Asthma
Treatments of Asthma
The goal of treatment is to achieve a normal, active life.
In addition to preventing environmental allergens and irritants, we must resort to drugs, at least during the crisis (in the best, or mild asthma) while the moderate and severe stages require daily medications.
The drugs used in asthma are classified into two main groups:
Bronchodilators
Have a rapid effect, relaxing the muscle cells of the airways. They are used to relieve symptoms. There are three main types of bronchodilators: beta-agonists, anticholinergics and theophylline.
Inflammatory
Also called prophylactic effect by reducing inflammation of the airways. They have no immediate effect and require regular use and maintained to achieve their best effects. A good indicator is the reduced use of bronchodilators. There are also three groups: corticosteroids, chromones and leukotriene antagonists. Read the rest of this entry »
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Asthma: How is It Diagnosed?
How is it diagnosed?
It is not always easy to reach the diagnosis in mild or intermittent cases, moreover, a single attack does not mean they have asthma, as some infections and chemicals can cause a similar crisis. For a diagnosis is necessary for your doctor to investigate the characteristics of their symptoms during the attack. During auscultation will reveal wheezing that help the diagnosis.
Pulmonary function tests repeated, and repeated after the administration of certain drugs are useful for diagnosis.
Sometimes you have to perform chest x-ray studies, blood tests and arterial blood (ABG) for the diagnosis.
When there are also eczema or allergy symptoms may be needed specific tests and skin tests for sensitivity to certain substances. Read the rest of this entry »
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Asthma: What are The Symptoms?
People with asthma have provided a slight inflammation of the airways, even without symptoms. During an asthma attack or major crisis are:
- Difficulty breathing, shortness of breath. Usually appears more or less abrupt and may worsen at night or at dawn and it is aggravated by breathing cold air, their relief is usually spontaneous and gives a great improvement with the use of bronchodilator medications.
- Noisy breathing, wheezing and gasping breath, which requires a great job of the respiratory muscles, and it gets worse with exercise.
- Cough, mainly at night, with slight expectoration of mucus. Read the rest of this entry »
Asthma
What is asthma?
Asthma is a chronic disease of the airways in the crisis alternating respiratory distress and cough caused by inflammation of the bronchi, with relatively normal periods. Seizures may be mild, moderate or severe, with a variable length from a few minutes to several days, and can occur at any time.
The airway is like a tree, which is a main trunk, trachea, 2-3 cm in diameter, which starts at the bottom of the pharynx and divides into two branches, the bronchi, a for each lung. These in turn are re-divided several times to reach the most remote parts of the lung tissue as small tract of a few millimeters in diameter. The latter have an inner lining that produces mucus, and its wall is muscle cells as a ring, able to contract and relax to open or close these routes according to the needs of the person at different times (for example, open to allow passage of air during exercise, and most are closed during sleep). Read the rest of this entry »
The inhaled corticosteroids increase the risk of diabetes
The inhaled corticosteroids used primarily for control of asthma symptoms increase the risk of adult diabetes, especially if higher doses, according to a Canadian study published in the American Journal of Medicine.
These drugs are increasingly used to control asthma symptoms and are also prescribed to treat chronic obstructive pulmonary disease. The risk is especially worrisome in people who suffer from COPD and much lower among asthma, the researchers from McGill University and Lady Davis Institute for Medical Research in Montreal.
“Such drugs effectively fight against asthma if their benefits outperform the risk asthmatics,” Dr. Samy Suissa sees. “However, their effectiveness is questionable if chronic obstructive pulmonary disease who also commands higher doses. These risk-benefit ratios are very different. ”
“Inhaled corticosteroids are administered as an aerosol or micropowder and contain, among other substances such as fluticasone (Flonase, Advair), glucocorticoids (Pulmicort, Rhinocort) and beclomethasone (QVAR, Beclovent)” said the statement of the Institute. “It has long been known that oral corticosteroids such as predinisone increase the risk of diabetes, but this is the first time the effect is observed in inhalation.
Dr Suissa and colleagues analyzed data from the Régie de l’assurance maladie du Québec for nearly 400 000 people treated for chronic obstructive pulmonary disease or asthma.
The inhaled corticosteroids increase the rate of diabetes of 5 people per 1 000 (14 to 19 people or 34%) for each year of use.
“The researchers suggest that physicians reserve the use of inhaled steroids for patients who derive real benefits, such as asthma, and not the order only a few people with chronic obstructive pulmonary disease for which the drug is indicated . In all cases, people taking high doses should be examined for possible hyperglycemia and take only the lowest effective dose possible. “
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Asthma Treatment and Disease Treatment
Asthma Disease (Asthma) has yet to be treated completely, this means that an asthma attack can occur in the future. Handling and delivery of drugs to patients with asthma attacks is as action arising which are adjusted with the severity of signs and symptoms themselves. Read the rest of this entry »
Founder Factors Asthma In Children
Asthma is a common disease in children. Incidence of asthma increased in almost all the world, both countries developed and developing countries including Indonesia. This increase was allegedly associated with an increase in the industry that high pollution levels.
Although based on clinical experience and research of asthma is a disease that is often found in children, but the clinical picture of asthma in children vary greatly, even the heavy-light-attack and often lack the attacks change from time to time. As a result of this disorder are not diagnosed or wrong diagnosis sometimes leading to treatment was not strong.
Generally characterized with clinical symptoms of shortness of breath and wheezing (breathing that sounds). Group of children who are reasonably suspected asthma children who showed a cough and / or wheezing that occur in episodic, likely at night / early morning, seasonal, after the event, as well as a history of asthma and atopy in patients and their families.
Is it asthma?
Based on the definition and clinical experience Scadding Godfrey, asthma in children is a disease characterized by wide variations in short periods of time than the resistance of air flow in the pulmonary respiratory tract manifests as recurrent attacks of coughing or wheezing separated by symptom-free intervals.
Change what’s happening on the network?
- Reduction in airway diameter
- Changes in respiratory muscle response
- Disturbances in the autonomic innervation of smooth muscle regulation respiratory
- Epithelial cell damage respiratory mucosa
Trigger factors of asthma in children:
- Emotional factors; emotional disturbances can cause constriction of respiratory tract
- Factors immunological / allergy; now has a lot of evidence that allergy is one of the important factors of asthma development. Atopy is a real risk factor that can cause asthma symptoms.
- Non-allergic factors; viral / bacterial and irritant substances / pollutants.
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