Indwara ya Lyme ni iki? Ibimenyetso, Intandaro, n'Ubuvuzi

Indwara ya Lyme ni ubwandu bw’ibyorezo ushobora kwandura ukomoka ku gikonjo cyanduye, cyane cyane ibya *blacklegged ticks* (bizwi kandi nka *deer ticks*). Niyo ndwara ikunze kugaragara iterwa n’ibikonjo muri Leta Zunze Ubumwe za Amerika no mu bice bimwe na bimwe by’Uburayi, ariko ubuvuzi bukwiye, abantu benshi barakira neza.

Udukoko dutera indwara ya Lyme twitwa *Borrelia burgdorferi*, kandi tuba mu bwoko bumwe na bumwe bw’ibikonjo. Iyo gikonjo cyanduye kukuritse kikagumaho amasaha 36 kugeza kuri 48, gishobora kwinjiza ubwo dukoko mu maraso yawe. Inkuru nziza ni uko atari ukuritura kose kw’igikonjo gutera indwara ya Lyme, kandi ubuvuzi bwa vuba cyane bugira akamaro cyane.

Ibimenyetso by’indwara ya Lyme ni ibihe?

Ibimenyetso by’indwara ya Lyme bigaragara mu byiciro, kandi kubimenya hakiri kare bituma ubuvuzi bugira icyo bugeraho cyane. Ibimenyetso bishobora gutandukana cyane ukurikije umuntu ku wundi, rimwe na rimwe bigatuma kuvura bigorana.

Mu cyiciro cya mbere (iminsi 3 kugeza kuri 30 nyuma yo kuritura kw’igikonjo), ushobora kubona ibi bimenyetso bisanzwe:

• Uruhu rutukura rwaguka nk’umunyururu, ruzwi nka *erythema migrans*, rukunze kumera nk’ijisho ry’inka
• Umuriro n’igisimba
• Kubabara umutwe
• Umunaniro ukabije
• Kubabara imikaya n’ingingo
• Umuhogo w’amaraso

Uruhu rutukura rugaragara mu bantu bagera kuri 70 kugeza kuri 80% barwaye indwara ya Lyme. Ubusanzwe rutangira nk’agace gato katukura kagenda kagura mu minsi cyangwa mu byumweru, rimwe na rimwe kagera kuri santimetero 30 z’ubugari. Hagati hashobora kuba haracitse, bigatuma hagaragara ishusho y’ijisho ry’inka.

Niba ubwandu budavuwe mu cyiciro cya mbere, bushobora gutera ibimenyetso bikomeye nyuma y’ibyumweru cyangwa amezi. Ibi bimenyetso byo mu cyiciro cya nyuma bishobora kugira ingaruka ku mikorere y’ubwonko, umutima, n’ingingo:

• Uburwayi bukomeye bw'umutwe n'ububabare bw'ijosi
• Ukwishima kw'inyongera ku bindi bice by'umubiri wawe
• Uburwayi bwa Paralysis facialis (gutakaza imbaraga z'imitsi ku ruhande rumwe cyangwa ku mpande zombi z'isura yawe)
• Uburwayi bwa Arthrite bufite ububabare bukomeye bw'ingingo n'ubwuzu, cyane cyane mu mavi
• Igisigo cy'umutima cyangwa gutera kw'umutima kutameze neza
• Kuzenguruka cyangwa guhumeka nabi
• Ububabare bw'imitsi, ubuzimu, cyangwa gukuna mu ntoki cyangwa mu birenge
• Ibibazo byo kwibuka no gufata icyemezo

Bamwe mu bantu barwara ibyo bita indwara ya Lyme ikaze cyangwa syndrome ya Lyme nyuma yo kuvurwa, aho ibimenyetso nka umunaniro, ububabare, n'ububabare bw'ingingo bikomeza amezi menshi nyuma yo kuvurwa. Ibi bibaho kuri 10 kugeza kuri 20% by'abantu barwaye indwara ya Lyme.

Icyateye indwara ya Lyme?

