First, timely diagnosis is not
Many parents and some physicians for recurrent breathing in children, are often unwilling to recognize asthma and would rather be diagnosed as bronchitis, asthmatic bronchitis or bronchitis, in the clinical treatment of large-scale use of antibiotics. While antibiotics kill bacteria but not the elimination of allergic asthma inflammation, thus delaying the early diagnosis of early treatment of valuable time.
A condition is: repeatedly coughing, Tan Chuan, a low immune function. May be suffering from bronchitis, bronchitis, pneumonia and even life-threatening, but not recurrent wheezing (high pitch, Disheng), which is repeated respiratory infections, antibiotic treatment can be used. Another condition is: recurrent wheezing sound typical, the majority of infants infected with no signs of attack (no fever, pharyngeal not red, not yellow sputum, not higher white blood cell count), more often associated with family history of asthma and personal history of allergies (Eczema, allergic rhinitis, urticaria, etc.), this situation is typical of asthma, regardless of their age, the need for anti-asthma drug treatment. Bronchial asthma attack when a spasm that is, wheezing sound, while increased mucus secretion, auscultation often misdiagnosed as pneumonia, massive use of antibiotics. After repeated attack a few years, not only a waste of drugs and increase the burden of parents.
Second, improper treatment
(1) fear of hormones: Many parents and some physicians in the traditional concept of the psychological fear of glucocorticoid have refused application. Glucocorticoids in the treatment of incurable diseases such as lymphocytic leukemia, severe nephrotic syndrome, in order to save lives, it had to. However, the current international asthma in the latest "global prevention and treatment of asthma initiative" in the use of inhaled corticosteroid therapy, only 200 per day to 400 micrograms (use a small number of patients with 800 micrograms), more prednisone And 100 times the dose each time an amount equivalent to only 1 percent of small grain of rice, minimal. Moreover, the drug can be inhaled direct airway target cells, rapid onset, the body absorb very little, even if part of absorption can also be inherent in the two hours of liver metabolism in the swap. Therefore, the international community recognized asthma: inhaled corticosteroid therapy is the control of chronic asthma attack repeatedly the most effective drugs, should be vigorously promoted.
(2) inhalation therapy improper methods: Some doctors only a prescription drug inhalation therapy, but not carefully teach patients how to correctly use. For example: aerosol, suction and pressing need for deep aerosol device "simultaneous", drugs can enter the lower airway, played anti-inflammatory effect. Some of infants, according to drug after just one out, he will appear protective reflex, immediately Bieqi the drug can not enter the next airway, should teach children to continue to deep-suction only.
(3) not easy to relapse treatment: some parents to the children of one or two months later, the attacks stop, think that patients with good, automatically stop the treatment. Some families suspected of wasted time afraid of trouble, and some parents afraid to spend money, and some parents there chances, the results for a period of time after relapse.重在long-term treatment of asthma, asthma can be effectively controlled.
4/30/2008
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