What is asthma? and its Treatment
Posted on July 10, 2008
Filed Under Uncategorized |
Asthma is a chronic disease that requires most of the time treatment of substance (chronic treatment) associated with regular surveillance, even if the patient is not feeling any event.
Asthma can be compared to diabetes or hypertension, chronic illnesses requiring treatment during short. Drugs bronchodilators Drugs short-acting bronchodilators and fast are prescribed to relieve an asthma attack or episodes of coughing, juvenile equivalents of asthma.
They act against the narrowing of the bronchi and allow them to dilate.
The patient felt in most cases an improvement after a few minutes helping him to breathe easier.
Their duration of action is four to six hours.
The drugs also are used bronchodilators before effort to avoid the appearance of discomfort among people with asthma triggered by exercise.
Drugs bronchodilators sometimes tachycardia, accelerated heartbeat, which usually decreases rapidly. The advice of a doctor cardiologist is sometimes cessary if these events get worse or if there are heart abnormalities
Many people are afraid to take this type of product, because “they are bad or the heart”, that “anyway, they are useless.” Doctors are sometimes forced to deploy a lot of energy to convince patients to use this type of product.
Tips for using drugs fast-acting bronchodilators Check that the product is not empty.
Check the expiry date.Have several bottles at your hands, at his home or at work, for example, in the event of a crisis that may occur in any circumstance.
The dose bronchodilator used depends on each person and severity of asthma.
These drugs are used over short periods.
The consumption of over 4 puffs a week of fast-acting bronchodilators (1 bottle of 200 doses per year) means that asthma is not balanced and it is necessary to consult.
For more information: Recommendations of the High Authority of Health (Ex ANAES) for monitoring asthma (2004)
The need to increase doses of the product, sometimes up to 12 or 15 puffs each day, because of the ineffectiveness of inhaled doses, shows a worsening of asthma for which he is required to consult urgently.
The bronchodilators long-actionDes drugs bronchodilators long-acting are more and more often prescribed to treat substance each day unlike the fast-acting bronchodilators, which are used in cases of hardship.
They can not be prescribed that in some patients with asthma also receiving an anti-inflammatory.
Other drugs are sometimes used
Anticholinergic drugs and Theophyllines more prescribed ago two decades.
Tips for using aerosol dose The use of aerosol dose allows the drug to reach directly the airways They require learning from the doctor.
These aerosol dose are sometimes misused thereby reducing the effectiveness of medicines:
Poor synchronization between the pressure on the bottle and inhalation of breath. The pressure on the bottle is not always done at the right time in relation to the inspiration and burst immediately clear.
Breathing is not enough restraint after inhalation is asked to count to 10 before expiring.
Started the first inhalations of the drug before a mirror in order to verify the absence of fog reflecting poor dosing.
There are other measures to facilitate the penetration of products and avoiding the bad timing hand-lung of the aerosol: systems inhalation dry powder including turbuhaler (the person with asthma makes a rotation of small aircraft and inspires a deep When he heard a small noise), diskaler, diskus…
The inhaled corticosteroids, anti-inflammatory drugs referred to bronchial
A large majority of asthmatic presents an asthma treatment that requires substantive anti-inflammatory drug prescribed for many months or even years.
The treatment of substance used to treat chronic inflammation and prevent the exacerbation of asthma maldie.
This treatment must be prescribed as soon as asthma becomes persistent and that the person génée must take more puffs bronchodilators 4 per week.
The dosage and duration of treatment vary depending on the intensity of discomfort and figures obtained during the review respiratory (EFR).
This treatment is tailored to each asthmatic.
Unfortunately the vast majority of asthmatics take no substantive treatment and take the risk of their disease worse.
The corticosteroid drugs used to control inflammation of the bronchi and the disease to a worsening, reducing the number and intensity of crises.
These medicines usually used with an aerosol dose or dry powder.
The discontinuation of anti-inflammatory is rarely possible until a few months without crises recur within variable.
Only the doctor after the patient with asthma may decide to discontinue this treatment.
These drugs do not feel improvement few minutes after they took, unlike drugs bronchodilators. Some patients believe while these treatments are useless and interrupt.
Side effects of drugs are inhaled corticosteroids few
Side effects of these drugs should not be confused with those of steroids taken in the form of tablets, syrup or injections.
Changing the voice accompanied by a hoarse Mycosis of the mouth
Numerous studies have shown that doses usually prescribed, there is no decrease in the growth curve of a child or young person.
