Can bronchial asthma be treated with nebulization?

Written by Wei Shi Liang
Intensive Care Unit
Updated on September 28, 2024
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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.

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Written by Han Shun Li
Pulmonology
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What medicine is used for bronchial asthma?

Bronchial asthma, although common, currently has no specific treatment. The primary aim of medication is to control symptoms. There are two main types of medications used to treat asthma: one type is known as bronchodilators, commonly including receptor agonists, anticholinergics, and theophylline. The other type is anti-inflammatory drugs, commonly including corticosteroids, leukotriene modifiers, sodium cromoglycate, nedocromil sodium, and ketotifen. (Medications should be used under the guidance of a doctor, according to specific circumstances.)

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Written by Zeng Xiang Bo
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What foods should not be eaten with bronchial asthma?

Bronchial asthma is a type of chronic, variable inflammation, which is also an allergic inflammation. In clinical cases of bronchial asthma, the majority are allergic asthma. If there is an allergy, allergens exist, therefore, it is crucial for asthma patients to strictly avoid contact with allergens. If it is food allergy, contact with the allergenic food must be strictly prohibited. Additionally, many patients do not know what they are allergic to, so they need to be cautious of common foods that can cause allergies, such as seafood, small fish, and small shrimp. For instance, if people around them or family members experience discomfort or develop a rash after consuming certain medications or foods, or if they experience chest tightness or abdominal pain after eating, such foods should be avoided as much as possible.

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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 An Yong Peng
Pulmonology
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Does bronchial asthma have wheezing sounds?

During an acute attack of bronchial asthma, patients often have wheezing sounds in their lungs, but it's important to note that some patients may not exhibit wheezing, such as those with chest tightness or cough variant asthma, who only show symptoms of chest tightness and typically do not have wheezing on auscultation. However, administering inhaled corticosteroids and bronchodilators can relieve their condition. Additionally, during a severe acute attack of bronchial asthma, severe airway spasms can occur, leading to a situation where the patient might not have any wheezing sounds, a condition referred to as "silent lung." In such cases, patients often experience difficulty breathing or even respiratory distress, which is usually quite serious and requires active intervention.

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Written by Xia Bao Jun
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Consequences of worsening bronchial asthma

The consequences of exacerbated bronchial asthma can cause the patient to feel short of breath even at rest, exhibit orthopnea, and be able to speak only in single words or syllables. The patient may experience anxiety or irritability, sometimes accompanied by profuse sweating, and an increased respiratory rate which, if severe, can exceed 30 breaths per minute. There may also be activity of the respiratory muscles and signs of tracheal tugging, an increased heart rate exceeding 100 beats per minute, which in severe cases can surpass 120 beats. Additionally, there is a decrease in blood oxygen saturation, which can drop below 60%.