Wani nau'i na gida da farkon cutar Lyme, erythema migrans wani rauni ne na fata wanda ke bayyana a wurin cizon kaska da ke dauke da kwayoyin Borrelia. Bayyanarsa yana buƙatar shawara nan da nan.

Menene ?

Erythema migrans shine bayyanar asibiti mafi yawan lokuta (kashi 60 zuwa 90% na lokuta) kuma mafi yawan alamun cutar Lyme a farkon farkon wuri. A matsayin tunatarwa, cutar Lyme ko Lyme borreliosis cuta ce mai yaduwa kuma wacce ba ta yaduwa ta hanyar kaska masu kamuwa da kwayoyin cuta. Borrelia burgdorferi sensu lata.

Yadda za a gane erythema ƙaura?

Lokacin da ya bayyana, kwanaki 3 zuwa 30 bayan cizon, erythema migrans suna ɗaukar nau'i na maculopapular rauni (kananan guraben fata masu tasowa da ke haifar da ƙananan kusoshi a fata) da erythematous (ja) a kusa da cizon kaska. Wannan plaque baya haifar da zafi ko ƙaiƙayi.

Sa'an nan a hankali raunin ya yadu a kusa da cizon, yana samar da zoben ja. Bayan 'yan kwanaki ko makonni, masu ƙaura na erythema na iya kaiwa zuwa dubun santimita da yawa a diamita.

Siffar rarer, maharan erythema da yawa suna bayyana a nesa da cizon kaska kuma wani lokacin suna tare da zazzabi, ciwon kai, gajiya.

hadarin dalilai

Duk wani aiki a cikin karkara, musamman dazuzzuka da ciyayi, a lokacin aikin kaska, daga Afrilu zuwa Nuwamba, yana fallasa ku ga cizo daga kaska mai yuwuwar ɗaukar ƙwayoyin cuta masu haifar da cutar Lyme. Koyaya, akwai babban bambanci a yanki a Faransa. Gabas da cibiyar a haƙiƙa sun fi sauran yankuna abin ya shafa.

Erythema migrans ya bayyana bayan cizon kaska da ke dauke da kwayoyin cutar Borrelia burgdorferi sensu loto. Kaska na iya cizo a kowane mataki na ci gabanta (tsutsa, pupa, babba). 

Wannan bayyanar asibiti ta al'ada yawanci ya isa don gano cutar Lyme a farkon matakinsa. A cikin shakku, ana iya aiwatar da al'ada da / ko PCR akan biopsy na fata don nuna ƙwayoyin cuta.

Idan ba tare da maganin rigakafi ba a cikin matakin erythema migrans, cutar Lyme na iya ci gaba zuwa abin da ake kira matakin watsawa da wuri. Wannan yana bayyana kanta a cikin nau'i na erythema da yawa ko bayyanar cututtuka na jijiyoyin jiki (meningoradiculitis, facial paralysis, meningitis ware, m myelitis), ko ma ko fiye da wuya articular, cutaneous (borrelian lymphocytoma), zuciya ko ophthalmological bayyanuwar.

Erythema migrans na buƙatar maganin rigakafi (doxycycline ko amoxicillin ko azithromycin) don kawar da ƙwayoyin cuta. Borrelia burgdorferi sensu loto, kuma don haka guje wa ci gaba zuwa yadawa sannan kuma siffofin na yau da kullum. 

Ba kamar encephalitis mai ɗauke da kaska ba, babu wani maganin alurar riga kafi akan cutar Lyme.

Don haka rigakafin ya dogara ne akan waɗannan ayyuka daban-daban:

• sanya suturar sutura, mai yuwuwa an yi musu ciki tare da magunguna, yayin ayyukan waje;
• bayan bayyanarwa a cikin wani wuri mai haɗari, a hankali duba jikin gaba ɗaya tare da kulawa ta musamman ga wuraren da ke da bakin ciki da fata maras ganewa (makullin fata a bayan gwiwoyi, hannaye, wuraren al'aura, cibiya, fatar kai, wuyansa, bayan kunnuwa). Maimaita dubawa a rana mai zuwa: shan jini, kaska zai zama mafi bayyane.
• idan kaska ya kasance, cire shi da sauri ta amfani da mai jan kaska (a cikin kantin magani) kula da kiyaye waɗannan ƴan matakan kiyayewa: ɗauki kaska a kusa da fata kamar yadda zai yiwu, ja shi a hankali ta hanyar juya shi, sannan duba cewa an cire kai. Kashe wurin cizon kaska.
• bayan an cire kaska, kula da wurin da ake cizon tsawon makonni 4, kuma a tuntuɓi don alamar alamar fata.