{"id":14,"date":"2016-05-01T20:12:33","date_gmt":"2016-05-01T18:12:33","guid":{"rendered":"http:\/\/theme-fusion.com\/avada_demos\/law\/?page_id=14"},"modified":"2017-01-11T16:17:19","modified_gmt":"2017-01-11T14:17:19","slug":"where-we-work","status":"publish","type":"page","link":"https:\/\/alergologtimisoara.ro\/?page_id=14","title":{"rendered":"Imunologie"},"content":{"rendered":"<p><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 hundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: #ffffff;background-position: center center;background-repeat: no-repeat;padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;margin-bottom: 0px;margin-top: 0px;border-width: 0px 0px 0px 0px;border-color:#eae9e9;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last fusion-column-no-min-height\" style=\"margin-top:0px;margin-bottom:0px;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-1\"><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><style type=\"text\/css\">.fusion-fullwidth.fusion-builder-row-1 { overflow:visible; }<\/style><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2 nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: #ffffff;background-position: left top;background-repeat: no-repeat;padding-top:10px;padding-right:10px;padding-bottom:10px;padding-left:10px;margin-bottom: 0px;margin-top: 0px;border-width: 0px 0px 0px 0px;border-color:#eae9e9;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last\" style=\"margin-top:10px;margin-bottom:10px;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;border:1px solid #e2e2e2;padding: 30px;\"><div class=\"fusion-text fusion-text-2\"><p><span class=\"fusion-dropcap dropcap dropcap-boxed\" style=\"border-radius:8px;background-color:#D3080B;color:#fff;\">I<\/span>munologia este specialitatea medical\u0103 dedicat\u0103 bolilor sistemului imunitar. Acestea, \u00een func\u021bie de modificarea r\u0103spunsului imun, sunt grupate dup\u0103 cum urmeaz\u0103:<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Boli autoimune<\/strong><\/p>\n<p>Bolile autoimune sunt afec\u021biuni cauzate de sistemul imunitar care nu mai recunoa\u0219te corect celulele propriului corp \u0219i le atac\u0103. \u00cen fiecare zi limfocitele B, celule ale sistemului imunitar, produc anticorpii care apar\u0103 organismul de microbi sau cancere. Atunci c\u00e2nd aceste limfocite nu mai recunosc organismul gazd\u0103 \u00eencep s\u0103 produc\u0103 anticorpi \u00eempotriva lui. Cauzele ce determin\u0103 acest comportament aberant nu sunt cunoscute dar exist\u0103 mai multe ipoteze: o infectie, factori genetici, stresul, oboseala, diverse substan\u021be chimice\u2026 Din experien\u021b\u0103 am observat c\u0103 pacien\u021bii cu boli autoimune cred c\u0103 au un sistem imunitar slab. Nu este deloc a\u0219a. Bolile autoimune nu sunt imunodeficien\u021be. Deocamdat\u0103 apari\u021bia bolilor autoimune nu este bine \u00een\u021beleas\u0103 \u0219i nu poate fi prevenit\u0103. Bolile autoimune se pot clasifica \u00een sistemice \u0219i de organ.<\/p>\n<p><strong>Sistemice<\/strong>, caz \u00een care sistemul imunitar poate ataca orice organ:<br \/>\n<em>Conectivitele (colagenoze)<\/em>\u00a0\u00een care sunt distruse fibrele de colagen ale \u021besutului conjuctiv. Rezultatul este afectarea diverselor organe. Exemple de conectivite : lupus eritematos sistemic (LES), sclerodermie sistemic\u0103, sindrom de Sjogren, miozita, poliartrita reumatoid\u0103.<br \/>\n<em>Vasculitele<\/em>\u00a0dup\u0103 cum le spune \u0219i numele sunt boli \u00een care avem o inflama\u021bie a vaselor. Toate tipurile de vase, de la capilare p\u00e2n\u0103 la arterele mari, pot fi afectate, \u00een func\u021bie de boal\u0103. Exemple de astfel de boli : poliangeita microscopic\u0103, granulomatoza cu poliangeit\u0103 (numita \u0219i boala Wegener), boala Takayasu, boala Horton, etc.<\/p>\n<p><strong>De organ<\/strong>, c\u00e2nd doar un organ este \u021bintit, cum sunt tiroiditele autoimune, hepatitele autoimune, bolile buloase ale pielii, diabetul zaharat de tip 1, etc<\/p>\n<p><strong>Cum se pune diagnosticul ?