Asthma in children
Pediatric Chest Diseases
Memorial Ataşehir Hospital
The most frequent chronic disease of childhood, the "asthma" frequency is around 6-10% in our country. Asthma is an important cause of schooling and hospitalization in childhood. Memorial Ataşehir Hospital Department of Pediatric Chest Diseases. Dr. Fazilet Karakoç gave information about asthma in children.
Contents
What is the frequency of asthma in children?
How do you put asthma in children?
Which children are at risk for future asthma development?
What are the drugs used in asthma treatment?
Are there any harmful side effects of cortisone medicines used in the breath-by-air route?
Is it appropriate for my child to go to school trips?
Can children with asthma play sports?
What should I do when my child starts reading?
How should I be informed about a child's disease that is receiving asthma treatment?
Is my child's mental state important in asthma?
Do my other children have asthma?
Asthma and environment
What are the important environmental allergens in asthmatic children and what control methods should be used?
How do you diminish your house dust mite?
Can house dust flow be successfully reduced? Do these precautions lead to a difference in the clinical findings of patients?
Dry cleaner
What are the important environmental allergens in asthmatic children and what control methods should be used?
How do you reduce animal allergies?How do you reduce allergies to bathhouse beetles?
Exposure to environmental cigarette smoke is an important environmental factor in the development and increasing of the severity of asthma.
What is the frequency of asthma in children?
The most common chronic disease in childhood, the frequency of asthma in our country is around 6-10%.
It is an important cause of school loss and hospitalization in childhood.
How do you put asthma in children?
Patients with asthma usually go to the doctor with intermittent complaints such as "wheezing, shortness of breath, feeling of tightness in the chest, coughing only". Usually these complaints follow an upper respiratory tract infection. Apart from this, children aged 6 years or older are assisted with respiratory function tests (tests measuring lung capacity).
Tests for the presence of allergens can also be done, but there are children with similar complaints without allergies. But if there is an underlying allergic background, children should be followed up more closely
Which children are at risk for future asthma development?
In pre-school period, children may have upper respiratory tract infection 5-8 times a year. In some children, the airways are more sensitive and usually refer to the doctor with complaints such as wheezing shortness, prolonged cough following upper respiratory tract infections (URTI).
Similar complaints can be seen in 50% of children in preschool age. As a significant proportion of these children grow, these complaints diminish and disappear, but in some cases complaints continue until later years and asthma is recognized.
It is not certain in advance which children will heal or which children will continue to have complaints until the later years of their lives, or asthma.
Along with this:Frequent hospitalizations with severe wheezing / bronchiolitis
At least 3 wheeze during the last 6 months
Familial asthma story
Atopic dermatitis
Rhinitis presence (in the absence of URBAN)
The rash (in the absence of respiratory tract infection)
Detection of allergen in test
Risk factors for asthma development.
What are the drugs used in asthma treatment?
In children with asthma or airway sensitivity treatment is planned according to international treatment guidelines. The first-line medications in these treatment guidelines are medications delivered directly to the airways. There are two kinds of drugs used in these patients
Protective / therapeutic drugs
Inhaled corticosteroids
Other oral medications (chewable tablet)
Relieving, relieving remedies
Mild asthma;
If your child has very intermittent and slight complaints
Asthma attacks are mild and short-lived
If daily activations are normal; he can use relaxing medicines only when he has a complaint.
Moderate to severe asthma
If the symptoms of asthma are more than two times a week
If there are more nighttime symptoms than two nights a month
If asthma attacks prevent the child's activity; should use preventive medication every day.
If spraying medication is used in the treatment, it is definitely not directly in the mouth. There are some intermediate devices that are used according to age groups of children.
Are there any harmful side effects of cortisone medicines used in the breath-by-air route?
Drugs used in asthma therapy are safe in terms of systemic side effects when used at appropriate doses and with appropriate intermediate devices.
Asthmatic patients reach later adolescence than their peers. Adult tongue is NORMAL
Especially if patients with severe asthma do not receive appropriate treatment, shortness of hearing may be seen depending on the disease itself.
Is it appropriate for my child to go to school trips?
YEAH
He can go on school trips as long as his asthma is under control
Prior to traveling, responsible persons should be informed about the treatments that can be used when the child's illness is necessary
Can children with asthma play sports?
