. Their symptoms and medication with cough is very similar to the situation, and chronic bronchitis and pharyngitis is often due to the long reach of phlegm and anti-inflammatory drugs cause fever, and, the inevitable fall of asthma attacks each year. Asthma, (chronic) bronchitis, pharyngitis patients, if we can insist on taking large doses of SND 3 to 5 months, the fall will not attack.
treatment of cough within the military use of biological immune cells involved in minimally invasive surgery acupuncture, magnets with unique points of traditional Chinese medicine, according to traditional Chinese medicine syndrome differentiation, treatment of asthma, bronchitis, chronic bronchitis and old, variation asthma, emphysema, chronic obstructive pulmonary disease and other chronic health Pok treatment created a new chapter.
Since the body produces stress effect, and clear the meridians, promoting blood circulation, promote blood running, activate the immune system, enhance immunity, blocking the development of lung disease and restore the trachea and lung function, and a lifelong put In the points, play a therapeutic role for life. Using both the original Thus in a short period to clear the virus and repair damaged tissue and mucosal purposes. So as to receive both measures and cure of double effect, which is the treatment of asthma, the latest and most effective way to get rid of the use of hormones and the expansion of drug treatment of bronchial methods. Both prevent and reverse early respiratory system diseases, has a unique advantage.
more complex causes of asthma, a variety of cells, especially mast cells, eosinophils and T lymphocytes in chronic airway inflammation, mainly cough, wheezing, difficulty breathing, chest tightness, sputum, etc. . The typical onset of sexual partners, there is the performance of wheeze expiratory dyspnea. Most patients with early or mild episodes of coughing and chest tightness in the main performance characteristics of the symptoms: 1 attack: when was encountered when the onset of the predisposing factors increased. (2) time rhythm: usually at night and early morning attack or worse. 3 Seasonal: often in the autumn and winter attack or worse. 4 reversible: asthma drugs usually relieve symptoms, may have significant remission of asthma
early pathological changes: eye view of the very few organic anatomical changes on the curb. Changes with the gradual development of the disease pathology Pok clear visible lung hyperinflation and emphysema, lung soft and loose, can be combined with bullae. Bronchi and bronchioles contain thick sputum and mucus plugs. Bronchial wall thickening, mucosal swelling and congestion to form folds, mucus embolization can be found in local atelectasis. More obvious changes under the microscope. Even in mild asthma patients, showing that the gas trail subcutaneous mast cells, alveolar macrophages, eosinophils, lymphocytes and neutrophils infiltrating small package. Asthma, airway mucosal edema, increased microvascular permeability, bronchial secretions storage left, support the airway smooth muscle spasm, ciliated epithelial stripping, exposing the basement membrane, goblet cell proliferation and increased bronchial secretions other pathological changes. If long-term recurrent asthma, bronchial smooth muscle showed muscle hypertrophy, airway fibrosis, epithelial cells under the airway caused by the surrounding lung tissue remodeling and support the role of the airway disappeared.
so in the treatment of asthma is based on the first lift to eliminate inflammation of airway smooth muscle spasm, followed by repeated episodes of asthma is very easy. Therefore, the treatment time must be longer, so as to completely heal. In this regard a number of clinically used medical equipment made in China with its use, such as asthma NdFeB magnetic field and high-tech bio-nano far-infrared of the dual role played Tongluo blood circulation, anti-inflammatory analgesic effect, with the role of speed, safety, the advantage of ease of use. Can be effective for the treatment of asthma.
① theophylline every 12 hours, 1, 2 times a day.
② Xiaoqinglong granules, each 1-2 bag, 3 times a day. For cold-induced asthma.
③ asthma powder, 1 bag each time, 2 times a day. For heat-induced asthma.
① pepper mesh powder, each 3 g, 2 times a day.
② Yangjinhua plus a small amount of mint leaves or leaves made of cigarettes, lit inhalation.
