{"id":13084,"date":"2021-04-15T00:44:29","date_gmt":"2021-04-14T23:44:29","guid":{"rendered":"https:\/\/radioljubuski.ba\/?p=13084"},"modified":"2021-04-15T00:44:31","modified_gmt":"2021-04-14T23:44:31","slug":"sezona-alergija-znate-li-koji-su-najcesci-alergeni","status":"publish","type":"post","link":"https:\/\/radioljubuski.ba\/index.php\/2021\/04\/15\/sezona-alergija-znate-li-koji-su-najcesci-alergeni\/","title":{"rendered":"Sezona alergija: Znate li koji su naj\u010de\u0161\u0107i alergeni?"},"content":{"rendered":"\n

Alergija je posljedica poreme\u0107aja imunosnog sustava koji je zadu\u017een za obranu organizma od bakterija i virusa. Kod nekih osoba iz jo\u0161 uvijek nerazja\u0161njenih razloga dolazi do gre\u0161ke u imunosnom sustavu zbog \u010dega on po\u010dinje reagirati na neke bezopasne \u010destice (alergene) prisutne u na\u0161em svakodnevnom okoli\u0161u. Kad govorimo o alergijama naj\u010de\u0161\u0107e mislimo na alergije uzrokovane inhalatornim alergenima, a koje izazivaju tegobe di\u0161nog sustava koje se mogu razviti i u alergijsku astmu.<\/p>\n\n\n\n

Alergija i astma mogu zna\u010dajno smanjiti kvalitetu \u017eivota bolesnika, stoga valja pristupiti lije\u010denju. Uz prethodni dogovor s lije\u010dnikom, bolesnik mo\u017ee i sam modificirati dozu lijeka, sukladno dogovorenom planu lije\u010denja. U trenutcima kad se bolesnik osje\u0107a lo\u0161ije te kad su tegobe ja\u010de izra\u017eene, doza lijeka se mo\u017ee povisiti i kad se tegobe smanje ponovno smanjiti, sve u dogovoru s lije\u010dnikom obiteljske medicine ili pulmologom. Lije\u010dnici obi\u010dno procjenjuju bolesnikovo stanje na osnovu anamneze i testa za procjenu te\u017eine simptoma. Takva regulacija stanja mo\u017ee rezultati pobolj\u0161anjem kvalitete \u017eivota, pi\u0161e Dr. sc. Marina Labor, dr. med., specijalist pulmolog za plivazdravlje.<\/a><\/p>\n\n\n\n

Naj\u010de\u0161\u0107i inhalatorni alergeni<\/strong><\/p>\n\n\n\n

Naj\u010de\u0161\u0107i alergeni koji uzrokuju respiratorne alergije su grinje, sitni kukci koji se nalaze u ku\u0107noj pra\u0161ini i peludi raznih biljaka koje se opra\u0161uju uglavnom vjetrom. To mogu biti razne trave koje cvjetaju u svibnju i lipnju, stabla (lijeska, breza, lipa, \u010dempres, kesten, maslina i druga) koja cvjetaju od velja\u010de pa sve do lipnja te korovi koji cvjetaju najvi\u0161e u ljeto i ranu jesen (ambrozija, pelin i drugi). Zna\u010dajka svih tih \u010destica je da su sitne i da se zadr\u017eavaju dugo u zraku te se mogu udahnuti. Jednom udahnuti, alergeni prvo ulaze u nos. Funkcija nosa i dla\u010dica je primarno \u010di\u0161\u0107enje zraka od raznih \u010destica koje se lijepe za sluznicu nosa.<\/p>\n\n\n\n

Simptomi alergijske astme<\/strong><\/p>\n\n\n\n

Dio alergena, a osobito kada je koncentracija u zraku visoka, uspije pro\u0107i nos i ulazi u du\u0161nik, a potom i u plu\u0107a. Prolaskom kroz du\u0161nik i du\u0161nice oni se lijepe po sluznici te u takvim slu\u010dajevima mogu izazvati alergijsku reakciju i u sluznici plu\u0107a gdje su uklju\u010dena ista IgE protutijela, eozinofilni granulociti te medijatori, \u0161to dovodi do razvoja lokalne upalne reakcije i oticanja sluznice. Ipak, upala u du\u0161nicama mo\u017ee izazvati i reakciju mi\u0161i\u0107nog sloja koji se nalazi u stijenci. Ti mi\u0161i\u0107i reagiraju tako da se kontrahiraju (ste\u017eu) i time smanjuju promjer di\u0161nih putova.<\/p>\n\n\n\n

Osim zbog kontrakcije mi\u0161i\u0107nog sloja, otok sluznice dodatno smanjuje lumen di\u0161nih puteva, a i sekret koji se izlu\u010duje iz tako nadra\u017eene sluznice ispunjava du\u0161nice. To sve uzrokuje prvo ote\u017eano disanje jer kroz tako su\u017eene di\u0161ne putove je puno te\u017ee udahnuti dovoljno zraka potrebnog za normalno disanje, a upala sluznice izaziva nadra\u017eajni ka\u0161alj. Ti bolesnici ote\u017eano di\u0161u, ka\u0161lju suho, nadra\u017eajno i osje\u0107aju pritisak u prsima. Sve te tegobe najvi\u0161e su izra\u017eene no\u0107u i pred jutro, a takvu pojavu nazivamo alergijska astma. Tipi\u010dno za alergijske reakcije i povezane bolesti jest da se javljaju svake godine, otprilike u isto vrijeme, ako su uzrokovane peludima \u2013 ovisno o tome kad odre\u0111ena biljka cvate (sezonska astma).<\/p>\n\n\n\n

