how can they be prevented everything you need to know about allergies coming up on in good shape? oh and i like he is in gwinnett allergy is basically just a small malfunction in an otherwise excellent immune system. he so forth and think of it like the police accidentally releasing the wrong wanted poster hyphen house can keep my professor trust and super beer is one of the world's leading experts in allergy research. the a new system of allergy sufferers is unusually sensitive to foreign substances. leading to symptoms such as runny noses, itchy eyes, skin rashes, and breathing issues. triggers include pollen and dust mites that can lurk and mattresses. animal 4 can also trigger body's allergic response. here's what happens. the immune system detects something that's actually harmless, like cat for as a danger. it launches a series of responses to get rid of the french and causes an over reaction. and that leads to the typical energy symptoms. tree pollens are some of the worst allergens of birch tree, for example, can release about $22000000000.00 pollen grains per season. a nightmare for allergy sufferers, their immune system mistakes, the pollen for it, dangerous invader, and overreact, sending out a whole army of antibodies. they then trigger the release of histamine which boosts blood flow to the area and causes inflammation. histamine also docs to special receptors in the body and causes symptoms like itching, sneezing and a rash. the world health organization says about 1700000000 people world might suffer from allergic rhinitis and 300000000 from asthma. the numbers have risen in recent decades. in as in, in torpor should have been in asia, up in tropical regions. dust, mites and mold are the main allergens sent and singapore. 60 percent of the population is no allergic to dust. mites in not leaking like yours and the main one and northern regions built as pollen from birch trees. ha ha. in north america, it's ragweed, ambrosia, poland, wheat, and boise appointed, and, and in south america, it's dust mites are mould, let sauna, or depending on the claim its own grass, poland hub has applied climate change is one reason for the increasing number of people suffering from allergies. northern regions are becoming warmer, extending the pollen season, and air pollution and urban areas is another factor. oscc uses teams to the immune system. certain substances such as pollen will have become more irritating when they're coated with suit. for example, sisters are modern indoor lifestyle and also exposes as to other pollutants, could trigger an immune response. that's her dust mites. i can end up as targets for our immune system housetop. maybe in physical children are especially prone to allergies. the tendency towards allergies can also be inherited. that's why many parents wonder what they can do to prevent them. as my mouth unkindness needs smoking during pregnancy should be avoided. the for infants shouldn't be exposed to cigarette smoke and should be introduced to solid foods early in the past, the thinking was that certain foods should be avoided, had we known or the opposite is true in children, should have as varied a diet as possible from the beginning and neon fell africa. what else can allergy suffers? do? city rose should only open their windows between 6 and 8 a. m. and then keep them shut, take often stored dirty clothes in the bathroom. take a shower and see a doctor. affordable allergy. medicines and treatments are widely available, alleghany that, that oft, unfortunately, allergies are often played. don't this here. i often hear someone say it's just sneezing under runny nose. no big deal, filthy, but a child with an untreated rhinitis is 40 percent more likely that to see their great suffer. it affects performance even for adults are working. i'm from the machine has no need to live with the symptoms. we have very good treatment options that have very few side effect smoothly caton hub is to to help you research is that found that children from the countryside unless likely to suffer from allergies. that's because of their got micro biome which develops in the 1st year of life and acts like a protective shield. it appears that spending time on a farm and especially in a cow bon, could play a role for it is uh now figuring out how these findings can be used to help protect city kids to these young. i'm sure we have 2 ideas for how we might prevent asthma and allergies hunter. i mean, 1st drinking minimally process cow's milk could help the under the, the, and 2nd we're looking into developing a nose spray made with substances from farm environments which could also offer protection dentures for the conclusion that until that's widely available. there's plenty that parents in both rural and urban environments, can do to reduce their child's risk of developing allergies. through. look at me, i'm 8 months old and my surroundings have already changed a lot, including when it comes to allergies. man here she's cleaning up. does she realized what she's doing? my immune system really needs a lot of input. so i hope she doesn't back. he went to a lot. jones or every when viruses, bacteria and fun going most of them on to threaten and dust doesn't do anything to me at all. there's just so much going on. i'd love to tell my mom to take it easy was all that cleaning my immune system and i have to be able to distinguish between good and bad bacteria. oh mum, you always mean so well so that i don't have allergic reactions