Tick ​​​​cov tshuaj rau tib neeg: kev kuaj mob thiab kev kho mob ntawm qhov tshwm sim ntawm qhov txaus ntshai parasite nres

Yog vim li cas zuam tom thiaj txaus ntshai?

Tus zuam tom nws tus kheej tsis muaj kev phom sij tshaj qhov tom ntawm lwm cov kab nqus ntshav. Tab sis lub insidiousness ntawm parasite nyob rau hauv nws muaj peev xwm mus kis zuam-yug kab mob, uas ua rau kev loj hlob ntawm cov kab mob loj - encephalitis, kab mob Lyme thiab lwm yam. Raws li txoj cai, cov kab mob no hnyav heev, xav tau kev kho mob ntev thiab, thaum mob hnyav, ua rau muaj kev tsis taus.

Yuav ua li cas thaum zuam tom

Thaum lub sij hawm ib tug tom, zuam pierces daim tawv nqaij ntawm tus neeg raug tsim txom, yog tsau nrog tshwj xeeb hniav thiab inserts lub proboscis rau hauv lub qhov txhab.

Thaum lub sij hawm nqus, cov kab tsuag cov qaub ncaug, uas muaj cov kab mob, nkag mus rau hauv cov hlab ntsha ntawm tus neeg raug.

Ntev npaum li tus zuam haus ntshav, qhov yuav kis tau ntau dua.

Tshuaj rau zuam tom

Tsis muaj cov tshuaj tshwj xeeb los kho cov kab mob tic-borne. Tsis tas li ntawd, nws tsis tuaj yeem txiav txim siab seb tus neeg puas tau kis tus kab mob tam sim ntawd tom qab qhov kev tawm tsam los ntawm tus neeg nqus ntshav. Cov zuam tshem tawm tuaj yeem kuaj tau, tab sis txawm tias nws hloov tawm tias nws yog tus neeg nqa khoom ntawm tus kab mob, qhov no tsis txhais tau tias tus neeg raug mob yuav mob. Cov kws kho mob feem ntau sau tshuaj tiv thaiv, thiab cov tshuaj kuj tseem siv tau yog tias tus neeg raug mob ntsib cov tsos mob ntawm tus kab mob tom qab kab tsuag.

Tshuaj tom qab zuam tom: tshuaj tua kab mob

Txhawm rau kho cov neeg raug tsim txom los ntawm cov kab mob ntshav tom, amoxicillin lossis doxycycline feem ntau yog siv. Cov tshuaj tua kab mob tsis muaj txiaj ntsig rau tus mob encephalitis, tab sis muaj txiaj ntsig zoo rau Borrelia, cov kab mob uas ua rau tus kab mob Lyme. Nws raug nquahu kom ua qhov kev tiv thaiv xwm txheej ceev tsuas yog thawj 72 teev tom qab tom.

Antiviral tshuaj rau zuam tom

Cov kws tshaj lij muaj qhov sib txawv ntawm qhov kev tawm tswv yim ntawm kev noj tshuaj tiv thaiv kab mob tom qab zuam tom. Qee tus kws kho mob tau sau tshuaj tiv thaiv xwm txheej ceev nrog cov tshuaj rimantadine lossis iodantipyrine.

Yodantipyrine

Raws li tau hais los saum toj no, iodantipyrine yog siv los ua tshuaj tiv thaiv kab mob. Cov khoom yav dhau los tau siv los ua ib qho isotopic tracer rau kev kawm txog cov kua hauv lub cev. Tam sim no, cov tshuaj yog positioned raws li ib tug dav-spectrum anti-inflammatory thiab antiviral neeg sawv cev.

Muaj pes tsawg leeg

Cov tshuaj nquag: iodophenazone 100 mg; excipients: qos starch, dextrose, magnesium stearate.

Pharmacological kev txiav txim

Tus nqi ntawm cov tshuaj nyob rau hauv nws qhov kev txiav txim tawm tsam zuam-borne encephalitis. Tsis tas li ntawd, iodantipyrine muaj interferonogenic, anti-inflammatory, thiab immunostimulating teebmeem.

Kev qhia

Cov lus qhia rau kev noj cov tshuaj yog kev kho thiab tiv thaiv ntawm zuam-borne encephalitis.

Contraindications

Cov tshuaj yog contraindicated nyob rau hauv cov neeg mob nrog hyperthyroidism, raws li zoo raws li cov neeg rhiab heev rau lub Cheebtsam ntawm cov tshuaj.

Txoj kev tswj hwm thiab ntau npaum li cas

Cov tshuaj noj kom zoo tshaj plaws rau cov tshuaj yog xaiv los ntawm tus kws kho mob.

