Recently, the respiratory department treated a cough patient with chronic cough. Patient Wang, 28, is a famous singer. She usually has good habits and doesn't smoke or drink. A few months ago, after catching a cold, Miss Wang felt a little coughing, but she didn't have phlegm and didn't care. She took some cough medicine herself. Unexpectedly, his cough has been bad. It has become more and more serious recently. Especially at night, his cough can be heard by the neighbors on the whole floor, which has seriously affected Mr. Wang's life.
After admission, Miss Wang was diagnosed with "cough variant asthma" after a series of examinations. After learning that he had asthma, he was completely blind. He never thought that the "ordinary cough" in his eyes would eventually become "asthma".
In fact, in daily life, there are many "cough" patients like Miss Wang. It is often treated as a common cough to delay the disease.
Дакле, која врста болести је астма варијанте кашља? Како да га идентификујемо и спречимо?
Asthma without wheezing and shortness of breath. Let's know
Астма варијанта кашља је посебна врста астме и инфламаторна болест дисајних путева. Такви пацијенти немају уобичајене симптоме астме као што су пискање и кратак дах. Кашаљ је једина или главна манифестација, па се често игнорише.
Ову болест карактерише углавном иритирајући суви кашаљ (10 мл искашљавања дневно, отприлике у количини чепова две врсте обичне минералне воде), углавном ноћу и ујутру. Отприлике једна-трећина пацијената кашље дуго, а време почетка је дуже од 8 недеља. Хиперреакција дисајних путева је претпоставка напада астме. Хиперреактивност дисајних путева се односи на бржи и интензивнији одговор дисајних путева на спољашње стимулусе.
Patients with well controlled "cough variant asthma" may not have symptoms at ordinary times, but once stimulated by cold, cold air, dust, oil fume and so on. They may stimulate airway hyperresponsiveness and induce or aggravate cough.
When ordinary cough is treated, it's wrong
Cough variant asthma cannot be treated as a common cough. Domestic guidelines recommend the use of inhaled corticosteroids combined with bronchodilators, such as "budesonide / formoterol" and "fluticasone / salmeterol". It is suggested that the treatment time should be at least 8 weeks, and some patients need long-term medication. If the patient has severe symptoms and poor response to inhaled glucocorticoids, oral glucocorticoids are recommended.
Поред тога, могу се користити и антагонисти леукотриенских рецептора као што је монтелукаст натријум. Лекови попут могу ублажити симптоме кашља, побољшати квалитет живота и ублажити упалу дисајних путева.
For a small number of patients who do not respond to inhaled glucocorticoids, the use of these drugs may still be effective. At the same time, traditional Chinese medicine believes that "cough variant asthma" is related to wind evil invading the lung and lung qi loss. In the treatment of cough variant asthma, it is appropriate to dispel wind and promote lung, stop cough and promote pharynx. Suhuang Zhike capsule has significant curative effect.
Поред лечења лековима, ови пацијенти могу предузети и неке ефикасне мере да спрече настанак астме варијанте кашља. Пре свега, одржавајте добре животне и прехрамбене навике: оставите пушење и алкохол, обезбедите адекватну исхрану, побољшајте имунитет, избегавајте зачињену и подстицајну храну, обезбедите адекватан сан и правилно вежбање.
Secondly, avoid long-term exposure to inducing factors, such as dust, pollen, oil fume, irritant gas, cold air, cold, etc. Finally, early intervention, regular medication, once diagnosed as "cough variant asthma" should be treated as soon as possible.