YEAH
It is very important for asthmatic children to exercise
You should consult your doctor if there is any symptom associated with physical activation.
What should I do when my child starts reading?
Do not keep your child's disease from teaching
Tell your child about the asthma symptoms
Ask your doctor to send asthma medications if necessary
How should I be informed about a child's disease that is receiving asthma treatment?
Your child should be involved in all normal day-to-day activities where their peers are involved and be confident
Encourage yourself to be as independent as possible
Your child should be informed about asthma as it grows.
Your child should be responsible for taking their medicines regularly.
Your child should know who to call in case of an emergency related to his / her illness
Responsible persons in the school should have information about your child's disease and medications.
Is my child's mental state important in asthma?
Excitement, resentment, extreme fear can trigger asthma in children
Family problems can cause asthma to worsen.
The positive and positive approach of the family is important
Do my other children have asthma?It is not a contagious disease; but genetic significance, especially the presence of asthma hay fever in mothers, fathers and siblings is a risk factor for the development of allergic diseases in other children.
Asthma and environment
When evaluating asthmatic patients, details related to the environment in which the patient lives should be learned, and appropriate suggestions should be given in order to reduce the amount of environmental allergen.
When the patient comes to check, it should be checked whether environmental precautions have been taken.
Especially under the conditions of our country, the exposure to passive smoking should be questioned and the family should be informed about this issue.
What are the important environmental allergens in asthmatic children and what control methods should be used?
How do you diminish your house dust mite?
House dust is the most important indoor environment both in the world and in our country.
The house dust is fed with particles that are shed from human skin.
An adult adult is a sufficient amount to feed 100 000 households of day dust mite per day, which is 0.5-1 g per year.
Beds, quilts, carpets, furniture are important sources for house dust allergens.
During their cleaning, allergens can take off.
Can house dust flow be successfully reduced? Do these precautions lead to a difference in the clinical findings of patients?
Patients should be properly informed about precautions to reduce house dust mites so that unnecessary time and money are not wasted.
It is the most important region in the clinic with the greatest amount of allergen exposure during sleep.
The use of allergen-non-transferable bed and pillow cases and washing of bed material with hot water (> 55 C) is the most effective way to reduce house dust exposure in bedrooms and significantly reduces house dust allergen.
In addition to anti-allergic coatings, it has been shown that there is no additional benefit of using certain chemicals such as acaricide or anti-mite shampoo
Dry cleaner
Kill all living house dust bugs!
But it does not reduce the allergen concentration!
What are the important environmental allergens in asthmatic children and what control methods should be used?How do you reduce animal allergies?
The urine, feces and saliva of all warm-blooded animals, including small rodents and birds, can cause allergic reactions.
Animal allergens are very small, sticky and stick to surfaces.
It has been reported that animal allergens are transported from houses to communities such as schools. For this reason even children without pets can have animal allergies.
The most effective method for removing animal-related allergens at home is to go away.
Good cleaning is required to remove allergens from the center even after the animal has gone.
Reductions in the level of allergen can take months, lifting carpets and fabricated furniture shortens this period.
If the animal is not going home,
The animal should not get into the bedroom.
The patient's bedroom is kept closed.
Carpets and fabrics should be removed as far as possible and such existing material should be isolated from animals as much as possible.
How do you reduce allergies to bathhouse beetles?
Hammocks usually like dark, humid, warm environments.
It is not easy to remove allergens from the house.
Although the efficacy of eradication of professional cockroaches is not fully proven, it is the only choice available.
The goal is not only to eliminate the living bugs, but also to remove the bugs from the bath.
Especially in families living in crowded apartments, the re-infestation is a very important problem. Basic cleaning precautions such as removal of food and water sources used by bathrobes other than chemical spraying are very important.
Items such as empty bags, empty bottles, newspaper papers, etc. are often favorite areas of cockroaches and should not be stored at home!
Exposure to environmental cigarette smoke is an important environmental factor in the development and increasing of the severity of asthma.It should be said that if you do not smoke cigarettes and / or drinks, you should drink outside the home.
Physicians should be knowledgeable about smoking cessation activities and should be able to lead the family if necessary.
The patient's active smoking or friends, relatives, carers, etc. Other sources of possible exposure to cigarettes such asshould also be investigated.
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