asthma
DESCRIPTION
DEFINITION , CLINICAL FEATURES ,DIAGNOSIS ,TREATMENT ,PREVENTIONTRANSCRIPT
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Prof. Saad S Al-AniSenior Pediatric Consultant
Head of Pediatric DepartmentKhorfakkan Hospital
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AsthmaAsthma
What is Asthma ?
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Unfortunately
Asthma
◙ Is one of the most common chronic
diseases with estimated 300 million
individuals affected worldwide
◙ Its prevalence is increasing
especially among children
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Fortunately
Asthma can be effectively treated and most patients can achieve good control of their disease
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Fortunately
When asthma is under control ,patients can :
- Avoid troublesome symptoms night and day
- Use little or no reliever medication
- Have productive , physically active lives
-Have { near} normal lung function
- Avoid serious attacks
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Asthma
Causes recurrent episodes of:
Wheezing
Breathlessness
Chest tightness
Coughing
particularly at night or in the early morning
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Asthma
Is a chronic inflammatory disorder of the airways.
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Asthma Attacks
Are episodic ,but airway inflammation is chronically present
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Chronically inflamed airways
Are hyperresponsive; they become obstructed and airflow is limited
(by 1. Bronchoconstriction
2 .Mucus plugs
3 .Increased inflammation)
When airways bare exposed to various risk factors
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Common Risk factors
Include: 1. Exposure to allergens:
* House dust mites * Animals with fur
* Cockroaches * Pollens
* Molds
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Common Risk factors (cont.)
2 .Occupational irritants
3 .Tobacco smokes 4 .Respiratory viral infections
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Common Risk factors (cont.)
5 .Exercise
6 .Strong emotional expressions 7 .Chemical irritants
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Common Risk factors (cont.)
8 .Drugs
such as: * Aspirin
* Beta blockers
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Stepwise approach
To pharmacologic treatment to achieve and maintain
control of asthma should take account the: - Safety of treatment
- Potential for adverse effects - Cost of treatment required to achieve control:
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Controller medications
For many patients controller medication
must be taken daily to: 1 .Prevent symptoms
2 .Improve lung function 3 .Prevent attacks
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Reliever medications
May occasionally be required to treat acute
symptoms such as: 1 .Wheezing
2 .Chest tightness 3. Cough
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1.Assess symptoms"In the last month
-Have you had difficulty sleeping because of your asthma symptoms )including cough(?
-Have you had your usual asthma symptoms during the day )cough, wheeze, chest tightness or breathlessness(?
-Has your asthma interfered with your usual activities e.g. housework, work/school etc"?
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Cont.
2.Measure peak flow
3.Assess inhaler technique
4.Consider personalised asthma plan
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Asthma is not a psychological condition. However, emotional triggers can cause flare-ups.
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You cannot outgrow asthma. In about 50% of children with asthma, the condition may become inactive in the teenage years. The symptoms, however, may recur at anytime
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There is no cure for asthma, but the disease can be controlled in most patients with good medical care. The condition should be taken seriously since uncontrolled asthma may result in emergency hospitalization and possible death.
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You have a:
6% chance of having asthma
if neither parent has the condition ;
30% chance
if one parent has it ;
70% chance
if both parents have it.
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Asthma is not contagious
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A new environment may temporarily
improve asthma symptoms, but it will not cure asthma. After a few years in the new location, many persons become sensitized to the new environment, and the asthma symptoms return with the same or even greater intensity than before.
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Swimming is an optimal exercise for those with asthma. On the other hand, exercising in dry, cold air may be a trigger for asthma in some people
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Asthma is best controlled by having an asthma management plan designed by your doctor that including the medications used for quick relief and those used as controllers.
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Asthma medications are not addictive.
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Asthma attacks cannot be faked.
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Partnership
To reach and maintain asthma control
requires the development of a partnership between the person with asthma and his or
her health care team
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Successful lives with asthma
Is not a cause for shame
Olympic athletes Famous leaders
Other celebrities and ordinary people live successful lives with asthma