According to statistics, bronchial asthma is detected in about 5-10% of children, and this percentage increases every 10 years. The main reason for such a sad trend, many experts believe the deterioration of the environmental situation in the world, the emergence of a large number of potential allergens. This is confirmed by the fact that in developed countries the number of asthmatics is much higher than in regions where technical progress has covered not so many areas. Most often, children are diagnosed with the disease at preschool age, and the first warning signs may show up before the year.
- Causes of the disease
- Types of disease
- Asthma symptoms
- Asthma treatment
- Symptomatic remedies
- Basic therapy
- General recommendations
Causes of the disease
Bronchial asthma is a chronic disease, based on inflammation of the bronchial mucosa and bronchial hyperreactivity, or otherwise increased irritability. The course of the disease is characterized by the presence of specific bouts of bronchial obstruction that occur in response to any irritant. At the time of the attack there is a narrowing of the lumen of the bronchi of different diameters: both large and small.
The risk group for the development of bronchial asthma includes children who have:
- there are allergic diseases (atopic dermatitis, pollinosis, food allergies) or a hereditary predisposition to allergies,
- parents or other close relatives suffer from asthma,
- there is constant contact with tobacco smoke (smoking parents, mother smoking during pregnancy),
- there were episodes of obstruction of the bronchi without temperature, which are not the result of infectious diseases,
- the place of residence is located in an ecologically polluted zone, near large enterprises or factories where the air is saturated with toxic emissions,
- overweight, accompanied by a higher position of the diaphragm and obstructed ventilation of the lungs,
- often there are ARVIs giving complications to the bronchi, a history of more than three obstructive episodes per year.
The mechanism of development of asthma is the thickening of the muscle layer and the deformation of the walls of the bronchi, difficult evacuation of mucus, impaired air circulation. The number of cells producing mucus increases, and the produced mucus has a viscous consistency, the number of villi involved in its breeding decreases.
Types of disease
Depending on the cause, there are two main types of bronchial asthma.
Atopic. It occurs as a result of allergic reactions, it is this type in most cases detected in children.
Infectious-allergic. It develops as a result of chronic infections of the respiratory tract (chronic bronchitis), in children it is rare.
According to the severity of the course, the following types of bronchial asthma are distinguished:
- Easy Attacks occur rarely (less than 1 time per month), spontaneously, quickly stop taking bronchodilators, exercise is tolerated normally or with minor disabilities.
- Medium heavy. The frequency of asthma attacks is once a week, it is relieved by bronchodilators, the symptoms of the disease appear regularly at night, and exercise is problematic.
- Heavy Attacks occur several times a week, have a protracted nature, are stopped by bronchodilators and hormonal drugs, exercise tolerance is sharply reduced.
The annoying factors that can trigger an asthma attack include:
- traffic fumes,
- tobacco smoke,
- viral and bacterial infections,
- cold or dry air,
- perfumes with a strong and intense odor,
- exercise, physical activity,
- household chemicals,
- nervous stress, emotional shock.
Attacks of atopic bronchial asthma most often occur in children after contact with inhaled allergens, which include house and library dust, wool and skin particles of domestic animals, mold spores, plant pollen. Cases of the development of bronchial asthma and against the background of food allergies are noted, their frequency is about 5%. It can provoke allergens contained in nuts, honey, chocolate, milk, fish and other products. Also, the cause of asthma can be long-term use of antibiotics, vitamin complexes, aspirin.
Symptoms of bronchial asthma in children may be different. Even in the same child, it often manifests itself differently at a certain age. Suspected disease can be the following clinical signs:
- dry cough that occurs during active games, physical exertion, laughter, crying, at night and after waking up in the morning,
- chronic cough,
- periodic increase in breathing
- passivity in games
- the child’s complaints of pain and pressure in the chest, lack of air,
- difficulty breathing, accompanied by shortness of breath, whistling and wheezing,
- general weakness, fatigue, passivity in games.
A characteristic symptom of bronchial asthma is the periodic occurrence of attacks of bronchial obstruction. Their manifestation should be known to every parent and loved ones of a child suffering from this pathology in order to provide necessary assistance in a timely manner. An asthma attack manifests as:
- sudden unproductive coughing, choking,
- inability to speak
- increased breathing (more than 20 breaths per minute), it becomes superficial and uneven (short breath, difficulty exhaling),
- pain and swelling of the chest, the feeling of trembling on the exhale when you attach your hands to her,
- wheezing and whistling at the moment of exhalation,
- taking a position that is forced, as comfortable as possible to ease breathing (the child slouches, sits down, puts his hands on a hard surface in front of him, spreads his elbows wide),
- blanching of the skin, in severe cases, blue nasolabial triangle.
