The Allergic March
Summary
TLDRThis lecture delves into the concept of the 'allergic march,' a progression of allergic diseases from infancy to adulthood. It covers the prevalence of allergies globally, the natural history of allergic conditions, and the importance of early intervention. The discussion also includes the management of allergies, addressing misconceptions and emphasizing the role of skincare, avoidance of triggers, and the use of antihistamines. The script highlights the need for a comprehensive approach to allergy management, from prevention to treatment, and the significance of recognizing and avoiding allergens.
Takeaways
- 📝 The script discusses 'allergic march', a progression of allergic diseases from infancy to adulthood.
- 🌐 It emphasizes the global impact of allergies, affecting 20% of the world's population and increasing over time.
- 👶 The 'allergic march' typically begins with atopic dermatitis in infancy, followed by other allergic conditions like asthma and environmental allergies.
- 📈 The prevalence of asthma and allergies in children is noted, with statistics indicating a rise in these conditions over the years.
- 🧬 The pathogenesis of atopic dermatitis involves a complex interaction of genetic and environmental factors.
- 🛡️ The importance of skin barrier integrity is highlighted as a preventive measure against the development of allergic diseases.
- 🚫 Management of allergies includes avoidance of triggers and allergens, which can help in reducing the severity of allergic reactions.
- 💊 The script mentions the use of antihistamines and other medications in the treatment of allergic conditions, including their effectiveness and proper dosage.
- 🤰 It addresses the management of allergies during pregnancy, noting that treatment should be cautious and based on existing allergies.
- 🏥 The importance of recognizing and promptly treating anaphylaxis as a serious allergic emergency is stressed.
- 📚 The script references various studies and guidelines for the management of allergic diseases, emphasizing evidence-based practices.
Q & A
What is the topic of the lecture?
-The topic of the lecture is about the allergic march, focusing on the progression and interrelation of allergic disorders, and the basic management principles for dealing with common allergy conditions.
What is the 'allergic march'?
-The 'allergic march' refers to the natural history of allergic diseases where different organ phobia diseases develop sequentially, starting from infancy and continuing into adulthood.
How does the prevalence of asthma allergies in children vary with age?
-The prevalence of asthma allergies in children is 4.3% overall, 7.8% among 6 to 7-year-olds, and it increases to 13 to 14 years old in certain districts.
What is the significance of atopic dermatitis in relation to the atopic march?
-Atopic dermatitis is significant as it is often the starting point of the atopic march, usually due to a defective skin barrier which exposes the individual to environmental factors and allergens.
What are some common misconceptions about the management of allergic disorders that the lecture aims to address?
-The lecture aims to address common misconceptions such as the belief that allergies are not serious or manageable, and to clarify the importance of proper management strategies like avoidance of triggers and appropriate treatment.
What is the role of antihistamines in the management of allergic disorders according to the lecture?
-Antihistamines play a role in the management of allergic disorders by providing relief from symptoms like itching and swelling, and they can also be used as a prophylactic treatment to prevent immediate allergic reactions.
What is the impact of allergen exposure on the development of allergic disorders?
-Allergen exposure can lead to sensitization of the skin and respiratory system, promoting inflammation and symptoms of allergic disorders. It is an important factor in the development and progression of the allergic march.
What is the significance of the study by HSV mentioned in the script?
-The study by HSV is significant as it investigates the effectiveness of antihistamines for patients with dermatitis, showing that their use resulted in a significant improvement in symptoms and quality of life.
How does the management of food allergies differ from other types of allergies?
-The management of food allergies involves strict avoidance of the allergenic food, emergency preparedness, and sometimes the use of antihistamines. It differs from other allergies in that it often requires immediate action in case of accidental exposure, which can lead to severe reactions like anaphylaxis.
What is the role of the skin barrier in the development of atopic dermatitis?
-The skin barrier plays a crucial role in the development of atopic dermatitis. A defective skin barrier allows for increased exposure to environmental factors and allergens, which can trigger inflammation and symptoms of the condition.
What are the steps involved in the management of allergic disorders as discussed in the lecture?
