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New Year's Eve, be careful of these asthma-inducing factors
Medication tips
"In addition to the sound of firecrackers, the spring breeze sends warmth into the Tusu", during the New Year, fireworks are one of the sources of happiness for children, but the safety accidents related to this are also endless, in addition to the need to pay attention to safe discharge, fireworks are also an important precipitating factor for respiratory diseases.
Recently, Tingting of Changsha, Hunan Province, was uncomfortable at home because of a cold, but her father did a stupid thing.
Tingting's father saw that the child was sullen and unhappy, and in order to make her happy, he actually bought back fireworks to set off at home. Due to the lack of ventilation in the home, Tingting, who was already cold, had a severe cough, accompanied by shortness of breath, and Tingting was diagnosed with severe pneumonia after being urgently sent to the hospital.
Image source: Screenshot of Weibo
The father in the news can be described as "strange", and most people know that fireworks cannot be set off at home, not to mention that there are sick children at home. Dr. Huang Kang of the Department of Critical Care Medicine of Hunan Children's Hospital reminded everyone in an interview with the media that setting off fireworks in an unventilated indoor environment can easily damage the mucous membranes of the child's respiratory tract, which can seriously lead to pulmonary edema and even endanger life. Fortunately, the child has been treated and is now in better condition.
As a traditional custom, fireworks and firecrackers are a form of people's joy and mood, but at the same time, fireworks will also produce a large number of harmful gases such as SO2 and NO2, as well as carbon particles, various types of metal particles soot, causing serious damage to the human respiratory tract, inducing or aggravating respiratory diseases such as asthma and bronchitis.
Source: Anhui Satellite TV
Especially in families with asthmatic children, try to avoid fireworks and firecrackers, or watch fireworks from a distance. In addition to fireworks, these common factors during the New Year can also easily induce asthma.
Second-hand smoke
During the Chinese New Year, many relatives sit around, and if one of them smokes, the smoke smell is very obvious in the indoor closed environment. Everyone knows that smoking is harmful to health, second-hand smoke also affects the health of people around them, especially for children with asthma, harmful substances and fine particles in cigarettes can increase the sensitivity of the airways and induce asthma attacks in children.
For children without asthma, smoking in front of children can also cause adverse effects, and studies have found that children who have long smelled second-hand smoke have a greatly increased probability of respiratory diseases such as asthma, cough, sputum cough, and wheezing.
Even if you do not smoke in front of your child, after smoking indoors, the particles produced by cigarette combustion will still adhere to the surface of clothing, furniture, walls and other objects, continuing to endanger the health of family members. Therefore, for the sake of your child's health, even if it is the New Year, please do not smoke indoors and remind your friends and relatives who behave in time.
In addition to second-hand smoke produced by cigarettes, oil fumes from cooking at home are also a source of household air pollution. When making a delicious meal, use a range hood and run it for more than 5 to 10 minutes after cooking to discharge the fumes indoors to avoid the recurrence of the child's condition caused by the inhalation of the fumes.
microtherm
Hypothermia can indirectly affect the airways through the skin, or it can trigger adverse functional changes in the airways through direct inhalation. People with respiratory diseases are more likely to show respiratory symptoms such as cough and shortness of breath in a low temperature environment, which is mainly reflected in the fact that after cold air enters the airway, it causes the airway contraction to increase, weaken the diastolic function, or cause airway spasm, and the patient has symptoms such as wheezing, shortness of breath, chest tightness and cough, which induces asthma attacks.
If the child suffers from asthma, before taking the child to visit relatives and friends, parents should always pay attention to weather changes and add or subtract clothes to the child in time. If there is heating or air conditioning in the home, the indoor and outdoor temperature difference should be controlled at about 10 ° C, or the temperature over-temperature space should be reserved, such as standing in the corridor for a while and then going out again, so as to avoid sudden temperature changes leading to asthma attacks in children.
Strenuous exercise
Children with exercise asthma will have symptoms such as sneezing, runny nose, chest tightness and so on after strenuous exercise, but moderate exercise is beneficial to the health of children with asthma.
The Global Asthma Initiative (GINA) states that regular aerobic exercise in asthma patients can help improve lung function and quality of life, especially for people with moderate asthma. At the same time, after a period of exercise, children with asthma will significantly reduce the high reactivity of the airway, which can control asthma symptoms to a certain extent.
Therefore, children with asthma can choose to engage in appropriate physical activities, such as swimming, walking, jogging and other sports. Before outdoor exercise, parents should also pay attention to controlling air quality, cultivate the habit of breathing with their noses as much as possible, and reduce their irritation to the mucous membranes by moisturizing and heating cold air. When going out, you should also carry first aid drugs, such as salbutamol aerosol, budesonide aerosol, terbutaline aerosol, etc. When you are unwell, you should immediately stop your activities, rest in place, and use drug first aid if necessary.
In addition to circumventing asthma-inducing factors, children with asthma should also conduct self-monitoring and management of the condition under the guidance of a doctor, such as the correct use of peak flow meters and accurate records of asthma diaries, which can help doctors obtain effective information, help to correctly assess asthma severity, control levels and treatment responses, and select and adjust treatment drugs.
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Setting off fireworks is part of the strong "New Year's flavor", which adds endless fun to the New Year, but there are also hidden dangers. The New Year is a festival for family reunions, but the safety of the New Year cannot be ignored, so parents should pay more attention to the health of their children.
bibliography:
Zhou Xin,Zhang Min. Interpretation of Chinese Guidelines for the Prevention and Treatment of Bronchial Asthma (2020 Edition)[J].Diagnostic Theory and Practice,2021,20(2):138-143.
[2] Respiratory Group, Science Branch of Chinese Medical Association, Editorial Board of Chinese Journal of Pediatrics. Guidelines for the diagnosis and prevention of bronchial asthma in children (2016 edition)[J].Chinese Journal of Pediatrics,2016,54(3):167-181.
Shen Kunling,Zhao Jing. The Exploration of Chinese Children's Asthma Action Plan[J].Chinese Clinical Journal of Practical Pediatrics,2017,32(4):241-244.
Wen Hui,Zhou Jinyan. Research progress on epidemiological status and risk factors of asthma in children[J].Medical Review,2013,19(4):667-670.
This article was first published: Pediatrics Channel of the Medical Professions
Author: Yuzu
Editor-in-charge: Dai Dai Zhangli
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