Bronchial asthma is a chronic inflammatory disease of the airways characterized by bronchial hyperreactivity and episodes of narrowing, leading to symptoms such as shortness of breath, wheezing, coughing, and chest tightness.
Bronchial asthma is a chronic inflammatory disease of the airways characterized by bronchial hyperreactivity and episodes of narrowing, leading to symptoms such as shortness of breath, wheezing, coughing, and chest tightness. Treatment aims to control symptoms, prevent exacerbations, and improve the patient's quality of life.
KEY APPROACHES IN TREATMENT
ASSESSMENT:
1. Spirometry - the primary diagnostic method for asthma, helps evaluate the forced expiratory volume in one second (FEV1), lung vital capacity, and identify the degree of obstruction.
2. Provocation tests with methacholine or exercise - used to confirm bronchial hyperreactivity, especially in complex diagnostic cases.
3. Blood analysis - to determine eosinophil and IgE levels, which may indicate the allergic nature of asthma.
4. Allergy testing (skin tests or specific IgE determination) - helps identify allergenic triggers.
5. Sputum examination - conducted to detect eosinophils and exclude infectious agents.
NUTRITION:
1. Antioxidants (vitamins C, E) - reduce inflammation, it is recommended to include fresh vegetables and fruits (citrus, berries) in the diet.
2. Omega-3 fatty acids - have anti-inflammatory effects and can improve respiratory system condition (fish, flaxseed oil).
3. Magnesium and potassium - important for relaxing respiratory muscles and reducing bronchospasms, it is recommended to add nuts, bananas, and avocados to the diet.
4. Prebiotics and probiotics - to strengthen the immune system, which is important for preventing exacerbations.
5. Exclusion of allergenic foods - such as dairy products, gluten, if sensitivity is identified.
WATER:
1. Maintaining optimal water balance (1. 5-2 liters per day) is necessary for thinning mucus and facilitating its removal.
2. It is recommended to use water with low mineralization and a pH of at least 7. 2 to maintain acid-base balance.
GENERAL TREATMENT:
1. Inhaled glucocorticosteroids (ICS) - the foundation of therapy, reduce inflammation and prevent exacerbations (budesonide, fluticasone).
2. Bronchodilators - medications for symptom relief, include short- and long-acting β2-receptor agonists (salbutamol, formoterol).
3. Antileukotriene drugs (montelukast) - used to reduce inflammation, especially in allergic asthma.
4. Cromones - mast cell membrane stabilizers, used to prevent allergic reactions (cromolyn sodium).
5. Anti-IgE therapy - biological therapy for patients with severe allergic asthma.
ADDITIONAL MEDICATIONS AND VITAMINS:
1. Vitamin D - often prescribed to strengthen the immune system and reduce the risk of infections.
2. N-acetylcysteine (NAC) - helps thin mucus, has antioxidant effects.
3. Coenzyme Q10 - supports the respiratory system by improving cellular energy supply.
4. Curcumin and propolis - natural anti-inflammatory agents, reduce the need for medications.
LOCAL TREATMENT:
1. Steam inhalations with essential oils (lavender, eucalyptus) - help soften mucus and ease breathing.
2. Breathing exercises (Buteyko method, pranayama) - improve lung volume and ventilation.
PERSONAL HYGIENE AND LIFESTYLE:
1. Quitting smoking - a crucial factor in preventing asthma progression.
2. Moderate physical activity - walking in fresh air, yoga, swimming help improve lung function.
3. Avoiding allergens and pollutants - contact with irritants such as household dust, pollen, and household chemicals should be avoided.
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