoitika panguva yekurumwa nechikwekwe

Panguva yekurumwa, chikwekwe chinobaya ganda remunhu anenge abatwa, kuchigadzirisa nemazino anokosha uye kuisa proboscis yake muchironda.

Panguva yekusveta, mate echipembenene, ane mavhairasi, anopinda muropa reakarumwa.

Kana chikwekwe ichitora ropa kwenguva yakareba, mukana wekutapukirwa unowedzera.

Mishonga yekurumwa nezvikwekwe

Hakuna mishonga chaiyo yekurapa zvirwere zvinokonzerwa nezvikwekwe. Mukuwedzera, hazvibviri kunyatsoona kana munhu akatapukirwa pakarepo mushure mekurwisa kweropa. Iyo yakabudiswa tick inogona kutorwa kuti iongororwe, asi kunyange kana zvikazoitika kuti inotakura utachiona, izvi hazvirevi kuti munhu anenge abatwa acharwara. Vanachiremba vanowanzorayira kurapwa kweprophylactic, uye mishonga inoshandiswa nguva dzose kana, mushure mekurumwa kwezvipembenene, munhu anenge abatwa anowedzera zviratidzo zvehutachiona.

Mushonga mushure mekurumwa kwechikwekwe: mishonga inorwisa mabhakitiriya

Kurapa kwevakakuvadzwa nekurumwa neropa, amoxicillin kana doxycycline inowanzoshandiswa. Mishonga inorwisa mabhakitiriya haishande kurwisa encephalitis, asi inoshanda kurwisa borrelia, mabhakitiriya anokonzera chirwere cheLyme. Zvinokurudzirwa kuita emergency prophylaxis chete mumaawa 72 ekutanga mushure mekurumwa.

Antiviral mishonga yekurumwa nezvikwekwe

Maonero enyanzvi pamusoro pekugona kwekutora antiviral agents mushure mekurumwa kwechikwekwe siyana. Vamwe vanachiremba vanorayira emergency prophylaxis nerimantadine kana iodantipyrine.

Yodantipyrine

Sezvataurwa pamusoro apa, iodantipyrine inoshandiswa se antiviral therapy. Chishandiso ichi chakamboshandiswa seisotope label yekudzidza yemvura yemuviri. Parizvino, mushonga wakaiswa seyakakura-spectrum anti-inflammatory uye antiviral agent.

Kuumbwa

Active substance: iodophenazone 100 mg; zvinhu zvinobatsira: mbatatisi starch, dextrose, magnesium stearate.

Pharmacological action

Kukosha kwemushonga kuri mukuita kwayo kurwisa chikwekwe-borne encephalitis. Mukuwedzera, iodantipyrin ine interferonogenic, anti-inflammatory, immunostimulatory effects.

Zviratidzo

Chiratidzo chekutora mushonga ndiko kurapwa nekudzivirira kwechikwekwe-borne encephalitis.

Contraindications

Mushonga wacho unopesana nevarwere vane hyperthyroidism, pamwe chete nevanhu vane hanya nezvikamu zvemushonga.

Kusarudzwa uye Kutungamirirwa

Iyo yakanyanya kunaka dosage regimen yemushonga inosarudzwa nachiremba.

Kugamuchirwa kunonyanya kutaurwa ndekunotevera: pakurapa kwechikwekwe-inotakura encephalitis: mumazuva maviri ekutanga mushure mekurumwa, 2 g / 0,3 kanomwe pazuva, pa3rd ne3th zuva, 4 g / 0,2 kanomwe pazuva, pa3 uye anotevera mazuva, 5 g / 0,1 kanomwe pazuva.

Nezvinangwa zveprophylactic, mushonga unowanzoshandiswa nenzira imwechete. Mahwendefa anotorwa chete mushure mekudya.

Zvikanganiso

Mune zvimwe zviitiko, mushure mekutora jodantipyrine, allergic reactions, kusvotwa, uye kuzvimba kunoitika.

Kurapa zvirwere zvinokonzerwa nekurumwa

Kurapa kwezvirwere zvinokonzerwa nehutachiona hwehutachiona huchabudirira zvikuru kana hukatanga pakarepo mushure mekutanga kwezviratidzo zvinotyisa. Kurapa panguva yakakodzera kunobatsira kudzivirira matambudziko uye kupa mukana wekupora kuzere.

Chitupa chinotakurwa encephalitis

Iyo incubation nguva yeencephalitis inotakura zvikwekwe inotangira pamazuva maviri kusvika makumi maviri nemasere. Kazhinji, zviratidzo zvekliniki zvinoitika mazuva 2-28 mushure mekurumwa.

Kazhinji, chirwere chinoitika mumatanho maviri. Muchikamu chekutanga, zviratidzo hazvina kujeka: fivha, fivha, musoro uye kurwadziwa kwemisumbu, photophobia.

Zviratidzo zvinoenda nezviratidzo zveSARS, saka murwere haagare achitsvaga rubatsiro rwekurapa panguva yakakodzera. Chikamu chekutanga che encephalitis chinotora kubva pamazuva maviri kusvika ku2, mushure mezvo zvinonzi "kupora" kunoitika - murwere anonzwa zvakanaka, zviratidzo zvinopera.

Iyi nhanho inogona kubva pamazuva 1 kusvika ku21, mushure mokunge chikamu chechipiri chechirwere chinotanga, icho chine zviratidzo zvakanyanya. Varwere vazhinji vanokura meningitis uye meningoencephalitis panguva iyi.

Zviratidzo zvechikamu chechipiri che encephalitis: musoro, kunyanya munharaunda ye occipital, kuoma kwemutsipa, photophobia, kusvotwa, kurutsa uye fivha. Muzviitiko zvakakomba, kuoma mitezo, paresis, kutadza kuziva kusvika pakoma, kukanganiswa kwehunhu kunoitika.

