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October 10, 2025
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Ubuthakathaka be-Lyme luyisifo esibangelwa yibhaktheriya olungathathwa ngokulunywa yizikhonkwane ezinokulimala, ikakhulukazi izikhonkwane ezimnyama (ezibizwa nangokuthi izikhonkwane ze-deer). Yisifo esivame kakhulu esidluliselwa yizikhonkwane e-United States nasezingxenyeni zaseYurophu, kodwa ngokwelashwa okuqondile, abantu abaningi bayaphila ngokuphelele.
Ibhaktheriya ebangela ubuthakathaka be-Lyme ibizwa ngokuthi yi-Borrelia burgdorferi, futhi ihlala ezinye izinhlobo zezikhonkwane. Uma isikhonkwane esinokulimala sikuluma futhi sihlale sinamathele amahora angu-36 kuya kwangu-48, singadlulisela ibhaktheriya egazini lakho. Izindaba ezinhle ukuthi akuzona zonke izilomo zezikhonkwane eziholela ebuthakathakeni be-Lyme, futhi ukwelashwa kwasekuqaleni kuphumelela kakhulu.
Izimpawu zokuthakathaka kwe-Lyme zivame ukuvela ngezigaba, futhi ukuzibamba ngokushesha kwenza ukwelashwa kube yimpumelelo kakhulu. Izimpawu zingase zihluke kakhulu kumuntu nomuntu, okwenza ukutholakala kwesifo kube nzima ngezinye izikhathi.
Esigabeni sokuqala (ezinsukwini ezi-3 kuya kwezingu-30 ngemuva kokulunywa yisikhonkwane), ungase uqaphele lezi zimpawu ezivamile:
Isiboshwa esiqondene sivela cishe ku-70 kuya ku-80% yabantu abane-Lyme. Ngokuvamile siqala njengendawo encane ebomvu esakazeka ezinsukwini noma emavikeni, ngezinye izikhathi sifinyelela ku-intshi eziyi-12 ububanzi. I-center ingase ihlanzeke, idale ukubukeka okukhethekile kwamehlo enkomo.
Uma ukutheleleka kungelashwa ekuqaleni, kungase kuqhubekele ezimpawu ezinzima ngemuva kwamasonto noma izinyanga. Lezi zimpawu zesigaba esilandelayo zingathinta i-nervous system yakho, inhliziyo, namalunga:
Abanye abantu bathuthukisa lokho okuthiwa yi-Lyme disease ecacile noma i-post-treatment Lyme disease syndrome, lapho izimpawu ezifana nokuqeda amandla, ubuhlungu, nobuhlungu bamajoinyi zihlala izinyanga ngemuva kokwelashwa. Lokhu kwenzeka cishe ku-10 kuya ku-20% yabantu abake baba ne-Lyme disease.
I-Lyme disease ibangelwa yibhaktheriya evela emndenini we-Borrelia, ikakhulukazi i-Borrelia burgdorferi eNyakatho Melika. Lezi bhaktheriya zihlala ezinye izinhlobo zama-ticks, futhi ukutheleleka kuthathelwana lapho i-tick ethelelekile ikuluma futhi ihlale inamathele isikhathi eside ngokwanele ukudlulisa ibhaktheriya.
Abaphathi abakhulu yi-blacklegged ticks, eyaziwa nangokuthi yi-deer ticks. Lezi zidalwa ezincane zincinyane kakhulu kunama-ticks ajwayelekile ezimpungushe. Ama-ticks akhulile ayingqayizivele yembewu yesame, kuyilapho ama-nymphs (ama-ticks amancane) ancinyane njengembewu ye-poppy, okwenza kube nzima kakhulu ukuwabona.
Ukuze ibhaktheriya idlule kusuka kwi-tick kuye kuwe, i-tick idinga ukunamathela amahora angu-36 kuya kwangu-48. Kungakho kubalulekile ukuhlola ama-ticks nsuku zonke nokuwasusa ngokushesha ukuvimbela. Isikhathi eside i-tick ihlala inamathele, izingozi zakho zokutheleleka ziyakhula.
