Unlike the treatment of the crisis that brings immediate relief, substantive treatment should be taken on a regular basis in order to control the symptoms and reduce the number of crises. These drugs can also prevent degradation of lung function over time.
Background processing is the only way to effectively reduce the number, duration and intensity of the crisis. It takes as long as lasts disease and is based on daily doses of drugs that will act in depth on the phenomena of asthma.
The different available treatments
Background processing relies primarily on an anti-inflammatory to reduce the hyperresponsiveness and airway inflammation. These two components of asthma must absolutely be controlled to curb the deterioration of the disease. The products are the inhaled corticosteroids, the Inhaled cromones or antileukotrienes.
To reduce respiratory discomfort and improve the quality of life, and bronchodilators are sometimes associated with anti-inflammatory. Traditionally used in the application in the treatment of seizures, bronchodilators used in background processing are not the same compounds. They have a duration of action much longer, which allows the continuation of the diameter of the bronchi on the day.
Increasingly, anti-inflammatory and bronchodilators are directly associated in some medicines. This reduces the number of daily catch and therefore facilitates the monitoring of the treatment.
More recently, an antibody monoclonal anti-IgE, Xolair ® is an additional accessible from the age of 12 years for severe asthma poorly controlled (in addition to the traditional support, most commonly corticosteroids inhaled in high doses and long acting bronchodilators). Should first ensure the allergic origin of asthma by skin testing or a determination of specific IgE. The initial prescription should be made to the hospital, the renewal is reserved for specialists in Pulmonology and pediatric.
Treatments for permanent evaluation
Unfortunately, the effectiveness of the treatment of bottom is not perceived immediately. This often results in a relaxation of the patient who eventually forget jacks or even stop its processing. However, the good adherence to treatment is essential for good asthma control.
Ideally, an asthmatic patient consults his doctor every 3 to 6 months to make the point: measuring peak expiratory flow rate (peak-flow), analysis of the perceived respiratory gene and its impact on quality of life, the number of consultations in emergency… On the basis of this information, the doctor will be able to adapt its order and take steps to facilitate the monitoring of the treatment.