Bronchial asthma. Recommendations of fahivts for bronchial asthma. Without something, lіkuvannya will not be effective


GLOBAL STRATEGY FOR

ASTHMA MANAGEMENT AND PREVENTION

Global Strategy for Asthma Management and Prevention The GINA reports are available on www.ginasthma.org.

GLOBAL LIKUVANNIA STRATEGY for bronchial asthma prophylaxis

Pereglid 2014 р

Transfer from English

Moscow Russian Respiratory Suspension

BBK 54.12 G52

UDC 616.23 + 616.24

G52 Global strategy for the prevention of bronchial asthma (revision of 2014) / Per. from English ed ed. A.S. Belevsky. - Moscow: Russian Respiratory Suspension, 2015 .-- 148 p., Іl.

The vision is a supplement of the working group GINA (Global Initiative for Asthma) - a revision of 2014 The new version of the cardinally reorganized background was more beautifully structured and became more handy for a practical victorious study, with a view to improving the diagnosis of bronchial asthma and improvement. A new sign of ailment is given, a sutta is given for the diagnosis of asthma. Induced by the reports of the algorithms of the primary diagnostics and the sign of cob therapy in patients with the first time BA. There were new problems, the assignment of differential diagnosis of BA, chronic obstructive ailments, and chronic obstructive diseases (COPD) and the syndrome of overbearing BA-COPD, as well as diagnostics and treatment of ailments in bronchial asthma.

For pulmonologists, allergologists, therapists, pediatricians, medical practitioners, medical specialists.

© Global Initiative for Asthma, all rights reserved. Use is by express license from the owner, 2014

© Transfer to Russian language, Russian respirator suspension, 2015

Global strategy for the prevention of bronchial asthma (revision of 2014)

GINA RULES *

J. Mark FitzGerald, MD, Chair

Vancouver, BC, Canada

Eric D. Bateman, MD

Cape Town, South Africa

Louis-Philippe Boulet, MD

Université Laval

Québec, QC, Canada

Alvaro A. Cruz, MD

Federal University of Bahia

Salvador, BA, Brazil

Tari Haahtela, MD

Helsinki University Central Hospital

Helsinki, Finland

Mark L. Levy, MD

The University of Edinburgh

Paul O'Byrne, MD

McMaster University

Hamilton, ON, Canada

Pierluigi Paggiaro, MD

University of Pisa

Soren Erik Pedersen, MD

Kolding hospital

Kolding, Denmark

Manuel Soto-Quiroz, MD

Hospital Nacional de Niños

San José, Costa Rica

Helen K. Reddel, MBBS PhD

Sydney, Australia

Gary W. Wong, MD

Chinese University of Hong Kong

SCIENCE COMMITTEE GINA *

Helen K. Reddel, MBBS PhD, Chair

Woolcock Institute of Medical Research

Sydney, Australia

Neil Barnes, MD (to May 2013)

London Chest Hospital

Peter J. Barnes, MD (to Dec 2012)

National Heart and Lung Institute

Eric D. Bateman, MD

University of Cape Town Lung Institute

Cape Town, South Africa

Allan Becker, MD

University of Manitoba

Winnipeg, MB, Canada

Elisabeth Bel, MD (to May 2013)

University of Amsterdam

Amsterdam, The Netherlands

Johan C. de Jongste, MD PhD Erasmus University Medical Center Rotterdam, The Netherlands

Jeffrey M. Drazen, MD

Harvard Medical School

J. Mark FitzGerald, MD

University of British Columbia

Vancouver, BC, Canada

Hiromasa Inoue, MD

Kagoshima University

Kagoshima, Japan

Robert F. Lemanske, Jr., MD

University of Wisconsin

Madison, WI, USA

Paul O'Byrne, MD

McMaster University

Hamilton, ON, Canada

Ken Ohta, MD PhD (to May 2012)

National Hospital Organization Tokyo

National Hospital

Soren Erik Pedersen, MD

Kolding hospital

Kolding, Denmark

Emilio Pizzichini, MD

Universidade Federal de Santa Catarina Florianópolis, SC, Brazil

Stanley J. Szefler, MD

Children's Hospital Colorado

Sally E. Wenzel, MD (to May 2012)

University of Pittsburgh

Pittsburgh, PA, USA

Brian Rowe, MD MSc (Consultant to Science Committee)

University of Alberta Edmonton, AL, Canada

ZOVNISHNI REVIEWS

Mary Ip, MBBS MD

University of Hong Kong Pokfulam

Richmond Hill, ON, Canada

Huib Kerstjens, MD PhD

University of Groningen

Groningen, The Netherlands

Mike Thomas, MBBS PhD

University of Southampton

Thys van der Molen, MD

University of Groningen

Groningen, The Netherlands

Monica Federico, MD

Children's Hospital Colorado

It is necessary to take advantage of the given publication by the offensive rank:

Global Bronchial Asthma Initiative. Global strategy for the prevention of bronchial asthma (revision of 2014).

The document is available at www.ginasthma.org.

* dodatkova information about the members of the GINA Governing Board and the Science Committee can be found on the website www.ginasthma.com

MEMBERS OF THE ASSEMBLYЇ GINA

Richard Beasley, MBChB DSc

Patrick Manning, MD

Medical Research Institute of New

St. James' Hospital

Wellington, New Zealand

Yousser Mohammad, MD

Carlos Baena Cagnani, MD

Tishreen University School of Medicine

Catholic University of Córdoba

C`ordoba, Argentina

Hugo E. Neffen, MD

Clinica Alergia E Immunologie

Children's Hospital of the Capital

Santa Fe, Argentina

Ewa Nizankowska-Mogilnicka, MD

Maia Gotua, MD PhD

University School of Medicine

Center of Allergy & Immunology

Republic of Georgia

Carlos Adrian Jiménez

Petr Pohunek, MD PhD

University Hospital Motol

San Luis Potosí, México

Gustavo Rodrigo, MD

Ghent University Hospital

Hospital Central de las Fuerzas

Armadas, Montevideo, Uruguay

Aziz Koleilat, MD

Joaquin Sastre, MD PhD

Makassed hospital

Universidad Autonoma de Madrid

Le Thi Tuyet Lan, MD PhD

Wan-Cheng Tan, MD

University of Pharmacy and Medicine

iCAPTURE Center for Cardiovascular

Ho Chi Minh City, Vietnam

and Pulmonary Research

Vancouver, BC, Canada

Jorg D. Leuppi, MD PhD

University Hospital

Basel, Switzerland

GINA PROGRAM

National University Hospital

Suzanne Hurd, PhD

Scientific Director

Eva Mantzouranis, MD

University Hospital

Heraklion, Crete, Greece

INSHI PARTICIPANTS

William Kelly, PharmD

University of New Mexico

Albuquerque, NM, USA

Christine Jenkins, MD

The george institute

Sydney, Australia

Stephen Lazarus, MD

University of California San Francisco

San Francisco, CA, USA

Gregory Moullec PhD

University of British Columbia

Vancouver, BC, Canada

Marielle Pijnenburg, MD PhD

Erasmus MC-Sophia Children's Hospital

Rotterdam, The Netherlands

Mohsen Sadatsafavi, MD PhD

University of British Columbia

Vancouver, BC, Canada

D. Robin Taylor, MD DSc

Wishaw General Hospital

Johanna van Gaalen, MD Leiden University Medical Center Leiden, The Netherlands

INSHE SPRIYANNYA

Beejal Viyas-Price

Peredmov to the Russian transfer

Shanovny colleagues!

Here is a transfer to the Russian language of the new version of the additional work group and international programs GINA - "Global strategy for the prevention and prevention of bronchial asthma" (revision of 2014). In this version, there are a number of different changes and additions, which are important in the region when dealing with ailments on bronchial asthma (BA). Additional information to take revenge on a large number of tables and algorithms for the reduction of ailments to bronchial asthma, asks for the introduction of recommendations in clinical practice.

