Insecticide allergies

What is an "insecticide allergy"?

Many people are afraid of an insect sting because it is usually a painful experience. These allergically react to insecticides, a stitch can become a very serious, physical problem for some but. Nowadays approx. 1.5 million suffers people at an insecticide allergy in Germany, men are concerned more frequently than women. As a rule, an insecticide allergy is triggered by wasps, bees or hornet stitches in our margins. During the sharp pain bees and wasps hand in their poison by the stitch canal into the skin of the victim. A red around the puncture place develops this one himself goes back after a couple of days again, itching, burning wheal. This wheal formation appears with every man and is the normal defense reaction of the body on the stitch. With some people this one it comes, however, to the so-called sensitization of the immune system of the clear at the first stitch by the insect and stitch or allergen contact causes at the next one the stitch substance then by brought in on the blood way an allergic reaction. The body reacts with intense symptoms like tumescences into face and neck, red skin and possible dyspnea and circulatory collapse. These reactions usually use seconds after the stitch until minutes. A physician then should be gone to in every case because in the extreme case it can come to an anaphylactic shock!

Even if a man was already once stung by a bee or wasp and hasn't shown any allergic reaction this can malreaction the organism at a renewed stitch as an expression of one appear.

Respect: Are normal reactions to an insect sting pain and tumescence also over two days and have nothing with a possible allergic reaction work! The suspicion insists only at a tumescence of a diameter over 5 cm or a general reaction of the body which doesn't happen into stitch proximity on allergic hypersensitivity! It also can to heavy clinical pictures come at a large number of stitches or a stitch in the area of the upper respiratory systems by swellings. These have to be distinguished by the "real" allergy, though.

Trigger of insecticide allergies

As main triggers of insecticide allergies the honeybee and the bumble-bee related to it as well as species of the family of the fold wasps of importance is primarily, to besides also the wasp the hornet these belong. By bumble-bee and hornet only rarely allergic reactions are triggered, though.

The wasp is approx. 1.5 cm for a long time and strikingly black and yellow striate. It shows a distinctive "wasp waist" and isn't hairy. It happens heaped within the months of the fruit hoarfrosts, July until September. The spine usually doesn't get stuck after the stitch. This isn't a sure criterion, though, to distinguish wasp stings of bee stings.

The bee is approx. 1.5 cm long and hairy. The abdomen is brownish and less striking and striate. The bee carries pollen cushions at the hind legs and flies May mainly in the months until August. After the stitch the spine usually gets stuck. The bee is less aggressive than the wasp. The bumble-bee is more greatly and in addition more strongly hairy with approx. 2 cm of length than the bee. It is aggressive little and stings rarely.

The hornet is black yellowly but with 3 cm fundamentally bigger than the wasp like the wasp.

Which symptoms are there?

  • Strong tumescences round the puncture place as well as in the face and at the neck
  • Strong reddened skin
  • Dyspnea up to asthma attacks (amount like, heavy dyspnea with narrowing of the respiratory systems)
  • possible circulatory collapse up to the anaphylactic shock

Diagnosis position

  • With the symptoms which the patient describes (anamnesis), i.e. where and when the roubles appear. In addition, will your physician ask you some questions also, e.g. whether the spine has got stuck, the stitch was carried out to which season or whether you were stung by flowers or waste baskets nearby. He will himself developed ask you still how much time lay between the stitch and the reaction and whether you had this frequent already, which troubles.
  • Skin tests
  • Antibody detection from a blood test

Tips for insecticide people suffering from an allergy

  • Consume no food or sweet drinks in the open.
  • Caution when picking fruit or flowers!
  • Don't stay in the open in the area of blossoming flowers, ripe windfall or waste baskets.
  • Caution at gardenings!
  • Never run barefootedly in summer! Bees prefer the stay in the clover and many wasps live in floor holes
  • Take care that the skin is as covered as possible by clothes and insects cannot reach the clothes, (long sleeves, is enough for trousers, hat).
  • Avoid far, fluttering clothes, black substances and colored floral patterns.
  • Sweat lures insects, avoid such physical efforts in the open.
  • You use none perfume or perfumed cosmetics.
  • Use insect nets in front of your windows.
  • You avoid hasty motions you nearby insects and scarf gene not after them.
  • Please, if you were stung despite everything, you immediately remove the spine it, by you with the fingernail way scrapers.
  • Carry always one emergency set (cortison, epinephrine, antihistamine) at yourself and use it immediately if you were stung. By the way: If you suffer from a strong bee venom allergy, you can ask that he dismantles the beehives built by him in the garden of your neighbor. Upper district court Bamberg ., 4 U 15/91

Medicinal medical treatment

  • Antihistamines (spray, tablets, guttas)
  • Mast cell stabilizers (cromoglicic acid)
  • Cortison (spray, tablets)
  • Beta Sympathomimetic

Being part of an emergency pharmacy:

  • at least two tablets of an antihistamine or 20 ml of Fensitil gutta
  • 100 mg Prednisolon or 30 ml Celestamine N 0.5 liqu. = 15 mg Betamethason
  • are spray or are syringe with epinephrine (epinephrine) for The Self application or Medihaler Epi: Epinephrine-measuring out aerosol for inhaling (only into international pharmacies) . alternative: Fastjekt (epinephrine ready syringe)

A medical treatment is necessary why hyposensitization

Why is a medical treatment necessary? An insecticide allergy can be life-threatening! You can never exclude the risk completely of being stung. The specific immunotherapy is the only causal, i.e. cause fighting therapy, it alone offers an optimal protection because insect stings then don't lead to the dangerous reactions any more: the body gets used to the allergen at success, the overshooting answer of the immune system to the poison is reduced and the allergic troubles disappear.

The treatment of an insecticide allergy by means of the hyposensitization is generally started with stationarily in a subject clinic. An injection of the corresponding insecticide is given repeatedly minimumly. At first a low dose is increased cautiously but continuously this one. This basic medical treatment is usually completed after 5-10 days so that you can be dismissed. If the admission to a clinic isn't possible or unwanted, the basic medical treatment can be carried out also ambulatorily with an injection per week. The conservation phase which is carried out ambulatorily in every case follows the basic medical treatment. The time period between the injections is extended cautiously from a week over two and three for four weeks. You must remain at least 30 minutes after every ambulatory injection in the doctor's office so that your physician can step in rapidly and competently, if it should come to complications. The medical treatment time is at least 3, improve another 5 years. Already after the basic medical treatment a protection which is safeguarded by the further treatment is built up.

The specific immunotherapy leads with up to 95% of the bees or wasp venom people suffering from an allergy to the success and can be taken approximately as of the 5th perfect year of life.


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