過敏性氣喘| Allergy Insider

氣喘是一種慢性肺病，會造成您的氣管腫脹、狹窄並產生過量黏液， 這些情況綜合起來，會導致難以呼吸。

氣喘嚴重而且普遍，全球約3 億人罹患此疾病。

... 對於其中一些人， ... GetTested ForClinicians ForClinicians MainMenu Types&Symptoms  FoodAllergies SeasonalAllergies IndoorAllergies AllergicAsthma FoodAllergyOverview Milk Egg Peanut TreeNut Fruit&Vegetable Seafood&Shellfish Wheat Soy Sesame SeasonalAllergiesOverview GrassPollen TreePollen WeedPollen IndoorAllergiesOverview AnimalDander DustMite Mold Cockroach BloodTestingAllergies  HowtoGetaTest LivingwithAllergies  AllergenFactSheets  ForClinicians  ForClinicians MainMenu GetTested Search Cancel Search Home MainMenu Types&Symptoms FoodAllergies FoodAllergyOverview Milk Egg Peanut TreeNut Fruit&Vegetable Seafood&Shellfish Wheat Soy Sesame SeasonalAllergies SeasonalAllergiesOverview GrassPollen TreePollen WeedPollen IndoorAllergies IndoorAllergiesOverview AnimalDander DustMite Mold Cockroach AllergicAsthma BloodTestingAllergies HowtoGetaTest LivingwithAllergies AllergenFactSheets AllergicAsthma Causes,Symptoms,andTesting Overview CausesandTriggers CommonSymptoms FrequentlyAskedQuestions TestingandManagement ClinicalResources Whatisallergicasthma?   Allergicasthma,orallergy-inducedasthma,isatypeofasthmathatistriggeredormadeworsebyallergies. Exposuretoallergens(e.g.,pollen,dander,mold,etc.)orirritantstowhichpatientsaresensitizedmayincreaseasthmasymptomsandprecipitateasthmaexacerbationsinpatientswhohaveasthma.1Asthmaandallergiesoftengohandinhand.Infact,upto90percentofchildrenand60percentofadultswithasthmasufferfromallergies.2,3   Asthma,thechronicandcomplexinflammatorydisorderthatnarrowstheairways,isaseriouspublichealthproblemthataffectsbothchildrenandadults. Approximately250,000peopleworldwidedieeachyearfromasthma,andalmostallofthesedeathsareavoidable.4  Toviewthisvideo,pleaseuseabrowserthatsupportsHTML5Video AsthmaandAllergicTriggers:HowtoImproveAsthma It’svitaltoidentifyunderlyingallergictriggers.Getanswerswithabloodtest. CommonAllergicAsthmaCausesandTriggers   Manyofthesamesubstancesthatcancauseanallergicreactionmayalsoaffectpeoplewithasthma.Commonallergensthatmaytriggerallergicasthmainclude:   AnimalDander DustMites Insects Pollen Mold Areyouahealthcareproviderlookingforacomprehensivelistofallergicasthmaallergensandassociatedsymptoms?  Exploreourfactsheets,an easilysharable,patient-friendlyresourcethatincludescrossreactivities,componentnames,andmanagementplans. DiscoverAllergenFactSheets AllergicAsthmaSymptoms Asthmausuallypresentsasoneormoreofthefollowingsymptoms:4 Wheezing  Coughing  Shortnessofbreath Chesttightness  Symptomsmayoccurinconnectionwithallergenexposure,exercise,coldair,dryair,andairwayinfections.Otherirritants,suchasstrongscentsorcigarettesmoke,mayalsotriggeranexacerbation.Tomanageallergicasthma,itisimportanttoidentifyandminimizeexposuretoallergictriggers. Anasthmaattackmaybetriggeredbyexposuretoanallergen.Duringanasthmaattack,themusclesthatsurroundthebronchialtubesconstrict,narrowingtheairpassagesandmakingitextremelydifficulttobreathe.5Fortunately,almosteveryonewhoreceivestreatmentrecoversfromeventhemostsevereasthmaattacks.6 It’simportanttouncovertheallergensthatmayexacerbateasthmatoproperlymanageanddecreasetheriskofasthmaattacks.Seekemergencycareifexperiencingoneofthefollowingsymptoms: ·  Difficultybreathing ·  Severechestpain ·  Difficultywalkingortalking ·  Bluetinttotheskin Learnabouttesting