Before the onset of an asthma attack, a so-called precursor period occurs, which can last from several minutes to several days. It manifests as a sleep disorder, anxiety, nasal congestion, headache, dry cough, itching of the skin and eye mucosa. After the end of the attack, children feel weakness, drowsiness, lethargy, slow pulse and a decrease in blood pressure.
If an attack of bronchial obstruction lasts more than 6 hours, then they say about the development of asthmatic status. This is a severe complication of asthma, characterized by a lack of sensitivity to the drugs used to relieve bronchial obstruction. Asthmatic status is a serious threat to life due to pronounced edema of the bronchioles, accumulation of thick sputum and progressive violation of bronchial patency. This condition requires urgent hospitalization and emergency intensive care.
If you suspect the development of bronchial asthma in a child, parents should examine him with a pulmonologist. Diagnosing the disease in young patients presents difficulties, which is related to the similarity of its symptoms with the common cold, bronchitis and ARVI, as well as the inability of children to correctly describe their feelings and complaints. The main difference between asthma and SARS is the absence of fever and periodic recurrence of seizures.
In small children, due to the fact that the bronchi are rather narrow, episodes of bronchial obstruction caused by inflammation of the mucous membranes and increased production of viscous mucus may be observed against the background of viral infections, but this does not indicate the presence of asthma. In this case, as they grow older, the diameter of the bronchial tubes in children increases, and obstructive bronchitis no longer occurs, while in asthma, attacks are constantly repeated.
In order to clarify the diagnosis, children, in addition to analyzing the medical history and complaints of suspected bronchial asthma, are prescribed to undergo a series of examinations, including:
- listening to the lungs and heart,
- complete blood count, urine,
- sputum analysis,
- blood gas analysis,
- radiography of the chest,
- spirometry (performed only on children over 5 years old) before and after exercise, using bronchodilators,
- dynamic monitoring of respiratory function using a peak flow meter (in the morning and in the evening for 2-3 weeks),
- Allergy skin tests, IgE determination.
The main symptom of bronchial asthma, which allows for differential diagnosis, unlike other inflammatory diseases of the respiratory tract, is a prolonged difficulty exhaling, accompanied by a characteristic whistle.
Treatment of bronchial asthma in children is carried out in a comprehensive manner, taking into account the severity and type. If the disease is caused by allergies, then the main principle is to identify the causative agent of allergy and take measures to prevent contact with it. Also, treatment includes limiting the influence of factors that can trigger an attack, and taking medications for its relief and prevention. The type of drug and its dosage is prescribed exclusively by the doctor based on the age of the patient and the severity of asthma.
Unfortunately, at the moment there are no drugs to completely get rid of bronchial asthma, but, nevertheless, in almost half of the children, it eventually goes off on its own as they grow older.
Currently, special medical protocols for the treatment of asthma have been developed and successfully applied in practice. They include a list of drugs and a method of their use for maintenance therapy in different categories of patients. Properly organized qualified treatment of asthma can significantly simplify the life of a child, minimize the number of episodes of bronchial obstruction, enable him to play sports and lead a full-fledged lifestyle.
Symptomatic asthma remedies are designed to quickly relieve bronchospasm and facilitate the passage of air through the respiratory tract. Apply them only during the attacks as an emergency. These include drugs from the β2-adrenomimetic group, which have a pronounced and rapid bronchodilator effect.
They are produced in the form of aerosols or solutions for inhalation. Aerosols are designed for children over 6 years old, who are able to inhale properly and in time when pressing the bottle. For younger children with asthma, inhalation administration of the drug through a nebulizer or spacer is preferable. The spacer is a special chamber where the medicine first comes from the aerosol, and only then is inhaled by the child.
Children may be prescribed medications for the relief of bronchial asthma attacks, including:
- salbutamol (ventolin, salbutamol, salamol eco, salamol eco light breathing) are allowed from 1.5-2 years,
- fenoterol (berotek, berotek N), are contraindicated up to 4 years,
- formoterol (oxys turbuhaler, Foradil), allowed from 6 years.
Basically for children use short-acting preparations with the active ingredient salbutamol.
