Lajmska bolest – prenošenje, simptomi i lečenje


Lajmska bolest, ili lajmska borelioza, predstavlja bakterijsku infekciju koju na ljude prenose  zaraženi krpelji. Krpelj izgledom podseća na pauka a naseljava područja koja su šumovita ili obrasla gustom vegetacijom, pretežno se hrane krvlju različitih sisara i ptica, a neretko se dešava da u svoj meni uvrste i ljude. 

Lajmsku bolest je moguće uspešno lečiti ukoliko se otkrije u ranoj fazi, dok se, ukoliko se otkrije za zakašnjenjem ili se lečenje odlaže, može doći do ravoja ozbiljnih i dugotrajnih simptoma.  

Prenošenje Lajmske bolesti

Kada krpelj ugrize životinju zaraženu bakterijom Borrelia burgdorferi, koja je uzročnik Lajmske bolesti, on takođe postaje zaražen i lako je može preneti na čoveka kog potom ujede. Krpelji najčešće nastanjuju predele obrasle gustom i visokom vegetacijom, posebno one u kojima imaju pristup većem broju različitih životinja čijom krvlju se hrane. Verovatnoća da će te se zaraziti se povećava ukoliko krpelj ostan zakačen za vašu kožu duže od 24 sata, što može biti problem, jer je većina veoma sitna, ujedi im nisu bolni, pa se može desiti da ni ne primetite da ste ih pokupili. Najveći broj ujeda krpelja se dešava krajem proleća i početkom leta, kao i početkom jeseni, jer su to periodi tokom kojih veliki broj ljudi šeta u prirodi, planinari i kampuje. Važno je napomenuti da ugriz ne podrazumeva automatski da ćete oboleti, jer se smatra da mali broj krpelja ima bakterije, ali treba imati u vidu rizik i potražiti lekarsku pomoć ukoliko se pojave bilo kakve tegobe.  

Simptomi Lajmske bolesti

Kod većine osoba u ranoj fazi dolazi do pojave osipa u obliku kruga crvene boje, na mestu gde je došlo do ujeda krpelja, koji se uglavnom javlja nakon 3, a u nekim slučajevima i nakon 30 dana od ujeda, što se naziva eritem migrans. Veličina osipa varira, uglanom iznosi oko 15 cm u prečniku,  a njegovo širenje traje od nekoliko dana do nekoliko nedelja, dok se kod jedne trećine zaraženih osip uopšte neće pojaviti. Simptomi u ranoj fazi podsećaju na one kod gripa i obuhvataju umor, bolove u zglobovima i mišićima, povišenu temperaturu i glavobolju.

Simptomi kasnije ili odmakle faze mogu se pojaviti nakon nekoliko nedelja ili čak i meseci od ujeda i uključuju bolne i otečene zglobove, utrnulost udova i mišića, otežano pamćenje i koncetraciju, srčane probleme i meningitis. Kod određenog procenta zaraženih može doći i do pojave dugotrajnih simptoma, poput sindroma hroničnog umora, što je poznato i kao postinfektivna lajmska bolest. 

Lečenje Lajmske bolesti

Ukoliko dobijete simptome Lajmske bolesti, najverovatnije će vam biti prepisani antibiotici u formi kapsula, tableta ili tečnosti. Kod većine ljudi tretman traje od 2 do 4 nedelje u zavisnosti od toga u kom stadijumu bolesti se nalazite. Uspostavljanje dijagnoze posebno je otežano činjenicom da simptomi podsećaju na simptome drugih bolesti i da testovi mogu biti negativni tokom ranih faza infekcije. Preporučljivo je da napomenete lekaru ako ste boravili na otvorenom, u predelima koji mogu biti nastanjeni krpeljima

Mogućnost ujeda, a samim tim i infekcije moguće je umanjiti tako što ćemo se tokom šetnji držati uređenih staza i izbegavati visoku travu, nositi odeću sa dugim rukavima i nogavicama, nanositi sredstvo protiv insekata na izložene delove kože i pregledati kožu na kraju dana tokom kog smo boravili u prirodi.

184 thoughts on “Lajmska bolest – prenošenje, simptomi i lečenje”

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