{"id":2923,"date":"2014-11-19T23:02:04","date_gmt":"2014-11-19T22:02:04","guid":{"rendered":"http:\/\/baranowscy.eu\/wordpress\/?p=2923"},"modified":"2014-11-19T23:14:04","modified_gmt":"2014-11-19T22:14:04","slug":"panele-skorne-prick-test-wyniki-starszego-syna","status":"publish","type":"post","link":"https:\/\/baranowscy.eu\/wordpress\/panele-skorne-prick-test-wyniki-starszego-syna\/","title":{"rendered":"Panele sk\u00f3rne prick-test &#8211; wyniki starszego syna"},"content":{"rendered":"<p>Dzi\u015b by\u0142am ze starszym synem na drugiej turze test\u00f3w sk\u00f3rnych. Tydzie\u0144 temu badali\u015bmy alergeny wziewne, dzi\u015b &#8211; pokarmowe. Badania przeprowadzali\u015bmy w Enel-Medzie w Warszawie metod\u0105 prick-test Allergopharma.<\/p>\n<p><strong>Co to jest prick-test<\/strong><\/p>\n<p>Panele sk\u00f3rne tego typu polegaj\u0105 na wprowadzeniu\u00a0ostrzem\u00a0pod sk\u00f3r\u0119 odrobiny alergenu (zawartego w specjalnym preparacie, kt\u00f3rego kropl\u0119 umieszcza si\u0119 na sk\u00f3rze przedramienia lub np. plec\u00f3w). Zwykle wygl\u0105da to w ten spos\u00f3b, \u017ce piel\u0119gniarka pisze d\u0142ugopisem na sk\u00f3rze numery odpowiadaj\u0105ce alergenom, obok liczb nak\u0142ada krople preparat\u00f3w, a nast\u0119pnie nak\u0142uwa sk\u00f3r\u0119 jednorazowymi lancetami w miejscu na\u0142o\u017cenia kropli.<\/p>\n<p><a href=\"https:\/\/baranowscy.eu\/wordpress\/wp-content\/uploads\/2014\/11\/panel_skorny_1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-2924\" src=\"https:\/\/baranowscy.eu\/wordpress\/wp-content\/uploads\/2014\/11\/panel_skorny_1.jpg\" alt=\"panel_skorny_1\" width=\"640\" height=\"426\" srcset=\"https:\/\/baranowscy.eu\/wordpress\/wp-content\/uploads\/2014\/11\/panel_skorny_1.jpg 640w, https:\/\/baranowscy.eu\/wordpress\/wp-content\/uploads\/2014\/11\/panel_skorny_1-300x199.jpg 300w, https:\/\/baranowscy.eu\/wordpress\/wp-content\/uploads\/2014\/11\/panel_skorny_1-600x399.jpg 600w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" \/><\/a><\/p>\n<p>W\u015br\u00f3d nak\u0142adanych kropel s\u0105 dwie pr\u00f3by kontrolne: histamina i s\u00f3l fizjologiczna. Histamina powinna da\u0107 wynik dodatki, s\u00f3l fizjologiczna &#8211; ujemny.<\/p>\n<p>Po kilkudziesi\u0119ciu (zwykle 20) minutach odczytuje si\u0119 wyniki. Piel\u0119gniarka za pomoc\u0105 linijki mierzy \u015brednic\u0119 b\u0105bla, kt\u00f3ry pojawi\u0142 si\u0119 w miejscu uk\u0142ucia (o ile si\u0119 pojawi\u0142).<\/p>\n<p><strong>Co sprawdza panel sk\u00f3rny<\/strong><\/p>\n<p>Panele sk\u00f3rne sprawdzaj\u0105 jedynie reakcj\u0119 IgE-zale\u017cn\u0105 (natychmiastow\u0105) sk\u00f3ry na dane alergeny. Wynik ujemny nie oznacza, \u017ce nie ma uczulenia, tak jak wynik dodatni nie oznacza, \u017ce po kontakcie z alergenem organizm musi zareagowa\u0107 alergi\u0105.<\/p>\n<p><strong>Jak powinien by\u0107 przeprowadzony test<\/strong><\/p>\n<p>Testy sk\u00f3rne powinny by\u0107 wykonywane w gabinecie lekarskim (zabiegowym), gdzie mo\u017cna natychmiast poda\u0107 adrenalin\u0119 w wypadku bardzo gwa\u0142townej reakcji pacjenta na jaki\u015b alergen. Pacjent powinien odstawi\u0107 wszystkie leki antyhistaminowe co najmniej na tydzie\u0144 przed badaniem. Powinien by\u0107 te\u017c zdrowy.