Feem ntau cov tshuaj noj yog raws li nram no: rau kev kho mob ntawm zuam-borne encephalitis: thawj 2 hnub tom qab tom, 0,3 g / 3 zaug ib hnub twg, nyob rau 3rd thiab 4 hnub, 0,2 g / 3 zaug ib hnub twg. 5 g / 0,1 zaug ib hnub twg.

Rau kev tiv thaiv, cov tshuaj feem ntau yog siv raws li tib lub tswv yim. Cov ntsiav tshuaj tsuas yog noj tom qab noj mov xwb.

Kev mob tshwm sim

Qee zaum, tom qab noj iodantipyrine, kev tsis haum tshuaj, xeev siab, thiab o tshwm sim.

Kev kho cov kab mob tshwm sim los ntawm kev tom

Kev kho mob ntawm cov kab mob tshwm sim los ntawm tus kab mob zuam yuav ua tau zoo dua yog tias nws pib tam sim ntawd tom qab pom cov tsos mob ceeb toom. Kev pib kho raws sij hawm yuav pab kom tsis txhob muaj teeb meem thiab muab sijhawm rau kev rov zoo tag nrho.

Tick-borne encephalitis

Lub sij hawm incubation ntawm zuam-borne encephalitis yog li ntawm 2 mus rau 28 hnub. Feem ntau, cov tsos mob tshwm sim tshwm sim 7-14 hnub tom qab tom.

Feem ntau, tus kab mob tshwm sim hauv 2 theem. Thawj theem, cov tsos mob tsis yog tshwj xeeb: kub taub hau, mob taub hau, mob leeg, photophobia.

Cov tsos mob zoo ib yam li cov tsos mob ntawm ARVI, yog li tus neeg mob tsis tas mus nrhiav kev pab kho mob raws sijhawm. Thawj theem ntawm tus kab mob encephalitis kav li ntawm 2 mus rau 7 hnub, tom qab ntawd qhov kev xav tau "rov qab" tshwm sim - tus neeg mob hnov ​​​​zoo, cov tsos mob ploj mus.

Cov theem no tuaj yeem kav li ntawm 1 txog 21 hnub, tom qab ntawd theem ob ntawm tus kab mob pib, uas muaj cov tsos mob hnyav dua. Cov neeg mob feem ntau tsim mob meningitis thiab meningoencephalitis thaum lub sijhawm no.

Kev tshwm sim ntawm theem ob ntawm encephalitis: mob taub hau, feem ntau nyob rau hauv cheeb tsam occipital, caj dab txhav, photophobia, xeev siab, ntuav thiab kub taub hau. Hauv cov xwm txheej hnyav, tuag tes tuag taw, paresis, cuam tshuam ntawm kev nco qab txog kev tsis nco qab, thiab tus cwj pwm tsis zoo tshwm sim.

diagnostics

Kev kuaj mob ntawm "tick-borne encephalitis" tau lees paub los ntawm cov tsos mob ntawm meningitis / meningoencephalitis, muaj cov IgM thiab IgG cov tshuaj tiv thaiv rau cov ntshav, thiab kev nce hauv cov kua cerebrospinal hlwb.

Kev kho mob ntawm zuam-borne encephalitis

Tam sim no, tsis muaj ib txoj hauv kev los kho tus zuam-borne encephalitis; kev kho mob yog cov tsos mob. Kev kho mob tshwm sim hauv tsev kho mob thiab nyob ntawm qhov hnyav ntawm tus neeg mob tus mob thiab cov tsos mob ntawm tus kab mob.

Cov tshuaj tua kab mob, tshuaj tua kab mob, tshuaj tua kab mob, tshuaj tua kab mob thiab tshuaj tua kab mob yog siv los kho. Cov tshuaj los tswj cov kua dej thiab electrolyte sib npaug thiab, yog tias tsim nyog, kuj siv cov tshuaj tiv thaiv kab mob.

Lyme Disease Clinic

Tom qab 3-8 lub lis piam, cov tsos mob tseem ceeb ploj mus thiab tus neeg xav tias muaj kev noj qab haus huv, tab sis tus kab mob mus ntxiv. Kev cuam tshuam tshwm sim hauv kev ua haujlwm ntawm cov kab mob hauv nruab nrog cev thiab lub cev: daim siab, ob lub raum, lub paj hlwb thiab cov hlab plawv.

Cov kws kho mob paub qhov txawv 3 theem ntawm borreliosis.

