{"id":8664,"date":"2020-03-31T07:18:15","year":"2020","link":"https:\/\/rigasveseliba.lv\/lv\/aktualitates\/aizdomas-par-alergiju-iepazisties-ar-testiem-kuri-to-var-diagnosticet\/","type":"aktualitates","slug":"aizdomas-par-alergiju-iepazisties-ar-testiem-kuri-to-var-diagnosticet","featured_image":"https:\/\/rigasveseliba.lv\/wp-content\/uploads\/2021\/08\/alergijas_analizes.jpg","title":"Aizdomas par aler\u0123iju? Iepaz\u012bsties ar testiem, kuri to var diagnostic\u0113t!","content":"<p>Raksts p\u0101rpublic\u0113ts un tapis sadarb\u012bb\u0101 ar \u0123imenes port\u0101lu\u00a0<a href=\"https:\/\/www.mammamuntetiem.lv\/articles\/47185\/aizdomas-par-alergiju-iepazisties-ar-testiem-kuri-to-var-diagnosticet\/\" target=\"_blank\" rel=\"noopener\">www.mammamuntetiem.lv<\/a><\/p>\n<p>Vec\u0101ki, dzirdot par bie\u017eiem aler\u0123iju saslim\u0161anas gad\u012bjumiem, nereti pa\u0161i s\u0101k noteikt diagnozes saviem b\u0113rniem. Tom\u0113r t\u0101 dar\u012bt nevajadz\u0113tu. K\u0101di ir aler\u0123iju noteik\u0161anas meh\u0101nismi un k\u0101 lab\u0101k r\u012bkoties, ja ir aizdomas par aler\u0123iju, st\u0101sta B\u0113rnu kl\u012bnisk\u0101s universit\u0101tes slimn\u012bcas un <strong><span style=\"color: #ff0000;\">pediatre, b\u0113rnu alergolo\u0123e Dr. Dita Gaidule-Logina<\/span><\/strong>.<\/p>\n<p>Ja vec\u0101kiem ir aizdomas par aler\u0123iju savam b\u0113rnam, vispirms ir j\u0101v\u0113r\u0161as pie \u0123imenes \u0101rsta, kur\u0161 nepiecie\u0161am\u012bbas gad\u012bjum\u0101 turpm\u0101kai izmekl\u0113\u0161anai nos\u016bt\u012bs pie alergologa. Alergologs, balstoties uz simptomiem un s\u016bdz\u012bb\u0101m, nos\u016bt\u012bs pacientu nepiecie\u0161amo testu veik\u0161anai. Noteikti vec\u0101kiem nav v\u0113rts un v\u0113lams uz savu iniciat\u012bvu veikt aler\u0123iju testus bez speci\u0101lista nos\u016bt\u012bjuma \u2013 neizv\u0113rt\u0113jot visu kl\u012bnisko ainu, rezult\u0101tu interpret\u0113jums var neb\u016bt prec\u012bzs un realit\u0101ti atspogu\u013cojo\u0161s.<\/p>\n<p><strong>Test\u0113\u0161anas metodes, ko izmanto aler\u0123iju diagnostik\u0101<\/strong><\/p>\n<p>M\u016bsdienu medic\u012bna ir jau labi iepazinusies ar aler\u0123iju da\u017e\u0101do dabu, t\u0101p\u0113c diagnostika ir \u013coti pla\u0161i att\u012bst\u012bta. Lai noteiktu aler\u0123iju, vispirms ar s\u016bdz\u012bb\u0101m j\u0101v\u0113r\u0161as pie speci\u0101lista, kur\u0161 var\u0113s izlemt par t\u0101l\u0101ku diagnostiku un \u0101rst\u0113\u0161anu. \u0145em v\u0113r\u0101, ka testi j\u0101veic tikai gad\u012bjumos, ja ir aler\u0123ijas simptomi. Gan \u0101das testu, gan IgE testu izv\u0113rt\u0113\u0161anu veiks alergologs, jo, pat pozit\u012bvu testu gad\u012bjum\u0101, v\u0113l nevar diagnostic\u0113t aler\u0123iju. Tie r\u0101da sensibiliz\u0101ciju (organisma jut\u012bbu uz test\u0113jamo vielu).<\/p>\n<ul>\n<li><strong>\u0100das d\u016briena testi\u00a0<\/strong>\u2013 parasti tiek veikti uz apak\u0161delma. Testu veik\u0161anai nepiecie\u0161amas 20 min\u016btes. Parasti to var izdar\u012bt speci\u0101lista viz\u012btes laik\u0101. \u013boti svar\u012bgi \u0146emt v\u0113r\u0101, ka \u0161os testus nevar veikt, ja p\u0113d\u0113jo 5\u20137 dienu laik\u0101 lietoti antihistam\u012bna l\u012bdzek\u013ci vai ir izteikts \u0101das boj\u0101jums apak\u0161delma rajon\u0101. \u0160os testus veic no 4 m\u0113ne\u0161u vecuma.