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Showing posts with label In children with asthma. Show all posts
Showing posts with label In children with asthma. Show all posts

Mar 15, 2011

General overview of experts in children with asthma

When parents heard Kew Kew asthma baby song, or when you can\'t cough has been good, it will start to worry about \"is this the right asthma? How is it treated? How to take care of? What attack? How to prevent attacks? \"This series of questions, we invite professional doctor to tell you.


Symptoms of asthma


Asthma caused by chronic respiratory tract inflammation, mainly because of the airway overreaction and caused acute airflow block, symptoms will be repeated, usually may not have symptoms or symptoms mild. Attack leads to respiratory mucosal swelling, respiratory tract stricture, appears intermittent difficulty in breathing, sick children there Kew Kew sounds or cough and other symptoms of asthma symptoms will disappear spontaneously or through the appropriate drug therapy and improve.


Why is asthma?


Asthma pathogenesis to date are not very clear, but outside of the occurrence of asthma in addition to family-related, environmental effects are also important factors. When asthma induced by respiratory exposure to factors of sick children (such as allergens, such as virus infection, temperature change), asthma attack easily.


Be careful! These stimuli cause asthma


Can cause asthma attacks a number of reasons, other than allergen stimulation, a number of physiological and psychological factors also affect.


Common allergens include dust, dust, pet hair and dander, mold spores and pollen, cockroaches, and so on.


Induced by other factors: such as respiratory tract infections (cold), air pollution (, boiled vegetables for cooking oil fume exhaust gas of motor vehicles, cigarettes), stimulation of taste (such as perfume, aroma agents, paints), drugs (such as aspirin, non-steroid anti-inflammatory drugs), strenuous exercise , temperature changes and emotional violent ups and downs, asthma attack.


How to judge whether the baby has asthma?


Due to asthma in infants, unlike the adults can be measured to diagn

ose of pulmonary function, usually based on clinical symptoms, drug reactions, and history, family history to diagnose sick children; and detection of allergen skin test acupuncture, of specific immunoglobulin in serum (IgE) and allergen testing is available as a reference for asthma diagnosis. In addition, parents can also be judged by the adoption of the following situations, if the baby has the following situation, you might consider is asthma:

1 there have been repeated attacks of asthma symptoms, such as the Kew Kew occurs when coughing wheezing sound.


2 of asthma or atopic Constitution family.


3 when the baby in the absence of a cold, there will be night-time cough.


4 appears after strenuous exercise or Kew Kew asthma of cough sound.


5 touch a hairy animal, secondhand smoke or air pollution, coughing or wheezing sound occurs.


6 access to certain drugs (such as aspirin) will be symptoms of asthma.


7 when symptoms appear, after using asthma drug such as bronchodilators, symptoms have eased.


Treatment of asthma


Prevention of acute attack:


Can be divided into \"induced factor of control\" and \"the prevention of drug use\". Although asthma cannot be completely cured, but continuous exposure factor causing asthma induced by repeated attacks, the allergic reaction is deteriorating and more and more serious, so prevention is very important.


Drug control:


1 cushion in acute phase: when used with acute attack of asthma, efficacy of fast, short, you can quickly achieve symptom relief, such as the influence of b-II methylamphetamine, influence of bronchodilators and more.


2 long-term control medicines: asthma disease control and prevention for long-term, reduce chronic inflammation of the respiratory tract and allergy, commonly used drugs including inhaled steroids, leukotriene receptor antagonists, sustained-release theophylline preparation, long-acting type II methylamphetamine b and

so on.

Tips: immunotherapy:


\"Immunotherapy\" provides a drug other than another option, after a long, gradual incremental subcutaneous specific allergen, the baby\'s body no longer sensitive to the allergen. This method currently only applies to asthma, allergic rhinitis and winged insects-sensitive patients of atopic dermatitis, urticaria, or food allergies is not recommended.


If the parents have been doing environmental control, poor and sick children receive the traditional drug treatment, children can be diagnosed clearly unable to avoid contact with allergens and daily life (such as dust, pollen, etc), parents who have the patience to tie in with the 3-5 year-long course , try to accept. 2-3 months after implementation of desensitization therapy in General, symptoms will gradually reduce; 6 months after, the effect is more significant, but have different personal physical fitness, reaction time is slightly different.


Emergency treatment measures of asthma attack


When acute attack, patients should be moved to the more dry and temperature in a suitable environment to give patients proper rest. If the body with an acute attack of drug, can be used in accordance with the orders cushion; if severe attack and cause respiratory came close to failure, or symptoms after the drug has not improved, or the patient is unable to assess their condition in infants, it should be taken to a nearby hospital treatment as soon as possible.


Correct care of asthma infants method


1 environmental control


Reduce the generation of induced factor, can effectively reduce asthma attacks.