③ move mountains 10 grams of ginseng, Gecko 1 on (go head and foot), Jiantang. Remission can swallow powdered two drugs, each
3 grams 2-3 times daily.
(1) generation of Sunburn cream or cream musk tiger bone paste days of the conflict, Feishu, Dingchuan three points.
days of conflict points: concave ridge in the upper sternum. Feishu: in the third thoracic 1.5-inch opening at the lower side. Dingchuanxue
under the 7th cervical vertebra adjacent to open 1.5-inch Service.
(2) raw Pinellia, Health Southern Star, Mustard Seed, 30 grams of research into powder. Add ginger paste a small amount spreads Feishu
Ban Cheng points, Yongquan, 2-3 times daily.
Yongquan: concave ridge in the forefoot.
① to the capsule, 2-4 capsules each time, 3 times a day.
② kidney anti-asthma tablets, 4-6 tablets, 3 times a day.
③ pearl Dingchuan tablets, 2-4 tablets, 3 times a day.
① cuttlefish bone powder, each 10-15 grams, 3 times a day, brown sugar, water delivery service.
② gourd leaf powder, each 30-60 grams, 30 to overcome the use of honey 2 times a day.
③ Ginseng 1 g, 3 slices of ginger, walnut meat, 2. Ponder before going to bed after the swallow.
① same amount of white nuts, sweet almond, walnut, peanut research into a powder. Each 15 grams, plus Shui Zhushu into the eggs one after, maltose 1 tablespoon food, day 1.
② net long 30 grams, ginger 20 grams of fried, served on the 2nd, 5-7 with service agents. The parties attending bronchial asthma, contraindications alcohol and cold, greasy, smell the food.
③ smashed garlic 30 g (peeled), and topical in the heart of Yongquan position on the feet, wrapped with gauze. 1 every 24 hours to replace, and even apply a few days or more for the degree. The parties attending cough, phlegm, sputum, hemoptysis, hematemesis, bronchiectasis embolism. Taboo tobacco, alcohol and spicy food, avoid cold feet, and pay attention to the feet warm.
④ ginger 150g brown sugar 120 grams water Jian Fei, each mouth with half spoon, gradually the pharynx. The under side to Phlegm gas temperature in the Zhichuan, attending old Tan Chuan.
⑤ ginger 3 ml, 200 ml white radish juice, honey, 30 ml, the three-drug mix, set fire to cook a little boiling, 1 served, day 1. The Fang Zhongsheng ginger can warm the lung cough, white radish juice can lower gas Dingchuan, honey cough can be run.
⑥ ginger 1 / 3, taro 2 / 3. Ginger, peeled taro (not wet) ground into mud, adding the same amount of flour with the ginger to a thick paste, stir well, before going to sleep, to paste on a cloth spread on the long form, or made into bags , affixed to the chest to sleep, remove the following morning for 7 days, you can quit. The side effects treatment of bronchial asthma.
⑦ 50 grams of ginger, Mustard Seed 15 grams, ginger smashed Jiao Zhi, plus shochu with the Mustard Seed and research, such as paste, cotton pack with gauze
cones dipped in medicine paste, wipe Ojo , Feishu, the smell of mutton three points per hole cleaning for 10 minutes, to feel pain and burning as the local degree. Or gauze layer, cut the size of Acer son, James liquid affixed to these three points about 1 hour, the pain is taken away, the blisters can not afford for the degree. This applies to bronchial asthma, especially in the shorter course better.
⑧ ginger 50 grams, 50 grams of meat walnut, Ku almonds 50 grams of honey, walnut meat, Ku almonds soaked in water,
peeled; ginger, cut into the end; of mash, add honey as pills, tablets shape into pellets, before going to sleep suits, divided into 10 sub-served. The side with the government Hyperactivity cough, spit negative embolism, with cough Dingchuan, lungs and the effect of virtual management.
