How long can you live in the late stage of asthma? Asthma is a common disease, and there are still many patients with asthma in life. Asthma is mainly an allergic disease, which is related to allergic constitution. Let's take a look at how long can you live in the late stage of asthma.

How long can asthma generally live in the late stage 1 Asthma is not a very serious disease. Although it is not completely cured, as long as drugs are controlled in time, it will generally not have a great impact on the life span of patients. It is suggested that the diagnosed patients take bronchodilators according to the treatment process, and give a certain dose of leukotriene regulator and glucocorticoid. At the same time, pay attention to avoid contact with allergens, and transfusion treatment can be carried out when breathing is difficult.

In fact, there should be no such worries. As long as the diagnosis of bronchial asthma is clear and the medication is regular, the effect is very good. Generally speaking, the risk is that asthma is not regularly used, which leads to long-term decline of lung function, resulting in cor pulmonale or respiratory failure. At this time, it may be life-threatening.

Another situation is that asthma patients do not take drugs regularly, or stop taking drugs. When he suddenly comes into contact with a large number of allergens, he has acute airway spasm and suffocation, which leads to death. Although this situation is rare, there are sporadic findings, which is a pity.

In short, asthma is mainly an allergic disease, which is related to allergic constitution. It is impossible to completely cure it, and don't hold this hope. The only need is to control the degree of allergy. After medication, there will be no acute airway spasm, so there will be no danger. Regular medication will not cause lung function damage due to chronic recurrent attacks, nor will it lead to respiratory failure or chronic obstructive pulmonary disease. The long-term prognosis should be very good.

If asthma patients do not have repeated acute attacks, the symptoms are better controlled, and the general natural life expectancy has little effect. For some patients with recurrent acute attacks, the treatment effect is not ideal or has not been effectively treated.

The patient's life will be in danger. Because in the acute exacerbation of asthma, it will induce patients to have acute respiratory failure and lead to death. For the treatment of asthma, in the acute stage, hormones and theophylline drugs are mainly used intravenously to relax the bronchi.

Improve airway spasm, improve asthma symptoms, and also give patients inhaled hormones and anticholinergic drugs to improve their symptoms. In the remission stage, the mixed preparation of long-acting hormone and β2 receptor agonist was used to control the asthma attack of patients.

How long can asthma live in the late stage? 2 The difference between asthma and allergic asthma.

Symptom difference:

1, allergic asthma symptoms: This type of asthma will have symptoms of sneezing, runny nose and coughing. If it is not treated in time, it may increase the burden on the bronchus, which may lead to asthma. In severe cases, it may be forced to sit or breathe in an upright position. When coughing dry, it is easy to have a lot of white sputum and even cyanosis.

2. Symptoms of variant asthma: Its symptoms are dry cough, and it is more severe. Patients cough for more than 2 months without obvious incentives, often at night or in the morning, and exercise and cold air are induced to aggravate.

Etiological difference:

1, causes of allergic asthma:

Allergic asthma is a chronic airway inflammation involving many kinds of cells, especially mast cells, eosinophils and T lymphocytes, mostly caused by allergens!

2. Etiology of variant asthma:

(1) Irregular endocrine, little activity, malnutrition or overnutrition;

(2) Air quality has a great relationship; (3) Excessive mental stress.

How to treat asthma and allergic asthma?

The main manifestation of asthma is dyspnea, and it is very easy to recur. The treatment of asthma mainly lies in finding allergens, removing allergic factors and relieving tracheal spasm. No matter what type of asthma it is, you should go to the hospital for examination, actively find out the factors that cause allergies, and then desensitize it before you can recover. During acute attack, anti-inflammatory, antispasmodic, antiasthmatic, antiallergic and symptomatic treatment can be given appropriately.

From the above, we can know that asthma is a respiratory disease, and patients will feel very painful when they attack. In addition, patients with asthma must pay attention to their diet, do not eat spicy and stimulating food, but also ban smoking and alcohol, and their emotions should not be too excited at ordinary times. As long as they pay attention to these things and insist on taking medicine, patients can live a normal life.

