Recently, the respiratory department treated a cough patient with chronic cough. Patient Wang, 28, is a famous singer. She usually has good habits and doesn't smoke or drink. A few months ago, after catching a cold, Miss Wang felt a little coughing, but she didn't have phlegm and didn't care. She took some cough medicine herself. Unexpectedly, his cough has been bad. It has become more and more serious recently. Especially at night, his cough can be heard by the neighbors on the whole floor, which has seriously affected Mr. Wang's life.
After admission, Miss Wang was diagnosed with "cough variant asthma" after a series of examinations. After learning that he had asthma, he was completely blind. He never thought that the "ordinary cough" in his eyes would eventually become "asthma".
In fact, in daily life, there are many "cough" patients like Miss Wang. It is often treated as a common cough to delay the disease.
Niisiis, mis haigus on köha variant astma? Kuidas peaksime seda tuvastama ja ennetama?
Asthma without wheezing and shortness of breath. Let's know
Köha variandi astma on astma eriliik ja hingamisteede põletikuline haigus. Sellistel patsientidel puuduvad tavalised astma sümptomid, nagu vilistav hingamine ja õhupuudus. Köha on ainus või peamine ilming, mistõttu seda sageli eiratakse.
Seda haigust iseloomustab peamiselt ärritav kuiv köha (10 ml rögaeritust päevas, umbes sama palju pudelikorke kui kahte tüüpi tavalist mineraalvett), peamiselt öösel ja hommikul. Ligikaudu üks-kolmandik patsientidest köhib pikka aega ja köhimise aeg on üle 8 nädala. Hingamisteede hüperreaktiivsus on astmahoo eeldus. Hingamisteede hüperreaktiivsus viitab hingamisteede kiiremale ja intensiivsemale reageerimisele välistele stiimulitele.
Patients with well controlled "cough variant asthma" may not have symptoms at ordinary times, but once stimulated by cold, cold air, dust, oil fume and so on. They may stimulate airway hyperresponsiveness and induce or aggravate cough.
When ordinary cough is treated, it's wrong
Cough variant asthma cannot be treated as a common cough. Domestic guidelines recommend the use of inhaled corticosteroids combined with bronchodilators, such as "budesonide / formoterol" and "fluticasone / salmeterol". It is suggested that the treatment time should be at least 8 weeks, and some patients need long-term medication. If the patient has severe symptoms and poor response to inhaled glucocorticoids, oral glucocorticoids are recommended.
Lisaks võib kasutada ka leukotrieeni retseptori antagoniste nagu montelukastnaatrium. Sellised ravimid võivad leevendada köha sümptomeid, parandada elukvaliteeti ja leevendada hingamisteede põletikku.
For a small number of patients who do not respond to inhaled glucocorticoids, the use of these drugs may still be effective. At the same time, traditional Chinese medicine believes that "cough variant asthma" is related to wind evil invading the lung and lung qi loss. In the treatment of cough variant asthma, it is appropriate to dispel wind and promote lung, stop cough and promote pharynx. Suhuang Zhike capsule has significant curative effect.
Lisaks uimastiravile võivad need patsiendid võtta ka mõningaid tõhusaid meetmeid, et vältida köha variandi astma teket. Esiteks säilitage head elu- ja toitumisharjumused: loobuge suitsetamisest ja alkoholist, tagage piisav toitumine, parandage nende immuunsust, vältige vürtsikat ja ergutavat toitu ning tagage piisav uni ja korralik liikumine.
Secondly, avoid long-term exposure to inducing factors, such as dust, pollen, oil fume, irritant gas, cold air, cold, etc. Finally, early intervention, regular medication, once diagnosed as "cough variant asthma" should be treated as soon as possible.
