{"id":8391,"date":"2024-03-20T15:41:19","date_gmt":"2024-03-20T12:41:19","guid":{"rendered":"https:\/\/ibce.by\/en\/?page_id=8391"},"modified":"2024-03-20T15:41:19","modified_gmt":"2024-03-20T12:41:19","slug":"recommendations-for-patients-to-see-an-allergist","status":"publish","type":"page","link":"https:\/\/ibce.by\/en\/recommendations-for-patients-to-see-an-allergist\/","title":{"rendered":"Recommendations for patients to see an allergist"},"content":{"rendered":"<p><section class=\"kc-elm kc_row\"><div class=\"kc-row-container  kc-container\"><div class=\"kc-wrap-columns\"><div class=\"kc-elm kc-css-316757 kc_col-sm-12 kc_column kc_col-sm-12\"><div class=\"kc-col-container\">\n<div class=\"kc-elm kc-css-93320 kc-title-wrap \">\n\n\t<h1 class=\"kc_title\">Recommendations for patients<\/h1>\n<\/div>\n<div class=\"kc-elm kc-css-544138 kc_text_block\"><\/p>\n<p>The consultation will be most productive if the patient provides medical documentation of the results of previous examinations and previous expert opinions.<\/p>\n<p>It is welcome to have photo and video materials of skin manifestations of allergies, breathing disorders (shortness of breath, whistling, wheezing), etc. in the absence of complaints at the time of consultation.<\/p>\n<p>If you have bronchial asthma, bring your own \u201cpocket\u201d medication delivery devices (metered-dose aerosol inhalers, powder inhalers, etc.) to your appointment.<\/p>\n<p>\n<\/div>\n<div class=\"kc-elm kc-css-830181 kc-title-wrap \">\n\n\t<h1 class=\"kc_title\">How to prepare for spirometry?<\/h1>\n<\/div>\n<div class=\"kc-elm kc-css-162650 kc_text_block\"><\/p>\n<p>avoid physical activity 1 hour before the test;<\/p>\n<p>\u2022 avoid large meals for 2 hours before the test;<\/p>\n<p>\u2022 do not smoke for 1 hour before the test;<\/p>\n<p>\u2022 do not drink alcohol for 8 hours before the test;<\/p>\n<p>\u2022 stop bronchodilators:<\/p>\n<p>\u2022 short-acting beta-agonists (salbutamol, fenoterol) 4-6 hours before the test;<\/p>\n<p>\u2022 short-acting muscarinic (cholinergic) receptor antagonists (ipratropium bromide) 12 hours before;<\/p>\n<p>\u2022 long-acting beta-agonists (formoterol, salmeterol) 24 hours before;<\/p>\n<p>\u2022 prolonged theophyllines (theophylline, theotec, theotard) 24 hours before;<\/p>\n<p>\u2022 \u201cultra-long-term\u201d beta-agonists (indacaterol, vilanterol, olodaterol) for 36 hours;<\/p>\n<p>\u2022 long-acting muscarinic (cholinergic) receptor antagonists (tiotropium bromide) within 36 hours<\/p>\n<p>\u2022 stop decongestants (nasal vasoconstrictors) 4 hours before the test<\/p>\n<p>\n<\/div>\n<div class=\"kc-elm kc-css-341850 kc-title-wrap \">\n\n\t<h1 class=\"kc_title\">Conditions for spirometry and bronchomotor tests<\/h1>\n<\/div>\n<div class=\"kc-elm kc-css-213885 kc_text_block\"><\/p>\n<p>Spirometry is performed:<\/p>\n<p>1. Patients who are able to perform the necessary breathing maneuvers due to age and\/or mental status (children over 5 years old, in the absence of cognitive impairment, etc.).