Ama-Ticks athola ibhaktheriya lapho edla izilwane ezithathelwe njengempaphe, izimpondo, noma ezinye izilwane ezincane. Bese bethatha ibhaktheriya futhi bangayidlulisela kubantu ngesikhathi sokudla kwabo okulandelayo. Kubalulekile ukuqaphela ukuthi akuzona zonke i-ticks ezithwala ibhaktheriya, futhi ngisho noma ulamuwe yi-tick ethelelekile, awusoze ugula.
Kufanele uxhumane nodokotela wakho uma uthola noma yiziphi izimpawu ezingase zihambisane nesifo se-Lyme, ikakhulukazi uma uke waba ezindaweni lapho izikhuthazi ziqheleke khona. Ukwelashwa kwasekuqaleni kubalulekile ukuvimbela ukutheleleka ukuthi kuqhubekele ezinyathelweni ezinzima kakhulu.
Qaphela ubone udokotela wakho ngokushesha uma ubona isikhumba esibomvu esisakazeka, ngisho noma ungakhumbuli ukulunywa yisikhuthazi. Abantu abaningi abanesifo se-Lyme abazange babone isikhuthazi esasibalumile ngoba izikhuthazi zincinyane kakhulu.
Xhumana nodokotela wakho uma uthola izimpawu ezifana ne-influenza ngesikhathi sesizini yezikhuthazi (ngokuvamile ekuqaleni kwentwasahlobo kuya ekuqaleni kokhozi) futhi uchitha isikhathi ngaphandle ezindaweni ezinotshani olude, amahlathi, noma izindawo ezinezithombo. Lokhu kubaluleke kakhulu uma uhlala noma uke wavakashela ezindaweni lapho i-Lyme disease iqheleke khona.
Ungalindi ukubona ukuthi izimpawu ziyaphila yini zodwa. Uma i-Lyme disease itholakala futhi iwelashwe ngokushesha, amathuba akho okuphulukisa ngokuphelele ngaphandle kwezinkinga zesikhathi eside aphezulu.
Ukuqonda izimbangela zezingozi kungakusiza ukuthi uthathe izinyathelo ezifanele uma uchitha isikhathi ngaphandle. Ingozi yakho ixhomeke kakhulu lapho uhlala khona nokuthi uchitha isikhathi elingakanani ezindaweni lapho kukhona izikhuthazi.
Indawo yomhlaba idlala indima enkulu engozini yakho. I-Lyme disease ivame kakhulu ku:
Imisebenzi yakho nendlela yokuphila yakho ithonya izinga lengozi yakho:
Isikhathi osiqeda ngaso imisebenzi yakho yangaphandle siyabaluleka. Izimbungulu zihlala zisebenza kakhulu ezinyangeni ezishisayo, ngokuvamile kusukela ngo-Ephreli kuya kuSepthemba, kanti ukusebenza kwazo kuphezulu ekuqaleni kwentwasahlobo nasekuqaleni kwasehlobo. Izimbungulu ezincane (izinyoka) zisebenza kakhulu entwasahlobo nasekuqaleni kwasehlobo, futhi zincane kangangokuthi zivame ukungabonwa.
Ubudala bungaba yisici, njengoba abantwana nabantu abadala bangase babe sengozini enkulu kancane, mhlawumbe ngoba bangase bangaziboni kalula izimbungulu ezincane noma bangase babe nobunzima ngezindlela zokuvimbela izimbungulu.
Nakuba abantu abaningi baphila kahle ngokwelashwa okufanele, isifo se-Lyme esingelaphiwe singabangela izinhlanganisela ezinkulu ezihlasela izingxenye ezahlukene zomzimba wakho. Ukuqonda lezi zinhlanganisela ezingaba khona kubonisa ukuthi ukubona kwasekuqaleni nokwelashwa kubaluleke kangakanani.
Izinhlanganisela zamajoyinti ziyizona eziqhele ukubonakala isikhathi eside. Ngaphandle kokwelashwa, ungathuthukisa isifo se-arthritis esiqhubekayo, ikakhulukazi emaqakaleni akho. Lokhu kungabangela ubuhlungu obuqhubekayo, ukukhula, nokuqina okuthinta kakhulu imisebenzi yakho yansuku zonke.