-The steps involved in the management of allergic disorders include identifying and avoiding triggers, using appropriate treatments such as antihistamines and corticosteroids, and implementing measures to control inflammation and prevent complications.
Outlines
🌐 Introduction to Allergic March
The speaker begins by greeting the audience and introducing the topic of 'Allergic March,' a progression of allergic disorders. The lecture aims to present the development and interrelation of these conditions, emphasizing their global impact, affecting 20% of the world's population and increasing over time. The 'phobic march' is highlighted as a sequence of allergic diseases affecting different organs, starting from infancy to adulthood. The first manifestations are often atopic dermatitis, followed by other allergies such as asthma and environmental sensitivities. The speaker also mentions the prevalence of asthma allergies in children and the epidemiology of atopic march, noting the increase in asthma prevalence by specific age groups.
🧴 Management Principles for Allergic Disorders
This paragraph delves into the management of allergic disorders, starting with skincare as a fundamental approach. The importance of moisturizing, warm baths with mild soap, and avoiding triggers is stressed. The speaker discusses the use of antiseptic measures and the potential for treatments like topical steroids and other medications. The paragraph also references a study by HSV on the effectiveness of antihistamines for dermatitis patients, showing significant improvement in skin condition and sleep disturbance, and the use of antihistamines as a prophylactic treatment for immediate allergy reactions, particularly in food allergies.
🚑 Anaphylaxis and Emergency Management
The speaker addresses anaphylaxis as a serious systemic hypersensitivity reaction that requires rapid response. It is highlighted as the only allergic emergency, potentially life-threatening, affecting airways, circulation, and sometimes presenting with skin manifestations. The importance of adrenaline as the first-line treatment in emergency rooms is discussed, noting that it is underutilized. The correct dosage and administration of adrenaline, including the use of H1 antagonists as secondary treatment, are also covered. The paragraph emphasizes the need for education on anaphylaxis management to prevent severe reactions and fatalities.
🛑 Food Allergies and Preventive Measures
This section discusses the distinction between food allergies and the broader allergy epidemic, noting the increasing prevalence of food allergies. The speaker emphasizes the importance of preventive measures, such as avoiding known allergens and allergen exposure, to minimize the risk of inadvertent exposure and allergic reactions. The paragraph also touches on the challenges of managing food allergies, including the potential for anaphylaxis despite preventive efforts. The role of epinephrine in treating anaphylactic reactions is reiterated, with a focus on its underuse in emergency situations.
🌿 Atopic Dermatitis and the Allergic March
The speaker explores atopic dermatitis as the starting point of the 'atopic march,' a sequence of allergic conditions beginning in early life. The pathogenesis of atopic dermatitis is described as a complex interplay of genetic and environmental factors. The importance of a defective skin barrier is highlighted, leading to exposure and sensitization to environmental allergens. The paragraph also discusses the progression from atopic dermatitis to other allergies like food allergies, allergic rhinitis, and asthma, emphasizing the need for primary and secondary prevention strategies to interrupt this march.
🛠 Strategies for Allergy Management
The final paragraph outlines strategies for managing allergies, including the identification and avoidance of allergens, the use of appropriate medications, and the importance of evidence-based treatments. The speaker invites the audience to a discussion on these strategies, emphasizing the need for up-to-date guidelines and global experiences in allergy management. The paragraph concludes with a thank you to the audience for their engagement and an expression of hope to see them at the event.
Mindmap
Keywords
💡Allergic March
💡Atopic Dermatitis
💡Food Allergies
💡Asthma
💡Allergens
💡Anaphylaxis
💡Antihistamines
💡Prophylactic Treatment
💡Epidemiology
💡Skincare
💡Prevalence
Highlights
The lecture discusses the 'allergic march', a progression of allergic disorders.
Allergies affect 20% of the global population and are increasing.
The 'allergic march' refers to the sequential development of allergic diseases.
Atopic dermatitis often marks the beginning of the allergic march in children.
Food allergies typically develop by the age of 3, followed by other allergic conditions.
Asthma and allergic rhinitis are common manifestations in the allergic march.
Environmental factors and genetic predisposition contribute to the development of atopic dermatitis.