The changes in additional conditions can be seen in the same fixing from the BA value. In the newer version of the affliction, BA is not heterogeneous, it has been seen that five of the most often develop phenotypes of an affliction.

V The distribution assigned to the diagnosis of BA was reported by the algorithms of the primary diagnosis, including

at patients who already receive anti-asthmatic therapy. In this distribution, the clinical and functional criteria have been clearly formulated, in order to confirm the diagnosis of asthma and to reduce its value. The authors of the document have previously seen the diagnostics of BA in women, athletes and individuals with obesity, in a manual form, presented information about the implementation of differential diagnostics in young groups. In such a rank, the innovations in the diagnosis of BA can be used to cover a number of additional ones, in addition, the wine is now more beautiful than the structuring and becoming the best for a practical victorian.

V the new version of the document is taken to understand the "BA control" as the control over the clinical symptoms and the development of uncomfortable podіy in the future. Greater lecture descriptions of the factor of the development of hypertension, non-vascular bronchial obstruction and side effects from drug therapy, And also the role of assessing the function of the new environment in patients with asthma. The recommendations of GINA dated 2014 include the need for uninterrupted monitoring of BA overload and disease progression and fever.

In my mind, an effective mentoring between a doctor and a patient є vibrating partners' messages, conducting educational programs and individual education up to ailing skin asthma. For the improvement of the effectiveness of the English therapy, it is recommended to use the method of living, in particular, the social camp and the patient's transition. In the edge, it is important to navchit BA ailments on self-behavior, to put together an individual plan for them, including when there is no need to sharpen it.

V The distribution assigned to the BA drug, in accordance with the other versions of GINA, is given more respect for the indications of therapy in patients with the former BA. Kerіvnistvі presents a detailed algorithm for the recognition of cob therapy in such ailments. It is recommended that the signs of inhalational glucocorticosteroids are already at the first stage of treatment in the presence of significant factors.

By a big change, those who, in the current version, have new problems, have been assigned differential diagnostics of asthma, chronic obstructive ailments, lung disease (COPD) and the syndrome of chronic bronchial asthma and chronic diseases These heads are extremely important for clinical practice, and the inclusion of them in one document is quite wider between the last victories.

In such a rank, the new version of GINA is to take revenge on a number of hundreds of changes that have been directed towards the improvement of diagnostics and improvement of the effectiveness of BA treatment. The presented information is well structured and pointedly illustrated, which will forgive practical vicariousness.

A.S. Belevsky, professor

Editor of the translation, member of the board of the Russian Respiratory Association, RNIMU IM. N.I. Pirogov, Moscow, Russia

Peredmova

Bronchial asthma (BA) is a serious global problem in the field of health, which is responsible for all viral groups. In Bagatyokh regions, the BA is widespread, especially in the middle of children. (Unimportant to those in the countries of the world, to prevent a decrease in the number of hospitalizations and fatal diseases associated with BA, in order to catch all if there is BA in children).

In 1993, the National Institute of Heart, Legends and Blood (NIHLB, USA) was responsible for working group The result of this activity was the additional "Global strategy for the prevention and prevention of bronchial asthma." Since then, the Global Initiative for Bronchial Asthma (GINA) has gone through the establishment of the Global Initiative for Asthma, GINA. to ensure the function of the mechanism in the implementation of scientifically advanced results in the development of the BA treatment standard. As a result, the GINA Assembly was opened, in which a special examination was received from the BA in Bagatyokh region. In order to receive international education and expand information about the BA Assembly, conduct a robot with the Science Committee, members of the Governing Board and the Committee with the promulgation and implementation of GINA recommendations. Additional information from GINA (“Global strategy for the prevention and prevention of bronchial asthma”) has been updated regularly since 2002. In 2001, GINA became the initiator of the World Asthma Day for the fight against bronchial asthma (World Asthma Day). methods of BA control and treatment.

They are unimportant for all the time, they report, as well as the availability of effective methods of treatment, data from international reports, as well as earlier to indicate the lack of level of BA control in Bagatioi regions. Oskilky meteyu recommendations in tsіy Dopovіdі the development of ailments for bronchial asthma, it is necessary to all those who think that the organizers of the protection of health have lost sight of the obviousness and accessibility lykarsky zasobivі developed methods for the implementation of effective BA treatment programs and assessments of their results.

Until 2012, p pіdvischilasya obіznanіst fahіvtsіv about the heterogeneous nature of asthma, Bulo viznano іsnuvannya spectrum hronіchnih zahvoryuvan dihalnih shlyahіv, zrosla rozumіnnya klyuchovoї rolі prihilnostі patsієntіv priznachenogo lіkuvannya that їh іnformovanostі power of Health Protection, pіdvischivsya іnteres to іndivіdualіzatsії lіkuvannya BA. In addition, there was a serious evidence base for effective methods in the implementation of clinical recommendations. The assigned aspects allowed it to be allowed, but the lack of a simple overview of the basic principles of BA treatment: the recommendations are necessary to be combined in the strategy, as they will be important and useful for being incorporated into the mainstream practice. With many recommendations, victories in the GINA supplements for 2014 are presented in a manual form, with a wide list of published tables and small items. Additional information also includes two new chapters, one of which is assigned to the diagnosis of BA in children from 0 to 5 years of age (earlier published), and the other to revenge information on such important topics, such as re-diagnostics of the syndrome The remaining chapters are published in conjunction with the Global Strategy for the Diagnosis, Management, and Prevention of COPD, GOLD. For the sake of visibility, recommendations, indications for clinical practice, are guided in the main GINA supplements, and additional supplementary materials are available on the website (www.ginasthma.org).

It is a great honor for myself to be able to mean the miraculous robot all quietly, having made the additions in the success of the additional implementation with the GINA programs, as well as a great number of people who took part in this project of updating the supplements. The robot is of the order of the income that GINA disclaims from the sale of materials based on additional information, provided by non-interrelated educational grants from other companies (the stench was introduced in the additional information). The protest for the hardened and approved documents, presented in the whole publication, on the other hand, lie on the members of the GINA committees. The stench doesn’t take away the fees, for the vitrates incurred during the process of participation in the science conferences, which are held two to the ryk, so it’s for the best of years, the literature was taken for a second glance, and additional entries were added to the literature.

We will help you to learn more about it. You will be able to use information about the methods of BA treatment.

J. Mark FitzGerald, MD

Helen K. Reddel, MBBS PhD

Chair, GINA Board of Directors

Chair, GINA Science Committee

list of malunks

Small. 1-1. Scheme of primary BA diagnostics for clinical practice ........................................... .................................................. ....................

Small. 2-1. Defending the patient with unsuitable control of symptoms and / or sharpened, uninvolved on the treatment ..........................

Small. 3-1. Cycle of BA treatment based on control ........................................... .................................................. ...............................................

Small. 3-2. The stage of response during the prescribed therapy, directed to the control of symptoms and minimization of the disease in the future .......................

Small. 4-1. Self-behavior in case of acute BA in adults and children with a written plan for BA .............................

Small. 4-2. Lіkuvannya zagostrenny BA in the foreign lіkarskіy practice ........................................... .................................................. ...............................

Small. 4-3. Lіkuvannya zagostrenya BA in the minds of the installation of emergency medical aid, for example inconvenient help..........

Small. 6-1. Immovability of BA diagnoses in case of admission to BA therapy in children of 5 years and younger .................................... .................................................. ..

Small. 6-2. The stage of development before the pre-construction stage of BA in children at the age of 5 years and younger .................................... .....................................

Small. 8-1. Pidhid to the implementation of the "Global strategy for treatment and prevention of bronchial asthma" ...................................... .........................

list of tables

Table 1-1.

Diagnostic criteria of BA in older adults, adults and children in 6-11 years of age ................................... ...................................