During an asthma attack, first of all the child should be given medication. To alleviate the condition, you need to put the baby on a chair and tilt the body forward, with your elbows on your knees. It is important to provide fresh, but not cold air. Parents should remain calm and distract the child’s attention so that he is not afraid of what is happening to him, since panic can aggravate the condition even more.
To assess how much the medicine for asthma has helped, it is recommended to use a peak flow meter, a special device that allows you to measure the speed of exhaled air. Measurement should be carried out before and 10 minutes after inhalation of the drug. Indicators should increase by at least 10-15%.
If the measures recommended by the doctor to relieve an attack of bronchial asthma have been ineffective, an ambulance should be called.
Basic therapy of asthma is based on taking medications that reduce inflammation and neutralize the effect of the allergen on the body. They are used by courses for a long time to prevent attacks and control the disease. They do not have an instant action, in contrast to symptomatic drugs; for the development of a therapeutic effect, their constant administration for 2-3 weeks is necessary.
Anti-asthma drugs can be prescribed from:
- Mast cell membrane stabilizers (cromoglicic acid, nedocromil). Used inhalation, allowed for children from 2 years. They have a local effect, prevent the release of histamine, arrest the occurrence of bronchospasm in response to inhaled antigen, cold air or exercise. With long-term use, bronchial hyperreactivity, frequency and duration of asthma attacks are reduced.
- Inhaled glucocorticoids (beclomethasone, flunisolid, budesonide, fluticasone). Prescribed from 4 years with severe bronchial asthma or the ineffectiveness of mast cell membrane stabilizers with moderate form. They have a pronounced anti-inflammatory and antiallergic effect, systemic effects and the associated side effects of hormones are virtually absent.
Sometimes for the treatment of asthma in children and used combination preparations containing several active ingredients.
To combat allergies, children over 5 years of age under the control of an allergist conduct an all-gene-specific immunotherapy based on overcoming an allergic reaction. To this end, in the stage of remission of asthma, the identified allergen in gradually increasing dosages begins to be administered parenterally, orally or sublingually to the child’s body. This therapy is quite long, but leads to a decrease in the body's sensitivity to the allergen and a decrease in the frequency of exacerbations.
The use of conventional antihistamines in the treatment of bronchial asthma in most cases is ineffective.
In a house where there is a child with asthma, you should ensure a healthy air environment and minimize contact with allergens. It is necessary:
- remove all potential sources of accumulation of house dust (carpets, books, soft toys, upholstered furniture, cushions),
- often do wet cleaning,
- regularly use when cleaning the vacuum cleaner,
- make timely cleaning of a mattress, blankets, pillows,
- do not have pets
- replace feather and down pillows and blankets with products with synthetic fillers,
- get rid of indoor plants.
Also of great importance is the psychological climate, since nervous stress can provoke an attack.
In case of bronchial asthma, parents should walk with children more often in the open air, tempering them to strengthen the body. If a child wants to play sports, you should discuss this with your doctor and take medication to prevent an attack before training. With the right approach, physical exertion has a beneficial effect on the course of the disease, contributes to increasing self-confidence.
When leaving the house, you should check that the child always has with him the means to relieve bronchospasm in asthma. If a child attends school or a garden, it is necessary to inform the teacher or class teacher about the problem and tell him how to help the child in a sudden attack.
In case of bronchial asthma, together with parents, it will be useful for children to visit a specialized school, where life is taught with this disease, it tells about preventive measures for attacks and the rules for helping, if they happened, giving recommendations on nutrition and physical activity.
Causes of asthma
A huge role in the appearance of asthma has a genetic determinism, as well as viral diseases.
The viral disease transferred by the mother during pregnancy potentiates the production of Th2-lymphocytes and provokes the formation of increased sensitivity of immunity to viruses. SARS and complications in the form of bronchitis often predispose to the formation of prerequisites for the appearance of a preastatic state.
Especially dangerous infections in terms of the onset of respiratory allergies:
- respiratory syncytial infection,
- infections of flu and parainfluenza,
- adenoviral infection with broncho-obstructive syndrome.
Signs of bronchial asthma in children
How can parents independently diagnose an attack of bronchial obstruction in a baby? Will help following signs:
- paroxysmal dry cough,
- the child complains of tightness in the chest.
