Ib daim ntawv hauv zos thiab thaum ntxov ntawm tus kab mob Lyme, erythema migrans yog daim tawv nqaij lesion tshwm sim ntawm qhov chaw ntawm tus zuam uas kis tus kab mob Borrelia. Nws zoo li yuav tsum tau kev sab laj tam sim.

Dab tsi yog nws?

Erythema migrans yog qhov tshwm sim feem ntau tshwm sim (60 mus rau 90% ntawm cov neeg mob) thiab feem ntau qhia txog tus kab mob Lyme nyob rau hauv nws lub zos thaum ntxov. Raws li kev ceeb toom, kab mob Lyme lossis Lyme borreliosis yog ib qho kab mob sib kis thiab tsis kis kab mob kis los ntawm cov zuam uas muaj kab mob. Borrelia burgdorferi txhais lub caij ntuj sov.

Yuav ua li cas paub txog erythema migrans?

Thaum nws tshwm sim, 3 mus rau 30 hnub tom qab tom, erythema migrans siv daim ntawv ntawm maculopapular lesion (cov tawv nqaij me me ua pob me me ntawm daim tawv nqaij) thiab erythematous (liab) nyob ib ncig ntawm zuam tom. Cov quav hniav no tsis ua rau mob lossis khaus.

Cov kab mob ces maj mam kis mus nyob ib ncig ntawm qhov tom, tsim ib tug yam ntxwv liab nplhaib. Tom qab ob peb hnub lossis ob peb lub lis piam, erythema migrans tuaj yeem ncav cuag li ob peb lub kaum ntawm centimeters.

Daim ntawv tsis tshua muaj, ntau qhov chaw hauv cheeb tsam erythema migrans tshwm nyob deb ntawm qhov zuam tom thiab qee zaum nrog kub taub hau, mob taub hau, qaug zog.

Risk yam tseem ceeb

Txhua yam kev ua hauv lub tebchaws, tshwj xeeb tshaj yog cov hav zoov thiab cov nyom, thaum lub sijhawm zuam, txij lub Plaub Hlis mus txog rau lub Kaum Ib Hlis, ua rau koj mus tom cov zuam uas muaj peev xwm nqa cov kab mob uas ua rau tus kab mob Lyme. Txawm li cas los xij, muaj qhov sib txawv hauv cheeb tsam loj hauv Fabkis. Sab Hnub Tuaj thiab Lub Chaw yog qhov tseeb cuam tshuam ntau dua li lwm thaj chaw.

Erythema migrans tshwm tom qab raug tus zuam nqa cov kab mob Borrelia burgdorferi sensu loto. Tus zuam tuaj yeem tom ntawm txhua theem ntawm nws txoj kev loj hlob (larva, pupa, laus). 

Qhov kev kho mob tshwm sim no feem ntau yog txaus rau kev kuaj mob ntawm tus kab mob Lyme nyob rau theem pib. Nyob rau hauv rooj plaub uas tsis ntseeg, kab lis kev cai thiab / lossis PCR ntawm daim tawv nqaij biopsy tuaj yeem ua rau pom cov kab mob.

Yog tias tsis muaj tshuaj tua kab mob hauv erythema migrans theem, tus kab mob Lyme tuaj yeem nce mus rau qhov hu ua kev tshaj tawm ntxov. Qhov no manifests nws tus kheej nyob rau hauv daim ntawv ntawm ntau yam erythema migrans los yog neurological tshwm sim (meningoradiculitis, lub ntsej muag tuag tes tuag taw, cais meningitis, mob myelitis), los yog txawm los yog tsis tshua muaj articular, cutaneous (borrelian lymphocytoma), plawv los yog ophthalmological manifestations.

Erythema migrans yuav tsum tau siv tshuaj tua kab mob (doxycycline lossis amoxicillin lossis azithromycin) txhawm rau txhawm rau tshem tawm cov kab mob. Borrelia burgdorferi sensu loto, thiab yog li zam kev nce mus rau kev tshaj tawm thiab tom qab ntawv cov ntaub ntawv ntev. 

Tsis zoo li zuam-borne encephalitis, tsis muaj tshuaj tiv thaiv kab mob Lyme.

Yog li kev tiv thaiv yog ua raws li cov kev coj ua sib txawv no:

• hnav khaub ncaws npog, tejzaum nws impregnated nrog cov tshuaj tua kab mob, thaum ua haujlwm sab nraum zoov;
• Tom qab kis tau rau hauv qhov chaw muaj kev pheej hmoo, ua tib zoo tshuaj xyuas tag nrho lub cev nrog kev saib xyuas tshwj xeeb rau thaj chaw uas muaj daim tawv nqaij nyias thiab tsis pom zoo (daim tawv nqaij folds qab lub hauv caug, armpits, qhov chaw mos, qhov ntswg, tawv taub hau, caj dab, nraub qaum ntawm pob ntseg). Rov ua qhov tshuaj ntsuam xyuas hnub tom qab: haus cov ntshav, zuam yuav pom ntau dua.
• Yog tias muaj zuam tshwm sim, tshem tawm sai li sai tau siv tus zuam rub (hauv khw muag tshuaj) saib xyuas kom hwm ob peb qhov kev ceev faj: nqa tus zuam kom ze rau ntawm daim tawv nqaij li sai tau, rub nws maj mam los ntawm kev tig nws, tom qab ntawd xyuas tias qhov taub hau raug tshem tawm. Disinfect qhov chaw ntawm tus zuam tom.
• Tom qab tshem tawm cov zuam, saib xyuas thaj chaw tom rau 4 lub lis piam, thiab sab laj rau qhov pom ntawm daim tawv nqaij me ntsis.