The recently completed epidemiological survey of children's asthma in China shows that the prevalence of children's asthma in China has nearly doubled in 20 years compared with the previous data. The prevalence rate of asthma among children in some cities is over 5%, which is close to the level of developed countries.
Asthma in children: It can be cured by regular treatment.
Bronchial asthma, referred to as "asthma", is the most common chronic respiratory disease in childhood, and its prevalence rate is on the rise. In addition, from the clinical observation, with the increase of the incidence of respiratory infectious diseases such as pneumonia and bronchitis in winter and spring, the incidence of asthmatic bronchitis and cough variant asthma in children has also increased significantly.
There are two main causes of asthma: genetic susceptibility is related to "allergic constitution"; The external causes are various bad stimuli, including respiratory virus infection, contact with allergens, and adverse environmental factors. Susceptible individuals exposed to bad stimuli can quickly lead to acute asthma attacks.
From the age point of view, childhood asthma mainly occurs in preschool children, especially 3 ~ 6 years old. However, the pathogenesis of asthma in children is different from that in adults. After treatment, most children with asthma can be relieved for a long time, even recovered clinically.
Know three typical symptoms
Typical symptoms of asthma attacks in children are:
(1) wheezing, school-age children often complain of "breathlessness" and dyspnea, while infants are restless and dyspnea;
2 cough, mainly dry cough, may be accompanied by thin white phlegm;
③ Chest tightness, and patients reported feeling of chest tightness. In severe attack, children may have vomiting, cold sweat dripping, pale face, blue lips, panic and other symptoms. When the lungs are auscultated, it can be found that the exhalation is obviously prolonged and the lungs are widely wheezing; When infantile asthma attacks, a small amount of fine moist rales may appear in both lungs.
Most children can be cured after treatment.
If children with asthma can get correct diagnosis and standardized treatment as soon as possible, wheezing symptoms can be well controlled with the growth of age, and only a few children develop persistent asthma. The treatment of childhood asthma should follow the principles of long-term, sustained, standardized and individualized.
During the attack of asthma, it is necessary to quickly relieve symptoms, relieve asthma and resist inflammation. In remission stage, we should be anti-inflammatory, control symptoms, reduce airway hyperresponsiveness, avoid triggering factors and carry out self-care.
Once parents find that their children have premonitory symptoms before the onset of asthma, they should see a doctor in time and use quick-acting bronchodilators to quickly relieve wheezing symptoms. If the child has recurrent wheezing symptoms, he should go to the pediatric asthma specialist clinic to make clear the severity of the illness and the nature of wheezing, work out a long-term treatment plan suitable for the child with the doctor, and master the medication method, medication time and the most appropriate dosage.
"Inhalation" is the best route of administration.
There are two kinds of drugs commonly used to treat asthma in children: one is acute relief drugs, that is, bronchodilators, including β2 adrenergic receptor agonists (such as salbutamol and terbutaline), anticholinergic drugs (such as ipratropium bromide) and theophylline drugs (such as aminophylline), which are mainly used to relax bronchi during acute attack and can quickly relieve symptoms. The other is control drugs, including glucocorticoids (such as budesonide, fluticasone, beclomethasone propionate, etc. ) and leukotriene receptor antagonists, which have anti-inflammatory effects, need long-term continuous use to control symptoms and prevent seizures.
Because the respiratory tract is an open system communicating with the outside world, it is beneficial to local drug treatment. At present, the best way to treat asthma is inhalation. During inhalation therapy, the drug can quickly reach the lesion in high concentration, with quick onset and small dose, which can reduce or avoid the possible adverse reactions caused by systemic administration. Generally speaking, the dosage of inhalation therapy is only a few tenths of that of systemic administration.
Of course, inhalation therapy needs to master certain drug absorption techniques. At present, there are many forms of inhaled drugs in clinic, including pressure quantitative aerosol, dry powder inhaler and jet atomizer. Parents and children should choose suitable inhalers under the guidance of doctors, master the inhalation technology correctly and ensure the curative effect.
"Antibiotics" are generally not needed.
We should fully realize that the essence of asthma is a chronic nonspecific inflammatory disease of airway, not an infectious disease caused by pathogens such as bacteria and viruses. Antibiotics are usually not needed to treat childhood asthma unless there are clear signs of infection. It is not enough to treat asthma with intravenous rehydration and antibiotics at the first attack in clinic, and sometimes it will even aggravate the condition and delay the treatment.
Avoiding incentives can reduce seizures.
Most children's asthma attacks have obvious triggers, so parents should carefully identify the possible triggers in daily life and avoid them.
Children with asthma should be tested for allergens, which will not only help doctors understand the allergic state of children, but also help to make environmental control plans and predict the long-term outcome of the disease.
Because children's asthma attacks are mostly related to respiratory infection, measures to prevent respiratory infection may reduce the frequency of children's asthma attacks. Children with asthma can add immunomodulators as appropriate and complete the whole course of immunization.
Immunomodulator Kang Minyuan, the importance of using immunomodulators for self-care in children with allergic probiotics.
The repair method of mycoplasma pneumonia after cough and asthma is to supplement Kangminyuan antiallergic probiotics.
Kangminyuan probiotics combined with immune experiments in Xijing Hospital proved that it can inhibit airway inflammation of asthma. Kangminyuan Probiotics Enhance the Airway Protection Mechanism of Formulated Asthma Abstract: Kangminyuan Compound Probiotics (enhanced) can improve airway allergic inflammation, reduce the number of inflammatory cells in alveolar tissue (eosinophils, neutrophils, lymphocytes are significantly reduced), relieve chronic airway inflammation, induce the production of Treg cells in lung lymph nodes, promote the expression of related inhibitory cytokines IL- 10, inhibit the expression of Th2 cytokines, and play an immune role. Kangminyuan probiotics enhance the protective mechanism of food allergy Abstract: Kangminyuan compound probiotics (enhanced) can reduce the content of IgE and IgG in serum, promote the production of IgA to inhibit food allergy symptoms, and induce the production of dendritic cells (DCs) of CD 103+, promote the production of regulatory T lymphocytes (Treg), promote the intestinal immune balance, and help adjust allergic constitution.
Microorganisms are invisible, so they are more magical. The regulating effect of antiallergic probiotics on allergy is a new concept that microorganisms affect diseases. Patients with recurrent respiratory tract infections and prone to recurrent cough should not adjust their physical recovery by supplementing Kangminyuan professional anti-allergic probiotics after pneumonia. It is of great significance to help children recover. Many times, after drug treatment, the symptoms are relieved, and we think that the disease is cured. The function of repair is not something that children can repair by eating, drinking and drinking well. We all know that probiotics need some unique methods. However, with the development of microecology in recent years, the functions of many new strains have become stubborn. Some people will say that my children have been eating probiotics. Probiotics are different from probiotics. Microorganisms are special substances, and different strains have different functions.