With an exacerbation of moderate severity, multiple rales are heard, noticeable shortness of breath appears, the child assumes a forced position. Forced position during an attack of asthma is characterized by sitting posture with a strong support on the hands. A sick child is excited, scared, often crying. The attack can begin after contact with the allergen.
How does a bronchospasm attack begin?
In allergic asthma, most often the attack begins with itching in the throat, repeated sneezing, runny nose. Then there is a choking cough with difficulty breathing. First aid for an attack should be prompt and timely.
Asthma attack in bronchial asthma:
- may appear among the full health
- may be triggered by an allergen or viral infection,
- It requires emergency care in the form of inhalation of the first-aid drug - Salbutamol.
Emergency care for a child with bronchial asthma attack
1. First aid for an attack of bronchial asthma includes the use of bronchodilators. To relieve an attack of bronchial asthma use drugs from the pharmacological groups of adrenergic and holinoblokatorov.
The following drugs have an effect on bronchospasm:
- Berodual in aerosol and in solution for inhalation for a nebulizer,
- solution Salamol Steri-neb for inhalation.
Relief of bronchial obstruction in children rather quickly occurs after the use of these drugs.
2. In the absence of effect use inhalations with glucocorticosteroids. Preparations for cupping - Budesonide, Pulmicort.
The relief of an asthma attack should not be accompanied by uncontrolled medication containing beta-adrenomimetics.
Recommendations for choosing the type of inhalation device for children with asthma
- children under four years old are recommended to inhale using a face mask for a nebulizer,
- from 4 to 6 years old apply aerosols with a mouthpiece and a spacer,
- from the age of 6 years they use powder inhalers, inactivated by inhalation,
- for children of all ages suitable nebulizer with a facial mask.
Sanatorium and resort rehabilitation in case of respiratory allergy in children
Sanatorium-resort treatment has an excellent effect in the rehabilitation of patients. Pediatricians are advised to choose sanatoriums in the local climatic zone to avoid problems with acclimatization and adaptation to the new locality.
There are sanatoriums specializing exclusively in the treatment of patients suffering from bronchial asthma:
- Bulgarian sanatorium Sandanski,
- Edel sanatorium in the Czech Republic.
Excellent climatic conditions for asthmatics have resorts on the shores of the Dead Sea.
Physiotherapy for asthma
Apply the following methods:
- visiting halo and speleological chambers,
- oxygen therapy (mountain air),
- magnetic therapy
- aerosol therapy.
Aeroionotherapy - a method that can be used even with frequent asthma attacks. Air ionizers create a directional flow of air ions. The ions activate the protective forces of the antioxidant system, which has a therapeutic effect.
The Aerovion device is capable of creating a metered flow of ions. The electric field of ultralow frequencies created by the device is safe. Course 12 treatments.
After removing the exacerbation is recommended to use sinusoidal modulated currents. The device, called "Amplipulse", creates a ripple current. Patients who received a course of amplipulse therapy, noted a decrease in cough, the disappearance of dyspnea, and an increase in respiratory function. The procedure improves local blood circulation, regulates bronchial tone.
Has a good anti-inflammatory effect. electromagnetic field. Decimeter waves penetrate into tissues, activate redox processes. UHF-therapy is carried out on the devices "Ranet", "Sun". A course of 10 treatments, every other day.
With light bronchial obstruction possible use ultrasound therapy with the achievement of anti-allergic effect with the removal of spasm.
Modern highly effective method of therapy is puncture physiotherapy. Acupuncture points with this method are irritated by laser, ultrasound, EHF. The method is painless and well tolerated. Exposure to certain points can even remove a severe exacerbation of respiratory allergies.
Diet for children with bronchial asthma
It is recommended to exclude potential allergens from the child’s diet.
Prevention of bronchial asthma attacks is also an elimination diet with the exception of products that cause the release of histamine - chocolate, coffee, strawberries, mushrooms, fermented cheeses, smoked foods.
Dietary nutrition should be balanced by energy value.
Prevention of asthma in children
Respiratory allergies, often characterized by severe exacerbations, are a serious illness, often resulting in disability.
Therefore, primary prevention of bronchial asthma in children who have a dangerous tendency to atopic ailments is very important. It consists in the early start of competent treatment of allergic rhinitis, urticaria, and food allergies. When detecting household sensitization and the presence of allergic rhinitis, it is necessary to conduct ASIT (allergen-specific immune therapy).
ASIT allows you to permanently get rid of sensitization to household and especially to pollen allergens.