to everything later on. you should let me explore a lot of different things that my parents do. a lot of things just write including with food. mamma's milk is my favorite, but when it comes to avoiding allergies, i have to start eating other foods to an important part of training. my immune system takes place in the intestines. that's where billions of bacteria live, and they'll help determine my allergies in the future. how? let me explain. my god, wait a sec. some one time on the lights. that's how my intestines look to day. and that is how my intestines looked when i was born. hello. the 1st inhabitants of my intestines came from my mother's vaginal flora. they boldly introduced themselves to my immune system, just like the milk bacteria to came directly from mama. and then more and more was added to it from bottles, from plates and from the ground. there are so many wonderful different bacteria and fungi. they show the immune cells in the intestinal balls what it's like outside and what they need to prepare for. studies on thousands of babies like me have shown that a certain bacteria aren't found in my intestines. by now. it's more likely that i could get asthma later. ah, unfortunately, we still don't know exactly which bacteria other more important ones. there are simply too many of them with what we know for sure is what we shouldn't be doing. like taking antibiotics. they kill good bacteria and bring the intestinal flora out of whack. oh sure when i'm really sick, i'm glad to have antibiotics around. mamma takes care of me. speaking of mama, she can only do so much to prevent her own allergies. she can only do a bit of retroactive tweaking by ingesting good bacteria. it works like this. the good bacteria turn complex carbohydrates into fatty acids that strengthen the immune system. those carbohydrates are found in food that have to be chewed. well, like whole grain does our crowds and nuts, they keep your jaw and you're got busy. and that's a good thing. the news training for allergy prevention is fresh roll neck and not just for baby ah, the bacteria and fresh rule milk are not disgusting at all. and a lot of them seem to be especially valuable to immune system. mm hm. packed of intestinal bacteria on the development of allergies are still being researched by grown up. lou pollen animal fat and dust mites are among the common allergens, but around 20000 allergens have been identified to date like fragrant substances and perfume and detergents. foods such as apples and none, including anything that contains them. proteins and milk and grains, and also insect of animal bites and stings can cause very serious reactions. but there are other rare allergies. a paper ology can cause rashes and breathing difficulties. anyone with an alcohol allergy needs to avoid mouthwash and certain cleaning products. sperm allergies, symptoms include itching and a burning sensation and then there's nero dermatitis, which is also called a topic x, a mom. it's a skin condition characterized by chronic itching or scaling. it often goes hand in hand with allergies, so it's important that it's properly treated. cambered in an emergency dr. centers here because that was sorry back he howard, his skin was completely infected and he had open weeping words. it wasn't just separate patches from day, all kind of magazine, and he had open words on his face. his well 1st day we were admitted straight away and my 1st had to find out what was wrong. that's why the 1st stay lasted a good 3 wakes delta s oftentimes screwdriver from the dough out at this allergy center, doctors from different disciplines have been working together to help reuben, his neuro dermatitis, also called a topic, eczema was so severe that it affected his growth d to have p a, the treatment was so intense that we brought the dermatologist on board quite quickly. that so would happen. fioma didn't panata, vice puda food. this is a great example of the importance of interdisciplinary work. he what was initially a skin problem that ended up causing a long list of pediatric su, sign festival under hold. his skin was affected off which led to itching and loss of sleep. and that lead to low food intake and weight loss. symptoms of nutritional deficiency final, as probably in, by little vazo by the problem with reuben was that as soon as he ate anything, he started drooling association that's very common at that age holiday. but when seriously inflamed skin comes into contact with saliva, it causes even more redness and itching yoke hides into sleep. and so he didn't want to eat anything. and that actually combined with poor sleep, was what led to his failure to thrive a food. the doctors 1st tried giving him antibiotics, ointments creams, and a special diet. but reuben had to come back just a few weeks later. it's called him in a segment, evenings, but i couldn't go shopping with him on my on or drive into town with him in the car to sun. when i was sitting in the car seat in the back, he'd scratch, he's skin so badly that it was hard for me to concentrate on driving this ability. and of course that made his skin so much worse had phone calls in the end, we realized he needed to be traded. we caught his own limits and not just caught his own crane, which is a fairly common treatment for new gemma titus. he needed systemic called his own therapy taken as lakewood cartoons after the problem was that reuben would scratch the g areas until they bled. that led to fresh infections, which