Indwara ya Lyme iterwa na bagiteri bo mu muryango wa Borrelia, ahanini Borrelia burgdorferi muri Amerika ya Ruguru. Izi bagiteri ziba mu bwoko bumwe bw'udusimba, kandi ubwandu burakwirakwira iyo usimba wanduye ukuruma maze ukagumaho igihe kirekire ngo bwohereze bagiteri.

Abakwirakwiza bakuru ni utusimba tw'umukara, bizwi kandi nka utusimba tw'inkazi. Ibi binyabuzima bito cyane kurusha utusimba dusanzwe tw'imbwa. Utusimba dukuruye tugera ku bunini bw'imbuto ya sesame, mu gihe utw'abana (utusimba duto) duto cyane nk'imbuto ya poppy, bituma bigoye cyane kubibona.

Kugira ngo bagiteri zive mu usimba zinjire muri wowe, usimba ugomba kuba yambatiye amasaha 36 kugeza kuri 48. Niyo mpamvu kureba utusimba buri munsi no kubikuraho vuba ari ingenzi cyane mu gukumira. Uko usimba agumaho igihe kirekire, ni ko ibyago byo kwandura byiyongera.

Utusimba turonka bagiteri iyo dushimishije inyamaswa zanduye nka imbeba, inka, cyangwa izindi nyamaswa nto. Hanyuma bakajyana bagiteri kandi bashobora kuboherereza abantu mu gihe cyo kurya ikindi gihe. Bikwiye kuzirikana ko atari utusimba twose dutwara bagiteri, kandi nubwo wakomeretswa n'usimba wanduye, ntabwo uzagira uburwayi.

Ni ryari ukwiye kubona muganga kubera indwara ya Lyme?

Wagacura umuganga wawe niba ufite ibimenyetso bishobora kuba bifitanye isano n’indwara ya Lyme, cyane cyane niba wari mu turere duturwamo n’udusimba. Ivuriro rya hakiri kare ni ingenzi mu gukumira ko iyi ndwara ikomeza kugera ku byiciro bikomeye.

Buhoro buhoro reba umuganga wawe ako kanya niba ubona umutuku ukwirakwira, nubwo utazirikana ko watswe n’udusimba. Abantu benshi barwaye indwara ya Lyme ntibabonye udusimba twabatswe kuko ari duto cyane.

Nanone hamagara umuvuzi wawe niba ufite ibimenyetso nk’iby’igipfapfa mu gihe cy’impeshyi (ubusanzwe kuva mu mpeshyi y’ubushyuhe kugeza mu mpeshyi y’ubukonje) kandi umara igihe hanze mu turere dufite ibyatsi birebire, ibihuru, cyangwa amashyamba. Ibi ni ingenzi cyane niba utuye cyangwa wasuye uturere indwara ya Lyme ikunze kuboneka.

Ntutegereze kureba niba ibimenyetso bizagenda ubwabyo. Uko indwara ya Lyme imenyekana kandi ivurwa hakiri kare, ni ko amahirwe yo gukira neza adafite ingaruka z’igihe kirekire ari menshi.

Ni ibihe bintu byongera ibyago byo kurwara indwara ya Lyme?

Gusobanukirwa ibyago byawe bishobora kugufasha gufata ingamba zikwiye igihe umara igihe hanze. Ibyago byawe biterwa ahanini n’aho utuye n’igihe umara mu myanya iturwamo n’udusimba.

Aho uherereye ku isi bigira uruhare runini mu byago byawe. Indwara ya Lyme ikunze kugaragara muri:

• Amajyaruguru y’iburasirazuba bwa Leta Zunze Ubumwe za Amerika (kuva muri Maine kugeza muri Virginia)
• Intara zo hagati mu majyaruguru (Wisconsin na Minnesota)
• Uburasirazuba bwa kure (Amajyaruguru ya California na Oregon)
• Uduce tumwe na tumwe two mu Burayi no muri Aziya

Ibikorwa byawe n’ubuzima bwawe bigira uruhare mu kigero cy’ibyago byawe:

