Do not always be allergic to these symptoms, or asthma!

Experts in this article:

Changchun, the chief physician and professor of the Department of Respiratory and Critical Medicine of Peking University Third Hospital

Good at: clinical and basic research on bronchial asthma

Many people's impression of asthma is still on the asthma and breath of recurrence. In fact, these are the manifestations of acute onset of asthma. Some people who do not cough, keep coughing, and people who are not cough may also suffer from asthma.

These atypical plain asthma that is good at camouflage has led many patients to have not been treated in time and standardized treatment, and even have asthma themselves. At present, the number of patients with Chinese asthma is about 45.7 million, and more than 70 % of these patients have not been diagnosed by doctors.

The disease of asthma may be sick throughout the age. The cause of the cause is inflammation of the airway. The inflammation of the airway is mostly induced by allergens, exposure to stimulation, exercise, weather changes, and respiratory tract infections. Professor Changchun, the Department of Respiratory and Critical Medicine of Peking University Third Hospital, reminded that most of the asthma is allergic asthma. In recent years, the incidence of incidence has been increasing and high incidence of allergic diseases!

Asthma and allergies

What is

Some surveys show that 5%to 16%of the world's population suffer from allergic asthma, especially for children with allergic asthma. [4] Clinically, it is not difficult to find out the medical history of asthma patients. Many people have expressed their allergies such as allergic rhinitis, eczema or allergic constitution, and allergies to dust mites, pollen, animal hair, egg milk, cold air, etc. In addition to the symptoms of allergic asthma in terms of symptoms, there may be uncomfortable with sneezing, runny nose, eyes and itchy skin.

The main reason is that the human body is excessively reacts with the immune system after inhaling allergens, and then various inflammatory factors are released. Simply put, allergic asthma is an allergic inflammatory disease in the airway. Stay away from allergens, which will reduce or avoid the number of bronchial asthma and reduce symptoms [5]. Especially children's allergic asthma, after finding allergens, avoid repeated contact with children to cause damage to the body and provide a favorable environment for children's growth.

The hardest thing is that some patients cannot find allergens and can not find any substances to be allergic to, but because the patient's airway is in a sensitive state, when contacting non -allergen substances such as cold air, oil fume, odor, etc. The abnormal high reactivity causes a series of symptoms such as cough and asthma.

In addition, allergic rhinitis also needs to attract attention, allergic rhinitis is closely related to asthma [8]. The two are entangled with each other. Allergic rhinitis is a high -risk factor for asthma, and rhinitis can aggravate the onset of asthma.

Cough, chest tightness

It may also be asthma

When the asthma occurs, I always feel that the big mouth is still not enough to breathe. I can hear the sound of a stretching box in the airway with a stethoscopy, but asthma may not necessarily have asthma symptoms. Under variant of asthma, there may be no obvious symptoms of concealment of asthma.

Cough mutant asthma: Cough mutant asthma is mostly manifested as dry cough. Because patients only show cough and have no asthma, they are often misdiagnosed as bronchitis and chronic pharyngitis for treatment, delaying the condition.

Chest tightness and mutant asthma: Some people have no breathing nor cough. Only chest tightness has the symptoms of chest tightness, which is easily mistaken for heart disease. In fact, this may belong to a type of atypical asthma. Chest tightness and mutant asthma can only be manifested as chest tightness, without cough, sputum, asthma and other symptoms.

Surgee: No typical asthma symptoms, manifested as long -term high reactivity of airway, and some patients can develop for a long time to develop symptoms of asthma.

Do not cure asthma,

If you have no symptoms, you need to regulate the medication

Asthma is irreversible, but through long -term anti -inflammatory treatment and adherence to medication, the treatment goals of controlling symptoms and reducing future seizures can be achieved. Even if there are no symptoms, the medication should be regulated, because the disappearance of the symptoms does not mean that it has been cured, and it is still necessary to adhere to long -term standardized treatment, rather than using the drug when only acute attacks.

The bronchial asthma prevention guide (2020 edition) pointed out that the clinical treatment of asthma is mainly two types of drugs: to alleviate drugs and control drugs. It relieves the drug, also known as first aid, and should be used on demand when symptoms occur when the disease occurs, including fast -acting inhalation and short -acting oral β2 receptor agonist, inhalation of biloblene drugs; controlling drugs are drugs that require long -term maintenance. These drugs are mainly used to maintain clinical control through anti -inflammatory effects, mainly including inhalation of sugar corticosteroids, systemic hormones, leukene regulators, long -acting β2 receptor agonists, slow -release catechine, etc.

If asthma has not recurred and the control effect is not good, the problem may be on the patient without regular medication. The control rate of asthma patients in my country is only 28.7%, and the compliance of the treatment of asthma patients is generally low, and the incidence of adult patients does not follow the doctor's advice of about 50%[11]. Some patients are either cure and increase their dose without authorization; or they see the symptoms improve and stop the medicine immediately; or they do not insist on taking medicine, or they do not use drugs and devices in accordance with the doctor's order.

In fact, asthma needs to be continuously treated. After the treatment of asthma, most asthma patients can be relieved within a few days after treatment, but at this time Mascies every 1 to 3 months and treat them according to the doctor's advice.

Allergens and lung function, these two inspections cannot be less

Those who have a history of allergic diseases and those who have symptoms such as chronic cough, chest tightness, breath, and shortness of breath. It is recommended to go to the hospital for lung function and blood routine examination to check asthma. Once the diagnosis is diagnosedAllergens to avoid future contact.

In addition, lung function test is an important method for diagnosis of bronchial asthma [12].Doctors can evaluate the treatment effect through examination results, and whether to adjust the treatment plan.Pulmonary function test is not a simple breath, but through professional testing instruments to investigate and classify lung function diseases.

Source: Healthy China

- END -