Sunday 17 June 2007

Asthma And Management - How Is Asthma Treated

Patients with asthma should be investigated in an attempt to identify their particular sensitivities. The commonest substances causing asthma are house dust mite and animal fur. The patient may be greatly helped by avoiding the relevant animals; the bedroom, including bed and bed-covers, should be vacuum cleaned daily and bedding should be of synthetic material. Mattresses are a major source of house dust and the house dust should be sealed in plastic bags after collecting from vacuum cleaner and then disposed off in the garbage-bin.
Apart from diagnosis and treatment it is essential to educate patients about the signs symptoms and environmental factors related to asthma. Desensitization to house dust may reduce asthma attacks in some cases. Many medicines (tablets and inhalers to open up the breathing tubes) are available to prevent and control attacks. When a severe attack does not improve rapidly on the usual prescribed medicine, a doctor must be called in as more urgent treatment may be needed in the form of an injection. Do not over-use an inhaler in order to avoid troubling your doctor. Failure to gain relief means that you need urgent medical reassessment.

Moderate exercise and special breathing exercises may help some. Asthma can, however, be made worse by exercise and some sufferers may need to use Beclate inhalers before playing games, running, etc. Swimming is a particularly useful activity for asthmatics as it is less likely to provoke breathing constriction and can be used in a graduated training program which your doctor may outline. Warm saline gargles and steam inhalation should be regularly practiced by asthmatics to keep off frequent attacks. A written asthma action plan is needed for each patient, which should include instructions for daily treatment as well as strategies to detect and manage asthma exacerbations.

Assessment and Monitoring: Multiple measures of the current level of impairment include frequency and intensity of symptoms, markers of lung function, and limitations of daily activities. Determination of future risk should consider risk for exacerbations, progressive loss of lung function, or adverse effects associated with anti-asthma medications. Some patients with good daily functioning when evaluated may still be at high risk for frequent exacerbations.
Pharmacotherapy: Increasing medication dosages and types as needed, and decreasing them whenever possible, based on the level of asthma control. Additional strategies being tested to improve asthma management include new strategies to monitor asthma control by testing sputum and exhaled air and treatment options tailored to patient-specific clinical characteristics and genetic profile makeup.

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