⑨ 60 grams of fresh ginger, pumpkin 5, malt 1500 grams, will be seeded pumpkin, cut into the pot, add boiling very bad, such as porridge, juice twist with gauze, then left half of the boiled juice, add ginger, malt, boiled cream to simmer, night clothes, 150 grams, sooner or later take a severely ill patient. The side with the government for many years with asthma, aggravated asthma winter, has anti-inflammatory and pain relief, detoxification effect of asthma.
equivalent Mustard Seed, Asarum, euphorbia and powdered. Appropriate amount of ginger juice into a paste apply throttle, Feishu, Zusanli, Vital Points. If the dog days, apply once per volt better.
throttle point: In the second thoracic 1.5-inch opening at the lower side. The more points the lung: in the third thoracic 1.5-inch opening at the lower side.
Zusanli: refers to the outer knee now four horizontal width, from the tibia Wang pointed. Vital Points: In the second concave ridge in the lumbar spine.
(following from: Journal of Medical Pok will: Bronchial Asthma Guide. Journal of Tuberculosis and Respiratory Diseases, 1997; 10:261-267
clinical features of mild to moderate to severe Critical
shortness of breath walking,
activities stairs take a rest
supine position can be happy sitting orthopnea
manner of speech into sentences often continuous words can not interrupt his speech
mental state may have anxiety when anxiety
Shangan Jing
often anxiety or trouble Zao, Zao annoying sense of lethargy
There is no ambiguity
sweating sweating
slightly increased respiratory rate often increase> 30 beats / min
accessory muscle activity and three depressions often no There are often contradictions of abdominal
movement
wheeze scattered in the late breathing loud, filled with loud, filled less,
pulse rate even without
<100 beats / min 100 to 120 beats / min> 120 beats / min> 120 beats / minute
or slow pulse rate or irregular
odd pulse
(systolic blood pressure drop) No
(<10mmHg) may have
(10 ~ 25mmHg) often
(> 25mmHg )
β2 agonist use after> 70% 50% ~ 70% <50%
or PEF is expected to account for the normal value or the maximum value of% I usually <100 l / min < br>
or reaction time <2 hours
PaO2 (suck air) normal 60 ~ 80mmHg <60mmHg
PaCO2 <40mmHg ≤ 45mmHg> 45mmHg
SaO2 (suck air)> 95% 90% ~ 95% ≤ 90%
pH ≥ 7.20
1. demand inhaled β2 agonists, oral β2 excited when ineffective dose controlled-release tablets.
2. low-dose oral controlled-release theophylline.
3. regular inhaled corticosteroids daily (200 ~ 600μg).
4. nocturnal asthma inhaled long-acting β2 agonist or can be added with anti-cholinergic drugs.
1. the law of inhaled β2 agonist, or oral long-acting β2 agonist, if necessary, using the continuous inhalation.
(2) oral controlled-release theophylline or intravenous aminophylline.
3. plus inhaled anticholinergic drugs.
4. regular daily high-dose inhaled corticosteroids (600μg / day) .
5. if necessary, oral corticosteroids.
severe symptoms Treatment options: 1. continuous inhalation of β2 agonists, anticholinergic agents plus inhaled or intravenous salbutamol.
2. intravenous aminophylline.
3. intravenous corticosteroids, disease control to oral and even inhaled medication.
5. to avoid severe acidosis, pH value of <7.20 should be adequate fill base.
6. oxygen; the indications for mechanical ventilation.
7. prevention of respiratory infections.
(The following paragraphs have content are: disease classification, clinical features, control the symptoms of the drugs, alternative long-term treatment program)
intermittent: intermittent symptoms less than once a week short-term episodes ( for several hours to several days), nocturnal asthma symptoms less than equal to 2 times per month, interictal symptoms, normal lung function, PEF or FEV1 ≥ 80% predicted, PEF variability <20% using intermittent-demand Quick relief medicines: If inhaled short-acting β2 agonist treatment medication strength depends on the severity of symptoms, may require inhaled corticosteroids, inhaled β2 agonists on demand or oral β2 agonists; low-dose oral controlled-release theophylline; can test consider the daily ration of small doses of inhaled corticosteroids (<200μg / day) or oral leukotriene modifiers.
