Introduction
Asthma is a much
known disease. As per first national asthma survey operated in 1999 70 lakhs
population in Bangladesh is suffering in asthma. And the number is increasing continuously.
Among them the biggest part is the people who are older and children. At
present in the world among the difficult and long term disease asthma is
situated in top. This is not as usual that, anyone in any age can suffer in
that disease. But asthma is not a contagious disease. In many times the disease
is continued by succession. Unfortunately it is true there has no any medicine
to cure this disease completely. Whereas, the hope is that, in the treatment of
mistake free people suffering in asthma can live life in well. If the right
treatment is not made as because of the reason of asthma people suffer in difficulties
continuously and his capability gets decreased. In many cases this disease can
be the reason of death. Excess complicated asthma is serious as like heart
attack. So there is important of appropriate control of this disease.
The control of
this disease, somewhat exceptional that is controlling diabetes or high blood
pressure, the main of the asthma control is cold, dust, virus meaning
environmental control, most of those the patient has no any control therefore. In
that non favor situation asthma is depended on the right steps taken by the
patient. So health education is very important contribution in the treatment of
asthma.
Asthma Prescription
and Instruction
Page No- 2
Many people of
our does not know that, asthma disease has many developed treatment. But to
keep this in complete control in many times you do have understanding regarding
knowledge about this disease and depends on your awareness. Your doctor will
help you to control this disease but responsibility and efforts from your side
will have to be had completely.
The purpose of
the national asthma center is giving you the right concept regarding asthma
beside the treatment so that you can be aware regarding this disease and can
take treatment correctly.
(Picture)
Image: Young
children can use inhaler through spacer as well.
Asthma
Prescription and Instruction
Page No- 3
Description of the Patient
Date: .........................................................................
Name of
patient: ..........................................................................
Profession:.........................................Age
....................................
Name of Father/
Husband: .......................................................
Name of Mother:
.....................................................................
Address
(Permanent):...............................................................................
........................................................................................
At present: ....................................................................................
........................................................................................
Telephone No:
..........................................................................
Reference No:
..............................................................................
Member No: ..............................
Number of those
affected in serious complicated asthma disease:
.............................................................
How many number
have got admitted in hospital previously:
....................................................................
How long
suffering in asthma:
........................................................................................
Date of having
first affected in asthma (Or how many years ago):
........................................................
Other problems
as because allergy: Such as cough/ skin disease/ eye scratch:
..........................................
Who are
suffering in asthma in reference of family: Whether father/ mother/ brother/
sister/ son/ daughter does smoke:
Others:
........................................................................................
Other problems:
Coughing disease/ diabetes/ hyper tension/ heart disease/ other:
........................................
Asthma Prescription and Instruction
Page No- 4
Contents
1.
What is the definition of asthma? 1
2.
How we receive breathing? 1
3.
What happens inside lungs? 2
4.
Why asthma is the cause of these breathing difficulties? 3
5.
What is the reason of asthma? How many of types of asthma? 4
6.
The signs of asthma 12
7.
When to eat medicine without the consultant of the doctor 14
8.
Whether there can be in danger if the asthma is not in controlled?
14
9.
The treatment of asthma disease:
(A)
Awareness
(B)
Treatment through medicine
10. Why asthma
patient gets die? 33
11. What are other
disease can be beside asthma 33
12. Conclusion 34
Asthma
Prescription and Instruction
Page No- 5
(Picture)
What Is The
Definition of Asthma?
Asthma is the
type of physical illness by what every people in every age can be suffered. Those
who have asthma there throttle can be many times sensitive than the general
people meaning as because of the little reason throttle can be shrink. As it
gets shrink throttle path becomes narrow as a result at the time of taking
breathing coughing is much frequent, feeling of breathing is getting stopped of
ending the breathing comes up and in the chest is felt pressure. The signs can
be seen from little to many types. As because of the reason of shrinking the throttle
as the symptoms are shown frequently we say this is asthma.
The breathing difficulties
sometimes come automatically or go away by the medicine. But if the treatment
is not taken correctly the disease becomes long term and in complicated types.
How We Receive
Breathing?
Inside the cage
of the chest there are two organs as like soft hapor in the type of spoonse which
is in named lung. In the middle of this lung there is situated heart (picture-
1). Throttle, so we can see before the throat, the upper part is said larings and
the lower part is said trachea.
Asthma
Prescription and Instruction
Page No- 6
Trachea as inters inside the chest gets divided in 2 parts. Name of
this divide throttle is bronchus. The main becoming 3 parts in the right side
and becoming 2 parts in the left side inters inside the chest. The divided
throttle as going to the lung becomes narrower to narrower branch and spreads
around the lung. Finally it is attached with small throttle and in unlimited
number of alveolus. The alveolus is involved as like the net in the body unlimited
number of small vein in the blood which is called capillary (picture-2).
Chest rib
Heart
Trachea
Main bronchus
Branch bronchus
Small Throttle
(Picture- 1)
Air has to much oxygen. As because of the purpose of receiving oxygen
we take breath through nose and sometimes through mouth. At the time taking
breath the air as exceeding voice cord goes through trachea. Then from small to
smaller throttle as exceeding enter sinto throttle.
What Happens Inside The Lung?
The blood is inside of our vein, it contains too much carbondy
oxide. The blood of this vein becomes united in the right side having been gone
to the alveolus goes to small black veins. One side of the alveolus oxygen air
mixed and other side there has situated carbon die oxide mixed blood.
Asthma Prescription and Instruction
Page No- 7
So alveolus oxygen comes from the air goes to blood ad carbon die
oxide of blood comes to the alveolus. The carbon die oxide mixed air as soon as
we make out breathing from the body oxygen accumulates in the left side of
heart, then through the artery spread all across the body.
Small bronchus vein
Muscle
Terminal bronchus
Pulmonery vein
Capillary duct
Alveolus
Pulmonery Artery
Mucus Gland
(Picture- 2)
Why Asthma is Such Breathing Difficulties?
