CARI Infonet

 Forgot password?
 Register

ADVERTISEMENT

Author: Gadiskampung25

[MERGED] All about Asthma (lelah)

[Copy link]
Post time 20-4-2004 01:44 AM | Show all posts

okay

asthma sebenarnya tak berbahaya dan sepatutnya boleh dikawal dgn pengambilan  the right ubat , technique penggunaan inhaler yg betul allright..

dan pendidikan ttg asthma ..ini boleh didapati di website..saya dah lupa cari
british thoracic society
asthma organization
Reply

Use magic Report


ADVERTISEMENT


Post time 20-4-2004 02:00 AM | Show all posts
Fly ni asmatic n ni sebb keturuan belah mum ..... from my grandpa, my aunt n their childrens ... n me ... my mum pun ada gak tp ntah biler dah tua takde la kene .....

paling kronik masa skolah .....
first time masa form 3 n masa bangun tuh cam tak betul n got wheezing ... tp masa tu takde sakit aper .... n tak kronik ... so tak gi jumpa doktor ...

yg kronik masa form 3 kot .. kene 3 in 1 pakej ... flue + fever + cough = asma ...... mmg teruk n tak gi skolah seminggu lebih .... n Fly still tak under doktor or medication ... yg sure masa tuh just dpt inhaler ...

then form 4 or 5 pun kene gak ... pakej lagi ... tp flue + cough = asma (jangkit ngan kwn sebb dia kene flue) .... so seminggu cuti n still tak under doktor or medication ... dpt new inhaler ... warna putih + warna orange ...

n biler masuk IPTA pun kene gak ... sampai gi SJMC .. tp just check up ... n takde jumpa doktor pas tuh .........

just depend to the inhaler ... Fly guna inhaler warna putih ..... orange tu .. tak guna, malas nak guna ...

just lately ... asma semakin kerap tp tak kronik ... perhaps the weather ...

worry gak coz bangun dr tido ... or suddenly terjaga ... Fly leh dengar wheezing ......


buhsan .........
Reply

Use magic Report

Post time 20-4-2004 02:01 AM | Show all posts
experience kene asma attack ...... menyakitkan .... n Fly tak kene chest pain cuma back pain ... (weird ker??)

ai yay yay ... rasa nak nangis pun ada masa kene ... biler kene kronik aaaa ...
sebb sakitnyer .. mak aih tak terkata ...
Reply

Use magic Report

Post time 20-4-2004 02:51 AM | Show all posts

salam..

oh sekarang ni kita pun tengah asthma ..berap abanyak ventolin kita inhale sbb kat sini cuaca so hot laa..kering habuk banyak
depa kata swimming is good..
oh ya  one thing about asthma ni..you never grow OUT of ASTHMA
but cuma kadar kekerapan  attcj tu berkurang bila you dak dewasa ..tapi i dah suffer since i was 8 yrs old lah so sekarang ni pun tak der bezanya..

oh ya kena attck tu lah yg takut...asyik kena bawa pi nebulised kat hospital..
Reply

Use magic Report

kintan_too This user has been deleted
Post time 20-4-2004 11:29 AM | Show all posts
kesiannya dengar cerita you all....
macam anak I lak, start kena bronkitis...umur 6 bulan, lepas tu Dr. bagi inhaler guna dalam tempoh 4-6 bulan. bila start kena batuk dan selsema terus bagi inhaler. kesian tengok dia... tapi kita ikhtiar mana yang patutkan.... so tak adalah panik sangat. Mudah-mudahan semakin beransur bila dia semakin membesar nanti..
Reply

Use magic Report

Post time 20-4-2004 03:38 PM | Show all posts
i dah beser sgt kena attack ni....especially time kecik2 dulu..
kena gi klinik kul 2,3 pagi...
skarang nih bangun pepagi mesti wheezing...i think it's the weather...
mmg kekadang rasa cam nak nangis pasal dada sakit & u cannot breathe...
sakit belakang pon biasa jugak...
kalau teruk sgt..slalu suruh mak tolong urut belakang...lega sket...
ntah laa...dah mmg dari baby dapat asthma ni...cam dah immune to it...
kalau kena attack pon..i know what to do now...
Reply

