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Last Update: 2007-07-16   iconDownloadiconSitemap
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iconNow: Home > Service > Medical Service Work Data > Pediatric Asthma
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Last Update: 2007-07-16
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Blank Medical Service Work Data  

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Title : blank Pediatric Asthma
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Release Dep : blank Doctors icon Release date : blank 2007.07.16
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What is asthma?
Asthma is a morbid state of overrecation of respiratory tracts, it reflects a status of temporary stenosis or clogging of the respiratory tracts, but that is a reversible condition.
How does the respiratory tract become narrowed up or clogged?
The changes that took place in step with an asthma fit can be explained in three dimensions:

  1. Contraction of the muscle surrounding the respiratory tract such that the respiratory tract is compelled to narrow up;
  2. Swelling of lining cells in the respiratory tract makes the respiratory tract even further narrow up;
  3. These lining cells secreted masses of mucus to the respiratory tract, filling up the passage that yet remains, thus eventually stuffed.

How do you define a fit of asthma?
Anytime a shortbreathing took place that results in interfering with the day-to-day living or else in the necessity to take certain actions until smooth-going respiration is restored, such as taking a rest or inputting soothing drugs.
A guideline to assess the severity of the fit of asthma that is attacking your child is given below:

Severity of the fit Inhale to exhale ratio Gasping noise Chest upheaval
Mild Close to normal 1.5:1 Concurrent with exhalation Nil
Moderate Close to 1:1 Throughout the exhalation cycle Moderate
Grave Less than 1:1 Throughout the breathing cycle, especially during the exhalation phase significant


Inducing factors
Common inducing factors:
Sport, virus infection, pollutants, frigid air, allergen and temperature fluctuations.

Environmental factors:
Dust: carpet, bedspread, stuffed toy and the pets, the sleeping room. In particular, must be cleaned and tidied up thoroughly.

  • Take off all the carpets.
  • Using wet wipers, mop up all the rooms, up and down, at once each week.
  • Mildew: present commonly where the draft is poor, humid and moisture-ridden.
  • Avoid raking the foliage with a rake, harvesting or handing with cereal crops or hay with a strong smell or order, for that will induce asthma, keep as far away as possible from perma solutions, perfume, joss stick that is being burnt, or burning, paintstuff, toilet soap, and even fume emanating from a frying pan, for they can all induce asthma.

Temperature: Where air-conditioner is used, the indoor temperature must be maintained between 24~28 degrees C.
Relative humidity: must be maintained 50~60%.

Allergen and allergen-antidoting treatment:
Identify the source of allergen in the first place, using skin tests and blood sampling tests.

What children, who need allergen-antidoting treatment?
By and large, the following circumstances, when matured, justify the employment of the allergen-antidoting treatment:

  1. The allergen is omnipresent and inevitable, especially the inhalation type allergen, such as: dusts, pollen and mildew;
  2. The Patient’s syndrome persists despiting meticulously executed environmental control is in place;
  3. The patient’s syndrome persists despiting that drugs have been appropriately inputted;
  4. The allergen answerable for the case has been definitely identified and located.

What is it that is inducing a fit of asthma?
Certain factors aroused allergic responses in an individual’s respiratory tracts which then contracted.

What are the inducing factors of asthma?

  1. The most common factor which induces asthma is viral infection of respiratory tract, such as flu, nasal sinusitis, and tracheitis.
  2. Sports, in cold weather, in particular.
  3. Pollutants, such as: smoking, fragrance, dusts and chemical agents.
  4. Allergen such as: dusts, mildew, pollen and animal hair accounting for approx. 10% of the incidence.
  5. Sentiments, joy, sorrow, complication (lesser a decisive element).

Does each fit of attack warrant medical intervention?
The answer is in the affirmative. The reason for that is simply this, nobody can tell when the fit gets on, how severe it will turn out. The effect of drugs will turn down as the fit goes on, so treatment action given as soon as the fit sets on in an active manner is necessary.

Characteristic features of pediatric asthma
Child boy vs. child girl 2:1, 20% of the incidence prior to age 2, 80% prior to age 5, in recent years cases of pediatric asthma increased incredibly rapidly, and the onset age has dropped noticeably from year to year.

What are the symptoms of an asthma case?
Typical manifestations include: coughing, dyspnea, short breathing, chest oppression, with complication of gasping noises. The symptom often comes all of a sudden.

Will an asthma case be cured?
If only drugs are administered properly, it is still possible to reduce the incidence rate so that the patient may lead a regular life all the same, as many as 50% of the ailing children were liberate from the asthma nightmare way from the latter phase of childhood or on entrance into the adolescent phase.

Guideline for treatment of asthma:

  1. Improving the living environments;
  2. Adhering to dietary restrictions;
  3. Receiving allergen antidoting treatment;
  4. Drug administration.
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