{"id":19353,"date":"2023-07-08T09:00:26","date_gmt":"2023-07-08T07:00:26","guid":{"rendered":"https:\/\/cst.cat\/8-de-julio-dia-mundial-de-la-alergia\/"},"modified":"2023-07-08T09:00:27","modified_gmt":"2023-07-08T07:00:27","slug":"8-de-julio-dia-mundial-de-la-alergia","status":"publish","type":"post","link":"https:\/\/cst.cat\/es\/8-de-julio-dia-mundial-de-la-alergia\/","title":{"rendered":"8 de julio, D\u00eda Mundial de la Alergia"},"content":{"rendered":"\n
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El 8 de juliol se celebra el Dia Mundial de l’Al\u00b7l\u00e8rgia, amb l’objectiu de conscienciar la poblaci\u00f3 de la import\u00e0ncia d’educar per a la prevenci\u00f3 de les malalties causades per les al\u00b7l\u00e8rgies, aix\u00ed com de la cerca de tractaments efectius que millorin la qualitat de vida de les persones que les pateixen.<\/h2>\n\n\n\n

N\u2019hem parlat amb Marta Vi\u00f1as, cap del Servei d\u2019Al\u00b7l\u00e8rgies del Consorci Sanitari de Terrassa.<\/p>\n\n\n\n

. Com definiries una al\u00b7l\u00e8rgia? Perqu\u00e8 es produeix?<\/strong><\/p>\n\n\n\n

L\u2019al\u00b7l\u00e8rgia \u00e9s una anomalia de la resposta del sistema immunitari contra elements del nostre entorn que no suposen cap amena\u00e7a per a nosaltres. Es produeix una  resposta immune exagerada de l’organisme (hipersensibilitat) a diferents al\u00b7l\u00e8rgens que poden ser ambientals, alimentaris, medicaments, etc. Depenent de l’\u00f2rgan en qu\u00e8 es produeixin aquestes reaccions al\u00b7l\u00e8rgiques es manifesten uns s\u00edmptomes o uns altres. Per exemple si tenen lloc a l’aparell respiratori es produiran s\u00edmptomes t\u00edpics de rinitis o d’asma. Si succeeixen a la pell apareixeran s\u00edmptomes d’urtic\u00e0ria o \u00e8czema.<\/p>\n\n\n\n


. Quins tipus d\u2019al\u00b7l\u00e8rgia s\u00f3n les m\u00e9s comunes?<\/strong><\/p>\n\n\n\n

Al nostre medi, es calcula que una de cada quatre persones pot patir algun tipus de trastorn al\u00b7l\u00e8rgic al llarg de la seva vida. Basant-nos en una enquesta que es fa a nivell nacional dels motius de consulta que es remeten a l\u2019al\u00b7lerg\u00f2leg la rinitis al\u00b7l\u00e8rgica, l’asma i l’al\u00b7l\u00e8rgia als medicaments ocupen els tres primers llocs amb una freq\u00fc\u00e8ncia del 54, 23 i 17% respectivament.<\/p>\n\n\n\n

La rinitis al\u00b7l\u00e8rgica \u00e9s el proc\u00e9s m\u00e9s freq\u00fcent, i arriba a afectar el 21 % de mitjana de la poblaci\u00f3 general espanyola, encara que existeixen apreciables difer\u00e8ncies geogr\u00e0fiques. La dermatitis at\u00f2pica la segueix, afectant el 4% dels nens en edat escolar. L’al\u00b7l\u00e8rgia a aliments afecta el 3-5% de la poblaci\u00f3 infantil, reduint-se a menys del 2% en els adults. Encara que m\u00e9s del 10% de la poblaci\u00f3 espanyola creu que pot ser al\u00b7l\u00e8rgica a algun medicament, quan es realitza un estudi al\u00b7lergol\u00f2gic apropiat nom\u00e9s es confirma el 29% dels casos avaluats.<\/p>\n\n\n\n


. Quins factors desencadenen una al\u00b7l\u00e8rgia?<\/strong><\/p>\n\n\n\n

Qualsevol mol\u00e8cula capa\u00e7 de ser reconeguda com a estranya i que faci reaccionar el sistema immunitari s’anomena antigen. Habitualment la reacci\u00f3 que es produeix \u00e9s de toler\u00e0ncia a l’antigen i s’origina una resposta immunol\u00f2gica natural que no produeix cap s\u00edmptoma. Per contra, un al\u00b7lergen \u00e9s un antigen capa\u00e7 de provocar una malaltia al\u00b7l\u00e8rgica.<\/p>\n\n\n\n

