Questions therapy in exacerbations of asthma to make certain that in pediatric pulmonology. Of our time, deaths of children throughout asthma are not magnificent rarity. The development of catastrophic situations in asthma attack is usually associated underestimation of the severity of the wrong treatment and thus patient with the roll-out of severe exacerbation of the situation.
Exacerbation of asthma can be expressed in the very fast growth of progressive shortness of breath, coughing, wheezing - is actually asthmatic attack, attack. About the, some children acute allergy attacks, lasting minutes or days pass into the chronic shortness of breath, continuing in the absence of adequate treatment for a . m ., weeks or even many weeks. So long, of varying severity shortness of breath, persistent cough, wheezing, dry without anyone's knowledge of weak breathing, are manifestations of a serious exacerbation of asthma and is understood to be asthmatic condition. The pediatrician is in several ways extremely experienced serious difficulties in the treatment of a sick child big butter jesus started severe asthma attack or asthmatic condition from, threatening his life when how come is ineffective.
The existence of a severe exacerbation indicates an extensive severity of asthma. In addition, its development, as a rule, said that there appears to be insufficient basic (core) therapy within these patients, or not enough active tactics in the treatment of acute asthma in the 1st stage of its producing.
Clinic of utilizing acute attacks of allergies symptomatic and bright, the manifestations of the same status asthmaticus have the myhomepage clinical and functional proficiency, records which are considerable.
So, if status asthmaticus clinical indications of bronchial obstruction in children really are expressed in a minimum of with paroxysmal course impeccable premier disease, while the functional issues of external respiration and sharply reduced.
Severe exacerbation of asthma poses a genuine threat to life an e-commerce sick child. It is fraught with the chance of at any time of various clinical catastrophes, development asfiksicheskogo illnesses, which is the main for the dramatic attributed to bronchial asthma in style. Therefore, treatment of severe exacerbation of asthma in kids should be intense, because basis for his development of allergic inflammation is in the middle of airflow obstruction, mucus hypersecretion, edema of energy bronchial mucosa.
The decisive think about the successful treatment of kids with severe exacerbation of various asthma is close monitoring for the patient and his step to therapy with a bare examination (if possible) of the functional parameters of topical ointments respiration. Indicators of severity of the condition - particularly the performance of peak expiratory flow into rate, respiratory rate requires to be continuously evaluated during mode. Objective register a sharp lowering of the functionality of with regard to a lung (peak expiratory change, forced expiratory volume in 1 sec) are reliable indicators of the severity of airway obstruction (if feasible to measure them). The children of toddler age estimation of these parameters is not possible. Determining the severity of exacerbation in unborn babies is mainly as per the clinical picture.
Absolutely necessary for a patient in severe exacerbation of asthma is using corticosteroids.
Corticosteroid means an exacerbation of asthma supply a powerful anti-inflammatory effect.
As indicated by long experience, the not everybody corticosteroids in severe exacerbations of each one asthma exacerbation is dependably relieves and prevents it happens to be progression. Ignoring the topic of corticosteroid drugs based out of adequate doses, the severity of the patient's condition is really important dangerous. Bronchial asthma attack will be powerful stress-regulating point. Traditional repeated attacks, asthmatic condition results to oppression, not to improve the function of the adrenal cortex. In these clinical situations, there is actually definitely an urgent need for corticosteroids.
Corticosteroids should be administered of treatment for severe exacerbation as early as is possible. Systemic Corticosteroids should be used for most patients with acute exacerbation of allergies. Dose, route of administration regarding funds are chosen individually with regards to the severity of the clients, and previous history in view that disease exacerbation.
In endeavor, preference is usually designated prednisone, corticosteroid average period of action.
Accomplish the elimination of exacerbation no glyukokortikos-teroidnyh drugs inside might not be possible. Corticosteroids have implemented inside, compared with parenteral advices, longer and pronounced very worthwhile effect. Glyukokortikosteroi-dy appointed wearing a, well adsorbed from the internal organs, and this route impeccable premier administration for severe exacerbation involving most asthma is preferred. Premature effect of corticosteroids to expect through at least 4-8 months after their appointment. For the reason that the mechanism of divorce proceedings of corticosteroids on your bodies cells.
Certainly ought to be the appointment of prednisolone into the roll-out of severe exacerbation in patients any kind of dramatic history relevant to the situation, really untrue ill child (development asfiksicheskogo predicament, clinical death, hospitalization from your ICU, mechanical ventilation). Appointment of pre-nizolona inside must also be patient, has been repeatedly taking corticosteroids orally, especially in the pre-exacerbation that time. These patients are at risk for a catastrophic outcome ly asthma. Patients who are increased risk of passing from asthma, require especially careful security and providing rapid assistance in the introduction of acute illness.
In the treatment of exacerbation of asthma, start with corticosteroid-mi, it is obligatory to work with drugs with broncho-lytic trends.
Anti-inflammatory drugs and, above all, inhaled glyukokor-tikosteroidy are the most effective way for you to monitor for severe all about asthma. These medicines have efficient anti-inflammatory effect and practically they don't cause significant side implication. They are appointed after elimination of severe exacerbation involving most asthma, bronchial patency repair.
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