{"id":28041,"date":"2023-06-13T12:26:00","date_gmt":"2023-06-13T09:26:00","guid":{"rendered":"https:\/\/bolenzdrav.com\/?p=28041"},"modified":"2023-06-13T12:22:03","modified_gmt":"2023-06-13T09:22:03","slug":"lajmska-bolest-lechenie-s-antibiotitsi","status":"publish","type":"post","link":"https:\/\/bolenzdrav.com\/ro\/zdrave\/lajmska-bolest-lechenie-s-antibiotitsi\/","title":{"rendered":"Boala Lyme - tratament cu antibiotice"},"content":{"rendered":"

Boala Lyme este de obicei tratat\u0103 cu antibiotice. Cele mai eficiente tipuri de antibiotice \u00een acest caz vizeaz\u0103 bacteria care provoac\u0103 infec\u021bia, care se nume\u0219te Borrelia burgdorferi. Alegerea antibioticelor<\/a><\/strong> \u0219i durata tratamentului depind de stadiul bolii Lyme, de severitatea simptomelor \u0219i de eventualele complica\u021bii. Instruc\u021biunile de mai jos au doar scop informativ \u0219i nu trebuie utilizate pentru auto-medica\u021bie. Antibioticele sunt prescrise de un medic cu instruc\u021biuni pentru doza exact\u0103 \u0219i durata tratamentului.<\/p>\n\n\n\n

Simptomele \u0219i diagnosticul bolii Lyme<\/h2>\n\n\n\n

Boala Lyme este diagnosticat\u0103 printr-o combina\u021bie de evaluare clinic\u0103, istoricul pacientului \u0219i teste de laborator. Iat\u0103 o prezentare general\u0103 a procesului de diagnosticare:<\/p>\n\n\n\n

Caracteristica simptom al bolii Lyme<\/a><\/strong> este o erup\u021bie cutanat\u0103 circular\u0103 cunoscut\u0103 sub denumirea de eritem migran (foto de mai jos), dar nu to\u021bi oamenii dezvolt\u0103 aceast\u0103 erup\u021bie. Alte simptome pot include febr\u0103, oboseal\u0103, dureri de cap, dureri musculare \u0219i articulare \u0219i ganglioni limfatici umfla\u021bi.<\/p>\n\n\n\n

\"\u043b\u0430\u0439\u043c\u0441\u043a\u0430<\/a><\/figure>\n\n\n\n

Cercetari de laborator:<\/h3>\n\n\n\n

Teste serologice: testele de s\u00e2nge sunt de obicei folosite pentru a detecta anticorpii produ\u0219i de sistemul imunitar ca r\u0103spuns la Borrelia burgdorferi, bacteria care provoac\u0103 boala Lyme. Cele dou\u0103 tipuri principale de teste serologice sunt imunotestul enzimatic (EIA) \u0219i Western blot. Aceste teste sunt efectuate pentru a confirma prezen\u021ba anticorpilor \u00eempotriva Borrelia burgdorferi.<\/p>\n\n\n\n

Reac\u021bia \u00een lan\u021b a polimerazei (PCR): \u00een anumite cazuri, un test PCR poate fi utilizat pentru a detecta ADN-ul Borrelia burgdorferi \u00een s\u00e2nge, lichid articular sau probe de \u021besut. Testul PCR este cel mai util \u00een stadiile incipiente ale bolii, c\u00e2nd bacteriile pot fi prezente \u00een fluxul sanguin.<\/p>\n\n\n\n

Este important de men\u021bionat c\u0103 acurate\u021bea testelor de diagnosticare poate varia \u00een func\u021bie de stadiul bolii. \u00cen primele etape, probabilitatea de a ob\u021bine un rezultat pozitiv al testului este mai mic\u0103 din cauza timpului necesar sistem imunitar<\/a><\/strong> pentru a produce niveluri detectabile de anticorpi. Din acest motiv, evaluarea clinic\u0103 \u0219i istoricul sunt cruciale pentru diagnostic.<\/p>\n\n\n\n

