Kab mob Lyme yog tus kab mob tshwm sim los ntawm ib hom kab mob me me, hu ua Borrelia, uas nyob hauv ib hom kab zuam nyuaj. Qhov zuam no feem ntau yog nqa los ntawm tus mos lwj-tailed dawb, nas, thiab nas me me tab sis tus zuam kis tuaj yeem nkag mus rau tib neeg (lossis dev lossis miv) thiab pub nws cov ntshav tawm. Thaum pub mis, zuam tuaj yeem kis tus kab mob nrog tab sis nws yuav siv qee lub sijhawm los ua qhov ntawd. Qee qhov kev tshawb fawb qhia tias tus zuam yuav tsum nyob nrog tus tswv tsev yam tsawg 24 teev thiaj li yuav kis tau tus kab mob nrog. Vim tias tus kab mob Lyme kis los ntawm zuam tom, tiv thaiv kab mob hauv cov chaw txo koj txoj kev pheej hmoo ntawm kev sib cuag nrog zuam thiab tshem tawm sai yog tias raug.
Cov kauj ruam
Ntu 1 ntawm 5: Tiv Thaiv Tib Neeg Los Ntawm Zuam
Kauj Ruam 1. Txwv kom kis tau tus zuam
Tus kab mob Lyme yog tus mob zuam loj nyob hauv Asmeskas, Asia, thiab Europe. Hauv Asmeskas nws feem ntau nyob rau sab qaum teb sab hnub tuaj thiab Midwest, txawm hais tias nws zoo li tau nthuav tawm raws ntug dej hiav txwv Pacific Northwest. Nco ntsoov tiv thaiv koj tus kheej los ntawm zuam yog tias koj nyob hauv ib cheeb tsam uas paub tias muaj zuam.
- Lub Chaw Tiv Thaiv thiab Tiv Thaiv Kab Mob (CDC) muaj daim duab qhia chaw pom tias muaj tus kab mob Lyme zoo li cas. Koj tuaj yeem pom nws ntawm no:
- Ceev faj tshwj xeeb ntawm zuam nyob rau lub caij ntuj sov. Cov zuam feem ntau ua rau lub hli sov (Lub Plaub Hlis txog Lub Cuaj Hli).
Kauj Ruam 2. Hnav cov khaub ncaws tiv thaiv thaum mus rau thaj chaw ntoo
Zam thaj chaw uas muaj ntoo lossis txhuam yog tias tsis hnav khaub ncaws tiv thaiv. Yog tias koj nyob hauv qhov chaw ntoo lossis txhuam, taug kev hauv plawv txoj kev. Qee txoj hauv kev los tiv thaiv koj tus kheej nrog khaub ncaws suav nrog:
- Hnav cov khaub ncaws uas muaj xim dawb nrog kaw nruj kom koj tuaj yeem pom cov zuam rau ntawm lawv.
- Hnav cov khau uas npog koj txhais taw tag nrho, ris ntev, thiab lub tsho nrog lub tsho ntev.
- Muab koj ob txhais ceg tso rau hauv koj nkawm khau lossis khau.
- Khaws cov plaub hau ntev rov qab.
Kauj Ruam 3. Siv cov tshuaj tua kab
Cov tshuaj tiv thaiv zuam yuav tsum muaj 20-30% DEET (N, N-diethyl-m-toluamide) thiab yuav tsum siv rau txhua daim tawv nqaij thiab khaub ncaws. Ib txwm ua raws cov khoom qhia.
- Ua kom tus neeg laus siv DEET rau menyuam, zam lawv txhais tes, qhov muag, thiab qhov ncauj.
- Kho txhua khaub ncaws, khau, hnab ev khoom, thiab tsev pheeb suab ntaub nrog cov khoom muaj 0.5% permethrin. Khaws cov iav no cais ntawm cov khaub ncaws thiab cov iav uas tsis kho. Cov permethrin nyob twj ywm ntawm cov khaub ncaws los ntawm ntau qhov kev ntxuav.
Kauj Ruam 4. Ua kom tag nrho cov khaub ncaws thiab cov iav tom qab nyob hauv thaj chaw uas yuav muaj cov zuam
Tom qab nkag sab hauv, tshem tawm thiab ntxuav tag nrho cov khaub ncaws thiab cov iav uas ntxhua tau. Khaub ncaws qhuav ntawm qhov kub kom tua zuam.