Izinhlanganisela zezinzwa zingaba nzima kakhulu futhi zingafaka:
Izinhlanganisela zenhliziyo, nakuba zingavamile, zingaba yingozi eyingozi. Isifo se-Lyme singabangela ukushaya kwenhliziyo okungavamile, ukushaya kwenhliziyo, noma ezimweni ezingavamile, ukuphahlazeka okuphelele kwenhliziyo lapho izibonakaliso zamandla enhliziyo yakho ziyaphazanyiswa.
Abanye abantu bathuthukisa lokho okuthiwa isifo se-Lyme esiqhubekayo noma i-syndrome yesifo se-Lyme ngemuva kokwelashwa. Lesi simo sihilela izimpawu eziqhubekayo njengokukhathala okukhulu, ubuhlungu bemisipha namajoyinti, nezinkinga zokuqonda ezingaqhubeka izinyanga noma iminyaka ngemuva kokwelashwa.
Izinkinga zamehlo zingase futhi zenzeke ezimweni ezingavamile, kufaka phakathi ukuvuvukala kwamehlo okungathinta ukubona kwakho. Ngaphezu kwalokho, abanye abantu bahlangabezana nezinkinga zesikhumba ezingapheli noma ukuvuvukala kwesibindi njengezinhlungu zesifo se-Lyme esingaphathwe kahle.
Indlela engcono kakhulu yokuvimbela isifo se-Lyme ukugwema ukukhonjwa yizikhonkwane, ikakhulukazi ezindaweni lapho izikhonkwane ezine-infections zivame khona. Ngokuqapha okulungile, unganciphisa kakhulu ingozi yakho ngenkathi usajabulela imisebenzi yangaphandle.
Uma uya endaweni lapho kukhona izikhonkwane, gqoka ngendlela efanele ukudala izithiyo:
Sebenzisa ama-insect repellents avunyelwe yi-EPA aqukethe i-DEET, i-picaridin, noma i-permethrin. Faka i-repellent ebuswini obubonakalayo kanye nezingubo ngokusho kwemiyalelo yelebula. Ungaphatha futhi izingubo zakho nge-permethrin noma uthenge izingubo ezitholwe ngaphambili.
Namathela ebukhwini bemizila uma uhamba ngezinyawo, futhi gwema ukuhamba ngotshani olude, izihlahla, noma izindawo ezinezithombo eziningi uma kungenzeka. Uma unayo ingadi, yenza ibe yingadi engabikho izikhonkwane ngokuhlanza utshani njalo, ukususa amaqabunga, nokudala izithiyo phakathi kwezindawo ezinezithombo nezindawo zokuzilibazisa.
Ngemva kokuchitha isikhathi ngaphandle, hlola izikhonkwane ngokucophelela kuwe, kubantwana bakho, nakwizilwane zakho ezifuywayo. Phawula izindawo eziyimfihlo njengokhanda lakho, ngemuva kwezindlebe zakho, ngaphansi kwama-arms akho, eduze kwesinqe sakho, naphakathi kwemilenze yakho. Geza ngaphakathi kwamahora amabili ukusuka lapho ungena endlini ukugeza noma yiziphi izikhonkwane ezinganamathelanga.
Uma uthola isicubu esinamathisele ebuswini bakho, sisuse ngokushesha nge-tweezers ezineminwe emincane. Bambe isicubu eduze nokukhulu kwesikhumba ngangokunokwenzeka bese uhudula phezulu ngokucindezela okuzinzile. Hlanza indawo ngoketshezi noma isiponji namanzi ngemva kwalokho.
Ukuxilonga isifo se-Lyme ngezinye izikhathi kungaba inselele ngoba izimpawu zaso zingafana nezinye izimo, futhi ibhaktheriya ayibonakali njalo ekuhlolweni okuvamile. Udokotela wakho ngokuvamile uzosebenzisa ukuxubana kwezimpawu zakho, umlando wezokwelapha, kanye nezivivinyo zelebhu ukuze enze ukuxilonga.
