Alergias Adolfo Perez Agusti
December 4, 2022 | Author: Anonymous | Category: N/A
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EAFXLKES Enhkfoteafs, bmnëstkces y eaknfoterkes
Fbkte7 Fbkckmofs Nestfrs www.fbkckmofsnestfrs.cmn fbkckmofsnestfrsDlneka.cmn
ÎOBKCF CETÎRVAM 5 Eafrlke, sfoskhkakbeb f kotmafreocke Eaërlfoms Ae rfspufste eaërlkce CETÎRVAM 8 Foifrnfbebfs eaërlkces Eafrlkes e ams Eaknfotms Mtres eafrlkes rfaeckmoebes Eafrlkes fsteckmoeafs Eafrlkes fo prknevfre Eafrlkes bf vfreom Eafrlkes bf mtmõm Eafrlkes bf kovkfrom Eafrlkes e ams eokneafs bmnëstkcms Eafrlke e ams pfrrms Eafrlke e ams letms Mtres eafrlkes CETÎRVAM 3 Irfcufocke y cesuîstkce bf aes eafrlkes CETÎRVAM 2 Rretenkfotm cmovfockmoea bf aes eafrlkes Trknfrms euxkakms Nfbkcenfotms
CETÎRVAM 6 Rretenkfotm oeturea Taeotes nfbkckoeafs Rretenkfotms amceafs Maklmtfrepke Outrkfotfs @mnfmpetîe
EAFXLKES Enhkfoteafs, bmnëstkces y eaknfoterkes Kotrmbucckóo Fa tërnkom eafrlke sf bfrkve bf aes peaehres lrkfles "eaams", fs bfckr bkifrfotf m cenhkebm y "frlms", quf sklokikce trehegm m ecckóo, am quf oms aafve e "rfecckóo eatfrebe." Tmbrîenms cmoskbfrer e ae eafrlke cmnm uoe rfecckóo bfa mrleoksnm eotf ae prfsfocke bf ckfrtms fafnfotms m susteockes quf fo prkockpkm smo komcues pere ams bfnås, pfrm pfrgubkckeafs pere ëa. Fxkstfo elfotfs eafrlëokcms (eotîlfoms) bf fifctm konfbketm, ams cueafs fstknuaeo ae prmbucckóo bf eotkcufrpms fspfcîikcms cmotre fa kovesmr. Fstf cmotectm fotrf eotîlfom y eotkcufrpm cmoaafve e uoe ectkveckóo bf ckfrtes fozknes (pmr fgfnpam, `kstenkoe), m ea nfoms e uo cenhkm fo su fqukakhrkm. Ae prknfre rfecckóo eotf uoe susteocke eafrlëokce fs ae akhfreckóo bf ae `kstenkoe, bf ae hrebkqukokoe, ae ecftkacmakoe y ealuoes lamhuakoes. Fste akhfreckóo, tmteanfotf ofcfserke pere esflurer ae supfrvkvfocke, perebógkcenfotf prmbucf esne, urtkcerkes, trestmroms låstrkcms y fbfnes, fotrf mtrms sîotmnes. Eafrlke knpakce pufs, uoe rfspufste fxelfrebe bfa skstfne konuof, cueobm fstf nfceoksnm bf bfifose sf bfikfobf cmotre uo elfotf kovesmr bf oetureafze bksper. bksper. Fs uoe rfecckóo fxelfrebe bf oufstrm skstfne konuomaólkcm fo rfspufste ea cmotectm cmrpmrea cmo ckfrtes susteockes fxtreões. @ehktueanfotf fstms fafnfotms fxtreõms sufafo sfr vkstms pmr fa cufrpm cmnm komifoskvms y om beo auler e rfspufstes eaërlkces. Sko
fnherlm, fo bftfrnkoebes pfrsmoes, cebe bîe nås, ae rfecckóo bfa skstfne konuomaólkcm fs bfselrebehaf y fo mceskmofs aftea. Aes susteockes quf mrklkoeo fste rfecckóo sf bfomnkoeo eaërlfoms y `ey bf bkvfrsms tkpms, uoms prfsfotfs fo fa enhkfotf, mtrms fo ams eokneafs y mtrms fo ae cmnkbe. Ams `uneoms, fotrf sî, om mceskmoenms eafrlkes cesk ouoce, seavm aes bfnmstrebes sfnfo e ams hfsms, sf bfhf e susteockes pmrtebmres, yea om e ae ae mpfrsmoe fo sî. sî. euoquf Fotrf faam aes prkockpeafs susteockes prmbuctmres bf eafrlke tfofnms fa pmafo (prkockpeanfotf bf aes iamrfs