Asthma complications
Bronchial asthma is common respiratory disease, can occur at any age, but more than half in the 12 years before onset, the incidence of adult men and women generally similar. Children with asthma after treatment or to adult can complete remission, but there are also half of sustainable development, a lot of complications, prevention must be early.
Bronchus and lung infection Currently recognized respiratory infection can stimulate and increase bronchial asthma attack, and easily secondary bronchial and lung infection. Therefore, in patients with bronchial asthma-ping said should focus on improving the immune function, the prevention of influenza and respiratory shading to maintain patency to reduce infection. If it has been merged bronchial and lung infection, bacterial culture and should be based on the choice of appropriate antibiotic susceptibility positive control, and application of this anti-asthmatic drugs are equally important.
Atelectasis Bronchial asthma attack increased secretions, sputum smears, but also bronchial spasm induced by obstructive airway mucus suppository in atelectasis. Prevention is the key to prevention suppository obstructive airway mucus, and its methods are: 1, and more drinking water, sufficient water to maintain the body to avoid viscous sputum; 2, enhanced care, assistance to stand up and shoot back help Reiner; 3, as far as possible asthma attack reduce mouth respiration; 4, viscous sputum may be granted if the expectorant drug or saline aerosol inhalation, 2% -4% bicarbonate satisfied that the net easily, such as sputum.
Mediastinal emphysema and pneumothorax Lower incidence, or about 5%, due to airway obstruction caused by excessive swelling or alveolar lung bullae formation, if alveolar pressure too high, such as severe cough, expectoration, head of forced alveolar rupture, the gas into the chest and abdominal subcutaneous Organization mediastinum caused pneumothorax, subcutaneous emphysema, and life-threatening. By clearing the airway secretions and disarmament bronchial spasm, avoid excessive alveolar pressure, can play a preventive role. One and a pneumothorax, pleural drainage gas immediately, serious mediastinal emphysema feasible cut exhaust treatment.
Respiratory failure severe asthma As inadequate ventilation, infection, treatment improper, inappropriate medication, as well as with atelectasis and pulmonary edema, may trigger respiratory failure, bronchial asthma treatment more difficult. To address predisposing factor early, in the prevention of respiratory failure.
Water and electrolyte and acid-base disorders Bronchial asthma excessive mouth breathing, sweating, dehydration, long-term use of ammonia tea pH, and so on, easy with water, electrolyte and acid-base disorders. In the course of treatment should be ready to monitor electrolytes and blood gas analysis, unusual promptly corrected. In the process of not so drastically as to cause iatrogenic water, electrolyte and acid-base disorders. Gastroesophageal reflux gastroesophageal reflux can cause asthma, asthma can also cause stomach reflux, the two form a vicious cycle of mutual influence. Therefore, the anti-acid, heartburn patients with bronchial asthma as soon as possible the examination, diagnosis after anti-reflux drugs (H2 receptor blockers, proton pump inhibitors, gastrointestinal motility agent) treatment.
COPD, pulmonary hypertension and chronic cor pulmonale For the long-term complications of bronchial asthma, the domestic rate of 4.4% in the report. And the incidence of bronchial asthma caused by repeated airway obstruction, infection, lack of oxygen, acidosis, hypercapnia and blood viscosity increased, and other relevant. Prevention is the key to active control of bronchial asthma and reduce attacks, should improve the diagnosis of respiratory and circulatory functions.
Pulmonary hypertension Pulmonary hypertension is the body of a response to long-term hypoxia, its incidence in the general population in our country about 3% -9%. Pulmonary hypertension mainly for drug nifedipine, Captopril, tapazole, should not use diuretics, reserpine, Jiangyaling and glucocorticoid. Propranolol and other banned a β-blocker.
Tuberculosis Lead to long-term use of glucocorticoids immune dysfunction induced by tuberculosis, TB symptoms appear. At this point and not abuse of glucocorticoid. Local advocates of the current activity, and strong penetration of the fat-soluble glucocorticoid bispropanenitrile times such as betamethasone, with its small dose, spasm effect, and side effects. If the merger tuberculosis, hormones should be used at the same time strengthen the anti-tuberculosis treatment, the use of a range of 6-8 months of therapy.
Other complications of asthma complications including allergic rhinitis, sinusitis, children stunted and thoracic deformity, constipation or diarrhea and gastrointestinal dysfunction performance. Should be given adequate attention, if that should be timely treatment.
No comments:
Post a Comment