Udokotela wakho uzoqala ngokubuza ngezimpawu zakho nokuthi uyakhumbula yini ukulunywa yi-tick noma uchitha isikhathi ezindaweni lapho ama-tick avame khona. Bazophinde benze ukuhlolwa komzimba, bebheka ikakhulukazi isikhumba esiqinisekile noma izimpawu zokukhula kwamajozi.
Uma une-rash ehlukile ye-bull's-eye kanye nezinye izimpawu zokuqala, udokotela wakho angase axilonge isifo se-Lyme ngokusekelwe kulezi zimpawu zezokwelapha kuphela, ikakhulukazi uma uke waba endaweni lapho isifo se-Lyme sivame khona.
Ekwenzeni ukuhlolwa kwelebhu, udokotela wakho angase ayalele ukuhlolwa kwegazi ukubheka ama-antibodies esistimu yakho yokuvimbela umzimba eyenza njengomphendulo kubhaktheriya le-Lyme. Noma kunjalo, lezi zivivinyo azikho njalo zintuthuko ezigabeni zokuqala zokutheleleka ngoba kuthatha isikhathi ukuze umzimba wakho ukhiqize amazinga aboniswayo ama-antibodies.
Kunezinhlobo ezimbili eziyinhloko zokuvivinya igazi ezisetshenziswayo:
Ezimweni ezithile, ikakhulukazi uma izimpawu zezinzwa zikhona, udokotela wakho angase ahlomule ukuhlolwa okwengeziwe njengokuthunga kwe-lumbar (ukugoqa umgogodla) ukuhlola ibhaktheriya noma ama-antibodies e-spinal fluid yakho.
Kubalulekile ukwazi ukuthi ama-positives amanga nama-negatives amanga angase enzeke ngokuvivinywa kwesifo se-Lyme, kungakho udokotela wakho ecabanga ngezimpawu zakho nezici zengozi kanye nemiphumela yokuhlolwa lapho enza ukuxilonga.
Izindaba ezinhle ukuthi isifo se-Lyme siphendula kahle kakhulu ekwelapheni ngama-antibiotic, ikakhulukazi uma sibanjwe ngokushesha. Abantu abaningi bayaphila ngokuphelele ngokwelashwa okufanele kwama-antibiotic.
Ekuguleni kwe-Lyme disease yesigaba sokuqala, udokotela wakho uzovame ukubhalela ama-antibiotics amile. Ama-antibiotics asetshenziswa kakhulu afaka:
Ukwelashwa kuvame ukuphela izinsuku eziyi-14 kuya kweziyi-21, yize udokotela wakho angase alungise isikhathi sokuphela kokwelashwa ngokuya ngesimo sakho. Kubalulekile ukuthatha lonke uhlelo lwama-antibiotics ngisho noma uqala ukuzizwa kangcono ngaphambi kokuba uwaphele.
Uma une-Lyme disease yesigaba esiphezulu esithinta uhlelo lwakho lwezinzwa noma inhliziyo, ungase udinga ama-antibiotics angena nge-intravenous (IV). La avame ukunikwa esibhedlela noma esikhungweni sokufakelwa kwe-outpatient izinsuku eziyi-14 kuya kweziyi-28.
Nge-Lyme arthritis, ama-antibiotics amile avame ukuzama kuqala, kodwa abanye abantu bangase badinge ukwelashwa kwe-IV uma ama-antibiotics amile engahlanzi ngokuphelele ukutheleleka ezinhlangothini.
Abantu abaningi baqala ukuzizwa kangcono phakathi nezinsuku ezimbalwa kuya emavikeni ngemuva kokuqala ukwelashwa. Noma kunjalo, ezinye izimpawu ezifana nokuqina komzimba nobuhlungu bezingxenye zomzimba zingase zithathe izinyanga eziningi ukuze ziphele ngokuphelele, ngisho nokwelashwa okuphumelelayo.
Uma uthuthukisa i-post-treatment Lyme disease syndrome, udokotela wakho uzogxila ekuphatheni izimpawu zakho ngenkathi umzimba wakho uqhubeka uphilisa. Lokhu kungafaka ukuphathwa kobuhlungu, ukuqeqeshwa komzimba, noma ukwelashwa kwezimpawu ezithile ozibhekana nazo.
