Dear students of our school! The course of our studies has come to an end. We tried to give you the most comprehensive and at the same time available information about bronchial asthma. Please share your experience! Were they useful to you? Did you understand how to live with bronchial asthma and how to successfully control it? Perhaps you want to share your wishes? We thank you for the feedback,…
The basis for teaching a patient with asthma is: representation of the necessary information about the disease; creating an individual treatment plan; teaching the basic techniques of asthma control regular check-ups by a doctor. Currently, the only proven variable environmental factor is to limit exposure to tobacco smoke during pregnancy and newborns. Prevention of asthma exacerbations includes a full range of activities based on the principle of continuous monitoring (drug…
Non-pharmacological treatment methods for allergic diseases: why are they needed? ⠀ In connection with the general steroid phobia, that is, the fear of hormonal drugs that occurs due to ignorance, non-drug methods are gaining momentum. The phrase “medicine is evil, I will be treated without them” is very popular amoung patients. But are non-drug treatments for asthma really that good?” Note: bronchial asthma is a disease in which allergic inflammation…
Exacerbations of asthma are episodes of increasing dyspnoea, coughing, wheezing, or stuffiness in the chest, requiring changes in the usual mode of therapy. In asthma exacerbation, peak flow meter and FEV1 decrease. Exacerbations can develop both in patients with a known diagnosis of asthma, and be the first manifestation of asthma. Asthma can develop in any patient, regardless of the severity of the disease; The degree of exacerbation may be…
So, the question: “Do inhaled or nasal steroids cause addiction? Should we be afraid of using them?” Inhaled and nasal glucocorticoids act LOCALLY! They have a local anti-inflammatory effect, not a systemic one. They do not n affect the entire body, but only the area of application – and this is the bronchial mucosa and nose. Yes, when prescribing inhaled glucocorticoids, you should always consider the possible systemic effect. Remember…
Since bronchial asthma in both children and adults is a clinical diagnosis (based on symptoms), it is very important to make a differential diagnosis: distinguish asthma from other diseases. Adults: In the absence of obstruction, difficulty breathing and coughing can be caused by: hyperventilation syndrome; vocal cord dysfunction syndrome; GERD (gastroesophageal reflux disease); rhinitis (allergic, vasomotor and infectious); heart disease, which can occur with shortness of breath; pulmonary fibrosis. If…
As you have understood, it is not that simple with analyzes. Each analysis has several characteristics: sensitivity – the percentage of coincidence of the positive result with the allergy detected (including false-negative results); pecificity – the percentage of coincidence of the negative result with the absence of allergy; a positive prognostic value – the ratio of cases of allergies to all positive test results; a negative prognostic value – the…
Omalizumab (Xolair) is a preparation that is a protein of artificial origin, similar to proteins that are formed in our body. They belong to the class of monoclonal antibodies. Getting into our body, they block the substance of immunoglobulin E (IgE), which plays a key role in the formation of atopic bronchial asthma. When is Xolair used? This drug is prescribed as a basic therapy for severe atopic asthma in…
In addition to inhalation glucocorticoids, there are also other drugs that are part of the basic therapy for asthma. These are blockers of leukotriene receptors. Leukotrienes are involved in the pathogenesis of asthma. Together with histamine, they relate to mediators of an allergic reaction of immediate type. Histamine causes a fast and short-term bronchospasm, leukotrienes – stunted and longer bronchospasm. Leukotrienes are one of the main mediators of the formation…
So, allergen-specific immunotherapy, or ASIT. Let’s try to systematize information about this therapy. What is it? This is a method of treating allergies, blocking the allergic type of response to a particular allergen. How does ASIT work? Allergen is contained in the drug in microdoses. Special T-regulatory lymphocytes and IgG4 antibodies are formed in response to them. These cells and antibodies block allergic reaction, IgE to the allergen ceases to…