Table 1-2.

Differential diagnosis of asthma in older adults, adolescents and children in 6-11 years of age ................................... .........................

Table 1-3.

Assisting in the diagnosis of BA in a patient who will already reject the therapy, direct it to the control of the disease ......................

Table 1-4.

How to reduce the intensity of therapy, directed to the control of seizure, if necessary, to confirm the diagnosis of BA ...

Table 2-1.

BA assessment in older adults, adults and children in 6-11 years of age .................................... .................................................. ..............

Table 2-2.

Assessment of BA control in older adults, adults and children in 6-11 years of age, broken up by GINA ................................ ....................

Table 2-3.

Special meals for assessing BA in children from 6-11 years of age ..................................... .................................................. .........

Table 3-1.

Communicating strategies for medical practitioners ............................................. .................................................. ..........

Table 3-2.

The praise for the development of BA on the population rivna in the case of the individual rivne ..................................... ....

Table 3-3.

Table 3-4.

Low, middle and high additional doses of IGKS .......................................... .................................................. ...............................

Table 3-5.

Options for reducing the intensity of therapy with good control of BA .......................................... .....................................

Table 3-6.

Injection to the modification of the factories of the riziku for the reduction of the riziku zagostren ......................................... .............................

Table 3-7.

Non-pharmacological injections - a short look ............................................. .................................................. .....................

Table 3-8.

Indicated for the assessment of the need for a focus on consulting a business in the presence of such a possibility .....................

Table 3-9.

Strategies for securing effective suckingіngalyatorіv ................................................. ...........................................

Table 3-10.

Unsatisfactory adaptability of therapy for asthma ............................................. .................................................. ................

Table 3-11.

Information about BA ............................................... .................................................. .................................................. .......................

Table 3-12.

Defeat and abuse in case of important BA ............................................ .................................................. ........................................

Table 4-1.

Factors that can promote the lethal result of a rizik tied with BA ...................................... ... ............................................... ... .......

Table 4-2.

The organization of the whiskey for the hospitalization or the lack of additional assistance with the BA drive ...................................

Table 5-1.

Flow rate BA, COPD and key description of SPBAKH ......................................... .................................................. .......

Table 5-2a.

Signs characteristic of BA, COPD and SPBAKH ......................................... .................................................. ...................................

Table 5-2b.

Signs characteristic of BA or COPD ........................................... .................................................. .........................................

Table 5-3.

Indicators of spirometry in BA, COPD and SPBAC .......................................... .................................................. ..............................

Table 5-4.

Information on the syndromic approach to the illness with the chronic intercourse of the adversity has been compiled ...............

Table 5-5.

Specialized methods of advancement, which can be used for differential diagnostics of asthma and COPD ...

Table 6-1.

Characteristics that allow the suspicion of BA in children from 5 years of age and younger .................................... . ................................

Table 6-2.

Extensions of differential diagnostics for asthma in children from 5 years of age and younger ..................................... .................

Table 6-3.

Assessment of BA control in children from 5 years of age and younger for GINA ..................................... .................................................. ...........

Table 6-4.

Low dose ІHKS in children from 5 years old and younger ...................................... .................................................. .....

Table 6-5.

Vibir of the English annex for children at the age of 5 and younger ....................................... .............................................

Table 6-6.

The first assessment of the sharpening of BA in children of 5 years and younger ........................................ .................................................. .........

Table 6-7.

Shown for a secret state hospital for children at the age of 5 years and younger ...................................... ..................................

Table 6-8.

Pochatkove lіkuvannya zagostrenna BA in children at the age of 5 years and younger ...................................... ..................................................

Table 7-1.

Table 8-1.

Nayvazhivіshі elements, necessary for the implementation of the strategy in the protection of health ..................................... ... ...............

Table 8-2.

Apply bar'єrіv for further evidence recommendations .......................................... .. ................................................ ...

Bronchial asthma (BA) is a chronic disease of legends, which is of little allergic nature. In case of bronchial asthma, recommendations for treatment are necessary as such, as a consultation of a doctor-allergologist. Attack the scent of being exposed to the stress, igniting any allergic agents.

Until now, the reason for the development of this ailment has not been determined, or more control will appear if attacks are possible. If you follow the recommendations of the doctor, you will save the active way of life, you will also be seriously ill, like bronchial asthma, and you will be attracted to the liking.

Met with a fruitful addiction to bronchial asthma:

  • Outside usunennya attacks and prevention of manifestations of illness;
  • polishing the quality of life;
  • decrease in consumption in consumption β 2 - agony;
  • preserving the normal and legendary functions;
  • prevention of zagostren;
  • Reducing the risk of side effects of therapy.

Lykarska therapy

The basis of the training of a trivial period without attacks є with the help of licars.

N.B. It is not possible to pick up the liquor on its own, sign it only like a license!

The drugs are divided into two types:

  • non-secret diy;
  • prolonged action.

First of them are vicious for quick relief of symptoms. Sprays and aerosols are applied to them, as they reach the bronchial tubes as quickly as possible and may have a bronchodilator effect. For children, nebulizers can be vikoristovuvati. Stink may be more common applications, less inhalators, and the delivery of drugs in the legacy is much faster.

Long-term medications are used to treat patients with moderate severity and an important interruption of asthma. The severity of the therapy continues to take place on the steps. The severity of assessing the number of attacks in a month, as well as the very appearance of any attacks. It’s safe to drink a minimum of 2 times and for a long month or 1 time at night, it is recommended to take a low dose. hormonal drugs- glucocorticoids.

However, the therapy does not give a significant speedy attack - the dosage of the drugs to increase. It’s not just a wedding reception.

Turn to list

Usunennya provocative officials

It is even more important in the treatment of bronchial asthma to identify allergen. The reason for the accusation is an attack on an allergic reaction to an alien agent. Provoke an attack with medications, viral and bacterial ailments, butovy and food allergies.

Slid to remember the pillows in the booth, often carry out the tidying up in the booth, uniqueness of the cries of cheeky speech. As long as you allow it, add a little bit of a saw to the booth - you need to change the number of the saw, clean it up, and let it go. Make sure you need not only from the factors you see, but from the potential ones.

Wick the words to the booth of home-grown food, tidy up the speeches to the inter'er, like the saw by the pickers. In any case, do not go to the booth. During the spring-summer period, it’s better to get more anti-allergic drugs before the hour.

Physical repairs can be repaired only with the permission of the doctor, as long as it is important to keep the ailments under control.

Turn to list

Dichal Gymnastics and Dietotherapy

Specialists have the right to help lighten the camp and unify the fire. It is more beautiful to spend busyness on a fresh occasion, or in good, well-groomed primitives.

Recommendations for those suffering from bronchial asthma are clear in the fact that they are not right, because:

  • recently it has been sharpened;
  • Feel foul to yourself, or if you are sick.

Correct behavior is more helpful not only for prophylactic purposes, but also help to calm down before an hour of attacks. It is necessary to cherguvati negligible vidihs and the strength of vidihs.

Gymnastics can help improve mental health and diaphragm, expand the lungs. I will make a heart-and-heart system and will shrink the sick person's body as a whole.

When there is a lack of reaction to the product, the eating of the child is guilty of but povnotsіnno and balanced. For the regulation of communication processes in the body, it is recommended to use a shot shot. Slide to turn on the meat of the bouillon and change the salty life.

Consider all products, how to take revenge on barvniks and preservatives - the stench can be vicious allergic reactions... Dearly introduce a warehouse of products before buying, a lot of piece additives are good for provoking aggravated problems.

To pick up a strong smell of specialties from the race, the cybula and the chaplain should be thermally chipped before implantation.

Turn to list

Likar control

It is necessary to see an allergologist at least 3 times per day to navigate when there is a fire hazard. Likar will be promising for the effectiveness of the designated treatment and control of the effectiveness of therapy. It's a good idea to make a difference to the number of times you see it - follow this recommendation.