<\/li>\n<li><strong>Specifisko IgE antivielu noteik\u0161ana asin\u012bs\u00a0<\/strong>\u2013 lai noteiktu \u0161os testus, nepiecie\u0161ams nodot asins paraugu. \u0160os testus var nodot jau no dzim\u0161anas. Im\u016bnglobul\u012bns E ir antiviela, kas paaugstin\u0101s, ja cilv\u0113kam ir aler\u0123ija. Ar \u0161o testu var noteikt pret k\u0101du tie\u0161i alerg\u0113nu \u0161\u012b antiviela ir paaugstin\u0101jusies. Lai gan p\u0113d\u0113j\u0101 laik\u0101 tiek pla\u0161i veikti IgG4 (im\u016bnglobul\u012bna G4) testi p\u0101rtikas nepanesam\u012bbas diagnostik\u0101, tom\u0113r balstoties uz veiktajiem p\u0113t\u012bjumiem, IgG4 tests nav informat\u012bvs p\u0101rtikas nepanesam\u012bbas vai aler\u0123ijas gad\u012bjum\u0101. Tiek rekomend\u0113ts neveikt IgG4 testus nepanesam\u012bbas vai aler\u0123ijas diagnostik\u0101.<\/li>\n<li><strong>Molekul\u0101r\u0101 diagnostika\u00a0<\/strong>\u2013 pa\u0146emot asins paraugu, tiek noteiktas IgE antivielas pret atsevi\u0161\u0137\u0101m molekul\u0101m (jeb sast\u0101vda\u013c\u0101m), ko satur alerg\u0113ns (iepriek\u0161 min\u0113t\u0101s specifisk\u0101s IgE antivielas ir pret visu alerg\u0113nu). Iesp\u0113jams s\u012bk\u0101k un prec\u012bz\u0101k izanaliz\u0113t t\u0101s molekulas, ko satur alerg\u0113ns. Piem\u0113ram, p\u0101rtikas aler\u0123ijas gad\u012bjum\u0101 t\u0101 \u013cauj noteikt izsl\u0113g\u0161anas di\u0113tas apjomu. Jo, izr\u0101d\u0101s, piem\u0113ram, piena aler\u0123ijas gad\u012bjum\u0101 ne vienm\u0113r no uztura j\u0101izsl\u0113dz piln\u012bgi visi piena produkti. Jo ir pacienti, kas p\u0101rstr\u0101d\u0101tu pienu un piena produktus dr\u012bkst\u0113s lietot. J\u0101izsl\u0113dz tikai svaigs piens (vi\u0146i rea\u0123\u0113 tikai uz t\u0101m molekul\u0101m, kas ir termolabilas \u2013 sadal\u0101s kars\u0113\u0161anas ietekm\u0113). Ja pacients rea\u0123\u0113 ar\u012b uz termostabilajiem prote\u012bniem, kas kars\u0113\u0161anas ietekm\u0113 nesadal\u0101s, tad no uztura j\u0101izsl\u0113dz piln\u012bgi visi piena produkti.<\/li>\n<\/ul>\n<p><strong>Pirms do\u0161an\u0101s pie speci\u0101lista<\/strong><\/p>\n<p>Pirms viz\u012btes ir \u013coti svar\u012bgi tai sagatavoties \u2013 tas pal\u012bdz\u0113s diagnostic\u0113t aler\u0123iju prec\u012bz\u0101k. Ja ir aizdomas par p\u0101rtikas aler\u0123iju, ir j\u0101ievie\u0161 p\u0101rtikas dienasgr\u0101mata \u2013 kur\u0101 vienkopus apkopoti visi simptomi, visas \u0113dienreizes un lietotie p\u0101rtikas produkti, citi iesp\u0113jams provoc\u0113jo\u0161i faktori, k\u0101 ar\u012b lietotie medikamenti. T\u0101d\u0101 veid\u0101 iesp\u0113jams izv\u0113rt\u0113t vai katrai simptomu epizodei ir kop\u012bgs provoc\u0113jo\u0161ais faktors.<\/p>\n<p><em><strong>Ja vec\u0101kiem ir aizdomas par aler\u0123iju savam b\u0113rnam, vispirms ir j\u0101v\u0113r\u0161as pie \u0123imenes \u0101rsta, kur\u0161 nepiecie\u0161am\u012bbas gad\u012bjum\u0101 turpm\u0101kai izmekl\u0113\u0161anai nos\u016bt\u012bs pie alergologa.<\/strong><\/em><\/p>\n<p><strong>Svar\u012bgi atcer\u0113ties<\/strong>\u00a0\u2013 \u0101das testus iesp\u0113jams veikt ar\u012b viz\u012btes laik\u0101, bet pirms tiem 5-7 dienas nedr\u012bkst lietot antihistam\u012bna l\u012bdzek\u013cus!<\/p>\n<p><strong>Nov\u0113rot un sekot l\u012bdzi<\/strong><\/p>\n<p>Citreiz, balstoties uz pacienta s\u016bdz\u012bb\u0101m vai p\u0101rtikas dienasgr\u0101mat\u0101 atspogu\u013cotajiem datiem, \u0101rsts lemj par nepiecie\u0161am\u012bbu veikt elimin\u0101cijas \u2013 provok\u0101cijas testu aler\u0123ijas diagnostik\u0101. T\u0101 ir aizdom\u0101s turam\u0101 produkta izsl\u0113g\u0161ana no uztura uz 4 ned\u0113\u013c\u0101m, p\u0113c tam to atkal iek\u013caujot atpaka\u013c uztur\u0101. Tiek izv\u0113rt\u0113ti simptomi gan elimin\u0101cijas, gan provok\u0101cijas laik\u0101. To visu ir v\u0113rts fiks\u0113t p\u0101rtikas dienasgr\u0101mat\u0101, lai lab\u0101k izprastu izpausmju c\u0113lo\u0146us un tos nov\u0113rstu.<\/p>\n<p>&nbsp;<\/p>\n<p>Foto: Pexels.com<\/p>","tags":[],"cust_order":"9920200331","acf_order":""}