would then in turn each and lead to more scrunching rubens. doctors hoped that systemic steroids therapy would interrupt this vicious circle that won't allow the help light, his skin dead improves somewhat on the sink. it gets non good. he started eating and drinking a bit. nothing put, but he still had flats when it became worse again. and, and, and the cortisone cause the side effects to come off. he developed what's called cushing syndrome, and a bloated, round moon face, which can happen. and children won't position lusty can of come to us. okay, sorry, much for such a little one to deal with. i always said, i wish i could have it instead of him, but of course i couldn't even manage the allergy center team had to reconsider vasqua men of better math. we thought about other kinds of interdisciplinary approaches. on dom we're there, other possibilities t and then the team, disgusted by a logic treatment at the possible alternative identity though they are on demand biologics or a new class of drugs that target specific aspects of the immune system. reuben gets an injection of one of these drugs every 4 weeks. it's not fun for anyone, but the benefit is huge. almost like a saga step before we started this therapy rubin and spend a good part of his young life in the hospital. in cochran, also above touch bases, understanding since doughty, it's not, he hasn't been in the hospital at all. i need you to talk to nicole master as nancy kent. it's like he's a totally different child and fun all the side effects at the court of phone, which took months to get under control are now gone back office. what it was so good to see him starting to eat again to enjoy food and to grow and fish mixed with reuben's height and weight are no normal for his age. is some good from where so lucky that he's such a cheerful kid. last year when we had our 1st 3 wake hospital stay, he went through a lot. i bought the edison, but he carved really well and he was always in achieve full married effect. he made all the nurses and other stuff. happy. got them laughing fucking full mouth, things would have been harder on may if he weren't such a cheerful, happy go. lucky kid. yeah. with anyone who has an allergy knows they should avoid the triggers. although that's often easier said than done. and a lot of people suffer from a whole range of allergies. certain medications can provide welcome relief and wonderful treatments can get rid of an entity entire me. these days relief for allergies. symptoms can be quick and easy. antihistamines helped to reduce the severity of the reaction, although they are not secure for the actual allergy. allergy symptoms are caused mainly by a messenger substance called histamine. antihistamines, servers, inverse agonist. they bind to the receptors and block the effect of the histamine. slowing down the allergic response, antihistamines come in different forms, pills worked throughout the body. whereas nasal spray and eyedrops target the symptoms locally. one of the chief side effects of hunting esther means is drowsiness. so with the main symptom is just the runny nose, it's best to stick to a cortisone spray, which reduces inflammation. that's why experts recommend starting immunotherapy, also known as hypo desensitization therapy as early as possible. this is the only way analogy can be cured. the idea is to slowly accustomed the immune system to the allergy and the trigger, the patient gets regular small doses of the allergen, usually pleasant injection. but 1st shots are weekly than monthly and gradually increasing doses that teaches the immune system that the allergen isn't a threat, so that gradually it produces fewer antibodies. it's especially effective for allergies to grass tree, poland insect venom and dust mites. but it takes 3 to 5 years and about half of patients give up before it's finished. for the treatment only works if you stick with it to the very end. so people have to be patient and make frequent visits to the doctor, which is why relatively few allergy sufferers are willing to do it. but these day, this immunotherapy does become much more straightforward and can even be done in the comfort of your own home. that's because patient no longer need allergy shots, and sub lingual immunotherapy, they receive special drops or a tablet, which they simply put under their tongue. every morning. lou desensitization is a useful and effective treatment even for mild allergies. it's also a way of preventing secondary conditions. for example, someone with a fever react badly to pollen dust mites or mold they sneeze the loss and had runny nose. but after months, oh yes, this kind of allergy can spread from the upper to the level respiratory tract, meaning from the nose to the lungs. the patient can then develop allergic asthma, chronic inflammation of the brumfield chiefs. and that can put a permanent strain on the hot and lungs. oh, running out of the ball without getting out of breath for a long time. duke burma couldn't even play with his children. he just couldn't get enough and had a nissan classes in the last month. i've never had a typical osmotic where you turn blue or anything like that. oh, well, i just always felt that my breathing was under pressure being as if something were on top of my lungs released. and i had to use a lot of energy to take a breath on normal, often with him to become to day dirt, burma can exercise again and he's thrilled. he has serious allergic asthma, which got worse over the