How is bronchial asthma treated?

Asthma is a stubborn respiratory disease that can easily trigger bronchial asthma if infected with a respiratory virus during infancy. Bronchial asthma manifests as wheezing, shortness of breath, chest tightness, etc., which, if left untreated, can become more severe and potentially life-threatening. So, how is bronchial asthma treated?

1. Spray treatment

Local anti-inflammatory effects are carried out by inhaling hormone sprays, which are administered during the inspiratory process, the drug enters the respiratory tract, this method inhales less volume, and most of the drugs that enter the bloodstream directly through the digestive tract and respiratory tract are inactivated by the liver, and there are few systemic side effects.

2. Intravenous injection

The use of intravenous theophylline in dilating the bronchial bronchi in the treatment of severe asthma has no advantage over adequate use of rapid beta-2-agonists. Usage: Aminophylline is added to glucose solution and injected intravenously slowly (the injection speed should not exceed 0.25mg·kg-1·min-1) or intravenous infusion.

3. Desensitization therapy

Desensitization therapy for allergens can reduce or reduce asthma attacks. At present, sublingual desensitization therapy is widely used, which uses the extract of allergens to drop under the tongue to make the respiratory mucosa tolerable, so as to reduce or control allergic symptoms and achieve the purpose of desensitization treatment.

4. Common methods

Acute exacerbations should be controlled with antispasmodic, anti-inflammatory, removal of airway mucus plugs, and preservation of airway patency to prevent secondary infection. Generally, epinephrine drugs, theophylline (xanthine) drugs, anticholinergic drugs, calcium antagonists, adrenal glucocorticoids, cromolyn disodium and ketotifen can be used alone or in combination.

5. Dietary therapy

Patients with asthma should eat more fresh vegetables and water like lilies, yams, tomatoes, cabbage, eggplant, white radish, almonds, white fungus, less fatty meat, cream, chocolate, and less salt.

Boil ginger and garlic in brown sugar water

If the cough and asthma are severe, and there is more white thin phlegm, it means that the cold is more severe, and at the same time as eating the above dietary remedy, add ginger, garlic, and brown sugar boiled water to eat together. Children can use 3 slices of ginger, 3 cloves of garlic, half a spoon of brown sugar, adults use 7-8 slices of ginger, 7-8 cloves of garlic, a spoonful of brown sugar, put it in a pot with water, and cook it for 10 minutes over medium heat, three times a day in severe cases.

6. Boil the radish water

Slice white radish, 3-4 slices for children, more for adults, put it in a pot and add water to boil for 5 minutes, drink radish water, three times a day. Because radish has the effects of strengthening the stomach, eliminating food, dissolving phlegm, relieving cough, smoothing qi, diuretic, clearing heat and generating Jin, it has a good effect on treating cough and asthma caused by heavy internal heat.

7. Steamed pepper rock sugar pears

Wash the pear, cut it horizontally by the handle, dig out the middle core and put 15 peppercorns in children, 1 rock sugar, 30 peppercorns and 2 rock sugar in adults, put the upper part of the pear together, put it in a bowl, steam it in the pot for half an hour, eat pear meat, children can eat it twice, adults eat it at one time, and those with serious conditions can eat it three times a day.

Sichuan pepper is warm and spicy, and has the effect of repelling cold.It can comb the intestines and regulate the joints. But it's just easy to make peopleget angryIt is suitable to be eaten with fire-reducing foods such as rock sugar pears.

8. Steam garlic water

Trials have shown that people with asthma and asthma can take garlic to suppress the disease. Take two or three cloves of garlic and crush them, put them in a pot and cover them, steam them over high heat for more than ten minutes, and then drink the soup boiled with garlic.

The next day, when steaming garlic water, you have to add rock sugar, put one grain for children, put two grains for adults, garlic is warm, into the spleen, stomach, lung meridian, folk use garlic to treat cough, tracheitis, asthma, tuberculosis, but garlic is not easy to take more, easyget angry, make the eyes flowery, so add rock sugar to moisten the lungs.

9. Examination of bronchial asthma

1. Routine blood examination. Some patients may have eosinophils at the time of seizure, but most are not obvious, and if there is a concurrent infection, there may be an increase in the number of white blood cells and an increase in the proportion of classified neutrophils.

2. Sputum examination smear. More eosinophils may be seen, such as with respiratory bacterial infection, and sputum smear Gram stain, cell culture, and drug susceptibility testing can help diagnose pathogens and guide treatment.

3. Pulmonary function test. Pulmonary ventilation during remission is mostly in the normal range. In an asthma attack, expiratory flow rate is limited by a decrease in forced expiratory volume in one second (FEV1), one-second rate (FEV1/FVC%), maximum mid-expiratory flow rate (MMER), maximum expiratory flow at 50% versus 75% lung capacity (MEF50% versus MEF 75%), and peak expiratory flow (PEFR).

4. Blood gas analysis. Severe asthma attacks may have hypoxia, decreased PaO2 and SaO2, and increased pH due to hyperventilation, resulting in respiratory alkalosis. If asthma is severe, the disease progresses further, the airway obstruction is severe, there may be hypoxia and CO2 retention, PaCO2 rises, and respiratory acidosis is manifested. If hypoxia is significant, metabolic acidosis may be present.

5. Chest X-ray examination. In the early stage of an asthma attack, it can be seen that the transparency of both lungs increases, and it is hyperinflated; There are usually no obvious abnormalities during the remission period.If concurrent respiratory tract infection occurs, increased lung markings and inflammatory infiltrates may be seen. Complications such as atelectasis, pneumothorax, or pneumomediastinum should also be noted.

6. Detection of specific allergens. Most people with asthma have allergies and are sensitive to numerous allergens and irritants. Measurement of allergic markers combined with the history can help diagnose the etiology of the patient and wean the sensitizing agent from exposure. However, allergic reactions should be prevented.