mild: symptoms more than once a week, but less than once a day, attack may affect activity and sleep, nocturnal asthma symptoms more than twice a month, PEF or FEV1 ≥ 80% is expected to be considered, PEF variation rate of 20% to 30% with a long-term preventive medications: the use of anti-inflammatory drugs can be added with a long-acting bronchodilator (especially at night to control symptoms).
moderate: daily symptoms, seizures affect activity and sleep, nocturnal asthma symptoms more than once a week, PEF or FEV1> ; 60%, <80% of the expected count, PEF variability ratio> 30% of the daily application of long-term preventive medications: such as inhaled corticosteroids, daily inhaled short-acting β2 agonist and (or) long-acting bronchodilators agents (especially at night to control symptoms.) quantitative daily inhaled corticosteroids (200 ~ 600μg / day) inhaled β2 agonists on demand. ineffective dissecting a small dose of oral controlled-release theophylline or (and) β2 agonists oral controlled-release tablet. nocturnal asthma can be inhaled long-acting β2 agonist or combined with anti-cholinergic drugs.
serious: symptoms of frequent attacks, frequent episodes of nocturnal asthma, a serious impact on sleep, physical activity is limited, PEF, FEV1 <60% predicted, PEF variability> 30% a day with a variety of long-term prevention of drug, high-dose inhaled corticosteroids, long-acting bronchodilators and (or) long-term oral high-dose inhaled corticosteroids corticosteroids (> 600μg / day). the law of inhaled β2 agonists, oral β2 agonists may increase the controlled-release tablets and sustained-release theophylline, if necessary, continuous inhalation of β2 agonists, together with anti-cholinergic drugs; some patients need oral corticosteroids. to try some new drugs or therapies, such as the combination of leukotriene agents.
Note: A patient may also have the characteristics of the different levels of severity, should be included in more Among the serious level.
1. early atypical cases (such as: cough variant asthma) or coexist with other diseases (such as: chronic bronchitis with asthma), bronchial provocation test should be adopted or exercise testing, bronchial dilation test, PEF monitoring, or a series of changes in lung function before and after treatment, a clear diagnosis.
2. Note that identification of obstructive airway diseases, such as the trachea endometrial tuberculosis, cancer, etc. < br>
7. prevention of asthma death.
3. the law of inhaled corticosteroids after the disease control is unsatisfactory, should not be treated with inhaled long-acting β2 agonist, or sustained-release theophylline, or leukotriene agent (combination therapy); also consider increasing the amount of inhaled corticosteroid
4. severe asthma patients, long after the treatment is still recurrent, consider doing intensive therapy, ie, severe asthma attack, according to Zhao processing ( given large doses of hormone therapy, the contents of a large section see above), until the symptoms completely control, the best level of recovery of lung function and PEF volatility normal two to four days, gradually reducing the hormone dosage. some patients after intensive treatment phase control condition after the ideal.
2. prevention of diseases in combination, such as: allergic rhinitis, reflux esophagitis go far
4. always check whether the correct use of inhaled drugs and medical advice of compliance.
1. allergic factors: 30% to 40% of bronchial asthma may identify allergens. dust mites, cats and dogs and other animal skin dirt, mold, pollen, milk, eggs, silk, feathers, moths, cotton, fungi are important allergens.
2. non-specific physical and chemical factors, such as the inhalation of smoke, dust, and vegetable oils, such as gasoline or paint smell and the cold air, can stimulate sensory nerve endings under the bronchial mucous membrane, caused by reflex vagus nerve and cough, the airway hyperresponsiveness based on the result of bronchial smooth muscle spasm.
3. microbial infection: a cold and upper respiratory tract infections are the most common incentive, winter and spring season or climate variability will become more apparent. respiratory tract infections, especially viral infections more likely to cause asthma attacks in children.