Da dej lossis da dej kom sai li sai tau. Siv xab npum thiab dej ntau los ntxuav
Kauj Ruam 5. Txheeb xyuas lub cev tag nrho rau cov zuam
Nws yog ib qho tseem ceeb los tshuaj xyuas hauv qab caj npab, nruab nrab ntawm ob txhais ceg, tom qab lub hauv caug, ib ncig ntawm lub duav, koj qhov chaw pubic, ntawm tawv taub hau, sab hauv koj lub plab pob thiab hauv thiab ib ncig pob ntseg rau zuam. Kom ib tug neeg saib thaj tsam ntawm koj lub cev uas koj tsis pom. Nco ntsoov, zuam me me heev, yog li koj yuav xav siv lub tsom iav tsom teeb pom kev zoo.
- Txheeb xyuas koj cov menyuam kom zoo. Cov menyuam yaus hnub nyoog tsib xyoos thiab 14 xyoos muaj kev pheej hmoo siab tshaj plaws ntawm tus kabmob Lyme, ua raws cov neeg laus, hnub nyoog 45 - 54 xyoos.
- Kuj txheeb xyuas cov iav uas tsis ntxhua rau zuam
- Cov zuam no tuaj yeem yooj yim heev kom tsis nco. Lawv tuaj yeem kwv yees qhov loj ntawm lub sijhawm ntawm qhov kawg ntawm kab lus no.
Ntu 2 ntawm 5: Tiv Thaiv Tsiaj Los Ntawm Zuam
Kauj Ruam 1. Tham nrog koj tus kws kho tsiaj txog kev siv tshuaj tiv thaiv zuam ntawm koj tus tsiaj
Nug koj tus kws kho tsiaj txog cov kab mob zuam uas tshwm sim hauv koj cheeb tsam. Ob tus dev thiab miv, nrog rau lwm yam tsiaj plaub tsiaj uas koj muaj, yuav tsum tau kho tas li rau zuam. Cov kev kho zuam no yuav suav nrog:
- Cov khoom uas tua zuam: cov no tuaj yeem suav nrog plua plav, dab tshos, tshuaj txau lossis tshuaj pleev rau thov lossis siv ncaj qha rau tsiaj. Cov no suav nrog Fipronil thiab Amitraz.
- Cov tshuaj tiv thaiv zuam: cov no pab tiv thaiv cov zuam los ntawm tsaws tab sis tsis txhob tua cov zuam. Hom kab zuam tshaj plaws yog Pyrethroids, suav nrog permethrin.
- Feem ntau cov dev thiab miv tau pom zoo kom siv tshuaj tiv thaiv kab mob txhua hli rau ob lub plawv thiab kab zuam.
Kauj Ruam 2. Txheeb xyuas koj cov tsiaj rau zuam
Txheeb xyuas koj tus tsiaj txhua hnub rau zuam txhua hnub, tshwj xeeb tshaj yog tias lawv siv sijhawm ntau sab nraum zoov. Cov dev tshwj xeeb yuav tsum tau tshuaj xyuas tus zuam. Cov dev lawv tus kheej tuaj yeem kis kab mob los ntawm tus kab mob thiab lawv tuaj yeem nqa tus zuam mus ntsib koj.
Kauj Ruam 3. Tshem cov zuam sai
Yog tias koj pom tus zuam ntawm koj tus dev, tshem nws tam sim ntawd. Yog tias koj tsis xis nyob nrog cov txheej txheem no, koj tuaj yeem nug koj tus kws kho tsiaj kom tshem nws.
Ntu 3 ntawm 5: Khaws Zuam Tawm Ntawm Koj Lub Vaj
Kauj Ruam 1. Khaws koj lub tsev txiav thiab huv si
Lub hom phiaj yog txwv cov chaw zuam tuaj yeem ua tau zoo. Khaws cov nyom nyom, nplooj raked, thiab txhuam kom huv.
Yog tias koj siv ntoo, muab nws txhuam kom huv thiab nyob hauv thaj chaw qhuav
Kauj Ruam 2. Tsim koj lub tsev kom txwv zuam
Muab tso rau hauv peb-ko taw dav dav ntawm cov nyom thiab thaj chaw ntoo. Qhov thaiv yuav tsum tau ua los ntawm cov ntoo ntoo lossis cov pob zeb. Kuj xyuas kom tseeb tias muaj cuaj-ko taw dav dav ntawm cov nyom ntawm cov ntoo ntoo lossis cov thaiv pob zeb thiab txhua thaj chaw uas tib neeg zaum lossis ua si. Qhov no suav nrog patios, vaj, thiab chaw ua si.
