why this time of the exiled turkish journalist meets svetlana itsyana, sky exiled leader of the opposition and bella, ruth, i mean, of course i'm tired. i'm tired, physically untied. morally, it's too much on my shoulders, but i have to hold this way because i'm responsible for the future fall country for the people who are behind the boss. guardians of truth starts february 18th on d. w. i sprang flowers, pets, eggs, all seemingly harmless. but if you suffer from allergies, they can make life miserable. what are the causes? why are more and more people developing them?

how can they be prevented? everything you need to know about allergies coming up on in good shape? ah, ah. and i like he is in gwinnett allergy is basically just a small malfunction in an otherwise excellent immune system. it's a force and think of it like the police accidentally releasing the wrong wanted poster hyphen hows can keep professor tossed and super beer is one of the world's leading experts in allergy research. in 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 lurking mattresses. animal can also trigger the body's allergic response.

here's what happens. the immune system detect something that's actually harmless, like cat for as a danger. it launches a series of responses to get rid of the thread 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

worldwide 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 you own. and the main one in northern regions built as pollen from birch trees like ha, in north america. it's ragweed, ambrosia, poland, wheat, and pause, the appointed, and, and in south america. it's dust mites are mould, let sauna, or depending on the claim its own grasp. poland, hub, hell 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. i'll see as he moved his 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 us to other pollutants, could trigger an immune response. that's her dust mites. i can end up as targets for our immune system. bizarre to host up ma'am. 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 one not unkindness need smoking during pregnancy should be avoided. definitely 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. i, we know know the opposite is true. you children should have as varied a diet as possible from the beginning and neon fall alpha. what else can allergy sufferers do? city dwellers should only open their windows between 6 and 8

a. m. and then keep them shut. take off and stored dirty clothes in the bathroom, take a shower and see a doctor. affordable allergy. medicines and treatments are widely available. allocate that, that oft, unfortunately. allergies are often please don't miss him. i often hear someone say it's just as sneezing under runny nose. no big deal, filthy, but a child with an untreated rhinitis is 40 percent more likely that to see their grades 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 cadden 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 the now figuring out how these findings can be used to help protect city kids too. deep is johan, 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 underly. 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. 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 realize what she's doing?

my immune system really needs a lot of input. so i hope she doesn't back. he went to law jones on 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 with 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 mammals. milk is my favorite, but when it comes to avoiding allergies,

so 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. someone turned 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 marginal 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. i'm

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 liter ah, please. k. fortunately, 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 analogies, but 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 foods that have to be chewed. well, like whole grain, zoer crowds and nuts. they keep your jaw and you got busy. and that's a good thing. the news training for allergy prevention is fresh roll neck and not just put 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. impact of intestinal bacteria on the development of allergies are still being researched by

grown up. lou palin, animal fair, antique 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 nuts, including anything that contains them. proteins and milk, and grains, and also insect of n. m. bites and stings can cause very serious reactions. but there are other rare allergies. the paper ology can cause rashes and breathing difficulties. anyone with an alcohol allergy needs to avoid mouthwash and certain cleaning products. sperm allergy symptoms include itching and a burning sensation and then there's nero dermatitis, which is also called a topic x, the mom. it's a skin condition characterized by chronic eating or scaling. it often goes hand in

hand with allergies. so it's important that it's properly treated. cambered in an emergency doctor centers here because sorry, back the whole of his skin was completely infected and he had open wiping words. it wasn't just separate patches from dale 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 wake stop. death 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's, we'll go, what's happening here? magazine panata, vice puda food of this is a great example of the importance of interdisciplinary work, di,

what was initially a skin problem that ended up causing a long list of pediatric, su, sign festival. none to help 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 has probably by little vazo by the problem with ribbon, was that as soon as he ate anything, he started to ruling classes. 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 your kids went to sleep. and so he didn't want to eat anything. and that's 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 rubin had to come back just a few weeks later. his condom in effect meant even, it's my. i couldn't go shopping with him on my own or driving to town with him in the car to fun. when i was sitting in the car sate in the back,