<\/strong><br \/>\nCa \u00een orice patologie simptomele \u0219i semnele clinice sunt foarte importante. Cum nu exist\u0103 criterii diagnostice dec\u0103t pentru boala Beh\u00e7et (pentru restul bolilor fiind doar criterii de clasificare) este foarte dificil s\u0103 se ajung\u0103 la un diagnostic, manifest\u0103rile fiind foarte variate uneori subtile. Trebuie de asemenea s\u0103 se \u021bin\u0103 cont c\u0103 manifest\u0103ri ale mai multor boli autoimune se pot \u00eent\u00e2lni la aceea\u0219i persoan\u0103. A\u0219adar nu exist\u0103 un tablou \u00abclasic\u00bb \u0219i este important s\u0103 consulta\u021bi un specialist care cunoa\u0219te aceste boli, un doctor imunolog.<\/p>\n<p>De ajutor pentru a pune diagnosticul sunt anticorpii specifici. Important de precizat c\u0103 \u00een dozarea diver\u0219ilor anticorpi pot exista erori de laborator, dependente de metoda folosit\u0103 \u2013 unele metode sunt mai sensibile \u0219i mai pu\u021bin specifice sau invers. De asemenea un diagnostic nu se pune doar pe baza prezen\u021bei anticorpilor specifici, \u00een absen\u021ba unui tablou clinic compatibil. \u00cen func\u021bie de patologia suspect\u0103 se fac \u0219i alte investiga\u021bii: examene imagistice (radiografii osoase, tomografii, RMN), biopsii.<\/p>\n<p><strong>Ce tratamente se pot utiliza ?<\/strong><br \/>\nTrebuie \u0219tiut c\u0103 bolile autoimune sunt boli cronice. Exist\u0103 tratamente care se utilizeaz\u0103 \u00een puseele de boal\u0103 \u0219i tratamente de fond care se iau pe perioade \u00eendelungate \u0219i \u021bin boala \u00een remisiune. O recidiv\u0103 a bolii nu apare brusc ci progresiv, de aceea controalele medicale regulate sunt necesare cu scopul de a preveni aceste pusee. Pe de alt\u0103 parte cu un tratament adecvat \u0219i o supraveghere medical\u0103 continu\u0103 aceste boli sunt \u021binute sub control.<br \/>\n\u00cen func\u021bie de boal\u0103 exist\u0103 tratamente simptomatice (antiinflamatoarii, lacrimi artificiale, etc), tratamente substitutive (insulin\u0103) sau tratamente specifice cum sunt imunosupresoarele. De precizat c\u0103 multe din medicamentele imunosupresoare utilizate \u00een bolile autoimune se utilizeaz\u0103 \u0219i \u00een tratamentul cancerelor. Este unul din aspectele care sperie pacientul, \u00eens\u0103 dozele utilizate pentru bolile autoimune sunt mult mai mici. Asta nu exclude \u00eens\u0103 importan\u021ba unei supravegheri atente a bolnavului ce urmeaz\u0103 astfel de tratamente.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Boli auto-inflamatorii<\/strong><\/p>\n<p>Bolile auto-inflamatorii sunt afec\u021biuni \u00een care nu avem anticorpi specifici dar care se manifest\u0103 printr-o inflama\u021bie \u00een tot corpul. Aceast\u0103 inflama\u021bie se datoreaz\u0103 atac\u0103rii diverselor organe direct de c\u0103tre celule sistemului imunitar. Exemple de astfel de boli: boala Still, boala Beh\u00e7et, febra mediteraneean\u0103 familial\u0103, etc.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Imunodeficien\u021be<\/strong><\/p>\n<p>Imunodeficien\u021bele\u00a0sunt boli \u00een care sistemul imunitar este incapabil s\u0103 asigure ap\u0103area normal\u0103 a organismului fie pentru c\u0103 globulele albe \u0219i anticorpii sunt \u00een num\u0103r prea mic, fie pentru c\u0103 exist\u0103 disfunc\u021bionalit\u0103ti ale acestora. Cauzele pot fi: medicamentoase (imunosupresoare, corticoizi), congenitale, malnuti\u021bia, infec\u021bioase.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Alergii<\/strong><\/p>\n<p>Alergiile sunt tot afec\u021biuni ale sistemului imunitar \u00een care acesta reac\u021bioneaz\u0103 exagerat \u00eempotriva unor factori de mediu anodini.<\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"open","ping_status":"open","template":"","meta":{"footnotes":""},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Imunologie - Alergologie - Imunologie clinica | Dr. Magdalena Posa<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/alergologtimisoara.ro\/?page_id=14\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Imunologie - 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