Cov chaw ua si yuav tsum nyob hauv qhov chaw tshav ntuj. Zuam tsis nyiam thaj chaw tshav ntuj
Kauj Ruam 3. Tshuaj tsuag rau zuam yog tias koj nyob hauv ib cheeb tsam uas muaj teeb meem loj nrog lawv
Yog tias koj nyob hauv ib cheeb tsam uas muaj tus kab mob Lyme ntau zaus, nrog tus kws tshaj lij tshuaj tua kab ua lag luam saib seb koj lub tsev puas tuaj yeem kho tau zoo nrog tshuaj tua kab. Cov tshuaj tua kab no kuj tseem hu ua acaricides.
Ntu 4 ntawm 5: Tshem Zuam Los Ntawm Tib Neeg thiab Tsiaj
Kauj Ruam 1. Tsis txhob poob siab yog tias koj pom tus zuam ntawm tus neeg lossis tsiaj
Yog tias koj pom tus zuam txuas rau koj lossis lwm tus ntawm daim tawv nqaij, ua ntej tshaj plaws, tsis txhob ntshai! Tsis yog txhua tus zuam kis, thiab koj tuaj yeem txo koj txoj kev pheej hmoo ntawm tus kab mob Lyme yog tias koj tshem tus zuam hauv thawj 24 - 36 teev.
Kauj Ruam 2. Tshem tus zuam
Lob tus zuam los ntawm lub taub hau siv ob tus tweezers taw tes. Lub taub hau yog ib feem txuas rau ntawm daim tawv nqaij. Rub ruaj khov thiab ruaj khov ncaj nraim sab nraud. Tsis txhob jerk los yog twist tus zuam.
Tsis txhob tuav tus zuam los ntawm lub cev. Yog tias koj ua tau koj tsuas yog tshem lub cev tawm ntawm lub taub hau, tso lub taub hau txuas nrog. Yog tias koj tso lub taub hau txuas rau ntawm koj cov tawv nqaij, koj tseem tuaj yeem kis tus kab mob
Kauj Ruam 3. Ntxuav
Muab tus zuam tso rau hauv lub thawv me me ntawm cov cawv cawv kom tua nws. Ntxuav qhov txhab tom nrog cawv cawv lossis nrog 3% hydrogen peroxide. Kuj ntxuav tus tweezers koj siv los tshem tus zuam.
Kauj Ruam 4. Khaws qhov muag rau tom lub hlis tom ntej
Koj tab tom saib seb puas muaj "pob muag qhov muag" ua pob. Yog tias koj tsim cov pob liab liab, lossis cov tsos mob zoo li ua npaws, koj yuav tsum hu rau koj tus kws kho mob tam sim.
- Yog tias koj nyob hauv ib cheeb tsam uas muaj tus kab mob Lyme thiab koj xav tias tus zuam yuav tau pub koj ntau tshaj 24 teev, hu rau koj tus kws kho mob qhia rau lawv txog zuam tom.
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Lub Koom Haum Kab Mob Sib Kis ntawm Asmeskas pom zoo tiv thaiv kev kho tshuaj tua kab mob nrog doxycycline (ib koob) rau txhua tus neeg uas ua tau raws li cov hauv qab no:
- Cov zuam txuas tau txheeb pom tias yog tus neeg laus lossis nymphal I. scapularis zuam (zuam mos lwj).
- Tus zuam kwv yees tau muab txuas rau ntau dua 36 teev (qhov no tuaj yeem txiav txim siab qib kev nkag los lossis lub sijhawm raug).
- Tus nqi hauv cheeb tsam ntawm tus kab mob zuam nrog B. burgdorferi (Kab mob Lyme) ntau dua 20 feem pua (cov kev kis tus kab mob no tau tshwm sim tshwm sim hauv ib feem ntawm New England, ib feem ntawm Xeev Atlantic nruab nrab, thiab ib feem ntawm Minnesota thiab Wisconsin).
Ntu 5 ntawm 5: Txheeb Xyuas thiab Kho Kab Mob Lyme
Kauj Ruam 1. Tshuaj xyuas koj tus kheej, koj tsev neeg, thiab koj cov tsiaj kom pom cov tsos mob ntawm tus kab mob Lyme thaum ntxov
Feem ntau, tus kab mob Lyme tshwm sim hauv peb theem, nrog rau plaub qhov ua tau. Yog tias koj tau raug tom los ntawm tus zuam tsis ntev los no, lossis koj nyuam qhuav nyob hauv ib cheeb tsam uas muaj kab zuam, ua tib zoo saib xyuas cov tsos mob no. Thawj theem feem ntau tshwm sim nyob rau hnub lossis ntau lub lis piam ntawm zuam tom. Cov tsos mob no tuaj yeem ua rau me me, yog li lawv tuaj yeem ploj mus tau yooj yim. Cov no suav nrog:
- Ua npaws
- Mob
- Mob taub hau
- Qaug zog
- Mob leeg thiab mob ib ce
- Cov qog nqaij hlav o tuaj
- Erythema migrans (EM): qhov no yog pob khaus uas zoo li lub hom phiaj lossis "nyuj qhov muag." Cov pob khaus no tshwm sim li ntawm 70 - 80% ntawm cov neeg muaj tus kab mob. Lub hauv paus ntawm lub hom phiaj yog qhov chaw zuam tom thiab tuaj yeem tshwm sim nyob txhua qhov chaw ntawm lub cev. Qhov chaw yuav liab thiab nyob ib puag ncig los ntawm qhov pom tseeb. Tom qab ntawd thaj chaw ntshiab tau nyob ib puag ncig los ntawm qhov ncig, txav lossis txav mus los.