Skin barrier defects lead to exposure and sensitization to environmental allergens.
The Hajj habitan rash of criteria is mentioned for diagnosing certain allergic conditions.
Basic management of allergies includes skincare, moisturizing, and avoiding triggers.
Antiseptic measures and hyposensitization are part of advanced allergy management.
Antihistamines have been shown to improve symptoms in patients with dermatitis.
Second-generation antihistamines are more effective in managing sleep disturbances.
Antihistamines can be used prophylactically to prevent immediate allergic reactions.
Food allergies are increasing and differ from the progression of other allergic diseases.
Anaphylaxis is a serious, systemic allergic reaction requiring immediate treatment.
Corticosteroids and H1 antagonists are the first line of treatment for anaphylaxis.
Antihistamines can be used in the management of asthma, particularly with comorbid allergies.
Prevention strategies include avoiding allergens and managing maternal diet during pregnancy.
The lecture concludes with an invitation to further engage in allergy management discussions.
Transcripts
it's nice to see friends at home here and hi to the Nakakatuwang makita ang mga kaibigan sa bahay dito at hi sa
good evening to the doctors magandang gabi sa mga doktor sa Africa
I hope you can hear me well Sana marinig mo ako ng maayos
and you are given a sheet of paper to answer at binigyan ka ng isang papel para tanungin siya
so today our topic is about the allergic march Kaya ngayon ang electric ay tungkol sa allergic march
and that case about allergic March at ang kaso tungkol sa allergic March
managing allergies every step of the week pamamahala ng mga allergy bawat hakbang ng linggo
so the objective of this lectures kaya ang layunin ng mga lektura na ito
to present the progression upang ipakita ang pag-unlad
and interrelation of allergic disorders at pagkakaugnay ng mga allergic disorder
through the context of the book is to march sa pamamagitan ng konteksto ng libro ay ang pagmartsa
present the basic management principles ipakita ang mga pangunahing prinsipyo ng pamamahala
dealing with common allergy conditions pagharap sa mga karaniwang kondisyon ng allergy
and address common misconceptions at tugunan ang mga karaniwang maling kuru-kuro
in the management of allergic disorders sa pamamahala ng mga allergic disorder
so allergies and global problems So allergy at pandaigdigang problema
within the first century sa loob ng unang siglo
affects 20% of the population worldwide Nakakaapekto sa 20% ng populasyon sa buong mundo
and still continues to increase in time at patuloy pa rin sa pagtaas ng panahon
so this is the phobic march So ito ang phobic march
the phobic march ang phobia march
refers to the natural history of allergic diseases ah ay tumutukoy sa natural na kasaysayan ng mga allergic na sakit ah
phobia diseases of different organs develop sequential Ang mga sakit sa phobia ng iba 't ibang organo ay nagkakaroon ng sunud-sunod
women's age starting from infantry until ah edad ng kababaihan simula infantry hanggang ah
HIV good and real adult good HIV mabuti at tunay na pang-adulto mabuti
some symptoms are broken during a certain time ilang mga sintomas ay nasira sa isang tiyak na oras
and some suicide at ilang pagpapakamatay
usually Adobe dermatitis card during infancy karaniwang Adobe dermatitis card sa panahon ng kamusmusan
and then is followed by IG indicated allergy at pagkatapos ay sinusundan ng IG na ipinahiwatig na allergy
allergic asthma Allergic na hika
and allergy brain ideas at mga ideya sa utak ng allergy
with increasing sensitivity in cold and aerial na may pagtaas ng sensitivity sa malamig at aerial
environmental allergies Mga allergy sa kapaligiran
so like what they said So like sa sinabi nila
this is the first manifestation of a big March 10 ito ang unang pagpapakita ng isang malaking Marso 10
20% of children um developed a vocular effects um 20% ng mga bata um ay nagkaroon ng vocular effects um
during infancy sa panahon ng kamusmusan