2 the correct use of drugs


Currently used in the prevention of drug for asthma, containing inhaled steroids because parental misconceptions (think steroids damage), often stop on their own, leading to poor asthma control and repeated attacks. The other hand, if parents use concepts and methods of drug errors, poor effect also results in dru

g treatment.>

3 avoid asthma diet


Asthma attack while food and there is no close correlation, but certain foods it is recommended that you avoid exposure, such as peanuts and nuts such as walnuts, chocolate, seafood, fried shelled and frozen food; in addition, some foods containing artificial coloring and preservation, may also be induced by asthma attacks. In Chinese medicine, it is recommended not to ingest the so-called \"cold and the cold\" of food (such as oranges, watermelons, pears, cabbage, turnips, coconuts, etc).


Prevention of asthma attacks in 10 key


1 avoid feeding pets such as dogs, cats or birds, or pets outdoors.


2 use mite bedding, regular cleaning curtains, bed sheets, bed sheets, pillow covers and other.


3 avoid using thick carpets and curtains, consider using the shutters.


4 40%~50% using a dehumidifier and humidity control, because dust mites best growing conditions at 25 ° c and relative humidity 70%~80%, control humidity in 50% if the following can reduce dust mite breed can also inhibit reproduction of fungi.


5 avoid using mats, batting, feathers and filled furniture, down the doll, consider using wood, leather or plastic furniture.


6 avoid entering areas of air pollution, or in popular at the time of respiratory tract infection, prevent access to public places, you can use masks when when you cannot avoid.


7 home as clean as possible, reduce dust and cockroaches in the home; in addition, replacing broom with vacuum cleaner, to avoid the dust raised.


8 avoid stimulating home tastes, such as incense, paint, mosquito coils and so on, it is best not to smoke in.


9 avoid vigorous exercise and excessive emotional stress, but instead, moderate exercise can improve symptoms, recommend moderate exercise such as swimming, jogging can.


At the beginning of season 10 in Exchange, pay attention to warm.


Closing remarks


Asthma is a chronic disease, and cann

ot be completely cured, but parents should not be discouraged, good environmental control can reduce the contact factor induced by, and according to the doctor\'s instructions, correct use of medicines, asthma can be controlled and to maintain the good quality of life.

Most important in the treatment of children with asthma

A few days ago, President of the Chinese Medical Association, the China asthma Union consultant academician Zhong Nanshan is designed for \"2008 World Asthma Day\" press conference recording a video speech. Where special interpretation of the adolescent with asthma control problems. We capture the essence of the readers--


We know that the diagnosis of asthma is not difficult, it is not a problem for a typical asthma patients. But regardless of the parents, are children of relatives and friends, even on some non-typical of the medical workers are often not a correct diagnosis of asthma, so treatment is difficult.


For example, some young people p, is the main performance when running, run a fast find breathing difficult, it is difficult to catch up with other students. Generally considered physical difference, actually pretty part is a manifestation of asthma, we called it sport-asthma, which is actually needed in the treatment of asthma.


If some children always dry cough in the evening in the morning, throat, parents are suffering from pharyngitis or bronchitis, antibiotics are not good, which a large part is actually asthma, we cough type asthma it is called for.


And if some often sneeze, every morning dozens of a sneeze, flow clear nose, after playing after a little chest tightness, was actually a manifestation of asthma, allergic rhinitis induced by a very close relationship.


These phenomena are not uncommon in the youth. We do not just typical manifestations of bronchial asthma, on some recurrent seizures, movement after breathing difficulties, coughing, or repeated rhinitis happens when the chest is stuffy, should consider whether asthma may exist. After you make the right diagnosis, and treatment is in the right direction.


Now asthma treatment is prevention-treatment of the most important, that is not to wait for it to have treatment, but does not allow it to attack. In this sense, the treatment of asthma is life, the \"lifetime\" is not necessarily the lifetime use of drugs, is to emphasize lifelong tracking. Because asthma is with genetic gene linked to abnormal, it is not changed. But as long as on the clinical treatment of asthma, it can have no symptoms, whether parents or patients themselves pay great attention to clinical symptoms and feel, mainly for preventive treatment.


Is the essence of allergic airway inflammation of asthma, when it develops to a certain extent will be symptoms, symptom-free does not mean that the asthma does not exist. Not necessarily asthma asthma, airway inflammation is still exists, and requires close observation by doctors and patients. Recommendations prepared a simple monitoring in patients with small instrument (wind flow meter), afternoon blow blow every morning, look at the degree of airway patency of their every day, if the result is that there is no problem with the usual. Once the 20% is lower than usual, even if there are no symptoms, you need drug treatment. If quite a long time no symptoms, with only very small amounts of drugs and even without drugs, it can be said to clinical cure.


Asked about asthma can cure, it depends on how to understand this problem, from the nature of asthma stresses it is determined by genetic factors, gene, from this perspective it is impossible to cure. But from the symptoms of asthma, and clinical performance, clinically, it is possible to cure, in other words, after appropriate treatment of a lifetime no asthma symptoms, it is possible.