It is advisable to rinse their mouth after the use of steroids to avoid the appearance of side effects.
Corticosteroids in the form of tablets During crises or when severe asthma worse during a bronchitis for example, medicines steroids in the form of pills are prescribed. In this case, it is associated with the treatment of substance inhaled corticosteroid and long bronchodilator action.
Those receiving treatment in general a severe asthma which must be monitored very closely.
This treatment is prescribed usually a couple of days. In some situations, this treatment is prescribed for longer: In this case, side effects may occur: increased appetite, weight gain temporary changes in mood…
Drugs combining the two products
Drugs containing a combination of bronchodilator and inhaled corticosteroids, two drugs in one, offering greater ease of use are often offered to asthmatics The antileucotriènes
The antileucotriènes used in the form of tablets, work by blocking the action of leukotrienes, mediators of inflammation in the airways. They are useful in the prevention of asthma and also in dealing with substantive asthma incompletely controlled by inhaled corticosteroids.
The anti IGE
A new class of drugs, Anti-IgE, are prescribed in asthma severe allergic.
Other treatments Antibiotics are prescribed in the bronchial superinfections. The respiratory physiotherapy
The respiratory physical therapy is a method that can help asthmatics, especially babies and young children. It allows during crises eliminate secretions trapped in the bronchial tubes, fighting against and bronchial congestion. The respiratory physiotherapy can also learn to better control his breath, putting his breath, relax at the onset of discomfort, causing a crisis anxiety that aggravates asthma.
The sessions can also learn how to use medicines in the form of aerosol dose The inhalation room for children
Using an inhalation room is designed specifically to young children:
The inhalation room is a reservoir that allows breathing more easily make the product without synchronization hands / lungs “that young children and babies can not practise.
A puff is issued by the aerosol through the tip of the inhalation chamber. The child can then inhale the product carrying 5 to 10 movements inspiratoires. The inhalation room of a fairly large volume is intended for babies and young children.
The rooms are smaller inhalations proposed the biggest children, from 4 to 5 years.
These rooms inhalation are covered by health insurance.
The spa treatments A stay in spa treatment can assist the asthmatics, although no scientific study does not really their effectiveness.
The psychological effect provided by the cure is of course very beneficial because people with asthma are cared for and receive daily care allowing them to relax and be less bothered.
This stay under favourable weather conditions can be framed, practice * certain sporting activities, receive an education more focused. The patient management, both physical and psychological, it can better adhere to treatment and awareness of the need to be monitored regularly.
But people with asthma should also be aware that a visit to cure can not definitively resolve the problem of asthma in removing the disease.
Salaries will, in the vast majority of cases be prosecuted.
An asthmatic who returned from a spa treatment may be a victim of a relapse during the next few days because of contact with the mites, for example, less present in the cities of cure. Being well aware that a cure will not do away with asthma. The treatment of allergy Where one or more allergies are involved in the mechanism of asthma, treatment of these allergies should be implemented. It is necessary to treat any allergic rhinitis in order to avoid the appearance of asthma.
It must take preventive measures in case of confirmed allergy to dust mites, pollen or animals for example. A desensitization may be considered.
Too many stop their asthma treatment The numbers are overwhelming: more than half of asthmatics do not meet the requirements recommended by doctors. The person with asthma is experiencing great difficulty in accepting the idea of being hit by a chronic disease with which it will have to learn to live and be followed very long.
The duration is a difficult concept to grasp for a patient who will tend to “escape” and to interrupt her treatment as soon as it feels better.
The absence of events does not encourage patients to continue their treatment of substance.
According to a study by the Asthma Association conducted among asthmatics 4000, only 65% of them lead a normal life, and almost half have sleep disturbed by difficulty breathing.
Rhythm monitoring of an asthmatic consultations
The pace of follow-up consultations depends on the severity of asthma, allergic his character and the patient’s ability to effectively comply with the proposed therapeutic measures.
Several months are sometimes needed to convince people with asthma to take their basic salary even if they do not feel embarrassed or they are not of crisis. The doctor must deploy a lot of energy and should not be afraid to repeat itself so the patient does not stop the treatment when he feels better. An asthmatic is quickly tried to stop his pay if he does not feel “special” embarrassed.
Contrary to people taking drugs for years against hypertension, high cholesterol or diabetes, for example, a majority of asthma does not take his treatment so long.
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