Ngenkathi ama-antibiotics esebenza ekuhlanzeni ukutheleleka, kunezinto eziningana ongenza ekhaya ukuze usize ukuphatha izimpawu zakho nokusekela ukuphulukisa kwakho. Lezi zindlela zokunakekela ekhaya zingakwenza uzizwe ukhululekile njengoba umzimba wakho uya uphulukisa.
Ukuphumula kubaluleke kakhulu ngesikhathi sokuphulukisa kwakho. Umzimba wakho usebenza kanzima ukulwa nokutheleleka, ngakho ungazicinisekisi ukuthi ugcine amazinga akho ajwayelekile wemisebenzi. Thola ubuthongo obukhulu bese uthatha amaqhekeza uma udinga.
Ukuqeda ubuhlungu nobanga, imithi ethengiswa ngaphandle kwelayisensi ingakunika impumuzo:
Hlala uthambile ngokuphuza amanzi amaningi, ikakhulu uma une-fever. Ukuthamba kahle kusiza umzimba wakho ukuba usebenze kahle ngenkathi ulwa nokutheleleka.
Ukunyakaza okuthambile kungasiza ngokunqabela kwamajointy, kodwa gwema ukuzivocavoca okukhulu kuze kube yilapho uzizwa kangcono. Ukuthambisa okukhanyayo noma ukuhamba okulula kungase kuzwakale kukuhle, kodwa lalela umzimba wakho bese uphumula uma kudingeka.
Faka izicupho ezishisayo ezingqondweni noma emithanjeni ebuhlungu imizuzu engu-15-20 ngesikhathi. Ukushisa kungasiza ekuqedeni ukunqabela nokunikeza induduzo.
Dla ukudla okunomsoco ukuze usekele i-immune system yakho. Gxila ezithelo, imifino, amaprotheni ahlanzekile, nama-grains aphelele. Uma ungenayo inkanuko enkulu, zama ukudla okuncane, okuvamile.
Gcina ulandelela izimpawu zakho nokuthi uphendula kanjani ekwelapheni. Ulwazi olufana nolu luzosiza uma ulandela udokotela wakho.
Ukuba ulungile ngokuya kudokotela wakho kungasiza ukuqinisekisa ukuthi uthola ukuxilongwa okuchane kakhulu nokuphathwa okuqondile. Ukuthatha isikhathi sokulungisa imicabango yakho nolwazi ngaphambi kwesikhathi kuzokwenza i-aphoyintimenti ibe nomphumela.
Bhala zonke izimpawu zakho, kufaka phakathi ukuthi zaqala nini nokuthi ziguquke kanjani ngokuhamba kwesikhathi. Yiba uchwepheshe ngemininingwane efana nobukhulu nobukhulu be-rashes, ubukhulu bokuphelelwa amandla, noma indawo ebuhlungu yezingqondo.
Cabanga ngemisebenzi yakho yakamuva nomlando wakho wokuvakasha, ikakhulu ngenyanga edlule. Qaphela noma yisiphi isikhathi osiqede ngaphandle ezindaweni ezinomhlaba omude, amahlathi, noma ibhrashi. Ngisho noma ungakhumbuli ukukhonjwa yi-tick, ulwazi olufana nolu lubalulekile.
Letha uhlu lwawo wonke amaphilisi nezithasiselo ozithathayo njengamanje, kuhlanganise nezinga lemithamo. Khipha nayo noma yiziphi izinto ozithola unayo i-alergi, ikakhulukazi kuma-antibiotic.
Uma kungenzeka, thatha izithombe ezicacile zanoma yiziphi izilonda ngaphambi kokubonisana kwakho. Izilonda zingashintsha noma ziphele, futhi izithombe zingasiza udokotela wakho ukubona ukuthi isifo sasibonakala kanjani lapho sikhulu kakhulu.
Lungiselela imibuzo ofuna ukuyibuza udokotela wakho:
Cabanga ukuthi ulethe ilungu lomndeni noma umngani ozosiza ukukhumbula ulwazi olubalulekile, ikakhulukazi uma ubhekene nezinkinga zokukhumbula noma uzizwa ungaphili kahle.