Use magic Report

Follow Us
Post time 21-4-2004 01:12 AM | Show all posts
Fly kalau kene .. wat air panas jer ... wat milo panas takde susu ....
tensen kan kalau kene serang asma .... cam masa tu takleh wat per pun w/pun ada inhaler .... tp at the same kene tunggu n relax ... breathe properly utk relaxkan muscle kat paru2 tuh .......

ape reaksi kwn2 pr org2 yg baru kenali u n tak tau u r the seorg pensakit asma???

ada yg kecian? buat bodo? curious? ....
Reply

Use magic Report

Post time 21-4-2004 12:27 PM | Show all posts
betul tu fly..mmg kengkadang kalau dah kena attack tu...tak tau nak buat aper...
kalau kat rumah..kena relax jer laa..tido pon kena letak bantal tinggi...
kalau kena kat tempat lain ker, mesti nak balik rumah utk rest...
Reply

Use magic Report


ADVERTISEMENT


Post time 22-4-2004 01:14 AM | Show all posts
Originally posted by haz at 21-4-2004 12:27 PM:
betul tu fly..mmg kengkadang kalau dah kena attack tu...tak tau nak buat aper...
kalau kat rumah..kena relax jer laa..tido pon kena letak bantal tinggi...
kalau kena kat tempat lain ker, mesti na ...



tak reti tido ngan bantal tinggi ...
tak selesa ...
kalau kene attack ... selalu tido meniarap ...
baru lega .....
Reply

Use magic Report

Post time 22-4-2004 01:51 AM | Show all posts

salam..

good question.
selalunya bebudak yg still within the school years akan may be berasa  left out kot sbb yerlah kekadang  ada overprotective parents yg kata - eh jgn lari. eh jgn buat itu dan ini eh jgn buat senaman tau kat sekolah
so in that way may be ade jugak impact  upon their lifestyle / kehidupan seharian..

lagi saatu  kalau yg kena pkai inhaler ( saya tak pasti kat MAlaysian setting lah) haa mulalah bila ada org pelik sikit kang ..depa mulalah  pandang semacam  or org kata "STIGMATISED"

hmm..oh ada yg mix up  yg kata asthma ni berjangkit...yep sbb saya secara personal pernah ditanya  eh you ni tak jangkitkan kat org ker ..suatu ketika dulu...
i mean berdesing jugak telinga but bless her kita explain..
tulah..
Reply

Use magic Report

Post time 22-4-2004 08:31 PM | Show all posts
sama la ngan Fly ...... buhsan ......
can't do that .. can't do this ......
yg over concern my friends but my parents buat buduh jer ......
he he he .......

kalau Fly .... Fly sembunyikan dr kawan ......
malas nak bgtau ......
kalau kene semput masa ngan diorg ......
ermmm cepat2 pegi gi toilet ker or somewhere yg takde org ......
Reply

Use magic Report

Post time 23-4-2004 09:50 PM | Show all posts
haz pon kalau semput ker..mesti nak lari dari org bila time nak guna inhaler tu..
tapi tu dulu laa....
skarang ni dah tak kesah...guna jer laa inhaler tu in public or mana2 pon...
mmg ader org akan pandang2 kita..cam kita ni sakit yg berjangkit lak..
tapi bio laa...let them think what they want to think...
Reply

Use magic Report

Post time 27-4-2004 12:50 AM | Show all posts
ermm .. i still ran away when ever i have to use inhaler .... dah biasa ... except certain person, tak lari ... coz diorg dah tau head n tail .....
Reply

Use magic Report

kilroy This user has been deleted
Post time 6-5-2004 11:28 AM | Show all posts
naper nak sembunyikan diri dari public. bior ler diorang tau yg kita nih ader lung problem. sebab certain org concern about this.
Reply

