Bronchial asthma – a chronic allergic lung disease, manifested attacks of shortness of breath or choking, sometimes a dry cough, in response to exposure to an allergen or against colds, exercise, emotional stress.
Treatment of bronchial asthma – a lengthy process, requiring constant medical monitoring, and high patient liability. The drugs for the treatment of asthma is not aimed at addressing the causes of the disease (which, incidentally, is not yet known), and the withdrawal of attacks and their prevention. That’s why so much attention is paid to physicians is to prevent attacks, and especially drug-free means.
Prevention includes activities aimed at addressing the causes of the deterioration of the patient. This is – a healthy lifestyle (with the exception of smoking, maintenance of clean working and living quarters, regular exposure to fresh air). With the seeming simplicity of these measures, they are actually (a scientifically based fact!) Contribute to a significant reduction in seizure frequency.
We need to know “their” allergen:
. If it is known that allergens are pet dander, you should either avoid contact with them, or, if you still have the probability of individual contacts, use of medications to relieve attacks as prophylaxis prior to contact with animals.
? Allergens can be dry food for aquarium fish – to be replaced by other kinds of food.
? Often the cause of the illness is a pen, which are stuffed pillows, and wool mattresses. Therefore, the asthmatic should replace these bedding to contain a synthetic material (sintepon), which are now available for sale without any problems.
. Need to review the entire arsenal of cosmetics and perfumes, which you (or those who live with you) use – among those funds may be those that trigger allergies.
? Allergy to pollen – one of the most common species, so if you noted that attacks tend to occur at certain times of the year (at the time of flowering of certain species of grass or trees) you need as far as possible away from this region, and if you can not – take Measures of drug prevention.
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? Asthma attacks and other manifestations of allergies can also be caused by medications, including acetylsalicylic acid, paracetamol and other painkillers.
. Need to exclude from your diet those foods that can trigger asthma attacks (honey, citrus fruits, nuts, chocolate and foods that contain dyes and preservatives, etc.).
You must understand that from the full observance of these principles, feel better and therefore reduces the need for drugs.
However, in many cases, drug therapy can not be avoided. It is therefore necessary under the supervision of a physician, allergist or pulmonologist choose the mode and that therapy, which will provide the fullest protection against attacks.
There are several criteria on which to judge both the severity of asthma and the effectiveness of control over its course:
? Frequency of attacks during the week, month, year;
? Severity of these attacks (how hard they are tolerated by patients and how well they work drugs);
. Which drugs and how often to use the patient;
. availability of other manifestations of allergy (allergic rhinitis, conjunctivitis, skin manifestations);
? Lung function (the parameters of respiratory patients, recorded or computer-assisted health care settings, or by using a simple device – pikfluometra – by the patient).
Based on these criteria, doctors are three degrees of severity of asthma: mild, moderate and severe.
Each one is treated differently and according to this treatment there are three stages of therapy. If treatment is effective, then the patient goes to a higher level of the previous one, which used a “weak” agents, or the same as he was, but less frequently or in smaller doses.
Almost all preparations for the effective control of asthma mild to moderate severity (respectively first and second stages of treatment) are available in the form of inhalers – are easy to use handheld devices for drug administration directly into the bronchial tubes. Their advantages are:
? Accurate dosage
? Ease of use (small, is always at hand, requires no special skills – can be used even by children)
? Minimum of side effects because the drug is almost completely remains where it is needed – in the bronchi, and is not absorbed into the blood, ie, no effect on other organs and systems
It is very important to perform technically correct inhalation:
- Shake the inhaler before use;
- Insert a tube in his mouth, tightly covering his lips;
- Head slightly thrown back;
- Injection of drugs must be precisely synchronized with the breath;
- After inhalation briefly hold your breath that the drug had to settle on the walls of the bronchi.
For children there are special nozzles – spacers in place to inhale more efficiently.
Among the drugs to relieve and prevent the attacks, there are those who act quickly and briefly (4-6 hours) and long-lasting. ”
Typically, a physician selects the optimal combination based on data on the frequency, time of occurrence of attacks during the day, their severity, patient age, data on side effects, manifested in each individual patient.
Thus, when predominantly nocturnal seizures makes sense to use drugs with a long term actions that should be taken (or inhaled) in the evening before bedtime. If the attacks occur in response to physical stress, then for 10-15 minutes. before it must be inhaled short-acting drug.
Khunas has great experience in writing in health She has got her articles published in many magazines
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