Monday, 15 August 2011

Treatment Of Asthma

Prevention and long-term monitoring is the key to preventing asthma attacks. Treatment usually includes learning to identify triggers and take steps to avoid them, and follow your breath to ensure asthma medications daily to control symptoms. If the discharge asthma, may need to use quick-relief inhaler as albuterol.

Medication

Medicines for you will depend on a number of things including your age, symptoms, asthma triggers and what seems to work best to keep asthma under control. Preventive medications long-term monitoring to reduce inflammation of the airways resulting in symptoms. Quick-relief inhaler (bronchodilator), quickly open the airway inflammation that make breathing difficult. In some cases, medications for specific allergies are necessary.

Long-term control medicines

In most cases, these medications should be taken every day. Types of drugs control in the long term include:

Inhaled corticosteroids. These medications include fluticasone (Flovent Diskus, FLOVENT HFA), budesonide (Pulmicort Flex tails), mometasone (Asmanex), flunisolide (Aerobid), beclomethasone (Qvar) and others. They are the type most commonly prescribed medication against asthma in the long term. You may need to use these medications for several days to several weeks before they reach their maximum benefits. Unlike oral corticosteroids, corticosteroids, these relatively low risk of side effects and is generally safe for extended use.

Leukotrienes. These include oral medication montelukast (Singulair), zafirlukast (Accolate) and zileuton (Zyflo, Zyflo CR). They help prevent asthma symptoms for up to 24 hours. In rare cases, these drugs have been linked to psychological reactions such as agitation, aggression, hallucinations, depression and suicidal thoughts. Consult a doctor immediately for an unusual reaction.

Long-acting beta-agonists (LABA). These drugs are inhaled salmeterol (Serevent Diskus) and formoterol (Foradil Aerolizer). LABA to open the airways and reduce inflammation. However, they are linked to severe asthma attacks. LABAs should only be taken in combination with a corticosteroid.

Combination inhalers, like salmeterol and fluticasone (Advair Diskus) and budesonide and formoterol (Symbicort). These drugs include corticosteroids with LABA. As with other drugs of LABA, these drugs may increase the risk of having a severe asthma attack.

Theophylline. It is a daily pill that keeps opening up the airways (bronchodilators). Theophylline (Theo-24, Elixophyllin, others) relaxes the muscles around the airways to make breathing easier. Not used as frequently today as in the past.

Quick-relief medicines

Quick-relief (rescue) medications used as needed for rapid, short-term relief of symptoms during an asthma attack - or before exercise if your doctor recommends. Types of quick-relief medications include:

Short-acting beta-agonists. These quick-relief inhaled bronchodilators can quickly relieve symptoms during an asthma attack. They include albuterol (ProAir HFA, Ventolin HFA, other), levalbuterol (Xopenex HFA) and pirbuterol (Maxair Auto tails). These medications work within minutes and the effects last for several hours.

Ipratropium (Atrovent). Your doctor may prescribe this medicine by inhalation with immediate relief from symptoms of the disease. As with other bronchodilators ipratropium relaxes Airways, making it easier to breathe. Ipratropium is used particularly for emphysema and chronic bronchitis, but sometimes it is the treatment of asthma attacks.

Oral corticosteroids and intravenous administration. These medications relieve inflammation of the airways caused by severe asthma. Examples include prednisone and methylprednisolone. They can cause serious side effects when used long term, which are used in a short term basis to treat the symptoms of severe asthma.

Treatment of allergy-induced asthma

If your asthma is caused or aggravated by allergies, which may benefit from treatment of allergies. Treatments for allergies include:

Desensitization (immunotherapy). Immunotherapy injections is usually given once a week for several months, once a month for a period of three to five years. Over time, gradually reduce your immune system to specific allergens.

Omalizumab (Xolair). This drug is specifically for people with allergies and severe asthma. It works by modifying the immune system. Omalizumab is administered by injection every two to four weeks.

Allergy. These are the mouth and nose sprays, antihistamines and decongestants, and corticosteroids, cromolyn, ipratropium, and nasal sprays.

Do not rely on quick-relief medications

Long-term medications for asthma - such as inhaled corticosteroids - are the cornerstone of asthma treatment. These drugs maintain control of asthma on a daily basis and makes it less likely that you have an asthma attack.

If you have asthma, exhaust, quick-relief inhaler to relieve symptoms immediately. But if long-term control medications are working correctly, there is no need to use quick-relief inhaler often. Keep track of how many pads you use per week. If you want to use quick-relief inhaler more often than your doctor recommended, contact your doctor. You will probably need to change the long-term medication to control.

Bronchial thermoplasty

This regime is used for severe asthma, which does not improve with inhaled corticosteroids or other long-term medications for asthma. Usually done in three outpatient visits, bronchial thermoplastic heats the inside of the electrode Airways in the lungs, reducing the smooth muscle within the airways. This limits the ability Airways tighten when breathing becomes easier and can reduce asthma attacks. Bronchial thermoplastic is not widely available. Further research is needed if the benefits of this therapy outweigh the potential risks and side effects.

Treatment by severity for better control: a gradual approach

Treatment based on asthma control can help control asthma. Treatment of asthma should be flexible and based on changes in symptoms should be evaluated carefully each time you see your doctor. Then treatment can be adjusted accordingly. For example, if your asthma is well controlled, your doctor may prescribe less medicine. If your asthma is well controlled or worsens, your doctor may increase your medication and recommend more frequent visits.

Action plan for asthma

Work with your doctor to create an asthma action plan, which will be presented in writing, when you take certain medications, or if you want to increase or decrease the dose of medication based on symptoms. Your action plan should also list your asthma triggers and what you take to prevent them. Asthma may also include a plan to follow the symptoms of asthma, or using a peak flow meter regularly to monitor the functionality of the treatment is asthma under control.

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