Oskrzelowy test prowokacyjny z mannitolem – czy ma szanse stać się głównym narzędziem oceny reaktywności oskrzeli?
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Abstrakt
Nadreaktywność oskrzeli jest nieodłączną, ale nieswoistą cechą astmy. Można ją wykazać za pomocą oskrzelowych testów prowokacyjnych. Dotychczas opisano kilkanaście różnych odmian tych testów. Testy z metacholiną i wysiłkiem zostały uznane przez ATS, GINA i BTS za standardowe narzędzia do wykrywania nadreaktywności oskrzeli. Do ich przeprowadzenia konieczna jest specjalistyczna aparatura. Ostatnio popularyzuje się test prowokacyjny z mannitolem w proszku. Opublikowane prace pokazują dużą zgodność wyników w porównaniu z testem z metacholiną. Komercyjne zestawy przygotowane do testu z mannitolem pozwalają na jego przeprowadzenie w każdym ośrodku poprawnie wykonującym spirometrię. Niestety, na razie nie są one dostępne na polskim rynku.
Pobrania
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Copyright: © Medical Education sp. z o.o. This is an Open Access article distributed under the terms of the Attribution-NonCommercial 4.0 International (CC BY-NC 4.0). License (https://creativecommons.org/licenses/by-nc/4.0/), allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license.
Address reprint requests to: Medical Education, Marcin Kuźma (marcin.kuzma@mededu.pl)
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