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Bronchial asthma


Chronic relapsing disease with attacks of suffocation or status asthmaticus due to bronchospasm, swelling of the mucosa, increased allocation of bronchial mucus. Provoke bronchospasm nonspecific allergens: pollen (pollen of flowers, field grasses, trees), dust (house dust, wool, cats, dogs, etc.), food (eggs, citrus fruits, fish, milk, etc.), Drugs (aspirin , analgin, etc.), mechanical and chemical substance (metal, wood, silicate, cotton dust, vapors of acids, alkalis, smoke), physical and of meteorological factors (change in temperature and humidity, changes in barometric pressure, and Earth's magnetic field et al.), mite allergens, insect, animal, neuropsychological effects. At the heart disease - hereditary, congenital and (or) acquired defects bronchi sensitivity.
Symptoms and over:
There are 2 forms of asthma - allergic and infectious-atonic seizures suffocation with varying intensity between which the condition of the patients can be satisfactory. The attack may begin copious fluid from the nose, uncontrollable cough, difficult expectoration, dyspnea. Inhale - short breath - hindered, slow and jerky, accompanied by loud, wheezing, audible in the distance. The patient takes a forced situation with fixed shoulder girdle muscles to facilitate breathing. Face puffy and pale, with a bluish tinge, covered with cold sweat, expresses a sense of fear. Pulse accelerated. When asthmatic condition (status) increases immunity to bronchodilator therapy, cough unproductive. Status may occur if severe allergy or overdose of sympathomimetic drugs (inhalers berotek, astmopent, alupent etc.), sharp cancellation of glucocorticoids. In the absence of adequate intensive care can result in death of the patient.
Recognition is based on typical asthma attacks with labored breath, increase the number of eosinophils in the blood and sputum, allergist survey data (samples of allergy, immune noglobul research and new).
Treatment:
In atopic asthma - if possible termination of contact with the allergen. If the allergen is known and is associated with household items (carpets, flowers, etc.), pets ( "feline asthma," allergic to dog hair) or food (eggs, milk, citrus fruits), occupational factors ( "ursolic" asthma Furriers ), the exclusion of contact with the allergen can completely get rid of asthma attacks. When an allergy to pollen of plants that grow in the area, on the specific substances contained in the air (gases, smoke, specific odors) this effect helps to achieve change in residence (moving to another area of ​​the city, in another type of home - from wood to brick and Conversely, moving to a different climate zone). Sometimes it carried out specific allergy desensitization in specialized institutions (non-acute). Appointed by bronchodilators (aminophylline and its derivatives, Teofedrin), expectorants (thermopsis, mukaltin, rosemary, mother-and-stepmother), antihistamines, Inta, Zaditen, metered aerosol for inhalation (berotek, Flomax, astmopent, salbutamol and others.) . In acute inflammation - antibiotics. In severe cases, use glucocorticoid hormones, plasmapheresis, hemosorption - ways of the so-called "Gravitational surgery" allowing "clean" the blood from circulating in her immune antigen-antibody complexes that cause asthma attacks. Widely used physiotherapy: inhalation, electric procedures, acupuncture. Recommended spa treatment.