The root cause of asthma getting worse is not being treated properly.

We have so many chronic diseases, such as hypertension, diabetes, coronary heart disease, chronic obstructive pulmonary disease, asthma, chronic kidney disease, systemic lupus erythematosus, rheumatoid arthritis, hepatitis B, and so on, and I have to say that asthma is the simplest and easiest to treat.

None of the chronic diseases mentioned above can be completely cured, but they can be basically controlled and stabilized with effective treatment. Asthma also requires controlled treatment.

The most effective medication available for the treatment of asthma is glucocorticoids, which are the most important treatment whether the condition is stable or in acute exacerbation. The fundamental reason why an asthmatic patient's condition worsens from year to year is that he or she is not treated correctly, and one of the reasons may be that he or she does not follow through with the use of glucocorticoids. Because asthma is an inflammatory disease of the airways, anti-inflammatory treatment should be the most important, of which glucocorticosteroids are the most effective anti-inflammatory drugs, inhaled glucocorticosteroids are preferred by asthma patients, such as budesonide, fluticasone and so on. If the condition cannot be controlled by inhaled hormones alone, then long-acting bronchodilators, such as Sulodexide and Sinequan, can be used in combination. The vast majority of patients can be satisfactorily controlled by these treatments.

What is satisfactory? It is the absence of asthma symptoms during the day and at night, without the need for emergency medications (e.g., albuterol aerosol). The prerequisite is consistent daily use of the medications mentioned above to control the condition (glucocorticoids, long-acting bronchodilators).

A person with asthma who does not consistently use inhaled glucocorticoids on a daily basis can conclude that his treatment is incomplete, incorrect, and inappropriate, unless his condition is really very mild, so mild that he does not need to use disease-controlling medications, and so mild that he has not had a single asthma attack in a year or two. If there are several acute asthma attacks in a year, it means that the condition is not so mild that it is necessary to use to condition-controlling medications, and the first choice is inhaled glucocorticoids.

In addition to the above medications, we also have theophylline extended-release tablets, leukotriene receptor antagonists, and so on, all of which are options, but the most effective are glucocorticoids.

If the above treatments are done, then the vast majority of people with asthma will remain stable and not get worse.

So, you need to revisit your treatment and contact a specialist respiratory physician urgently.

I remember that Han Yu wrote in his poem "Late Spring" that poplar flowers and elm pods have no talent, but they can be used as snowflakes in the sky. It seems that in ancient times there were scenes of willow flakes flying everywhere. Willow wadding, in the eyes of the ancients is poetic, but for asthma patients is not good, this kind of fluffy things are very easy to trigger asthma attacks.

Chronic inflammation of the airways is the essence of asthma. Inflammation here does not narrowly refer to bacterial infection, but to a reaction of the airways caused by various reasons, localized edema, exudation and increased secretions in the airways, which in turn stimulate the airways to cause spasm, resulting in narrowing of the airways and the development of asthma. The causes of asthma are multifaceted, including genetic and environmental factors. Genetic factors are reflected in the fact that allergies are inherited and the incidence of asthma in relatives of asthmatics is relatively high. Environmental factors that trigger asthma such as dust mites, pollen, animal dander, toxic volatile gases. Infections such as fungi, bacteria, parasites, and viruses can trigger asthma attacks. Some other foods like fish, shrimp, eggs, and milk can trigger asthma if you are allergic to them. Some medications like aspirin and ibuprofen inhibit respiratory cyclooxygenase and aspirin asthma can occur.

What to do if you have asthma?

Asthma is not curable, but it can be prevented from attacks, symptoms can be relieved, and early intervention can prevent recurrent attacks that affect lung function. The first step is to stay away from allergens. Many patients are allergic to pollen and willow floss, and the highest concentration of pollen is found in the mid- and late-afternoon, so it is important to minimize going out, and if you have to go out, make sure you wear a good mask. Avoid entering the newly renovated houses, not keeping pets at home, and avoiding being a guest in a home with pets. Avoid eating sea fish, shrimps and crabs, cold foods and spicy stimulation and other foods that can easily trigger asthma. Asthma patients are forbidden to smoke and stay away from second-hand smoke, and usually pay attention to keep warm to avoid cold and flu.

