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Asthma and Medications

According to the WHO, bronchial asthma (BA) is one of the most common chronic diseases in adults, as well as in children and adolescents, a common chronic disease. Experts say: every year this disease is diagnosed more often. The cause of this disease is contaminated ecology, household chemicals in the environment, a large number of chemical production toxins and genetic predisposition, that is, hereditary.

Fortunately, the use of pharmaceuticals and non-drug approaches to the treatment of asthma allows people suffering from this disease to live a full life, following reasonable restrictions and observing the doctor's prescriptions. Let's discuss what are the current standards for the treatment of bronchial asthma.

Combined therapy can significantly increase the chances of recovery. Among the current methods of treatment is the combination of modern and oriental techniques. The result of joint methods of treatment often does not give a positive dynamic to the patient’s detuning, as each needs an individual approach, except that the patient suffers from asthma attacks, then in this case the drug "SEROFLO" is effective.

Non-pharmacological techniques can help in the treatment of asthma - medical procedures of external influence on the body.

As part of a comprehensive treatment program, phytotherapy can be prescribed - the use of natural medicinal products that relieve cough and facilitate breathing.

The first step towards recovery is to make an accurate diagnosis. Today it can be done, including by pulse.

Non-drug treatment with an emphasis on Eastern techniques is popular, thanks to the results of treatment and its cost.

Combined therapy can significantly increase the chances of recovery. Among the current methods of treatment is the combination of modern and oriental techniques.

Bronchial asthma: symptoms and effectiveness of treatment

The essence of bronchial asthma lies in the pathological reaction of the muscles of the bronchial tree (a system of tubes through which inhaled air enters the lungs and leaves them) to external and internal factors. Where a healthy person feels a sharp and irritating smell, only wrinkling his nose with displeasure, the asthmatic will be held captive by the increasing dyspnea caused by difficulty in the exhalation process. If the patient does not receive systematic treatment, and is also unable to urgently use the inhaler, then this situation is fraught with a severe attack of breathlessness, which can lead to death without emergency medical care.

An attack of bronchial asthma is often accompanied by coughing, sneezing, urticaria (the rapid appearance of an itchy skin rash), and a person may develop cyanosis (blue) of the nasolabial triangle. You may hear wheezing when breathing.

Outside asthma attacks, as a rule, do not experience any unpleasant symptoms. If they take medicines regularly and avoid contact with a trigger (a substance or situation that provokes an attack), then others cannot guess their illness.

The trigger may be an allergen - pollen, animal dander, food, medicinal substance (for example, acetylsalicylic acid) - as well as physical exertion, sudden changes in ambient temperature, and even stress. At the stage of diagnosing bronchial asthma, the doctor identifies the factors that provoke attacks, and gives the patient recommendations to eliminate triggers from everyday life.

Is it possible to completely cure bronchial asthma? From the point of view of official medicine, a definite answer to this question does not yet exist. So, many children with asthma, safely get rid of all the symptoms of the disease, reaching adulthood - some experts explain this maturation of the immune system. However, most adults with asthma are forced to take drugs for the rest of their lives. Many of them, due to increased load on the bronchi, develop complications over time: pneumosclerosis, emphysema, and chronic pulmonary heart, a pathological thickening of the heart walls.

Types of medications for Asthma

All medicines used to treat asthma can be divided into two categories:

-drugs for the treatment of symptoms

-and for the implementation in basic therapy.

Principles of treatment of bronchial Asthma in children and adults

Since bronchial asthma is a disease known since ancient times, the history of its treatment also goes back many centuries. Before the emergence of powerful drugs that contribute to the expansion of the bronchi and the elimination of the inflammatory reaction, asthma was treated with traditional methods and lifestyle correction. Thus, the Italian doctor Gerolamo Cardano healed the English bishop with diet and exercise, and also ordered the priest to replace the feather bed with a fabric mattress. And Asian doctors removed asthma attacks with inhalations of eucalyptus vapor. Only in the 20th century, with the development of the pharmaceutical industry, means, as it turned out, guaranteed the prevention of exacerbation of the disease, as well as proven methods of non-pharmacological therapy, which help to significantly alleviate the patient's condition and reduce the burden on the drug on the body.

Therapy of bronchial asthma has two main directions - the main ones (aimed at the mechanism of the development of the disease) and symptomatic, designed to stop attacks when in contact with a trigger.The first is prescribed for a long term, and drugs in this series are taken by patients daily, regardless of their health and other circumstances.

Symptomatic therapy is a measure of rapid relief to which the patient turns in case he feels difficulty in breathing.

