{"id":34557,"date":"2024-11-26T16:48:11","date_gmt":"2024-11-26T16:48:11","guid":{"rendered":"https:\/\/bnssghealthiertogether.org.uk\/?page_id=34557"},"modified":"2025-01-16T22:47:20","modified_gmt":"2025-01-16T22:47:20","slug":"trial-of-ige-tests-for-eczema-relief-tiger","status":"publish","type":"page","link":"https:\/\/bnssghealthiertogether.org.uk\/sq\/integrated-care-board\/research-and-evidence\/our-research-portfolio\/nihr-funded-projects\/trial-of-ige-tests-for-eczema-relief-tiger\/","title":{"rendered":"Prova e testeve IGe p\u00ebr leht\u00ebsimin e ekzem\u00ebs (TIGER)."},"content":{"rendered":"
Seksioni me titull module-1<\/span><\/a>
\r\n
\r\n

Prova e testeve IGe p\u00ebr leht\u00ebsimin e ekzem\u00ebs (TIGER).<\/h1>\n

 <\/p>\n

Financimi: <\/strong><\/h2>\n

Instituti Komb\u00ebtar p\u00ebr K\u00ebrkime n\u00eb Sh\u00ebndet\u00ebsi dhe Kujdes (NIHR), Vler\u00ebsimi i Teknologjis\u00eb Sh\u00ebndet\u00ebsore (HTA) Ref. NIHR133464.<\/p>\n

Cila \u00ebsht\u00eb pyetja k\u00ebrkimore?<\/strong><\/h2>\n

A p\u00ebrmir\u00ebson k\u00ebshilla dietike, t\u00eb bazuara n\u00eb teste rutin\u00eb p\u00ebr alergjit\u00eb ushqimore, kontrollin e s\u00ebmundjes krahasuar me kujdesin e zakonsh\u00ebm te f\u00ebmij\u00ebt me ekzem\u00eb?<\/p>\n

Cili \u00ebsht\u00eb problemi?<\/strong><\/h2>\n

Ekzema \u00ebsht\u00eb nj\u00eb gjendje e zakonshme afatgjat\u00eb q\u00eb prek 20% t\u00eb f\u00ebmij\u00ebve dhe, megjith\u00ebse kuptimi yn\u00eb p\u00ebr k\u00ebt\u00eb gjendje \u00ebsht\u00eb p\u00ebrmir\u00ebsuar, strategjit\u00eb premtuese t\u00eb parandalimit kan\u00eb zhg\u00ebnjyer.<\/p>\n

N\u00eb Studimin Global t\u00eb Ngarkes\u00ebs s\u00eb S\u00ebmundjeve t\u00eb vitit 2013, ekcema ishte s\u00ebmundja e l\u00ebkur\u00ebs me shkall\u00ebn m\u00eb t\u00eb lart\u00eb t\u00eb paaft\u00ebsis\u00eb n\u00eb nivel popullsie. Ndikimi shihet te f\u00ebmij\u00ebt parashkollor\u00eb, me nj\u00eb ndikim t\u00eb konsideruesh\u00ebm n\u00eb funksionimin fizik, emocional dhe social t\u00eb f\u00ebmij\u00ebs s\u00eb prekur dhe familjes s\u00eb tij.<\/p>\n

N\u00eb Mbret\u00ebrin\u00eb e Bashkuar, shumica e f\u00ebmij\u00ebve me ekzem\u00eb trajtohen me p\u00ebrdorim t\u00eb p\u00ebrditsh\u00ebm t\u00eb trajtimeve topike. T\u00eb ndjek\u00ebsh trajtimin mund t\u00eb jet\u00eb e v\u00ebshtir\u00eb, pasi shum\u00eb prind\u00ebr k\u00ebrkojn\u00eb nj\u00eb \u201cshkak\u201d n\u00eb vend q\u00eb t\u00eb kontrollojn\u00eb s\u00ebmundjen.<\/p>\n

Shum\u00eb prind\u00ebr shqet\u00ebsohen se nj\u00eb alergji ushqimore e pandiagnostikuar mund t\u00eb jet\u00eb shkaku i simptomave t\u00eb vazhdueshme t\u00eb ekzem\u00ebs tek f\u00ebmija i tyre. F\u00ebmij\u00ebt me ekzem\u00eb t\u00eb hershme dhe t\u00eb r\u00ebnd\u00eb jan\u00eb n\u00eb rrezik m\u00eb t\u00eb lart\u00eb p\u00ebr alergji ushqimore t\u00eb menj\u00ebhershme.<\/p>\n