y lrenîofes), `molms, `unm bf tehecm, cmsnëtkcms, eaknfotms (c`mcmaetf, oufcfs, nerkscms, irfses, cfrbm, `ufvms, ftc.), nfbkcenfotms, gmyes, pkfafs, paåstkcms, nfteafs, m e ceuse bfa ceamr, ceamr, fa irîm m fa sma. Sf fstkne quf smaenfotf fo ams Fstebms uokbms `ey 64 nkaamofs bf pfrsmoes eifctebes pmr aes eafrlkes y fa cmstm bfa tretenkfotm esckfobf e nås bf 54 nka nkaamofs bf bóaerfs ea eõm. Fo cmocrftm, ae rkoktks eaërlkce eifcte e uoms 36 nkaamofs bf fstebmuokbfosfs, bf ams cueafs 9 nkaamofs smo okõms. Fa esne e 56 nkaamofs 6 nkaamofs bf eõms. ams cueafs smo okõms eifcte y fa o÷nfrm bf cesmsbf sf fstebmuokbfosfs, `e bupakcebm fo ams ÷atknms 84 Aes ceuses bf fstes rfecckmofs fxelfrebes bfa skstfne konuokterkm om fståo bfikokbes, pfrm kobubehafnfotf aes smspfc`es cefo smhrf ams nfbkcenfotms (vecuoes y eotkhkótkcms), ae cmotenkoeckóo enhkfotea, y ams ebktkvms quf sf eõebfo e ams eaknfotms. Fa pmrquë bfotrm bf uoe nksne ienkake uoes pfrsmoes qufbeo eifctebes y mtres om, e÷o pfrneofcf cmoiusm. Tmr am lfofrea, `ey uo pfrîmbm bf "sfoskhkakzeckóo" quf ve bf nfsfs e eõms eotfrkmrfs e uoe rfecckóo eaërlkce. Euoquf fo mceskmofs pufbf eperfcfr uoe rfecckóo eaërlkce quf sf `e prmbuckbm fo ae prknfre fxpmskckóo ea eaërlfom, bfhf `ehfr uo cmotectm prfvkm pere quf fa skstfne konuof fstë prfperebm pere`ehkbm rfecckmoer bf fste neofre. Bf uo nmbm lamhea, ams eaërlfoms smo fafnfotms quf sf cmoskbfreo fxtreõms pere fa cufrpm y pufbfo ceuser uoe rfecckóo eaërlkce, tfokfobm fo cufote quf7 Aes eafrlkes pufbfo eperfcfr e cueaqukfr fbeb. Fa rkfslm bf bfserrmaaer eafrlkes fstå rfaeckmoebm cmo ae `kstmrke bf eafrlke bf ams pebrfs. Ae KlF (konuomlamhuakoe) fs fa eotkcufrpm quf sf sflrfle fo aes eafrlkes. Aes eafrlkes pufbfo prfsfotersf kocausm fo fa ÷tfrm netfrom. Om mhsteotf, fs pmskhaf quf ams sîotmnes eperfzceo e pertkr bf ae fbeb ebuate,
pfrskstkr fo imrne bf esne, nkfotres quf aes eafrlkes oeseafs tkfobfo e bksnkoukr fo ae vfgfz. Euoquf ae prfbkspmskckóo lfoëtkce sf pkfose cmnm fa iectmr bftfrnkoeotf, pmskhafnfotf sf bfhe `ehaer nfgmr bf prfbkspmskckóo ienkaker, fstm fs, cueobm ams nkfnhrms bf ae ienkake eifctebms sf `eo bfserrmaaebm fo uo nksnm auler ebqukrkbm`mlerfõm. ams nksnms `åhktms eaknfoterkms, nfbkcenfotmsms y bfy enhkfotf Sk okoluom bf ams pebrfs fs eaërlkcm, ae pmskhkakbeb bf quf eal÷o `kgm tfole uoe eafrlke fs eprmxknebenfotf bf uo 56%. Sk uom bf ams pebrfs fs eaërlkcm, fa rkfslm eunfote ea 34% y sk enhms smo eaërlkcms, fa rkfslm fs neymr bfa 94%. Renhkëo fs pmskhaf quf sf tfole ae tfobfocke e pebfcfr eafrlkes, pfrm sko ae eperkckóo bf ams sîotmnes omtmrkms. E÷o esî, qukzå nuc`es foifrnfbebfs sko ceuse bfikokbe tfoleo su mrklfo fo uo ifoónfom eaërlkcm suhyecfotf. Ebfnås bf ae koiaufocke bfa nfbkm enhkfotf, `ey mtrms iectmrfs quf tenhkëo pfrgubkceo sfrkenfotf fa skstfne bfifoskvm, cmnm smo iuner, koifcckmofs rfpftkbes y fa skstfne fobmcrkom eatfrebm.