Ithasbeenshownthatreducingexposuretoconfirmedallergytriggerscanhaveasignificantimpactontheabilitytocontrolasthmawithfewersymptoms,fewerhospitalvisits,andimprovedqualityoflife.7-9 FrequentlyAskedQuestionsAboutAllergiesandAsthma Whatcausesasthma? Mostpatientswithasthmahavemultipleallergicsensitizationscontributingtotheirallergenload.10,11Theseallergensensitizationscanaddtothepatient’striggerload,eventuallyresultinginasthmaexacerbations—evenfromother,non-allergic,triggers.10,12Forthosewithasthmaandaeroallergy(i.e.,anallergytoairbornesubstances,suchaspollenormoldspores),inadditiontopharmaceuticalstrategies,reducingexposuretosensitizedallergenscanalleviateorreducesymptoms.13-17 Theallergensymptomthresholdisthepointatwhichthecumulativeallergenloadleadstosymptoms.18,19Readmoreaboutthesymptomthreshold. Whodevelopsasthma? Anyone,regardlessofage,gender,race,orsocioeconomicstatuscanbeaffectedbyasthma. Canasthmabecured? Thereisnocureforasthma,soyourbestdefenseistolearnifyouhaveunderlyingtriggersandthenlimityourexposuretothem.Starttheconversationbygoingoveralistofyoursymptoms.Knowingthetypesofsymptomsexperiencedandwhentheyoccurcanhelpahealthcareproviderdetermineifyoumaybeacandidateforallergytesting.  Canreducingexposuretoallergictriggershelpasthma? Yes.Reducingexposuretooneormoreallergictriggersmayhelpreducesymptoms.Thiscanonlybeaccomplishedbyworkingwithahealthcareprofessionaltounderstandyouruniqueallergyprofile.Starttheconversationbyfillingoutoursymptomtracker. Isitpossibletooutgrowallergicasthma? Unfortunately,itisnotpossibletooutgrowasthmaorforittogoaway.Asthmaisachronicdiseasethatpermanentlychangesyourlungs’airways.6 Itispossibleforsymptomsandattackstolessenorgetbetterovertime.However,theremayalwaysbeariskforthosesymptomstoreturn. AllergicAsthmaTestingandManagement   Withallergicasthma,medicalhistoryisoftennotenoughtomakeanaccurateallergydiagnosis.Forexample,apatientcanpresentwithahistoryindicativeofhousedustmiteorcatallergybutactuallynotbesensitized.20Identifyingandreducingexposuretoallergenstowhichpatientsaresensitizedcanreducetheriskofinducedasthmaexacerbations,particularlyinthecaseofhousedustmitesensitization.1  Itisalsoimportanttoidentifyandtreatotherallergicconditions.Forexample,bothallergicrhinitisandnon-allergicrhinitis areriskfactorsforthedevelopmentofasthma.21Morethan80percentofpeoplewithasthmaalsosufferfromrhinitis, suggestingtheconceptof“oneairway,onedisease.”4Thepresenceofallergicrhinitiscommonlyexacerbatesasthma,increasingtheriskofasthmaattacks,emergencyvisits,andhospitalizationsforasthma.22-26 Abloodtest—togetherwith anallergy-focused medicalhistory—may helpidentifyunderlyingallergentriggers.   Toviewthisvideo,pleaseuseabrowserthatsupportsHTML5Video FourQuestionstoAskaHealthcareProviderAboutAsthma It’svitaltoidentifyunderlyingallergictriggers.  Getanswerswithabloodtest Upto90percentofpatientsaresensitizedtomorethanoneallergen.11 Theeffectiscumulative:Apatientmayhaveanumberoftriggers,whichcombinedmayleadtosymptoms.7,12 PracticeParametersandGuidelinesforAllergicAsthma Guidelinesrecommendfactorsthattriggerorexacerbateasthmabeidentifiedroutinelyanddocumentedinthemedicalrecordsandpersonalasthmaactionplansofallpatientswithasthma.27 Reducingexposuretooneormoreallergictriggerscanhelpreducesymptomsandtheneedformedication.28 Practiceparametershavebeendevelopedtoclassifyandmanagetreatmentofasthma,andguideline-directedmanagementhasbeenshowntoimprovediseasecontrol.29   Explorepracticeparametersandguidelines. AttainingOptimalAsthmaControl-PracticeParameter-2005 