Nd\u00ebrsa alarmuese, ky lloj reagimi zakonisht \u00ebsht\u00eb i leht\u00eb p\u00ebr t'u njohur dhe mund t\u00eb menaxhohet me udh\u00ebzime t\u00eb qarta p\u00ebr t\u00eb shmangur ushqimin shkaktar. Megjithat\u00eb, shum\u00eb prind\u00ebr shqet\u00ebsohen p\u00ebr reagimet e mundshme t\u00eb vonuara. Kjo e b\u00ebn m\u00eb t\u00eb v\u00ebshtir\u00eb, pasi ekcema mund t\u00eb duket se po p\u00ebrmir\u00ebsohet, por m\u00eb pas t\u00eb rikthehet, duke e v\u00ebshtir\u00ebsuar p\u00ebrcaktimin e shkakut.<\/p>\n

\u00cbsht\u00eb e zakonshme q\u00eb prind\u00ebrit t\u00eb kufizojn\u00eb diet\u00ebn e f\u00ebmij\u00ebs s\u00eb prekur pa diskutuar me nj\u00eb profesionist sh\u00ebndet\u00ebsor. Ky \u00ebsht\u00eb nj\u00eb vendim potencialisht i rreziksh\u00ebm q\u00eb mund t\u00eb \u00e7oj\u00eb n\u00eb kequshqyerje.<\/p>\n

Prind\u00ebrit q\u00eb diskutojn\u00eb rolin e diet\u00ebs n\u00eb ekzem\u00eb me mjekun e tyre shpesh pyesin p\u00ebr testimin e alergjis\u00eb p\u00ebr t\u00eb udh\u00ebhequr p\u00ebrjashtimet dietike. N\u00eb k\u00ebt\u00eb situat\u00eb, provat p\u00ebr udh\u00ebheqjen e testimit t\u00eb alergjis\u00eb ushqimore jan\u00eb t\u00eb dob\u00ebta, dhe mendimet mbi vler\u00ebn e tij jan\u00eb t\u00eb ndara, gj\u00eb q\u00eb \u00e7on n\u00eb ndryshime n\u00eb praktik\u00ebn klinike dhe konfuzion p\u00ebr prind\u00ebrit.<\/p>\n

N\u00eb thelb, prind\u00ebrit shpesh k\u00ebrkojn\u00eb teste p\u00ebr alergjit\u00eb ushqimore ose dieta t\u00eb kufizuara p\u00ebr t\u00eb gjetur nj\u00eb shkak t\u00eb ekzem\u00ebs s\u00eb f\u00ebmij\u00ebs s\u00eb tyre, megjithat\u00eb vlera e k\u00ebshillave dietike t\u00eb udh\u00ebhequra nga testet \u00ebsht\u00eb e pasigurt.<\/p>\n

Cili \u00ebsht\u00eb q\u00ebllimi i hulumtimit?<\/strong><\/h2>\n

P\u00ebr t\u00eb p\u00ebrcaktuar efektivitetin klinik dhe kosto-efektivitetin e k\u00ebshillave dietike t\u00eb udh\u00ebhequra nga testet krahasuar me kujdesin e zakonsh\u00ebm, p\u00ebr menaxhimin e ekzem\u00ebs.<\/p>\n

Si do t\u00eb arrihet kjo?<\/strong><\/h2>\n

Nj\u00eb prov\u00eb e m\u00ebparshme sugjeroi se foshnjat me ekzem\u00eb q\u00eb kishin test alergjie pozitiv p\u00ebr vez\u00eb p\u00ebrfitonin nga nj\u00eb diet\u00eb pa vez\u00eb, por nevojitet nj\u00eb studim m\u00eb i mir\u00eb i dizajnuar.<\/p>\n

Ne kemi treguar se \u00ebsht\u00eb e mundur t\u00eb zhvillohet nj\u00eb prov\u00eb n\u00eb kujdesin par\u00ebsor p\u00ebr t'u p\u00ebrgjigjur pyetjes \u201cA p\u00ebrmir\u00ebson k\u00ebshilla dietike, bazuar n\u00eb testet e alergjis\u00eb ushqimore, kontrollin e s\u00ebmundjes te f\u00ebmij\u00ebt me ekzem\u00eb?\u201d<\/p>\n

Ne do t\u00eb rekrutojm\u00eb 493 f\u00ebmij\u00eb n\u00ebn mosh\u00ebn 2 vje\u00e7 me ekzem\u00eb nga 84 kabinete mjek\u00ebsh t\u00eb p\u00ebrgjithsh\u00ebm n\u00eb tre zona t\u00eb Anglis\u00eb. Ata do t\u00eb randomizohen n\u00eb dy grupe: \u201ckujdes i zakonsh\u00ebm\u201d dhe nd\u00ebrhyrje, t\u00eb cil\u00ebt do t'u n\u00ebnshtrohen testeve me pickim t\u00eb l\u00ebkur\u00ebs p\u00ebr kat\u00ebr ushqime q\u00eb zakonisht shkaktojn\u00eb alergji: qum\u00ebshti, veza, gruri dhe soia.<\/p>\n