Small to smallest throttle, which is diameter 2 m. m to 5 m. m that
is surrounded by muscle? Through this throttle air can go and out easily in
usual time. Whenever any allergic or agitated thing goes inside the body, then these
thousands of throttle muscle becomes shrieked. As a result the throttle becomes
shrieked. In addition as because of the effect of agitated thing from throttle
gland comes gum and as because because of the throttle the mucus cover gets swallowed
(picture- 3). As a result to take and making out the breathing gets difficulties.
Breathing it is more difficulties than that of taking breathing and narrow
throttle when taking breathing there is sounded as like horn. To remove the
mucus gum cough there is continued to have coughed. Sometimes the throttle gets
narrowed as much that, air
Asthma Prescription and Instruction
Page No- 8
It does not reach in the throttle; then the deficiency of oxygen
becomes in the body and carbon dioxide is to get accumulated. The situation is
told sever acute asthma. If the situation is sustained for long term as because
of the deficiency of oxygen or carbon dioxide if get exceeded the patient can
die.
Small throttle in usual situation
Small throttle in affected situation
(Picture- 3)
What Is The Reason of Asthma?
Asthma is the type of disease the core real reason of it we do not
know. The reasons we say those are actually trigger factor for asthma. Such as,
after getting in dust the breathing difficulty starts. The dust is not the
reason of asthma. If it is the reason then why everyone is not getting in
breathing difficulties of asthma? Therefore it is understood dust publishes the
disease hidden inside the throttle. As because of those trigger factor there
have been divided in some main divides.
Asthma Depend On Trigger Factors Generally As Type Mentioned In
Bellow:
·
Asthma As Because Allergy
·
Asthma As Because of Virus Infectious
·
Asthma As Because of Gym
·
Asthma As Because of Profession
·
Asthma As Because of Weather
Asthma Prescription and Instruction
Page No- 9
·
Asthma As Becuase of Medicine
·
Asthma As Because of Mind Pressure
Asthma As Because of Allergy:
The type of asthma is seen too much. The asthma generally: starts
in very young age and it are continued by succession. The patient can have
other other allergy at the same time, such as cough, asthma, eye conjungvitious
infectious disease etc.
What Is The Definition Of Allergy?
Allergy is told to have unusual reaction as because coming to the
any things which are considered usually innocent in general eyes. Such as,
ginger everyone eats as for curry. Generally no problem is seen to most of the
people. But someone whenever eats ginger eye gets snatching, water gets down
from the nose, body gets snatching. As the ginger is considered as innocent as
because of the unusual reaction we say it allergy. By what is thing this
unusual reaction is seen those are said allergic things.
(Picture)
Why Is The Allergy?
If any outside things enters inside of the human body raising
prevention against it soiling those outside thing is philosophy of the body.
The prevention system for having peopled lived. But sometimes buy born inside
someone additional prevention system is hidden. Against any innocent thing as
because of the additional prevention the unusual reaction is happened is is
seemed to be allergy. Why someone is to have allergy and someone is not to have
we do not know about it.
Asthma Prescription and Instruction
Page No- 10
If allergy is
in the eye, then allergy as soon as comes to the eye, eye will be red, eye will
scratch and tear will go down from the eyes. If it happens on the nose, then
sudden snatch will start, at one scratch will be happened, such gum coughing, and
swallowing inside the nose it will stop it. Skin allergy is told eczema.
Accordingly if allergy is in the throttle, then it is said asthma or in a word
atopic asthma. In some case the problems as mentioned above at one time or
separately can be exposed.
If The Allergy
Is Emtered In The Throttle There Happens 3 Changes:
1.
The muscle around the throttle becoming narrower to narrower the
throttle gets become more shrieked.
2.
Water mixed with mucus types of gum makes stopped the way of
throttle.
3.
The layer inside the throttle the way of the throttle becomes more shrieked
(Picture- 3)
The allergic
asthma for someone as the age is growing gets become well but as because of the
reason the appropriate treatment will have to be taken. Surrounding of us
unlimited allergen is existed. It does not see in the empty eyes. So whenever
the allergen asthma will start it is difficult to say. Generally: These
patients are seen to have allergy to many things.
What Are The
Things Create Allergy?
Allergen is as
bellow generally: asthma is to have been seen: but the meaning is not that the
same material (allergen) everyone becomes affected in asthma
·
Seeds of flower of grass.
·
A type of insects situated in the dust of home.
·
Feather of birds. Hair of the animals.
·
Seeds of the insects (Spare).
·
Some food.
·
Some medicine.
(Picture) Feather
Asthma Prescription and Instruction
Page No- 11
·
Some of the chemical used in the industries.
Allergy as because of the grass or flower, they are generally: they
gets affected in asthma in some of the special season. Because of flower one
season is spread the seeds. Dust of the home, specially carpet, pillow, bed
sheets window or door the dust exist, this dust as enters in the throttle and
the patient h=gets affected in the asthma.
If any specific food is seen the problems as above mentioned. Then
the specific food can make out. Domestic cat, hair of the dog or feather of the
birds made pillow, puppet, and beds in many times become allergy and the
patient gets affected by those.
The muddy places there have been too much fungus. And the seed of
this fungus aired in the air which is the reason of asthma for many people.
(Picture)
Micro picture of might
(Picture)
Some fishes
(Picture)
Ginger
The food can be the reason of allergy, therefore somewhat breathing
difficulties can be seen. Those who have too much allergy, they have been seen
shrimp fish, cow meat, eggs of duck, ginger, banana, vegetables etc after
eating the eye gets in red, water gets down from the nose, difficulties in
breathing becomes and red things raises on the body which is scratching. But those
foods stopping should not be done. But eating that food than preserving food or
making colored the chemical material is used, that is the reason of having
asthma. Such as yellow color making is tartaric. Tin type metabisulfied is
preserved in the food, which is created sulferdioxide. The material is the
reason of breath difficulties.
Asthma Prescription and Instruction
Page No- 12
Asthma As Because of Virus Infectious:
The type of asthma generally: less than 2 years or more than 40
years is seen. Only one reason of the asthma for the children less than two
years is the virus fever. One of the reason of the aged people is also virus.
The patient generally by succession: allergy does not see. Virus is
the smallest virus which is generally: is not seen by the by scientist machine.