Check in with your suspicious allergologist if there is an increase in attacks or the ill-health of stopping attacks with obvious drugs. To start a schoolboy, mean all the stinging, and on the smallest stench, winnickly. Tsim you will help the doctor zorієntuvatisya in the character of overcoming ailments.

In the region, it is important to insist on the person suffering from bronchial asthma with behavioral schemes for the hour of attack. Particularly important is this kind of robot with children: it turns out to be a psychologist, for example, if it is correct to be carried out for an hour, without being afraid of breath. So the most important thing is to get the little bell of the inhaler with you, to find attacks for a long time.

Inform your loved ones about your illness and about those drugs you need to give in an extraordinary situation. Late tell about the intolerances of lykarsky speeches to medical practitioners.

Attack behavior:

  1. Pin contact with the agent, wiklik in the attack.
  2. Accept the prescribed drugs for the expansion of the bronchial tubes of a non-secret state. Strictly follow the dosage recommended by the doctor.
  3. Stay calm, lie down for one year. Get over it in the normalization of the situation.
  4. If you don’t go out to kill the attack on your own - you’ll just wick the brigade of the help.

Often, before the hour of breath, the panic attacks, you control your emotions and bring all the help and assistance to automatism. People close to you are also guilty of the nobility, because you may need drugs and a doctor's phone, so that you can find out about non-communicated situations.

Slіd terminovo vіdvіdati lіkarya, when:

  • the number of attacks increased;
  • nichni zagostrennya appeared;
  • lost self-respect;
  • blue lips, nigtov plates, increased heart rate;
  • Prescribing the drug is not a viklikє naleznogo efectu in case of breath.

Bronchial asthma is a pathology of mental health, which is very chronic in nature. At the core of the disease is burning As a result of the development of hyperreactivity of the organs of the reaction.

Before manifesting bronchial asthma, it should be noted that there is a feeling of pressure in the breasts at night and from the wound.

Find special documents of science partnerships, in which, in the backyard and in the style of vision, recommendations from the emergence and illusion of disease can be sought. Such organizational materials are stored for additional assistance to practical doctors, who are engaged in diseases of children, including bronchial asthma.

Organizaciya, yaka virashuv the problem of bronchial asthma at the international level - tse gina... Zahvoryuvannya has a nevilikovny character and is developed in all the light of people of any kind.

The organization has broken down the rules of medicine, which can be seen by the doctors of the United States. In 2016, the international structure presented a new approach, which promoted the path of relief from getting sick based on the best Danish methodologies... The GINA plan for breaking up with the possibilities for practical implementation in any health protection system

Last update GINA

In 2016, the following actions were included in the GINA buli document:

  • frequent dry cough;
  • Seeing health in breast cancer;
  • whistling dikhannya;
  • keenness;
  • almost anxiety, panics;
  • zadishka.

Also in 2016, the organization of the bullet was opened. Ailments extend into a few phenotypes, which grow behind the step I will show the patient... See the following types:

  1. Allergic. The whole phenotype is most popular. In some of the most common types, the easiest way is to find it, so it is also very simple. For lykuvannya stasis ІKS - corticosteroid ingalants.
  2. Non-allergic. The ІKS preparations do not give rise to the type of asthma.
  3. Asthma with a debut. Vona be aware of the main woman of mature vik.
  4. Bronchial asthma in patients who suffer from obesity.
  5. Phenotype, for any characteristic syndrome of impaired respiratory tract. Winikak as a result of frequent and frequent treatment of bronchial asthma.

lykuvannya

The main method for treating asthma is є. There are five steps of the severity of the disease, for the skin of those it is shown especially the treatment. At the same level of severity, becoming ill, it begins as a stage of stagnant therapy.

Uwaga! Through the skin of the month, it is necessary to assess the effectiveness of therapy. If the symptoms of asthma do not pass and the symptoms of asthma become more acute, then it is recommended to use the therapy, passing until the onset of the descent.

As soon as the threat changes, and the patient's self-esteem grows for 3 months, then the therapy will change. In such a drop, the number of ІKS decreases from 25% to 50% through the skin 3 months. However, for such a croc it is necessary to change the patient's respiratory dysfunctions and we will sing, which is not safe for health. On the other hand, it’s not recommended to use the IKS system.

According to the accessibility of the step, the organization of the GINA has broken down the treatment for the cutaneous step:

  1. On the first occasion, there is beta-2 antagonism. The preparation may take a short period of time and is shown to patients with an easy stage of becoming ill. Symptoms of asthma in such people are more than two times per month and smoothed out in case of apparent illusion, however, until the drive is safe for such abuse, it is still going on.
  2. On the other hand, they are overweight, as they may high risik zagostren. It is recommended to take a lower dose of IGCS (Ingestion Glucocorticoids) and CDBA (short-term beta2-agony), if additional drugs are needed, to relieve asthmatic symptoms.
  3. Therapy of the third stage is the transmission of low doses of IGCS, combined with LABA (pre-prepared beta2-agony) and CDBA. However, with sharpening such a strategy is not effective.
  4. On the fourth gathering it is recommended to combine medium and high doses of IGKS, LABA and KDBA, Orієntuyuchis on the consumer's consumer.
  5. At the fifth step, the anti-IgE drug Omalizumab is required. This treatment is indicated for patients who were not helped by the therapy with maximum doses of inhalants.

In such a rank, the main method of the treatment of є, in some cases in the days of LABA. This therapy will help you to finish your day.

Important! At the moment, there are no drugs for the repeated reduction of bronchial asthma. However, є medications that relieve symptoms і reduce the allergen.

There is also a diagram of the course of treatment for a few steps. The qia scheme includes offensive recommendations:

  • it is necessary to read the patient to the basic self-help tips, to show symptoms of illness for an hour;
  • required lіkuvannya sutnіh ailmentsі release of high-pitched bells;
  • it will come to respect and non-drug therapy, for example, physical therapy.

Bronchial asthma - the most common. At the same time, carry out the diagnosis smoothly - asthma has symptoms similar to a cold.

Catch asthma from cold help vimir temperatury- with asthma and admission not to be spared. Symptoms:

  • seeing a lick from the nose with a wound awakening, which is supervised by the channes;
  • a strong dry cough through the spine of years after awakening;
  • vologic and severe cough during the day;
  • manifestation of symptoms of asthma through the addition of a dib, until the end of the hour, the cough swells with an attack of a similar nature.

Until the symptoms themselves are reported:

  • attack-like cough while sleeping;
  • zadishka;
  • the parting of them;
  • vice in the area of ​​the breasts;
  • difficulty breathing;
  • dry cough when inhaled through the mouth;

It is focused on increasing the development of allergies. For prevention bazhano viddavati perevagu thoracic treatment and insoluvate the child with the flow of Tyutyunov dima.

Russian medical sportsmanship is a powerful strategy for the treatment of bronchial asthma. Document, in a certain way the main approach to diagnostics and treatment of pathology, Є "Federal Clinical Recommendations for Diagnostics and Treatment of Bronchial Asthma". The main recommendations are based on the points of the GINA strategy.

So, in the case of a document, it is also possible to get rid of the steps before it becomes ill. Viznachennya obsyagu therapy to lie at the stage of turn of the clinical manifestations of asthma. Respect for a revision of the correct technique of ingestion, clarification of the diagnosis and determination of the concomitant ailments. All the thoughts you need to get through to the onset of the attack. So the very next step is to control and factor in the midst of the midst, to spur a significant infusion on the effectiveness of therapy.

About diagnostics

Diagnosis of pathology in older adults is carried out on the basis of the emergence of common symptoms. Symptoms and stages of obstruction of the psychic nobles vimag of accurate estimates... With such a rank, I can decorate again and again the exact key picture of the disease.

