Monday, December 31, 2012

Complications of asthma

via: globalmontreal.com 
Asthma  is a common disease. very severe complications, but patients rarely pay attention to these complications.

Winter-spring, cold weather is favorable to the complications of asthma occurs, so people need to know to avoid.

According to the World Health Organization (WHO), asthma is a danger of mankind, is one of the most common chronic diseases. Currently in the world there are about 300 million people with asthma, the projected 2025 this number increased to 400 million people.

Southeast Asia is a region of outstanding hen proliferation: Malaysia 9.7%, 11.8%, Thailand 9.2%, Singapore 14.3%, Vietnamese 5%. Deaths from asthma each year, 200,000 cases, Vietnam 3,000 cases.

Intermittent asthma progression level, after each disease, severe and more dangerous, sick or cause complications such as:

Atelectasis: More than one third of children hospitalized for asthma complications atelectasis. Lobe atelectasis one or more lobes of the complications of having about 10% of patients in the hospital. When stable asthma, atelectasis status will out.

Bronchial infections: Often a complication in patients with chronic asthma. Multiply the transfer season, the cold phase, the sudden change in the weather, high humidity is favorable for bacteria, viruses cause inflammation of the ear, nose and throat infections, lower respiratory tract, causing the wave influenza make asthma symptoms worse. Patients with fever, shortness of breath increases, more sputum. Blood tests, white blood neutrophils increased. Sputum that white of bacterial degeneration and magazines, to see the TB bacteria.

Angry alveolar lobules: The elasticity of the alveoli in patients with asthma decreased over time, exhaled less, residue gas volume increases. Also known as emphysema. Patients with shortness of breath on exertion, not even blow out the match burn away a little. Coughing up sputum lot, pale lips and extremities. Type the lungs heard so resonant, alveolar whispering reduce, sometimes lost. Distant heart. X-ray: pulmonary too bright, the diaphragm lowers, heart tears, center diaphragm angle prison, horizontal ribs and dilated.

Pneumothorax, pneumomediastinum: Meet in about 5% of chronic asthma. Because alveolar widening, in the alveolar relax, sparse blood vessels, poor feeding, the pressure in the alveoli increases. When it comes to straining or coughing up, the walls of the alveoli easily cracks down. Often the clinical signs less frantic, should have a new lung X-ray detection. When emphysema timely emergency management. Pneumothorax sides that causes sudden death in bronchial asthma.

Chronic care waste: Meet in 5% of patients with severe chronic asthma. Is shortness of breath on exertion, cyanosis continuous pain in the right upper quadrant, the liver can be big or fat side of the shore side. ECG: sinus rhythm fast, sharp high P wave. S waves predominate in the heart leads before. Asthma capable of respiratory rehabilitation, so time resulting in chronic waste of different patients, can last 5 years or 10 years or even longer.

Respiratory arrest accompanied by brain damage: Due to prolonged respiratory failure, leading to lack of oxygen the brain. At cardiac arrest, respiratory arrest in severe asthma. These cases are usually sudden apnea, leading to increased CO2 in the blood and the cause acidosis mixture, and finally lead to coma and death.

Respiratory failure: Often seen in hospitalized patients, acute asthma severe malignant or asthma. Patients dyspnea, cyanosis constantly, sometimes stop breathing, mechanical ventilation support. This is also one of the causes of asthma mortality.

Asthma is a burden to society, under OMS asthma cause human costs greater than the cost of illness of the century, tuberculosis and HIV / AIDS combined.

Complications of asthma is more severe. Therefore people with bronchial asthma and people in society need to be conscious understanding to treat asthma since the early stages exactly as directed by your doctor, then proceed to control asthma , attacks of shortness of breath in the week, the day is to contribute to the effective control of a complication of asthma.

When having asthma malignant or suspected complications of asthma emergency, they must take the patient to the hospital emergency facility for examination and treated in time.