Asthma Healing

" asthma " is a kind of common disease, it is shown as and broken out repeatedly, does not heal prolongedly, it is a kind of chronic disease. Patient's disease from teenagers of some asthma, still often break out after entering the old age. So there is statement of " department of internal medicine does not manage breathing heavily ". Bronchus asthma by a external one or some anaphylactogen height disease of sensitiveness of bronchus that cause that exist in the human body. Because the bronchus is right to stimulate the excessively sensitive response of things (the anaphylactogen), lead to the fact extensive reversible convulsion, narrow takes place in the bronchus. Clinical manifestation has difficulty in breathing for the breaking out exhalation nature with sound of chirping of heavy breathing, last from several minutes to several hours, through treating or taking a favorable turn by oneself. The serious patient can extend for several days to several weeks or break out for several times within one day, the patient is very in pain. The long human body of duration of asthma presents various symptoms with meagre oxygen, for instance myocardium oxygen deficiency, brain oxygen deficiency cause serious consequences such as angina pectoris, lung encephalopathy in heart failure,etc.. Break out and often erupt chronic bronchitis and pulmonary emphysema, lung worry simultaneously repeatedly for a long time. Bronchus asthma can happen at any age, but 50% of the patients have illness coming on in childhood. 20% of the patients have family's history.

(一). Onset factor:

1. Some persons of allergic physique suck anaphylactogens, for instance pollen, sharp mite, fungi spore,etc.; Eat fish, shrimp, Jie, milk, eggs; Exposed to some medicines, for instance medicines such as penicillin,etc..

(2). Airway infection, cold air, stimulating gas, may cause asthma to break out while being nervous.

(3).  The job is exposed to due to the animals and plants or chemical dust such as cotton fibre, cereal, mushroom and dust, animal's fur, pesticide, plastics, paint, industrial chemicals,etc..

(4). The medicine causes asthma to break out, see in aspirin, vaccine of bacterium, antitoxic serum, propranolol,etc..

(5). Asthma sees more children and the youth after sports, 2-5 minutes after violent sports stop, asthma that lasts several ten minutes - more than 1 hour happens. The reason may relate to breathe cold air in, whether the internal carbon dioxide is breathed out too much after or sports, the oxygen is not relatively enough to cause.

(6). Some people's asthma breaks out and relates to mood, is stopped suddenly by the proruption of conditioned reflex. Some patients can not find the reason which cause asthma all the time.

(二). Clinical manifestation:

1. Omen symptom relates to season and obvious contact anaphylactogen. Have more nose, eyelid itch, sneeze, shed tears or cough break out. Some patient already because cold cause, cough, cough up phlegm, aggravate appear asthma with condition.

2. Display, appear with sound of chirping of heavy breathing exhalation have difficulty in breathing break out, uncomfortable in chest to present and pigeonhole the sense closely, exhale strenuous, force, fetch seat, duration have to a few days several minute. Serious asthma and patient's complexion, lip cyanosis are obvious. Break out park, it coughs to be relatively drama, with appear more thin phlegm behind the liquid, have difficulty in breathing and lighten, asthma stops, return to normal. But very numerous outbreak in one day.

3. As asthma breaks out for more than 24 hours continuously, called " the lasting state of asthma ", it is department of internal medicine that endangers one of the serious illness, need to rescue actively. The patient extremely has difficulty in breathing, sweat and lead to the fact the phlegm liquid is viscous that it is difficult to cough up out in a large amount, and then it is depleted, clouded in mind to breathe, the serious one is breathed and stopped gradually.

(三).  The differential diagnosis of bronchus asthma:

1. Source asthma of heart

Cardiac night burst will be taken place have difficulty in breathing the taking places, foam phlegms courageous and upright. Cardiac dilatation of X-ray examination, lung extravasated blood, lung edema. It is not easy to distinguish, must go to the hospital to check in detail with bronchus asthma sometimes, there are common point and difference on treating.

2. Wheezing type bronchitis

By coughing chronically for the main fact, erupt asthma simultaneously. Asthma chronic bronchitis acute behavior that break out one of often, cough companion's yellow phlegm, have a fever, this disease happen to the middle-aged and elderly people more. Must resist infection and treat asthma and can stop breaking out actively.

(四). The rescue measure that asthma breaks out:

1.  Try to make the patient quiet down at first, encourage drinking more warm water, pat the back, produce with the favourable phlegm liquid.

2. Give patient suck oxygen, had better with wet to take bottle to be wet to take behind the oxygen sucking. Because the patient opens one's mouth and wheezes, the mucous membrane of trachea is very easy to be dry, make the phlegm sent and should not be cough up to glue outedded. Can use a cup of hot water, let patients suck the hot steam, a mucous membrane of moist air, make the phlegm liquid rare and easy to cough up out.

3. Use and breathe fog pharmaceutical angrily. There are more dosage forms at present, can select the medicine suitable for oneself, the health speed, fairy of breathing heavily easily,etc. such as breathing heavily for use, gush out the entry while exhaling deeply, can make asthma take a favorable turn. But should not employ too many in a short time, so as not to cause side effects such as tachycardia,etc..

4. Aminophylline is taken intramuscular injection orally or breathed heavily. Aminophylline is helpful to various asthma, 1-2 slices each time, 3 times a day. Preceded the heart patient uses carefully. Oral result can spend intravenous bit while being fine, but must be in the application of hospital. Aminophylline can also be used for preventing from breaking out while taking orally.

5. Select for use, eliminate the phlegm medicine, must cough flat, tendril-leaved fritillary bulb model Ba reveal, reduce phlegm block, phlegm is easy to be net. Unsuitable to use antitussive, for instance carbetapentane citrate, codeine,etc., in case that aggravate asthma in the phlegm detention lung.

6. There is asthma that allergic factors caused, can use and resist allergic medicine such as chlorpheniramine, not that one, stop then quickly. Look for anaphylactogens actively at the same time, avoid sucking, keeping in touch or eating, thus prevent asthma from recuring.

7.  Asthma breaks out for several times within one day, can take prednisone, 5-10 milligrams, 3 times a day, medicines stop in one week to use. .

8. Asthma that airway infection bring out, employ antibiotic treatment, select for use wheat guide mould plain, acetyl spiral mould plain, erythromycin, pioneer mould plain Ⅳ or Ⅵ No.,etc. take orally, the result is not easy to use the intramuscular injection of stronger antibiotic or intravenous injection instead in 3-5 days.

9. Deal with through being described above, asthma does not still take a favorable turn continuously, should send to hospital and treat and cure in time. Should give much attention to keeping patient's respiratory tracts unobstructed in the way to transport, don't seal patient's head too tightly, cause and suffocate, especially the patient is in the clouded in mind situation.

(五).  Precautionary measures:

Look for anaphylactogens and cause of disease actively after breaking out. Take the precautionary measures to the anaphylactogen. Give up smoking at the same time, prevent cold. Strengthen the physique and do exercises, strengthen the resistance against diseases. Injecting the vaccine treatment or nuclear junket appropriately, the person who has condition shifts the factor treatment, in order to lighten or reduce the outbreak of asthma.