Asthma treatment

The symptoms can be alleviated by therapy and preventive measures under control. In half of all sick children with asthma sounds like the end of puberty again. The likelihood that the disease “auswächst” increases when they detected early and treated. In adulthood asthma cures in about 20 percent of cases.

If you smoke, you should stop. Severe asthma attacks can be made without the need to treat life.

In the case of a severe untreated asthma, lung disease and heart are permanently and severely damaged.

Since the causes of asthma are unknown, is a safe prevention is not possible. A smoke-free environment for children reduces the risk of asthma to cancer. Whether as long and exclusive breastfeeding against asthma (and allergies) protects, is hotly debated by experts.

Recent studies showed that children who grow up in the country, much less likely to suffer from asthma and allergies. Apparently, the presence of allergens (such as animals) for a healthier balance of the immune system.

Prevent attacks
If you are already sick from asthma, you should try, an expert on your illness to be. You can even do much to asthma attacks and to avoid a normal life. Moreover prevents a good treatment of asthma, a transition in the COPD (chronic obstructive pulmonary disease) before. All key aspects you can learn an asthma training. Also is important for you:

Allow yourself against infections of the upper airway vaccinated (flu, pneumococcus).
A Gewöhnungskur (hyposensitization / desensitization / Specific immunotherapy / SIT) against the asthmaauslösenden irritant (allergen) is carried out in allergic asthma. It is the allergen over several years in slowly increasing concentrations administered. If successful, the body accustomed to the irritant. However, the allergic sensitivity to one or a few substances are limited – one for multiple allergy desensitization is not possible.
Asthma is likely to begin a frightening diagnosis, but if you observe a few rules, you can create a largely normal life. First: Become a partner of your family doctor. Treat Your Asthma in collaboration with him! So you have a good chance that your life and everyday life normally. Because there are several areas where you can do something.

Drugs
There are two types of asthma therapy: long-term medications you take regularly, and emergency medication in the event of an acute asthma attack effect. Take the long-term medications regularly, even if you have no complaints. Ask your doctor to explain exactly how sprays (medication for inhalation) be applied against asthma. It is very important that these drugs as deeply as possible into the lungs.

Discuss with your family, where you keep your emergency medications, in an emergency and what to do. Take the emergency medication is always with you when you leave the house. This is your guarantee a seizure to be treated immediately. Any additional revenue should be drugs with your doctor to clarify.

Asthma Diary
Keep a log book (asthma diary), the daily measurement of the peak flow meter to register. Write on what medications you regularly or in addition have and what symptoms (cough, sputum, shortness of breath, etc.) occurred. A carefully managed asthma diary is for the doctor and patient is a valuable help. You can see whether the therapy is sufficient, or with medical assistance should be adjusted. The asthma diary, you should at each visit to the doctor and go with him to discuss.

Allergens
About 80 percent of asthmatics are allergic to certain substances. Ask your doctor about the seizure of your triggers and try this in your environment should be avoided. If you are allergic to dust mites, you should not sleep in goose feathers, but in synthetic bedding. Smooth floors and carpets short save less dust than carpets with long hair. With an animal dander allergy, unfortunately, you must renounce your pet. Stay with friends who have animals, not too long to visit. If you click on certain grasses and pollen are allergic, avoid in the heyday of long walks in nature or for holidays in a low-allergen environment.

Smoking
Cigarette smoke irritates the lungs, so you should stop smoking can be. Avoid heavily smoky rooms, ask family members and friends, not in your presence to smoke. Of course, it is not prohibited in a restaurant for dinner to go, but try this irritant as much as possible out of the way to go.

Sports
Endurance sports are very good for the lungs. Therefore: Move regularly! If you still have little sports, talk to your doctor first, because sudden excessive physical exertion more harm than good. Find the sport that you enjoy. Ask your doctor whether you have the sport must inhale a drug that extends your airways.

Lifestyle
An orderly life is an excellent prevention of asthmatic symptoms. Just as important as your regular medication is of sufficient sleep. Of course you should also continue to participate in celebrations, but you need to know that your airways after dancing the night are more sensitive. Also, your psyche has an effect on your illness. Just as some people in stressful situations with cold fingers, cold sweat and pain response could be an asthma attack suffered

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The asthma treatment is not only from taking drugs. There are some things you can do:

Asthma Training Attend an asthma training. Here you will learn, among other things the right way to deal with a peak flow meter and as you inhale your medicine correctly.  
Proper Breathing Technique Another component of asthma education is the right breathing. You practice your breathing with gespitzten lips ( “lip brake”), the mucus abzuhusten correctly and the use of knock massages. The objective of this training is self-therapy to learn. This gives you security in dealing with your disease. 
 
Asthma diary Keep a log book (asthma diary), in which the measurement of the peak flow meter to register. So you know in advance whether the therapy is sufficient, or with the help of a doctor should be adjusted.  Develop an emergency plan with your doctor, an emergency plan. This allows you to severe asthma attacks avoided.  Avoid irritants irritants that you are hypersensitive response. 
Nicotine Do not smoke and avoid, if possible verqualmte rooms. 
Pay attention to infections healthy teeth and nose and sinuses; infections in these areas can adversely affect asthma.