4. overwork: assault of a strong or a long period of physical, intense competitive sport, can trigger asthma.
5. mental factors: mood swings can be an incentive. such as anxiety, sadness, excessive excitement can lead to asthma and even laugh attack.
6. occupational factors: this covers a wide range, such as the pharmaceutical industry, chemical industry workers exposed to certain drugs or raw materials, allergies, allergies to certain drugs and other medical staff. < br>
7. climatic factors, such as the cold season, respiratory tract infection caused by cold easily, or a sudden change in weather or air pressure to reduce, can stimulate bronchial asthma.
5. do not attach importance to the application pocket peak velocity-type meter to monitor asthma and clinical.
bronchial asthma, because bronchial smooth muscle spasm, mucosal edema, increased secretions, leading to the formation of incomplete bronchial obstruction, breathing, inspiratory muscle contraction, thoracic expansion, the gas can still enter the alveoli; breath, the airway closure threshold, further increase in airway resistance, alveolar gas leaving the lungs can not fully discharge the gradual expansion, but the elastic fibers of alveolar and bronchial no pathological damage of smooth muscle, this time can ease if bronchospasm, the lung gas can be discharged, the patient can be fully recovered, bronchial asthma is reversible.
2. bronchus gland hypertrophy, secrete large amounts of viscous material, blocking the bronchioles
3. bronchioles cartilage damage, loss of normal supporting role, breathing, bronchodilator, the gas can still into the alveoli; but breath, bronchial closure threshold, the gas can not be discharged, so that the gas accumulation and alveolar expansion
4. long-term gas accumulation, alveolar pressure, lung over-expansion, elasticity, finally rupture, the formation of emphysema.
Myth Eight: cure of view, there is no complete treatment plan.
more urgent asthma, and patients when the disease is in most cases outside the hospital , this time the patient himself or his family's treatment of the disease is very important. patients usually should carry Ji expansion bronchial aerosol species, such as the β2-receptor agonist class (salbutamol, asthma HENSEL, salbutamol gas fog, etc.), anticholinergic drug classes (love all music aerosol), in order to prepare for any eventuality. acute asthma attack, the first should remain calm, do not panic tension, or the nearest place of rest, and immediately inhaled β2-agonist class aerosol spray about 2-4, if necessary, and love all music and other drug use. then every 20 minutes, according to the disease can be repeated; 1 hour if unable to relieve, oral sustained-release theophylline drugs should be (Shu Vermeer, Bao Le Hui, etc.), with the aerosol inhaled corticosteroids such as BDP 400μg or so, and continue each time interval of 4 hours inhaled β2-agonist, if necessary, can go to the hospital.
< br> In addition to drugs, patients can also take some non-drug therapies such as to refer to the needle, rubbing pressure massage bilateral Hegu, the customs, the wind pool, day conflict, the smell of mutton middle point, will definitely help to alleviate the condition. can also be hard to swallow several times, it would be useful for some patients.
asthma attack whenever the disease, with a total feeling of dry mouth, cough, chest tightness, shortness of breath, abdominal distension, sweating, breathing difficulties severe, due to the strong contraction of respiratory muscles, airway mucus secretion, ventilation dysfunction, resulting in the body of oxygen, the patient shoulders arched, walk hard, heavy heart, feeling tired Zao, very painful Ku, so asthma patients should be establish a strong will, and to enhance self-care awareness.
remain stable whenever the optimistic mood of acute disease, the primary issue is emotional stability to be optimistic, do not tension, try to keep muscles in a relaxed state, because the feelings are too intense , make muscles tense, increased oxygen consumption, easy to increase the oxygen, such as hearts and stability, will also relax muscles, breathing has gradually stabilized, the patient will feel relaxed comfortable.
develop the habit of drinking at any time during an asthma attack, rapid breathing, sweating more, the body of water is inevitably more than normal, water can cause airway secretions become sticky, difficult to smooth smoke, respiratory obstruction, increased oxygen and make expectoration difficult, so it is necessary to develop the habit of drinking at any time, as much water, such as early morning, night waking, before sleep, and daytime and pay attention to drink warm water.
