George Yurenev "Asthma should be treated so that people did not feel that he was ill"

Bronchial asthma - chronic diseases, but modern approaches to its treatment make it possible to keep the disease under control and lead a full life

This is what we are talking to director of the independent public organization "Pulmonary Alliance", doctor-pulmonologist, doctor of medical sciences Georgi Yurenev .

The offensive continues

"AIF. Health ": - Bronchial asthma - a disease for a long time and well-known medicine, but why stop its offensive and fails? According to the WHO, every 10 years the number of patients in the world increased by half.

- Over the past 50-60 years, humanity has radically changed the environment we are surrounded by synthetic materials, we buy products with dyes, preservatives and other harmful additives, breathe air polluted by exhaust fumes ... The nature of the human body is programmed to completely different conditions of existence, and the price paid, figuratively speaking, for such a "reset" - a powerful burst of allergic diseases, including asthma.

But asthma is associated not only with allergic mechanisms. There are many other factors contributing to its development: smoking, including passive, nonsteroidal anti-inflammatory drugs and even, strangely enough, the disease of the gastrointestinal tract.

"AIF. Health ": - That is the" chance "to be ill have virtually everyone?

- Well, it is perhaps too pessimistic, but still not too much to know each of the risk factors. In the development of asthma plays a significant role genetic factors. The risk also increases in sickly children, on artificial feeding. Allergic diseases, including asthma, is more common in children in excessively sterile conditions - gipergigiena and causes allergy. The human immune system is programmed to recognize many types of micro-organisms around us, and fight against those who penetrate into the body. Remain "unemployed", immune system switches to a different type of activity and begins to produce another class of antibody - no anti-infective and allergic.

Cpetsificheskie hazards have women - hormonal changes caused by pregnancy, abortion, menopause, certain endocrine and gynecological diseases.

Diagnosis without errors

"AIF. Health ": - Why the diagnosis" bronchial asthma "often put late, when the disease is already" gained momentum "?

- We have the majority of people are drawn to the clinic in the community, and lung specialist or allergist there rarity. Doctors also often general practitioners diagnosed "bronchitis". The problem is not only in qualifying - local therapist loaded writings, according to the standards on the patient it will only be given 10-15 minutes after admission to the clinic must also run on the challenges. And his salary does not depend on the effectiveness of treatment ...

But the problem has another side: asthma manifests itself sporadically and not always begins with an attack of breathlessness. Its other symptoms - shortness of breath, coughing, wheezing, a feeling of nasal or chest tightness. And because such sensations the patient feels every day, it does not attach any special significance, and is in no hurry to see a doctor until the thunder clap. We have not tried and tested culture of careful attention to their health, and hence many of the problems.

"AIF. Health ": - What inspections need to go through to finally find out this asthma or something else?

- In case of complaints of shortness of breath, a feeling of "stuffiness" in the chest, shortness of breath held spirography. This study allows to establish the degree of violation of respiratory function. Doctor on obtain indicators evaluates the capacity of the lungs, airway, the severity of pathological changes, and so on. D.

Furthermore, appointed by the CBC, sputum examination, allergy tests are carried out.

Sometimes, in order to rule out other diagnoses, which is also a symptom of cough, the doctor prescribes radiography, bronchoscopy and other surveys.

Everything's under control

"AIF. Health "- Experts say that for many patients today is quite real lead a normal life of a healthy person, if you keep asthma under control. What does this mean?

- Control is successful if a person is experiencing symptoms at least, if he has no exacerbations and lung function close to a normal level .  It can even go in for sports .  Because asthma - an inflammatory disease of the respiratory tract, to reduce this process uses basic therapy .  The most effective anti-inflammatory drugs are now considered inhaled steroids - ICS .  The second group of drugs intended for the relief of exacerbations: their action aimed at expanding the spasm of the bronchi, which facilitates the patient's breathing .  In addition, to control the disease with asthma should be twice a day to measure peak expiratory flow (PSV) - the rate of exhalation of air by using a simple device for home monitoring - peak flow meter .  He needs asthmatic as a tonometer hypertensive .  Peak flow indicators allow you to monitor the state of the dynamics and provide an opportunity to identify disordered breathing until shortness of breath or cough, take medication to relieve the symptoms and prevent the onset of an exacerbation .

"AIF. Health ": - Some patients accept the appointment of hormones in the bayonets ...

- It's a common misconception that a drug of this kind occurs quickly addictive, it will have to increase the dose, and so on. D. So it was in the era of widespread use for asthma systemic hormones (pills, injections), who were appointed for the long term. Inhaled corticosteroids are used topically, inhaled directly into the bronchial tubes, providing anti-inflammatory effect was in the "kill zone". In this dose, which receives the patient, ten times lower than, for example, in the treatment of systemic hormones.

"AIF. Health ": - Sometimes asthmatics" experienced "begin to self-medicate, moving only bronchodilators. Than it is fraught?

- Bronchodilator drugs are able to eliminate only the symptoms but do not act on the cause of the disease - an inflammation of the bronchi. They create the illusion of prosperity, and the inflammatory process develops and causes such profound changes that they can become irreversible. This is a direct path to severe disease, hospitalization and even fatal ending. Another dangerous consequence of self due to the fact that bronchodilators drugs belong to a class adrenoagonistov which in overdose causes a large number of side effects, particularly on the part of the heart.

"AIF. Health ": - A person suffering from asthma, as well as diabetics to live, managing their disease. The country has established a network of "diabetes schools". What about asthma?

- We exist "Asthma-school", although not everywhere. Their addresses can be obtained from physicians pulmonologists. To work with patients suffering from bronchopulmonary diseases, a non-profit organization "Pulmonary Alliance", whose main goal - improving the quality of life of patients. We run the city "Asthma-days", produce information materials for patients and doctors. One of the latest initiatives "Pulmonary Alliance" - a program "Free Breath", in which, a new informative website, which shows the tests that help people recognize in their asthma symptoms, recommendations are given to patients on lifestyle, is now being developed and training interactive computer program.

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