Take the medication prescribed by a doctor prescribed medication (control drugs) to prevent asthma attacks, even if you feel healthy! Shutter Find out the circumstances under which the attack occurs, and try to avoid such situations.  
Drink Drink plenty of fluids to make mucus fluid.  
A climate climate change (high mountains or sea) can be an allergic component helpful. Sport regularly endurance sports. If efforts by the complaints are triggered, it is recommended that the medicines prescribed by the doctor a few minutes before the physical strain einzunehmen. Swimming is best suited for asthmatics. Regular exposure bronchial accustomed to the increased breathing. At the same time improve your fitness.

 
Overweight, if you are overweight, try a few pounds.
Relaxation Relaxation techniques such as biofeedback may help to better deal with stress and anxiety to deal. 
Let Vaccination against infections of the upper airway vaccinated (flu, pneumococcus).
Alternative methods In recent years, enjoying great alternative healing methods popularity. An investigation of the Institute of Social Medicine at the University of Luebeck found that about 30 percent of patients with allergies or asthma are already familiar with alternative healing methods have made. These methods are not a substitute for drug therapy, they can but in some cases support. Some methods (such as the autologous therapy) but also with risks such as a severe allergic reaction linked.

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One must distinguish between the disease, asthma and acute asthma attack differ.
The complaints with asthma depend primarily on the severity of the disease. The following symptoms may occur: Shortness of breath and shortness of breath (often occurring as)
Whistling, hissing sound when breathing (wheezing) Coughing fits, especially during the night, with a tough-ejection glassy mucus These symptoms can occur individually or together. The frequency and intensity depend on the severity of the disease. If you always occurs cough or persistent cough for more than three weeks, you should be prescribed by doctors examined.

With an asthma attack are also shortness of breath, coughing and breathing whistling to the complaints but more intense. In addition, the following symptoms: Bluish colored skin and the respiratory snap Inflated chest with raised shoulders Exhaustion to the inability to talk
Anxiety Confusion and restlessness Heart Hunt Decreasing effect of the emergency sprays (which the doctor administered drugs but retain their effect) If the asthma attack is not treated, it can be in a so-called status asthmatikus go. This is a severe, life threatening asthma attack, over hours to days without interruption persists. A patient in status asthmaticus need immediately in a hospital intensive medical care.

The causes of asthma are still unknown. On one play, genetic factors and environmental influences in the emergence of the disease play a role. Also include allergic symptoms of the respiratory tract Heuschnupfenzu as the strongest risk factors for developing asthma. The exact interaction between genetic factors and various risk factors in the first years of life, which finally lead to the emergence of asthma leads, but is known only in its infancy.

With an asthma attack swells the flammable irritated Bronchialschleimhaut strongly. Increased production of tough mucus narrows the airways further. In addition, the muscles of the smaller airways (bronchi and Bronchiolen) cramping together. These processes make it difficult to breathe, especially the exhalation, and worsen the supply of oxygen to the body.

Various stimuli can be an acute asthma attack trigger:

Non-specific stimuli: All asthmatics are a number of stimuli influence (trigger stimuli). These include, for example, physical exertion, cold, cigarette smoke, perfume and air pollution.
Specific stimuli are mainly pollen, dust, animal dander, mold and some food. These stimuli are also known as allergens.
Other factors include, for example, an inflammation of the airways, the viruses or bacteria, or certain painkillers (eg aspirin

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Asthma is a chronic inflammation of the airways (bronchi). Their mucous hypersensitive to respond to different stimuli and to swell. In addition, the lungs produce mucus tough. The consequences are recurrent attacks of breathlessness, cough and shortness of breath. In between, there are also longer complaining free intervals. Heavier histories complaints occur frequently or even permanently, and it can lead to a substantial reduction of the work coming.

In principle, between allergic (extrinsic) and nichtallergischem (endogenous or intrinsic) asthma differed.

Allergic asthma asthma This form occurs frequently in children and young adults. A large proportion of asthmatics suffer additional allergic rhinitis, or atopic dermatitis (neurodermatitis).
Common causes of seizures in allergic asthma have allergies to dust mites or animal hair. Rare seizures are caused by food or medication caused.
  
Nichtallergisches asthma from 30 to 50 percent of adults have an endogenous asthma. Often found in these individuals also polyps in the nose or sinus infections. Allergies are not detectable.
Complaints are handled by infections or nonspecific stimuli such as cold air, chemical irritants, tobacco smoke, stress and exhaust triggered. Similarly, certain drugs for pain (aspirin, NSAIDs) can cause discomfort.
  
Hybrid mixed forms of both asthma groups occur mainly in adults.
Lung
Structure & Function
Asthma affects people of all ages and is one of the most common chronic diseases. With ten percent, however, are children under ten years – mainly boys – especially strongly represented. It is the most common chronic disease in childhood. Among the adult population is around three to six per cent affected, whereas the women are outnumbered.

