The diagnosis of bronchial asthma
It is based on allergic inflammation of the bronchi, accompanied by their hyperactivity. Asthma has a genetic predisposition, which is implemented only under the influence of external factors.
In practice, doctors are often afraid of the diagnosis, and this leads to severe and debilitating form of the disease. According to official statistics, in recent years, the child mortality rate from asthma increased from single cases to a few dozen per year. Among the causes of severe disease for several years, medical malpractice, lack of treatment plan in the patient. Moreover, the most dangerous are the infant and teenage patients.
Features at children
Asthma is one of the most common chronic diseases of childhood. Its symptoms can manifest itself already in the first months of life, but they are unstable.
In 60-70% of children under 6 years happen episodic attacks of asthmatic cough that is worse with respiratory infections. It is transient (temporary) nature of the symptoms and knocks doctors confused.
A serious diagnosis is not in a hurry to put, replacing it with such terms as "SARS with bronchoobstructive syndrome", "obstructive bronchitis", "asthmatic bronchitis", "asthmatic component when respiratorius infections".
Bronchial asthma often suffer from the boys, but in adolescence in 30-50% of children, the disease goes into remission. To the concept of "recovery" in bronchial asthma should be treated with great caution. Long-term remission can be broken under the influence of various factors at any age.
Children from 0 to 2 years
Asthma in this age is manifested by shortness of breath, indrawing or swelling of the chest, obsessive (sometimes vomiting) dry or wet with a small amount of sputum cough, rales in the lungs, loud whistling breath, pale face, cyanosis (blueness) nasolabial triangle, acrocyanosis (blueness of the extremities).
If heredity for asthma-burdened, there is a high likelihood of her and the child. Caution should call: the high incidence of allergies to foods (chicken protein, the protein in cow's milk, cereals, fish, Zheltoksan fruit), as well as on house dust and dust mites, medicines and vaccinations.
Typically, the first attacks expiratory dyspnea preceded by atopic dermatitis. Unfavorable early development of the disease can be in utero damage to the Central nervous system due to pathological course of pregnancy and childbirth, fetal hypoxia, birth injuries.
From 3 to 5 years
At this age the most common provoking asthma attacks are respiratory viral infection. Although actually the cause of the disease is increased sensitivity of the first to the food, and then to household and pollen allergens. Range sensitivity (increased sensitivity) expands with age. For exact definitions children need to perform skin tests and laboratory tests for allergens.
From 6 to 12 years
Asthmatic attacks already cause a variety of allergens and often provoke viral infection. Often marked seasonal exacerbation.
Teens
Adolescence in many patients is critical in the course of allergic diseases, and further progression of the disease depends on the success of treatment and prevention. But at this age the doctors have additional problems. Teenagers do not appreciate fully the seriousness of their condition and therefore refuse to take your medicine regularly, many people start to smoke. Often children come from observations of a doctor in connection with the transition from pediatrician to teenage doctor and on to the therapist.
Don't be afraid of the diagnosis
Today, the diagnosis and prevention of ad in children lets not give the disease to acquire severe. There are various methods of laboratory and roentgenologically diagnostics, which allow not only to accurately set the variant of the disease, but also to monitor the effectiveness of the prescribed treatment.
Treatment has become more effective. In the past dropper and drugs with many side effects. Now use modern inhalation technique. Therefore, we must not be afraid of the fact of diagnosis, and the disease itself.
Timely and adequate treatment allows to achieve excellent results. Then there will be severe and debilitating forms and the disease is not life-threatening.
Asthma is a serious diagnosis, but delicately with her when you call, you can provide quite a favorable prognosis.
Source:
Dytyna.info
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