Willows are in full bloom
This May Day holiday
Your circle of friends is not full of green and flower-viewing screens
But there's a bunch of "little poor guys."
Slightly "hi" during the day
At night, it "coughs and coughs" non-stop
Got a cold? NO!
Department of Emergency Medicine, First Affiliated Hospital, Zhejiang University School of Medicine
It sent a cough "faint" past patient
There are also people with chest tightness and shortness of breath and difficulty breathing
A check, all of them are recruited "asthma"!
Hey? Chunjiao in "Chunjiao and Zhiming"
Pop in The Hidden Corners
Er Chun in "The Desire of the Golden Branches"
Leonard in the American drama "The Big Bang Theory"
During an asthma attack
Do you have to cover your chest, gasp for breath, and look pale?
And then take the small pill bottle out of your pocket and squirt wildly?!
How can repeated chronic coughs and chest tightness also be asthma?
3 May is World Asthma Day
Respiratory medicine experts have something to say!
Coughing is always not good
Once fainted, the young woman was diagnosed with asthma
Xiaomei (pseudonym), a 29-year-old from Hangzhou, was tortured by cough for half a year. Compared with the same age, Xiaomei's body is not very strong, has not been serious illness, small diseases continue, especially every season, allergic rhinitis, urticaria unconsciously will come to the door, but also very easy to catch a cold and cough, the condition is often repeated. According to her recollection, since the National Day of 2021, after traveling to Sanya with her boyfriend and suffering from a serious cold, this "sequelae" has recurred and has not been able to be good.
At that time, the severe cold made her have a high fever, cough, and nasal congestion, and it took a long time to recover, but the cough was intermittently not healed. During this period, she also gave herself a "doctor" and ate some "Lotus Qing Plague" and "Chuanbei Loquat Cream", but the effect was not obvious, and her cough still recurred.
"Every morning when I got up, I obviously felt that my throat was dry and itchy, and I couldn't help but cough for a long time; it would get slightly better at noon, and the cough would worsen at night, sometimes I couldn't stop coughing, and I would even wake myself up in the middle of the night, and I couldn't sleep well all night."
To this end, Xiaomei went to the community hospital and the Chinese medicine outpatient department, but the chest x-ray and lung CT examination showed no problems. Recently, the weather in Hangzhou is like a child who will change his face at any time, the temperature is suddenly high and low, and the city is full of pollen and willows, Xiaomei's cough is more serious, one morning, after a violent cough, she suddenly fainted to the ground, although she has woken up after a few seconds, frightening her boyfriend to urgently send her to the first hospital of Zhejiang University.
"Your cough is not a cold 'sequelae', it may be cough variant asthma." Yao Yinan, deputy chief physician of the Department of Respiratory Medicine of the First Hospital of Zhejiang University, who was treated, felt that this "strange" repeated cough was by no means so simple, and then the bronchodilation test on Xiaomei (judging the reversibility of airway obstruction by measuring the change of FEV1 before and after the inhalation of bronchodilators by patients, which is mainly used clinically to diagnose bronchial asthma) was positive, confirming the experts' conjecture. The root of the disease was found, and Yao Yinan, deputy chief physician, tailored a treatment plan for Xiaomei to alleviate cough variant asthma, and after a period of time, her cough was greatly alleviated, and regular follow-up was needed to control asthma.
"Clinically, from time to time, we encounter such asthma patients who do not have typical asthma manifestations, they are often plagued by repeated chronic coughs, but they have always been treated as colds or bronchitis, and the use of general phlegm and cough drugs is mostly ineffective." According to experts, some such patients even go to many hospitals, several years to find out the cause, asthma attack, because of lack of oxygen, will lead to excessive excretion of carbon dioxide, causing respiratory alkalosis, respiratory muscle fatigue and respiratory acidosis, and even cause cardiac arrest or respiratory failure, there will be life-threatening.
Although cough is only one of the main symptoms, cough variant asthma can become poorly controlled and become more severe if left untreated. Therefore, early diagnosis and treatment are very important for the prevention of asthma.
Chest tightness and shortness of breath, mistakenly thought to be a pulmonary embolism
The "culprit" is asthma again
40-year-old Ah Yong (pseudonym) lives in Jinhua, is 1.7 meters tall, weighs about 150 pounds, and belongs to slightly fat people. Since about February, as long as he is a little more active, he will have difficulty breathing and can't breathe. Every time he rested for a few minutes, Ah Yong always thought that he was wearing a mask and did not pay attention to it. But since then, Ah Yong, who has never smoked, coughed when he smelled smoke, and the smell of oil smoke and paint also made him unbearable.
With the passage of time, his condition gradually became more serious, half a month ago, Ah Yong began to sleep with a breathlessness, "as if he was going to die" Breathing difficulties, not only that, from the original activity when the chest tightness and breath quickly developed to sitting, lying down and feeling breathless. Asthma recurs in the afternoon and at night, lasting up to nearly 2 hours.