45% of them developed this during their first 6 months 45% sa kanila ang nakabuo nito sa kanilang unang 6 na buwan
60% during the first year and 85% um before 5 years 60% sa unang taon at 85% um bago ang 5 taon
of age ng edad
and I study on the international studies at nag-aaral ako sa mga internasyonal na pag-aaral
asthma allergies in child will Asthma allergy sa kalooban ng bata
ensure that there's a prevalence of 4.3% Tiyakin na mayroong prevalence na 4.3%
and 7.8% among 67 years old at 7.8% sa 67 taong gulang
and 13 to 14 years old district at 13 hanggang 14 taong gulang na distrito
and for the epidemiology of the atopic march in first at para sa epidemiology ng atopic march sa una
we have atopic dermatitis uh Mayroon kaming atopic dermatitis uh
before 3 years of age however bago ang 3 taong gulang gayunpaman
this incidents of asthma and allergic pennitis ang mga insidenteng ito ng hika at allergic pennitis
by the age of 6 and 7 years old sa edad na 6 at 7 taong gulang
of DBS muhab ng DBS muhab
opigoromatitis by 1 year of age opigoromatitis sa pamamagitan ng 1 taong gulang
above increase prevalence of asthma sa itaas ay dagdagan ang pagkalat ng hika
and originally 90s at 3 years old at orihinal na 90s at 3 taong gulang
by 11 and 7 for August and 15 ng 11 at 7 para sa Agosto at 15
so the pathogenesis of atopic kaya ang pathogenesis ng atopic
dermatitis is not completely understood Dermatitis ay hindi ganap na nauunawaan
it is a complex interplay of genetic predisposition ito ay isang kumplikadong interplay ng genetic predisposition
environmental factors and environmental modifiers Mga salik sa kapaligiran at mga modifier sa kapaligiran
so atopic dermatite is the start of atopic march So atopic dermatite ang simula ng atopic march
usually um kadalasan um
because of the defective skin barrier dahil sa may sira na skin barrier
and we have a defective skin barrier at mayroon tayong depektong skin barrier
we are exposed to different uh iba ang exposed natin uh
environmental factors like infection Mga kadahilanan sa kapaligiran tulad ng impeksyon
our gems it's even the trauma because the Our gems it 's even the trauma kasi ang
the inside keeps on scratching ang loob ay patuloy na nangungulit
and the droppings in the land is also gonna at ang mga dumi sa lupain ay pupunta rin
infection of allergen so at allergen embers the skin impeksyon ng allergen kaya at allergen embers ang balat
it promotes everything in this sensitization Itinataguyod nito ang lahat sa sensitization na ito
therefore there is pH samakatuwid mayroong pH
2 chemical cell activation 2 pag-activate ng kemikal na cell
which make leads to the nose and the bronchal na humahantong sa ilong at bronchal
little tissue maliit na tissue
just check yes or no so first question check mo lang oo o hindi kaya unang tanong
so kaya
let's send you a quick review of a computer like this padalhan ka namin ng mabilis na pagsusuri ng isang computer na tulad nito
so kaya
the Haj habitan rash of criteria has a major features ang Haj habitan rash of criteria ay may mga pangunahing tampok
number one is right was ordiginist Ang numero uno ay tama ay ordiginist
like if you come out in these Like kung lalabas ka sa mga ito
actually go know that we are actually go know na tayo na
they're just irritable iritable lang sila
but when you observe them they love their cheeks ngunit kapag pinagmamasdan mo sila ay mahal nila ang kanilang mga pisngi
the facial ang facial
and sensor at sensor
eczema eksema
to the minor features cerosis meaningless very dry skin sa mga menor de edad na tampok cerosis walang kahulugan napaka tuyong balat
they which is prone to uh face infections like acne sila na madaling kapitan ng impeksyon tulad ng acne
goodness kabutihan
Oreos non specific dermatitis of the hands and feet Oreos non specific dermatitis ng mga kamay at paa
usually these are for adolescent and adults kadalasan ang mga ito ay para sa kabataan at matatanda
it feels is in very dry cracking skin or more lumary It feel is in very dry cracking skin o mas lumary
chicken skin balat ng manok
emotional platforms emosyonal na mga platform