Pr\u00e0cticament qualsevol subst\u00e0ncia pot ser un al\u00b7lergen: subst\u00e0ncies que es troben en suspensi\u00f3 a l’aire i es respiren (pol\u00b7len, \u00e0cars, epitelis d’animals), aliments, medicaments, etc.<\/p>\n\n\n\n


. Hi ha predisposici\u00f3 gen\u00e8tica?<\/strong><\/p>\n\n\n\n

Els trastorns al\u00b7l\u00e8rgics no s’hereten tot i que s\u00ed que es pot heretar la predisposici\u00f3 a \u201cfer-se al\u00b7l\u00e8rgic\u201d. Es considera, per tant, que els fills de pares al\u00b7l\u00e8rgics tenen m\u00e9s risc de patir una malaltia al\u00b7l\u00e8rgica al llarg de la vida.<\/p>\n\n\n\n

Aix\u00ed, partint d’un risc del 10-15% a la poblaci\u00f3 general, aquest risc puja al 50% en cas que un dels progenitors sigui al\u00b7l\u00e8rgic, i fins i tot ascendeix al 70% en cas que ho siguin tots dos progenitors.<\/p>\n\n\n\n

. Quins s\u00f3n els s\u00edmptomes m\u00e9s comuns?<\/strong><\/p>\n\n\n\n

Si el pacient t\u00e9 rinoconjuntivitis a nivell respiratori els s\u00edmptomes t\u00edpics s\u00f3n la pru\u00efja nasal, ocular, els esternuts, la mucositat i el taponament nasal. En cas que haguem desenvolupat asma bronquial podem tenir tos, xiulets al pit i ofec.<\/p>\n\n\n\n

Si el que patim \u00e9s una al\u00b7l\u00e8rgia aliment\u00e0ria les manifestacions cl\u00edniques m\u00e9s habituals s\u00f3n les cut\u00e0nies, generalment en forma d’urtic\u00e0ria +\/- angioedema. Les reaccions localitzades a la mucosa oral i far\u00edngia que es manifesten amb pru\u00efja local (o s\u00edndrome d’al\u00b7l\u00e8rgia oral) s\u00f3n molt freq\u00fcents.<\/p>\n\n\n\n

En tercer lloc apareix la cl\u00ednica digestiva (v\u00f2mits, dolor abdominal, diarrea). Tamb\u00e9 pot apar\u00e8ixer afectaci\u00f3 respirat\u00f2ria i arribar a patir una anafilaxi que \u00e9s una reacci\u00f3 molt greu que pot arribar a ser mortal.<\/p>\n\n\n\n

Les reaccions al\u00b7l\u00e8rgiques a medicaments poden afectar la pell o no, per\u00f2 la pell \u00e9s l’\u00f2rgan del cos que s’afecta amb m\u00e9s freq\u00fc\u00e8ncia. Aquestes reaccions cut\u00e0nies s\u00f3n molt variades, tant en morfologia com en gravetat.<\/p>\n\n\n\n


. Per qu\u00e8 una persona que ha menjat durant anys un determinat aliment sense cap problema de sobte comen\u00e7a a manifestar s\u00edmptomes d’al\u00b7l\u00e8rgia?<\/strong><\/p>\n\n\n\n

L’al\u00b7l\u00e8rgia als aliments \u00e9s el resultat d’una fallada en la toler\u00e0ncia immunol\u00f2gica i resulta de la interacci\u00f3 de m\u00faltiples factors gen\u00e8tics i ambientals. La c\u00e0rrega gen\u00e8tica de l’individu \u00e9s un factor determinant, per\u00f2 tamb\u00e9 s\u00f3n factors de risc l’alteraci\u00f3 de la barrera mucosa intestinal i de la barrera cut\u00e0nia, l’alteraci\u00f3 o la reducci\u00f3 de l’exposici\u00f3 microbiana a la inf\u00e0ncia, el retard en la introducci\u00f3 dels aliments al\u00b7lerg\u00f2gens a la dieta o els nivells baixos de vitamina D.<\/p>\n\n\n\n


. Les al\u00b7l\u00e8rgies aliment\u00e0ries han anat en augment els darrers anys?<\/strong><\/p>\n\n\n\n