Pe de alt\u0103 parte, nu trebuie s\u0103 \u00eent\u00e2rzia\u021bi vizita la medic, chiar dac\u0103 nu ave\u021bi simptome foarte pronun\u021bate. Detectarea precoce \u0219i tratamentul sunt importante pentru un tratament eficient.<\/p>\n\n\n\n

\"\u043b\u0430\u0431\u043e\u0440\u0430\u0442\u043e\u0440\u0438\u044f<\/a><\/figure>\n\n\n\n

Care antibiotice sunt cele mai eficiente tratamente pentru boala Lyme<\/h2>\n\n\n\n

Iat\u0103 c\u00e2teva antibiotice prescrise \u00een mod obi\u0219nuit pentru boala Lyme - acestea sunt v\u00e2ndute sub diferite nume de marc\u0103 \u00een farmacii:<\/p>\n\n\n\n

Doxiciclina<\/strong>: Acesta este cel mai frecvent prescris antibiotic pentru stadiul incipient al bolii Lyme. Este eficient \u00eempotriva Borrelia burgdorferi \u0219i se administreaz\u0103 de obicei pe cale oral\u0103 timp de 10 p\u00e2n\u0103 la 21 de zile. Doxiciclina nu este recomandat\u0103 pentru utilizare la femeile \u00eens\u0103rcinate \u0219i la copiii mici.<\/p>\n\n\n\n

Amoxicilin\u0103, cefuroxim\u0103 sau ceftriaxon\u0103<\/strong>: Aceste antibiotice sunt adesea prescrise pacien\u021bilor care nu pot lua doxiciclin\u0103, cum ar fi femeile \u00eens\u0103rcinate \u0219i copiii mici. Acestea sunt de obicei utilizate pentru stadiul incipient al bolii Lyme \u0219i pot fi administrate pe cale oral\u0103 sau administrate intravenos \u00een cazuri mai severe.<\/p>\n\n\n\n

Ceftriaxon\u0103<\/strong>: Acest antibiotic este adesea folosit \u00een tratamentul bolii Lyme \u00een stadiu avansat sau diseminat, \u00een care infec\u021bia sa r\u0103sp\u00e2ndit la mai multe organe sau la sistemul nervos. Se administreaz\u0103 intravenos pe o perioad\u0103 de 14 p\u00e2n\u0103 la 28 de zile.<\/p>\n\n\n\n

Este important de re\u021binut c\u0103 acestea sunt linii directoare generale \u0219i planurile de tratament trebuie adaptate nevoilor individuale ale pacientului. Dac\u0103 b\u0103nui\u021bi c\u0103 ave\u021bi sau a\u021bi fost diagnosticat cu boala Lyme, consulta\u021bi un medic.<\/p>\n\n\n\n

C\u00e2t dureaz\u0103 tratamentul cu antibiotice pentru boala Lyme?<\/strong><\/h2>\n\n\n\n
\"\u043b\u0435\u043a\u0430\u0440\u0441\u0442\u0432\u0430<\/a><\/figure>\n\n\n\n

Durata tratamentului cu antibiotice pentru boala Lyme poate varia \u00een func\u021bie de mai mul\u021bi factori, inclusiv stadiul bolii \u0219i severitatea simptomelor. \u00cen general, durata recomandat\u0103 a tratamentului pentru boala Lyme este urm\u0103toarea:<\/p>\n\n\n\n

Boala Lyme localizat\u0103 precoce (cum ar fi o erup\u021bie cutanat\u0103 localizat\u0103 cunoscut\u0103 sub numele de eritem migran): Tratamentul standard este de obicei un curs de antibiotice orale timp de 10 p\u00e2n\u0103 la 21 de zile. \u00cen aceast\u0103 etap\u0103, de obicei sunt prescrise doxiciclin\u0103, amoxicilin\u0103 sau cefuroxim\u0103 axetil.<\/p>\n\n\n\n