Diagnostics

Kuongororwa kwe "tick-borne encephalitis" kunosimbiswa nezviratidzo zve meningitis / meningoencephalitis, kuvapo kweIgM chaiyo uye IgG antibodies kuropa, uye kuwedzera kwenhamba yemasero europi.

Kurapa kwechikwekwe-borne encephalitis

Parizvino, hapana nzira dzakananga dzekurapa kwechikwekwe-borne encephalitis, kurapa kune chiratidzo. Kurapa kunoitika muchipatara uye kunoenderana nekuoma kwemamiriro emurwere uye zviratidzo zvechirwere.

Painkillers, anti-inflammatory drugs, antipyretics, antiviral uye antiemetics inoshandiswa sekurapa. Uyewo zvinodhaka zvinoshandiswa kuchengetedza mvura uye electrolyte kuenzanisa uye, kana zvichidiwa, anticonvulsants.

Chirwere cheLyme kiriniki

Mushure memavhiki 3-8, zviratidzo zvekutanga zvinopera uye munhu anonzwa ane hutano hwakanaka, asi chirwere chinopfuurira. Kune kuvhiringidzika mubasa renhengo dzomukati uye zvirongwa: chiropa, itsvo, tsinga uye hurongwa hwemwoyo.

Vanachiremba vanosiyanisa zvikamu zvitatu zve borreliosis.

Mumwe nomumwe wavo ane zviratidzo zvakananga uye kuoma, kazhinji pakati pezvikamu zvechirwere pane nguva apo murwere anonzwa zvakanaka, izvo zvinonyanya kuomesa kuongororwa. Zviratidzo zvechikamu chekutanga chirwere cheLyme:

• erythema migrans, kuputika kweganda;
• fivha, fivha;
• musoro uye kurwadziwa kwemisumbu;
• kuderera mukugara zvakanaka, kuneta;
• kushungurudza uye kurutsa;
• photophobia.

Chikamu chechipiri chinotora kubva ku1 kusvika kumwedzi mitatu. Munguva iyi, mabhakitiriya anoshingaira kupararira mumuviri wose uye anokanganisa nhengo dzomukati. Zviratidzo zvechikamu chechipiri chechirwere cheLyme:

• kutemwa nemusoro kwakanyanya;
• kutyorwa kwekunzwa kwemakumbo;
• kushushikana mupfungwa, kusagadzikana;
• peripheral radiculopathy;
• palpitations, kupfupika kwekufema, kurwadziwa muchipfuva;
• cranial nerve paralysis.

Chikamu chechitatu che borreliosis chinokura mumwedzi 6-24. Kazhinji, chirwere chinowanikwa uye chinobudirira kurapwa panguva yekutanga. Padanho rechitatu, kukuvadzwa kwenhengo dzemukati hakugadzirisiki, zvakanyanya autoimmune kusagadzikana kunoonekwa. Zviratidzo:

• kuvhiringidzika kwepfungwa;
• meningitis;
• pfari pfari, psychosis;
• arthritis, kurwadza kwetsandanyama spasms;
• ganda atrophy.

Chirwere cheLyme Kuongororwa

Padanho rekutanga, chiratidzo chikuru chehutachiona ndiko kuitika kwe erythema uye zviratidzo zvakafanana neSARS. Kuongororwa kwekupedzisira, nzira dzinotevera dzerabhoritari dzinoshandiswa:

• PCR tsvakurudzo;
• yakabatanidzwa immunosorbent assay;
• microscopic kuongorora kuona borrelia.

Kurapa kwechirwere cheLyme

Kurapa kwe borreliosis kune chinangwa chekuparadza mabhakitiriya mumuviri wemurwere uye kuchengetedza kushanda kwenhengo dzomukati. Kazhinji, varwere vanoda kuchipatara nedhipatimendi rezvirwere zvinotapukira.

Padanho rekutanga, chirwere cheLyme chinobudirira kurapwa nemishonga inorwisa mabhakitiriya yeboka retetracycline; kana kukanganisika kwetsinga nemoyo kuchiitika, penicillins uye cephalosporins inorayirwa.

Mukufanana, kwete-steroidal anti-inflammatory uye analgesic zvinodhaka, physiotherapy uye, kana zvichidiwa, detoxification therapy inoshandiswa.

Kudzivirira

Zvirwere zvinokonzerwa nezvikwekwe zvinokanganisa zvakanyanya hutano hwevanhu uye hupenyu. Kuti uderedze njodzi yehutachiona, zvinokurudzirwa kushandisa seti yekudzivirira matanho:

1. Vaccination. Parizvino, pane chete jekiseni rinorwisa chikwekwe-borne encephalitis. Iyi nzira yekudzivirira yakashandiswa kwemakumi emakore akawanda uye yakakwanisa kuratidza kushanda kwayo. Unogona kubaiwa nhomba pasina muripo kukiriniki kwaunogara.
2. Kuti ufambe munharaunda yesango, iwe unofanirwa kusarudza zvipfeko zvakakosha zvekudzivirira: zvinodikanwa kuti ive yemumvuri wakareruka, zvipfeko zvekunze zvinofanirwa kupfekerwa mumabhuruku, uye tirauzi mumasokisi nebhutsu. Iva nechokwadi chekupfeka heti uye hood.
3. Iva nechokwadi chekushandisa gadziriro dzakakosha kudzinga uye kuparadza zvikwekwe - makemikari anodzinga uye acaricides;
4. Panguva yekufamba, kuongorora muviri uye zvipfeko kunofanirwa kuitwa maminitsi makumi matatu ega ega.