years. even though he kept taking more and more caught his own with coughing, shortness of breath and respiratory distress for a long time, his is focused on treating the asthma symptoms to prevent them from getting even worse, all life threatening. but that approaches outdated says mark law much a pulmonologist who specializes in asthma. he went down to happy highest the fit in the modern treatment approaches giving patients medicine that prevents the symptoms entirely. as high as they have to take the medicine all the time in his lower dose as possible to make those yet remotely, but they don't have symptoms. they don't have to go to the hospital. they can live completely normal lives fully no miles leave their dog. burma takes biologics, biotechnology produced antibodies. the therapies working very well. the only has to go for checkups twice a year. most of them want the nitrogen monoxide content and his breath shows whether his airways are inflamed here, his readings are now in the upper normal range position. if it goes up to this issue, if at all, in all, it's a really good outcome of the fact clinically speaking and in terms of how good he filled and he doesn't need credits on any more with all its potential side effects . i mean, the firm has lung function is somewhat compromised by his chronic asthma, but he feels healthy and his lung function results are stable. it's a big change from the time before he started biologics. he needed increasingly higher doses of caught his own in spray or tablet form high, but he still felt unwell almost every day. dusting the twitter explained me. there were always side effects. all i didn't feel good. my hands shook them. i felt jittery from the high doses of cortisone poly salvage my resume, in spite of that, i still didn't feel any better thoughts in would sneak beth out. wanted to add to de doctors know that long term therapy with quarters on pills often does more harm than good. the corticosteroids in hellas are still part of mainstream therapy and help suppress inflammation in the airways quite effectively. along with biologics, if need be, that way every patient gets their own treatment plan for it again, misses his organ. aha, nowadays we have to say this person as this or that kind of asthma, they have allergies or they don't. they have this biomarker and their entire history of they've been in hospital so and so many times what and their mother had a to assistant to kinda that their history, their children. would you have to consider all those factors together and come up with a tailor made therapy for that patient and that therapy will be very effective, happy is to tie it looks up. oh, dirk perma is happy with the new approach to injections a month, which he can give to himself these days. he feels a lot better. this bush. mm hm. far far, i can't play football, right? a bicycles who didn't, who jogging. just like regular people. this and i understand, of course, i might not be able to exert myself quite as much as other people by comparison. but i feel i'm doing great too, but it's all good. on this good. now for a new tip from ophelia, his, he had to guide you through another exercise, this time for your shoulders. with hi and welcome. do you feel sometimes tens in your shoulders or sore in your neck? i give you a perfect exercise to open up your chest and to have more flexibility in your shoulders. let's go for the exercise of to day. you need either a paul resistant band. or you can take a scarf, just whatever you have at home. i'm going to take the wooden stick. take your object, then have white ours. then 1st, lift your shoulders as if you wanted to say, i don't know. then over your head to your back and then reverse. please be aware. the arms are always strict. with . i recommend 15 repetitions every day. you will feel so much better in your shoulders and you will add it to your daily routine. if you want to intensify this exercise, bring your hands a little bit roeser and do it again with you next time i'm in good shape. bye bye. ah, with you shift your guide to life in the digital world. explore the latest online trends. navigate your way through the digital jungle. get a global perspective. we'll be your guide and show you what's possible. you decide what really matters to you. shift in 15 minutes on d, w a on the road with our super hero. my mission is clear. hey, anthony cole's, quarterly explorer, germany, they die them and they check everything out. there's a lot going on in their logo, but germany tried and tested with 30 minutes on d. w. ah, she makes a completed snap. swish had switched nickel shape. negative meaner fish. like unless his teeth for me as i witnessed his report. but she are still these goats at the i said that the mary, you pull a story of resilience rushes more. you crazy. one years since the invasion began we take a look back into the future. in the new building, slow brain in february on d, w, is that you still wouldn't don't solution. don't, can you mark right? you will send this to the with the th and the girls must the end of a superpower. the collapse of the soviet union rushes more in ukraine. one year since the invasion began. we take a look back and into the future. in slow rain. in february on d, w. ah, this is d w. news live from berlin, syria stretched medical resources. take on a natural disaster, a decade of war had already tested it lives, doctors and medic. now they need all the support they can get to help, quite casualty. also.