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Bronchial asthma

 

Bronchial asthma

Definition:

Asthma is a chronic inflammatory disorder of the airways, associated with airway hyper-responsiveness that leads to recurrent episodes of wheezing, breathlessness, chest tightness and coughing, particularly at night and in early morning. These episodes are usually associated with widespread but variable airflow obstruction within the lung that is often reversible, either spontaneously or with treatment.

Bronchial asthma


Classification of Bronchial asthma:

  • 1.    Extrinsic asthma
  • 2.    Intrinsic asthma.

Which is responsible for asthma?

1.    IgE( Immunoglobuline E)

It is type-I hypersensitivity reaction

Immunoglobuline E

Precipitating factors of bronchial asthma:

1.   Allergen exposure, e.g. House dust mite, household pets.

2.   Indoor pollution.

3.   Exposure to pets in early life.

4.   Childhood infections, e.g. respiratory syncytial virus.

5.   Dietary deficiency of anti-oxidant.

 

Symptoms of Bronchial asthma:

Typical symptoms are recurrent episodes of-

1.    Breathlessness.

2.    Chest tightness.

3.    Wheezing

4.    Cough( may be dominant feature in ‘cough-variant asthma’).

 

Symptoms of Bronchial asthma

Complication of asthma:-

Asthma can cause a number of complications, including:

  1.   Lung damage: Poorly controlled asthma can lead to a decline in lung function. 
  2.   Infections: People with asthma are more likely to develop pneumonia and other lung infections. 
  3.   Lifestyle issues: Poorly controlled asthma can lead to fatigue, poor sleep, and physical inactivity. It can also cause people to miss work or school, or fall behind in schoolwork. 
  4. Mental health: Asthma can lead to stress, anxiety, depression, or other mood disorders. 
  5. Oral health: Asthma can cause oral ulcers, bad breath, and changes in taste. 
  6. Gastroesophageal reflux disease (GERD): Asthma flare-ups can increase the risk of GERD. 

·         Hospitalization: Severe asthma attacks may require emergency treatment or hospitalization. In some cases, untreated asthma can lead to respiratory failure or death. 

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