Hier bei HayMaxTM wir dachten, es nützlich und interessant sein könnte, die Geschichte einer Frau, die hayfever Behandlung Reise zu teilen: wie Heuschnupfen hat sie im Laufe ihres Lebens betroffen, die Auswirkungen es gehabt hat, und ihre Suche nach wirksamen Behandlung.
Dies ist Rachels Geschichte: ein 32 year old woman who has suffered from hayfever since she was a child and who has been seeking effective treatment for many years.
My Hayfever Treatment Journey by Rachel Brown
I have suffered from severe hayfever all of my life. My symptoms include uncontrollable runny nose, Niesen, juckende Augen, trĂ¤nende Augen, juckende Gesicht und Hals. My season generally runs from March-August inclusive, although I have been known to suffer outside of those months, for example in February and September. My symptoms are at their most virulent during June, July and August. My symptoms start to build from March, increasing through April and May to peak in the Summer months.
I have tried many things to try to get relief and limit the suffering. As a child I took the liquid form of the antihistamine commonly known as Piriton and also tried homeopathic remedies as an older child. As a teenager I experimented with various combinations of antihistamine tablets, eye drops and steroid nasal spray. These provided very little relief, if any; and made very little difference to my suffering overall.
As you may know from your own experience of taking medications for hayfever; eye drops are fiddly and can only provide symptomatic relief at best: sie werden Ihren Augen nicht von Juckreiz an erster Stelle zu stoppen, or halt those watery streams. And nasal sprays are notoriously difficult to administer. For me they also seemed to have little effect, if any on my symptoms and suffering. Having taken several different kinds of regular antihistamine prescribed by my GP (most are also available over the counter); I can say that these did very little, if anything at all to alleviate my symptoms.
I have also tried adapting my diet to include locally sourced honey, as it has been said that this can help build immunity to the pollen in your area, and foods like red apples containing quercetin, also thought to help with hayfever. I eat a fairly healthy diet anyway, including lots of fresh fruit and vegetables. Ich habe noch nie dieses Nahrungs Element haben keine spürbaren Auswirkungen auf meine hayfever gefunden.
Viele einem heißen Sommertag hat mich gesehen, die wunderbar im Freien zu vermeiden versuchen, mein Leiden zu begrenzen. Imagine the impact this can have on your social life; fitness regime and your ability to enjoy lovely Summer activities with family and friends. I remember a particularly horrendous experience of joining family at a July gig in Hyde Park which is obviously full of trees, and being in severe discomfort (uncontrollable itchy and watery eyes, runny nose and sneezing) for the entire time, and some time afterwards while the allergens are still present in the body.
I was first referred to an allergy clinic in my early twenties. The outcome of this was that I was given Zyzal, an expensive antihistamine only available if prescribed by a consultant. This worked for a period of two-three years (I was delighted!) but after that time I found that my symptoms returned with full force. I imagined that my body had become used to the medication, so the effect was significantly reduced. Was immer der Grund, it stopped working after a time.
For a few years I went cold turkey and suffered. Durch meine späten 20er Jahren im Allgemeinen habe ich nicht meine Outdoor-und sozialen Aktivitäten im Sommer vermeiden (running, walking, picnics, outdoor parties) and suffered as a result. Ich hatte eine tolle Erfahrung im Urlaub im italienischen Badeort Rimini, wo ich nicht leiden oder irgendwelche hayfever Symptome überhaupt. Ich weiß nicht, warum dies war, though I know being on the coast can really help with hayfever.
While some things worked for a time, nothing has worked consistently for any length of time. Aus diesem Grund in meinen späten 20ern ich wieder eine Überweisung an einer Allergie-Klinik in Cambridge von meinem Hausarzt gesucht, with the hope of exploring Immunotherapy as a last resort.
Die Fahrt ging weiter in meinen späten 20ern, when I again sought a referral to an allergy clinic. These are held at many hospitals in the UK, and any allergy sufferer can request a referral from their GP.
Skin prick test
At the clinic a nurse will do a series of skin prick tests to establish exactly which allergens you are allergic to. Ich fand, dass ich auf Gras bin allergisch, tree and shrub pollens.
