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» » » » Do not let death due to asthma


- Although asthma vaccine helps patients stay healthy and working as usual but more understanding of asthma patients are not correct, leading to painful consequences.
Do not let death due to asthma
Hospital medical staff HCM City Medical University a patient guide asthma therapy spray - Photo: Huu Khoa
PGS.TS.BS Le Thi Tuyet Lan - Head of Respiratory Care Center and Hospital functional exploration HCM City Medical University - said so.


3.6 million people with asthma VN

According to PGS Tuyet Lan, asthma is a serious health problem worldwide, increased incidence of asthma in many countries, including VN.

Asthma affects people of all ages and is a burden on the health sector, the family and society. Many asthma patients untreated or improperly treated often have trouble breathing, wheezing, insomnia, emergency room for acute asthma.

A 2010 survey by the Ministry of Health VN showed 3.6 million people VN (excluding children) suffering from asthma, but only 40% of patients with controlled asthma properly. There are many asthma patients do not have access to the standard therapy, frequent emergency room for acute asthma.

Because of asthma control is not good, so early May 5-2016 has a 36-year-old female patient in Quang Tri to the hospital emergency because dyspnea, fatigue. After being injected emergency medicine patients died. According to family members, patients with asthma for many years.

Mistakes in
treatment of asthma

Mistakes occur from both the patient and some physicians and medical facilities. Nguyen Nhu Vinh ThS.BS - lecturer HCMC University of Medicine - said. Dr. Nhu Vinh, asthma is a chronic disease of the respiratory tract, but not cured curable.

The goal of asthma therapy is to control asthma, helped patients do not appear symptoms of wheezing, shortness of breath during the day (less than 2 times / 2 weeks); help patients daily activities including exercise; asymptomatic or not wake up at night because of asthma; not need detoxification (less than 2 times / week); lung function is normal or near normal; no acute asthma.

However, the fact that asthma control is not simple. To the medical establishment, the treating physician, the correct diagnosis was not good asthma because many health facilities do not have to sign a respirator should be based on clinical examination, screening questionnaires or measured with flow PEF meter.

There where however there but meter technician should not be trained carefully measured incorrectly. Once treated, there are still some places for patients using bronchodilators (oral, injection) or oral medications patients buy drink, cause many side effects when used long-term ...

Physicians As Vinh stressed the nature of asthma is airway inflammation (ie, anti-inflammatory medication to). When bronchodilator drug abuse will not control inflammation of the airways, leading to irreversible blockage.

More dangerous, if used bronchodilator 5-10 years will lead to permanent airway obstruction, as patients switched to chronic obstructive pulmonary disease more severe and almost no medicine.

To the patient, a few do not have to treat asthma controller medications, or drugs but using incorrect instructions. In particular, the treatment Failure to take unorthodox measures, there is no scientific evidence that the situation worse asthma control.

In addition, the patient's understanding of the treatment of asthma are not true: cutting attack drug abuse, use of controller medications, as well to see it discontinued ... Consequently, the treatment resulted in not as expected wanted, patients must often go to the emergency, even death because no emergency promptly.

Preventing asthma: the most important!

"With the aim of no longer asthma mortality and live as a normal person, the University Hospital and Medical City hospitals most in VN made according to the criteria of the GINA is preventing asthma "- Assoc Tuyet Lan said.

To accomplish this important task, as Prof. Tuyet Lan, medical facilities must meet six targets in asthma control for patients is: achieve and maintain control of symptoms; maintaining asthma control respiratory function as close to normal as possible; maintain normal activity levels, including exercise; avoid the side effects of asthma medications; airway obstruction preventing irreversible; and prevent death due to asthma.

In addition, each province needs at least a management unit asthma and chronic obstructive pulmonary disease (COPD) in community development to the districts and wards.

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