To tell the truth she is an unfortunate mother, the child has repeated asthma attacks since childhood, three days of two ends to the hospital, the child can not move on the cough and asthma, there are people around the cold, he began to cough, every time to the hospital do not hang a week of anti-inflammatory drugs can not be good, and then have to add nebulization inhalation treatment to stabilize the disease, began to do not know what the disease, stayed up to 5 years old to do lung function and bronchodilation test to confirm asthma, various drugs tried over, and finally to 7 years old their own better, At the same time, the inhalation hormone began to gradually stabilize, but another problem highlighted to confirm that the mother was more worried.
The drug was smoked for 5 years, and the 12-year-old was only 1 meter 3
Another problem that makes the mother worry is the size of the child, the child has been short and fat compared to the same age after going to school, in fact, the size of the parents is not short, the father is 178cm, the mother also has 168cm, the child's size is obviously not developed according to the imaginary size, 12 years old 5th grade, the height is only 1 meter 3, two or three years has not been much longer, obviously much shorter than the same age, the mother asked me if I can still use inhaled medicine, is there any way to make up or replace.
Can inhaled hormones cause stunting in children?
This is indeed a possibility, but in most cases, the systemic side effects of inhaled hormones are relatively small. Why? This is because the starting point of inhaled hormones is at all levels of the bronchi in the lungs, and after the onset of action, these hormones will be quickly metabolized and rarely enter the blood circulation, so it causes systemic side reactions, such as abnormal bone development, affecting systemic immunity, and the probability of side reactions such as full moon face and buffalo back is very small. But there are still some patients, especially children, who use inhaled hormones for a long time, which can lead to the performance of height developmental delay, why is this so?
Some inhaled hormones still enter the bloodstream
There are two pathways here, one is to inhale hormones to reach the trachea and bronchi adhere to the trachea wall, may be absorbed by the mucous membrane in the trachea into the blood, although the amount is small, but can not stand the accumulation of years in the body, may affect the growing and developing children's bones. Another pathway is that a portion of the inhaled hormone adheres to the throat and is swallowed and absorbed in the stomach, affecting child growth through the same mechanism.
Do you still want to use hormones?
Glucocorticoids are the cornerstone of asthma treatment, no drug can replace it, why so, this is related to the pathogenesis of asthma, asthma is actually caused by an allergic inflammation of the tracheobronchia, this inflammation is not caused by pathogens such as bacteria, so it can not be alleviated by antibiotic treatment, and hormones are drugs that deal with this inflammation, many people are not clear, not to say that cephalosporin, penicillin is an anti-inflammatory drug? In fact, everyone is mistaken, cephalosporin, penicillin is to kill bacteria, but the inflammation caused by bacteria can not be inhibited by cephalosporin and penicillin, the drug that inhibits inflammation is only glucocorticoids, so inhaling glucocorticoids is a special drug for treating asthma. There is a two-pronged right, if you stop the drug on the attack, it can only risk the development of the drug, because the repeated asthma attacks will also affect the growth and development, if the drug is not very serious, then you can also stop the drug observation.