As s result of virus infection all of the asthma patient temporarily becomes
affected in the asthma.
Asthma As Because of The Hard Work In Physically or Gym:
Why Asthma Gets Happened When Having Gym?
When having been gym everyone takes deep breathing. As having been
too much breathing of the asthma patients inside of the throttle becomes cold
and dry as a result asthma starts. Someone whenever is doing gym asthma is
seen. Many boys and girls those have asthma, as because of the fear of having
breathing difficulties does not participate in the sports. But it has to be remembering
much patient controlling asthma can have gym. (“Gym, sports and asthma” read
this book)
Asthma As Because of Professional Reason:
Are There Asthma As Because Of Professional Reason In Bangladesh?
Many times asthma is seen to have as because of professional
reason. Asthma as because of professional is told when people do not have asthma before joining in profession. But in
some special profession after some days of joining the breathing problem is seen.
The patients are in good in the days of leave. At the workplace when goes down the
breathing difficulties gets too difficulties. In our country fertilizer
factory, medicine factory, plastic factory, vehicle or almirah spring color who
does it labor of the bekkery or paddy, wheat, jute or saw mill work those who
does it among them as because of professional reason the asthma is seen.
Asthma Prescription and Instruction
Page No- 13
Asthma As Because Of Weather:
Winter season is the reason for most of patient to grow asthma. In
different seasons different types of flower brings out the ability is seen. Generally
all asthma patient whenever cold is seen breathing difficulties is affected, because,
cold air the water is less, which makes the throttle shrieked. In addition in
the winter virus patient is too much. In addition in the weather the air of the
vehicle, smoke of the cigarette and generally dust if exists breathing paid can
be happened.
Which IS The Season To Have Been Seen Asthma In Our Country?
At the begging of the of winter there are seen many symptoms, at
the end of the winter and in much heat. Those who have old and to much asthma
they are as the thunder happens in teh sky, if te cold air is aired or if
sudden rain is seen breathing difficulties is seen.
Asthma As Because of Medicine:
Beta-blocker specially: propona types of medicine if eaten asthma
patients breathing difficulties is increased. Some of the asthma patient is
seen if aspirin is eaten asthma gets increased. But the type of incident is too
little.
Asthma As Because of Mind Pressure:
Many disease is existed which is increased if the mind pressure is
increased. Asthma is one of them. Emotion, concern, fear, too much crying or
laughing breathing difficulties gets stsrted. Suc as: before the school
examination some of the children asthma gets increased.
Asthma Prescription and Instruction
Page No- 14
Too much breathing difficulties is too very fearful, for many
people there is seen that the breathing difficulties will start as because of
this concern the breathing difficulties starts.
In addition some of teh women at the time of pregnant asthma gets
increased or is seen (“Read the Asthma at the Time of Pregnant).
Is Asthma Disease Is A Mental Disease?
Though emotion, concern, fear, smile or cry symptoms of asthma get
increased, then it has to be remembered asthma is physical disease. This is not
mental disease. In conclusion it has to be remembered that whatever the way
asthma starts not, the symptoms of asthma is about for everyone and if asthma
happens once it becomes throttle gradually to much sensitive. The reason of
allergy is because asthma, later there is seen in virus infections or by the
mental pressure or as because of the reason of medicine it is growing. As
because of the virus the asthma was started, the patient later if gets affected
by cold, if gym is done, if goes to the dust he is affected in asthma. The
longer asthma gets the sensitiveness of the throttle gets increased
accordingly. So many times it has been seen every the throttle is increasing
that the previous year.
How Many Types Of Asthma?
Based on the symptoms published asthma is 5 (five) types:
1. Asthma which is
happened sometimes: It starts suddenly. The type of asthma, allergen meaning
cold, dusts or if goes to touch of birds the symptoms gets started and the
symptoms gets longer from few minutes to few hours. The patient becomes well as
used medicine.
Asthma Prescription and Instruction
Page No- 15
As because of allergen of the patient, because of the change of the
weather, because of the profession or because of the gym generally: the type of
asthma affected. The patient becomes well soon. Between the two asthma attack
patient stays in good.
2.
Permanent Asthma: If the medicine is eaten irregularly or unplanned
and if suffered in asthma for long time asthma is created. Many times the type
of patient all time some of the throttle exists and as because of little hard
work the breathing difficulties gets increased. Their chest always makes sound
as like horn and they become accustomed to this sound.
3.
Serious Complicated Asthma: Any types of asthma if is not
controlled any time serious complicated can be made. The type of asthma,
allergy cold, dust or if goes to the touch of animal the symptoms gets started
and teh symptoms from few hours to few days can be longer. The patient can
become well as used medicine. The patient is very difficult to have treatment,
in many times the patient has to be get admitted in the hospital so all patient
has to be aware so that serious complicated asthma is not affected.
4.
Asthma As Because of Gym: Some of the patient if physical exercise
is done the symptoms of asthma is seen. So it is told separate type of asthma. The
entire asthma patient more or less if physical hard work is done there is seen
to have affected in the asthma.
5.
Asthma Mainly By Cough: Some of the asthma coughing is the main
symptoms. Breathing difficulties, feeling pressure in the chest or sound on the
chest etc matters are existed. In that case treatment is as like other
asthma.
Asthma
Prescription and Instruction
Page No- 16
(Picture)
Symptoms of Asthma
How The Asthma Disease Is Expressed?
Before having been asthma throat scratches or cold becomes or coughing
starts or pressure in the chest is felt. Someone if the sound is understood
feels asthma is getting started. We can say it asthma awareness symptoms the
starting understands is very important, because as soon as understood someone
uses healing medicine but generally there is to get saved from the serious
attack.
Any types of dry coughing which is increased in cold, hot, dust or
increased in cry or laughing the main reason is asthma. There will have to be
remembered for some of the patient the expression of asthma disease is only dry
cough. Asthma patient breathing difficulties in night, dawn or after the gym is
seen in increasing.
(Picture)
Main Symptoms of Asthma Are 4:
1.
Breathing Difficulties
2.
Coughing
3.
Having sound in the chest sha sha as like horn
4.