• Kumara igihe mu mashyamba, mu bihuru, cyangwa mu turere dufite ibyatsi
• Kujya mu biruhuko, guca ibiruhuko, guhinga, cyangwa guhiga
• Kugira amatungo y’imbere akagenda hanze kandi ashobora kuzana udusimba mu rugo
• Guturana n’inyamaswa nyinshi
• Kudakoresha uburyo bwo kwirinda udusimba igihe uri hanze

Igihe ukora ibikorwa byo hanze na cyo ni ingenzi. Ibiyoka byinshi biba bikora cyane mu mezi ashyushye, ubusanzwe kuva muri Mata kugeza muri Nzeri, bikaba byinshi cyane mu mpeshyi no mu ntangiriro z’izuba. Ibiyoka bito (iby’imyaka) biba bikora cyane mu mpeshyi no mu ntangiriro z’izuba, kandi biba bito cyane ku buryo akenshi biba bitagaragara.

Imyaka na yo ishobora kuba ikintu, kuko abana n’abakuze bashobora kuba bafite ibyago byinshi gato, kuko bashobora kutamenya ibiyoka bito cyangwa bagahura n’ingorane mu gukumira ibiyoka.

Ingaruka zishoboka za Lyme disease ni izihe?

Nubwo abantu benshi bakira neza babonye ubuvuzi bukwiye, indwara ya Lyme idakize ishobora gutera ingaruka zikomeye zigira ingaruka ku bice bitandukanye by’umubiri wawe. Gusobanukirwa izi ngaruka zishoboka bigaragaza impamvu kuvumbura hakiri kare no kuvura ari ingenzi cyane.

Ingaruka ku mpfubyi ni zimwe mu ngaruka zikomeye z’igihe kirekire. Utabonye ubuvuzi, ushobora kurwara arthrite ikomeye, cyane cyane mu mavi. Ibi bishobora gutera ububabare buhoraho, kubyimba, no gukomera bigira ingaruka ku bikorwa byawe bya buri munsi.

Ingaruka ku bwonko zishobora kuba zikomeye cyane kandi zishobora kuba:

• Meningite (kubyimba kw’imigana ikikije ubwonko na spinal cord)
• Bell's palsy (ubumuga bw’ubuso bw’igihe gito)
• Kubabara cyangwa intege nke mu maboko cyangwa amaguru
• Guhungabana kw’imitsi
• Ibibazo byo kwibuka no kugorana kwibanda

Ingaruka ku mutima, nubwo zidahagaragara cyane, zishobora kuba zihitana ubuzima. Indwara ya Lyme ishobora gutera guhumeka nabi kw’umutima, guhumeka kw’umutima, cyangwa mu bihe bitoroshye, guhagarika umutima rwose aho ibimenyetso by’amashanyarazi mu mutima bihindagurika.

Bamwe mu bantu barwara icyo bita Lyme disease ikomeye cyangwa post-treatment Lyme disease syndrome. Iyi ndwara igizwe n’ibimenyetso bikomeza nk’umunaniro ukabije, ububabare bw’imitsi n’amagufwa, n’ibibazo byo kwibuka bishobora kumara amezi cyangwa imyaka nyuma yo kuvurwa.

Ibibazo by'amaso bishobora kandi kugaragara mu bihe bitoroshye, birimo kubyimba kw'ijisho bishobora kugira ingaruka ku kubona kwawe. Byongeye kandi, bamwe mu bantu bagira ibibazo by'uruhu rudasanzwe cyangwa kubyimba kwiganagana nk'ingaruka z'indwara ya Lyme idakize.

Indwara ya Lyme irashobora kwirindwa gute?

Uburyo bwiza bwo kwirinda indwara ya Lyme ni ukwirinda inshundura, cyane cyane mu turere inshundura zanduye ziboneka. Hamwe n'amabwiriza akwiye, ushobora kugabanya cyane ibyago byawe mugihe ukomeza kwishimira ibikorwa byo hanze.