The fundamental measure in the treatment of asthma is to control the inflammation in the airways, and the most effective medication available to control inflammation is glucocorticoids. The most suitable are glucocorticosteroids inhaled through the airways, because these drugs can act directly on the airways after inhalation through the airways to produce therapeutic effects, and the systemic side effects of localized medication are mild. Commonly used inhaled hormones include budesonide and fluticasone. If the condition is relatively severe, it may be necessary to combine other drugs, such as combining long-acting bronchodilators, commonly used drugs are sulpiride, Sindacort DuPont and so on. In addition, leukotrienes, as an inflammatory mediator, can trigger asthma attacks, so asthma needs to resist this inflammatory mediator, commonly used drugs are montelukast sodium (Shunlnin), Shunlnin is more effective for bronchial asthma combined with allergic rhinitis patients, and easy to take orally. For acute asthma attacks, rapid asthma calming is needed, usually using fast-acting asthma medications, such as the most commonly used salbutamol and terbutaline, both of which are β2 agonists and work quickly, calming asthma in 1-2 minutes. Theophylline-based asthma medications, such as aminophylline and doxophylline, can also be used intravenously.

Asthma also currently has a targeted drug, which is omalizumab, an anti-IgE-targeted biologic, the world's first targeted therapeutic agent approved for the treatment of moderate-to-severe asthma, which was approved for clinical use in the United States in 2003, and was approved in August 2017 by the China Food and Drug Administration. Studies have shown that it can be used almost exclusively in patients with allergic asthma, for those with IgE levels ≥30 IU/ml, positive skin tests for at least one inhalant allergen, or elevated IgE levels for specific inhalants.

What to do if you have bronchial asthma

Bronchial asthma is a disease caused by chronic airway inflammation, long-term non-healing will trigger many kinds of respiratory problems, such as emphysema, pulmonary heart disease, systemic diseases, asthma patients should take timely measures to control the disease, to avoid long-term attacks, asthma in the end, what are the adverse manifestations should be how to treat it.

First of all, we need to control drugs and relief drugs, control drugs, refers to the need for long-term daily use of drugs, through the role of anti-inflammatory asthma symptoms are under control, relief drugs need to use some of the drugs, these drugs through the rapid release of bronchial spasm to relieve the symptoms of asthma.

If you want to confirm the diagnosis of asthma, you need to do a lung function measurement and allergen strategy, so that the doctor to determine the condition of reasonable medication, asthma is a chronic disease, to long-term medication can not be seen to be good, in general, the medication generally need to continue for more than three months, after the measurement of lung function in the direction of the doctor to gradually discontinue the drug.

Typical Asthma Symptoms

Recurrent episodes of wheezing, dyspnea, chest tightness, or coughing, often flaring up and worsening at night and/or early in the morning, with most patients relieving on their own or with treatment.

There are also some atypical presentations, such as cough-variant asthma, which is characterized by a predominantly dry cough.

The other is chest tightness variant asthma, which is characterized by symptoms of chest tightness without cough, dyspnea, or chest pain.

Asthma is usually treated with a combination of therapies

1. Avoid contact with allergens and other triggers.

2. Standardized drug therapy.

3. Immunotherapy.

4. Treatment with traditional Chinese medicine.

5. Health education and management of patients.

Among them, Chinese herbal medicine treatment has an important position in asthma treatment.

Characteristics of Chinese medicine in the treatment of asthma

TCM uses evidence-based treatment to help reduce the symptoms of asthma attacks, and treatment during remission can improve immunity and strengthen the body to reduce the number of attacks.

Chinese herbal tonics have a definite efficacy in the seizure phase.

Based on the fact that asthma tends to develop in the early hours of the night, the Nei Jing states, "Hap night until the rooster crows, the yin of the sky, the yin of the yin."

On the basis of dialectical evidence, the "method of benefiting qi and warming yang" runs through the whole process and serves as an important guiding principle.

We can also according to the "meridian theory and external treatment theory of internal disease", the use of traditional Chinese medicine acupoints, often take the "lung acupoint, spleen acupoint, kidney acupoint, fixed wheezing, Tian Tu", etc., with the symptoms of additional subtraction.

For example, on the basis of dialectical evidence, most of the patients with yang deficiency can take "winter disease and summer treatment with three vodka stickers", "supervision of moxibustion" and other appropriate techniques of Chinese medicine, and a few patients with special physique (yin deficiency physique) can take "summer disease and winter treatment". ".

Special emphasis: the use of Chinese herbal medicine is based on the premise of evidence-based treatment.

At present, there are a lot of so-called "ancestral" or "cure for asthma" secret formula and prescription, most of which added an unknown dose of oral hormones, although there can be a temporary "curative effect", but Although they may have a temporary "curative effect", they often delay the condition, cause hormone dependence and serious adverse reactions, and should be firmly resisted.

What do people with asthma need to be aware of in their daily lives?

1. No flowers, grass, carpets, etc., are allowed indoors, and no pets such as cats and dogs.

2, avoid eating asthma-inducing foods, such as fish and shrimp.

3. Avoid contact with irritating gases, smoke, dust and fumes, and quit smoking.

4. Avoid mental stress and strenuous exercise.

5. Avoid cold and upper respiratory tract infections.

6. Look for allergens and avoid contact with them.

7. Strengthen physical exercise and deep breathing exercises (walking or jogging, tai chi, etc.).

8, the diet should be light and warm, avoid too cold, too hot, fatty, salty and sweet.