Preparations for the treatment of bronchial Asthma

Since the basis of the pathological process in asthma is a special type of inflammatory reaction, the main drugs are aimed at suppressing it. This action has agents from the group of chromones, inhaled and systemic glucocorticosteroids, leukotriene receptor antagonists, and monoclonal antibodies. All of these drugs have a different form of release - aerosols, pills, solutions for injection - and are chosen by the doctor depending on the type of asthma and the nature of its course. In cases where the disease is difficult to treat, the doctor may prescribe systemic glucocorticosteroids for the patient. These are hormonal drugs that have serious side effects (including osteoporosis, diabetes, obesity, appearance of stretch marks on the skin, changes in facial features, etc.). Therefore, try to prescribe them on short courses and only in cases when uncontrolled asthma is life threatening. the patient. A relatively new method of treating atopic BA is an allergen-specific immunotherapy aimed at suppressing the pathological response of the immune system to triggers. Its essence lies in the phased introduction of the allergen into the patient's body, which ultimately leads to the "addiction" of the immune system to a substance that previously could provoke an attack.

Non-medicinal treatment of bronchial Asthma

Along with medicinal approaches to the treatment of bronchial asthma, patients often prefer to turn to alternative ways of dealing with the disease: given the chronic nature of the disease, it is reasonable to combine both approaches in order, on the one hand, to guarantee quick and effective assistance in exacerbations, and on the other - Avoid excessive stress on the body.

Elimination - of risk factors is highly desirable for all asthmatics. The fact is that over time, the list of allergens that can cause an attack may expand: for example, if you were initially allergic to birch pollen, then over time you may become intolerant to cherry or almond (this is the so-called cross-allergy). The less often you are in contact with the trigger, the less likely this effect is.

Diet and lifestyle - changes are necessary to prevent comorbidities and preserve body reserves. Many asthmatics are advised by doctors to actively engage in aerobics and other mobile forms of fitness: the development of pectoral muscles and the endurance of the cardiovascular system facilitate the transfer of attacks and an increase in the periods of remission of asthma.

Breathing exercises- are aimed at reducing alveolar hyperventilation - a condition where the natural process of gas exchange in the lung tissue is disturbed. One of the most popular systems of breathing exercises is the Buteyko method, which involves the regular implementation of a special sequence of inhalations and exhalations of varying lengths, alternating with breath holding.

Speleotherapy- implies sessions of long stay in natural karst caves, potash mines and grottoes, where a special microclimate is formed, which has a healing effect on the human respiratory system.

Halotherapy- is an analogue of speleotherapy, organized in artificially recreated conditions - salt caves, which can be located on the basis of treatment-and-prophylactic centers, which allows combining this method with other physiotherapeutic approaches.

Herbal medicine- will include the use of medicinal plants for inhalation and ingestion in the form of tablets, tinctures and drops. Violet root, marshmallow, thermopsis, anise, fennel, coltsfoot and other ingredients serve as symptomatic therapy for asthma: they relieve cough and facilitate breathing. It is important to carefully select a treatment considering the possible development of an allergic reaction to these and other plants.

Acupressure - is traditionally referred to as the methods of Oriental medicine. The targeted effect on the biologically active points on the patient's body allows relaxation of the smooth muscles of the bronchi. Acupuncture is also aimed at stimulating the sympathetic nervous system, which is responsible for expanding the lumen of the bronchi and reducing mucus production. This method should be performed by an experienced professional with a good knowledge of traditional medicine.

Vacuum therapy (canned massage) -helps to improve the metabolic processes in the patient's body, strengthens the immune system, increases vitality.

Moksoterapiya - implies attachment of special smoldering cigars (mox) to biologically active points on the patient's body. Aromatic herbs are used as a moxa filler: wormwood, edelweiss, juniper and others. With the correct technique of the procedure, the method does not cause discomfort and helps to restore proper nervous regulation (especially useful for non-allergic asthma).

Hirudotherapy - is based on the beneficial effects of enzymes that enter the body through the bite of a medical leech. This method stimulates the immune system, has a reflexotherapeutic, draining and anti-inflammatory effect.

Anyone who has experienced asthma on personal experience sooner or later becomes a specialist in this disease. Careful and careful attitude to your own health, as well as interest in a variety of methods of treatment will help you avoid exacerbations and unwanted complications and take the disease under control. After all, asthma is not a sentence, but only a feature of the body, with which you can coexist quite well.

Asthma therapy

With positive therapy:
- there is no need for forced application of inhalers, that is, control of asthma;
- A patient with asthma does not need emergency medical care, and he does not constantly think about emergency medical treatment;
- with proper treatment with a drug like "Seroflo", the seizures are gradually reduced to zero;
- the patient, applying the correct method, does not think about the disease, enters an active life to the full, does not deny himself anything.

In case of an incorrect choice of treatment for Asthma:

- constantly have to take inhalers against asthma due to asthma attacks. But if you use a Seroflo inhaler, then you do not put yourself at risk of hospitalization by an ambulance.

