Allergist: "The safest way to treat allergies - the elimination of its causes"

Someone is happy coming of spring, the first sun and warmth, and someone on the contrary - just recorded on the example of a doctor and buys a lot of drugs to survive the most dangerous time of year for allergy sufferers

How to protect yourself from allergies? What about those who are already faced with this disease? These and other questions answered chief allergist-immunologist Moscow Health Department Irina Sidorenko .

"Corr." - How to be the one who suffers from a lifelong allergy to house dust and from asthma? Is there any treatment of this misfortune?

IS .: - To help patients with asthma may be, as well as a patient with an allergy to pollen. The first thing that should be done to the patient with a known cause of allergen - reduced contact with the allergen. House dust - a common cause of allergic diseases. House dust mites are highly allergenic activity and are the main component of household dust. The best conditions for the life of the mites is high humidity and temperatures around 25 degrees, so to favorite their habitat are the bed, upholstered furniture, carpets. The rooms should be well ventilated to maintain a low humidity, regular wet cleaning. It should get rid of "pylenakopiteley" - heavy curtains, carpets, use air purifiers. Pillows and blankets should be washed 2-3 times a year.

The second step - the selection of drugs for the treatment of bronchial asthma. The drugs and doses determined by the physician according to the severity of the disease. In Russia, there are all possibilities for the treatment of asthma, maintaining your ability to work and a normal quality of life. Allergic to house dust and pollen, ragweed, including allergists treat a particular method. This method - allergen immunotherapy - is that the cause of the allergy patient is injected in very small doses, doses are gradually increased, thus produced protection against this allergen. Regimens determine allergist.

"Correct.": - How to find qualified allergists?

IS .: -   If we are talking about Moscow, then in all districts of the city have specialists allergists, adults and children. Bronchial asthma is treated and allergists and pulmonologists - the choice of the patient. Treatment of allergens (allergen immunotherapy) is carried out only allergists. If you give a general council - it is possible to address in Moscow in free urban structures: 1st City Hospital Advisory Center, 52nd and 57th hospital consulting rooms, outpatient - clinics and counseling centers in the community in which doctors work allergist-immunologist.

"Correct.": - What can you say about unscrupulous doctors? In Moscow, a lot of clinics, where the level of training of specialists are not always high ...

IS .: -   In Moscow, the standards are designed to meet the standards of European and international associations of Allergy, Immunology, World Association allergist. Doctors working in accordance with these standards. There are no paid services in establishments of the Moscow Health Department there. We have a hospital 7, 24, 45, 52, 57, 63, which provides assistance to patients with allergies. If there are indications for hospitalization, patients are examined and treated in these hospitals. Unscrupulous allergist Moscow, I even can not name.

We have leaders in the districts for children and adults - a top-class experts. Allergoobsledovanie - skin tests, treatment of domestic allergens free. And if a person wants to be treated sublingual allergens, then buy them at the pharmacy. I do not welcome that patients treated with food additives - it has not been studied and is not part of our standards. All that is in the world of modern, in Moscow there definitely. If there are complaints that the doctor is doing something wrong, you can appeal to the district manager or the chief specialist of the Department of Health, which will solve this problem.

"Correct.": - If a man suddenly started sneezing due to dust, it may be an allergy or something else?

IS .: -   If there are signs of an allergy, then you need to be surveyed once. If allergy symptoms are manifested not only at work but also at home, and at night, it is impossible to exclude allergic to house dust mites. You need to visit an allergist. Since the safest method of treatment - removal of the allergen.

"Correct.": - It happens that a person allergic to literally everything - for food, for medicine, to bloom. Are there any methods of treatment of this allergy?

IS .: -   If a person has these symptoms of allergies, you should be observed at the allergist. Examination of patients with atopic dermatitis requires a certain program, which is a little different from diagnostic procedures in patients with healthy skin. There are treatments for these patients. In the season of the patients treated farmakopreparatami and performs all possible measures to reduce exposure to allergens. Usually in patients with an allergy to pollen of trees there is a cross food allergy. She often appears on everything that grows on trees: apples, pears, nuts, cherries, even carrots. These products can cause a cross-allergy to birch pollen.

Observe hypoallergenic diet, do not use products such as birch sap in the spring not to go out of town, do not use medications containing alder cones, buds, do not use in a bath birch and oak twigs.

During an exacerbation use drugs and ways to reduce exposure (do not open the windows in the apartment, try not to go out), and the following year after flowering - consult with an allergist and see if you can carry out specific immunotherapy to prevent recurrence and progression of allergies.

"Corr." - How are the tests for allergens? Whether there is such that the person suffers from allergies, and the results are all negative samples?

IS .: -   It happens that the patient's symptoms are similar to allergies, but the allergen is not detected. Either reason - not an allergy. Autumn in the air, in addition to the pollen of weeds, contain mold spores.

If high levels of spores in the air coincides with the appearance of symptoms, then maybe they are the cause of allergies. Unfortunately, allergic to mold spores are very difficult to identify, and specific treatment is not.

Remain methods of reducing exposure to fungi: analyze where there are allergic (home, outside the city), and surveyed. Allergy plays a minor role in the structure of the causes of urticaria. It is necessary to investigate the gastro-intestinal tract, eliminate infections, autoimmune diseases - it may become a cause of urticaria. It is important to consult a qualified physician. If doctors in the local clinic can not help, it is necessary to apply to the regional specialist.

For example, in Moscow, of all high-risk patients, we discuss together, discuss all the results of the survey, we advise. Moscow is difficult to imagine that the city doctors can send a man "to his grandmother." If this happens, you should consult a specialist to the district.

"Correct.": - What to do if you are allergic to cats, but really want to have a pet?

IS .: - Cat - a very strong allergen. In these animals powerful allergen in saliva, and it is constantly licking himself. If a person is allergic, it is necessary to leave the cats. And when visiting the apartments, where there is a cat, use anti-allergic drugs. This disease in Russia is not treated, since allergens of this type are not registered. Cat allergy can be transmitted through a third party.

For example, there are times when my grandmother stroking a cat, and then goes to the subway near the child with an allergy to cats. Such contact can immediately give a severe reaction until an attack of breathlessness. Allergy to cats is very common in Moscow, it can develop in children from an early age and persist for life.

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