To, for the development of asthma diagnoses, the following should be applied:

  • breath, stuck in the chest and cough, wheezing;
  • symptoms in case of physical imbalance, under the influence of allergens, low temperature;
  • show a sign of an ailment by receiving aspirin;
  • atopic illness, presence in anamnesis;
  • recession factor.

There are also signs that can change the symptoms of ailments:

  • stained and darkened eyes;
  • regular normal results of breast cancer;
  • productive cough, which is very chronic in nature;
  • snake to the voice;
  • manifestation of symptoms as a result of a cold;
  • hearts become ill.

Bronchial asthma is a chronic illness of a trivial character, in which I mean the role of the decongestant factor and the injection of allergens. Head therapy є control over ailments. Correct drug treatment can only indicate a problem with retinal diagnostics. However, krim drug therapy it is important to come to respect and correct food, to the physical requirements and minds of the middle class.

Skin ailments with the diagnosis of bronchial asthma is located on the field in the clinic, because there is a medical card that allows you to control the diagnosis of asthmatic attacks and keep statistics of changes in the sick person. The history of bronchial asthma ailments is described in a special nursery school. Winning from the passport dues of the people, and revealing information about the first diagnoses, scars, frequency of attacks and diagnostics.

All history of ailments are stored in the archives for more than 25 years of whiskey. To that, the skinny new man can talk about the Viconan robot of the doctor, who were engaged in the treatment of the sick earlier - therapist, allergologist, pulmonologist. For carrying out therapeutic procedures, there is a variety of types of asthma - allergic, non-allergic, or even serious.

Forms of bronchial asthma

  • Allergic bronchial asthma. History of ailments Asthma in general form often develops from childhood, atopic dermatitis abo allergic rhinitis. Moreover, the decline in the whole range is of the greatest importance - if close relatives are sick with asthma, then the development of sickness in the child is growing. The most common form of asthma is susceptible to allergic asthma. Before the cob of sputum is needed, the induced sputum is necessary for the development of the fiery flames. In ailments with the given phenotype, the disease is susceptible to a good reaction to the ingestion of corticosteroids.
  • Non-allergic bronchial asthma... The whole phenotype can be attributed to the infusion on the organism of medicinal preparations, as in the case of aspirin asthma. Also, the development of ailments can be detected on a number of hormonal changes in the organisms of women, for example, before the hour of the child's marriage.

History of ailments on the butt of a small form of bronchial asthma

To see if it is adequate to get sick for a poor form, it is necessary to vivify a sick person's scarg, to know about the frequency of the first attack. It is necessary to s'yasuvati, as medications were used to suppress the attack, and naskіlki dієvim bulo signified treatment.

History of ailment bronchial asthma, change in form, can be avenge the following information:

  • skargi: Risko vynikayut attack scent, repeating a few times for a day. At the end of the hour, it will be better to get better. Symptoms increase when you take beta-adrenergic drugs. If you attack the breath, a short-hour cough due to the appearance of sputum is repaired.
  • Primary diagnosis of symptoms: The first attack was placed unsupported, during a trip in a re-equipped trolleybus. The patient didn’t get a bit of a sniff, he felt bad. In addition, since we were on the street, the symptoms became clear after 15 hvili. Nadal symptoms appeared to recur 1-2 times per month when different minds... The ailment didn’t sleep until it got sick, it’s a little bit into it, because the cause of such symptoms is bronchitis, and it is self-evident.
  • The factories, how to provoke an ear of ailment: Shkіdlivі calls, mіsce of robots і steps tіkіdlivosti rybnykh minds, grudging addictions, transferring earlier sickness, allergic reactions, slackness.
  • Zagalny inspection of the patient: Statue of a sick person, mill of nigtiv, hair, shkiri, mucous membranes. Until the respect is taken, the mill of limfovuzliv and migdalin is taken. The support-ruch system is growing: looseness of slopes, problems with the ridge. Naybilsh retally vivchaєtsya dichnaya that heart-sudinna system.

A comprehensive approach to allow the emergence of the problem itself, provoking problems with the behavior and at the time of giving the correct diagnosis. The change in the form of asthma is attached to the attack of breath, it is not difficult to get out of it with hoarseness. Most often, the development of such a discomfiture is a decline factor.

The level of severity of bronchial asthma

For a successful diagnosis of ailments, a clinical picture is formed of typical rice crops, symptoms and signs that do not dominate those ailments. The history of ailments according to the therapy of bronchial asthma should be repaired from the primary diagnostics, in which the doctor should carry out an assessment of the obstruction stage of the secondary paths. As long as the temporal asthma is present, it is necessary to start immediately before the trial treatment, and then, if there is an effect of the therapy, to recognize the additional delay.

With low to moderate asthma, characteristic symptoms can be diagnosed.

Pathogenesis of bronchial asthma

Isnu 4 stages of the development of ailments:

  1. intermittent asthma- the most secure stage of illness. Short attacks are rare, not more than once a day. At night, zagostrennya trapyayutsya even more.
  2. Mild persistent asthma- attack the attack more often, at least once a day, ale only once with a stretch of the finish. At night, I will attack 2-3 days a month. The order of the slowdown is the loss of sleep, and the decrease in physical activity.
  3. Persistent moderate asthma- the ailment of the day, yes, about yourself, the nobility with a host of attacks. Nichni show up as often, and show up more often, at least once a day.
  4. Persistent asthma is important... The attack repeats every day, at night it reaches the decimals for the day. Problems with sleep - torment a sick person without sleep, physical activity. it has been slowed down.

In a sick person, right along the steps of gravity, there can be a slight, medium-heavy and important zagging. Navigating a patient with intermittent asthma can be spared to attack the life-threatening time of any symptoms.

The importance of becoming ill is not static, but can change by the stretch of the future rock.

Likuvannya and key recommendations

In addition, as an ailing person has been assigned an asthmatic status, clinical recommendations from a doctor indicate a drug. Falsely from the form and stage of overcoming the anxiety, you can use the following methods:

  • Medication therapy is focused on the preparation of bronchial robots, prevention of inflammation, treatment of symptoms, suppression of poison attacks.
  • Isolation of a patient from all minds, who will die of death (allergens, shkidlivnyh minds, etc.).
  • Diet, scho viclyuchaє fat, salty, shkidlivu їzh.
  • Come in for health improvement and improvement of organism.

In case of medication-induced treatment of asthma, it is possible to use only symptomatic medications, some of the organisms that develop and stop reacting to other components. In such a rank, on the development of pathological processes in the bronchi, the process is pinched, but negatively infused into the dynamism, as a result.

There are 3 main groups of drugs that can be used to stop and stop asthma attacks:

  • zasobi nevidkladnoy additional help - stench nadayut shvidku help, in case of odor detection;
  • basic lines;
  • drug control.

All the people involved are directly targeted at reducing the frequency of attacks and minimizing the potential for accelerated attacks.

Recommendations we are sick with bronchial asthma and the principle of treatment

Proposed recommendations for patients with bronchial asthma are based on the rest of the donations that were taken in the course of the bagatorial robotics. At the core of all, I am glad to see the cause of the development of bronchial asthma, which has become so and not vaccinated until the end of the day. Protest, effective prophylaxis of development of bronchial asthma is possible even at the ninth stage of development of medical science. For the whole, it is important to take into account all the recommendations made, we are sick with bronchial asthma, as it is allowed to update the level of health and forget about the attack of breath. In materials, the basic principle of the treatment of bronchial asthma from the point of view of modern science in symbiosis with the use of new methods of non-traditional therapy, for example, the stagnation of symptoms, is discussed.

Psychological and іnshі reasons for the diagnosis of illness bronchial asthma

Bronchial asthma- there is a constant presence in the heat of the overwhelming illnesses, because of the overreacting of the bronchial tubes, paroxysms of recurrent bronchial obstruction, or often reversible obstruction of the bronchial tubes, it is usually manifested in the attacks of cerebral dysfunctions and Bronchial asthma is a chronic illness.

