Provision of services for the treatment of bronchial asthma | Print |
Monday, 09 November 2015 00:00
Asthma - a chronic disease of the respiratory tract, accompanied by periodic appearance of symptoms such as shortness of breath, wheezing, chest tightness.
foto
The cause of the symptoms is a periodic bronchospasm resulting from increased susceptibility of the airways to various factors and stimuli.
Diagnosis of asthma is an important step in the delivery of patient care. At the moment our specialists use only a comprehensive approach and the most informative methods of research, including:
1.Individual medical history to identify trigger factors (exposure to allergens, occupational exposures, cigarette smoke, cold air, excessive physical and emotional load, intake of certain drugs), family history of asthma;
2.Tschatelny inspection using physical methods (auscultation, etc.);
3.Funktsionalnye research:
• Spirometry - a study that allows to register and document the airway obstruction. For the diagnosis of asthma is important reversibility of obstruction. In order to carry out its detection bronchodilation sample (repeated spirometry after inhalation of the drug that extends the airways);
• peak flow meter - a method that makes it possible to estimate how much narrowed bronchi using a portable parting (peak flow meter), and is also used to monitor the effectiveness of treatment;
• body plethysmography and lung diffusion capacity study - modern methods of in-depth studies of lung function, allowing to obtain important information about the state of the respiratory gas exchange and lung function.
This set of methods is usually sufficient to establish or refute the diagnosis of asthma. But in some cases it may require additional research that will provide you with our experts: X-ray or CT scan of the chest, echocardiography, bronchoscopy, etc., As well as medical consultations related specialties (allergist, cardiologist, ENT, gastroenterology).
What to do if you have established a diagnosis of asthma?
The key to success in achieving asthma control is adequately matched complex treatment. The combination of drug and non-drug therapy can not only improve health, but also to achieve the complete disappearance of symptoms, active lifestyle.
Currently, our wide range of pulmonology available treatments with proven efficacy, including both pharmacological and non-pharmacological treatment.
Medication
The doctor-pulmonologist taking into account individual characteristics of the disease, comorbidity, and the results of diagnostic tests:
1.Podberet drugs for long-term maintenance (basal) and therapy for the relief of symptoms;
2.Pomozhet select a method of drug delivery to the respiratory tract (dry powder inhaler, metered dose aerosol inhaler, an aerosol inhaler with a spacer, nebulizer), teach proper technique of inhalation preparation;
3.Obuchit self-monitor their condition using a peak flow meter, and a diary of self-control (so you will notice in a timely manner and prevent the impending aggravation, as well as to evaluate the effectiveness of treatment);
4.Razrabotaet a personalized action plan at deterioration of asthma control and exacerbation of the disease development.
Drug-free treatment
In the complex treatment of bronchial asthma non-drug measures are of no small importance:
Identify and avoid exposure to the provoking factors and allergens;
Allergy-life (frequent wet cleaning, the rejection of carpets, replacing synthetic feather pillows, no pets, etc.);
The use of breathing exercises;
Patient education;
Speleotherapy indicated.
The study of respiratory function
The diagnosis of asthma and simple, and at the same time complicated. On the one hand, clinical manifestations of the disease, and on so many clear that no notice is simply not possible.
But also a lot of other diseases that may mimic asthma, as if to put on her mask.
The doctor need facts, objective criteria. In the case of asthma one of the lines producing such evidence is a study of respiratory function.
So, why do we need to assess respiratory function?
It is necessary to provide objective information to clarify the diagnosis and development of treatment strategies of the individual.
Method of functional studies that evaluate this very function of respiration, nazyvaetsyaspirometriya.
Actually spirometry consists of two studies:
1.Spirografiya- measurement and evaluation of the volume of inhaled and exhaled air- get an answer to the question: "How much air is put into the lungs?"
2. pneumotachograph - measurement and evaluation of the speed of the air passage of the respiratory tract.
This is the answer to the question: Is Lowered this man rate of air from the respiratory tract?
In asthma, the airway lumen when narrowed, the rate of exhalation decreases.
It is logical. A simple example: through doors wide-open crowd will come faster than only one half open door.
Spirometry implement and evaluate a specialist. It can be done in any clinic. But the result of it is directly dependent on the efforts of the subject.
Do I need any preparation for this study?
Yes, there are some rules that need to be performed prior to the study:
1. Spirometry ideally performed in the morning on an empty stomach.
Why: stomach, happily crowded breakfast, will urge the diaphragm and limit its movement, so take a deep breath, collect a lot of air in humans fail. Again, in the deepest part of the human breath can eat dense muddy. And nausea - not a pleasant feeling.
2. Do not smoke on the eve of the study, as cigarette smoke irritates the respiratory tract and can distort the results of the study.
3. You do not need to take drugs that could affect the speed of the air breathing putyam- bronchodilators is, what people are cropped bronchial asthma.
When inhaled bronchodilators may be before the test?
It depends on the bronchodilator. When it comes to short-β2-agonist (salbutamol, fenoterol), ipratropium bromide, a combination drug berodualom, you must be at least 6 hours prior to the inhalation studies. For a long-acting bronchodilator (formoterol, salmeterol), this time is not less than 12 hours.
Is it possible to evaluate lung function at home?
Houses for simplified control, you can use a peak flow meter. This method evaluates only a single indicator - peak expiratory flow.
What pikfluometr?
foto
It is a small device - a "pencil case with a tube", which should be strong and sharp blow. This is useful for patients who are just learning to live with asthma. To correct treatment it is necessary to know whether there are fluctuations in speed performance exhalation. Standards are presented in tabular form. They are different for men and women, depending on age and growth.
The cause of the symptoms is a periodic bronchospasm resulting from increased susceptibility of the airways to various factors and stimuli.
Diagnosis of asthma is an important step in the delivery of patient care. At the moment our specialists use only a comprehensive approach and the most informative methods of research, including:
1.Individual medical history to identify trigger factors (exposure to allergens, occupational exposures, cigarette smoke, cold air, excessive physical and emotional load, intake of certain drugs), family history of asthma;
2.Tschatelny inspection using physical methods (auscultation, etc.);
3.Funktsionalnye research:
• Spirometry - a study that allows to register and document the airway obstruction. For the diagnosis of asthma is important reversibility of obstruction. In order to carry out its detection bronchodilation sample (repeated spirometry after inhalation of the drug that extends the airways);
• peak flow meter - a method that makes it possible to estimate how much narrowed bronchi using a portable parting (peak flow meter), and is also used to monitor the effectiveness of treatment;
• body plethysmography and lung diffusion capacity study - modern methods of in-depth studies of lung function, allowing to obtain important information about the state of the respiratory gas exchange and lung function.
This set of methods is usually sufficient to establish or refute the diagnosis of asthma. But in some cases it may require additional research that will provide you with our experts: X-ray or CT scan of the chest, echocardiography, bronchoscopy, etc., As well as medical consultations related specialties (allergist, cardiologist, ENT, gastroenterology).

