How to diagnose asthma?
Asthma
is one of the most common diseases of the respiratory system, and these are its
most common symptoms that require treatment
Asthma is
one of the most common diseases of the respiratory system. It is estimated that
more than 20% of the population suffers from allergic diseases such as allergic
asthma, conjunctivitis, rhinitis and atopic dermatitis.
Allergy
is a term that indicates hypersensitivity to certain substances (allergens)
that are completely harmless in healthy people. In contact with allergens,
there is a reaction of the body and symptoms such as sneezing, itching of the
nose and eyes, tears and runny nose or obstruction.
To Take Asthma In Pregnancy Or Not?
Allergic asthma
Allergic
asthma is the most common type of asthma in childhood and adulthood. It is a
chronic disease with reversible bronchial obstruction. The obstruction is
caused by inflammation, edema and contraction of the smooth muscle in the
airways. Allergens that enter the respiratory system cause a hypersensitivity
reaction, numerous inflammatory cells are secreted and lead to characteristic
changes.
The most
common allergens that cause seizures are pollen, dust, animal hair, various
grasses. Symptoms of asthma attack are dyspnea, cough, high-pitched whistle
during exhalation followed by tightness in the chest or a combination of these
symptoms.
Asthma and the most common symptoms
Symptoms
usually go away spontaneously or after taking the right medication. At the root
of the asthma is a chronic inflammatory reaction of the mucous membranes of the
respiratory tract, most commonly allergic, which in stages of exacerbation
causes tightening of the muscles of the small respiratory tract and increased
mucus formation, which leads to obstructed air flow and causes suffocation and
other symptoms of the disease.
In
allergic asthma, the attack is caused by different allergens, and in
non-allergic by various non-allergic factors: physical exertion, cold and dry
air inhalation, viral infections, strong emotions, air pollution (most commonly
tobacco smoke).
Asthmatic
status is a name for a seizure that is long lasting, progressive, and
unresponsive to therapy. Hospitalization is required as it can lead to death.
Asthma
diagnosis, classification and control are defined by the Global Asthma
Initiative (GINA).
Treatment
Allergic
asthma is diagnosed with a history, clinical examination, blood tests, allergy
tests and spirometry (golden strand). Treatment includes allergen avoidance and
pharmacological therapy (bronchodilators, corticosteroids). In the control of
asthma, education, proper medication, breathing and relaxation exercises and
avoiding causal factors are important.
The asthma tests are:
- Allergic testing for inhalation or nutritional allergens
- Immunological processing
- Pulmonary function test or spirometry
- Peak flow measurement (PEF) using a portable meter
- X-ray of the paranasal sinuses, and no lung imaging is necessary
- Load test
- Test with methacoline or dry cold air
- Cytological examination of coughing or nasal swabs on eosinophils
- Measurement of concentration of nitrous oxide in exhaled air (FeNO)
Diagnosis
Spirometric measurement of pulmonary function is a basic method of diagnosis, weight assessment and monitoring of asthma treatment. The level of bronchial obstruction and its reversibility are measured spirometrically. Asthma diagnosis and monitoring can also be used to measure daily variability in peak air expiratory flow (PEF). Specific (allergen) and non-specific (methacholine, histamine) bronchoprovocation tests are still used in the diagnosis.
The goal
of asthma treatment is complete control of the disease. This means disappearing
symptoms, achieving and maintaining maximal pulmonary function, reducing the
number and severity of exacerbations, achieving the best quality of life for
the patient, reducing morbidity and mortality, and preventing permanent damage
to pulmonary function. All of these should be achieved with minimal side
effects of treatment.
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