The test is nothing to worry about. It involves a series of light needle pricks to put a small amount of concentrated allergen into your body. You can expect to wait around 10-20 minutes for the reactions to come up. These will start to tingle initially, and then become much more intensely stingy and itchy. A nurse then measures the extent of the reaction: the circumference of the red mark, and its height; and records this on your notes.
ein "achtsam" Ansatz könnte man mit diesen unangenehmen Empfindungen zu bewältigen helfen. Versuchen Sie das Kribbeln / juckende Empfindungen mit sanften Neugier nähern, um zu sehen, ob das eine Technik, die Sie sich besser fühlen helfen könnte.
Then you should be seen by a Consultant, who will explain options for treatment. These will depend on your individual history. The postcode lottery is likely to affect your treatment options, as some Primary Care Trusts (PCTs) have funding for expensive treatments that others do not.
At the end of this process you may be offered Immunotherapy. This was my primary goal in going down the allergy clinic route second time round. For me, Immunotherapy is a little like the holy grail of hayfever treatments. Zwar gibt es die extremste und ein wenig invasive, the evidence shows that it works for the majority of people.
Mein Verständnis von meiner Erfahrung war, dass Immunotherapy nur mir gegeben werden würde, sobald ich jede andere medizinische Allee erkundet hatte und diese sicher sagen konnte, hatte für mich nicht funktioniert. In practice that meant that my journey included an extra year, as there was confusion over the exact medication I was required and expected by the clinic to have taken.
Es half nicht, dass ich zog auch dreimal während der Behandlung, taking me in and out of two different PCTs, one of whom funds Grazax, und der andere nicht. It was also a struggle to proactively keep myself in the system, as I was discharged a couple of times from the service during the whole process.
Either way, once you have seen your Consultant and he/she recommends your hayfever medications you can expect to take these for a full year (incorporating your next season) before returning to the clinic for treatment, whatever is offered to you, where you will be treated as an out-patient.
Immunotherapy is a treatment which involves putting increasing amounts of pollen into the body, die Immunität des Körpers, um es zu bauen.
The NHS only treats for grass pollen allergy. They use Pollinex (injection of grass pollen) and Grazax (extract of grass pollen in tablet form).
Pollinex is also used in other countires. Pollinex-R is a ragweed pollen injection that is used abroad; and another Pollinex injection including grass, tree and ragweed pollen has been licensed for use in the US.
Regarding the postcode lottery for funding of Grazax, the tablet form of grass pollen extract: Grazax can also be bought privately, at a high cost. The tablet has to be taken every day for three years. You have to start it before your season begins, ideally three-four months before you first start experiencing symptoms. The Pollinex injections in the UK on the NHS are given as a course of 6, either weekly or every two weeks. Treatment continues for three years.
Common side effects of taking the grass pollen tablet include common cold; Kopfschmerzen; prickling sensation, numbness of the skin, mouth and tongue; eye and ear itching; ear, nose and mouth inflammation; asthma symptoms: shortness of breath, cough or sneezing; dry throat; nasal discomfort, stuffy or runny nose; swelling of the lips or tongue; blistering or other discomfort of the mouth, tongue or throat; stomach pain or discomfort; diarrhoea, feeling sick, vomiting; heartburn; tiredness; chest discomfort or pain; fever; related itching like rash, nettle rash or eczema.
Side effects of the Pollinex injections are different. Patient information reads as follows: 'Die Injektionsstelle kann für ein paar Stunden leicht geschwollen und juckende, and in some cases the swelling may last up to two to three days. These reactions generally improve once the top dose is reached. Some patients develop tiredness for up to 24 hours after the injection especially with the first few injections. Rarely, small nodules may appear under the skin at the site of the injection. These do not harm and the treatment may be continued. Occasionally, more serious reactions can occur such as a generalised itchy rash, Asthma, itchy eyes or nasal symptoms. Alle diese sind leicht behandelbar. "
As for my end to this story; Ich habe herausgefunden, dass meine PCT nicht Grazax finanzieren, and that I can start Pollinex Injection Therapy now if I choose to. For me, this will be a choice based on many personal factors. I feel satisfied to have reached a resolution of treatment being offered to me, giving me some realistic options.