Kauj Ruam 2. Ua tib zoo saib cov tsos mob thib ob ntawm tus kab mob Lyme
Cov tsos mob no tuaj yeem tshwm sim ntau lub hlis lossis ntau hli tom qab thawj zaug, yog thawj zaug tsis tau pom thiab kho. Theem thib ob cuam tshuam nrog lub paj hlwb thiab teeb meem plawv. Cov tsos mob muaj xws li:
- Mob taub hau hnyav
- EM tawv nqaij ua pob
- Mob caj dab mob
- Mob leeg thiab mob leeg
- Lub plawv dhia thiab lub plawv dhia tsis xwm yeem (Lyme carditis)
- Teeb meem nrog nco lub sij hawm luv
- Lub ntsej muag tuag tes tuag taw (Bell's palsy)
Kauj Ruam 3. Tham nrog koj tus kws kho mob seb koj puas yuav muaj tus kab mob Lyme ntev yog tias koj pom cov tsos mob
Muaj ib theem ntawm tus kab mob Lyme uas kwv yees tshwm sim hauv kwv yees li 10% ntawm txhua tus neeg mob. Feem ntau nws raug hu ua "kev kho mob tom qab kho tus mob Lyme," PTLDS, lossis tus kab mob Lyme mob ntev. Cov tsos mob suav nrog qaug zog thiab sib koom thiab mob leeg. kev kho mob rau tus kab mob Lyme.
Muaj qee qhov kev sib cav txog theem no. Kev sib cav tsis yog seb puas muaj lossis tsis muaj theem, tab sis dab tsi yog qhov ua rau pom tseeb. Nws yuav tsis yog los ntawm kev mob siab rau ntawm Borrelia kab hauv tus neeg txawm hais tias kho mob. Nws tau xav tias yog los ntawm qee qhov kev tiv thaiv kab mob tiv thaiv kab mob, tab sis nws tseem tsis tau nkag siab tias cov txheej txheem zoo li cas
Kauj Ruam 4. Tau kuaj pom tus kab mob Lyme
Yog tias koj cov tsos mob qhia pom tus kab mob Lyme thiab koj nyob hauv ib cheeb tsam uas muaj tus kab mob Lyme ntau, koj tus kws kho mob yuav tsum kuaj koj tus kab mob. CDC qhia tias cov chaw sim siv ob kauj ruam kuaj ntshav rau tus kab mob Lyme. Koj tus kws kho mob yuav tsum xa koj cov ntshav mus rau ib lub chaw kuaj ntshav kom kuaj qhov no.
Kauj Ruam 5. Kho tus mob Lyme
Yog tias kuaj pom tus kab mob Lyme, txoj kev kho mob nrog tshuaj tua kab mob tau pib. Cov tshuaj tua kab mob no tuaj yeem yog doxycycline, amoxicillin, lossis cefuroxime axetil. Feem ntau lawv tau hais lus, txawm hais tias yuav tsum tau kho txoj hlab ntshav hauv qee kis.
Lub tswv yim
- Kab mob Lyme thawj zaug tau piav qhia nyob rau nruab nrab xyoo 1970 hauv thiab ib puag ncig lub nroog Lyme, Connecticut. Willy Burgdorfer tau txheeb xyuas tus neeg sawv cev tshwj xeeb hauv xyoo 1982, thiab yog li hom kab mob hu ua kab mob hu ua Borrelia burgdorferi.
- Ringworm kuj nthuav tawm ua ib ncig (tab sis tsis yog nyuj qhov muag) pob. Ib tus neeg yuav xav tias qhov mob pob khaus EM yog tus menyuam yaus, tshwj xeeb tshaj yog tias lawv tsis nco qab raug tom, thiab tsis nrhiav kev kho mob rau Lyme. Yog tias koj tsim cov pob liab liab ncig, tham nrog koj tus kws kho mob kom paub tseeb tias nws keeb kwm.