Iyo ujya ahantu hari inshundura, wambare imyenda ikwiye kugira ngo uhindure inzitizi:

• Wambare ipantaro ndende n'amashati maremare
• Shyira ipantaro yawe muri soseti
• Hitamo imyenda y'amabara yera kugira ngo ubone inshundura byoroshye
• Wambare inkweto zifunze aho kwambara amasandali

Koresha imiti yo kwirinda inshundura yemewe na EPA irimo DEET, picaridin, cyangwa permethrin. Shyira imiti yo kwirinda ku ruhu rugaragara no ku myenda hakurikijwe amabwiriza yo ku ikarita. Ushobora kandi kuvura imyenda yawe ukoresheje permethrin cyangwa ugure imyenda imaze kuvurwa.

Komeza ube hagati y'inzira iyo ugiye mu birunga, kandi wirinda kugenda mu cyatsi kirekire, mu gishanga, cyangwa mu duce dufite amashyamba menshi uko bishoboka. Niba ufite ikibanza, kubuze inshundura binyuze mu gucamo ibyatsi buri gihe, gukuraho ibiti by'amababi, no gukora inzitizi hagati y'amashyamba n'ahantu ho kwidagadura.

Nyuma yo kumara igihe hanze, suzuma neza inshundura kuri wowe, ku bana bawe, no ku nyamaswa zawe. Shyira umutima ku duce bihishe nka scalp, inyuma y'amatwi, munsi y'amaboko, hafi y'ibitugu, no hagati y'amaguru. Koga mu gihe cy'amasaha abiri uvuye hanze kugira ngo ukureho inshundura zititegeye.

Niba ubonye inshundura yititegeye ku ruhu rwawe, uyikureho vuba ukoresheje imikasi yoroheje. Fata inshundura hafi y'uruhu rwawe uko bishoboka, hanyuma uyikure hejuru ukoresheje umuvuduko uhamye. Kora isuku muri ako gace ukoresheje inzoga cyangwa isabune n'amazi nyuma.

Indwara ya Lyme imenyekana ite?

Kumenya indwara ya Lyme rimwe na rimwe bishobora kugorana kuko ibimenyetso byayo bishobora gusa n’ibindi bibazo, kandi udukoko ntiduhora tuboneka mu bipimo bisanzwe. Muganga wawe azakoresha akenshi imvange y’ibimenyetso byawe, amateka yawe y’ubuzima, n’ibipimo bya laboratwari kugira ngo akore ubuvuzi.

Muganga wawe azatangira akubaza ibibazo ku bimenyetso byawe niba wibuka ko warumwe n’ikinyugunyugu cyangwa wamaze igihe mu turere aho ibinyugunyugu biba. Azakora kandi isuzuma ry’umubiri, areba cyane cyane ibyo kwishima kw’uruhu cyangwa ibimenyetso byo kubyimba kw’ingingo.

Niba ufite ubwo kwishima bw’uruhu bufite ishusho y’ijisho rya farasi hamwe n’ibindi bimenyetso bya mbere, muganga wawe ashobora kuvura indwara ya Lyme hashingiwe kuri ibyo bimenyetso by’ubuvuzi gusa, cyane cyane niba wari uri mu karere aho indwara ya Lyme ikunze kugaragara.

Ku bijyanye no gupima muri laboratwari, muganga wawe ashobora gutegeka ibizamini by’amaraso kugira ngo arebe antikorora sisitemu yawe y’umubiri ikora mu gusubiza udukoko twa Lyme. Ariko, ibyo bipimo ntibyiringirwa buri gihe mu ntangiriro z’ubwandu kuko bisaba igihe kugira ngo umubiri wawe utange urwego rw’antikorora rushobora kuboneka.

Hariho ubwoko bubiri nyamukuru bw’ibipimo by’amaraso bikoresha:

• Isuzuma rya ELISA (enzyme-linked immunosorbent assay) nk’isuzuma rya mbere
• Isuzuma rya Western blot kugira ngo hemezwe ibisubizo bya ELISA byiza cyangwa bitumvikana

Mu mubare w’ibintu, cyane cyane niba ibimenyetso by’indwara z’imitsi biriho, muganga wawe ashobora kugutegeka ibindi bipimo nko kubona amazi yo mu muhogo (spinal tap) kugira ngo arebe udukoko cyangwa antikorora mu mazi yo mu muhogo.

