Treating Asthma by Hyposensitization Injections
Treating Asthma by Hyposensitization Injections by Alien
Hyposensitization or allergy desensitization is an allergy
treatment that can help decrease long-term sensitivities to
allergens. Also known as immunotherapy, in this the patient is
gradually vaccinated sub-cutaneously against increasingly larger
doses of the allergen. The purpose is to reduce the severity of the
disease and/or eliminate hypersensitivity altogether.
Hyposensitization is generally recommended for people who have
selective sensitivity to specific allergens.
How do hyposensitization injections work?
The injection shot formulated consists of a mixture of the various
pollens, fungi spores, animal dander and dust mites to which a
person is allergic. This mixture which is called an allergy extract
contains no medication such as antihistamines or
corticosteroids.
Using allergy test results and the patient’s history, the
allergist prepares a customised extract, made of one or many
allergens. Since most allergic people react adversely to more than
one allergen, several extracts may be prepared. Some people need
only one shot each time, while others may need more than one
extract mixture.
Small doses of an allergen or allergens are regularly introduced
into the body so that one can develop a resistance to it. The
injections lead to the development of a protective response both by
increasing the suppressor T cells and by increasing the protective,
or "blocking" Ig_G (Immunoglobin G) antibodies. The more tolerant
the body becomes, the fewer symptoms one will show.
Immunotherapy injections work well in both children and adults.
Are hyposensitization injections safe for pregnant injections?
Immunization injections are usually safe, and can be administered
to pregnant women. However, in some cases doctors advise stoppage
of this course of treatment during pregnancy. Although
immunotherapy does not cause malformations in the developing baby,
but in the case of a rare adverse reaction to the treatment, the
foetus might suffer from oxygen deprivation.
When are hyposensitization shots usually administered?
Hyposensitization injections are prescribed when:
* There is zero response to allergy medications.
* Side effects from allergy medications.
* To allergic children with hay fever and/or asthma.
* In case of allergic reactions to insect stings - immunotherapy
may be given regardless of age.
* There is a need to decrease long-term use of medications, such as
in a child or in a woman wanting to get pregnant.
In older patients, hyposensitization is usually not recommended as
they may have a reduced capacity to cope with side-effects.
Hyposensitization is effective if started at an early age, soon
after the development of allergies.
How effective is hyposensitization?
About 80 to 90 percent of children improve with hyposensitization,
if started at an early age. It usually takes atleast 12-18 months
before concrete reduction in allergy symptoms can be noticed.
Hyposensitization treatment needs to be continued along with other
allergy medications. It is also important to continue eliminating
triggering allergens from the environment.
What are the advantages?
* Hyposensitization injections, taken on a regular basis help
relieve asthma symptoms, especially for those prone to airborne
allergies.
* Hyposensitization reduces asthma symptom severity, reduce
medication use over time, improve quality of life, and even reduce
the risk of developing new allergies in the future.
* These injections are not physiologically addictive.
* Hyposensitization injections are safe. They can be given to
children and pregnant women. .
* A 3-5 year immunotherapy schedule may provide asthma relief for
10 to 30 years.
What are the side effects/ disadvantages of hyposensitization?
* Local reaction in the form of redness, itching and swelling at
the injection site might occur. If this condition occurs
repeatedly, then the strength or timing of a shot is changed.
* A systemic reaction can also evolve that involves not the place
of injection, but a different site. Symptoms include nasal
congestion, swollen lips, loss of bladder and/or bowel control,
sneezing, swelling, wheezing, and low blood pressure. Such
reactions can at times be serious and life threatening. However,
deaths related to immunotherapy are rare.
* Inconvenience during the treatment stage –
hyposensitization shots are usually given every week for several
months or more. This becomes quite cumbersome for those with hectic
work schedules and busy lives.
* Long term treatment - depending on a person’s sensitivity,
one could be receiving shots for three to five years.
* Shots usually don't control food allergies and may aggravate skin
allergy symptoms.
What precautionary measures are recommended in order to minimise
reactions after a hyposensitization recommended:
1. The initial dose of injection extract must be customised
according to each patient based on his history and skin test
results. Highly sensitive patients with skin test reactivity should
be started with higher levels of dilutions.
2. In very sensitive patients, it is better if an antihistaminic
dose is given about an hour before injection.
3. The site of injection must be inspected for local reactions
before the patient leaves.
4. The schedule dose should be modified if there is reaction to the
previous injection, or there is any respiratory tract
infection.
Read out Asthma inhalers . Also check out for asthma
medication and asthma treatment
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