کووید-۱۹ یا آلرژی فصلی؛ علائم چه میگویند؟
با پیشروی بهار و افزایش تعداد گردهها، افراد بیشتری از خود میپرسند که آیا گرفتگی بینی آنها نشانه کووید است یا آلرژی؟. آرون گلات، پزشک بیماریهای عفونی و سخنگوی انجمن بیماریهای عفونی آمریکا گفت: تمیز دادن آنها تقریبا غیرممکن است. هر گونه کووید-۱۹ علائم متفاوتی دارد. احمد صداقت، متخصص گوش و حلق و بینی، مدیر […]
با پیشروی بهار و افزایش تعداد گردهها، افراد بیشتری از خود میپرسند که آیا گرفتگی بینی آنها نشانه کووید است یا آلرژی؟.
آرون گلات، پزشک بیماریهای عفونی و سخنگوی انجمن بیماریهای عفونی آمریکا گفت: تمیز دادن آنها تقریبا غیرممکن است.
هر گونه کووید-۱۹ علائم متفاوتی دارد. احمد صداقت، متخصص گوش و حلق و بینی، مدیر بخش راینولوژی، آلرژی و جراحی قاعده جمجمه کالج پزشکی دانشگاه سینسیناتی میگوید: نوع امیکرون بیشتر از سایرین، بیشتر علائم دستگاه تنفسی فوقانی مانند احتقان بینی، آبریزش بینی و گلو درد را دارد.
به گفته مرکز کنترل و پیشگیری از بیماریهای آمریکا، همه این اثرات همزمان با علائم آلرژی و همچنین عطسه، سرفه، سردرد و خستگی است.
انجام آزمایش کرونا کارآمدترین راه برای اطمینان از این موضوع است، اما ممکن است روزها طول بکشد تا بعد از بروز علائم مثبت شود. با این حال چند ویژگی وجود دارد که ممکن است به تمایز بین کووید و آلرژی کمک کند.
جانا تاک، متخصص آلرژی، سخنگوی کالج آمریکایی آلرژی، آسم و ایمونولوژی گفت: «احتمالا یکی از علائمی که تقریبا آلرژی را رد میکند تب باشد. اگرچه رینیت آلرژیک معمولا به عنوان «تب یونجه» شناخته میشود، اما افزایش دما نشانهای مرتبط با آلرژی نیست. اگر کسی تب دارد، میتوانید تقریبا تضمین کنید که او یک بیماری ویروسی دارد».
یکی دیگر از علائمی که به کووید اشاره دارد، از دست دادن شدید بویایی یا آنوسمی است. صداقت گفت: «وقتی از دست دادن بویایی در شرایط کووید-۱۹ رخ میدهد، در اکثریت قریب به اتفاق موارد، ناگهانی و عمیق است، آلرژی همچنین ممکن است باعث کاهش حس بویایی شود، زیرا احتقان بینی میتواند از رسیدن مولکولهای بویایی به بالای بینی، جایی که گیرندههای بویایی و اعصاب هستند، جلوگیری کند. در این حالت بر خلاف آنوسمی شدید مشاهده شده در بسیاری از بیماران مبتلا به کووید، اغلب از دست دادن بوی نسبی است.
صداقت وضعیتی به نام رینوسینوزیت مزمن را مطالعه میکند که با تغییر حس بویایی نیز همراه است و تیم او یکی از اولین کسانی بود که شدت مشکلات بویایی را در بیماران کووید توصیف کرد، اما او خاطرنشان میکند که این علامت در میان عفونتهای امیکرون نسبتا نادر است. در مطالعهای که اخیرا در انجمن بینالمللی آلرژی و راینولوژی منتشر شده است، حدود ۲۵ درصد از بیماران مبتلا به کووید در اوایل سال جاری تغییر حس بویایی را گزارش کردند، زمانی که امیکرون نوع غالب بود، در مقایسه با تقریبا ۶۳ درصد از بیمارانی که این کار را در اوایل سال جاری انجام دادند.
به گفته گلات، چشمهای پر از اشک و پلکهای پفکرده که معمولا در کووید دیده نمیشوند نیز به آلرژی اشاره میکنند، با این حال کووید میتواند باعث مشکلات چشمی مانند ورم ملتحمه شود. طول مدت علائم نیز ممکن است نشاندهنده باشد. صداقت خاطرنشان میکند در حالی که علائم خفیف کووید معمولا ظرف چند هفته از بین میرود، آلرژیها میتوانند بیشتر طول بکشند.