Feeling the breathing of the chest is stopping
Generally: The Patients Come Bringing The Symptoms As Is In Bellow:
1.
Sudden affected breathing difficulties and at the same time dry coughing.
2.
Having sound of sha sha at the time making in and out of breathing
and having more difficulties at the time of breathing out than breathing in.
3.
Feeling sudden stop of
breathing.
4.
Having cough in hot, cold or dust.
5.
Having cough in hot, cold or dust or in only in coughing.
Asthma
Prescription and Instruction
Page No- 17
6.
Feeling breathing difficulty after having been cold.
7.
Having sound in the chest in sha sha if hard work is done.
8.
Having breathing if eaten beta-blocker or aspirin.
9.
Not having been lying in upside or if the sleeping is broken coughing
or breathing difficulties.
Most of the
patient those of the symptoms is seen is increasing at night.
What Are The Tests We Can Do to Know The Symptoms of Asthma?
Three types of changes are seen in the throttle of a asthma
patient.
1.
Having the throttle shrieked frequently having the path of throttle
narrower and narrow throttle with or without medicine in the previous
situation.
2.
Inside the throttle asthma flow is created as a result inside of
the throttle always becomes red.
3.
As a result of having infection by the different trigger the
possibility to have affected in the breathing difficulties gets increased.
We can identify the three changes differently.
The way of throttle has become narrow again it is coming to the
previous situation it is understood with spyrometric test or having pick flow
test in the home. As because of the asthma the flue has become in throttle that
we can understand having test in the cough. And in different agitated thing the
patient gets affected those we can understand hearing history of the patient.
We are for understanding the real situation of the patient we advise to measure
pick flow in the home. There is seen pick flow chart in the pages of pick
g=flow diary in bellow.
(Picture)
Pick Flow Chart
Asthma Prescription and Instruction
Page No- 18
The Cases When To Take Consultancy of The Doctor Is Important,
Because of you can have breathing difficulties without having been
asthma in other disease as well.
1.
If the breathing difficulties start after the age 40 years then the
breathing difficulties whether as because of the reason of heart disease it is
the responsibility of the doctor to have been seen.
2.
If chest pain is existed with breathing take emergency consultancy
from the doctor.
3.
If fever is existed with breathing difficulties.
4.
Coughing is with breathing difficulties and with coughing if there
is blood.
5.
Whether ou have, it will be first specified by the doctor,
emfisona, chronic bronchitis (copd) reason there can be asthma.
What Are The Danger Can Be Happened If Asthma Is Not In Control?
1.
Any time serious and too much asthma can be happened.
2.
Pimary, temporary asthma to permanent asthma can convert.
3.
Long term old asthma, COPD to heart problem having been water can
come to the body and the patient can in bed.
4.
The measurement of oxygen in the body can be less always, as a
result the affected person will seem always in depressed.
Asthma
Prescription and Instruction
Page No- 19
(Picture)
Treatment of Asthma Disease:
Three Things Are Important To Control Asthma.
1.
Education, 2. Awareness and 3. Treatment
2.
In the asthma guide regarding treatment is discussed is discussed.
(A) Awareness:
The main reason for the asthma is allergy always around our all sides
the allergen are spreding regularly. It is difficult to say what things to
which the alergy is affected are. This has to be remember by the patient
carefully which is the thing is increasing breathing difficulties. Those are
the things as much as possible have to be avoided. Such as dust, cold, pet dog,
cat etc, might named insect enters into the throttle, so the home has to be
dust free. Regularly at least one time: floor of the home, materials has to be
washed with wet cloths. The sleeping room will simple, there will be less
things in the sleeping room. It is good not to have carpet. If exists keeps it
dust free with vacuum cleaner. But the work has to be completed with someone
else. The room should not be have wet, that will have to be remembered. Do not
dry wet cloth in the room. All of the doors of the bath rood keep always closed.
In sleeping there will be needed to have enter enough light in day time. Using
sponge is good than using pillow, mattress and birds feather. In winter season
you will have to be more careful. In winter season use hot water as much as
possible in bathing, in ablution to wash hand and legs. Drink hot water and try
to keep the sleeping hot.
Asthma
Prescription and Instruction
Page No- 20
Avoid the materials those increase breathing difficulties or
allergy. Those are things increase dust from those things asthma patients will
have away from those things. Such paddy, rice, dull, wheat etc work is to be
avoided. The patient will not wash room and will not clear dust of the room.
Dust of the road, smoking of the vehicle to have been saved will use musk on
the face. There will have have been away from the sizzling the thing. Such as
the smell of whitening work, medicine to kill mosquito, the smell of the frying
duty smell etc. In addition any types of dust, smoking and raining however possible
keep is avoided.
(Picture)
3.
Do not smoke. Keep other member of the family or collogue away from
the smoking. The smoke comes from someone else makes you damaged. Smoking
damages your lung specially: for asthma patient. If the children are suffered
in asthma for the interest of them other members of the family avoids smoking.
4.
If hard work is done or running is done breathing difficulties
increase, but appropriate medicine taking or using inhaler that can be done,
nor additional hard work has to be avoided. ( Read the book “Gym, sports and
asthma”)
5.
If any you do have allergy do not eat that food. Cold drinks, ice
cream etc do not eat. Keep remember in mind regarding the food which increases
breathing difficulties if cow meat or shrimp fish eating increase breathing
difficulties, then do not eat that food. Except this avoiding any food for
asthma is not necessary. Which food does not increase asthma, that food you can
eat without objections.
6.
High blood pressure or chest disorder, do not take beta-blocker. In
the market you get beta-blocker indevor, poponal, adlock, cardicab etc.
Asthma Prescription and Instruction
Page No- 21
Instead of those take other medicine. If you go to the doctor of
your any other problems tell him first that “I do have asthma, I do have
allergy etc”.
7.
If asthma is happened as because of professional reason first you
will have to try take the change in less dust place. You can use musk of light
cloth on the mouth and nose at the time of work. If it is not benefitted and
with medicine if it not to be controlled, then in case of necessary to have
been lived profession has to be changed.
8.