he'd scratch his skin so badly that it was hard for me to concentrate on driving. and of course that made his skin so much worse, had phone calls in the end, we realised he needed to be traded. we caught his own limits and not just caught his own crane, which is a fairly common treatment to new our demo titus. he needed systemic called his own therapy taken as lakewood caught his wounds 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 scratching. reuben's doctors hoped that systemic steward therapy would interrupt this vicious circle that won't allow the help light his skin did improve somewhat down the sink, a guess no good. he started eating and drinking a bit nothing, but he still had flirts when it became worse again. and i 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 rusty can of him come on calendar i 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 hour you center team had to reconsider. last couldn't been of better math. we thought about other kinds of interdisciplinary approaches. on dom we're there, other possibilities team and then the team, disgusted by a logic treatment as a possible alternative. i don't not even 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. i was like it's augustine before we started this therapy. reuben, at spend a good part of his young life in the hospital, in cochran, also buffed out to be. he's another sphere since doughty, it's not that he hasn't been in the hospital at all. i need you to stop to nacken

muster as nonsense kent. it's like he's a totally different child and fun. all the side effects at the court found 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 it, but he carved really well and he was always in achieve full married effect. he made all the nurses and on the staff. 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 one form of treatment can get rid of an entity entire me. these days relief for allergies. symptoms can be quick and easy. antihistamines help 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 work throughout the body. whereas nasal spray and eyedrops target the symptoms locally.

one of the chief site effects of antihistamines is drowsiness. so with the main symptom is just the runny nose, it's best to stick to a cortisone spray, which reduces inflammation in the nasal passage ways. but while anti allergy medications helped relieve symptoms, they don't treat causes often, symptoms wash over time. that's why experts recommend starting immunotherapy, also known as hypo desensitization therapy as early as possible. this is the only way an allergy can be cured. the idea is to slowly accustomed the immune system to the allergy and the triggered the patient gets regular small doses of the allergen . usually pleasant injection, at 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 my relatively few allergy sufferers are willing to do it. ah, but these days immunotherapy, that's 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 hay fever, react badly to pollen dust mites or mold they sneeze the loss and had runny nose after months. oh yes, this kind of allergy can spread from the upper to the level respiratory tract. meaning from the nurse to the lungs. the patient can then develop allergic asthma, chronic inflammation of the brownfield 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 asthma attack where you turn blue or anything like that. oh. and i just

always felt that my breathing was under pressure being as if something were on top of my lungs, lose them. and i had to use a lot of energy to take a breath, loft, and puts it to will come to day. it took 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 with copying, shortness of breath and respiratory distress. for a long time, his doctors focused on treating the asthma symptoms to prevent them from getting even worse, all life threatening. but that approach is outdated, says mark low, 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 as lowered 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 normal as liver dirt perma 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. the position is intercepted yes. as soon as the cal and i'll, it's a really good outcomes. the fact, clinically speaking and in terms of how good he feels and he doesn't need credits on any more with all its potential side effects. chinese malcolm derb 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 course, his own in spray or tablet phone high, but he still felt unwell almost every day. dusting the tween molest when the mean there were always side effects. oh, i didn't feel good. my hands shook and i felt jittery from the high doses of cortisone poly salish monitors or in spite of that, i still didn't feel any better thoughts in woodson, beth out, one of the active to day doctors know that long term therapy with quarters on pills, often does more harm than good, but corticosteroid in hellas are still part of mainstream therapy, and helps 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 is ogden . aha! nowadays you 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. they've been in hospital so in so many times and what and their mother had to she still d 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 with votes 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 was pushed. mm hm. far far i can play football, right? a bicycle so didn't who jogging so much more just like regular people. i usually 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. and so good on this good i am now renewed, said 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 for 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. 6 the arms are always straight.

i recommend 15 repetition. 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. ah ah have fun with that and see you next time i'm in good shape by ah, with

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