Through a concerted basis of therapy and a good fit treating the symptoms are well under control. Preventive measures against asthma attacks play a major role.

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Asthma is caused by a complex interaction of genetic and environmental factors that researchers do not yet fully understand. These factors can also affect the severity of a person’s asthma is and how well they respond to medication. As with other complex diseases, many genetic and environmental factors have been suggested as causes of asthma, but not all studies show that such claims have been verified by further studies. Moreover, as researchers detangle the complex causes of asthma, it is increasingly clear that genetic and environmental factors may affect asthma only when combined.

Many environmental risk factors are associated with the development of asthma and morbidity in children, but some stand out as well and played with a meta-analysis of several studies in support of its direct association.

Snuff environmental smoke, especially maternal smoking is associated with an increased risk of asthma prevalence and morbidity from asthma, wheezing, respiratory infections.Poor and air quality, pollution or traffic in high concentrations of ozone has been repeatedly associated with increased morbidity from asthma and has an association with asthma, suggested that development requires more research.

Caesarean sections are associated with asthma compared with vaginal delivery, a meta-analysis found a 20% increase in the prevalence of asthma in children by cesarean section compared with those who were not. It was suggested that this is due to the exposure of bacteria modified during cesarean section compared with vaginal delivery, which modifies the immune system (as described by the hygiene hypothesis).

Psychological stress has long been suspected of being a trigger for asthma, but only in recent decades convincing evidence has substantiated this hypothesis. Directly rather than stress that causes asthma, it is believed that stress modulates the immune system to increase the magnitude of the inflammatory response of airways to allergens and irritants.

Viral respiratory infections at an early age with his siblings and day care exposure may protect against asthma, although there have been controversial results, and this may depend on genetic protection context. The use of antibiotics early in life has been linked to the development of asthma in several examples, it is believed that antibiotics can make to the development of asthma, and to modify the intestinal flora and thus the immune system (as described the hygiene hypothesis). The hygiene hypothesis is a hypothesis about the cause of asthma and other allergic diseases, and is supported by epidemiological data for asthma. For example, the prevalence of asthma has increased in developed countries, together with increased use of antibiotics, c-sections, and cleaning products. All these things may affect the exposure to the beneficial bacteria and other immune modulators that are important for development and, therefore, may cause increased risk for asthma and allergies.

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En algunas personas el asma crónica se caracteriza por la deficiencia respiratoria. En otros, es una enfermedad intermitente, marcado por episodios de síntomas que puede ser el resultado de una serie de eventos de activación, incluyendo la infección del tracto respiratorio superior, el estrés, el aire alérgenos, contaminantes atmosféricos (como el humo o vapores de tráfico), o el ejercicio. Algunos o todos los siguientes síntomas pueden estar presentes en las personas con asma: disnea, sibilancias, estridor, tos, opresión y un picor en el pecho o una incapacidad para el esfuerzo físico. Algunos asmáticos graves que tienen falta de aire y endurecimiento de los pulmones no tienen sibilancias o estridor y sus síntomas pueden confundirse con una enfermedad de tipo EPOC.

Una exacerbación aguda de asma es comúnmente referido como un ataque de asma. La clínica de identidad de un ataque son la falta de aire (disnea) y silbidos, ya sea o estridor. Aunque la primera es “a menudo considerada como la condición sine qua non del asma”, algunos pacientes presentan principalmente con la tos, y en las últimas etapas de un ataque, el movimiento del aire puede ser afectada por lo que no puede ser escuchado silbidos. Cuando presente la tos a veces puede producir esputo claro. El inicio puede ser súbito, con una sensación de constricción en el pecho, la respiración se vuelve difícil, y se produce sibilancias (sobre todo tras el vencimiento, pero puede ser en ambas fases respiratorias).

Signos de un episodio de asma incluyen sibilancias, de caducidad prolongada, un ritmo cardíaco rápido (taquicardia), de pulmón rhonchous sonidos (audibles a través de un estetoscopio), la presencia de un pulso paradójico (el pulso es más débil que durante la inhalación y la exhalación más fuerte durante), y más de la inflación en el pecho. Durante un ataque de asma grave, los músculos accesorios de la respiración (esternocleidomastoideo y escaleno músculos del cuello) puede ser utilizada, como se muestra en el dibujo de los tejidos entre las costillas y por encima del esternón y clavículas.

Durante los ataques muy graves, que sufre de asma puede a su vez de color azul de la falta de oxígeno (llamado azul bloaters), y puede experimentar dolor en el pecho o incluso la pérdida de la conciencia. Justo antes de la pérdida de la conciencia, existe la posibilidad de que el paciente se sienta adormecimiento en las extremidades y las palmas pueden empezar a sudar. La persona puede llegar a ser los pies de hielo frío. Graves ataques de asma, que pueden no ser sensibles a los tratamientos estándar (estado asmático), son una amenaza para la vida y puede conducir a paro respiratorio y muerte. A pesar de la gravedad de los síntomas durante un episodio asmático, entre los ataques asmáticos pueden mostrar una o incluso no pocos signos de la enfermedad.

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