- you have asthma attacks all the time and it is not possible to eliminate the disease on your own, emergency doctors do not leave you, moreover, you are hospitalized,

- escalation in the consumption of anti-asthma inhalers, the disease progresses;

- You do not feel full-fledged, in connection with this disease and think about disability, the disease does not lag behind you.

The benefits of sports in asthma

Moderate exercise and stress have a positive effect on the body: maintain muscle tone, normalize the metabolic process, saturate tissues with oxygen, improve health, relieve depression, strengthen the immune system, promote the burning of excess calories, reduce the risk of developing chronic diseases, increase resistance to the harmful effects of environmental environment.

This is especially true of jogging, Nordic walking and cycling. In the absence of physical activity in asthmatics, a decrease in the blood supply processes in the bronchi is observed. This provokes favorable conditions for the development of chronic inflammation.

Sports for adults

Based on the nature and form of the course of the disease, the physician will select physically loads that act only for the benefit of the patient. However, it is worth remembering that you can do physical exercise only when asthma is not in the acute stage.

Swimming - a sport required for asthmatics

If asthma is characterized by severe course, then you can not engage in active sports. Doctors say that with a severe stage of development of the disease, you can do some simple gymnastic exercises, and the load on the organs of the respiratory system should be minimal. Sports approved for asthmatics: swimming; "Smooth" types of dance (for example, ballroom); water aerobics; rowing on a boat; table tennis (in a different way "ping-pong"): track and field athletics; fitness; Pilates; walking; body flex; sports team games (basketball, volleyball) badminton; gymnastics, including aerobic exercises. It is extremely useful to engage in respiratory gymnastics, which creates a small reserve of breathing. It cuts a certain area of the lung person, the part that does not participate in gas exchange. Thus, the respiratory muscles begin to function more productively.

Children with asthma and sports

Some mistakenly believe that the child’s body should not be exposed to physical exercise in the presence of a disturbed respiratory system. Pulmonologists have their own thoughts on this, arguing that for a young, developing organism, sport is a necessary measure. Doctors believe that physical education is necessary for bronchial asthma. The main goal of physical education is training the muscle fibers of the respiratory system and the unpaired muscle that separates the abdominal and chest cavity (diaphragm). Strengthening the organs of the respiratory system eliminates the negative symptoms of the pathological process, inflammation. In the presence of asthma, classes contribute to its easier flow. However, this applies only to training sessions with the doctor. Also, it is important to play sports together with the main therapeutic course.

Bronchial Asthma and sport

Bronchial asthma is characterized by inflammation, hyperreactivity and obstruction (spasm) of the bronchi under the influence of such irritants as allergens, chemicals, cold air or exercise, as well as in response to viral infections. In the US, about 10 million people suffer from asthma. Once asthma was a contraindication to sports, now with proper treatment, it does not prevent physical exertion, except perhaps diving with scuba diving.

An attack of bronchial asthma of physical effort develops 5–10 minutes after intense exercise (less often directly during exercise) and usually stops on its own after 20–30 minutes. Rarely an attack reaches threatening force. Bronchial asthma of physical effort affects up to 20% of athletes of senior school age and almost 10% of masters of sports of international class. Manifestations vary greatly and are often non-specific (cough, shortness of breath, chest tightness after exercise), although there are also complaints of wheezing. The diagnosis is made on the basis of anamnesis, physical examination and indicators of respiratory function - a decrease in FEV, at least 15% after running in the open air for 8 minutes. The provocative test with methacholine is more sensitive than the test with physical exertion (running or bicycle ergometry), but much less specific for asthma of physical effort. The treatment of attacks provoked by exercise, like any other form of bronchial asthma. should be individual, but almost always begin with inhaled beta-adrenostimulyatorov. It should be noted that long-acting beta-blockers for oral administration are prohibited by the National University Sports Association and the International Olympic Committee. Other drugs can use other bronchodilators (M-holinoblokatory) and anti-inflammatory drugs (glucocorticoids, kellin derivatives, such as cromolyn, and leukotriene antagonists). In some cases, non-drug treatment is effective. Approximately 50% of athletes of physical stress can be brought into a state of refractoriness to physical exertion either through intense exercise for 3-4 minutes or with a light workout lasting about 1 hour, although it is impossible to determine in advance the severity of the preventive action of exercise.

With emphysema, chronic bronchitis and cystic fibrosis, exercise. as shown, reduce shortness of breath and fatigue and increase physical performance and quality of life. In mild and moderate forms of the disease, the question of sports is decided based on the severity of the symptoms. For patients with emphysema and chronic bronchitis, weather conditions are particularly dangerous, which can increase the reactivity of the bronchi, especially cold and windy or hot and humid weather. Patients with cystic fibrosis lose more sodium and chlorine with sweat and therefore need to observe a special drinking regimen in the heat.