February 2009

Development of asthma from the perspective of Buteyko

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Buteyko The method is a method of complementary medicine for the treatment of obstructive airway diseases like asthma. She comes from Russia and is named after its founder, the physician and scientist Konstantin Buteiko.

A person develops asthma, according Buteiko, because over time he habitually inhaling more air than the body actually needs. This is his statement after whatever type asthma exists. From the viewpoint of the method are the health problems resulting from excessive breathing, have wide-ranging. Every part of our body, every organ and every system is supported by excessive breathing affected. These disorders are called “chronic hyperventilation syndrome (CHVS) together. Buteiko The method provides a simple therapy to work with you can learn to habitually breathe less. How might the dysfunction along with their symptoms, including asthma recede.

Buteyko method already developed his method in the 1950s, but it took until the year 1981, until the Russian authorities to apply throughout the former Soviet Union. The method Buteiko spread over time, first to Australia and New Zealand, there are some users now have 10-15 years experience.

The results of a clinical investigation in 1998 was published in Australia (Bowler et al., See below), showed that asthma patients who applied this technique, have been able to use their spasmolytic medication within three months by an average of 90 percent decrease. However, changing the measured lung function values are not, as several randomized trials and a Cochrane review have shown. In Germany, the Buteiko therapy there is no accepted procedure, the cost of health insurance are not refundable. Overall, the treatment method is a theory underlying cause of the current state of scientific medicine does not comply. So far there is no procedure by which a cure / removal of asthma would be possible.

  Development of asthma from the perspective of Buteiko [Edit]
Breathing regulates the acidity of the blood through the controlled release of carbon dioxide. Under normal breathing conditions bind the red blood cell count just as much oxygen as they can. However, if one hyperventiliert (that breathes more than you really should), then you will not receive more oxygen. Excessive breathing leads, however, then to a lower blood levels of carbon dioxide. From the viewpoint of the method is about breathing into a habit, when an excessively long period of time to breathe. Since all the chemical products produced by the body, and all the bodily functions depend on carbon dioxide, CO2 brings a deficiency the biochemical balance of the body, confused and ultimately leads to a series of disturbances.

Carbon dioxide helps with the delivery of oxygen by its binding to the hemoglobin is relaxed. This physiological principle is the Bohr effect known.
Low carbon dioxide concentrations favor spasms of smooth muscles of blood vessel walls, the Bronchiolen, in the intestine and the bladder.
In asthmatics withdraws after Buteiko view of the musculature of the extremely Bronchiolen along the bronchi are irritated and react quickly to any further short-term increase in respiration. A stressful thought, an aggressive allergen, or even a hearty laugh then they could already be a panic reaction tempted.
In allergic asthma the immune system has difficulty to distinguish between serious illness and strange, but harmless material to be distinguished. After Buteiko to the immune system through the reduced carbon dioxide concentration weakened, so that a vicious circle arises.
In particular, chronic stress is by the followers of the method as an important cause of the hyperventilation views. Examples include workplace stress, social stress and financial worries.

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The bronchial asthma is a chronic, inflammatory disease

banner1a The bronchial asthma  is a chronic, inflammatory disease http://www.healasthma.com
The bronchial asthma  is a chronic, inflammatory disease of the respiratory tract with existing permanent hypersensitivity. When people assessed according to the inflammation leads to incremental costs as a result of breathing constriction of the airways – a so-called Bronchialobstruktion (definition of the international consensus report). This airway narrowing is increased secretion of mucus, the Bronchialmuskulatur tension and the formation of edema Bronchialschleimhaut caused by the treatment she is rückbildungsfähig (reversible). A variety of stimuli cause the increase in the sensitivity of the airways (bronchial Hyperreaktivität or Hyperreagibilität) and the associated inflammation. Five percent of adults and seven to ten percent of children suffer from asthma.
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Glucocorticoid drugs, such as cortisone, have anti-inflammatory effect

banner1a Glucocorticoid drugs, such as cortisone, have anti-inflammatory effect http://www.healasthma.com

  Therapeutic use [Edit]
Glucocorticoid drugs, such as cortisone, have anti-inflammatory effect. They are used for therapy, for example, allergic rhinitis or bronchial asthma used. Highly effective alternatives are in acute emergencies (anaphylaxis, sepsis, shock) are used. Other preparations can be applied topically (locally) can be used, for example on the skin or in the nose. Today there are numerous topical Glucocorticoids available, such as budesonide or Fluticasonpropionat.

Effects: On the Bronchialschleimhaut decongestant inflammation and inhibition – the Hyperreaktivität the Bronchialschleimhaut is reduced – and in the solution Bronchialmuskulatur convulsions. Both effects occur earlier than 30 minutes after the injection of the medicine.

  Side effects [Edit]
Depending on the strength of class and localization can be applied to the skin (topical) corticosteroids for long-term application (weeks to months) or systemic (ie not local) application of side effects: water retention in the tissues (edema) and weight gain, weakening of the immune system, promoting the formation of gastric ulcers, promoting the formation and strengthening of an existing diabetes mellitus, promotion and strengthening of an existing bone loss (osteoporosis), for inhaled administration hoarseness. Glucocorticoids inhibit the conversion of vitamin D3 in the active ligands Calcitriol. Therefore, it is during a systemic Corticoidtherapie if vitamin D used to be necessary, vitamin D into active form as Alphacalcidol (current medications in Germany: “One Alpha”, “Bondiol”, “Doss”), to be used. The kurzdauernde Stoßtherapie in acute diseases is virtually free of side effects.

Generic Name Trade Name Biological half-life equivalent dose
Cortisone very short 25
Cortisol very short 20
Cloprednol Synthestan ®? 2,5-5
Prednisone short Decortin ® 5
Prednisolone Decortin ® H 5 briefly
Methylprednisolone Urbason ® short 4
Deflazacort Calcort ®? 7-9
Fluocortolon Ultralan ® medium 5
Triamcinolone Volon ® medium 4
Dexamethasone ® Fortecortin long 0,75-1
Betamethasone Celestan ® solubile long 0.75

  Topical application [Edit]
Glucocorticoids are not systemic, but only at certain points, mostly on the skin, (ie, topically) applied, so each show has different active ingredients as the relative efficacy for parenteral application. Possible desirability of a strong anti-inflammatory / antiproliferative effects to various skin manifestations, such as eczema, can disappear without the skin to move too far to atrophy (reduce). Moreover, it may be in strong agents, prolonged use and application of large area or greatly reduced barrier function of the skin lead to significant systemic (usually undesirable) effects of the corticoids come.

In order to improve dermal Wirkprofil, intelligent steroids developed, which are metabolized more quickly. Their main effect is only superficial coverage to come by in deeper layers or in the circulation rapidly dismantled. This rapid metabolism by specific adducts on Corticoidmolekül achieved: examples are Prednicarbat, Mometasonfuroat, Hydrocortsonbutyrat, aceponat, Methylprednosolonaceponat. Such adducts can also use the biological effectiveness, both topically and systemically, modify.

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