9, diet should be a small number of meals, chewing slowly should not be too full.

10. Do not drink cold and artificially prepared aerated beverages.

11. Avoid stimulating foods and gas-producing foods.

12. Smoking and drinking are prohibited.

(Image source: Internet, deleted)

Hunan Medical Chat Q&A by Cai Runqing, Department of Cardiovascular and Pulmonary Diseases, The First Hospital of Traditional Chinese Medicine, Yiyang City, China

Currently, most asthma patients seek medical attention for emergency management of acute asthma attacks. However, effective asthma management should be proactive and preventive, similar to the treatment of chronic diseases such as diabetes or hypertension. Patients with active asthma should be routinely followed up in a respiratory clinic, every 1-6 months depending on the severity of their asthma. At this visit, the physician evaluates the patient's asthma and discusses an "asthma action plan," which is a list of steps the patient can take to intervene early in an asthma attack. Aspects of asthma that should be evaluated at each follow-up visit include: lung function, signs and symptoms, asthma exacerbations, quality of life, adherence to treatment, medication side effects, and patient satisfaction with treatment. Medications for asthma are categorized as rapid-relief medications and long-term control medications:

1. Rapid-relief medications quickly eliminate symptoms in 5-15 minutes. Almost all asthma patients carry a quick-relief inhaler with them. Patients can use these medications any time they experience asthma symptoms. Most patients need to use the medication once or twice a week, or less frequently. However, more frequent medication may be needed when asthma symptoms worsen.

2. Long-term control medications can control asthma and prevent future symptoms. Patients who have asthma symptoms more than twice a week need to use control medications 1 or 2 times a day. It is very important that people with asthma use all medicines prescribed by your doctor exactly the way your doctor wants you to. You may have to use your medication several times a day. You may not feel that the medication is working, but this does not mean that it is not helping you. Failure to use your medication properly may cause your asthma symptoms to worsen. You may even need to go to the hospital if your symptoms suddenly get significantly worse.

Na Cun, Clinical Pharmacy Office, Affiliated Hospital of Chifeng College, Member of the Pharmacy Network

The authoritative interpretation of Pharmaceutical Affairs, unauthorized reproduction, plagiarism will be punished.

How can I prevent asthma attacks?

The prevalence of asthma in China ranges from 1.4 to 3.6%, with a total of about 30 to 32 million people suffering from the disease.Adherence to proper treatment can bring asthma under control in more than 80% of patients.

Asthmatics abouttwo-thirdsFor allergic asthma, in addition to medication, should try to avoid contact with all kinds of allergens in life and work, and maintain a clean living environment. Asthma patients can also plan and gradually adhere to appropriate sports.

(Source: Internet, deleted!)

Bronchial asthma is a chronic allergic inflammatory disease of the airways, often characterized by recurrent wheezing, shortness of breath, chest tightness, coughing and other symptoms, and is prone to attacks at night or early in the morning.

There are many causes of asthma, mainly two, one is related to genetic factors and the other is related to environmental factors.

Environmental factors are mainly related to some allergens, such as pollen, dust mites, fungi, etc. enter the patient's body and produce IgE antibodies, which are adsorbed on the surface of mast cells and basophils, and an allergic reaction occurs if such allergens re-enter the organism.

In addition, some drugs, food may be able to trigger asthma, for different asthma patients, triggers will be different, especially food will be different, so asthma patients must pay attention to which food they are allergic to, avoid contact.

Asthma is a chronic disease, it can be controlled, well controlled and healthy people are the same, so have asthma must not have mental stress, relax. The main treatment for asthma is to prevent or minimize acute attacks and to use long-term medication during asthma remission.

1, for asthma remission generally recommended the use of inhaled preparations, such as budesonide formoterol (Xinbike), salmeterol fluticasone (Sulidian) These two drugs are the surface of the inhalation of hormones and bronchodilators composed of a combination of preparations. They have anti-inflammatory and bronchodilator effects and can be synergistic. Symptoms can also be controlled with the use of drugs such as montelukast and aminophylline.

2. For acute asthma attacks, the main thing is to immediately control the symptoms, severe usually need to use intravenous glucocorticosteroids such as methylprednisolone, but also need to use bronchodilators salbutamol or terbutaline. In case of bacterial infection, anti-infective treatment is needed.

For asthmatics need to have a suppressant fast-acting airway dilator such as albuterol sulfate aerosol with them, mainly for first aid to relieve spastic narrowing of the airways during an acute asthma attack.

People with asthma should keep warm, not get cold, avoid colds, avoid contact with irritating gases such as smoke, and avoid certain foods if they are allergic to them, and keep your home ventilated and hygienic, which can reduce asthma attacks.