Prevention of severe, difficult to control, attacks of bronchial asthma - the use of basic therapy.
Secondary prevention of asthma - a set of measures to prevent asthma in children suffering from various allergic ailments.
Disability in bronchial asthma
Sick children may be invited to the commission for medical and social expertise not earlier than six months from the start of treatment of bronchial obstruction.
With controlled respiratory allergy, there is no disability.
Children with severe uncontrolled drug-induced bronchial asthma, who take hormone tablets and who need frequent inpatient treatment, usually receive disabilities.
The family of a child with disabilities in bronchial asthma receives medication and social security by decision of the ITU.
Thus, speaking of childhood asthma, you always want to emphasize the point that asthma, although it is a serious disease, can very well (and should) be controlled. Parents need to know how to relieve an asthma attack in a child, how to use an inhaler and nebulizer properly, when you should immediately seek medical help. A visit to an asthma school will be helpful to anyone who has experienced a respiratory allergy problem.
Features of the disease
How does asthma begin? Bronchial asthma is negative reaction of the bronchi on a specific allergen.
Pathology is often hereditary and manifests at an early age.
Exacerbations are replaced by remission, and the duration of these periods depends on the characteristics of the child, the living conditions, the drugs used. The disease can not be infected.
When a child has a cough after talking with children who have the same symptoms, this indicates bronchial obstruction. It occurs due to the effect of the virus on the bronchi.
The diagnosis does not mean that the child will be disabled, but will require compliance with many restrictions.
It is very difficult to eliminate the disease, but with the help of drugs you can keep remission for a long time.
The bronchial form is of the following forms:
- Non-allergic asthma. This form is caused by endocrine diseases, overloading of the nervous system or the ingress of microorganisms.
- Mixed asthma This pathology is characterized by all possible symptoms of this disease.
- Allergic. This type of asthma appears as:
- combination of symptoms of pathology and rhinitis, accompanied by copious discharge,
- cough with sputum,
- reaction to contact with an irritant.
Children of any age are at risk for asthma, but most often it develops in children under 5 years.
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The course of the disease and possible complications
Asthma is manifested differently at each age. Therefore, parents should pay attention to emerging symptoms.
This will allow you to quickly diagnose the disease and achieve long-term remission with the help of medication.
Manifestations up to a year:
- persistent sneezing, coughing and nasal discharge,
- the tonsils swell,
- bad sleep
- problems with the digestive tract,
- breathing "sobbing."
Features of manifestation to 6 years:
- coughing in sleep
- there is a dry cough during outdoor games,
- mouth breathing causes coughing.
- cough during sleep,
- children are afraid of active movement
- an attack causes the child to sit down and lean forward.
At this age, the diagnosis has already been made, and the child knows the provoking factors. is he should always wear an inhaler.
This disease is dangerous complications. This is especially fraught for the lungs, as it can occur:
- Emphysema - lungs become “airy”.
- Atelectasis - obstruction of the bronchus disables part of the lung.
- Pneumothorax - air penetrates into the pleural cavity.
Asthma affects the heart. Heart failure may occur with tissue swelling.
Causes of pathology
The main cause of seizures is considered bronchial hyperactivitythat instantly react to various stimuli.
The most common causes are:
- Most often, asthma develops in boys, as they are present structure features of the bronchi.
- Overweight children also often suffer from asthma. The diaphragm occupies a high position and therefore there is insufficient ventilation of the lungs.
- Genetic predisposition plays an important role in the development of this disease.
- Some foods should be excluded: chocolate, nuts, fish.
Sometimes asthma is the final stage of allergic manifestations.
First, urticaria appears, then eczema with itching, and only then the body reacts to an irritant with an asthmatic attack.
Seizures often occur after bronchitis or after respiratory illness.
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To avoid exacerbation of the disease, The following factors should be avoided:
- tobacco smoke,
- fungal spores in the room,
- dust in the room
- plant pollen,
- excess weight,
- cold air,
- animal fur.
All of these factors exacerbate asthma. regardless of age.
To identify asthma in a child is quite difficult. This is explained by the fact that the symptoms of bronchial asthma are similar to signs of a common cold or a viral disease. Therefore, parents often do not even guess about the development of serious pathology.
Note that in case of bronchial asthma no temperature increase. A few days before the main symptoms of asthma appear precursors. At this time, children are irritated, sleep poorly and excited.