CETÎRVAM 5 EAFXLKE, SFOSKHKAKBEB F KORMAFXEOCKE Ae eafrlke fs uoe rfecckóo prmbuckbe pmr fa skstfne konuomaólkcm bfa cufrpm cueobm sf focufotre cmo uoe susteocke omrneanfotf komifoskve. Fa tërnkom eafrlke fs ae peaehre usebe pere bfscrkhkr uoe rfecckóo ebvfrse quf fa cufrpm tkfof `ecke uo bftfrnkoebm eaknfotm m susteocke fo fa nfbkm enhkfotf. Ae neymrîe bf aes susteockes quf ceuseo eafrlkes e bftfrnkoebes pfrsmoes om smo pfrgubkckeafs y om tkfofo okol÷o fifctm fo aes pfrsmoes quf om smo eaërlkces. Fa `fc`m bf quf aes eafrlkes y aes foifrnfbebfs eutmkonuofs `eyeo eunfotebm sfoskhafnfotf fo mcckbfotf, mhakle e sfr prfcevkbms fo cueotm ea usm y ehusm bf aes vecuoes fo okõms nfomrfs bf < eõms. Renhkëo y pufstm quf eifcteo ea skstfne konuof, oms focmotrenms cmo uo usm bf ams eotkhkótkcms fo mceskmofs koebfcuebm y bfneskebm prmamolebm. Fa skstfne bfifoskvm bfa okõm om sf `ecf fikcez -‑ebuatm„- `este ams < eõms bf fbeb y `este fotmocfs fs uo nfceoksnm prfcerkm quf mceskmoe quf aes foifrnfbebfs koifcckmses sfeo cmotkouebes. Ebfnås, om pufbf luerber ae nfnmrke ebfcuebe pere rftfofr ams betms quf af aafleo bf elfotfs kovesmrfs, y ae epakceckóo bf aes vecuoes sfrîe koebfcuebe, ye quf sf trete bf
rfnfbkms pere ams cueafs fs knprfsckobkhaf luerber betms fo fa skstfne bfifoskvm. [ sk fstf skstfne tmbevîe om pufbf luerber betms, aes vecuoes om smo fikcecfs, pfrm smo cepecfs bf eatfrer ea prfcerkm skstfne bfifoskvm, fa cuea rfecckmoerå cmo tmrpfze fo eõms pmstfrkmrfs. Tkfosfo fo ae ceotkbeb bf vecuoes y eotkhkótkcms quf rfckhf uo okõm fo sus prknfrms eõms bf eunfotm vkbe, y cmnprfobfråo ae rezóo pere fster sfrkenfotf prfmcupebms pmr fa bf aes foifrnfbebfs rfaeckmoebes cmo fa skstfne konuof. Ae kotfoskbeb bf ae rfecckóo sf bfomnkoe Sfoskhkakbeb y fo mceskmofs fs teo kotfose quf pmof fo pfaklrm ae vkbe bfa foifrnm. Tmr fgfnpam, ae ceifîoe bf uoe teze bf ceië pufbf ceuser sîotmnes fxtrfnms, teafs cmnm peapkteckmofs y tfnhamrfs, cueobm omrneanfotf sóam tkfofo fifctm cueobm sf tmne fo bmsks eates. Ae kotmafreocke sf bfsfocebfoe cueobm uoe susteocke (pmr fgfnpam, aectmse) prmbucf sîotmnes bfselrebehafs (cmnm bkerrfe) pmr uoe verkfbeb bf rezmofs, pfrm om knpakce ea skstfne konuof. Aes pfrsmoes cmo kotmafreocke e ckfrtms eaknfotms pufbfo cmnfr omrneanfotf uoe pfqufõe ceotkbeb sko tfofr okol÷o prmhafne, pfrm aes quf pebfcfo eafrlke e ams eaknfotms tfobråo uoe neae rfecckóo, kocausm euoquf sf trete bf uoe pfqufõe ceotkbeb bfa eaknfotm ea quf smo eaërlkcms. Xfecckmofs eaërlkces @ey cuetrm rfecckmofs bf `kpfrsfoskhkakbeb caeskikcebes pmr Lfaa y Cmmhns7 Konfbketes m eaërlkces7 hesebes smhrf ae rfecckóo e ae KlF. Cktmtóxkces. Bf cmnpafgms konuofs. Xfterbebes. Nuc`es rfecckmofs eaërlkces smo afvfs, nkfotres quf mtres pufbfo sfr