Boala Lyme diseminat\u0103 timpuriu (atunci c\u00e2nd infec\u021bia s-a r\u0103sp\u00e2ndit dincolo de locul muscatura de capusa<\/a><\/strong>, dar nu a afectat \u00eenc\u0103 sistemul nervos central): Tratamentul implic\u0103 de obicei antibiotice orale timp de 14 p\u00e2n\u0103 la 21 de zile. Se pot prescrie doxiciclin\u0103, amoxicilin\u0103 sau cefuroxim\u0103 axetil.<\/p>\n\n\n\n

Boala Lyme \u00een stadiu avansat (c\u00e2nd infec\u021bia s-a r\u0103sp\u00e2ndit la sistemul nervos central, articula\u021bii sau alte organe): antibioticele intravenoase (IV) sunt adesea utilizate pentru o perioad\u0103 mai lung\u0103, de obicei variind de la 14 la 28 de zile. Ceftriaxona este de obicei administrat\u0103 IV pentru aceast\u0103 etap\u0103.<\/p>\n\n\n\n

Este important s\u0103 ne amintim c\u0103 acestea sunt linii directoare generale, iar deciziile de tratament trebuie luate de un profesionist din domeniul s\u0103n\u0103t\u0103\u021bii, pe baza factorilor individuali ai pacientului. Durata tratamentului cu antibiotice poate fi ajustat\u0103 \u00een func\u021bie de r\u0103spunsul pacientului la tratament. Depinde \u0219i de prezen\u021ba complica\u021biilor sau a infec\u021biilor concomitente. Urm\u0103rirea regulat\u0103 a unui furnizor de asisten\u021b\u0103 medical\u0103 este esen\u021bial\u0103 pentru a asigura un management adecvat al bolii Lyme.<\/p>\n\n\n\n

Poate fi vindecat\u0103 complet boala Lyme cu antibiotice?<\/strong><\/h2>\n\n\n\n
\"\u0442\u043e\u043f\u044a\u043b<\/a><\/figure>\n\n\n\n

\u00cen general, boala Lyme poate fi tratat\u0103 eficient cu terapie antibiotic\u0103 adecvat\u0103, mai ales dac\u0103 este diagnosticat\u0103 \u0219i tratat\u0103 devreme. Majoritatea persoanelor cu boala Lyme se recupereaz\u0103 complet sau experimenteaz\u0103 o \u00eembun\u0103t\u0103\u021bire semnificativ\u0103 dup\u0103 finalizarea cursului recomandat de antibiotice. Cu toate acestea, \u00een unele cazuri, recuperarea complet\u0103 poate dura mai mult. Mai ales atunci c\u00e2nd boala a evoluat \u00een stadiile ulterioare sau c\u00e2nd apar complica\u021bii. Unele simptome pot persista chiar \u0219i dup\u0103 tratament.<\/p>\n\n\n\n

Este important de re\u021binut c\u0103 exist\u0103 un mic procent de oameni care pot experimenta ceea ce este cunoscut sub numele de sindromul bolii Lyme post-tratament (PTLDS). PTLDS se refer\u0103 la persisten\u021ba simptomelor. Acestea sunt oboseal\u0103, dureri musculare \u0219i articulare \u0219i dificult\u0103\u021bi de concentrare, \u00een ciuda \u00eencheierii tratamentului adecvat cu antibiotice. Cauza exact\u0103 a PTLDS nu este \u00eenc\u0103 pe deplin \u00een\u021beleas\u0103. Se crede c\u0103 implic\u0103 o combina\u021bie de factori \u2013 inflama\u021bie persistent\u0103 \u0219i r\u0103spunsuri ale sistemului imunitar.<\/p>\n\n\n\n

Dac\u0103 a\u021bi fost tratat pentru boala Lyme, dar continua\u021bi s\u0103 ave\u021bi simptome persistente sau recurente, consulta\u021bi un medic. El va recomanda teste \u0219i tratament.<\/p>\n\n\n\n

Detectarea precoce, tratamentul prompt \u0219i respectarea regimului antibiotic prescris sunt esen\u021biale pentru a cre\u0219te \u0219ansele de recuperare complet\u0103 a bolii Lyme.<\/p>\n\n\n\n

Autoare Ina Dimitrova<\/p>","protected":false},"excerpt":{"rendered":"

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