if they are depressed or happy sometimes kung sila ay nalulumbay o masaya minsan
or stressing that this was exam o idiniin na ito ay pagsusulit
so it's a vicious cycle of dry skin kaya ito ay isang mabisyo na ikot ng tuyong balat
itchy skin and scratching makati ang balat at nagkakamot
so what is the step here So ano ang hakbang dito
management of the body care about this Pinangangalagaan ito ng pamamahala ng katawan
so your basic management is skincare So ang basic management mo ay skincare
giving moisturizer pagbibigay ng moisturizer
warm bath and showers using mild soap mainit na paliguan at shower gamit ang banayad na sabon
avoid triggers iwasan ang mga trigger
such as if you have known triggers or allergens gaya ng kung may alam kang trigger o allergens
irritants and uh to the exchange of temperature irritant at uh sa palitan ng temperatura
which can figure clear up for mild uh attacks na maaaring maging malinaw para sa banayad na pag-atake
aside from skincare and avoidance of triggers Bukod sa skincare at pag-iwas sa mga trigger
you can do antiseptic measures like uh maaari kang gumawa ng mga hakbang sa antiseptiko tulad ng uh
beach baths twice only you get modern effects Dalawang beses lang naliligo sa beach nakakakuha ka ng mga modernong epekto
you get at for what effects You get at para sa kung anong mga epekto
you can also give no reason for the cfpical parties hindi ka rin makapagbibigay ng dahilan para sa mga cfpical party
rights for modern effects karapatan para sa mga modernong epekto
you can add um maaari kang magdagdag ng um
um also need you to hypotensive for the steroids and even
kailangan mo ring mag-hypotensive para sa mga steroid at kahit na
um uh Um eh
acrovinos and penectolimos acrovinos at penectolimos
once or twice in the eastern minsan o dalawang beses sa silangan
and for severe um at para sa matinding um
care of support equipment like this Care of support equipment tulad nito
and we at tayo
you can visit her for the therapy and other biological maaari mo siyang bisitahin para sa therapy at iba pang biological
so this is a study by HSV So ito ay pag-aaral ng HSV
they study the effectiveness of antidistamines for each pinag-aaralan nila ang bisa ng antidistamines para sa bawat isa
and sleep disorder at kaguluhan sa pagtulog
it will be 161 patients with the book of dermatitis uh ito ay magiging 161 mga pasyente na may aklat ng dermatitis uh
from January 2015 to December 2018 um mula Enero 2015 hanggang Disyembre 2018 um
this is this one um the brand ito ang isang um ang tatak
is ay
that na
so their results show kaya lumalabas ang kanilang mga resulta
that the use of anti system na ang paggamit ng anti system
resulted in a significant improvement of HST Nagresulta sa isang makabuluhang pagpapabuti ng HST
disturbance and um kaguluhan at um
2nd gen at least the means are more our back is better 2nd gen at least the means are more mas maganda ang likod natin
who get the first generation at the list of me na nakakuha ng unang henerasyon sa listahan ko
although the difference bagaman ang pagkakaiba
however gayunpaman
the second generation ang ikalawang henerasyon
second generation and his dominion ikalawang henerasyon at ang kanyang kapangyarihan
improve the age and speak disturbance of this patient pagbutihin ang edad at magsalita ng kaguluhan ng pasyenteng ito
especially those with modern receiver lalo na ang mga may modernong receiver
a public dermatitis isang pampublikong dermatitis
so other evidence that um So ibang ebidensya na um
at least I mean is um can be given to patients with At least I mean is um pwede ibigay sa mga pasyenteng may
by the National Institute of Healthcare ng National Institute of Healthcare
um health and Care Excellence Um Health and Care Excellence
they show a seating examiner for one nagpapakita sila ng seating examiner para sa isa
with 1 month of 9 months reading na may 1 buwan ng 9 na buwang pagbabasa
after this Domine is effective After this epektibo na ang Domine
and uh it is successfully in particular for uh at uh ito ay matagumpay sa partikular para sa uh
50 months 50 buwan
