TES ALERGI YANG TIDAK DIREKOMENDASIKAN : PEMERIKSAAN ALERGI YANG MENJERUMUSKAN KARENA TIDAK TERBUKTI SECARA KLINIS - Salam Pemirsa Potrait Sukabumi, Pada artikel kali ini yang berjudul TES ALERGI YANG TIDAK DIREKOMENDASIKAN : PEMERIKSAAN ALERGI YANG MENJERUMUSKAN KARENA TIDAK TERBUKTI SECARA KLINIS, saya berharap mudah-mudahan isi artikel yang saya tulis ini dapat bermanfaat bagi kita semua

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TES ALERGI YANG TIDAK DIREKOMENDASIKAN : PEMERIKSAAN ALERGI YANG MENJERUMUSKAN KARENA TIDAK TERBUKTI SECARA KLINIS

Artikel TES ALERGI ALTERNATIF,
Tag : TES ALERGI ALTERNATIF,

TES ALERGI ALTERNATIF YANG TIDAK DIREKOMENDASIKAN PARA AHLI ALERGI

dr Widodo Judarwanto SpA

CHILDREN ALLERGY CLINIC
PICKY EATERS CLINIC (KLINIK KESULITAN MAKAN)
CHILDREN ALLERGY CLINIC
Jl Taman Bendungan Asahan 5 Bendungan Hilir Jakarta Pusat
telp : (021) 70081995 – 5703646
email : wido25@hotmail.com , http://alergianak.blogspot.com/

Seorang ibu sudah demikian frustasinya dalam menangani masalah alergi yang diderita anaknya. Sudah sekian banyak dokter ahli dikunjungi sudah sangat banyak obat yang diminum tetapi tidak ada hasilnya. Akhirnya ibu tersebut datang ke terapi alternatif, karena terbuai oleh informasi dan pendapat beberapa orang yang tidak berkompeten. Akhirnya bukan menyelesaikan masalah tetapi hanya membuang biaya pengobatan secara percuma.

Hal inilah yang saat ini terjadi pada sekian banyak penderita alergi yang ahirnya jatuh pada terapi alternatif. Kemajuan informasi dan tehnologi bukan hanya mengahsilkan dampak menguntungkan tetapi sebaliknya dapat membuat menjadi bingung dan menjerumuskan bila masyarakat atau para klinisi tidak pintar dalam mencerna informasi tersebut.

Meskipun tehnologi dan pengetahuan tentang penyakit alergi telah berkembang pesat, namun banyak kasus di masyarakat dijumpai penatalaksanaan masyarakat dilakukan dengan cara alternatif. Di Austalia didapatkan sekitar 50-70 % penderita alergi berobat pada terapi alternatif. Diagnosis dan terapi alternative atau yang tidak terbukti secara ilmiah ini sering disebut “diagnosis dan terapi “unproven”

Sangat banyak jenis tes alergi unproven.
1. Vega (electro-diagnostic, Bioresonansi, Bio-E) testing (Evidence Level II: inaccurate test)
2. Cytotoxic testing (“Bryan’s test”) and the Alcat test (Evidence Level II: inaccurate test)
3. Iridology (Evidence Level II: inaccurate test)
4. Kinesiology (Evidence Level II: inaccurate test)
5. IgG food antibody testing (Evidence Level II: inaccurate test)
6. VoiceBio©TM (Evidence Level: no evidence)

Terapi alternnatif tersebut saat ini banyak dilakukan di Jakarta dan kota besar lainnya adalah terapi bioresonansi atau bio-E. Sedangkan pemeriksaan atau alat diagnosis alergi yang harus dikirim ke Amerika Serikat adalah pemeriksaan IG4 atau Alcat Test. Dimana hanya dengan pemeriksaan sejumlah darah dapat diketahui ratusan makanan penyebab alergi dan penyebab penyakit lainnya. Hal ini biasanya sering dilakukan oleh para penderita Autism atau gangguan perilaku lainnya.

Keluaran menyimpang dari pemeriksaan dan pengobatan akan meningkat tidak lazim
Dengan adanya beberapa tehnik diagnosis dan terapi yang tidak lazim mengkibatkan dampak bagi prognosis dn penyembuhan penderita. Pengaruh egatif yang diakibatkan beberapa tehnik diagnosis dan pengobatan tidak lazim berpotensi terjadi kondisi yang berbahaya dan lebih serius dibandingkan perdebatan seputar reaksi simpang terhadap pengbatan herbal.
Kesalahan intepretasi dalam menentukan penyebab alergi akan mengakibatkan kesalahan dalam pemberian rekomendasi diet. Bila hal ini terjadi akan mengakibatkan kejadian malnutrisi dan gagal tumbuh pada anak.

Bila teknik diagnosis dan terapi yang akurat terlambat, maka akan mengakibatkan penannganan penyakit alergi menajdi tidak adekuat dan menimbulkan komplikasi dan kesalahan dalam penatalaksanaannya. Rekomendasi penghindaran lingkungan dan kimiawi yang tidk bermanfaat.