Exercise-InducedBronchoconstriction-PracticeParameterUpdate-2016 DiagnosisandTreatmentofAsthma-PracticeParameter-1995 AllergicRhinitisandImpactonAsthma-Guidelines-2016 ManagementofAcuteLossofAsthmaControlintheYellowZone-PracticeParameter-2014 AlgorithmforDiagnosisandManagementofAsthma-PracticeParameterUpdate-1998 DiagnosisandTreatmentofAsthma-PracticeParameter-1995 Definition,Evaluation,andTreatmentofSevereAsthma-Guidelines-InternationalERS ToolsforUnderstandingAllergies   Trackallergysymptomsandprepareforavisitwithahealthcareprovider. Trackyoursymptoms Learnaboutspecificallergens,includingcommonsymptoms,management,andrelief.  AllergenFactSheets Areyouahealthcareprovider?Getcomprehensiveinformationonhundredsofwholeallergensandallergencomponents. AllergenEncyclopedia RelatedContent Wanttolearnmoreaboutallergies?Explorearangeoftopics. References MurrayCS,FodenP,SumnerH,etal.PreventingSevereAsthmaExacerbationsinChildren.ARandomizedTrialofMite-ImpermeableBedcovers. AmJ Respir Crit CareMed. 2017;196(2):150-158. Allen-RamneyF,SchoenwetterW,WeissT,etal.SensitizationtoCommonAllergensinAdultswithAsthma.JABFP.2005;(18)5434-439.  HostA,HalkenS.Practicalaspectsofallergy-testing.PaediatrRespirRev.2003;(4)312-318. PawankarR,HolgateS,CanonicaG,atel.WorldAllergyOrganization.WhiteBookonAllergy(WAO).2011.http://www.worldallergy.org/UserFiles/file/WAO-White-Book-on-Allergy_web.pdf.AccessedDecember2017.  AmericanCollegeofAllergy,Asthma&Immunology,“AsthmaAttack,”https://acaai.org/asthma/symptoms/asthma-attack,accessedApril2020.  AmericanCollegeofAllergy,Asthma&Immunology,“Outgrowingasthma?”https://acaai.org/resources/connect/ask-allergist/outgrowing-asthma,accessedApril2020.  EgglestonPA.Controlofenvironmentalallergensasatherapeuticapproach.lmmunolAllergyClinNorthAm.2003;23(3):533-547. MorganWJ,GruchallaR,KattanM,etal.ResultsofHome-BasedEnvironmentalInterventionamongUrbanChildrenwithAsthma.NEnglJMed.2004;351:1068-80.  HalkenS,HansenL,OSterballeO.Effectofmattressandpillowencasingsonchildrenwithasthmaandhousedustmiteallergy.JAllergyClinImmunol.2003;111:169-76.    EgglestonPA. Controlofenvironmentalallergensasatherapeuticapproach. lmmunol Allergy Clin NorthAm. 2003;23(3):533-547.   GiorgioCiprandi,CristoforoIncorvaia&FrancoFratiTheItalianStudyGrouponPolysensitization(2015)Managementofpolysensitizedpatient:frommoleculardiagnosticstobiomolecularimmunotherapy,ExpertReviewofClinicalImmunology,11:9,973-976,DOI:10.1586/1744666X.2015.1062365. Wickman M. Whenallergiescomplicateallergies. Allergy. 2005;60(suppl 79):14-18.  Allen-RameyF, etal.JAmBoardFamPract. 2005;18(5):434-439. HostA,HalkenS. Allergy. 2000;55:600-608.  MorganWJ,etal.N Engl JMed.2004;351:1068-80. ZethraeusN, etal.ItalianJournalofPediatrics. 2010;36:61.  Janson, etal.JAllergyClinImmunol. 2009;123:840-6. Duran-TauleriaE, Vignati G,GuedanMJ,etal.TheutilityofspecificimmunoglobulinEmeasurementsinprimarycare. Allergy. 2004;59(Suppl78):35-41.  NiggemannB,NilssonM,FriedrichsF. Paediatric allergydiagnosisinprimarycareisimprovedbyinvitroallergenspecific IgE testing. Pediatr AllergyImmunol. 2008;19:325-331. SmithHE, HoggerC,LallemantC,etal.Isstructuredallergyhistorysufficientwhenassessingpatientswithasthmaandrhinitisingeneralpractice? JAllergyClinImmunol. 2009;123:646-650.  ScaddingGK, DurhamSR,MirakianR,etal.BSACIguidelinesforthemanagementofallergicandnon-allergicrhinitis. ClinExpAllergy. 2008;38:19-42.
