How to treat bronchial asthma?

Written by Wang Li Bing
Intensive Care Medicine Department
Updated on September 29, 2024
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After the onset of bronchial asthma, it is necessary to carry out active treatment. In clinical practice, the following categories of bronchodilator drugs are mainly used: The first is adrenergic receptor agonists, such as salbutamol and terbutaline; the second is anticholinergic drugs, mainly tiotropium bromide; the third category is xanthine drugs, which can include aminophylline or doxophylline. Additionally, glucocorticoids can be used for pharmacological treatment. If the patient still has recurrent attacks after systemic treatment, hospitalization is recommended for further management.

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Written by Zeng Xiang Bo
Respiratory and Critical Care Medicine
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What are the complications of bronchial asthma?

The complications of bronchial asthma are divided into acute and chronic complications. Acute complications, which occur during a severe asthma attack, mainly include pneumothorax, mediastinal emphysema, severe hypoxia, respiratory failure, leading to severe arrhythmias, electrolyte disturbances, and in severe cases, coma and death. Chronic complications are mainly due to chronic changes in bronchial asthma leading to airway remodeling, chronic airway inflammation, and chronic narrowing. The complications at this stage mainly include chronic respiratory failure and pulmonary heart disease.

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Written by Wang Xiang Yu
Pulmonology
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Which department should I go to for bronchial asthma?

In our common areas, we would visit the Department of Respiratory Medicine for conditions such as bronchial asthma, which is a respiratory system disease. The Department of Respiratory Medicine is the most specialized department for treating bronchial asthma. However, in some areas, such as those below the county level like town health centers or community clinics, a respiratory medicine department might not be available. In such cases, we can only visit the general internal medicine department, also known as the major internal medicine department. Generally, bronchial asthma is treated in the outpatient clinics of these departments. However, if an acute attack of bronchial asthma occurs, causing breathing difficulties and a sudden exacerbation of the condition, it then becomes necessary to visit the emergency medicine department. Emergency doctors will handle the situation and then decide whether the patient should continue treatment under observation in the emergency department or need hospitalization, etc.

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Written by Zeng Xiang Bo
Respiratory and Critical Care Medicine
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What foods are good to eat for bronchial asthma?

What food bronchial asthma patients eat is a question with much consideration. Foods that bronchial asthma patients should avoid mainly fall into two categories: First is allergens. If a patient has previously had an allergy to certain foods, is suspected to be allergic, or has family members who are allergic to a particular food, then they should avoid eating it. Also, common allergens like small fish, shrimp, and seafood should be avoided, especially during asthma attacks. The second category is spicy and irritating foods, which should also be avoided. Therefore, the primary focus should be on eating light, easily digestible foods, and sticking to foods that are commonly eaten, avoiding those that have not been tried before. Moreover, if a food is known to potentially cause allergies after medication, it should not be consumed. (Please use medication under the guidance of a professional physician, and do not self-medicate.)

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Written by Han Shun Li
Pulmonology
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Does bronchial asthma spread?

In some families or among relatives, multiple people may have bronchial asthma. If multiple members suffer from bronchial asthma, is it because they have infected each other? Actually, that's not the case. Bronchial asthma is not contagious. The reason why multiple family members or relatives have bronchial asthma is due to genetics. The closer the familial ties of asthma patients, the higher the incidence of the disease. The more severe the patient's condition, the higher the incidence among their relatives. Therefore, asthma is related to genetics but is not contagious.

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Written by Wei Shi Liang
Intensive Care Unit
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Can bronchial asthma be treated with nebulization?

Patients with bronchial asthma can undergo nebulization, especially pediatric asthma patients who are more suited for nebulizer therapy. Nebulization inhalation is currently a safe and effective method for treating childhood asthma and is listed by the World Health Organization as the first choice for global asthma prevention and treatment. For severe asthma during acute exacerbations and attack periods, nebulization therapy is not recommended. When using nebulization therapy, it is important to regularly disinfect the nebulizer and replace it periodically. During severe bronchospasm, it is important to avoid using excessive doses of receptor agonists, and care should be taken to avoid too low drug concentrations during nebulization, as it is not conducive to the effectiveness of the treatment.