Treatment

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Wed 2 Jul 2008

DOCTORS TREAT ASTHMA

Posted by Admin under Treatment
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Handling of asthma should require all of the following steps:

  • controlling symptoms as quickly as possible by:
  • assessing home/school/work asthma triggers and
  • recommending avoidance; and
  • prescribing medicine (steroids, inhaled or — if needed — oral, and a quick relief medication);
  • referral for bronchial asthma education;
  • checking inhaler technique;
  • scheduling a follow-up appointment; and
  • offering personalized instructions to hold track of quick relief puffs used per week and an Action Plan of what to do in case of a flare-up.
  • At follow-up appointment(s):
  • redoing breathing tests;
  • rechecking inhaler technique;
  • reviewing medication; and
  • providing individualized directions to keep track of quick relief puffs used per week and reviewing the Action Plan of what to do in case of a flare-up.
  • This process of appointments and follow-ups continues until patients and caregivers:
  • know the signs of well-controlled and out-of-control bronchial asthma;
  • understand the need to avoid triggers whenever possible;
  • understand the need for anti-inflammatory medication;
  • learn how to adjust their medication quickly at the first signs of a flare-up; and
  • realize that an bronchial asthma educator and patient associations can help them learn all of the above.

 

 

 

Sun 29 Jun 2008

Asthma Treatment

Posted by Admin under Treatment
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Prolonged control medications are taken everyday to keep control of persistent asthma. They mainly serve to control airway inflammation.

The quick-relief medicines are taken to achieve prompt reversal of an acute asthma “attack” by relaxing bronchial smooth muscle.
Numerous asthma medicines can be administered orally or by inhalation. Metered-dose inhalers (MDI’s) are the most widely used method, but dry powder inhalers are becoming general. Metered-dose inhalers are changing from the type propelled by liquid chlorofluorocarbons (CFCs) to a new, CFC-free delivery system
 
Treatment:

 

Bronchial Asthma cannot be cured, just it can be controlled with proper asthma direction. The first step in asthma direction is environmental control. Asthmatics cannot escape the environment, just through some varies, they can determine its impact on their health.Listed below are some ways to change the environment. 

 

  •  Clean the house at least at one time a week and wear a mask while making it
  • Avoid pets with fur or feathers
  • Wash the bedding (sheets, pillow cases, mattress pads) weekly in hot water
  • Encase the mattress, pillows and box springs in dust-proof covers
  • Exchange bedding made of down, kapok or foam rubber with synthetic materials
  • Consider replacing upholstered furniture with leather or vinyl
  • Take replacing carpeting with hardwood floors or tile
  • Use the AC
  • Hold the humidity in the home as low as possible 

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The second thing is to supervise lung work. Asthmatics use a peak flow measure to gauge their lung work. Lung work decreases before symptoms of an asthma attack - usually about two to three days prior. If the meter points the peak flow is down by 20 percent or more from your usual best try, an asthma attack is on its way.

The third step in handling bronchial asthma involves the use of medications. There are two major groups of medicines used in controlling bronchial asthma - anti-inflammatories (corticosteroids) and bronchodilators.

Three doses, zafirlukast (Accolate), montelukast (Singulair) and zileuton (Zyflo), are part of a newer class of anti-inflammatories called leukotriene modifiers. Taken orally, these drugs work by inhibiting leukotrienes (fatty acids that mediate inflammation) from bonding to smooth muscle cells lining the airways. They also reduce the recruitment of inflammatory cells to the airways. These doses some prevent and reduce symptoms, and are involved for long-term use.

Numerous people cannot control the symptoms by avoiding the triggers or using medicine. For these individuals, immunotherapy (allergy shots) may help. Immunotherapy requires the injection of allergen extracts to “desensitize” the soul. The treatment begins with injections of a solution of allergen given one to five times a week, with the strength bit by bit increasing.