< br> Pok be abdominal breathing abdominal breathing is breathing, relax, exhale with the mouth, nose inhale, exhale flat stomach, drum belly breathing, breathing should be uniform, slow and slender, gas Shen pubic region To take a deep breath as much as possible by abdominal breathing, which could mobilize the middle and lower lung alveoli, enhancing the depth of breathing, can improve lung ventilation function and blood circulation, promote muscle relaxation, relieve bronchial spasms, relieve wheezing.
insist on walking and jogging exercise by walking and jogging, can improve and enhance the lung respiratory function, so that there is sufficient activity of alveolar to effectively enhance the elasticity of lung tissue, increased alveolar opening rate, which increase lung capacity due to walking and jogging are a long, slow, distance characteristics, breathing deeply, speed up, up and down the lung muscles, promote blood circulation, improve heart and lung function, resulting in small bronchiectasis, thus increasing oxygen inhalation and exchange, promote metabolism, improve immunity and disease resistance, while, when the whole body exercise in a relaxed state, has also come to relieve the small bronchial spasms, asthma symptoms also improved.
method: acute period with Qi and paste 2, affixed to the chest and back of each one, a total of five times a day patching 1 hour remission with Qi and paste one, affixed to the chest and back of each one, posted daily deposited a total of 5 hours 1 1 1-month course of treatment when symptoms disappear after a period of consolidation.
effect: improved respiratory function.
apply: eat on the long-term efficacy of injections If not satisfactory, very suitable for such as infants and young children with asthma. or the elderly asthma.
medication prescriptions: Poria powder 90 grams, jujube 10, 150 grams of rice, salt, monosodium glutamate, pepper, the right amount.
system usage: the rice, jujube wash clean, and Poria powder into the casserole along with the amount of water, fire boiling, switch to gentle boil porridge cooked, transferred to salt, monosodium glutamate, pepper that is as Day 1, 2 pm service.
effect: Bu Zhong Yi Qi, Spleen water. with the governance of lung deficiency type asthma, Zheng Jian cough, shortness of breath, shortness of breath while moving, waist acid tinnitus.
sudden death is the most serious complications of bronchial asthma, because often no obvious sign of symptoms, once the sudden, often too late to grab the salvage and death important cause of sudden death in asthma can be satisfied for the sweep :
(1)-specific hypersensitivity: As the airway in a state of high sensitivity and specificity of non-specific stimulation, especially for measurement of airway responsiveness, it can cause severe laryngeal, tracheal edema and extensive Pan bronchospasm, airway obstruction to severe asphyxia or induced arrhythmias and even cardiac arrest and death.
(2) pulmonary atresia: sputum may be blocked due to the extensive bronchial or isopropyl adrenal side effects of hormone latter was due to drug metabolism intermediate 3 - methoxy-isoproterenol, not only can not be excited β receptor, but also from the β-receptor blocking effect, causing bronchial smooth muscle spasm leaving through the air resistance stagnation.
(3) fatal arrhythmia: by severe hypoxia, water, electrolyte and acid-base imbalance caused, may also be caused by improper use of drugs such as digitalis concurrent heart failure, support tracheal relaxation applied β receptor agents, aminophylline, etc. If intravenous theophylline, blood levels> 30mg / L, can induce tachyarrhythmias.
(4) bronchial Outbreaks of asthma attacks: death is often too late to medication, the mechanism is unknown.