Use magic Report

kilroy This user has been deleted
Post time 6-5-2004 11:30 AM | Show all posts

Asthma

1. What Is Asthma?

Asthma is a chronic lung condition. It is characterized by difficulty in breathing.
People with asthma have extra sensitive or hyperresponsive airways. The airways react by narrowing or obstructing when they become irritated. This makes it difficult for the air to move in and out. This narrowing or obstruction can cause one or a combination of the following symptoms:
-  wheezing
-  coughing
-  shortness of breath
-  chest tightness
This narrowing or obstruction is caused by:
-  Airway inflammation (meaning that the airways in the lungs become red, swollen and narrow)
-  Bronchoconstriction (meaning that the muscles that encircle the airways tighten or go into spasm)
Reply

Use magic Report

kilroy This user has been deleted
Post time 6-5-2004 11:34 AM | Show all posts

Asthma

2. Provoking Factors

Two factors provoke asthma:
-  Triggers result in tightening of the airways (bronchoconstriction).
-  Causes (or inducers) result in inflammation of the airways.


Triggers

Triggers irritate the airways and result in bronchoconstriction.
Triggers do not cause inflammation and therefore do not cause asthma.
Symptoms and bronchoconstriction caused by triggers tend to be immediate, short-lived, and rapidly reversible.
Airways will react more quickly to triggers if inflammation is already present in the airways.
Common triggers of bronchoconstriction include everyday stimuli such as:  
-  Cold air
-  Dust
-  Strong fumes
-  Exercise (For more information, please refer to Exercise and Asthma).
-  Inhaled irritants
-  Emotional upsets
-  Smoke
Smoke acts as a very strong trigger. Second-hand smoke has been shown to aggravate asthma symptoms, especially in children. The effects of one cigarette linger in the home for 7 days, and therefore it is very important to provide a SMOKE-FREE HOME for all children. In fact, some health care workers feel that smoking in a home where there is a child with asthma is a form of child abuse.
Children should not be exposed to a polluted environment over which they have no control.

Causes or Inducers

In contrast to triggers, inducers cause both airway inflammation and airway hyperresponsiveness and hence are recognized as causes of asthma.
Inducers result in symptoms which may last longer, are delayed and less easily reversible than those caused by triggers.
The most common inducers are:
-  Allergens
-  Respiratory viral infections

Allergens

Inhalant allergens are the most important inducer or cause of inflammation and airway hyperresponsiveness. Probably 75-80% of young asthmatics are allergic.
The most common inhaled allergens include:
-  pollen (grasses, trees and weeds)
-  animal secretions (cats and horses tend to be to the most allergen causing)
-  molds
-  house dust mites
Exposure to an allergen (e.g. cat secretions) may cause immediate symptoms such as wheeze or cough. This occurs because airways are hyperresponsive and react by tightening. These symptoms can easily be relieved by a bronchodilator (such as Ventolin
Reply