<\/p>\n<p><strong>Wiarygodno\u015b\u0107<\/strong><\/p>\n<p>Zacytuj\u0119 <a title=\"Danuta My\u0142ek, \u201eAlergie\u201d \u2013 recenzja\" href=\"https:\/\/baranowscy.eu\/wordpress\/?p=2566\" target=\"_blank\">Danut\u0119 My\u0142ek<\/a>:<\/p>\n<blockquote><p>Uwa\u017ca si\u0119, \u017ce jego [testu] wiarygodno\u015b\u0107 jest bardzo du\u017ca w przypadku alergii na py\u0142ki ro\u015blin i jady owad\u00f3w b\u0142onkoskrzyd\u0142ych (80-100 procent), znacznie mniejsza w przypadku alergii na roztocze (50 procent), na grzyby ple\u015bniowe (30 procent) i bardzo ma\u0142a przy alergii pokarmowej (5-25 procent). (s. 355)<\/p><\/blockquote>\n<p>To niestety w naszym wypadku si\u0119 potwierdza.<\/p>\n<p><strong>Wyniki test\u00f3w J.<\/strong><\/p>\n<p>Nasz pi\u0119cioletni syn mia\u0142 takie testy wykonywane pierwszy raz w \u017cyciu. Jeszcze nie omawia\u0142am ich z alergologiem, ale poniewa\u017c sporo czytam na ten temat, mam ju\u017c pewien obraz sytuacji.<\/p>\n<p><a href=\"https:\/\/baranowscy.eu\/wordpress\/wp-content\/uploads\/2014\/11\/panel_skorny_2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-2925\" src=\"https:\/\/baranowscy.eu\/wordpress\/wp-content\/uploads\/2014\/11\/panel_skorny_2.jpg\" alt=\"panel_skorny_2\" width=\"640\" height=\"426\" srcset=\"https:\/\/baranowscy.eu\/wordpress\/wp-content\/uploads\/2014\/11\/panel_skorny_2.jpg 640w, https:\/\/baranowscy.eu\/wordpress\/wp-content\/uploads\/2014\/11\/panel_skorny_2-300x199.jpg 300w, https:\/\/baranowscy.eu\/wordpress\/wp-content\/uploads\/2014\/11\/panel_skorny_2-600x399.jpg 600w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" \/><\/a><\/p>\n<p><strong>Je\u015bli chodzi o panel wziewny, nasz syn mia\u0142 wynik dodatki w wypadku:<\/strong><\/p>\n<ul>\n<li>traw (5\/5 mm),<\/li>\n<li>traw\/zb\u00f3\u017c (6\/6 mm),<\/li>\n<li>\u017cyta (6\/6 mm),<\/li>\n<li>sier\u015bci kota (5\/5 mm).<\/li>\n<\/ul>\n<p>Nie wysz\u0142a brzoza (bardzo u nas podejrzana), nie wysz\u0142y grzyby ani roztocza, ale &#8211; jak cytowa\u0142am wy\u017cej &#8211; w wypadku tych dw\u00f3ch ostatnich alergen\u00f3w panel sk\u00f3rny mo\u017ce zawie\u015b\u0107.<\/p>\n<p>Co ciekawe, <strong>w tym te\u015bcie nie wysz\u0142a histamina!<\/strong> Nie wiem, co o tym s\u0105dzi\u0107, czy test zosta\u0142 przeprowadzony prawid\u0142owo? A mo\u017ce w diecie J. jest za du\u017co pokarm\u00f3w antyhistaminowych?<\/p>\n<p><strong>Je\u015bli chodzi o panel pokarmowy, to by\u0142a zupe\u0142na pora\u017cka.\u00a0<\/strong>Tak jak pisa\u0142a My\u0142ek, wiarygodno\u015b\u0107 jest bardzo ma\u0142a, na pewno cz\u0119\u015b\u0107 zaobserwowanych przez nas reakcji synka na pokarmy jest atopowych (IgE-zale\u017cnych).<\/p>\n<p><a href=\"https:\/\/baranowscy.eu\/wordpress\/wp-content\/uploads\/2014\/11\/panel_skorny_pokarmy.