Mind pressure, concern, in most cases the problem is financial and
social pressure. So the responsibility of other all members is to help to
minimize mind pressure. Additional mind pressure can increase your asthma.
9.
In hoping to have cured becoming attracted to the advertisement or
hearing interesting talks in the people mouth do not get in cheated taking asylum
of having the treatment from hawker doctors.
10. In many times
it is not realistic in case of our country to try to cure asthma by the anti
allergy vaccine. Because the vaccine is made by which allergen, those are made
from allergen of different countries. So there is little possibility to have
matched with the allergen of our country. In addition taking vaccine only 5
percent of hundred percent patient gets complete cured. Rest of the 95 percent
patient though temporary benefits are got it takes too much time and it happens
for very little time and expensive (Reference: basic and clinical ecology 7th
edition, 1991, lens publication). In addition the types of injection sometimes
asthma is increased. Therefore British Therasic society at present asthma treatment
through allergy vaccine does not recommend. In case of the situation of our
country the treatment is enough treatment.
Asthma Prescription and Instruction
Page No- 22
11. Morphin types
of medicine in case of asthma patient is completely prohibidden. Seriously teh
affected situation without the instruction of the doctor do not take medicine,
because sleeping medicine can make the deficiency of oxygen in the body.
12. To have aware
regarding the asthma it is good to have accustomed of using pick flow meter. The
meter is used for understanding what are the throttle is in obstruction in
measurement by the air those who do not understand that, asthma is in serious
situation. Those are generally: take the serious complicated asthma make
admitted in the hospital. So there is needed to have pick flow in the home of
every patient.
What Is Pick
Flow, What Is The Benefit To Use It?
(Picture) Pick Flowmeter
How quickly or how much in force you can breathe out it is told
pick flow and it is measured in small machine. So it is told pick flow meter.
The force of your breathing as much it will be understood the breathing can be
in that less force the diseases are that much. To control diabetes we advise to
examine pee regularly so same as to control asthma we tell to measure pick flow
regularly. We tell to measure pick flow for 5 reasons.
1.
It is benefitted to see the situation of the patient in favor of
the doctor.
2.
The result of the treatment is understood.
3.
It is understood as because of some of the trigger factor pick flow
is decreased.
Asthma
Prescription and Instruction
Page No- 23
4.
Controlling asthma is lost whether is done is understood.
5.
Watching pick flow chart we used to give asthma control planning.
Read the book ‘Using pick flow meter and asthma control planning’.
(B) Treatment
Through Medicine:
Asthma is a long term disease. But those who start in early age
among those someone gets well as the age is increased. Becuase of the allergy
asthma is infected if the types of patients change places in many times
wellness can become.
To date no medicine has been found in the world by what asthma is
completely cured. But to date the tyeps of medicine is found in the medicine,
that medicine is used timely as like diabetes or high blood pressure
controlling, asthma is also to have been controlled wellness can be possible.
So that every patient regarding the medicine there is needed to have knowledge
about the medicine.
Medicine of Asthma Disease 2 Types:
1.
Reliever Medicine
2.
Preventer Medicine
Reliever Medicine
Another name of the reliever medicine is the medicine of pain reliever
or throttle bronchus. The medicines are as opening the shrieked throttle
directly immediately the pain of throttle is decreased. But medicine make decreased
the severance of the disease. Because of the medicines inside the throttle the flow
does not help to minimize the flow. Those who have little asthma meaning which
throttle daily 1 timeless is increased their flue is very less inside the
throttle. We give treatment to them only by giving medicine. Asthma is possible
to control using that types of inhaler or taking medicine only to the asthma
patient.
Asthma Prescription and Instruction
Page No- 24
The medicine is in some types:
A) Sulbutal types of
medicine: In our country ventolin, bronlax, sulbutal, palmolin, salmalin,
brodil, ventisal etc in named is marketed. These are all one medicine sulbutal.
In addition turbutalin and fenotral typed medicine in different named is found.
As reliever medicine this types of medicine is effective and very safe. In our
country tablet or syropa is used too much. But the medicine of inhaler and
nebulizer is used it is more effective and side effect is shown less.
Inhaler:
This is a system to take medicine with the breathing. In the market
in that types of medicine to take two types of devices or machines are found.
(1) M. D. I device machine which is seen as like in bellow picture, where
little one box the medicine is existed it is existed there vertically with plastic
aquature these type of inhaler is used in 2 ways: through spacer and directly.
(Picture)
M. D. I Device
Directly Used System:
Firstly shake the inhaler. Then giving up the complete breathing
then stop the breathing. Then keeping the mouthpiece in the mouth start to take
long breathing. When you will start to take breathing the container of the
inhaler give pressure. Medicine which comes out take it completely through the
long breathing. Then keep the breathing stopped at least 10 secinds. Medicine
do not keep in the mouth in shawllowed or do not eat.
(Picture)
System of direct using
(Picture)
Using inhaler through spacer
Asthma Prescription and Instruction
Page No- 25
Using Medicine In That Types There Are 8 Steps:
1st step: Open the cover of the place to stick it with
the mouth, Catch the inhaler by the right hand middle finger and thumb. (Same
as mentioned in picture)
2nd step: Shake the inhaler well. Such as: Five times
vertically.
3rd step: Give up the breathing opening the mouth widely
makes the lung empty.
4th step: Keep the mouth piece pressed by the lips. Give
force pressure of canister and take the long breath gas as making out by the
throttle to the mouth.
5th stpe: As long as you can keep the breathing stopped.
At least: 10 seconds. Then slowly leave the breathing.
6th step: At least 1 minute take the usual breathing.
7th step: Again revise from 1st step to 5th
step.
8th step: Again keep the cover of canister on it.
(Picture) One
VPI divice and capsul
Those who can not use the device (H.D.I) firstly, for them D.P.I
device is effective. These are found in different names, such as: bexihaler,
candihaler, easy haler, aqua haler, bridge haler etc. There can take to the
chest easily by the types of powder very easily by these machines. Examine the
rules of using of inhaler standing before mirror.
Know The Benefits Of Inhaler:
The facility of taking medicine with breathing through inhaler
machine is too much. Medicine works in the throttle accordingly in quickly and
it takes little for the work. 1 gram if divided in 1000 divide it is 1 milligram.