and also the impact study is supposed study before at gayundin ang pag-aaral ng epekto ay dapat pag-aralan bago
they gave the antistamine for more than a year nagbigay sila ng antistamine nang higit sa isang taon
I remember right 18 months Tama ang naalala ko 18 months
and it showed that there is at ipinakita nito na mayroon
the antistamine delay ang pagkaantala ng antistamine
the development of asthma and allergic treatments ang pagbuo ng hika at mga allergic na paggamot
among these medications kabilang sa mga gamot na ito
so to answer the question yes So para sagutin ang tanong na oo
you can give the adhistamine from both your plankies maaari mong ibigay ang adhistamine mula sa iyong mga plankies
so second statement So pangalawang pahayag
antistamine can be used as a prophylactic treatment Maaaring gamitin ang antistamine bilang isang prophylactic na paggamot
in the prevention of immediate allergy sa pag-iwas sa agarang allergy
reaction in food allergy reaksyon sa allergy sa pagkain
yes yes oo oo
yes or no oo o hindi
yes oo
no no hindi hindi
okay yes sige oo
yes so oo kaya
food allergies is different to the second wave of Ang mga allergy sa pagkain ay iba sa pangalawang alon ng
allergy epidemic the first one is asthma Allergy epidemic ang una ay hika
and the overall prevalence of self reported at ang pangkalahatang pagkalat ng sarili na iniulat
food allergy Allergy sa pagkain
and it was an allergy moving allergies at ito ay isang allergy na gumagalaw na allergy
allergy is increasing 3.5% 90 Ang allergy ay tumataas ng 3.5% 90
99 7.7%
at least we can be used as prophylactic treatment At least pwede tayong gamitin bilang prophylactic treatment
yeah you are correct no oo tama ka no
so for the management of allergy prevention kaya para sa pamamahala ng pag-iwas sa allergy
that I got emergency prepared na naghanda ako ng emergency
especially the presentation is lalo na ang presentation ay
so we rely on strength avoid us of the food kaya umaasa kami sa lakas iwasan kami ng pagkain
our gene and implement ang aming gene at ipatupad
minimize our risks to avoid inadvertent exposure bawasan ang aming mga panganib upang maiwasan ang hindi sinasadyang pagkakalantad
and allergic reactions at mga reaksiyong alerdyi
it is not preventive sometimes even they do hindi ito preventive minsan kahit na ginagawa nila
even if they do that they still end up in the er Kahit na gawin nila iyon ay napupunta pa rin sila sa er
this is anaphylaxis ito ay anaphylaxis
and speaking of anaphylaxis at nagsasalita ng anaphylaxis
they say No. 3 as it is the name Sinasabi nila ang No. 3 bilang ito ang pangalan
is part of the management of anaphylactic reaction ay bahagi ng pamamahala ng anaphylactic reaction
who said yes sinong nagsabing oo
no hindi
okay let's find out okay alamin natin
so anaphylaxis is a serious So anaphylaxis ay isang seryoso
systemic hypersensitivity reaction Systemic hypersensitivity reaksyon
you should be rapidly on set Dapat ay mabilis kang nasa set
potentially life threatening posibleng nagbabanta sa buhay
and it is the only allergic emergency at ito ang tanging allergic emergency
it affects airway bleeding and circulation Nakakaapekto ito sa pagdurugo at sirkulasyon ng daanan ng hangin
it can have skin manifestation maaari itong magkaroon ng pagpapakita ng balat
sometimes it doesn't have skin manifestation minsan wala itong skin manifestation
because it just presents a circular foreign shock dahil nagpapakita lang ito ng pabilog na foreign shock
SO4
so in the emergency room we can see here that the So sa emergency room makikita natin dito na ang
even with the presentation of anaphylasis kahit na sa pagtatanghal ng anaphylasis
steroid
is the first sign being given by the er physician ay ang unang senyales na ibinibigay ng er physician
second will be the H1 antagonist pangalawa ay ang H1 antagonist
and at least 7 there is the issue of that it is 44 50 at least 7 may issue na 44 50
so we can see here is under utilized kaya makikita natin dito ay under utilized
so we all know that evidence is the first line So alam nating lahat na ebidensya ang unang linya