What to do if you have established a diagnosis of asthma?
The key to success in achieving asthma control is adequately matched complex treatment. The combination of drug and non-drug therapy can not only improve health, but also to achieve the complete disappearance of symptoms, active lifestyle.

Currently, our wide range of pulmonology available treatments with proven efficacy, including both pharmacological and non-pharmacological treatment.
Medication
The doctor-pulmonologist taking into account individual characteristics of the disease, comorbidity, and the results of diagnostic tests:
1.Podberet drugs for long-term maintenance (basal) and therapy for the relief of symptoms;
2.Pomozhet select a method of drug delivery to the respiratory tract (dry powder inhaler, metered dose aerosol inhaler, an aerosol inhaler with a spacer, nebulizer), teach proper technique of inhalation preparation;
3.Obuchit self-monitor their condition using a peak flow meter, and a diary of self-control (so you will notice in a timely manner and prevent the impending aggravation, as well as to evaluate the effectiveness of treatment);
4.Razrabotaet a personalized action plan at deterioration of asthma control and exacerbation of the disease development.

Drug-free treatment
In the complex treatment of bronchial asthma non-drug measures are of no small importance:
Identify and avoid exposure to the provoking factors and allergens;
Allergy-life (frequent wet cleaning, the rejection of carpets, replacing synthetic feather pillows, no pets, etc.);
The use of breathing exercises;
Patient education;
Speleotherapy indicated.
The study of respiratory function

The diagnosis of asthma and simple, and at the same time complicated. On the one hand, clinical manifestations of the disease, and on so many clear that no notice is simply not possible.
But also a lot of other diseases that may mimic asthma, as if to put on her mask.
The octor need facts, objective criteria. In the case of asthma one of the lines producing such evidence is a study of respiratory function.
So, why do we need to assess respiratory function?
It is necessary to provide objective information to clarify the diagnosis and development of treatment strategies of the individual.
Method of functional studies that evaluate this very function of respiration, nazyvaetsyaspirometriya.
Actually spirometry consists of two studies:
1.Spirografiya- measurement and evaluation of the volume of inhaled and exhaled air- get an answer to the question: "How much air is put into the lungs?"
2. pneumotachograph - measurement and evaluation of the speed of the air passage of the respiratory tract.
This is the answer to the question: Is Lowered this man rate of air from the respiratory tract?
In asthma, the airway lumen when narrowed, the rate of exhalation decreases.
It is logical. A simple example: through doors wide-open crowd will come faster than only one half open door.
Spirometry implement and evaluate a specialist. It can be done in any clinic. But the result of it is directly dependent on the efforts of the subject.

Do I need any preparation for this study?
Yes, there are some rules that need to be performed prior to the study:
1. Spirometry ideally performed in the morning on an empty stomach.
Why: stomach, happily crowded breakfast, will urge the diaphragm and limit its movement, so take a deep breath, collect a lot of air in humans fail. Again, in the deepest part of the human breath can eat dense muddy. And nausea - not a pleasant feeling.
2. Do not smoke on the eve of the study, as cigarette smoke irritates the respiratory tract and can distort the results of the study.
3. You do not need to take drugs that could affect the speed of the air breathing putyam- bronchodilators is, what people are cropped bronchial asthma.

When inhaled bronchodilators may be before the test?
It depends on the bronchodilator. When it comes to short-β2-agonist (salbutamol, fenoterol), ipratropium bromide, a combination drug berodualom, you must be at least 6 hours prior to the inhalation studies. For a long-acting bronchodilator (formoterol, salmeterol), this time is not less than 12 hours.
Is it possible to evaluate lung function at home?
Houses for simplified control, you can use a peak flow meter. This method evaluates only a single indicator - peak expiratory flow.

What pikfluometr?
It is a small device - a "pencil case with a tube", which should be strong and sharp blow. This is useful for patients who are just learning to live with asthma. To correct treatment it is necessary to know whether there are fluctuations in speed performance exhalation. Standards are presented in tabular form. They are different for men and women, depending on age and growth.