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Living
with
Primary
Immune Deficiency
Be
your own advocate. Care for PI varies by center—for
instance, some centers require chest x-rays every six months,
others just treat as needed for specific infections. That's why
you are your own best advocate: just ask about any changes in
care that results from a change in centers or doctors, and make
sure you receive what you need.
Say 'no' to alcohol. As you're probably aware,
blood work is done to monitor your liver function while on IVIG
therapy. Because liver function is changed while consuming alcohol,
you might be putting yourself at greater risk overall. The best
solution: abstain from alcohol.1
Thumbs down on smoking too. Patients with immune
problems have a greater risk for lung damage over a period of
time. When you have problems with infections in your nose, sinuses,
lungs, or frequent pneumonias, your lungs may have chronic or
long-term changes from the bacteria, or viruses causing the damage.
Smoking puts you at greater risk for more problems as you get
older. IVIG therapy does not really protect you from this, but
just helps you fight a little harder. So help yourself out: don't
light up.1
Keep a health diary. Write down and report to
your doctor every illness, minor and major, you experience. The
frequency of these illnesses can influence the therapy prescribed
by your physician. The goal of any care is to reduce the frequency
of infections, prevent complications and prevent an acute infection
from becoming a chronic one.1
Counter measures.2 The common cough
and cold can be frequent, unwelcome visitors to those with immune
deficiency. Following are some over-the-counter medications that
help treat the symptoms. Use only if necessary, and of course,
check with your physicians before starting any course of treatment.
- Stuffy nose: decongestants help you breathe
more easily.
- Runny nose: antihistamines help dry it up.
- Allergies: the antihistamine diphenhydramine
helps to relieve rash, watery eyes, runny nose and other allergy
symptoms.
- Coughs: expectorants help to clear the lungs
and lower airway of dust, bacteria, and other foreign particles.
1.IDF National Conference 2003
2 IDF Patient/Family Handbook, p. 69-74
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