En les darreres d\u00e8cades ha augmentat la freq\u00fc\u00e8ncia i la gravetat de l’al\u00b7l\u00e8rgia als aliments. A Espanya s’han triplicat els diagn\u00f2stics d’al\u00b7l\u00e8rgia a aliments en poc m\u00e9s de dues d\u00e8cades.<\/p>\n\n\n\n

Els aliments que m\u00e9s sovint indueixen reaccions al\u00b7l\u00e8rgiques s\u00f3n la llet, l’ou, el cacauet, els fruits secs, les fruites, el peix, el marisc i els llegums. La import\u00e0ncia i freq\u00fc\u00e8ncia d’aquests aliments varia en funci\u00f3 de l’edat i l’\u00e0rea geogr\u00e0fica, cosa que ve determinada pels costums alimentaris, l’aerobiologia de la zona i les interaccions entre factors gen\u00e8tics i mediambientals.<\/p>\n\n\n\n


. Qu\u00e8 hem de fer si creiem que tenim al\u00b7l\u00e8rgia?<\/strong><\/p>\n\n\n\n

El principal consell seria que en cas de sospita de patir una malaltia al\u00b7l\u00e8rgica s\u2019ha de consultar amb un especialista en al\u00b7lergologia, ja que \u00e9s el professional que ens pot ajudar en les mesures ambientals o d\u2019evitaci\u00f3, que seran diferents en cada cas i en el tractament espec\u00edfic per combatre la nostra al\u00b7l\u00e8rgia.<\/p>\n\n\n\n


. Les vacunes s\u00f3n una bona soluci\u00f3 per a qualsevol al\u00b7l\u00e8rgia? Tothom es pot vacunar?<\/strong><\/p>\n\n\n\n

La immunoter\u00e0pia, o vacunes contra l’al\u00b7l\u00e8rgia, el que fan \u00e9s restablir l’equilibri del sistema immunitari de manera que es desenvolupa una toler\u00e0ncia a all\u00f2 que el pacient \u00e9s al\u00b7l\u00e8rgic, sent l’\u00fanic tractament capa\u00e7 de modificar el curs natural de la malaltia al\u00b7l\u00e8rgica.<\/p>\n\n\n\n

La immunoter\u00e0pia pot ser beneficiosa per a tots els pacients amb s\u00edmptomes de rinitis, asma, i\/o anafilaxi, i al\u00b7l\u00e8rgia demostrada (mitjan\u00e7ant proves cut\u00e0nies i\/o anal\u00edtica) a al\u00b7l\u00e8rgens rellevants i relacionats amb la temporalitat dels seus s\u00edmptomes. Especialment, en aquells casos de pacients amb s\u00edmptomes que afectin de manera important la seva qualitat de vida i que no millorin amb f\u00e0rmacs.<\/p>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

El 8 de juliol se celebra el Dia Mundial de l’Al\u00b7l\u00e8rgia, amb l’objectiu de conscienciar la poblaci\u00f3 de la import\u00e0ncia d’educar per a la prevenci\u00f3 de les malalties causades per les al\u00b7l\u00e8rgies, aix\u00ed com de la cerca de tractaments efectius que millorin la qualitat de vida de les persones que les pateixen. N\u2019hem parlat amb […]<\/p>\n","protected":false},"author":4,"featured_media":19334,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[533,1404],"tags":[340,409,452,901],"class_list":["post-19353","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-dia-mundial-es","category-alergia","tag-dia-mundial-es","tag-cst-es","tag-hospital-de-terrassa-es","tag-alergia"],"acf":[],"yoast_head":"\n8 de julio, D\u00eda Mundial de la Alergia - CST<\/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:\/\/cst.cat\/es\/8-de-julio-dia-mundial-de-la-alergia\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"8 de julio, D\u00eda Mundial de la Alergia - CST\" \/>\n<meta property=\"og:description\" content=\"El 8 de juliol se celebra el Dia Mundial de l’Al\u00b7l\u00e8rgia, amb l’objectiu de conscienciar la poblaci\u00f3 de la import\u00e0ncia d’educar per a la prevenci\u00f3 de les malalties causades per les al\u00b7l\u00e8rgies, aix\u00ed com de la cerca de tractaments efectius que millorin la qualitat de vida de les persones que les pateixen. 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