Once asthma attacks, it will not only make you feel chest tightness, but even breathless, a feeling of suffocation, which is quite uncomfortable; With the rapid increase of asthma population in recent years, asthma has become the focus of public attention. Although it can't be cured, it can prevent respiratory inflammation through control. Director Qiu of Guotai Hospital actively intervened in the admission of asthma patients, clinical treatment guidelines, whole-course nursing, etc., and advised patients to pay attention to their own body information and find clues to facilitate early prevention.
Many drugs that cause asthma may also be induced.
Asthma may be caused by many factors, such as air pollution in respiratory tract, dust mites, mold, pollen and other allergens. Chief physician Qiu of the Chest Department of Guotai Hospital pointed out that drugs and respiratory tract infections are the most common causes of asthma, such as class B sympathomimetic drugs for hypertension and hyperthyroidism, as well as aspirin and painkillers, which may induce asthma unconsciously.
Director Qiu shared his experience. He once treated a patient with severe asthma, but he couldn't find the reason. After asking about the medical history, he found that the patient also had hyperthyroidism. After adjusting the drugs, asthma was controlled. In addition, I met a sick patient. Because this patient suffers from gastric acid reflux, sinusitis and overweight at the same time, it is quite difficult to treat. After the treatment of related diseases, the symptoms of patients have been significantly improved. If you don't breathe, it may be asthma. If you cough for a long time, don't ignore it.
Director Qiu, who has medical expertise in the diagnosis and treatment of asthma, emphysema and chronic bronchitis, said that asthma not only has symptoms such as wheezing, dyspnea and repeated cough, but the symptoms are often more serious at night, but not all patients will have wheezing. Some people may just cough, which is easy to be regarded as a common cold, so they are neglected in treatment; It is suggested that if you cough for more than 3 weeks, you should go to the hospital for chest X-ray and lung function examination to confirm whether there are other diseases or evaluate whether there are respiratory obstructive changes. If necessary, we can make a differential diagnosis between asthma dilation test and pulmonary artery obstruction.
Regular use of inhaled steroids is the basis of control.
Director Qiu mentioned that the treatment of common cold focuses on improving symptoms, and asthma focuses on preventing deterioration and controlling inflammation; Today's asthma treatment emphasizes the regular use of inhaled steroids to control tracheal inflammation and reduce the frequency of attacks in the early hours of the night. However, as long as steroids are mentioned, most patients will worry about side effects, such as moon face, buffalo shoulder and bone loss. Director Qiu emphasized that the dosage of inhaled steroids is much lower than that of oral and injection, and the general dosage usually does not produce the systemic side effects of the above steroids, and can effectively control tracheal inflammation, reduce the number of patients with severe attacks and reduce the number of taking. The 20 19 Global Guidelines for the Diagnosis and Treatment of Asthma, which was updated in April this year, also revised the treatment of asthma greatly, emphasizing that asthma treatment should be based on anti-inflammatory drugs, namely inhaled steroids, in order to effectively and immediately relieve airway inflammation and further reduce the incidence of asthma deterioration.
Short-acting spray is a panacea for asthma attack.
In order to let asthma patients enjoy better asthma treatment and care, Director Qiu reminded from a professional point of view that many patients think that first-aid drugs are effective and can quickly relieve symptoms. However, when asthma gets worse, short-acting bronchodilators are needed for first aid, which has no effect on controlling inflammation. If the medication compliance is poor, it may lead to repeated attacks, which are difficult to control and may even be fatal. GINA guideline of 20 19 also points out that according to large-scale statistical data, the use of short-acting sprays more than three times a year may be related to the serious deterioration of asthma. Therefore, asthma patients should follow the prescription of asthma specialists in order to achieve the effect of asthma improvement.
In asthma control, the cooperation between doctors and patients is more powerful.
In the care of asthma, in order to achieve a better therapeutic goal. Guotai Hospital has established a fairly complete nursing network from asthma diagnosis and treatment to health education, and evaluated the appropriate medication by participating in various tests such as asthma control test (ACT) and peak expiratory flow measurement, and gave suggestions on matters needing attention in life according to the degree of asthma control of patients. In addition, Guotai Hospital will also carry out professional health education knowledge, teach correct drug inhalation methods and use opportunities, and provide comprehensive care for asthma patients. At the same time, asthma patients should cooperate with regular medication, return to the outpatient clinic for regular review, control the attack of asthma with less dose, and avoid the recurrence of asthma.
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