This 1 milligram again dividing 1000 if divided 1 it is 1 microgram. By the
help of inhaler machine sulbutamal if taken 2 times as 2 puff breathing is
taken (which is amount 200 microgram) that amount of medicine in throttle or
that types of medicine to go to the throttle is eaten 4 milligram, meaning 4000
microgram tablet or syrup. Among them some of the 10 to 20 microgram goes to
throttle having been digested food belly. And rest of the medicine is spread in
different places of the body. As a result as because of the side effects hands and
legs are vibrated, chest is vibrated, sleeping occurs less. So in general case
inhaler using is the best way. But the problem is if does not take the medicine
with the breathing it will not be any benefitted.
Asthma
Prescription and Instruction
Page No- 26
Conception of
the most of the people of our country is that inhaler is the final treatment of
asthma or if the inhaler is used no other medicine in future will work or the
side effects of inhaler is too much. But the inhaler is primary treatment of asthma.
Because there is needed little medicine, side effects are less, it works
quickly and if it is taken within few minutes breathing difficulties start to
get decreased.
Spacer:
Spacer
basically made by plastic in the tyeps of null or bottles a chamber which is
used through using inhaler. One side of this spacer is mouthpiece or musk and
near of that side there are valves or witch. This valve or switch is opened at
the time of taking breathing and through it breathing and medicine goes inside.
At the time breathing out the valve gets stopped. Other side of this machine
one mouth is existed which is stick with mouthpiece.
Before using
spacer the inhaler must shake. Then the inhaler keeps with the mouth. Now press
the inhaler forcedly. As soon as the inhaler is pressed enter the medicine in
the spacer.
(Picture)
Children spacer
with musk
(Picture)
Spacer of older
without musk
Asthma
Prescription and Instruction
Page No- 27
Now keeping the spacer in mouth piece take breathing with the
breathing is in mouth. As like taking medicine directly from inhaler breathing
out first taking long breathing slowly spacer preserved medicine will have to
be received in lung. As there are 5 to 10 seconds of medicine is preserved in
floating therefore at the same time taking breathing and pressing inhaler
canister (small container) is not necessary. After giving pressure on inhaler
canister for taking breathing there is found five seconds time. If your
breathing difficulties are too much, long breathing is not possible to take
then it is not necessary to take. In that case you keeping the spacer in
mouthpiece continue to take breathing and make breathing out and for the
facility of inhaler canister give pressing. Then at least 5 times take
breathing and make breathing out. In case of necessary same way again take the
medicine.
When Spacer Is Used:
Everyone cannot use inhaler directly. As a result no benefit is
found and medicine is spoiled. So the written bellow case we inspire to use
spacer.
·
Inhaler medicine is given in inhaler to older or small children. In
many times only using inhaler as like small children no benefits will be as
well.
·
Through the breathing steriod type of medicine sometime in mouth or
in the throat candida named infectious can be to someone else the voice of the
throat gets thicken. These type of problems as used spacer it is not existed at
all.
·
Too much using inhaler through spacer medicine can be used. (Such
as 10 to 20 serious complicated asthma to the older through sulbutamal is given
in prescription of the doctor).
·
Among the spacer inhaler medicine it is existed floating many times.
So taking medicine in the breathing there is found many times.
Asthma
Prescription and Instruction
Page No- 28
Nebulizer:
Nebulizer is a
machine in which if the liquid medicine is given in it it comes out as like
vapor and the patient can receive it easily. The machine has 3 main parts:
1.
Nebulizer unit among what medicine is to be given.
2.
Motor which in air if in force in nebulizer unit flowed as a result
what happens by the medicine.
3.
Mouthpiece or musk which is taken in breathing medicine through the
mouth.
(Picture)
Nebulizer
We give treatment through nebulizer for three reasons
1.
If the patient is infectious by the serious asthma.
2.
Many days old and complicated asthma which is not controlled by the
inhaler.
3.
Small children who can not take medicine through spacer.
read the book “Spacer and Nebulizer”
B) Theofilon or
Emainofilon Type Medicine: This type of medicine as intering to throttle make
decreased the expansion of the throttle. Theofilin, Theonet, Cardofilin,
Thengtal etc named syrup or tablet is found. As the symptoms of the asthma who have
dry cough, those are many times have been given eat of syrup. The medicine dose
is given by the doctor. Because the type of medicine to have relived to someone
else too much side effects is seen. Many times with the sulbutamal type of
medicine at once emofilin or cardofilin (Same thing in different name) tablet
is given to get the better result.
Asthma
Prescription and Instruction
Page No- 29
Seriously
affected in asthma in our country emofilin injection is used as medicine for
important throttle expansion medicine. But side effects such as vomiting, belly
problem, belly pain, headache, hand leg vibrating, chest vibrating, sleeping
less etc as because of having too much developed countries through the
nebulizer taking breathing sulbutamal type of medicine has become chief
treatment for the suffered patient. But emofilin or theofilin retard some of
the medicine has been brought out which is after 12 hours is digested therefore
to relive the breathing is used. Doxofilin same as if taken once in a day its
enough. Similarly Daxofilin theofilin can be alternative.
C) Anti Colin
Medicine: The type of medicine inside the eprotropioum bromide (marketed name
atrovent, imprex, impravent) in all countries of the world inhaler and
nebulizer for using solution (liquid medicine) is found. Long term asthma
sulbutamal inhaler is used with empratropium inhaler. Sudden infected asthma
sulbutamal solution works quickly if given with impratropium solution and gets
much sustainable. In addition for the children less than 2 years teh medicine
is more effective than the sulbutamal type of medicine. The medicine works
slowly and the effectiveness exists about 6 to 8 hours as the throttle
expansion.
(Picture)
Preventive Medicine
Astma is long term flue creator medicine where breathing
difficulties happen for three reasons.
1.
Having the throttle shrieked.
2.
Mucus type of gum juice is coming out.
3.
Swallowing the cover of mucus inside the throttle as because of the
flue.