"In the afternoon, the mask can't be worn at all, because as soon as you put it on, it seems to be suffocating." After dinner on February 27, Ah Yong went downstairs for a little activity, did not expect to have chest tightness and shortness of breath in less than 10 minutes, "near-death feeling" struck again, and his family rushed him to the emergency department of the local hospital, the local hospital began to think that it was "pulmonary embolism", but the pulmonary artery CTA did not see obvious abnormalities.
Every time he experienced it, He couldn't breathe, and Ah Yong, who didn't find out why he was, became more and more afraid. After many inquiries, he came to the Department of Respiratory Medicine of the First Hospital of Zhejiang University to find the cause, and the careful doctors determined that Ah Yong was not "pulmonary embolism" through pulmonary artery CTA, lung perfusion imaging and other examinations, and then a series of tests such as lung function, airway excitation test, exhaled nitric oxide determination, etc., and finally caught the culprit - the variant asthma with chest tightness as the only manifestation.
After a period of hospitalization symptomatic treatment, Ah Yong's chest tightness and shortness of breath improved significantly, and after discharge, he also had to review regularly and take medicines according to the doctor's instructions to prevent the acute attack of asthma. Experts have introduced that the only manifestation of chest tightness variant asthma can occur at any age, when chest tightness persists or recurs for ≥ 8 weeks, and chest tightness is the only or main clinical manifestation, and there is no wheezing sound on auscultation of both lungs at the time of the attack, and there is no obvious organic change in X-ray examination and chest CT examination.
There are more than 30 million people with asthma on the mainland
In the face of asthma, these misunderstandings should not be tolerated
Bronchial asthma, abbreviated as "asthma", is a chronic respiratory disease. Seizures are characterized by recurrent wheezing and shortness of breath.
"Asthma attacks have a very typical feature, especially at night or in the early morning, usually concentrated in 2-6 a.m." According to experts, the pathogenesis of asthma is very complex and is a disease with a polygenic genetic predisposition. The onset of the disease in people with asthma susceptibility genes is greatly affected by environmental factors, which are as follows:
1
Allergenic factors
Indoor allergens such as dust mites, domestic pets, cockroaches; outdoor allergens such as pollen, grass powder; occupational allergens such as paint, feed, reactive dyes; food such as fish, shrimp, eggs, milk; drugs such as aspirin, antibiotics.
2
Non-allergic factors
Such as air pollution, smoking, sports, obesity, etc. It is often associated with exposure to allergens, cold air, physical or chemical stimuli, and upper respiratory tract infections, exercise, etc.
According to incomplete statistics, there are more than 30 million asthma patients in the mainland, of which allergic asthma accounts for more than 50% of adult asthma, and children's asthma is as high as 80%. Different people have different degrees of asthma, some are very light, some are very heavy, and the harm caused by different degrees is different:
The dangers of asthma
1
Asthma can cause respiratory failure.
2
Asthma can cause pneumothorax. Acute asthma attacks sometimes lead to alveolar rupture in patients with large alveoli or severe emphysema due to increased pressure in the alveoli.
3
Asthma can cause sudden asthma death. When an asthma attack occurs, the condition is critical and rapid, resulting in severe respiratory failure, acidosis in the body, water and electrolyte disorders, etc., and a small number of patients can have respiratory arrest within hours or even minutes, resulting in sudden death.
As one of the most common chronic diseases in the world, asthma exacerbations are highly life-threatening, with ten or even minutes of life-threatening. Therefore, in the face of asthma, these misunderstandings should not be:
1
Asthma can not break the root, anyway, it can not be cured
Asthma in adults is difficult to completely cure, but standardized treatment can make the symptoms disappear and avoid the more serious consequences as much as possible.
2
Asthma is an infectious disease
Asthma is not an infectious disease, much less contagious. However, it should be noted that the common cold and flu can also cause asthma attacks.
3
People with asthma cannot exercise
As long as asthma is well controlled, it is completely possible to exercise. American swimmer Phelps and our beloved Fu Yuanhui both suffer from asthma.
4
When symptoms improve, the drug is discontinued
Current asthma treatment is based on inhaled hormones. Many asthma patients feel that the symptoms have been alleviated, so they reduce or stop the drug without authorization, often resulting in repeated attacks that cannot be well controlled, and even the disease gradually worsens. It is even more important not to replace daily control drugs with first aid drugs.
NO.1
Tips
Bronchial asthma patients must first avoid allergens, take drugs according to the doctor's instructions, and carry drugs with them, elderly asthma patients are best not to live alone, if there is a serious illness, please also go to the regular hospital for timely examination. If you notice a sudden and severe attack in an asthma patient:
1
Keep the air fresh, move the patient to a well-ventilated place or leave the doors and windows open.
2
Race against the clock to call the 120 emergency number and stay in touch with the 120 doctors for professional guidance.
3
Cleans the patient of vomit from the stobial secretions and keeps the airway open. Unbutton the patient's garment so that it remains upright or seated, facilitates breathing, and does not force reclining or lying down.
4
If the patient has cardiac arrest and other phenomena, CPR CPR is required.