Terapija lijekovima<\/strong><\/p>\n\n\n\n

Kod nekih ljudi kod kojih je alergijska reakcija blaga dovoljno je izbjegavati alergene no naj\u010de\u0161\u0107e su ipak potrebni i lijekovi kako bi se suzbili simptomi alergije i smanjile tegobe koje bolesnici imaju. Kada govorimo o terapiji alergijske astme, postoje dvije glavne grupe lijekova: oni koji ubla\u017euju tegobe (\u201crelieveri\u201d) i oni koji kontroliraju alergijsku reakciju (\u201ccontroleri\u201d). Izbor lijeka ovisi o simptomima, plu\u0107noj funkciji, rizi\u010dnim \u010dimbenicima za akutna pogor\u0161anja, preferenciji bolesnika i eventualnim prakti\u010dnim problemima (mogu\u0107nost uzimanja lijekova, dostupnost lijekova).<\/p>\n\n\n\n

U grupu lijekova koji ubla\u017eavaju tegobe spadaju bronhodilatatori, lijekovi koji opu\u0161taju mi\u0161i\u0107e u stijenci bronha pa samim time omogu\u0107avaju da se bronhi pro\u0161ire olak\u0161avaju\u0107i disanje. Postoje kratkodjeluju\u0107i bronhodilatatori \u010dije djelovanje po\u010dinje gotovo trenutno, ali traje kratko i uglavnom se koriste za trenutno olak\u0161avanje tegoba te dugodjeluju\u0107i koji se koriste za dugotrajnije pro\u0161irenje di\u0161nih puteva. Ipak, ti lijekovi samo omogu\u0107avaju da se bronhi pro\u0161ire i da bolesnik lak\u0161e di\u0161e \u0161to je dodu\u0161e za bolesnika izuzetno va\u017eno. No i nakon \u0161to se bronhi pro\u0161ire u njima su i dalje prisutne upalne stanice koje podr\u017eavaju daljnje tinjanje upale, \u0161to mo\u017ee uzrokovati dugotrajnije promjene na di\u0161nim putovima koje bi mogli usporediti s nastankom o\u017eiljka.<\/p>\n\n\n\n

Ako se alergijska upala u bronhima ne suzbije bronhi postaju trajno promijenjeni i su\u017eeni. Zato bronhodilatatore mo\u017eemo primjenjivati same jedino kod bolesnika sa sasvim blagim oblikom astme uz sporadi\u010dne tegobe. Kod svih drugih bolesnika je neophodno primijeniti i drugu grupu lijekova koji kontroliraju upalu; to su kortikosteroidi koje se primjenjuje putem razli\u010ditih naprava koje omogu\u0107avaju bolesniku da udahne odre\u0111enu koli\u010dinu lijeka izravno u plu\u0107a. Tako udahnuti lijek djeluje lokalno, suzbijaju\u0107i upalu u bronhima. Ovisno o ja\u010dini upale doza inhalacijskih kortikosteroida se povisuje ili sni\u017eava. Naj\u010de\u0161\u0107e kod bolesnika s astmom koristimo dvojnu terapiju i to \u010desto dva lijeka pomije\u0161ana u fiksnoj dozi u jednom inhaleru.<\/p>\n\n\n\n

* Ovaj tekst sufinanciran je sredstvima Fonda za poticanje pluralizma i raznovrsnosti elektroni\u010dkih medija<\/em><\/p>\n\n\n\n

Izvor: narod.hr\/plivazdravlje.hr<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

Alergija je posljedica poreme\u0107aja imunosnog sustava koji je zadu\u017een za obranu organizma od bakterija i virusa. Kod nekih osoba iz jo\u0161 uvijek nerazja\u0161njenih razloga dolazi do gre\u0161ke u imunosnom sustavu zbog \u010dega on po\u010dinje reagirati na neke bezopasne \u010destice (alergene) prisutne u na\u0161em svakodnevnom okoli\u0161u. Kad govorimo o alergijama naj\u010de\u0161\u0107e mislimo na alergije uzrokovane inhalatornim […]<\/p>\n","protected":false},"author":2,"featured_media":13085,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"h5ap_radio_sources":[],"footnotes":""},"categories":[1],"tags":[],"class_list":["post-13084","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-bihiregija"],"yoast_head":"\nSezona alergija: Znate li koji su naj\u010de\u0161\u0107i alergeni? - RADIO LJUBU\u0160KI<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/radioljubuski.ba\/index.php\/2021\/04\/15\/sezona-alergija-znate-li-koji-su-najcesci-alergeni\/\" \/>\n<meta property=\"og:locale\" content=\"hr_HR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Sezona alergija: Znate li koji su naj\u010de\u0161\u0107i alergeni? - RADIO LJUBU\u0160KI\" \/>\n<meta property=\"og:description\" content=\"Alergija je posljedica poreme\u0107aja imunosnog sustava koji je zadu\u017een za obranu organizma od bakterija i virusa. Kod nekih osoba iz jo\u0161 uvijek nerazja\u0161njenih razloga dolazi do gre\u0161ke u imunosnom sustavu zbog \u010dega on po\u010dinje reagirati na neke bezopasne \u010destice (alergene) prisutne u na\u0161em svakodnevnom okoli\u0161u. 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