Principles for the Management of Childhood Asthma

Written by Yan Xin Liang
Pediatrics
Updated on September 15, 2024
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Firstly, it is necessary to adhere to the principles of long-term, continuous, standardized, and individualized treatment. In the acute exacerbation phase, rapid relief of symptoms is required, primarily through anti-asthma treatment. During the remission phase, it is essential to maintain long-term control of symptoms, anti-inflammation, and reduce airway hyperresponsiveness, while also avoiding triggers and self-care. The treatment goal is to control and eliminate asthma symptoms as much as possible, reduce the number of asthma attacks, or even prevent them, maintain normal or near-normal lung function, allow participation in normal physical activities, including sports training, etc., minimize drug side effects, and prevent the development of irreversible airway obstruction.

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Written by Wang Xiang Yu
Pulmonology
1min 28sec home-news-image

Asthma belongs to what department?

When we talk about asthma, we generally refer to bronchial asthma, which is a respiratory system disease. Therefore, the primary department to consult is, of course, the Department of Respiratory Medicine. If an asthma patient's condition is relatively stable, they can see a respiratory specialist through outpatient services. In hospitals without a Department of Respiratory Medicine, such as community health service centers or township health clinics, they can choose to see a general practitioner, also known as an internist. If an asthma patient suffers an acute attack of bronchial asthma and the condition is critical, they must then visit the Department of Emergency Medicine. The emergency department will decide based on the patient’s condition whether they should be kept for observation in the emergency room, be admitted to the general respiratory department, or be sent to the ICU for further emergency treatment. Additionally, there is another type of asthma known as cardiac asthma, which is a cardiovascular disease. The first choice for these patients is to see a cardiologist, although in severe cases, they should visit the Department of Emergency Medicine.

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Written by Li Tao
Pulmonology
49sec home-news-image

The difference between allergic asthma and asthma

Allergic asthma and asthma both fall under the category of asthma, also known as bronchial asthma, which refers to chronic inflammation of the airways involving various cells and cellular components. This inflammation typically leads to high reactivity of the airways, causing repeated episodes of wheezing, chest tightness, coughing, and other symptoms. Among them, allergic asthma is a type of asthma. Allergic asthma is a relatively stubborn disease, often occurring in infancy and early childhood, with some patients exhibiting symptoms of allergies, or allergic rhinitis. Typically, symptoms like sneezing, runny nose, nasal itchiness, eye itchiness, and tearing may occur before an episode of allergic asthma, collectively known as allergic asthma symptoms.

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Written by Wang Xiang Yu
Pulmonology
1min 14sec home-news-image

Can asthma be cured?

So far, there is no known cure for bronchial asthma, and it is estimated that curing asthma within the next ten or twenty years will be very challenging. Therefore, any methods or medications claimed to treat or cure bronchial asthma found on any search engine cannot be trusted. We often encounter many people who, influenced by various advertisements, such as flyers, television, and even some newspapers, take medications containing powders that may control asthma temporarily. However, this can increase the risk of future control issues and cause many adverse reactions. Through these reactions, we can infer that these may contain oral steroids. Although oral steroids can indeed be used to control asthma, their use is subject to strict indications, and they are generally not the first choice for asthma control. Therefore, if you have asthma, you must seek standard treatment in a qualified hospital instead of self-medicating through any means, as this is inadvisable.

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Written by Yuan Qing
Pulmonology
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Asthma cough symptoms

Asthma is a chronic airway inflammation involving multiple inflammatory cells. After being diagnosed with asthma, a patient may exhibit airway hyperresponsiveness. Upon exposure to allergens or cold stimuli, the patient often experiences wheezing, breathlessness, chest tightness, and coughing. These coughing symptoms generally worsen during the early morning and night, especially after exposure to odors or cold air, which can easily trigger coughing. The cough is primarily dry, without phlegm or with a small amount of white sticky phlegm, accompanied by symptoms like nasal itchiness, throat itchiness, and itchiness in the voice box. Treatment can involve the use of bronchial asthma medications or warm water, which can also lead to improvement. This describes some unique aspects of cough-variant asthma.

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Written by Li Jian Wu
Pulmonology
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Can people with asthma smoke?

Asthma patients should certainly not smoke. Additionally, attention should be paid to dietary and hygiene habits, avoiding foods such as seafood that may trigger allergies. Smoking and alcohol should be abstained from, and water intake should be increased. Exposure to irritating chemical gases should also be avoided. Asthma is directly related to genetic factors and an individual's allergic constitution. It is necessary to strengthen exercise, boost immune capabilities, and prevent colds, especially in the spring when it is advisable to avoid going out to prevent contact with pollen that could trigger an asthma attack.