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It's that time of the year again when wearing masks every day and the sky is filled with willow flakes is not kind to people with respiratory problems, especially asthma sufferers.

Above is a CT image of the chest of both patients with asthma secondary to aspiration pneumonia.

Asthma is a chronic allergic inflammatory disease of the airways

Typical manifestations are recurrent episodes of expiratory dyspnea with widespread rales, shortness of breath, chest tightness, dry cough or coughing up a large amount of foamy sputum, and severe episodes of gasping for breath, restlessness, forced to sit up, or sitting breathing, with the most likely episodes occurring at night and early morning.

Asthma can be caused by a variety of things:...The most common factors are genetic and environmental. Environmental factors include dust mites, pet hair, cockroaches, outdoor pollen, paint used in decoration, and seafood, milk powder, eggs and other foods.

There is also asthma that is caused by pollution in our environment or due to our own respiratory infections.

What should I do if I have asthma?

First of all, we have to stay away from allergens, like environmentally induced bronchial asthma patients, must stay away from some of the occasions that make us asthma attacks, pay attention to indoor ventilation, avoid placing flowers and trees indoors.

During an asthma attack, the patient often sits in an end seat or semi-sitting position, and should always have asthma treatment medications nearby. Some of the common bronchial asthma medications are salbutamol and aminophylline, among others.

During an asthma attack, try to stay calm and avoid getting emotional. Some patients with asthma should be given oxygen in a timely manner if they develop hypoxemia, and have a family member or someone nearby send them to the hospital for treatment when symptoms are severe.

　　Many people are no strangers to asthma, and there is no shortage of them around many people. Asthma manifests itself in episodes of coughing, chest tightness and breathlessness. The severity and duration of an attack varies greatly from individual to individual, from a mild attack with only a feeling of tightness in the chest that lasts for a few minutes, to a severe attack with extreme dyspnea that lasts for weeks or longer.

　　Although asthma is scary, one of the characteristics of its symptoms is reversibility, that is, after treatment, it can be relieved in a relatively short period of time, partly naturally. Therefore, it is not scary to have asthma, but it is scary not to get effective treatment.

　　What to do if you have asthma? This is probably the biggest concern for people with asthma.

　　First, drug therapy, asthma is the disease, is inseparable from the drug treatment. Asthma can take sodium cromoglycate. Western medicine drug therapy is fast, effective, but need to properly rotate the choice of drugs, so as not to produce drug dependence.

　　Second, negative oxygen ion therapy, negative oxygen ions on asthma role is obvious, precisely because it can effectively control the external factors that triggered asthma, but also from the inside to improve and treat asthma disease, and will not appear drug side effects.

　　Third, desensitization therapy, mainly used for inhalation type and mixed type, is the most important measure to prevent attacks. Its principle of action is to prevent and control bronchial asthma by gradually increasing specific immunoglobulins to prevent allergic antigens from combining with reactive elements.

　　Fourth, bacteriophage therapy, mainly applied to infected and mixed patients.

　　Fifth, life regulation, usually do not eat spicy and greasy food, eat more vegetables, to achieve a balanced diet. Be sure to quit smoking, the harmful substances in the smoke will stimulate, damage the respiratory tract, will make asthma rapidly aggravate.

　　Six, pay attention to environmental changes, good insulation in autumn and winter, most asthma patients are in the fall and winter season relapse, cold days try not to go out, indoor air conditioning can be turned on, adjusted to the appropriate temperature, when the weather is good, at noon can be in the sun under the sunshine sheltered from the wind, which can reduce the frequency of asthma attacks.

　　Seven, pay attention to rest, usually do not do too heavy work, to fully rest, improve the body's ability to regulate the immune system.

　　Eight, a reasonable choice of exercise, asthma patients preferred exercise is swimming, swimming is the best exercise to enhance respiratory function. More attention should be paid to the exercise process, asthma patients must grasp the exercise time and exercise. Severe winter heat should not exercise, foggy days are not suitable, of course, not to exercise too much.

　　If asthmatics are able to do these things, then it is possible to reduce the damage and effects of asthma more significantly.

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Mainly depends on the kind of asthma, I myself have asthma, winter will be onset, the main allergies, I am a nurse, but I'm allergic to penicillin, the most afraid of penicillin used to send out the smell, people working in the hospital know that smell, smell will be wheezing, dyspnea, and once committed to the disease to be a number of months to relieve the hospital to the prescribed medication is not very good, but also used the hormone sprays to make a continuous. Used on one or two years, did not adhere to, a bottle are not used up, sometimes cold air stimulation will wheeze, and then their own use of Chinese medicine such as goji berries to regulate, coupled with exercise, as little as possible in contact with allergens, has been three years did not commit the disease!