 Bousquet J,VanCauwenbergeP,KhaltaevN,etal.Allergicrhinitisanditsimpactonasthma. JAllergy Clin Immunol. 2001;108(suppl 5):S147-S334.  ThomasM,KocevarVS,ZhangQ,etal. Asthma-RelatedHealthCareResourceUseAmongAsthmaticChildren With andWithoutConcomitantAllergicRhinitis. Pediatrics. 2005;15:129-134. PriceD,ZhangQ,KocevarVS,etal. Effectofaconcomitantdiagnosisofallergicrhinitisonasthma-relatedhealthcareusebyadults. Clin Exp Allergy. 2005;35:282-287.   Crystal-PetersJ,NeslusanC,CrownWH,etal.Treatingallergicrhinitisinpatientswithcomorbidasthma:theriskofasthma-relatedhospitalizationsandemergencydepartmentvisits. JAllergy Clin Immunol. 2002;109(1):57-62. Valovirta E. ManagingCo-MorbidAsthma With AllergicRhinitis:TargetingtheOne-AirwayWithLeukotrieneReceptorAntagonists. WorldAllergyOrganJ. 2012;5:S210-S211.  NationalReviewofAsthmaDeaths(NRAD).WhyAsthmaStillKills:ConfidentialEnquiryReport.London:RCP;2014. NIHGuidelinesfortheDiagnosisandManagementofAsthma,2007.  ShiffmanRNetal.BridgingtheGuidelineImplementationGap:ASystematic,Document-CenteredApproachtoGuidelineImplementation.JAmMedInformAssoc.2004;11:418–426. FactChecked AllergyInsideriscommittedtoprovidingaccurate,evidence-basedinformationtoempowerallergypatientsandsupporthealthcareproviders. AllergyInsidercontentis: Basedonobjectiveinformationfrommedicalliteratureandpeer-reviewedscientificpublications(whicharereferencedwithinthetextandviatheReferencessectionatthebottomofmostpages) Fact-checkedandreviewedbyourmedicalandscientificaffairsteam,comprisingpracticinghealthcareproviders   Beforeyouproceed... You’reabouttovisitaversionoftheAllergyInsiderwebsitethat’snotintendedforyourgeographiclocation.Ifyouproceed,thecontentwillbeAWESOME,butitmightnotcorrespondtoyourlocationand/orlanguagepreferences. No,StayHere Yes,VisitLocalSite Chooseyourpreferredlanguage Brazil Português France Français German Deutsch Italy Italiano SouthAfrica English Spain Español SouthKorea Korean Taiwan TraditionalChinese UnitedKingdom English UnitedStates English World Deutsch English Español Français Italiano Português TraditionalChinese Whoa.Waitasecond… Itlookslikeyou’rechoosingtoviewcontentthat’snotspecifictoyourgeographiclocation.Ifyouproceed,contentmightnotcorrespondtoyourlocationand/orlanguagepreferences. Back Continue Home Types&Symptoms AllergicAsthma Ourmissionistoenableourcustomerstomaketheworldhealthier,cleanerandsafer TermsandConditions| PrivacyNotices| Disclaimers ©ThermoFisherScientificInc.AllRightsReserved. Learn,Track,Test Swipeformoretestinginfo,orstartoursymptomtracker,whichwillhelpyouidentifykeysymptominsightstosharewithyourhealthcareprovider. It’llonlytakeafewminutes.  AnyhealthcareprovidercanorderaspecificIgEbloodtest.Itdoesn’thavetobeaspecialist! SimplyaskyourhealthcareproviderforaspecificIgEbloodtest.    Costoftestingwillvarydependingonseveralfactors,suchastheextentofallergytestingoranymedicalcareorfinancialassistanceavailabletoyou.  Besuretoinvestigatealloptionswithahealthcareprovider.  OursymptomtrackerwillgenerateacomprehensiveprofileyoucanreviewtogetherwithyourhealthcareprovidertodecideifaspecificIgEbloodtestisrightforyou.  Click“Start”belowtobeginthetracker.  Start