the treatment of anti vaxis ang paggamot ng anti vaxis
and if it is the day at kung ito ang araw
it can be a missed factor for severe reaction maaari itong maging isang napalampas na kadahilanan para sa matinding reaksyon
and even death yeah at kahit kamatayan oo
fewer than two thirds of cases received adrenaline Wala pang dalawang-katlo ng mga kaso ang nakatanggap ng adrenaline
so let's just review and then seeing So review na lang tayo tapos tignan
as a preparation of one is 1,000 or 1 millimeter inhale bilang paghahanda ng isa ay 1,000 o 1 millimeter inhale
and we give it the dose of 1 0 at binibigyan namin ito ng dosis ng 1 0
1 g per kilogram given 1 g bawat kilo na ibinigay
I am usually on the interlateral side of the thigh Karaniwan akong nasa interlateral na bahagi ng hita
um for adults maximum doses 1 5 mg children 20 mg Um para sa mga matatanda maximum na dosis 1 5 mg bata 20 mg
you can give it for 1 to 2 doses maaari mo itong ibigay para sa 1 hanggang 2 dosis
15 to 15 minutes apart 15 hanggang 15 minuto ang pagitan
and these are the preparations available at ito ang mga magagamit na paghahanda
we have the objector nasa atin ang tumututol
so these are the second line So ito ang pangalawang linya
the H1 is Walmart ang H1 ay Walmart
and even our vast prices and gold inspectors at maging ang aming malawak na presyo at mga inspektor ng ginto
founders for shop mga tagapagtatag para sa tindahan
so is the new part of the management So is the new part ng management
yes but it is not first oo pero hindi muna
so 4th statement So 4th statement
combination of anti espany and econgesta kumbinasyon ng anti espany at econgesta
and may be given with uh at maaaring ibigay sa uh
invasions with other children like this Mga pagsalakay sa ibang mga bata tulad nito
square up yes or no Square up oo o hindi
yes result oo resulta
yes oo
okay with you again of the earlier guidelines okay sa iyo muli ng mga naunang alituntunin
earlier stands for allergic pre 90s and in Ang mas maaga ay kumakatawan sa allergic pre 90s at in
and its impact of asthma so we have in 30 And its impact of asthma kaya meron tayo sa 30
10 in the symptoms of re 90s 10 sa mga sintomas ng red 90s
first less than 4 days per week unang mas mababa sa 4 na araw bawat linggo
in less than 4 weeks and persistent sa mas mababa sa 4 na linggo at paulit-ulit
is more than 4 days per week in more ay higit sa 4 na araw bawat linggo sa higit pa
for more than 4 weeks and then if it affects uh para sa higit sa 4 na linggo at pagkatapos ay kung ito ay nakakaapekto uh
if it does not affect our lifestyle or sleep kung hindi ito makakaapekto sa ating pamumuhay o pagtulog
our daily routine with smile ang aming pang-araw-araw na gawain na may ngiti
every classified is more than red bawat uri ay higit pa sa pula
if it if it affects our sleep kung ito ay nakakaapekto sa ating pagtulog
it affects our sports or work or school Nakakaapekto ito sa ating palakasan o trabaho o paaralan
and we have troubles with some symptoms at mayroon kaming mga problema sa ilang mga sintomas
so for the treatment approach of allergy pregnancies kaya para sa diskarte sa paggamot ng mga allergy na pagbubuntis
for a while saglit
and you learn that you can give a first client at natutunan mo na maaari kang magbigay ng isang unang kliyente
not to date me after the study huwag makipag-date sa akin pagkatapos ng pag-aaral
the ang
biologics
so it is said So sabi nga
that na
for para sa
yes everybody's correct oo tama ang lahat
last question statement No. 5 huling tanong na pahayag Blg. 5
antiseminity given in patients with asthma Antiseminity na ibinibigay sa mga pasyente na may hika
yes or no oo o hindi
who says yes sinong nagsasabing oo
no no hindi hindi
the answer is yes ang sagot ay oo
provided that the patient has an existing allergic sa kondisyon na ang pasyente ay may umiiral na allergy
because we dahil tayo
know that 60 to 80% of US countries also have allergy Alamin na 60 hanggang 80% ng mga bansa sa US ay mayroon ding allergy
pregnant kids mga buntis na bata