I-Lyme disease iyisifo esibulalayo esiphulukiswayo esiphendula kahle kakhulu kuma-antibiotic uma sibanjwe ngokushesha. Nakuba kubonakala kuyesabekayo, iningi labantu abamukela ukwelashwa ngokushesha bayaphila ngokuphelele ngaphandle kwezinkinga zesikhathi eside.
Into ebaluleke kakhulu okumele uyikhumbule ukuthi ukuvimbela nokutholakala kwangaphambi kwesikhathi kuyizikhali zakho ezinhle kakhulu. Ngokuthatha izinyathelo ezilula uma uchitha isikhathi ngaphandle nokuhlola izikhuthazo njalo, unganciphisa kakhulu ingozi yokuthola i-Lyme disease.
Uma uthola izimpawu ezingase zibe zihlobene ne-Lyme disease, unganqikazi ukuxhumana nodokotela wakho. Ukwelashwa kwangaphambi kwesikhathi kunomphumela omkhulu futhi kungavimbela ukutheleleka ukuthi kuqhubekele ezinyathelweni ezinzima kakhulu.
Khumbula ukuthi ukuba ne-Lyme disease kanye akukwenzi uvikeleke ekuyitholeni futhi, ngakhoqhubeka nokwenza izinyathelo zokuvimbela izikhuthazo ngisho nangemva kokuba uphulukile. Ngokwazi okulungile nezinyathelo zokuphepha, ungaqhubeka ujabulela imisebenzi yangaphandle ngenkathi uzivikela ezifweni ezithwalwa izikhuthazo.
Awukwazi ukuthola isifo se-Lyme ngokuqondile ezilwaneni zakho ezifuywayo, kodwa izilwane ezifuywayo zingaletha ama-tick alayekile ekhaya lakho. Uma inja yakho noma ikati lichitha isikhathi ngaphandle, lihlole njalo ukuze ubone ukuthi alinawo ama-tick futhi usebenzise imikhiqizo yokuvimbela ama-tick ecebiswe yi-veterinarian yakho. Susa noma yimaphi ama-tick owaqaphela ngokushesha ukuvimbela ukuthi angabazi abanye abantu emndenini.
I-tick elayekile idinga ukuhlala inamathele amahora angu-36 kuya kwangu-48 ukuze idlulisele i-bacteria yesifo se-Lyme. Yingakho ukuhlola ama-tick nsuku zonke nokususa ngokushesha kuwumqondo omuhle kakhulu wokuvimbela ukutheleleka. Uma uthola futhi ususe i-tick ngaphakathi kwamahora angu-24, ingozi yakho yokuthola isifo se-Lyme incintisana kakhulu, ngisho noma i-tick yayilayekile.
Cha, isifo se-Lyme asiyelelisani umuntu nomunye. Awukwazi ukusibamba kumuntu onalesifo se-Lyme ngokuxhumana okuvamile, ukwabelana ngokudla, noma ngisho nokuthintana eduze njengokuqabulana noma ukuthukuthela. Indlela kuphela yokuthola isifo se-Lyme iwukukhonjwa yi-tick elayekile.
Yebo, isifo se-Lyme singelapheka ngokuphelele ngokwelashwa okufanele kwe-antibiotic, ikakhulukazi uma silashwa ngokushesha. Abantu abaningi bayaphila ngokuphelele futhi abanawo imiphumela ehlala njalo. Ngisho nabantu abanesifo se-Lyme esisezingeni eliphezulu ngokuvamile bayaphendula kahle ekwelapheni, yize ukululama kungathatha isikhathi eside futhi abanye bangase babe nezimpawu ezihlala isikhathi eside izinyanga.
Susa i-tick ngokushesha usebenzisa i-tweezers ezineminwe emincane. Ibambe eduze nokukukho kokukho kwakho ngangokunokwenzeka bese uyidonsela phezulu ngokucindezela okuzinzile. Ungayijikijiki noma uyidonsele. Hlambulula indawo yokukhonjwa ngoketshezi le-alcohol noma isikhumba namanzi. Londoloza i-tick embizeni evaliwe uma kungenzeka, bese uxhumana nodokotela wakho uma uthola noma yiziphi izimpawu ezinyangeni ezilandelayo.
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