Yuav ua li cas tus zuam ua pa thaum lub sij hawm tom, los yog me me "vampires" tswj kom tsis txhob ua pa thaum noj mov
Ticks yog arachnids nrog plaub khub ob txhais ceg. Lawv feem ntau ntev li ntawm 1-1,5 cm. Tom qab haus cov ntshav, lawv tuaj yeem ua rau lawv loj tuaj txog 200 npaug. Ticks tom nruj nreem rau ntawm daim tawv nqaij thiab tso tshuaj loog, yog li qhov tom tsis hnov. khawb rau hauv lub cev, lawv pom raws li qhov tsaus ntuj, me ntsis protruding taw tes nrog redness nyob ib ncig ntawm nws. Cov neeg feem ntau xav paub seb tus neeg nqus ntshav ua pa li cas.
Txheem
Leej twg yog zuam thiab yog vim li cas lawv txaus ntshai
Feem ntau, cov zuam tuaj yeem pom hauv hav zoov, hauv cov tiaj ua si, tab sis tsis ntev los no lawv tau pom ntau dua hauv cov nroog. Lub caij rau cov kab mob no pib thaum Lub Peb Hlis / Plaub Hlis nrog lub ncov thaum Lub Rau Hli / Cuaj Hli. Nws kav mus txog rau thaum lub Kaum Ib Hlis, uas tej zaum yog vim huab cua sov.
Bloodsucking arachnids hlob zoo tshaj plaws nyob rau hauv sov, noo ib puag ncig. Yog li ntawd, lawv nquag nquag thaum sawv ntxov thiab yav tav su. Lawv xaiv qhov chaw ntawm lub cev qhov chaw ntawm daim tawv nqaij ilv. Yog li ntawd, lawv feem ntau pom nyob rau hauv puab tais, hauv qab ntawm caj npab, ntawm lub hauv caug thiab hauv siab.
Kab mob kis los ntawm zuam
Txoj kev loj hlob tag nrho ntawm cov kab mob parasite yuav tsum tau noj peb zaug ntawm tus tswv tsev cov ntshav. Ua tsaug rau qhov no, parasites yog cov nqa ntawm ntau lub kaum ob kab sib txawv uas ua rau muaj kab mob loj hauv tsiaj thiab tib neeg:
- Kab mob Lyme;
- mob encephalitis;
- anaplasmosis / erlichiosis;
- babesiosis
Lwm yam kab mob uas feem ntau kis tau los ntawm cov kab mob parasites:
- American kub taub hau;
- tularemia;
- cytauxoonosis;
- bartonellosis;
- toxoplasmosis;
- mycoplasmosis.
Tus zuam tom zoo li cas rau tib neeg?
Kev tsis haum tshuaj:
- tshwm tam sim tom qab tshem tawm cov kab mob ntawm daim tawv nqaij;
- lub ntug feem ntau tsis tshaj 5 cm nyob rau hauv txoj kab uas hla;
- nyiam hnav tawm sai heev;
- Feem ntau khaus ntawm qhov chaw ntawm qhov tom.
Kev mob erythema:
- tshwm tsuas yog ob peb hnub tom qab, feem ntau 7-14 hnub tom qab zuam tau burrowed rau hauv lub cev;
- loj hlob ntau tshaj 5 cm nyob rau hauv lub cheeb;
- muaj ib tug tshwj xeeb tsim reminiscent ntawm lub hom phiaj tua, nrog rau qhov chaw liab nyob rau hauv nruab nrab ib ncig ntawm lub nplhaib liab;
- tus cwj pwm los ntawm erythema, "mus ncig" mus rau ntau qhov chaw ntawm daim tawv nqaij;
- Ua npaws thiab cov tsos mob zoo li mob khaub thuas kuj tshwm sim.
Cov zuam ua pa li cas thaum lub sij hawm tom?