Penanganan dan pengobatan terapi “unproven” tidak murah

Terapi alternatif alergi selain akan mengaburkan dalam penanganan alergi juga akan dapat meyebabkan pengeluaran biaya pengobatan yang percuma. Seperti diketahui beberapa terapi dan diagnosis alergi alternatif juga mengandalkan tehnik yang mutahir tetapi yang membutuhkan investasi dana yang tidak sedikit bagi pemilik alat diagnosis. Hal ini juga akan mengakibatkan biaya terapi alternative tersebut sangat besar dan tidak ringan, apalagi bila dilakukan berulang-ulang dalam jangka panjang.

Pertanyaan bagi praktisi klinis yang masih menggunakan terapi dan diagnosis “unproven”
Meskipun terapi dan diagnosis alergi “unproven” tidak terbukti secara klinis dan ilmiah, tetapi kenyataannya sehari-hari masih sering digunakan oleh para dokter. Tetapi justru penggunanya tidak ada dari praktisi yang kompeten di bidang alergi imunologi.

Di Indonesia saat ini praktisi klinis atau dokter yang menggunakannya sampai saat ini bukan dokter ahli alergi imunologi tetapi dokter umum, dokter penyakit dalam dan dokter ahli lain di bidang alergi imunologi. Bahkan banyak pakar dalam bidang Autism di Indonesia ikut terpengaruh oleh promosi alat diagnosis tersebut. Sehingga menjadi prosedur baku untuk penanganan penderita autism dengan mengirimkan sampel darah yang harus dikirim ke Amerika.

Mengingat investasi alat tersebut tidak sedikit maka promosi jasa layanan medis tersebut bukan hanya dari mulut ke mulut tetapi sudah langsung disampaikan lewat media masa elektronik atau cetak. Bila hal ini terjadi maka pemahaman tentang penanganan alergi akan jadi lebih menyesatkan baik bagi para klinisi maupun masyarakat awam.

Bagi klinisi atau yang berkecimpung di bidang terapi alternative mungkin melakukan berdasarkan pengalaman klinis segelintir kasus dan sebagian dokter yang pernah berhasil. Tetapi mereka tidak melihat bahwa yang tidak berhasil juga sangat banyak. Sehingga secara ilmiah hal ini harus dilihat dalam kejadian ilmiah berbasis bukti berupa penelitian atau uji klinis. Hingga saat ini penelitian ilmiah tidak ada yang pernah membuktikan bahwa diagnosis dan terapi alternative tersebut tidak terbukti. Hal ini terjadi karena metodologi alat ukur tersebut tidak berkaitan dengan kaidah ilmiah baik secara biomolekular ataupun secara biofisika.

Bila para klinisi atau para dokter saling berkontroversi maka masyarakat awam sebagai penerima jasa berada dalam posisi yang membingungkan. Sedangkan secara legal saat ini belum ada regulasi yang mengatur hal ini. Akibatnya banyak pertanyaan dan tuntutan dari beberapa pihak kepada para praktisi pengguna terapi alternative tersebut :

1. Bagaimana secara ilmiah dan rasional alat diagnosis tersebut bekerja ?
   


2. Apakah ada pengalaman klinis yang pernah di publikasikan tentang penggunaan alat tersebut. Bila ada, apakah hal itu dapat ditemukan di Medline/Pubmed?
   


3. Apakah resiko dan manfaatnya ?
   


4. Berapa banyak biaya yang dikeluarkan oleh alat dan terapi ini ?
   


5. Apakah ada efek samping dalam penanganannya
   


6. Mengapa beberapa dokter merekomendasikan penanganan tersebut ?
   


7. Apakah kulifikasi dan kompetensi dokter yang member rekomendasi penanganban penyakit ini ?
8. Bagaimana bisa satu alat bisa mendeteksi dan menyembuhkan beberapa masalah kesehatan yang berbeda ?

Dalam menghadapi kontrovesi yang berkepanjangan ini, sebaiknya pihak yang berkontroversi harus dihadapkan dalam satu forum ilmiah. Untuk memastikan bahwa semua tindakan tersebut nantinya tidak akan malah dapat merugikan penderita alergi baik secara medis ataupun secara financial. Semua pihak khususnya para klinisi sebaiknya lebih utama menjunjung etika kedokteran dan etika ilmiah. Bukan hanya mementingkan kepentingan tertentu dengan mengorbankan kepentingan atau keutamaan kesehatan penderita atau pasien sesuai sumpah dokter.

Yang pasti saat ini semua organisasi profesi alergi imunologi seperti ASCIA (The Australasian Society of Clinical Immunology and Allergy), AAAI (American Academy of Allergy Asthma and Immunology) dan WAO (World allergy Organization) dan banyak organisasi alergi internasional menentang keras dan tidak pernah sekalipun merekomendasikan pemeriksaan dan penanganan terapi alternatif tersebut.

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