Saturday, January 12, 2008

Some special types of asthma

Bronchial asthma (asthma) is a common disease, in patients with recurrent episodes of wheezing and coughing, spitting features. Typical diagnosis of asthma is not difficult, but mild and special type of asthma, even doctors, their error rate of misdiagnosis is also high. An internal investigation showed its delay in the diagnosis rate of 42%, therefore, should raise asthma, especially not typical, special type of asthma awareness. This paper presents several special types of asthma, which could be helpful to readers. 1, cough variant asthma cough variant asthma in recent years, having knowledge of the disease. Its characteristics : many patients with personal or family history of allergic disease, chronic irritation dry cough often is the only clinical manifestations, Minorities can be accompanied by chest tightness, pharyngeal itching, rhinorrhea, symptoms of the Spring and Autumn season easily repeated attack in the night, the early morning, after heavy exercise, sustainable course of a few days to several years, sports, cold, contact allergens such as regular as predisposing factors. The disease antibiotics, cough medicine invalid, and asthma, antihistamine and adrenocorticotropic hormone effectively. 2, aspirin aspirin asthma Asthma is defined as taking aspirin or its compound preparation of asthma. In recent years found, in addition to many of antipyretic analgesics like analgin, paracetamol, indomethacin, ibuprofen, etc. can be induced asthma, because mechanism with prostaglandin metabolism, it is considered to be classified as a category. Its features : 20 patients with 40-year-old female see more, These commonly used drug after a 0.5 ~ 4 hours or sudden onset of asthma increased performance for the sweat dripping, a runny nose, sneezing, body itching, with rash, shortness of breath, wheezing or breathing heavier, many people often combined with nasal polyps and sinusitis. Treatment of the disease more difficult, in addition to symptomatic treatment, but also should not view the use of therapy. Prevention is to avoid taking these drugs induced asthma, a family history of this type of asthma, You need Jiyong analogues such as aspirin. 3, exercise-induced asthma exercise-induced asthma is strenuous exercise may induce or exacerbated asthma. The disease can be found in any age, but the male child morbidity higher. Its characteristics as : continuing up to 5 ~ 10 minutes of strenuous exercise after chest tightness, wheezing and dyspnea appetite. Wheezing may hear the sound. Symptoms in campaign stop after 5 ~ 10 minutes, but also in the process of movement there, sustained a 0.5-hour can be gradually eased, and only a few serious Sustainable 2 ~ 3 hours. The asthma and the type of movement, time, intensity and the prevailing climate, in the short five minutes of exercise or take a walk, Taijiquan and other minor sports, not normally induced asthma. In the dry season cold outdoors walking, hiking, jogging, playing golf over the summer will carry out swimming, boating, Biking and other exercise-induced significantly higher. The asthma easier to prevent, avoid vigorous, prolonged exercise, or exercise 15 minutes before use ketotifen. anthocyanin sodium, and other drugs can be effective in preventing the incidence after taking aminophylline, salbutamol and other drug treatment of asthma effectively. 4, the Occupational asthma occupational asthma is aggravated asthma attack or career-related, an occupational areas. Under the diagnosis of the state, which is where China has engaged in asthma and isocyanate esters, phthalic anhydride, amines, platinum compound and the salts, such as sisal one of the five categories of material related to the occupational, will be considered under the criteria of diagnosis of the disease. Its features are : no more than past history of asthma, at the beginning of a new job or exposure to a new material soon after the onset (work have easy access to trigger asthma allergens. Common were food, animals, plumage, drugs, etc.), the same environment and other staff have similar patients; Asthma in contact with each working environment after the attack or intensify, a detached from the environment will not attack or gradually reduce. This type of asthma who should be separated from occupational exposure, according to the general attack of asthma treatment, or family history of asthma, should avoid engaging in more professional. 5, cardiogenic asthma Actually, it is not asthma areas because of its performance and attack of asthma and similar name, attention to the genuine identification of asthma. The disease is characterized by many patients with hypertension and coronary heart disease or rheumatic heart disease, such as history, often attack at night asleep or tired after, showing a sudden short breath and sweat dripping, lip bruising, cough, Turpan-pink bubble-like phlegm, to a lesser extent, or to rise by the rest can be improved, severe required emergency rescue, In addition to the treatment of applications such as asthma drug aminophylline, should mainly to correct heart failure. All adults over the first characteristic of asthma, should be promptly went to the hospital for a comprehensive check.

No comments: