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Wednesday, April 19, 2023

Asthma Disease Overview


Asthma is a chronic respiratory disease that affects millions of people worldwide. It is characterized by inflammation and narrowing of the airways, which can cause symptoms such as wheezing, coughing, and shortness of breath. In this article, we will discuss what asthma is, the medications used to treat it, how to treat an acute asthma exacerbation, and non-pharmacologic ways to control it.

What is Asthma?

Asthma is a chronic respiratory disease that affects the airways in the lungs. It is characterized by inflammation and narrowing of the airways, which can cause symptoms such as wheezing, coughing, and shortness of breath. Asthma can be triggered by a variety of factors, including allergens, exercise, cold air, and respiratory infections.

Medications Used to Treat Asthma

There are several types of medications used to treat asthma, including:

  1. Inhaled corticosteroids (ICS): These medications work by reducing inflammation in the airways, making it easier to breathe. ICS are often used as a long-term treatment for asthma.

  2. Short-acting beta-agonists (SABAs): These medications work by relaxing the muscles in the airways, making it easier to breathe. SABAs are often used as a quick-relief treatment for asthma symptoms.

  3. Long-acting beta-agonists (LABAs): These medications work in a similar way to SABAs, but their effects last longer. LABAs are often used in combination with ICS as a long-term treatment for asthma.

  4. Leukotriene modifiers: These medications work by blocking the action of leukotrienes, which are chemicals that can cause inflammation in the airways. Leukotriene modifiers are often used as a long-term treatment for asthma.

  5. Immunomodulators: These medications work by modifying the immune system's response to allergens, which can help reduce inflammation in the airways. Immunomodulators are often used as a long-term treatment for severe asthma.

Treating an Acute Asthma Exacerbation

An acute asthma exacerbation, also known as an asthma attack, can be a life-threatening emergency. The following steps should be taken if someone is experiencing an asthma attack:

  1. Administer a quick-relief medication, such as a short-acting beta-agonist (SABA).

  2. Have the person sit up and lean forward to help improve breathing.

  3. Encourage the person to take slow, deep breaths.

  4. If the person's symptoms do not improve, call for emergency medical assistance.

Non-Pharmacologic Ways to Control Asthma

In addition to medication, there are several non-pharmacologic ways to control asthma, including:

  1. Avoiding triggers: Identifying and avoiding triggers such as allergens, exercise, and respiratory infections can help prevent asthma symptoms.

  2. Breathing exercises: Breathing exercises such as pursed lip breathing and diaphragmatic breathing can help improve lung function and reduce asthma symptoms.

  3. Regular exercise: Regular exercise can help improve lung function and reduce asthma symptoms, as long as it is done in a controlled environment and with proper medical guidance.

  4. Maintaining a healthy weight: Being overweight or obese can worsen asthma symptoms, so maintaining a healthy weight can be beneficial for people with asthma.

In conclusion, asthma is a chronic respiratory disease that can cause significant symptoms and impact quality of life. Treatment for asthma includes medications such as inhaled corticosteroids, short-acting beta-agonists, and leukotriene modifiers. In the event of an acute asthma exacerbation, quick-relief medications such as short-acting beta-agonists should be administered, and emergency medical assistance should be sought

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