Use magic Report


ADVERTISEMENT


kilroy This user has been deleted
Post time 6-5-2004 11:35 AM | Show all posts

Asthma

3. Asthma Diagnosis

Making a correct diagnosis is extremely important: if asthma is correctly diagnosed it can be treated appropriately.
The diagnosis of asthma involves all of the following:
a.  A detailed history which would include:
     -  family history of asthma, allergies, hay fever, eczema; children will have a greater chance of developing the above if there is a family history of allergies and asthma
     -  child's medical history including:
         *  when parents first noticed the child developed breathing problems; history of nasal stuffiness (rhinitis), itchy eyes (allergic conjunctivitis) and eczema, which are common accompaniments to asthma, and hives (urticaria).
         *  history of recurrent and persistent cough following a cold, frequent colds, croup, seasonal changes (i.e. worse in the spring and fall), exercise limited by breathing problems, waking at night with symptoms.
         *  school absences, emergency room visits (hospitalizations)
         *  environmental history
b.  Physical examination: i.e. listening to the lungs with a stethoscope; examination of nasal passages etc.
c.  Chest x-ray may be done once to exclude the possibility of breathing problems being caused by something other than asthma.
d.  Blood tests and sputum studies may be done.
e.  Allergy prick skin testing: Skin tests can confirm the presence or absence of allergies; they must, however, be correlated to the history of symptoms.
f.  Spirometry is a breathing test which measures the amount and rate at which air can pass through airways; if the airways are narrowed because of inflammation it will be more difficult for air to pass through the airways. This will result in changes in spirometry values. With children under the age of five years, generally this test is not indicated because there is a certain amount of effort and cooperation required. However, this is a very dependable method of making a diagnosis. Any difficult or troublesome asthma should be confirmed objectively by performing spirometry.
g.  Challenge tests: Exercise challenge tests and methacholine inhalation tests are procedures used most frequently in clinical laboratories to evaluate airway responsiveness.
h.  Differential diagnosis: Other possible causes of shortness of breath, wheeze, cough and chest tightness must be investigated in order to rule these out. i.e. such as heart disease, other lung conditions, gastroesophageal reflux.
i.  A trial use of asthma medications: If asthma medications are taken and improvement in symptoms is seen this further supports the diagnosis of asthma.
Because of the variability of symptoms (meaning symptoms can become worse and improve over time) a diagnosis cannot always be made immediately.
Reply

Use magic Report

kilroy This user has been deleted
Post time 6-5-2004 11:36 AM | Show all posts

Asthma

4.  Asthma Facts and Statistics

-  Asthma is a chronic lung condition that can develop at any age.
-  It is most common in childhood and occurs in approximately 7-10% of the pediatric population.
-  Asthma is the most common chronic respiratory disease of children; it accounts for 1/4 of school absenteeism.
-  It affects twice as many boys as girls in childhood; more girls than boys develop asthma as teenagers, and in adulthood, the ratio becomes 1:1 males to females.
-  Asthma affects children in varying degrees, from very mild (only during vigorous exercise) to very severe. Children with severe asthma may have symptoms every day that may cause some lifestyle restriction; in these children symptoms occur more easily and more frequently.
-  There is a general trend of increased deaths and hospitalizations from asthma recorded in all the industrialized countries of the world
Reply

Use magic Report

nautilus This user has been deleted
Post time 6-5-2004 11:48 PM | Show all posts
Asthma is a recurent, reversible narrowing of the small airways triggered by allergen due to a hyper-reactive airway to allergens. The narrowing is due to 3 factors : smooth muscles surrounding the airways contract, excessive production of mucus, swelling of the inner lining of the airway due to inflammatory changes.

To control asthma (it cannot be cured in the true sense) your dr has to act on the 3 mechanisms causing the airway narrowing. This is done by the use of various drugs and there  2 main groups.

1. Bronchodilators - eg ventolin, bricanyl, atrovent,serevent, etc Many of these are ventolin-based and sold under various names (eg Respolin, Salmol) in the form of pressurised MDI (metered dose inalers). They relax the smooth muscle and open up the airway.

2. Anti-inflammatory drugs - basically steroid-based like Becotide, Inflammide, Pulmicort, Flixotide, etc. They cause the swelling and inflammation to subside quickly and prevent their recurrence.

3. A combination of the above 2 drugs - Berodual,Seretide, Combivent, Duavent, etc

A newer oral anti-inflammatory drug (Singulair) is also available. However it is very expensive (about RM 6 per tablet) and in many cases have to be combined with another drug.

Another agent - mast cell stabiliser (eg sodium cromoglycate) prevents histamine release which causes all the allergic and inflammatory reactions. Less popular now.

Group 1 agents arealso kown as "relievers" which MUST be used during an acute attack. Once that is controlled treatment is controlled by Group 2 or even Group 3 drugs.

