Recently, the respiratory department treated a cough patient with chronic cough. Patient Wang, 28, is a famous singer. She usually has good habits and doesn't smoke or drink. A few months ago, after catching a cold, Miss Wang felt a little coughing, but she didn't have phlegm and didn't care. She took some cough medicine herself. Unexpectedly, his cough has been bad. It has become more and more serious recently. Especially at night, his cough can be heard by the neighbors on the whole floor, which has seriously affected Mr. Wang's life.
After admission, Miss Wang was diagnosed with "cough variant asthma" after a series of examinations. After learning that he had asthma, he was completely blind. He never thought that the "ordinary cough" in his eyes would eventually become "asthma".
In fact, in daily life, there are many "cough" patients like Miss Wang. It is often treated as a common cough to delay the disease.
Yog li cas tus kab mob hnoos variant asthma? Peb yuav tsum txheeb xyuas thiab tiv thaiv nws li cas?
Asthma without wheezing and shortness of breath. Let's know
hnoos variant asthma yog ib hom mob hawb pob tshwj xeeb thiab kab mob ua pa hauv pa. Cov neeg mob no tsis muaj cov tsos mob ntawm hawb pob xws li hawb pob thiab ua tsis taus pa. Kev hnoos yog qhov tshwm sim nkaus xwb lossis qhov tshwm sim, yog li nws feem ntau tsis quav ntsej.
Tus kab mob no feem ntau tshwm sim los ntawm kev hnoos qhuav qhuav (10 ml ntawm expectoration ib hnub twg, hais txog tus nqi ntawm lub raj mis ntawm ob hom dej ntxhia zoo tib yam), feem ntau yog hmo ntuj thiab thaum sawv ntxov. Kwv yees li ib -feem peb ntawm cov neeg mob hnoos ntev ntev, thiab lub sijhawm pib yog ntau tshaj 8 lub lis piam. Airway hyperresponsiveness yog qhov chaw ntawm kev mob hawb pob. Airway hyperresponsiveness yog hais txog cov lus teb sai dua thiab hnyav dua ntawm txoj hlab pa rau sab nraud stimuli.
Patients with well controlled "cough variant asthma" may not have symptoms at ordinary times, but once stimulated by cold, cold air, dust, oil fume and so on. They may stimulate airway hyperresponsiveness and induce or aggravate cough.
When ordinary cough is treated, it's wrong
Cough variant asthma cannot be treated as a common cough. Domestic guidelines recommend the use of inhaled corticosteroids combined with bronchodilators, such as "budesonide / formoterol" and "fluticasone / salmeterol". It is suggested that the treatment time should be at least 8 weeks, and some patients need long-term medication. If the patient has severe symptoms and poor response to inhaled glucocorticoids, oral glucocorticoids are recommended.
Tsis tas li ntawd, leukotriene receptor antagonists xws li montelukast sodium kuj siv tau. Cov tshuaj zoo li tuaj yeem txo cov tsos mob hnoos, txhim kho lub neej zoo thiab txo qhov mob ntawm txoj hlab ntsws.
For a small number of patients who do not respond to inhaled glucocorticoids, the use of these drugs may still be effective. At the same time, traditional Chinese medicine believes that "cough variant asthma" is related to wind evil invading the lung and lung qi loss. In the treatment of cough variant asthma, it is appropriate to dispel wind and promote lung, stop cough and promote pharynx. Suhuang Zhike capsule has significant curative effect.
Ntxiv nrog rau kev kho tshuaj, cov neeg mob no tuaj yeem siv qee qhov kev ntsuas zoo los tiv thaiv qhov pib ntawm hnoos variant asthma. Ua ntej tshaj plaws, tswj kev ua neej zoo thiab noj zaub mov zoo: txiav luam yeeb thiab haus cawv, ua kom muaj zaub mov txaus, txhim kho lawv txoj kev tiv thaiv, tsis txhob ntsim thiab txhawb cov zaub mov, thiab xyuas kom txaus pw tsaug zog thiab qoj ib ce kom zoo.
Secondly, avoid long-term exposure to inducing factors, such as dust, pollen, oil fume, irritant gas, cold air, cold, etc. Finally, early intervention, regular medication, once diagnosed as "cough variant asthma" should be treated as soon as possible.