بدن خود را بشناسید
پزشکان میگویند توجه به سابقه پزشکی فردی شما ممکن است به تشخیص آلرژی از کووید کمک کند. تاک میگوید: «بیشتر اوقات، برای بزرگسالانی که سابقه آلرژی فصلی دارند، میدانند که هر بهار همان علائم را خواهند داشت. اگر توجه کرده باشند، میدانند که آیا علائمی که تجربه میکنند به احتمال زیاد آلرژی فصلی آنهاست یا کووید.
زمینه نیز مهم است؛ صداقت میگوید: «اگر فردی بلافاصله پس از انجام کار در حیاط یا تمیز کردن اتاق غبارآلود یا حتی نشستن در حیاط خلوت خود در یک روز تازه گرم دچار علائم شود، این میتواند نشانه قویتری از آلرژی باشد؛ اما اگر علائم بعد از یک اجتماع در داخل خانه که در آن به طور بالقوه در معرض فردی بیمار بودید، شروع شود، احتمال کووید بیشتر است.
اگر هنوز مشخص نباشد چطور؟
اگر علائم آنقدر غیراختصاصی هستند که نمیتوان یک حدس آگاهانه انجام داد، پزشکان اکیدا توصیه میکنند که آزمایش کووید را انجام دهید. در حال حاضر به راحتی برای افرا امکان انجام آزمایش وجود دارد. اگر فردی نگران است، باید آزمایش کووید را انجام دهد. اگر نتیجه آزمایش سریع منفی بود و علائم همچنان ادامه داشت، ممکن است بخواهید یک یا دو روز دیگر آزمایش را دوباره در نظر بگیرید. ممکن است در مراحل اولیه بیماری باشد که ویروس قابل تشخیص نباشد.
طبق CDC، صرف نظر از اینکه علائم آلرژی دارید، اگر میدانید با فردی مبتلا به کووید تماس نزدیک داشتهاید، باید حداقل پنج روز پس از قرار گرفتن در معرض آن آزمایش دهید، حتی اگر آلرژی فصلی دارید، به این معنی نیست که نمیتوانید به کووید مبتلا شوید. تاک اضافه میکند این توصیه به ویژه برای بزرگسالانی که به صورت حضوری کار میکنند و کودکانی که به مدرسه میروند بسیار مهم است.
فرآیند تصمیم گیری در مورد اینکه آیا باید قرنطینه شوید، پیچیدهتر است. این باید به صورت موردی انجام شود، بسته به عوامل بسیاری از جمله وضعیت واکسیناسیون شما، اینکه آیا در سه ماه گذشته مبتلا به کووید بودهاید و آیا اخیرا در معرض یک فرد بیمار قرار گرفتهاید یا خیر. CDC یک ماشین حساب قرنطینه و ایزوله دارد که میتواند به شما در تصمیم گیری کمک کند.
تعامل بین آلرژی و کووید
در اوایل همهگیری، متخصصان آلرژی، بر اساس تجربه خود با آنفولانزا، نگران بودند که بیماران مبتلا به آسم آلرژیک در معرض خطر بیشتری برای ابتلا به کووید شدید باشند، اما معلوم شد که اینطور نیست. تاک میگوید: «این بیماران با کووید عملکرد ضعیفی نداشتند، آنها در واقع بهتر از آنچه ما انتظار داشتیم عمل کردند».
نتایج یک مطالعه نشان داد افراد مبتلا به آسم آلرژیک ممکن است در معرض خطر کمتری برای ابتلا به عفونت کووید باشند، در مقایسه با افرادی که این بیماری را ندارند. شواهد اخیر نیز نشان میدهد افرادی که دپار التهاب آلرژیک میشوند، ممکن است خطر کمتری برای ایجاد نوع التهاب غیر آلرژیک مرتبط با کووید شدید داشته باشند. در برخی مطالعات بیمارانی که تمایل به التهاب آلرژیک دارند سطوح پایینتری از گیرنده ویروسی که باعث کووید-۱۹ میشود، دارند.
خوشبختانه، استفاده از ماسک به محافظت در برابر کووید و آلرژیهای فصلی کمک میکند. ذرات گرده نسبتا بزرگ هستند و ماسکها به طور موثری آنها را از بینی و دهان دور میکنند.
منبع: scientificamerican
منبع: www.yjc.ir
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