Which one to use ? Depends on the frequency and severity of your asthma.

1. Mild/infrequent - attacks at least 4-8 weeks apart, well in between
2. Moderate/frequent - attacks less than 4-8 weeks intervals, more symptoms in between attacks,symptoms more troublesome
3. Severe/persistent - attacks less than 4-8 weks intervals, have cough/wheeze on most days and nights, daily or almost daily use of Group 1 drugs.

Mild asthma - Intermittent use of reliever drugs.

Moderate asthma - Add sodium cromoglycate to relievers.

Severe asthma - continue intermittent reliever drugs, add inhaled preventers (Group 2 drugs) in incremental doses.

Obviously education and control of environment is important. Some tips :

1. Avoid heavy curtains,rugs, carpets, sofa with velvety material, woolen or furry toys. They trap dust and housedust mites. Vacuum them frequently and sun them at least once a week.
2. Use a damp cloth to clean the top of tables, cupboards and wardrobes. Do not duster as it disturbs the dust.
3. Try not to keep ets like cats,dogs and birds in the house. Their fur can cause allergy in certain individuals. Look out for birds nesting outside your house.
4. Parents who smoke must not smoke in the house and more so in front of their asthmatic child.
5. Wear a liht cotton dress/baju that can soak up the sweat from the body. Cooling of body from evaporation of sweat can trigger asthma.
6. Swimming is good for the lungs. Beware that chlorine in water may trigger off asthma.hose who wheeze following exercise (exercise iduced asthma) may find that it helps to take a puff of the Group 1 drugs 10-20 minutes before you exercise.

Note.Those who need to take Group 1 and 2 drugs separately one after another must make sure that you take the reliever (Group 1) first, wait for a few minutes, then only the preventer (Group 2). This is to ensure that the eliever opens the airway first before the   preventer can be delivered into the small airways.

Skin tests to identify allergens

IMHO the value of allergic skin/patch tests have been over emphasised. They are rather over-sensitive in most cases and the test solution do not truly represent the actual allergen in their natural form.

For children make sure that your child gets all the routine immunisaton needed to prevent complications from chest infections (in particular Hib and pneumococcal vaccine). You may want to add influenza vaccine but discuss with your dr first.

Take your medication regularly and your asthma will in most cases be well under control. If you need touse the relievers more than every 4 hours, get admitted to the hospital for more intensive treatment.

Dangers signs to watch out include (but not limited to):

Cannot speak in sentences or finish a sentence
Too tired or lethargic to speak.
Excessive sweating.
Sudden,severe chest pain
Sudden onset of chest tightness, difficult to breathe, choking, heavy in the chest
Change in conscious level - drowsy, delirious, combativeness
Fingers/toes turning bluish or purplish (a very late and ominous sign)
Reply

Use magic Report

Post time 7-5-2004 12:31 AM | Show all posts

hmm

any guidelines common protocols by the BTS??would that be appropriate to put this on this thread?

i think what people the public need to know in the nutshell is
HOW TO KNOW THAT YOU SHOULD RUN TO A&E for nebss...


like are you able to speak in one senteces
that sord of tell tale signs of asthma severity

i think personally people failed to recognise the " time" when they need to seek help..what do you think
i think a littl ebit of tell tale sign  - clinical signs that a citizen would recognised..when they should be saying .." okay...i think my inhaler won't do much thsi time" bla bla so....
Reply

Use magic Report

You have to log in before you can reply Login | Register

Points Rules

 

Category: Kesihatan


ADVERTISEMENT



 

ADVERTISEMENT


 


ADVERTISEMENT
Follow Us

ADVERTISEMENT


Mobile|Archiver|Mobile*default|About Us|CARI Infonet

28-3-2024 09:04 PM GMT+8 , Processed in 0.075701 second(s), 46 queries .

Powered by Discuz! X3.4

Copyright © 2001-2021, Tencent Cloud.

Quick Reply To Top Return to the list