Ni ngombwa kumenya ko ibyiza by’ikinyoma n’ibibi by’ikinyoma bishobora kubaho mu bipimo bya Lyme, niyo mpamvu muganga wawe abanza kureba ibimenyetso byawe n’ibintu by’ibyago hamwe n’ibisubizo by’ibipimo mbere yo gukora ubuvuzi.

Ubuvuzi bw’indwara ya Lyme ni bwoki?

Inkuru nziza ni uko indwara ya Lyme ivurwa neza cyane n’imiti ya antibiyotike, cyane cyane iyo ifashwe hakiri kare. Abantu benshi barakira neza bafashijwe n’ubuvuzi bukwiye bwa antibiyotike.

Ku ndwara ya Lyme iri mu ntangiriro, muganga wawe azakwandikira imiti ya antibiyotike ifatwa mu kanwa. Imiti ya antibiyotike ikoreshwa cyane irimo:

• Doxycycline (akenshi iba ari yo ya mbere ikoreshwa ku bakuru n'abana barengeje imyaka 8)
• Amoxicillin (ikunze gukoreshwa ku bagore batwite n'abana bato)
• Cefuroxime (ubundi buryo)

Ubuvuzi busanzwe buramara iminsi 14 kugeza kuri 21, nubwo muganga wawe ashobora guhindura igihe bitewe n'uko uhagaze. Ni ngombwa gusoza imiti ya antibiyotike yose, naho waba umaze kuruhuka mbere yo kuyirangiza.

Niba ufite indwara ya Lyme iri mu cyiciro cyo hejuru ikubangamiye urwego rw'imikorere y'ubwonko cyangwa umutima, ushobora kuba ukeneye antibiyotike ziterwa mu mubiri (IV). Izi ziterwa mu bitaro cyangwa mu bigo byita ku barwayi hanze y'ibitaro, bikamara iminsi 14 kugeza kuri 28.

Ku ndwara ya Lyme itera kubabara mu ngingo, imiti ya antibiyotike ifatwa mu kanwa ni yo ikunze kugeragezwa mbere, ariko bamwe bashobora kuba bakeneye ubuvuzi bwo guterwa mu mubiri niba imiti ifatwa mu kanwa idakuraho ubwandu mu ngingo rwose.

Abantu benshi batangira kuruhuka mu minsi mike cyangwa mu byumweru bike nyuma yo gutangira kuvurwa. Ariko kandi, ibimenyetso bimwe na bimwe nko gucika intege no kubabara mu ngingo bishobora gutinda amezi menshi kugira ngo bikire burundu, nubwo ubuvuzi bwabaye bwiza.

Niba ugize indwara ya Lyme nyuma yo kuvurwa, muganga wawe azibanda ku gucunga ibimenyetso byawe mu gihe umubiri wawe ukomeza gukira. Ibi bishobora kuba harimo gucunga ububabare, imyitozo ngororamubiri, cyangwa ubuvuzi bw'ibimenyetso runaka urimo guhura na byo.

Nigute wakwitwara mu rugo mu gihe cyo kuvurwa?

Mu gihe imiti ya antibiyotike ikora kugira ngo ikureho ubwandu, hari ibintu byinshi ushobora gukora mu rugo kugira ngo ufashe gucunga ibimenyetso byawe no gufasha gukira. Ibi bintu byo kwita ku buzima mu rugo bishobora kugutera amahoro mu gihe umubiri wawe ukomeza gukira.

Ikiruhuko ni ingenzi cyane mu gihe cyo gukira. Umubiri wawe urakora cyane kugira ngo urwanye ubwandu, ntukirukiruke gukora ibyo usanzwe ukora. Ryama bihagije kandi ufate akaruhuko igihe ubishaka.

Ku gukumira ububabare n’umuriro, imiti igurishwa mu maduka idafite ibyangombwa by’abaganga ishobora kugufasha:

• Acetaminophen (Tylenol) ku muriro no kubabara kw’umubiri muri rusange
• Ibuprofen (Advil, Motrin) ku kwishima kw’ingingo n’ububabare bw’ingingo
• Kurikiza amabwiriza ari ku icupa kandi ntukarenze umwanya uteganyijwe

Komera amazi menshi, cyane cyane niba ufite umuriro. Amazi ahagije afasha umubiri wawe gukora neza mu gihe urwanya ubwandu.