In the period from 1950 r asthma was used as a psychosomatic ailment, moreover, it was good to use psychocorrection methods. Psychological causes of bronchial asthma were examined, and they were often traced back to psychoanalysis. Psychoanalysts interpreted the whistle when they heard the cry of a child, they respected the stench, but the internal depression was especially important for patients with asthma.

They respected that asthma develops in quiet people, who have a foldable mind of life, or are stuck with a problem, because they can’t be vicarious, or can’t accept. The literal sense of the patient "gets lost in the minds of his action." Tse can be both big and big, as well as a child. On the physical plane, stress is not a problem for asthma symptoms. Obov'yazkovo vkazhit methods of correction from the statistics of psychosomatics ill - the stench is good. Look at the reasons for becoming ill with bronchial asthma, such as injecting allergens into the immune system.

Mechanism and officials of the development of bronchial asthma

The development of bronchial asthma must be produced before the development of the immune system becomes stronger. Start an advanced mechanism for the development of bronchial asthma, which is a glimpse at the provocative vision of the great mucous secretions of the shells of the bronchial tree. The mechanism of reflex sounding to the enlightenment of the great bronchi and trachea can also be triggered from this method.

Triggers, factors that provoke an attack on the aggravated disease, allergic reactions of our body. Stagnation of p'yavok as a prophylactic because of the sutta advancing immunity and opirnist to allergy. Theoretically, there can be an allergy on the breastbone, ale it is possible to find one for a few hundred thousand, and as long as it hasn’t died (there are no such facts), hirudotherapy is successfully stagnant during treatment new species allergies, yak in older adults, so in children.

Before they allowed the date of the recommendation for the prevention of bronchial asthma, they were directing to the active fast delivery of aeroallergens to the booth, where there was a child. Ale tsi methodical recommendations for bronchial asthma resulted in pre-existing data.

Napriklad, Povny znischennya alergenіv klіschіv homepage saw znizhuє rizik alergіchnoї sensibіlіzatsії i tіlki Neznachny mіroyu zmenshuє rizik ASTHMA rozvitku to dosyagnennya ditinoyu 8 rokіv. However, recent reports also showed that the infusion of allergens in domestic animals (cats and dogs) is a malignant defect. Infusion of cich allergens into the very first ric of the child's life will reduce the risk of allergic sensitization and the development of asthma in a given life.

Quite absolutely natural preparations, the stench gives a twisting effect when taking not less than a month, but more beautifully - three, and letting you go from lamblia in zhovchny mikhury and stoves. Immunity is increasing, asthma is weak.

Clinical recommendations for treatment for bronchial asthma treatment

The rate of the sick person, according to the recommendations for the treatment of bronchial asthma, is guilty of the disease, the amount of carbohydrates, fat, fat, so called "acidic"

After taking the most important recommendations for treating bronchial asthma, the ailment is guilty of a unique disease, which provokes the approval of phlegm: rice, zukru, sir, wort, milk. The fault is also guilty of the unique greased and poorly digestible food, mint tea, kawi, spices, roses, sauces and all refined and refined products.

Shown is the implantation of warm lush mineral drinks (borzhomi and ін.) Kharchuvannya maє buti hypoallergenic.

Basic therapy of bronchial asthma with herbs

At the same time, the basic therapy of bronchial asthma with herbs is shown, as well as volodiut in the form of an arterial and anti-apical effect. There are grasses that are injected into two main officials of bronchial asthma - inflammation and allergy. I stench guilty of the Volodya by such authorities: bronchodilator, antiapaline, antiallergic, vidharkuvalny, sputum release, sedative, immunomodulatory. Ale їkh zasosuvannya can be an alternative only for mild bronchial asthma.

In important cases, they stagnate at the warehouse of the complex therapy of bronchial asthma, step by step, turn the camp. With such authorities, Volodiyut such grass: marshmallow root, violet grass, wahti leaves, chamomile quotes, fruit shipshini, kminu fruit, anisu fruit, birch leaves, viburnum leaflets, plantain leaves, grass zvuroboyu, sprinkling grass, horse stables, plantain leaves, licorice rhizome, thermoplastic fennel, mother-and-machuhi leaves, pine nirka, pahony bagna, violet, pervotsvit, cyanosis, cleanliness, birch leaves, motherboard grass, succession, dead sprinkler, animal, valerian, angelica, bagno and in.

For a second, you can vibrate 3-5 times to pick and drink for three months, then substitute it for the first.

Features of the strategy for the treatment of bronchial asthma

The promulgation of the peculiarities of the treatment of bronchial asthma is the first for everything in the step-by-step, but more on the basis of other medications, as it is in poor health. The main strategist for the treatment of bronchial asthma on this year's day is to clear out the toxins from the well-known organisms of toxins.

Popular recipes with aspirin are contraindicated for bronchial asthma, including lotions. For the development of a viscous phlegm, I will attack for an hour on the knife of a soda knife. You can podikhaty in the evening over a couple with a cup of hot water, in which the trochas of soda are broken - you will sleep calmly, without attacks.

Unique hvilyuvan and great physical springs, do not smoke, do not live alcoholic beverages. You can also take 15-20 drops of valerian. Demonstrated physical activity, regular engagement in physical gymnastics, workout procedures. Good results are given to health resort in pine forests and seaside zones.

Hirudotherapy as a modern method for treating bronchial asthma

Hirudotherapy as a method of treating bronchial asthma is anti-inflammatory, anti-allergic, and also zalnozmіtsnyuchu dіu... As a result, the sick person has a feeling of self-esteem, asthma attacks start to grow, his strength and triviality decrease. With hirudotherapy, there is a concentration of sourness in the blood, a step-by-step stress, there is a calm and daring, so it is necessary for a lot of sickness.

Today, the treatment of bronchial asthma is as follows: to reach the normalization of the robotic liver and endocrine system, it is beneficial to get to know the immune system, but it is also even more important. Number and frequency: not less than three courses for 3 months, it is possible for 4. Sessions - 1-2 times a day. Interrupt them in courses - 2-3 months. Dali on self-esteem. At home, with a comprehensive approach and one-hour inclusion of phytotherapy on a continuous basis - without interruption.

Likuvannya bronchial asthma symptoms are not unavailable. Bronchial asthma can be experienced by the onset of a few courses with a complex approach to a problem that is not forgotten about the psychosomatic factor. As soon as the reason is obvious, as we lead to post-stress, it is necessary to work with it. Likuvannya asthma p'avkami carried out until the next patient. Chronic asthma is also not a common disease.

Zones of the prefix p'yavok - danі of the staging of the Cherguumo with the staging of the outside course, or it is conducted by the outside course. Even in the thyroid zone of the university, it is placed on the zone of the thyroid zone and the liver not less than 2-3 times per skin course.

As soon as the stove has been improved, I will come to respect it with the help of p'avi, so the change in the process of food and water is shown practically for all the processes in the body. Change the furnace by staging on the right side of the edge, put one on top of the sword-like sprout - the zone of sleepy gossip (a brush above the sleepy gossip) - from it and lead the line.

Go through the interscapular zone on the back (fixing from the 3rd, 4th chest ridges and into the small sides), then from the 9th, 10th chest ridges and into the small sides on two transverse fingers), crooked, kuprik, on the ridge navel і on p'avka hand with the navel in the sides - on two transverse fingers ubіk). Remember about the lungs zone yak in front, so and from the back. These performances can be cherguvati and repeated.

The enchantment of dichal nobles is even wider than the present day. The reason for this situation is the manifestation of a great number of viruses, bacteria, difficulty in eating, and a decrease in immunity in people. It is not easy to develop bronchial asthma in the middle of the ailments, therefore, there are some basic recommendations for combating illnesses.