Cov zuam cov kab mob ua pa yog nyob rau ntawm ob sab ntawm lub cev thiab yog cov hlab ntsha uas muaj cua nkag mus rau hauv lub cev puag ncig. Ob pawg ntawm tracheas tawm ntawm nws, uas ceg khov kho thiab cuam tshuam tag nrho cov kabmob.
Nws tsis yog qhov xav tsis thoob tias thaum lub sij hawm tom, thaum tus kab mob tau embedded nws tus kheej nyob rau hauv daim tawv nqaij ntawm ib tug neeg los yog tsiaj, nws tseem ua pa calmly. Nws tsis muaj cov kab mob ua pa ntawm nws lub taub hau.
Thawj pab tom qab zuam tom
Yog tias koj pom tus zuam ntawm koj lub cev, tshem nws tam sim ntawd. Qhov no yog qhov zoo tshaj plaws ua nrog nqaim forceps los yog cov kws tshaj lij tshem tawm, uas tuaj yeem yuav ntawm lub tsev muag tshuaj.
Kev tshem tawm ntawm cov bloodsucker zoo heev txo qhov kev pheej hmoo ntawm kev cog lus cov kab mob uas kis tau los ntawm ib feem ntawm cov kab mob uas tseem tshuav.
Tom qab tshem tawm cov arachnid, koj yuav tsum saib xyuas qhov chaw tom yam tsawg kawg 4 lub lis piam. Qhov chaw txhaj tshuaj erythema, uas zoo ib yam li scute thiab ua kom loj, yog thawj cov tsos mob ntawm tus kab mob Lyme, txawm hais tias nws tsis tas yuav tshwm sim nrog tus kab mob.
Yuav ua li cas rub nws tawm
Cov zuam yuav tsum tau muab tshem tawm sai li sai tau, koj tus kheej los yog nug lwm tus kom tshem tawm lawv. Cov kab mob uas tau embedded nws tus kheej hauv daim tawv nqaij yuav tsum tau muab tshem tawm ntawm lub kaum sab xis, uas yuav yog ib qho cuab yeej siv tau:
- tweezers;
- tweezers nrog ib tug clamp;
- lub tshuab nqus tsev twj rau suction.
Yog tias siv cov tweezers lossis lwm yam cuab yeej zoo sib xws, tuav cov kab mob kom ze rau ntawm daim tawv nqaij li sai tau, tom qab ntawd siv ib qho yooj yim, txoj cai-lub kaum sab xis (90 °) kom rub nws upward. Tsis txhob yank lossis ntswj cov tweezers, vim qhov no ua rau muaj feem cuam tshuam rau lawv thiab tawm hauv ib feem ntawm cov kab hauv daim tawv nqaij. Tom qab tshem tawm cov cab, tshuaj tua kab mob ntawm daim tawv nqaij thiab rhuav tshem nws los ntawm kev sib tsoo nrog cov khoom, xws li iav.
Yuav ua li cas yog tias koj raug zuam tom
Yog tias nws tsis tuaj yeem nqa tus zuam mus kuaj, ces nws yog qhov zoo dua los kuaj ntshav. Peb yuav qhia koj yuav ua li cas kom raug hauv qab no.
Tom qab zuam tom, nws raug nquahu kom noj tshuaj tua kab mob. Doxycycline 0,2 g yog muab rau kev tiv thaiv rau cov neeg laus, ib zaug hauv thawj 72 teev tom qab cov ntshav tau tom. Cov menyuam yaus thiab cov neeg laus uas doxycycline yog contraindicated yog cov tshuaj amoxicillin 3 zaug hauv ib hnub rau 5 hnub.
Yog tias 2 lub lis piam dhau los txij li tom qab, lawv raug kuaj rau cov tshuaj tiv thaiv kab mob rau tus kab mob tic-borne encephalitis. Kev kuaj ntshav rau cov tshuaj tiv thaiv kab mob borreliosis tau noj tom qab 3 lub lis piam.