Asthma Prescription and Instruction
Page No- 30
Medicine of flue reliever will minimize the flue inside the
throttle, at the same time mucus juice creating will decrease, the
effectiveness of throttle expansion will increase. The best side is that the
medicine minimizes the sensitiveness of the throttle, as a result the sever of
the asthma is minimized. So the medicine is considered as the preventive for
asthma. The medicines do not expand the throttle directly, so generally no
immediate benefit is found.
As a result of the preventive medicine regularly the injuries
inside the throttle which is in dry make the throttle as usual. So if the
medicine is used regularly cold, dust etc does not affect easily. So the
medicine will have to be used regularly in well situation as well. To work this
medicine there is needed at least 2 weeks. So after starting to use the
medicine if the breath difficulties is minimizing, then the medicine is not
working remembering that using medicine will have to be stopped. After 1 month
later of using medicine, if the breath difficulties exist daily, then it will
have to understand effective as per instruction written in the prescription as
not enough. In that type doctors are generally: the dosages of the medicine are
increased.
There will be remembered, in using the medicine sudden any types of
breath difficulties, starting cough using the reliever medicine the symptoms
will have to be decreased. “Sudden infected symptoms preventive medicine does
not minimize immediately.”
But for long term if the medicine used the throttle flue will not
happen. Therefore the throttle gets shrieked. As a result the breathing difficulties
have no possibility to exist. As a result the patient can live life well and
healthy.
Marketed Preventive Medicine Are 3 Types:
1. Steriod Type
Medicine
Asthma Prescription and Instruction
Page No- 31
2.
Chromoglaicate
Type Medicine.
3.
Leochrotrin
Antagonist Type Medicine.
1.
Steroid Type
Medicine: Human body is on the 2 kidneys and glands are existed named adrenal
gland. From these glands many types of Harmon is made goes directly to blood.
Hydrocartison named Harmon is created there which is stronger allergy healer
and flue preventive. The steroid type medicine for the asthma patient is marked
as the life saving. If the asthma becomes severe then high hydrocortisone
injection or other steroid injection is used as life saving. But it has to be
remembered to get the result of the type of injection there is needed few
hours. So for this time throttle expansion medicine is very needed. Those who
has 2 times or more breathing difficulties for them there is used steroid
inhaler in the breathing. Steroid is a type of medicine which is if used in
enough asthma comes in complete control. And on the other hand if the non
planned steroid type medicine is eaten as because of the side effects the
patients are seen many types of symptoms. Such as as because of eating medicine
for many days fat of the body and water with weight in the body gets increased,
temporarily taste to the food is increased, swallowing the mouth it gets
rounded, belly gets burn, pain in belly can be happened, high blood blood
pressure, diabetes can be happened, bone becoming weak can be broken in easy
hit and depression in body can be happened. In addition the power of disease
prevention gets minimized, injury can be dried, the virus coughing disease if
exist in the body hidden that starts to expose. In addition inside the body the
power to create steroid inside the body gets minimized. (Read the book “Steroid
In Asthma Treatment”)
So it is best way to take steroid
through inhaler. If the steroid is used for long run those are side effects are
shown, because the amount of taking medicine is too little. If inhaler steroid
is used for many days in high amount in the throat candia named
Asthma
Prescription and Instruction
Page No- 32
Fungus infectious can be happened, and for someone else the voice
of the throat gets thickens. After taking the inhaler if well water is used in
mouth the possibility is very little. The purpose to use this inhaler is that
preventing asthma controlling it completely. So as per the planning every
winter or in a=infected season or whole year if the inhaler is taken in the
throttle suddenly the throttle becoming shrieked coughing starts. In that case
before few minutes if 2 puff sulbutamal is taken in the breath no cough is happened.
After using steroid inhaler regularly suddenly for any reason breathing
difficulties can increase. In that case steroid tablet for 7 days to 14 days
will have to be eaten in the mouth. In that short term steroid side effects are
very little. In our country predniloson, bitamethason, dexamithason etc named
steroid tablet is found.
But it has to be remembered, the type of medicine without the
consultation of the doctor never should be eaten. In addition, this medicine
makes disease in the abdomen so after taking food will have to eaten and in
case of necessary antaseed or retune or omiprazol type medicine has to be
eaten. When throttle expansion type inhaler or tablet is used no good result is
found, then for the few days steroid tablet if eaten there can get rid off from
the serious attack of the severe asthma.
Most of the patients gets comfort eating steroid tablet, so in
unplanned without having been consultation of the doctor the dosage is to be
continued and finally many side effects can be happened. So without the
prescription of the doctor for the long run do not eat steroid tablet (More
than 14 days at once).
2. Chromoglaicat
Type Medicine: Asthma as because of the reason of allergy and in the case of
asthma as because of gym, specially of young people of the patients
Asthma Prescription and Instruction
Page No- 33
Indirectly flue
preventive this type of medicine is very effective. Intal, Tiled, Nacromin
inhaler named in different countries the medicine is found in the market. As
the side effects are not exist as like steroid it can be used in all types of
asthma. Children using this medicine can do sports correctly. To understand the
effectiveness of this medicine regularly 2 puff daily 4 times in a day at
least: one and half will have to be used. After using one and half month asthma
will come in control, in that case yearly 3 months to whole year can be used.
The medicine using sometimes there has no benefit. In addition to intal inhaler
intal capsule is found. But the capsule is not for eating. Spin healer named
one type of inhaler powder is taken through breath. In addition nedochromil
(name in the market is Tidal) the type of more effective medicine in the developed
countries and at present in our country has been found in limited number.
3.
Leochrotin Antagonist Type Medicine: Kitotiphen: Geditin, tofen,
coffen, genat, prozma etc named is found in the market. The medicine as for
remedy from the allergy. It is eaten in the mouth. But the effectiveness is
very less. And if eaten sleeping comes frequently. To get understand the
benefit it is eaten 1 tablet 2 times daily at least: 1 month. It is benefited,
his yearly at least: 3-6 months or whole year will have to be eaten. But there
is disagreement regarding the effectiveness of this medicine. Many patients do
not have any benefits.