lrevfs y pmtfockeanfotf nmrteafs, fster aknktebes e uoe pfqufõe årfe bfa cufrpm m pufbfo eifcteram tmbm. Euoquf ae prknfre fxpmskckóo pufbf prmbuckr sóam uoe rfecckóo afvf, aes fxpmskckmofs rfpftktkves sufafo mceskmoer rfecckmofs nuc`m nås lrevfs. Voe vfz quf ae pfrsmoe `e tfokbm uoe rfecckóo eaërlkce fstå sfoskhkakzebe, y pmr faam kocausm uoe fxpmskckóo nuy aknktebe e uoe ceotkbeb nuy pfqufõe bfa eaërlfom, pufbf bfsfocebfoer uoe rfecckóo sfvfre. Ae neymrîe bf aes rfecckmofs eaërlkces sfvfres mcurrfo fo cufstkóo bf sfluobms m nkoutms bfspuës bf ae fxpmskckóo ea eaërlfom: sko fnherlm,
ealuoes rfecckmofs pufbfo mcurrkr bfspuës bf verkes `mres, pertkcuaernfotf sk fa eaërlfom mceskmoe uoe rfecckóo bfspuës bf quf `e skbm kolfrkbm. Fo nuy pmcms cesms, aes rfecckmofs sf bfserrmaaeo bfspuës bf 82 `mres. Ae eoeikaexke fs uoe rfecckóo lrevf y rfpfotkoe quf mcurrf fo cufstkóo bf nkoutms bfspuës bf ae fxpmskckóo y ofcfskte etfockóo nëbkce konfbkete. Sko tretenkfotm, ae eoeikaexke pufbf fnpfmrer nuy råpkbenfotf y aafver e ae nufrtf fo cufstkóo bf 56 nkoutms. Eaërlfoms Vo eaërlfom, pufs, fs uoe susteocke cepez bf prmbuckr `kpfrsfoskhkakbeb konfbkete bf tkpm eaërlkcm fo pfrsmoes suscfptkhafs, quf `eo fstebm fo cmotectm prfvkenfotf cmo fa eaërlfom. Fste rfecckóo bf `kpfrsfoskhkakbeb mceskmoe quf sfe cmoskbfrebe cmnm susteocke "fxtreõe" fo fstf prknfr cmotectm, am quf fstehafcf uoe nfnmrke fo fa skstfne konuokterkm pere bfifobfrsf fo sucfskvms cmotectms. Cueobm faam mcurrf, ae rfspufste konuokterke fs nuy kotfose y fxcfskve, cmo ae akhfreckóo bf susteockes quf eatfreo ae `mnfmstesks bfa mrleoksnm. Euoquf sf trete bf uo prmcfsm bfifoskvm, mceskmoe sîotmnes kotfosms y fo mceskmofs ae nufrtf. Tråctkcenfotf tmbms ams bfrkvebms bf ae bfstkaeckóo bfa pftróafm tkfofo pmtfockea eafrlëokcm. Ams eaërlfoms sf caeskikceo fo fsteckmoeafs y pfrfoofs, skfobm ams prknfrms equfaams quf fståo aklebms e ckrcuosteockes oetureafs (ëpmce, enhkfoteafs m cakne), nkfotres quf ams sfluobms sf rfikfrfo e equfaams quf fståo `ehktueanfotf fo cmotectm cmo omsmtrms. Fo fa lrupm bf ams fsteckmoeafs fståo ams póafofs y ckfrtms `molms, y fo ams pfrfoofs oms focmotrenms cmo ams åcerms bfa pmavm bmnëstkcm, y fafnfotms quf pmrteo ams eokneafs. Ams nås pfaklrmsms smo equfaams quf sf ko`eaeo, bfomnkoåobmsf ofunmeaërlfoms, nkfotres quf ams quf kolfrknms, sfeo eaknfotms m nfbkcenfotms, euoquf pfrgubkckeafs, su knpectm fo ae rfspufste konuomaólkce fs nfomr. nfomr. Vo tfrcfr lrupm sfrîeo equfaams quf imrneo pertf bf oufstrm enhkfotf aehmrea y cuye akste ye sf `ecf kotfrnkoehaf, bebe ae irfcufocke cmo ae cuea eperfcfo oufvms fafnfotms. Vo eotîlfom fs fo rfeakbeb ae rfspufste e uo eaërlfom (euoquf om skfnprf), pfrm su oetureafze prmtfkce m pmaksecårkbe `ecf quf sfe cepez bf fstknuaer uoe rfspufste konuof, fspfcîikcenfotf ae ectkveckóo bf akoimcktms (laóhuams haeocms), quf smo ams fafnfotms quf cmnhetfo ae koifcckóo. Fo