N\u00eb var\u00ebsi t\u00eb asaj q\u00eb tregojn\u00eb testet, prind\u00ebrve do t'u k\u00ebshillohet t\u00eb p\u00ebrjashtojn\u00eb ose t\u00eb p\u00ebrfshijn\u00eb nj\u00eb ose m\u00eb shum\u00eb ushqime p\u00ebr nj\u00eb muaj. F\u00ebmij\u00ebt me rezultate t\u00eb paqarta do t\u00eb v\u00ebzhgohen duke ngr\u00ebn\u00eb ushqimin n\u00eb klinik\u00ebn lokale t\u00eb alergjive.<\/p>\n

Rezultati yn\u00eb kryesor \u00ebsht\u00eb kontrolli i ekzem\u00ebs, i raportuar nga prind\u00ebrit. Do t'u k\u00ebrkojm\u00eb prind\u00ebrve t\u00eb plot\u00ebsojn\u00eb pyet\u00ebsor\u00eb \u00e7do muaj p\u00ebr nj\u00eb vit. Do t\u00eb vler\u00ebsojm\u00eb l\u00ebkur\u00ebn e f\u00ebmij\u00ebve n\u00eb fillim dhe n\u00eb fund t\u00eb periudh\u00ebs kryesore t\u00eb rezultatit (6 muaj). Gjithashtu do t\u00eb masim cil\u00ebsin\u00eb e jet\u00ebs s\u00eb f\u00ebmij\u00ebve, larmishm\u00ebrin\u00eb e diet\u00ebs dhe rritjen.<\/p>\n

P\u00ebr t\u00eb vler\u00ebsuar raportin \u00e7mim-cil\u00ebsi, ne do t\u00eb mbledhim kostot e sh\u00ebndetit dhe t\u00eb kujdesit. Gjithashtu, \u00ebsht\u00eb nj\u00eb mund\u00ebsi unike p\u00ebr t\u00eb k\u00ebrkuar faktor\u00eb gjenetik\u00eb t\u00eb rrezikut duke mbledhur mostra p\u00ebshtyme.<\/p>\n

B\u00ebrja e ndryshimeve n\u00eb dietat e f\u00ebmij\u00ebve bazuar n\u00eb rezultatet e testeve \u00ebsht\u00eb komplekse, prandaj ne do t\u00eb kryejm\u00eb nj\u00eb \u201cvler\u00ebsim t\u00eb procesit\u201d p\u00ebr t\u00eb vler\u00ebsuar se si funksionojn\u00eb gj\u00ebrat. Kjo do t\u00eb p\u00ebrfshij\u00eb v\u00ebzhgimin e k\u00ebrkimit n\u00eb veprim dhe bisedat me disa pjes\u00ebmarr\u00ebs.<\/p>\n

Kush po e udh\u00ebheq hulumtimin?<\/h2>\n

Profesor Matthew Ridd<\/a>, Profesor i Kujdesit Par\u00ebsor Sh\u00ebndet\u00ebsor, Universiteti i Bristolit.<\/p>\n

Informacione t\u00eb m\u00ebtejshme:<\/h2>\n

P\u00ebr m\u00eb shum\u00eb informacion ose p\u00ebr t'u p\u00ebrfshir\u00eb n\u00eb k\u00ebt\u00eb projekt, d\u00ebrgoni email bnssg.research@nhs.net<\/a>.<\/p>\n

Pik\u00ebpamjet e shprehura jan\u00eb ato t\u00eb autorit\/autor\u00ebve dhe jo domosdoshm\u00ebrisht ato t\u00eb NIHR ose t\u00eb Departamentit t\u00eb Sh\u00ebndet\u00ebsis\u00eb dhe Kujdesit Social.<\/p>\n <\/div>\r\n <\/section><\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"

Section titled module-1 Trial of IGe tests for Eczema Relief (TIGER).   Funding: National Institute for Health and Care Research (NIHR), Health Technology Assessment (HTA) Ref. NIHR133464. What is the research question? Does dietary advice based on routine food allergy tests improve disease control compared with usual care in children with eczema? What is the […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":32881,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"tags":[],"class_list":["post-34557","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/pages\/34557","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/comments?post=34557"}],"version-history":[{"count":3,"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/pages\/34557\/revisions"}],"predecessor-version":[{"id":36182,"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/pages\/34557\/revisions\/36182"}],"up":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/pages\/32881"}],"wp:attachment":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/media?parent=34557"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/tags?post=34557"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}