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-2926\" src=\"https:\/\/baranowscy.eu\/wordpress\/wp-content\/uploads\/2014\/11\/panel_skorny_pokarmy.jpg\" alt=\"panel_skorny_pokarmy\" width=\"640\" height=\"427\" srcset=\"https:\/\/baranowscy.eu\/wordpress\/wp-content\/uploads\/2014\/11\/panel_skorny_pokarmy.jpg 640w, https:\/\/baranowscy.eu\/wordpress\/wp-content\/uploads\/2014\/11\/panel_skorny_pokarmy-300x200.jpg 300w, https:\/\/baranowscy.eu\/wordpress\/wp-content\/uploads\/2014\/11\/panel_skorny_pokarmy-600x400.jpg 600w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" \/><\/a><\/p>\n<p>Tym razem histamina wysz\u0142a bardzo wyra\u017ana, a reszta wcale &#8211; do momentu, kiedy piel\u0119gniarka nie zmy\u0142a alergen\u00f3w. Wtedy nagle odkry\u0142a cztery b\u0105ble:<\/p>\n<ul>\n<li>jajo kurze (ca\u0142e) (1\/1 mm),<\/li>\n<li>m\u0105ka \u017cytnia (1\/1 mm),<\/li>\n<li>m\u0105ka pszenna (1\/1 mm),<\/li>\n<li>kontrola ujemna (1\/1 mm).<\/li>\n<\/ul>\n<p><strong>Poniewa\u017c kontrola ujemna nie powinna wyj\u015b\u0107<\/strong>, zastanawiam si\u0119, czy te testy w og\u00f3le maj\u0105 jak\u0105kolwiek warto\u015b\u0107? Dlaczego wynik pokaza\u0142 si\u0119 po usuni\u0119ciu alergen\u00f3w? Czy taki wynik &#8211; 1\/1 &#8211; w og\u00f3le ma znaczenie diagnostyczne? Wiem przecie\u017c, \u017ce J. reaguje na kilkadziesi\u0105t produkt\u00f3w, przynajmniej kilka z nich daje bardzo szybk\u0105 reakcj\u0119 (mleko, banan, gruszka).<\/p>\n<p>W weekend postaram si\u0119 pokaza\u0107 wyniki komu\u015b m\u0105dremu na <a title=\"Dni Alergii w Warszawie: 22 i 23 listopada\" href=\"https:\/\/baranowscy.eu\/wordpress\/?p=2817\" target=\"_blank\">Dniach Alergii<\/a>, a w najbli\u017cszy poniedzia\u0142ek mamy wreszcie wizyt\u0119 u alergologa z NFZ (czekamy na ni\u0105 od p\u00f3\u0142 roku). Chc\u0119 zrobi\u0107 jeszcze inne badania, z krwi (poprzednie wysz\u0142y ujemne) i mo\u017ce IgG. Musimy znale\u017a\u0107 przyczyn\u0119 powtarzaj\u0105cych si\u0119 problem\u00f3w ze sk\u00f3r\u0105 i uszami.<\/p>\n<p>Najwa\u017cniejsze to si\u0119 nie poddawa\u0107 i dzia\u0142a\u0107.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Dzi\u015b by\u0142am ze starszym synem na drugiej turze test\u00f3w sk\u00f3rnych. Tydzie\u0144 temu badali\u015bmy alergeny wziewne, dzi\u015b &#8211; pokarmowe. Badania przeprowadzali\u015bmy w Enel-Medzie w Warszawie metod\u0105&hellip;<\/p>\n","protected":false},"author":1,"featured_media":2925,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[270,17,2],"tags":[1357,489,487,488,490,486],"class_list":["post-2923","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-alergia","category-o-jedzeniu","category-slowo-od-autora","tag-alergia","tag-panel-pokarmowy","tag-panel-skorny","tag-panel-wziewny","tag-testy-alergiczne","tag-testy-skorne"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Panele sk\u00f3rne prick-test - wyniki starszego syna - organiczni.eu<\/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:\/\/baranowscy.eu\/wordpress\/panele-skorne-prick-test-wyniki-starszego-syna\/\" \/>\n<meta property=\"og:locale\" content=\"pl_PL\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Panele sk\u00f3rne prick-test - wyniki starszego syna - organiczni.eu\" \/>\n<meta property=\"og:description\" content=\"Dzi\u015b by\u0142am ze starszym synem na drugiej turze test\u00f3w sk\u00f3rnych. Tydzie\u0144 temu badali\u015bmy alergeny wziewne, dzi\u015b &#8211; pokarmowe. 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