(5) Application error improper application of anesthetic or sedative drugs: narcotics can cause respiratory depression or arrest, some sedative drugs on the respiratory center also significantly inhibited, such as barbiturates, chlorpromazine Qin class. Once sudden death, should immediately establish artificial airway, artificial ventilation, simultaneously or successively to the heart, brain and other vital organs and make the appropriate and effective treatment. < br>
According to statistics, about half was due to asthma, upper respiratory tract infection induced. which disturbed immune function of the respiratory tract, lower respiratory tract and easy secondary lung infection, therefore, should strive to improve asthma patient's immune function, to maintain airway patency, clear airway secretions, keeping wards clean, prevent colds, to reduce infection; once sign of infection, bacteria and sensitivity should be based on the choice of appropriate antibiotic therapy.
as asthma attacks, lack of oxygen, deter food shortage, dehydration, heart, liver, especially respiratory and renal failure, often complicated by water, electrolyte and acid-base balance, these effects are asthma and an important prognostic factor. to strive to maintain water, electrolyte and acid base balance, electrolytes and a day or even at any time for monitoring arterial blood gas analysis, to detect anomalies and timely treatment.
asthma attack because the gas retention in the alveoli, the alveolar gas over, marked increase in pulmonary pressure, chronic asthma has been complicated by emphysema can cause bullae rupture, the formation of spontaneous pneumothorax; application of mechanical ventilation, airway and alveolar peak pressure is too high, it could easily lead to the formation of pulmonary barotrauma and rupture, causing pneumothorax with mediastinal or emphysema.
severe asthma attack, inadequate ventilation, infection, treatment and medication properly, pneumothorax, atelectasis and pulmonary edema, asthma, respiratory failure are common causes. Once respiratory failure, due to severe lack of oxygen, carbon dioxide retention and acidosis, plus treatment of difficult asthma. To eliminate or reduce the incentive to prevent the occurrence; according to respiratory failure after looting salvage.
because of severe hypoxia, severe infection, acid-base imbalance , gastrointestinal bleeding and drug side effects, severe asthma often complicated by multiple organ dysfunction or failure. to prevent and correct the incentives to actively improve the function of important organs.
asthma in children, often causing dysplasia and thoracic deformity, study of its wide range of factors, such as malnutrition, hypoxemia, endocrine disorders, there are reports of long-term systemic use of corticosteroids in children, 30% stunted.
The incidence of asthma caused by long-term or repeated airway obstruction, infection, hypoxia, hypercapnia, acidosis and increased blood viscosity and so on.
scan and transfer of asthma and severity of the disease pre- For, more importantly, with the right treatment for Most patients after active treatment system, to achieve long-term stability, especially children with asthma, through active and standard treatment, the clinical control rate of 95% after puberty More than 50% of patients complete remission without drug therapy. Individual severe illness, airway reactivity increased significantly, or in combination with bronchiectasis and other diseases, treatment is relatively difficult recurrent long-term individual patients, prone to develop emphysema, lung heart disease, eventually leading to respiratory failure from the clinical point of view, non-standard and non-aggressive treatment, so that long-term recurrent asthma is an important prognostic factor.
menstrual asthma is pre-menstrual aggravated asthma, menstrual period or phenomenon, generally occurs often in the early period. often occurs in more regular menstrual cycle of young women of childbearing age, the pathogenesis of this disease is not clear, may be related to the menstrual cycle related to changes in sex hormone levels.
menstrual asthma often occurs in patients with previous history of asthma, menstrual period, or the week before menstruation symptoms, menstrual cramps, symptoms gradually reduced, continued to have symptoms a few days after menstruation who increase the degree of symptoms from person to person different, the light only tightness, severe cases require hospitalization.
Pok treat the disease of modern medicine with loop diuretics and intramuscular progesterone valid for mild to moderate menstrual asthma, should disease began to increase the week before menstruation medication until a stable condition.
According to TCM theory, the disease is mainly due to congenital deficiency or over-exerting usually thought, and spleen damage, coupled with the line through the water, fine blood injection in the uterus, spleen and more virtual, not kidney qi or worsen asthma attacks caused the typical symptoms, 3 to 7 days before menstruation that made asthma, not supine, throat phlegm, sputum thin , mediastinoscopy full of nausea, menstrual volume, quality thin pink color, chills, body tired fatigue, abdominal distention after eating sugar stool thin, pale and tender tongue, thin pulse.
rule is: tonic spleen and kidney, qi and asthma.