How long can you live in the late stage of asthma? 3 Acute complications of asthma

1, sudden death

Sudden death is the most serious complication of bronchial asthma, because it often has no obvious premonitory symptoms. Once it happens suddenly, it is often too late to rescue and die. The important causes of sudden death of asthma can be summarized as follows:

(1) Specific hypersensitivity: Because the airway is in a state of high sensitivity, specific or non-specific stimulation, especially when the airway reactivity is measured, can cause severe laryngeal and tracheal edema and extensive bronchospasm, which may lead to tracheal obstruction and suffocation or induce severe arrhythmia or even cardiac arrest and death.

(2) Lung atresia: It may be due to the side effects of extensive phlegm embolism blocking bronchi or isoproterenol. The latter is because 3- methoxyisoproterenol, the intermediate product of the drug metabolism, not only can not excite β receptor, but also can block β receptor, causing bronchial smooth muscle spasm and blocking ventilation.

(3) Fatal arrhythmia: it can be caused by severe hypoxia, imbalance of water, electrolyte and acid-base, or improper use of drugs, such as digitalis in complicated heart failure, β receptor agent and aminophylline in bronchodilation. If aminophylline is injected intravenously, the blood concentration >; At 30mg/L, tachyarrhythmia can be induced.

(4) Outbreak of bronchial asthma: it is often too late to take medicine and die, and the mechanism is unknown.

(5) Misuse of narcotic drugs or improper use of sedatives: narcotic drugs can cause respiratory depression or even sudden stop, and some sedatives also have obvious inhibitory effects on respiratory centers, such as barbiturates and chlorpromazine. Once sudden death occurs, an artificial airway should be established immediately for artificial ventilation, and important organs such as heart and brain should be treated effectively at the same time or successively.

2, lower respiratory tract and lung infection

According to statistics, about half of asthma is induced by upper respiratory virus infection. As a result, the immune function of respiratory tract is disturbed, and it is easy to cause lower respiratory tract and lung infection. Therefore, efforts should be made to improve the immune function of asthma patients, keep the airway unobstructed, clear the secretions in the airway, keep the ward clean, prevent colds and reduce infection; Once there are signs of infection, appropriate antibiotics should be selected according to bacteria and drug sensitivity.

3, water electrolyte and acid-base imbalance

Due to asthma attack, hypoxia, insufficient food intake, dehydration, heart and liver, especially respiratory and renal insufficiency, water, electrolyte and acid-base imbalance are often complicated, which are all important factors affecting the curative effect and prognosis of asthma. Efforts should be made to maintain the balance of water, electrolyte and acid-base, and electrolyte should be monitored and arterial blood gas analysis should be carried out at any time every day, so as to find abnormalities in time and deal with them in time.

4, pneumothorax and mediastinal emphysema

Because the air is trapped in the alveoli during asthma attack, the alveoli contain excessive air and the intrapulmonary pressure increases obviously. Emphysema complicated with chronic asthma will lead to the rupture of pulmonary bullae and form spontaneous pneumothorax. When mechanical ventilation is used, the peak pressure of airway and alveoli is too high, which is also easy to cause alveolar rupture and air pressure injury, pneumothorax and even mediastinal emphysema.

5, respiratory failure

Inadequate ventilation, infection, improper treatment and medication, pneumothorax, atelectasis and pulmonary edema are all common causes of asthma complicated with respiratory failure. Once respiratory failure occurs, it is more difficult to treat asthma due to severe hypoxia, carbon dioxide retention and acidosis. It is necessary to eliminate and reduce incentives to prevent them from happening; After it happens, it should be rescued according to respiratory failure.

6, multiple organ dysfunction and multiple organ failure

Due to severe hypoxia, severe infection, acid-base imbalance, gastrointestinal bleeding and toxic and side effects of drugs, severe asthma is often complicated with multiple organ dysfunction or even failure. It is necessary to prevent and correct the above incentives and actively improve the functions of important organs.

Long term complications

1, dysplasia and thoracic deformity

Asthma in children often leads to dysplasia and thoracic deformity, which are caused by many factors, such as malnutrition, hypoxemia, endocrine disorders, etc. It has been reported that 30% of children who have been systematically using corticosteroids for a long time are stunted.

2. Chronic obstructive pulmonary disease, pulmonary hypertension and chronic cor pulmonale

Its pathogenesis is related to long-term or repeated airway obstruction, infection, hypoxia, hypercapnia, acidosis and increased blood viscosity caused by asthma.