Bronchial asthma є ignition process chronic in nature, which is localized in the organs of the environment and manifests itself with important symptoms. Sickness is sickness, discomfort in the area of ​​the lungs (stiffness), wheezing wheezing for an hour, and in the period of sharpening of the disease, lack of weakness.

The main factors that are injected into the development of bronchial asthma

  1. Internal officials. Here you can see obesity and genetic strength to allergic manifestations, bronchial hyperreactivity. This is the same category (in children, bronchial asthma often manifests itself in lads, and in older people, in order to grow older and older, they should be sick to become a child).
  2. Factories of the midst of the midst. Prior to this category, there are allergenes (drank and sawn mills, homemade vikhovantsi, targani, fungi, roslinna of files), aeropollutants (ozone, vichlopny gases from transport sources, dioxidis and nitrogen, tyutyunovy dim). Also, the professional efficiency, the manifestation of viruses and improper handling (for example, due to the addition of overgrown vegetables and fruits) is also infused.

Diagnostics of bronchial asthma according to clinical recommendations

As a matter of fact, prior to clinical recommendations, the diagnosis of bronchial asthma is established with the help of the patient's scars, a detailed anamnesis, an analysis and a situation. Differential diagnostics is also carried out, as it is possible to determine the manifestation of the disease of mental health, similar to the symptomatology of bronchial asthma.

Imovirnіsni indicators of manifesting bronchial asthma increase with such key signs:

It is also possible to detect indicators, which may be due to the appearance of the indicated diagnosis. Also, the degree of manifestation of bronchial asthma can be reduced by the following key signs:

  • the appearance of a swirling zamorochennya and darkening in the eyes;
  • the manifestation of a chronic cough, when there is a lack of sputum appearance (without whistling and wheezing);
  • snake to the voice;
  • heart disease;
  • overmirne kurinnya;
  • indicators in the boundaries of the norms at pre-admission thoracic cells and function of dichannia.

As the doctor is aware of the high degree of manifestation of bronchial asthma, then, according to the clinical recommendations, you can try a test. However, in a revolting vipadku the drug is guilty to carry out additional information and analysis, as well as to exclude the manifestation of ailments of similar symptoms.

Table of differential diagnosis of asthma

Diagnostics of bronchial asthma in children

Clinical recommendations allow the visibility of bronchial asthma in children of the new category. To suspect the manifestation of asthma itself in children up to two years, perhaps the manifestation of allergic illnesses in relatives, especially on the basis of the mother's line. Also, the little boy often reacts to allergic reactions to the intake of food products and medicines. Guards on the shkirnі zahvoryuvannya allergicheskoy nature. Before the hour of the cob stage of GDVI, the child has a broncho-obstructive syndrome.

If, in the zagalny, you can see children up to five rockies, then bronchial asthma can be suspected due to the peculiarities of the onset of manifestations:

IMPORTANT! The occurrence of frequent allergic manifestations in vigorous rhinitis and dermatitis in sick or blood relatives is significant for asthma diagnostics. Bronchial asthma in relatives is also a child's manifestation of ailments.

Periodi zagvoryuvannya

Before the hour of acute bronchial asthma, ailments develop a strong stagnation, lodging in the chest cells. For an hour there is clearly audible whistling, і torment a strong cough without the presence of phlegm. As a matter of fact, up to the most important recommendations, I will respect those who can become more acute, like a patient with an obvious diagnosis of a different degree of severity, and also being the first manifestation of ailment.

Sharpening on the scale can be developed, as with a stretch of decilkoh hilin or for years, so on the stretch of two tizens. Recommendations to inform about those who are guilty of the patient innocently committing themselves to the medical aid on the cob of zagostrennya zhavoryuvannya.

Treatment of bronchial asthma

Before the skin ailment stagnates, an individual approach to therapy for the history of ailments and individual features. There are also key recommendations from the introduction of the stage of therapy, as it is in the course of the gradual improvement of the therapy (including the daily control, and the presence of factors in the risk of acute therapy), and the stabilization

Prevention of HIV disease

The skin of a person is not insured for the appearance of that any kind of illness, protesting everything is necessary for the improvement of the body's immunity. In case of the manifestation of symptoms, it is possible to indicate the possible manifestation of bronchial asthma, clinical recommendations, to help with the establishment of an accurate diagnosis, if the severity of the ailment is significant, and also to apply the scheme of addiction.

Tim, who stumbled upon the attacks of asthma, is the nobility about GINA. This is the short name for the group of fahivts, as since 1993 they were trying to work over the nutrition of diagnostics and ill health.

The new name is Global Initiative for Asthma.

GINA will explain that it’s about the work of children, patients and their homeland with bronchial asthma, and even in the new thousand years, they introduced 11 breastfeeding problems.

Medical science is constantly developing. Conducted doslіdzhennya, yakі form a new look at the causes of ailments.

Periodically, GINA publishes a document "Global strategy of education", for new members of the group to look up actual and found materials about those who diagnose and catch bronchial asthma.

Smell to shrug off the development of science available to medical people and people of all countries.

Asthma value, zgіdno GINA

According to GINA, bronchial asthma is a common type of illness, with cheerleaders to develop chronically fiery.

Do not depend on the cause of the inflamed infection. First of all, there is a wide range of problems, as long as there is a wide range of allergens and drastic factors.

Bronchi with ailments become overwhelmingly sensitive. In the case of a razdratuvannya stench spasm, swell and clog up with mucus. It enlightens bronchial tubes to older children, to diagnose problems with dysfunctions right up to breath, and it will clog up with a fatal result.

Classification of bronchial asthma according to GINA

In young people, the disease manifests itself in a smart way. Symptoms lie in the way of life and individual features of the body.

For example, there is a role in the development of ill health to introduce allergies. For reasons, the immune system reacts to those that do not block the organism.

The alelergic component does not appear in all ailments. In women, bronchial asthma is not so difficult as in choloviks.

Bagatogrannosti bronchial asthma sponucleus fahivts GINA classifikuvati її options.

Classification of bronchial asthma according to GINA:

  1. Allergic bronchial asthma manifests itself even in the child. Call the boys to fix ailments earlier than the girls. So, as an allergy is tied to genetic features, the child herself and her blood relatives can see it. For example, atopic dermatitis, eczema, allergic rhinitis, allergy to products, liquids.
  2. If you do not appear, there is a call from the alert.
  3. In women of mature age (in choloviks as well, they are growing older), they have bronchial asthma with a small ear. With such a variant of the allergy, make the day go by.
  4. For deciduous ailments, bronchial asthma can develop with fixed bronchial problems. When trivially ignited, nezvorotnі snakes develop in them.
  5. Bronchial asthma on aphids.

Recommendations have a special respect for coming to children. So it’s about looking at women who are women, young people and children, who are hungry for obesity, and about quiet, who’s smoking or throwing fumes. A special group is made up of athletes and people, from yak. An ear of corn in a grown-up person can be brought into contact with shitty words on a robot. Here, I also post a serious meal about the change of robotics or profession.

Causes of development of bronchial asthma and provoking factors

Mechanism of development of bronchial asthma is foldable, it is triggered only by one factor. I leave the glimpses of the slaves to have a lot of food.

For the concept of GINA, in the diagnosis of bronchial asthma, the main role is played by the genetic strength and flow of the new middle age.

To start up or to make ailments sick can cause allergies, obesity, vaginism and ailments of the dysfunctional system.

Officials, who provoke the appearance of symptoms in bronchial asthma:

  • physical customization;
  • allergenic nature. A lot of butti sawn mills, targani, creatures, roselin, flower mushrooms, etc.;
  • teasing of dichny nobles by tyutyunov dim, we are obstructed by cold twists, pungent smells, industrial saws;
  • weather and climate officials;
  • gostre zhvoryuvannya organ_v dikhannya (cold, flu);
  • stronger emocyne zbujennya.

verification of diagnosis

When diagnosing a doctor, he or she looks at a sick person, and then it indicates a condition.