Recipe: ephedrine 10 grams, 10 grams Shegan, Schisandra 15 grams, 15 grams purple Wan, Coltsfoot Flower 15 g, 10 g Gui, Ling Yun, 15 g , psoralen 10 grams, Morinda 10 g, Xiong 15 grams, 10 grams of licorice, epimedium 10 grams a day, decoction, taken in the week before menstruation, the symptoms ease or disappear service to , menstrual period without stopping.
1. dyspnea, chest tightness, chest tight and even a sense of suffocation.
2. cough, expectoration, first as a dry cough without phlegm, to varying degrees.
3. headache, dizziness, coke is true, mind confusion, drowsiness, coma and other neurological, psychiatric symptoms. If the infection may have a fever. there is more after the onset of fatigue, weakness and other symptoms.
1. pregnancy because plasma free cortisol and histamine enzyme increased, often can reduce asthma symptoms or asthma from pregnancy to improve the impact is only 1 / 3 of patients with disease progression.
(2) severe asthma in pregnancy, nearly half of patients with asthma worse.
3. often combined attack of status asthmaticus during pregnancy, 80% of asthma increased.
4. Normal pregnancy cones immune serum protein E (IgE) was reduced, their asthma with pregnancy serum IgE levels increased or sustained, suggesting that asthma will have a tendency to deteriorate.
1. Pregnant women with asthma need to check with the appropriate methods to observe the condition, control the disease.
2. pregnant women every hour on a regular basis with the largest measured peak expiratory flow rate has been applied to the delivery, and this is because the peak expiratory flow rate can be estimated indirectly airway hyperresponsiveness allergic airway inflammation.
3. Moreover, in pregnant women, chest tightness, shortness of breath symptoms, can have as an objective basis for the differential diagnosis, one for early detection of fetal hypoxia. In addition, the fetus is also to be regularly monitored, in addition to observation of fetal heart rate and fetal movement, but if necessary, to electronic fetal monitoring.
4. During pregnancy, the patient must pay attention to self-protection, to reduce asthma attacks. specific measures are: life law, to maintain emotional stability; try to avoid all possible allergen induced asthma, such as mites, pollen, industrial dust, various irritant gases, etc.; addition, we must guard against colds.
common substances such as air in the dust, dust, pollen, carpets, animal hair, clothing fibers, and even urine, etc.
dust is a small and micro-organisms, most attached to the pillow, bed sheets, curtains, carpets and other places. dust The waste will be allergic bronchial asthma response.
upper respiratory tract infections, bronchitis and colds are common factors that trigger asthma, most of these diseases are caused by a virus, the virus damage in patients with respiratory tract mucosa, so that the patient's airway is more sensitive to external stimuli.
There are many different types of air pollutants, according to survey of asthma in the developed society, the incidence of the disease there is a rising trend in developed countries due to industrial and transportation, so, the majority of poor air quality, such as sulfur dioxide emitted by the plant, it may trigger asthma, Hong Kong's worsening air pollution, air pollution index has often hovering In high levels, which is no doubt the condition of patients with asthma have an adverse impact.
weather changes induced asthma is one of the reasons, when the days of seasonal transition, for example, between the summer and fall, or by the winter into the spring, temperature and air humidity changes will make the patient's respiratory tract allergic reaction is induced by the asthma.
some asthma patients allergic to certain medications would give birth to the reaction, leading to respiratory narrow channels, trigger asthma. In addition, some drugs Ji almost all people with asthma have adverse effects, such as heart disease and hypertension may lead to death.
sometimes strenuous exercise-induced asthma, because the body requires a lot of movement of oxygen, in which case we will use the majority mouth breathing, due to inhalation of air with the mouth without respiratory tract, it will be colder and drier, which will contain more particles, so it will easily lead to a large number of inhalation disease.
没有评论:
发表评论