Txhua tus ntawm lawv muaj cov tsos mob tshwj xeeb thiab qhov hnyav, feem ntau ntawm cov theem ntawm tus kab mob muaj lub sijhawm thaum tus neeg mob zoo, uas ua rau kev kuaj mob nyuaj dua. Cov tsos mob ntawm theem 1 Lyme kab mob:

• erythema migrans, daim tawv nqaij ua pob;
• ua npaws, ua npaws;
• mob taub hau thiab mob leeg;
• deterioration ntawm kev noj qab haus huv, qaug zog;
• xeev siab thiab ntuav;
• photophobia.

Qhov thib ob theem yog los ntawm 1 mus rau 3 lub hlis. Thaum lub sij hawm no, cov kab mob nquag kis thoob plaws hauv lub cev thiab cuam tshuam rau hauv nruab nrog cev. Cov tsos mob ntawm theem 2 Lyme kab mob:

• mob hnyav throbbing taub hau;
• ua txhaum ntawm rhiab heev ntawm cov ceg;
• kev xav lability, chim siab;
• peripheral radiculopathy;
• plawv dhia ceev, ua tsis taus pa luv, mob hauv siab;
• cranial paj hlwb.

Qhov thib peb theem ntawm borreliosis tshwm sim nyob rau hauv 6-24 lub hlis. Feem ntau, tus kab mob no tau kuaj pom thiab kho tau zoo nyob rau theem ua ntej. Nyob rau theem 3, kev puas tsuaj rau hauv nruab nrog cev yog irreversible, thiab mob autoimmune mob heev raug pom. Cov tsos mob:

• kev paub tsis meej;
• meningitis;
• qaug dab peg qaug dab peg, psychoses;
• mob caj dab, mob spasms;
• tawv nqaij atrophy.

Kev kuaj mob Lyme

Thaum thawj theem, lub ntsiab lus ntawm kev kis kab mob yog qhov tshwm sim ntawm erythema thiab cov tsos mob zoo ib yam li ARVI. Cov kev kuaj hauv qab no yog siv los kuaj xyuas zaum kawg:

• Kev tshawb fawb PCR;
• txuas immunosorbent assay;
• Kev kuaj microscopic txhawm rau kuaj xyuas Borrelia.

Kev Kho Mob Lyme Disease

Kev kho mob ntawm borreliosis yog tsom rau kev rhuav tshem cov kab mob hauv tus neeg mob lub cev thiab tswj kev ua haujlwm ntawm cov kab mob hauv nruab nrog cev. Feem ntau, cov neeg mob yuav tsum tau mus pw hauv tsev kho mob los ntawm chav saib xyuas kab mob sib kis.

Hauv thawj theem, tus kab mob Lyme tau ua tiav nrog cov tshuaj tua kab mob tetracycline; yog tias muaj cov kab mob hauv lub paj hlwb thiab lub plawv, cov tshuaj penicillins thiab cephalosporins raug muab.

Nyob rau hauv parallel, non-steroidal anti-inflammatory thiab painkillers, physiotherapy thiab, yog hais tias tsim nyog, detoxification kho yog siv.

Tiv Thaiv

Tick-borne kab mob ua rau muaj kev hem thawj rau tib neeg kev noj qab haus huv thiab lub neej. Txhawm rau txo qhov kev pheej hmoo ntawm tus kab mob, nws raug nquahu kom siv cov txheej txheem tiv thaiv:

1. Kev txhaj tshuaj. Tam sim no, muaj ib qho tshuaj tiv thaiv tsuas yog tiv thaiv tus zuam-borne encephalitis. Txoj kev tiv thaiv no tau siv rau ntau xyoo lawm thiab tau tswj kom pom nws cov txiaj ntsig zoo. Koj tuaj yeem txhaj tshuaj tiv thaiv dawb ntawm koj lub tsev kho mob hauv zos.
2. Rau kev taug kev hauv thaj chaw hav zoov, koj yuav tsum xaiv cov khaub ncaws tiv thaiv tshwj xeeb: nws yog qhov pom zoo tias nws yog lub teeb ntxoov ntxoo, cov khaub ncaws sab nrauv yuav tsum tau muab tso rau hauv cov ris tsho, thiab cov ris tsho yuav tsum tau ntim rau hauv thom khwm thiab khau boots. Nco ntsoov hnav lub kaus mom thiab lub hood.
3. Nws yog ib qho tsim nyog yuav tau siv cov kev npaj tshwj xeeb los tua cov zuam - tshuaj tua kab mob thiab acaricides;
4. Thaum taug kev, koj yuav tsum xyuas koj lub cev thiab khaub ncaws txhua 30 feeb.