Літо, сонце, квіти, спів пташок, морозиво, дитина грається на вулиці… аж раптом починає чхати, червоніють очі, тече з носа, з’являється сухий кашель. Що це? Застуда? Ні — це сезонна алергія. Її ймовірними тригерами можуть бути пилок дерев, трава, цвіль або амброзія
Сезонна алергія — це реакція організму на пилок рослин, який літає у повітрі в період цвітіння. Найчастіше у дітей алергію викликають:
– пилок дерев, наприклад, берези і тополі (все, що квітне навесні);
– злакові трави, квіти (протягом літа);
– полин, амброзія (липень–вересень).
Коли організм контактує з потенційним алергеном, імунна система сприймає його як чужинця та атакує — виробляє хімічні речовини: гістамін, лейкотрієни, простагландини. Саме вони викликають низку алергічних симптомів: нежить, свербіж, сльозотечу, чхання і кашель. Тяжкість реакції залежить від того, наскільки небезпечним є алерген для організму. Наприклад, у більшості людей немає імунної відповіді на звичайний пилок. Проте у певного відсотку осіб організм сприймає його як чужорідний та небезпечний, реагуючи як на патоген або інфекцію. Тож коли дитина з алергією вдихає пилок, він потрапляє в носовий прохід, прилипає до слизових і викликає запалення чи подразнення. У важких випадках — може ускладнюватися дихання або розвинутися астма.
Типові симптоми сезонної алергії:
- чхання;
- свербіж очей, носа чи горла;
- нежить і сльозотеча;
- першіння горла;
- кашель;
- набряки.
А може це застуда?
Алергію та застуду спочатку можна легко сплутати, але між ними є певні відмінності:
- Нежить. При алергії шмарклі прозорі, водянисті, а при застуді — густі, часто мають колір зелений або жовтий.
- Температура. При алергії підвищення температури зазвичай відсутнє, натомість при застуді – це характерний симптом.
- Очі сверблять, червоніють, сльозяться. Це типовий алергічний симптом, адже при застуді такого практично не буває.
- Сухий кашель. Може ввести в оману, тож варто орієнтуватися на інші супутні ознаки, наприклад, температуру. Якщо її немає, ймовірно це алергія.
- Тривалість. Симптоми алергії можуть не зникати тижнями, посилюючись і спадаючи. А застуда минає за декілька днів.
Тож відповідно лікування цих двох станів буде різним. Якщо при застуді чи ГРВІ лікар може призначити дитячий противірусний сироп Флавовір, який добре пригнічує розмноження вірусів, чим пришвидшує одужання, то при сезонній алергії лікування буде складнішим. Тут може знадобитися комбінація з кількох препаратів: антигістамінних, протинабрякових, від кашлю, для промивання очей та носика. Підбирається індивідуально лікарем.
Чим небезпечна алергія?
На перший погляд алергія — це просто чхання та нежить. Але якщо її не лікувати, цей стан може перерости у бронхіальну астму або хронічний алергічний риніт, який буде заважати дитині нормально дихати вдень та висипатися вночі.
Як полегшити симптоми сезонної алергії?
Мінімізувати вплив сезонної алергії можна такими способами:
- Стежити за прогнозом алергенів. Існують спеціальні сайти та мобільні застосунки, що показують, які рослини зараз пилкують. Таким способом уникати активного відпочинку на свіжому повітрі або не виходити на вулицю без потреби. Також корисно стежити за рівнем забруднення повітря.
- Робити провітрювання вдома у безпечний час. Зокрема, це доречно після дощу, у безвітряну погоду, рано вранці тощо.
- Гігієна. Виходячи на вулицю — одягати на голову капелюх. Після прогулянки варто дитині прийняти душ, змінити одяг — пилок може осісти на волоссі, шкірі, одязі та викликати подразнення вдома. Дослідження показують, що половина пилку, який накопичується на одязі, залишається, навіть якщо намагатися струсити його перед тим, як зайти до приміщення.
- Регулярно промивати носик. Достатньо використовувати фізіологічний розчин або морську воду — це допоможе змити частинки-алергени.
- Починати прийом ліків до початку сезону алергії — коли кількість пилку, трави, амброзії або цвітіння ось-ось різко зросте.
- Тримати зачиненими вікна та двері у будинку, квартирі та машині, щоб запобігти потраплянню пилку.
- Уникати перебування поблизу місць косіння трави чи згрібання запліснявілого листя.
- Звернутися до лікаря. Фахівець допоможе точно визначити причину алергічних загострень — провести тест на алергію, щоб визначити причину реакції. Це може бути: Проба на шкірі. Лікар робить укол на поверхні шкіри, вводячи невелику кількість алергену. Якщо шкіра реагує запаленням, почервонінням, набряком, то діагноз підтверджується. Шкірні проби дають швидкі результати — зазвичай протягом півгодини або від 24 до 48 годин. Аналізи крові. Результати можуть бути отримані протягом кількох днів. За їх допомогою можна перевірити більше алергенів. Аналізи крові виявляють сезонні, цілорічні алергії, а також на продукти, ліки та комах.
Якщо розпізнати сезонну алергію вчасно, допомогти дитині уникати контактів із алергенами та підтримати її організм, літо буде радісним і безтурботним. Головне, стежити за самопочуттям, дослухатися до скарг і вчасно звертатися до педіатра або алерголога.
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