A chronic disease
Asthma is a chronic disease characterized by increased bronchial
responsiveness to a variety of stimuli, leading to paroxysmal attacks of
bronchospasm, a narrowing of the airways caused by the contraction of smooth
muscles that encircle the bronchi. Such attacks can resolve spontaneously or may
require medical, sometimes emergency, treatment.
An asthmatic attack, which can last from a few minutes to hours, is
characterized by sudden onset of dyspnea (difficulty breathing), mainly during
expiration, as well as by wheezing, cough, hisses and, in the later stages, by
the expectoration of a thick mucous, which provides somewhat relief to patients.
Multi cause factor
Depending on the causative factors, bronchial asthma is generally classified in
extrinsic (atopic or allergic) asthma and intrinsic (non-atopic) asthma.
Extrinsic asthma generally begins in childhood and is often accompanied by other
allergic conditions, such as allergic rhinitis, eczema and hives. It can have
both a seasonal pattern, when it is associated with inhalation of seasonal
pollens, as well as it can be perennial, when it is caused by inhalation of dust
mites or pet dander. Intrinsic asthma is typical of adulthood. Although there is
some genetic predisposition to intrinsic asthma, it has been shown that air
pollution and respiratory infections play a major causative role.
In both extrinsic and extrinsic asthma, symptoms vary from minor wheezing to
severe, even life-threatening, asthmatic attacks. They may be occasional or
continuous, or they may occur only in certain conditions, such as at night or
during exercise. That's why treatment has to be tailored individually.
Currently asthma has no cure, but symptoms can usually be controlled.
Symptomatic treatment and health education of patients must go together to
achieve maximum results.
Patients with asthma should aim to:
1- avoid risk factors (allergens, pollution, smoke, infections, smoke or
excessive exercise when symptoms occur only during exercise)
2- adequately evaluate the severity of their asthmatic crisis, in order to take
proper preventive or therapeutic measures
3- self-administer emergency medications, in case of severe attacks
4- see the doctor regularly in order to monitor their condition and change
individual therapeutic plan, if necessary.
How to treat Asthma?*
Medications used to keep asthma under control include: 1) antiallergic or
immunotherapeutic agents, to treat allergy-induced asthma, 2) long-term control
medications (inhaled corticosteroids, long-acting beta-2 agonists, leukotriene
modifiers and the bronchodilator theofylline), to treat persistent asthma, and
3) quick-relief medications (oral or parenteral corticosteroids, short-acting
beta-2 agonists), that should only be used for quick short-term relief of acute
symptoms during an asthma attack.
Complementary and alternative treatment methods can provide some benefit as
well, since many patients report that symptoms improve by using methods such as
acupuncture, phytotherapy, homeopathy, reflexology, as well as breath and
relaxation techniques like yoga. However more detailed studies are necessary to
confirm the efficacy of such methods.
In any case asthma is a chronic condition that often requires long-term use of
medications on a daily basis.
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such as asthma before an issue occur you may consider adequate
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*Always seek professional medical advise from a qualified doctor before
undergoing any treatment.
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