Asthma of the special type and _ general knowledge of the overview
Asthma is a kind of common disease of the respiratory system, it is relatively high in morbidity of developed country, the morbidity of our country is about 1% --4% . Asthma is generally not fatal on clinic, the death relate to diagnosing in time, treating and curing and doing one's best more. Then, which display woolen cloth there is asthma on clinic?
The clinical symptom of asthma varies with the weight breaking out and narrow intensity of bronchus. And cough that typical symptom stridulates for breaking out dyspnea, throat, cough for some patients' only symptom sometimes. This kind of outbreak can solve the convulsion medicine to relieve or relieve by oneself by the bronchus. Patient have a certain inducement, sport for instance, infect, contact, cause quick thing often break out, Or spirit irritate, consult the body and find breathing, heart rate to increase fast, one pair of lungs breaks up in the sound of chirping of heavy breathing, or extremely serious asthma slightly, the sound of chirping of heavy breathing does not appear. It is meaningful that the lung function measures PEF and FEV1/VC% 80% diagnosis to the asthma. If the patient has the above-mentioned clinical manifestation, it is not difficult to diagnose, but asthma of some special types needs to bring clinician's attention.
1. Job asthma: Asthma caused by causing the quick material in the working environment. For example, hair wadding with cotton or excrement and urine, chemical material, dust of feed, cotton fibre, grain, pet,etc.. Asthma breaks out, break away from the above-mentioned environment after this kind of patient contacts the above-mentioned material, break out and lighten or disappear.
2. Asthma of aspirin: 1- 2 hours after oral aspirin medicine for this kind of patient, rhinitis and asthma symptom take place, women meet more, often with nasal polyp. Aspirin irritation, asthma and nasal polyp are called the allergic triad of aspirin while existing at the same time.
3. Movable asthma: It can cause asthma to break out to move vigorously, is called bringing out asthma of sport. Sports are a kind of non- specific stimulus to the asthma patient, 70% - 90% asthma patient test masculine gender of taking exercises.
4. Asthma of variability of coughing: Without clinical feature which typical symptom asthma patient displays, it is only long-term (more than one month) Cough obstinately, sport, cold air, upper airway infection will be brought out and aggravated, fail to respond to any medical treatment with antibiotic. Bronchiectasis pharmaceutical can improve, cough symptom, the the intersection of patient and angry dishes of high reactivity notably, often have anaphylactic physique.
Have not got the treatment or unsuccessful asthma of treatment, will present pulmonary emphysema with the development of condition. The main clinical manifestation of pulmonary emphysema is to breathe hard or have difficulty in breathing after an activity, relieve promptly for a moment after the slight pulmonary emphysema stop activity, serious pulmonary emphysema will lose the ability to work, even slight activity will cause dyspnea different to stand. The further development of the condition, can also present lung worry, breathe depleted, such serious consequences as the heart is depleted.
Glucocorticoid treats asthma
Bronchus asthma is chronic air a inflammation disease that one kind is common, are endangering people's health seriously. Treating bronchus asthma at present has a lot of methods, glucocorticoid (abbreviate as hormone) Treat mainly resisting the inflammation medicine of asthma, have already been recognized as the forefront and uses medicine world, at home.
Mention to employ glucocorticoid to treat asthma, a lot of patients and relatives have frightened psychology, afraid of causing the serious bad reaction. In fact, glucocorticoid treats asthma and starts to save the life of a lot of critical asthma patients in the fifties, so long as it is apt to use, will receive good curative effect. Will it be the beginning the seventies, some scholar employ, suck glucocorticoid, treat asthma, make more ideal curative effect, made the treatment of asthma enter a new period from then on. Studies have suggested, suck glucocorticoid treat asthma have dosage to be little, function is fast, the function position is direct, the part resists inflammation function strongly, the advantage of whole body with low bad reaction. A great deal of side reaction of avoiding long-term a large amount of oral glucocorticoid causes. Study yet to verify, sucking glucocorticoid improves the level of control on asthma severity fundamentally. Sucking glucocorticoid is to controlling asthma symptom, it is effective to reduce the acute frequency that breaks out of asthma.
Sucking glucocorticoid kind of clinical practice of our country at present is mainly as follows, loose by two third sour times of the intersection of chlorine and rice, cloth ground naphthalene Der and Fluorine loose for Carlos. Suck resisting inflammation function to bronchus asthma of glucocorticoid, is mainly shown as and inhibited the inflammatory cell related to asthma directly, finish by reducing the inflammatory cell and releasing inflammatory medium and cell factor, and can reduce the high reactivity of trachea. There are two kinds of clinical commonly used sucking glucocorticoid preparations now, one is quantitative aerosol, another kind is dry powder pharmaceutical. Sucking glucocorticoid has part of stronger respiratory tract that resists inflammation function, it can be effective to usually need continuous, rule after sucking. So, when being acute to break out at asthma,should with 2 of - pharmaceuticals excited suck or share theophylline receptor, suck 2 first - the receptor excited pharmaceutical, sucks people glucocorticoid 5- 10 minutes later. Under the guidance of doctor, on the basis of the light, middle, serious intensity of asthma, select sucking people glucocorticoid of different dosage for use. In addition, the prevention used for asthma, the persons who break out as to seasonal asthma, can be being expected to break out the first 2 --Begin to suck glucocorticoid in continuous, rule in 4 weeks. In addition, it is effective to suck glucocorticoid to night asthma, the diurnal change that can reduce night to awaken number of times and trachea function. As to the patient who has already produced glucocorticoid reliance and needed long-term oral glucocorticoid, sucking and treating can also reduce the necessary oral dosage, even replacement oral administration treatment. Suck glucocorticoid, treat severe asthma while being heavy dose of, can reduce oral consumption and 2 - the intersection of receptor and excited consumption of pharmaceutical of glucocorticoid notably, reduce the high reactivity of trachea. Suck glucocorticoid and treat asthma, is suitable for the patient of patient and different asthma severity of different ages. Suck glucocorticoid to children's asthma effectively, can obviously improve symptom and lung function, make the velocity of flow of peak worth increasing. Verify the intersection of children and asthma after the first diagnosis, use, suck glucocorticoid than late to improve more obviously with person the lung function in early days while being clinical.
Suck the bad reaction of glucocorticoid, there are hoarse and oral cavity bead fungus diseases, use correctly under the guidance of doctor, suck, cough with fresh water use medicine, mouth can lighten or prevent some bad reaction from, and can reduce the whole body side reaction caused by that the medicine is absorbed from the department that swallows mouth. If some bad reaction takes place, stop sucking glucocorticoid and reversible rotating, lighten symptom.
|
0 comments:
Post a Comment