Txhawm rau txiav txim siab seb qhov tom ua rau muaj qhov tshwm sim, koj yuav tsum tau kuaj ntshav rau zuam-borne encephalitis thiab borreliosis siv txoj kev PCR. Qhov kev ntsuam xyuas no yuav tsum tau ua tsis pub dhau 10 hnub tom qab tus kab mob tau noj hauv paus.
Ib qho kev tiv thaiv thaum muaj xwm txheej ceev yog kev tswj hwm ntawm immunoglobulin tom qab cov ntshav nqus tau tom. Nws tuaj yeem nyob ntawm qhov chaw ntawm lub cev tau ntev heev thiab ua tsis taus pa.
Immunoglobulin yuav tsum tau noj nyob rau hauv thawj 3 hnub tom qab tus kab mob cab. Ces tus kab mob no neutralized kiag li. Cov tshuaj yog ib qho protein cais tawm los ntawm cov ntshav uas muaj cov tshuaj tiv thaiv kab mob rau cov kab mob uas kis los ntawm zuam. Nws yog xam nyob rau hauv ib tug ntim ntawm 1 ml ib 10 kg ntawm tib neeg lub cev.
Nrov lus nug thiab lus teb
Peb teb cov lus nug uas nquag nug los ntawm cov neeg nyeem. Bloodsuckers, khawb rau hauv lub cev, tuaj yeem ua pa ntsiag to, tab sis muaj ntau yam uas koj yuav tsum paub.
| Dab tsi yog qhov tshwm sim tom qab zuam tom? | Qhov tshwm sim tuaj yeem sib txawv, tab sis feem ntau cov tsos mob hauv qab no tshwm sim - liab ntawm daim tawv nqaij thiab o ntawm qhov chaw ntawm qhov chaw ntawm qhov chaw ntawm qhov chaw, ua npaws, qaug zog, qaug zog, tsaug zog thiab noj qab nyob zoo. |
| Yuav ua li cas yog tias tsis tag nrho zuam raug rub tawm | Cov seem ntawm cov cab kuj yuav tsum tau muab tshem tawm. Ua li no, koj yuav tsum tau kho cov tweezers lossis koob, nrog rau lub qhov txhab, nrog cawv. Tom qab ntawd rub tawm cov zuam nyob rau hauv tib txoj kev uas tshem tawm ib tug splinter. |
| Yuav ua li cas tshem cov zuam | Qhov yooj yim tshaj plaws los tshem tawm lawv yog nrog tweezers. Muaj cov tweezers tshwj xeeb nrog lub clamp kom yooj yim kom tau cov cab. Yog tias tsis muaj dab tsi, ces koj tuaj yeem tau txais nrog koj cov ntiv tes. |
| Tiv thaiv zuam tom | Tsuas yog XNUMX% txoj kev tiv thaiv yog txhaj tshuaj tiv thaiv immunoglobulin, uas pab tau ib hlis. Immunoglobulin kuj tseem siv tau tom qab noj yog tias nws tau nkag mus rau ntawm daim tawv nqaij. Kev txhaj tshuaj tiv thaiv yog pom zoo thaum lub sijhawm ua haujlwm ntawm cov kab mob loj tshaj plaws. Hoob no muaj ob qhov kev txhaj tshuaj nrog lub sijhawm ntawm 1-2 lub hlis. Tom qab ib xyoos, revaccination yog nqa tawm, tom qab ntawd txhua 3 xyoos. |
| Yuav ua li cas kom tsis txhob kis kab mob encephalitis los yog kab mob Lyme | Ua ntej tshaj plaws, nws yuav tsum tau siv ceev faj thaum mus tom hav zoov lossis taug kev hauv lub tiaj ua si. Hnav cov khaub ncaws uas muaj xim zoo nkauj nrog lub hood uas npog lub ntsej muag ntawm lub cev, khi cov ris tsho rau hauv khau, siv cov tshuaj tua kab mob, xyuas koj tus kheej thiab koj cov phooj ywg ntau zaus, thiab ua tib zoo tshuaj xyuas koj cov khaub ncaws thiab lub cev thaum rov qab los. |
Yav dhau los