The Allergic March

Summary

This 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

00:00

🌐 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.

05:01

🧴 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.

10:01

🚑 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.

15:02

🛑 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.

20:03

🌿 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.

Keywords

💡Allergic March

The term 'Allergic March' refers to the sequential development of allergic diseases over time, typically beginning in early childhood. It is central to the video's theme, illustrating the progression from one allergic condition to another, such as from eczema to food allergies, and eventually to asthma. The script mentions this concept to emphasize the importance of managing allergies at each stage to prevent or mitigate the development of subsequent conditions.

💡Atopic Dermatitis

Atopic Dermatitis, also known as eczema, is a chronic skin condition characterized by dry, itchy skin and rashes. In the context of the video, it is identified as the initial stage of the 'Allergic March' and is often the first allergic condition that manifests in early childhood. The script discusses its role in the progression of allergic diseases and its management.

💡Food Allergies

Food allergies are a type of immune response to certain foods, which can cause symptoms ranging from mild to severe. The script mentions food allergies as part of the 'Allergic March,' indicating that they often occur after the development of atopic dermatitis in children. The video underscores the importance of identifying and managing food allergies to prevent further allergic progression.

💡Asthma

Asthma is a chronic respiratory condition characterized by inflammation and narrowing of the airways, leading to difficulty breathing. In the video, asthma is presented as a common outcome of the 'Allergic March,' often developing after eczema and food allergies. The script discusses the management of asthma and its relation to other allergic conditions.

💡Allergens

Allergens are substances that can cause an allergic reaction. The video discusses the importance of identifying and avoiding allergens to prevent the onset or worsening of allergic conditions. In the context of the 'Allergic March,' allergens play a critical role in triggering the progression from one allergic disease to another.

💡Anaphylaxis

Anaphylaxis is a severe, life-threatening allergic reaction that can affect multiple body systems. The script mentions anaphylaxis as a serious allergic emergency that requires immediate treatment. It is an important concept in the video, highlighting the potential severity of allergic reactions.

💡Antihistamines

Antihistamines are medications used to treat and prevent allergic symptoms by blocking the action of histamine, a substance released during an allergic reaction. The video discusses the use of antihistamines in managing allergic conditions, such as atopic dermatitis and asthma, and their role in improving patient outcomes.

💡Prophylactic Treatment

Prophylactic treatment refers to preventive measures taken to avoid the onset of a disease or condition. In the video, the term is used in the context of using antihistamines to prevent immediate allergic reactions, such as those occurring in food allergies.

💡Epidemiology

Epidemiology is the study of the distribution and determinants of health-related conditions in populations. The script refers to the epidemiology of the atopic march, indicating the prevalence of allergic conditions and their progression in the population over time.

💡Skincare

Skincare in the context of the video refers to the routine of maintaining skin health, particularly for those with atopic dermatitis. It involves moisturizing, using mild soaps, and avoiding triggers that can exacerbate skin conditions. The script emphasizes the importance of skincare in managing allergic diseases.

💡Prevalence

Prevalence refers to the total number of cases of a disease in a population at a given time. The video discusses the prevalence of allergic conditions, such as asthma and food allergies, to highlight the widespread impact of these conditions globally.

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