Asthma
Prescription and Instruction
Page No- 34
We are with the national asthma center if the cough is exist or if
there is sinusitis exist in the night 1 tablet will be eaten. As a result the
patient cannot sleep opening the nose and the breathing difficulties are less
as because of taking breathing by the nose.
Antihistamin: Histasin, Insuidal, Evil, Fenergan, Loraditin,
Setirigin etc antihistasin type medicine generally allergy as like works for
the cold. But in very breathing difficulties without the consultation of the
doctor the type of medicine can not be given to take.
Antibiotics: Antiboitics is not effective against asthma. It has
possibilities to get infectious of bacteria in the throttle by the serious
severe asthma, so doctors prescribe the antibiotics. Except generally
antibiotics has no any role in the asthma. Yellow cough if comes out or if it
deodorant there can be necessary of antibiotics in asthma.
What Are The Names Of The MedicinesFor Asthma In The Market?
One medicine has 2 names. Real name or generic name or chemical
name. The name in which doctors know about it. Another name is calling name of
the medicine, brand name or commercial name. The name is given by the medicine
company. In which name it is found in the market. Such as: Sulbitamal is a
reliver medicine of its real name. The medicine ventalin, sulbutal, broncholus,
bradil, saltolin, etc in the calling name or commercial name traditionally knew
in the market. The medicines again are made in different ways. Such as:
inhaler, nebulizer solution, injection, syrup and tablet.
Is Asthma Treated in Any Time?
Good word is meant one in one place and another in other places. We
are in asthma controlling planning as is understood, the disease without
symptoms
Asthma Prescription and Instruction
Page No- 35
Or keep its symptoms in control. Such as, a child after taking
medicine regularly once a time becomes symptoms less. Then that child is
started to get well without having been any types of medicine. Possibly he has
spent the type of symptoms less life. Or some in the middle or in the end age the
symptoms are seen. Then as he uses some of the medicine the symptoms made in
control. This is one type of good. Or someone in older has many problems.
Without medicine the symptoms can not be in control. We are as given him
medicine regularly the type of situation is created that no symptoms are seen
as is said. He can do his usual works. At night sleeping does not break as
because of the breath difficulties. If the patient is spent life that type of
usual I think the patient is in good. You will be surprise if you listen; every
year in the Olympic games participants among them about ten percent are
affected in the asthma as because of the gym. Among them mentionable number of
players taking the right planning can control asthma and winning the Olympics
getting medal then in our country people as because of the deficiency of the
right planning slowly is going to the painful life.
What It Is Understood As Saying To Control Asthma?
We understand saying the right control planning is ‘right
education, necessary awareness and planned treatment.’ Right education is to be
understood, the patient will know when what will do. In the middle of the night
if the breathing pain comes up the reliever sulbutamal type inhaler will have to
be used. If there is cold for keeping the asthma in control the amount of
preventive medicine will be two times more. The patient will know measuring
regularly pick flow how it can be written, how to be aware from the agitation,
what types of medicine is used in asthma, what is the side effects of the
medicine and
Asthma
Prescription and Instruction
Page No- 36
What is inhaler and what are rules to use inhaler? What is said the
situation of infection? Etc.
How To Understand That The Asthma Has Lost Its Control?
It is understood looking some of the symptoms for what reason the
control is lost-
·
Increasing the amount of reliever medicine and using the inhaler
the reliever of breathing difficulties will not be existed for more than 3/ 4
hours.
·
Sleeping is getting lost in night as because of the breathing
difficulties.
·
Breathing difficulties is happening in usual works.
·
Pick flow is going to decrease slowly.
How To Understand Seriously Infected?
When within 5- 10 minutes of using reliever inhaler the breathing
difficulties is not getting minimized then it will be understood that the
asthma is in serious condition.
What Will Be Done Then?
(Picture)
·
The reliever medicine will take again after 5- 10 minutes later.
·
Keep yourself calm; try to take breathing as usual.
·
Seat as like how you feel comfort in seating.
·
Take the the emergency treatment as per your planning.
Asthma
Prescription and Instruction
Page No- 37
·
Keep your hands on your knee so you can seat straight.
·
Do not take breathing quickly; if the breathing is taken quickly
you will be depressed quickly.
·
As soon as possible go to the doctor or take help from the doctor.
Why Asthma Disease Is The Cause Of Death?
1.
Having treatment by own self as the asthma is not in control.
2.
The breathing difficulties is not minimizing through the inhaler.
So without eating any medicine only using inhaler the breathing difficulties
will be minimized, hoping that not taking any steps.
3.
Going to the inexperienced doctor for the serious complicated
asthma or infected suddenly.
4.
From the many days old asthma as because of the respirator failure
(having been deficiency of of the oxygen in the body, with it sometime becoming
more carbon dioxide) or having been heart failure. Beside asthma what are the
diseases can be existed?
5.
Beside this disease there can be problem related to allergy. Such
as: allergy reasoned nose chronicle allergic rhinitis, sinusitis, and allergic
conjunctivitis problems can be existed. Presence of these diseases, as you are
suffering in asthma regarding there will be tested the disease by the doctor.
So coughing, breathing difficulties problems if not treated, controlling asthma
has become tough. Such as: if the nose is not treated related to allergic
problem your asthma control can be difficult.
Asthma Prescription and Instruction
Page No- 38
(Picture)
Conclusion:
1.
The patient will have to acquire related knowledge regarding the
asthma disease.
2.
The reason by what asthma increases, the patient will have to be
aware for avoiding those things.
3.
There will have to know the effectiveness of using different
medicine used as for treatment of asthma. How the medicine is used, that will
have to know. In addition there will have to know what side effects by that
medicine are.
4.
Pick flow has to be measured to understand asthma.
5.
You will have to understand from the doctor what the situation of
your disease is and to keep control the asthma what is your planning for
treatment.
6.
If the asthma is not in control or if the control is lost sudden
soon the consultancy will have to be taken from the doctor.
Keep remember
in mind you are your own self is a primary doctor of asthma disease. Doctor is
only your consultant. It is depended how much you know regarding your disease,
on it. For this purpose, contact to the center today.
Asthma
Prescription and Instruction
Page No- 39
Date:
Treatment Plan:
Asthma
Prescription and Instruction
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