<\/p>\n<p>2. In the absence of the following conditions:<\/p>\n<p>\u2022 the first week after myocardial infarction;<\/p>\n<p>\u2022 decrease or significant increase in systemic blood pressure;<\/p>\n<p>\u2022 severe heart rhythm disturbances;<\/p>\n<p>\u2022 decompensated heart failure;<\/p>\n<p>\u2022 uncontrolled pulmonary hypertension;<\/p>\n<p>\u2022 acute right ventricular failure;<\/p>\n<p>\u2022 clinically unstable forms of pulmonary thromboembolism;<\/p>\n<p>\u2022 a history of syncope, sudden convulsive attacks associated with coughing or forced breathing;<\/p>\n<p>\u2022 aneurysms of cerebral vessels;<\/p>\n<p>\u2022 recent concussion with persistent symptoms;<\/p>\n<p>\u2022 in the first 4 weeks after operations on the brain, chest and abdominal cavities;<\/p>\n<p>\u2022 in the first week after ophthalmological operations and operations on the paranasal sinuses and middle ear;<\/p>\n<p>\u2022 pneumothorax;<\/p>\n<p>\u2022 complicated pregnancy;<\/p>\n<p>\u2022 late pregnancy;<\/p>\n<p>\u2022 pain syndrome that prevents the correct performance of spirometry;<\/p>\n<p>\u2022 acute otitis media, sinusitis.<\/p>\n<p>\n<\/div><\/div><\/div><\/div><\/div><\/section><section class=\"kc-elm kc_row\"><div class=\"kc-row-container  kc-container\"><div class=\"kc-wrap-columns\"><div class=\"kc-elm kc-css-175066 kc_col-sm-12 kc_column kc_col-sm-12\"><div class=\"kc-col-container\">\n<div class=\"kc-elm kc-css-776645 kc-title-wrap \">\n\n\t<h1 class=\"kc_title\">What is necessary for correct skin testing?<\/h1>\n<\/div>\n<div class=\"kc-elm kc-css-2981 kc_text_block\"><\/p>\n<p><strong>Skin tests are carried out:<\/strong><\/p>\n<p>\u2022 outside of exacerbation of an allergic chronic disease;<\/p>\n<p>\u2022 outside of exacerbation of somatic chronic disease;<\/p>\n<p>\u2022 outside of an acute infectious disease;<\/p>\n<p>\u2022 no earlier than 1 month after suffering an acute allergic reaction.<\/p>\n<p><strong>Medications that should be discontinued before skin testing:<\/strong><\/p>\n<p>\u2022 1st generation H1-histamine blockers (chloropyramine, diphenhydramine, clemastine, dimethindene, mebhydrolin) \u2013 3 days before;<\/p>\n<p>\u2022 2nd generation H1 histamine blockers (cetirizine, levocetirizine, loratadine, desloratadine, fexofenadine, rupatadine, etc.) \u2013 1 week;<\/p>\n<p>\u2022 Antihistamine nasal sprays and eye drops \u2013 3 days in advance;<\/p>\n<p>\u2022 Antihistamines used for non-allergic diseases &#8211; phenothiazines<\/p>\n<p>antiemetics (promethazine, prochlorperazine) or drugs for dizziness\/motion sickness or insomnia (meclizine, doxylamine) &#8211; 2 weeks before;<\/p>\n<p>\u2022 H2 histamine blockers (famotidine, cimetidine) \u2013 48 hours before the test;<\/p>\n<p>\u2022 Topical glucocorticosteroids (cutaneous hormonal agents) \u2013 1 week;<\/p>\n<p>\u2022 Calcineurin inhibitors (Tacrolimus) \u2013 1 week before<\/p>\n<p>\u2022 Tricyclic antidepressants (amitriptyline, doxepin, nortriptyline, protriptyline, imipramine,<\/p>\n<p>trimipramine) \u2013 2 weeks<\/p>\n<p>\u2022 Biological agents (Omalizumab) \u2013 within 6 months<\/p>\n<p>To conduct a prick-prick test, you need to bring products to which you need to determine sensitivity.<\/p>\n<p>\n<\/div><\/div><\/div><\/div><\/div><\/section><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-8391","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/ibce.by\/en\/wp-json\/wp\/v2\/pages\/8391","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ibce.by\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/ibce.by\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/ibce.by\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/ibce.by\/en\/wp-json\/wp\/v2\/comments?post=8391"}],"version-history":[{"count":1,"href":"https:\/\/ibce.by\/en\/wp-json\/wp\/v2\/pages\/8391\/revisions"}],"predecessor-version":[{"id":8392,"href":"https:\/\/ibce.by\/en\/wp-json\/wp\/v2\/pages\/8391\/revisions\/8392"}],"wp:attachment":[{"href":"https:\/\/ibce.by\/en\/wp-json\/wp\/v2\/media?parent=8391"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}