Kwigendera buhoro buhoro bishobora kugufasha mu kubabara kw’ingingo, ariko wirinda imyitozo ikomeye kugeza ubwo uzaba wameze neza. Gukora siporo yoroheje cyangwa kugenda buhoro buhoro bishobora kukworoheza, ariko jya utega amatwi umubiri wawe kandi uruhuke igihe bibaye ngombwa.

Shyira ibintu bishyushye ku ngingo cyangwa imikaya ibabara iminota 15-20. Ubushyuhe bushobora kugabanya ububabare no guhumuriza.

Funga ibiryo biringaniye kugira ngo ushyigikire ubudahangarwa bwawe. Ibaze ku mbuto, imboga, ibinyamisogwe byoroshye, n’ibinyampeke byuzuye. Niba udafite ubushake bwo kurya, gerageza kurya make kenshi.

Jya ukora inyandiko y’ibimenyetso byawe n’uburyo ugendera mu kuvurwa. Aya makuru azagufasha igihe uzaba ugiye kwa muganga.

Wategura gute uruzinduko rwawe kwa muganga?

Gutegura neza uruzinduko rwawe kwa muganga bishobora kugufasha kugira ngo ubone ubuvuzi bukwiye. Gufata umwanya wo gutegura ibitekerezo byawe n’amakuru mbere bizatuma uruzinduko rwawe ruba ingirakamaro.

Andika ibimenyetso byawe byose, harimo igihe byatangiye n’uburyo byahindutse uko iminsi igenda. Jya ugaragaza neza ibintu nk’ubunini n’isura y’uburwayi ubwo aribwo bwose, ubukana bw’umunaniro, cyangwa aho ububabare bw’ingingo buri.

Tekereza ku bikorwa byawe bya vuba aha n’urugendo rwawe, cyane cyane mu kwezi gishize. Bandika igihe cyose wamaze hanze mu turere dufite ibyatsi birebire, amashyamba, cyangwa ibihuru. Nubwo utazirikana ko watsinzwe n’ikinyugunyugu, aya makuru afite akamaro.

Zana urutonde rw’imiti n’ibindi byongerwamo byose ukoresha ubu, harimo n’ingano zayo. Nanone vuga ibyo ufite harimo allergie, cyane cyane ku miti ya antibiyotike.

Niba bishoboka, fata amafoto meza y’uburyo ubwo aribwo bwose bw’uburwayi bw’uruhu mbere y’aho uganira na muganga. Uburwayi bw’uruhu bushobora guhinduka cyangwa bugacika, kandi amafoto ashobora gufasha muganga wawe kubona uko ubwo burwayi bwari bumeze ubwo bwari bukomeye cyane.

Tegura ibibazo wifuza kubabaza muganga wawe:

• Ni ibizamini ibihe nkenewe, kandi bikubiyemo iki?
• Igihe kihe kizafata kuvurwa?
• Ni ingaruka mbi izihe nakwirinda?
• Ni ryari nagomba gutangira kumva meze neza?
• Ni ibikorwa ibihe nakwirinda mu gihe cyo kuvurwa?
• Ni ryari nagomba kugaruka kukubona?

Tekereza kuzana umuntu wo mu muryango cyangwa incuti kugira ngo aguhe ubufasha kwibuka amakuru y’ingenzi, cyane cyane niba ufite ibibazo byo kwibuka cyangwa ukumva utameze neza.

Ni iki gikuru wakuramo ku ndwara ya Lyme?

Indwara ya Lyme ni indwara y’ubwandu iterwa na bagiteri ivurwa kandi igira igisubizo cyiza cyane ku miti ya antibiyotike iyo imenyekanye hakiri kare. Nubwo ishobora kugaragara nk’iteye ubwoba, abantu benshi cyane babona ubuvuzi bwihuse barakira neza nta ngaruka zikomeye z’igihe kirekire.