Manifestations of forerunners:
- In the morning the baby has mucus from the nose, and he often sneezes.
- After a couple of hours, a dry cough appears.
- In the middle of the day, the cough increases and becomes wet.
- After a maximum of two days, the cough becomes paroxysmal.
Then the precursors stop and the main symptoms of the disease appear.
Manifestations of the main features:
- A strong coughing attack occurs before bedtime or after waking up.
- Upright position reduces cough.
- Before the attack, the child begins to cry and act up, as he lays his nose.
- There is shortness of breath.
- Breathing is intermittent and is accompanied by a whistle.
- There are atypical manifestations - itching and rashes on the skin.
If asthma has taken a severe form, then the attacks begin to occur at any time.
First aid for attack
Parents must feel the onset of an asthma attack in a timely manner and be able to quickly eliminate it.
Attention should be paid on the breath and the appearance of the child:
- Respiratory rate should be no more than 20 breaths per minute.
- When breathing a child should not lift shoulders. The remaining muscles should not be involved either.
- Before the attack, the nostrils begin to expand in the child.
- A bad sign is hoarse breathing.
- A dry cough may also indicate the development of asthma.
- Should monitor the skin of the child. In the presence of asthma, the body spends a lot of energy to restore breathing, and this leads to the fact that the skin becomes sticky and pales.
- With a severe attack, the skin in the nose gets a bluish tint. This indicates a lack of oxygen. The condition is very dangerous, so there should always be inhalers at home.
The attack happens suddenly and for no reason. In this case emergency assistance needed.
In such a situation, when inflammation has occurred in the airways (edema, bronchospasm), the choking child needs to ease breathing with a strong bronchodilator.
The most effective way - inhalerallowing the drug particles to instantly reach the affected bronchus zone.
Aerosol is a good and proven drug for immediate assistance. Salbutamol. Appointed by the doctor, and the parents of the sick child must be able to use the device.
Children under 5 years old still cannot breathe properly. Therefore, for such crumbs, there are special inhalers - nebulizers. Often have to use spacers. Inhaler itself is inserted into such a device.
In an acute attack, the child is given certain doses of the drug. The process of inhalation is carried out every 10 minutes and continues until normalization of breathing. If there is no improvement, then hospitalization required.
Inhaler should not be afraid, because there is no danger of overdose.
What can not be done categorically?
Asthma attacks do not always end safely. In this disease, there are deaths. Unfortunately, it is not the disease itself that is often to blame for the death of children, but the unwise actions of the parents.
This happens if inappropriate medicines were used. To kid, when he suffocates, you should not give:
- sedatives drugs. Such means prevent deep breathing, and this is unacceptable with a strong asthma attack,
- expectorants drugs. Mucolytics activate the formation of mucus, and there is an excess of it in asthma,
- antibiotics. These drugs are the most useless for asthma. They can only be used for complications (pneumonia).
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Drug treatment can be divided into two types:
- symptomatic treatment, that is, the elimination of an attack,
- basic therapy.
Tactics treatment chooses only a doctor. Self-treatment is absolutely excluded., as illiterate use of drugs will aggravate the disease and may lead to respiratory failure.
Symptomatic treatment is the use of bronchodilators: Salbutamol, Ventolin. In severe cases, corticosteroid drugs are used. The main route of administration is inhalation.
Unfortunately, all drugs of this type of treatment have a temporary effect. And the uncontrolled use of such funds will lead to the fact that the bronchi stop responding to the medication. Therefore, the dose of the drug should be strictly controlled.
Baseline therapy is selected individually, given the severity of asthma and the characteristics of the child.
Apply the following drugs:
- Antihistamine funds - Suprastin, Tavegil, Claritin.
- Antiallergic - Intal, Ketotifen.
- Antibiotics - sanitized foci of infection.
Sometimes prescribed hormonal drugs, warning of exacerbation of the disease. Often used inhibitors of leukotrienes, which reduce the sensitivity to allergens.
Treatment is canceled if remission is observed for two years. In case of recurrence, treatment should begin anew.
There are such methods of treating bronchial asthma. They imply:
- therapeutic exercises
- breathing techniques
- visiting salt caves.
Phytotherapy supplements traditional treatment and contributes to an increase in the period of remission. Used decoctions of herbs. Prepare daily and take them for a long time. Doses should be agreed with the doctor.
Bronchial asthma sometimes disappears itself during adolescence, but this happens infrequently.