GINA showed characteristic symptoms of bronchial asthma. There are whistles and wheezing, feeling of heaviness in the breasts, bad breath, soreness, coughing.

As a rule, there is not one, but several symptoms at once (two or more). The stench will get strong at night, or at once during sleep, provoked by food-transfer officials.

It can take place on its own, for the second time, but in some cases it doesn’t become a problem. A history of these symptoms and a history of spirometry add to the diagnosis of bronchial asthma from similar ailments.

In case of bronchial asthma, it becomes easier and faster to develop. The very strength and speed of the assessment is spirometry.

If you want to ask the patient for the maximum amount of energy, ask the patient to grow fast and strong. life lungs (FZHEL) і obsyag forced vidihu (FEV 1).

Yakshcho the ailment is not running, the bronchi often sound, then expand. At the same time, a lack of factors is injected, for example, the period is overwhelmed, or it’s time for rock.

Therefore, the FEV1 indicator can be seen in case of new skin conditions. Dyuvatisya tsomu is not varto, for asthma the tse is also typical.

Moreover, to assess the minority of the indicator, to carry out a test with bronchodilator - a drug that expands the bronchi.

Є Still an indicator of peak performance (PSV), I want it mensh nadiynyy. It is possible to reduce the results and the results, spent for the help of one and the same attachment, so as the witness at the small annexes can be strongly recognized.

An overwhelming method in that, behind the aid of a peak flow meter, people can assess the steps of their bronchial muscles themselves.

To that, the most characteristic signs for bronchial asthma are the decrease in the ratio of FEV1 / FVC (less than 0.75 in older adults and less than 0.90 in children) and the decrease in FEV1.

When spirometry can be carried out іnshі test: test with physical options and bronchoprovocation test.

With little children, the situation is folding. viral infections they can cause wheezing and coughing.

If the symptoms are not vague, but tied with smiles, we cry for physical activity, if the stench is also detected, if the child is asleep, it should not lead to thoughts about bronchial asthma.

Also, children are more likely to carry out spirometry, so for the children of GINA there is a transfer of additional education.

Lіkuvannya asthmi by GINA

It’s a pity, it’s a pity, it’s uncomfortable for people to get sick. The GINA recommendations for the treatment of bronchial asthma are directed towards the continuation of life and improvement of health.

For many patients, it is necessary to take pid control over bronchial asthma. Likar is not just a sign of liking, it is ale and additional help to the speedy way of life. Winning a plan for a patient in different situations.

As a result of the successful love of people, they turn to be in love with a robot or a kind of sport, women can make a healthy child. Olympic champions, political leaders, media persons lead an active life in a wide range of diagnostics.

GINA proponents for the medication of bronchial asthma are three types of drugs:

  • Ingestion of non-hormonal causes of asthma attacks and breathlessness, or of physical reasons or other reasons. The stench quickly expands the bronchi and allows the renewal of the effect;
  • іngalyatsіynі glucocorticoids - hormones, how to bring heat. With this method, the smell of stink is more safe and does not suffer serious acceleration;
  • additional drugs for severe interruption of the disease.

Lykarska therapy is stored on the basis of decilcoh steps. What is more important than a disease, tim vishche stupin, tim more number the preparation is indicated in the form of food and in the dose.

With a slight interruption, the face will become stagnant only for the weakening, the poisons will attack, on the offensive scabbards, preparations of the other groups will come before them.

Most of the times you go to see the aerosols. Likar will explain and show you how to correctly use annexes for reception. Buvak, how the stench gives a weak effect itself through the pardons in zasosuvannі.

Without something, lіkuvannya will not be effective

Along with medicines alone, the fight against ailments cannot be combined. People need to organize their life themselves so that they show ailments to change. To help in the whole offensive come in:

  • vidmova vid kurinnya, uniknennya suspension of beautiful people;
  • regular physical activity;
  • Usunennya allergens and obstructed food on robots and homes;
  • safety in case of receiving symptoms, which can destroy bronchial asthma. Some people may have an intolerance to arthritis like aspirin (non-steroidal anti-inflammatory drugs, or NPZP). Decision about the use of beta-blockers to take drugs from the situation and individual characteristics of the patient;
  • dichny to the right;
  • healthier food, there is a large number of vegetables and fruits in the races;
  • korekts_ya masi tila;
  • vaccination against influenza in the case of severe and moderate asthma;
  • bronchial thermoplastic. With a trivial interruption, the bronchial mucus becomes hypertrophied. Bronchial thermoplastics tidy up a part of the ooze ball, enlighten the bronchial tubes to improve. This procedure allows you to change the frequency of intake and dosage of inhalational glucocorticoids. Vaughn will be held in the following countries: USA, Nimechchin, Izrail;
  • nvchannya management of the mobile mill;
  • allergen-specific immunotherapy. In case of allergen-specific immunotherapy of patients, inject microdose allergen, increasing the dosage step by step. Take the lіkuvannya to reduce sensitivity to tsyogo allergen in the haunted life. Likuvannya does not go all the way, but only because of the safety.

It is important to assess symptom control. If the patient comes to the planned check-up, the car will send you a message about health for the last 4 days:

  1. During the day, symptoms of bronchial asthma were diagnosed more than two times per day.
  2. Chi turbuyut show the illnesses at night.
  3. It’s easy to get rid of it, and it’s more likely to attack, more often than two times per day (you don’t have to take drugs in unaddressed extra help before physical appointments).
  4. Chi will intertwine asthma and activity.

Food can be shaped like a trocha, ale smut - estimate, like a sickness injected into the everyday life of people.

GINA recommendations for the prevention of bronchial asthma

Vvazhayayutsya, as soon as the hour before the hour of the woman's life and the first months of the life of the child, if the factor of the most recent middle-class should start the mechanism of developing ailments.

In order to reduce risk, GINA promotes advances in the prevention of bronchial asthma:

  • maybutnoy materi need to be updated from time to time before the hour of vaginosti, and more beautifully before it, and should be reduced from cigarettes when flattened;
  • as it is worthwhile, do not go into the caesarean rosette;
  • overwhelmingly godvannya nemovlyaty mother's milk;
  • do not put antibiotics into the first era of the child's life in a wide range of activities without extreme need.

Scho stosuєtsya injected allergens, then everything is not unambiguous. Allergens of saw mites are exactly the same as the development of allergies. Post-alarm alerts for home-brewed animals give superb results.

It is important to create a good psychological environment in the family. Tse zavzhdi additional helpє to cope with be-yaki ailments.

Pidvodyachi bags, you can say that the prevention of development and be made before the next points:

  • you will not be allowed to smoke from smoking. Tyutyunovy dim is not only chronically inflamed in spirited ways, ala, well, most insecure, provoking the breath. Chronic obstructive ailments of the leg (COPD) may be the cause of one more illness. Understanding of both pathological diseases, as well as accelerated diagnostics and diagnostics of diseases;
  • to prevent contact with allergens on the floor, for some reason;
  • unicati dima, swirling gases, cold drink, sharp smells;
  • splintering against the flu for the duration of the day is counter-indicative, not getting cold;
  • choose the correct type. Acceptance of non-insensitive (NPZP) and beta-blockers of energy only after the weather with a doctor
  • Regularly busy with the permitted kinds of sports with the help of the doctor's recommendations (you may need to take a prophylactic drug to prevent the attack of breath);

At the end

Bronchial asthma is infused with the relish of life in the whole world. Vona is not uncomfortable with the fact that the symptoms of raptus change are often attacked by the breath of the deadly hour.

V rіznih lands they visit 1 - 18% of the population, often fixing themselves in a child's life.

In the given statistics, there is no more information about the views of the international organization on bronchial asthma. Correct recognition and indication of treatment for a skin patient can only be a drug.