Asthma: The good treatment

All “piping” children become not asthma in adulthood, but sometimes the asthma persists. In this case, better to heal properly, to live as comfortably as possible.

The key to a ‘normal’ life is in control, by knowledge of your risk factors for triggering attacks and an appropriate substantive treatment. The latter can therefore vary depending on your symptoms.


A basic treatment for a lifetime
Unless asthma manifests that very punctually, in contact with animals for example or in a House of friends, truffle mold or mites, substantive processing is essential. According to molecules, this medication will daily, decrease inflammation and dilate the bronchial tubes.

This background processing is inextricably linked to a number of preventive measuresof environmental control. Because the factors that may trigger a crisis are different from one person to another, these actions are specific to your case. These “crisis triggers” are evolving even in a lifetime… In the lead, dust, rhinitis, including cigarette pollutants which particularly irritated bronchi, here hypersensitive and hyperresponsive.

Alarm signs to spot
As asthma is a disease “unstable”, with phases lull which followed periods of loss of control, it is not question of interrupt processing when everything seems to go well… And above all, one must be attentive to your respiratory symptoms: coughing, discomfort, shortness of breath on exertion, fatigue… They are the consequence of the difficult passage of air through the small and large bronchi.

In General, control of the disease is considered acceptable if all these criteria are met to: symptoms in less than 4 days per week day, nocturnal symptoms less than one night per week, a physical activity normal, minor exacerbations (that you can manage with a few puffs of a bronchodilator of crisis) and infrequent (less than 4 times per week)not absenteeism and objective measures of proper breath (expiratory peak flow or forced expiratory volume in the first second).You specify with your doctor which are most relevant in your particular case.

A treatment to adapt
On a basis of inhaled corticosteroids, in varying doses, the doctor adjusts the control of the disease, considered acceptable, or even optimal, or on the contrary unacceptable treatment. It can increase the doses of corticoids, inhaled preferably, and add one or more medications “additional”, or other families, if necessary, to the rhythm of the consultations, all one to three months depending on the response to treatment. Conversely, when the control is acceptable, it is to find the smallest dose possible (but always effective!), in 3-month increments.

The timing of follow-up, once the situation is stabilized, depends on two parameters, control the respiratory situation and doses of inhaled corticosteroids: consultation with a measure of the EPD every 3 months for high doses, every 6 months for medium-sized doses, all years if you do not take substantive processing. It is of course tightened, with consultation and pulmonary function tests at least every month if the control is unacceptable or impossible.