Ikintu cy’ingenzi cyo kwibuka ni uko kwirinda no kubona indwara hakiri kare ari byo birinda byiza. Ukoresheje ingamba zoroshye mugihe umara igihe hanze kandi ukareba niba hari amatatsi buri gihe, ushobora kugabanya cyane ibyago byo kwandura indwara ya Lyme.

Niba ugize ibimenyetso bishobora kuba bifitanye isano n’indwara ya Lyme, ntutinye kuvugana n’umuvuzi wawe. Ubuvuzi bwa hakiri kare bugira ingaruka nziza kandi bushobora kubuza ubwandu gutera imbere kugeza ku ntambwe zikomeye.

Wibuke ko kuba waragize indwara ya Lyme rimwe ntibikurinda kuyandura ukundi, bityo komeza gukoresha ingamba zo kwirinda amatatsi na nyuma y’aho wakize. Ufite ubumenyi bukwiye n’ingamba, ushobora gukomeza kwishimira ibikorwa byo hanze mugihe wirinde indwara ziterwa n’amatatsi.

Ibibazo bikunze kubaho kuri indwara ya Lyme

Ese ushobora kwandura indwara ya Lyme uturutse ku nyamaswa zo mu rugo?

Ntushobora kwandura indwara ya Lyme ukomoka ku nyamaswa zawe zo mu rugo, ariko izo nyamaswa zishobora kuzana ibinyamisogwe byanduye mu rugo rwawe. Niba imbwa yawe cyangwa ikati imaze igihe hanze, buri gihe ujye uyigenzura niba ifite ibinyamisogwe kandi ukore gahunda yo kwirinda ibinyamisogwe nkuko umuvuzi w’amatungo akubwiye. Kuraho ibinyamisogwe byose ubonye vuba kugira ngo birinde gukomeretsa abagize umuryango.

Ibinyamisogwe bikenera igihe kingana iki ngo bikomeze kugira ngo byanduze indwara ya Lyme?

Ibinyamisogwe byanduye bisanzwe bikenera gukomera amasaha 36 kugeza kuri 48 kugira ngo byanduze udukoko tw’indwara ya Lyme. Niyo mpamvu igenzura rya buri munsi ry’ibinyamisogwe no kubikuraho vuba ari ingenzi cyane mu gukumira kwandura. Niba ubonye ukakuraho ibinyamisogwe mu masaha 24, ibyago byo kwandura indwara ya Lyme ni bike cyane, nubwo ibinyamisogwe byanduye.

Ese indwara ya Lyme irashobora kwandura hagati y’abantu?

Oya, indwara ya Lyme ntirandura hagati y’abantu. Ntushobora kuyikura ku muntu ufite indwara ya Lyme binyuze mu mibanire isanzwe, gusangira ibiryo, cyangwa se no kuba hafi nk’aho musomana cyangwa mukundana. Uburyo bwonyine bwo kwandura indwara ya Lyme ni binyuze mu kurumwa n’ibinyamisogwe byanduye.

Ese indwara ya Lyme ishobora gukira burundu?

Yego, indwara ya Lyme ishobora gukira burundu hakoreshejwe imiti ikwiye ya antibiyotike, cyane cyane iyo ivuwe hakiri kare. Abantu benshi barakira neza kandi nta ngaruka ziramba. Nubwo abantu bafite indwara ya Lyme mu bihe bya nyuma bakunda gusubiza neza ku ivuriro, ariko gukira bishobora gutinda kandi bamwe bashobora kugira ibimenyetso by’igihe kirekire igihe kingana n’amezi.

Ugomba gukora iki niba ubonye ibinyamisogwe ku mubiri wawe?

Kuraho ibinyamisogwe ako kanya ukoresheje imikasi yoroheje. Bifate hafi y’uruhu rwawe uko bishoboka kose hanyuma ubike amaso hejuru ufite umuvuduko uhamye. Ntukabyunamure cyangwa ubike. Kwoza ahantu harumwe n’inzoga cyangwa amazi n’isabune. Fata ibinyamisogwe mu kibindi gifunze niba bishoboka, kandi uhamagare muganga wawe niba ugize ibimenyetso mu byumweru bikurikira.