and we are also familiar with the one area disease 1 at pamilyar din tayo sa isang lugar na sakit 1
every disease meaning um because the nose Every disease meaning um kasi ang ilong
in the lungs are considered as an abroncale and um sa baga ay itinuturing na abroncale at um
one functional union they share pathological One functional union na ibinabahagi nila sa pathological
artificial logical and neurological uh basis ah artipisyal na lohikal at neurological uh batayan ah
and usually this they have the same allergy or trigger at kadalasan ito ay mayroon silang parehong allergy o trigger
so at least kaya kahit papaano
the means ang ibig sabihin
should not be considered a therapeutic option Hindi dapat ituring na isang therapeutic option
in asthma but as a role in treating vulnerability sa hika ngunit bilang isang papel sa paggamot sa kahinaan
such as allergenerinitis uh tulad ng allergenerinitis uh
which has a positive impact on asthma control na may positibong epekto sa pagkontrol ng hika
so that will be part So magiging part yun
is a march from one allergy to another ay isang martsa mula sa isang allergy patungo sa isa pa
saw that from birth you Nakita mo na mula sa kapanganakan mo
have dry skin the first few months of life magkaroon ng tuyong balat sa unang ilang buwan ng buhay
they develop eczema or coping dermatitis nagkakaroon sila ng eksema o pagkaya sa dermatitis
later on food allergy by 3 years old mamaya sa allergy sa pagkain ng 3 taong gulang
they have allergy greenitis and after around 6 mayroon silang allergy greenitis at pagkatapos ng 6
7 years old they develop asthma 7 taong gulang sila ay nagkakaroon ng hika
so how do we call the allergic march So paano natin tinatawag ang allergic march
we have the primary prevention mayroon tayong pangunahing pag-iwas
and we have the secondary prevention at mayroon tayong pangalawang pag-iwas
primary prevention means ibig sabihin ng pangunahing pag-iwas
to avoid the allergens para maiwasan ang allergens
so the patient will not be sensitive by kaya ang pasyente ay hindi magiging sensitibo sa pamamagitan ng
especially if we have a strong families with allergy lalo na kung mayroon tayong malakas na pamilya na may allergy
so what do we do So anong gagawin natin
control the maternal in the diet exclusive recipe kontrolin ang ina sa eksklusibong recipe ng diyeta
we can get hydrated by formula Maaari tayong ma-hydrated sa pamamagitan ng formula
best milk stuff available pinakamahusay na mga bagay sa gatas na magagamit
but y'all need to see study nowadays ngunit kailangan mong makita ang pag-aaral ngayon
and allergenic exposure at pagkakalantad sa allergenic
secondary prevention a month pangalawang pag-iwas sa isang buwan
we already have the disease but you um may sakit na tayo pero ikaw um
you don't avoid the triggers hindi mo iniiwasan ang mga nag-trigger
avoid um allergen anything more specific in unit here iwasan ang um allergen anumang mas tiyak sa unit dito
see tingnan mo
so can the allergic marshal stop So pwede bang tumigil na ang allergic marshal
so we are kaya tayo
for the management of allergence para sa pamamahala ng allergy
or the sources of identification and avoidance o ang mga pinagmumulan ng pagkakakilanlan at pag-iwas
of the north teachers ng mga guro sa hilaga
and use of appropriate form at paggamit ng angkop na anyo
cologic treatments to control the same cause Cologic treatment upang makontrol ang parehong dahilan
and the use of anti studies for common allergic at ang paggamit ng mga anti-study para sa karaniwang allergy
stepdale should be evidence Dapat maging ebidensya si stepdale
these recent guidelines and new world experiences itong mga kamakailang alituntunin at mga bagong karanasan sa mundo
this is after the balls to control your allergies ito ay pagkatapos ng mga bola upang makontrol ang iyong mga allergy
so I'd like to invite kaya gusto kong mag-imbita
you ikaw
so I hope to see you there kaya sana makita kita doon
thank you very much for your adventure and I hope Maraming salamat sa iyong pakikipagsapalaran at umaasa ako
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