fstf nmnfotm sf prmbucf ae imrneckóo bf eotkcufrpms fspfcîikcms. Tråctkcenfotf cueaqukfr nmaëcuae fxtreõe bf lreo teneõm pufbf ectuer cmnm uo eotîlfom, kocaukbms ams quf iklureo fo aes hectfrkes, vkrus, prmtmzmms, `fankotms, eaknfotms, vfofoms bf sfrpkfotf, caere bf `ufvm, cmnpmofotfs bfa sufrm, laóhuams rmgms y mtres cëauaes y tfgkbms bf verkes fspfckfs, kocauyfobm ams sfrfs `uneoms. Vo eotîlfomyquf kobucf e uoe rfspufste konuokterke, rfckhf fa omnhrf bf konuoólfom ams eutmeotîlfoms smo equfaams quf fståo prfsfotfs fo aes foifrnfbebfs eutmkonuofs. Fo ae supfrikckf bf ams eotîlfoms `ey rflkmofs, bfomnkoebes bftfrnkoeotfs eotklëokcms, quf sf egusteo y sf uofo e nmaëcuaes rfcfptmres bf ae fstructure cmnpafnfoterke fo ae supfrikckf bf ams akoimcktms. akoimcktms. Fste uokóo bf ams akoimcktms cmo ams rfcfptmrfs pere ams eotîlfoms lfofre nmaëcuaes quf fstknuaeo e ams akoimcktms pere nuatkpakcersf f kokcker uoe rfspufste konuof, kocauyfobm ae prmbucckóo bf eotkcufrpms, esî cmnm ae ectkveckóo bf cëauaes cktmtóxkces, -m enhms- cmotre fa eotîlfom. Ae ceotkbeb bf eotkcufrpms imrnebe fo rfspufste e ae fstknuaeckóo bfpfobf bf ae caesf y ceotkbeb bf eotîlfom knpakcebm, ae vîe bf fotrebe ea cufrpm, y aes cerectfrîstkces kobkvkbueafs bfa `uëspfb. Fo rfsunfo, om `ey eotîlfom sko su eotkcufrpm fspfcîikcm. Aes cëauaes cktmtóxkces oetureafs m oeturea jkaafr (OJ ) smo uo lrupm bf akoimcktms quf sf focufotreo fo ae seolrf fo uoe prmpmrckóo bfa 6-54% y fo ams tfgkbms akoimkbfs (sko fstructure y esmckebms e nucmses), fspfckeanfotf fa hezm, ebfnås bf focmotresf fo lreo ceotkbeb fo fa `îlebm. Fstes cëauaes bfrkveo bf ae nfbuae ósfe y smo akoimcktms lreobfs cmo ounfrmsms lråouams cktmpaesnåtkcms. Akoimcktms f Konuomlamhuakoes Konuomlamhuakoes Ams laóhuams haeocms smo oufstre prkockpea bfifose cmotre ams eotîlfoms y fa cufrpm prmbucf nuc`ms tkpms bkifrfotfs bf cëauaes haeoces bf ae seolrf quf trehegeo 82 `mres ea bîe pere neotfofroms seaubehafs. Ams akoimcktms sf prmbucfo fo ae nëbuae ósfe y bf faams pmbfnms tfofr `este 8.444.444.444.444 fo ae seolrf fo uo nmnfotm bebm. Fxkstfo bms tkpms prkockpeafs bf akoimcktms quf pertkckpeo fo ae prmtfcckóo bfa cufrpm cmotre ams nkcrmmrleoksnms, nkcrmmrleoksnms, ams akoimcktms R y H. Ams bfa tkpm R bfstruyfo aes cëauaes quf `eo skbm koifctebes m beõebes pmr ams eotîlfoms, nkfotres quf ams H sf focufotreo fo ams órleoms rfaeckmoebms cmo ae konuokbeb, teafs cmnm ams leolakms akoiåtkcms. Fstms bkrklfo ae iehrkceckóo bf ae konuomlamhuakoe F, aaenebe KlF, KlF, bfscuhkfrte fo 5;9
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