Bronchial asthma in children

Bronchial asthma in children is allergic disease. Sick children often certain properties of the organism, often hereditary. Neinfectine-allergic asthma usually occurs in children with the previous food allergies, and permissive factor may be the diseases of respiratory organs. Infectious-allergic asthma caused repeated inflammatory processes in the respiratory organs.
The clinical picture of bronchial asthma in children, especially younger children, differs from that of adults, since children narrowing clearance bronchi when the attack was primarily due to the swelling of the mucous membrane of the bronchi and increased mucus secretion and to a lesser extent with spasm still poorly developed bronchial muscles. The attack usually preceded by an upper respiratory catarrh, often vasomotor rhinitis. The younger the child, the easier it occurs oxygen starvation; there may come asphyxia, and at full of obstruction bronchi viscous mucus - death. For bronchial asthma auscultation characterized by dry whistling wheezing on the expiratory phase; in children of early age or chronic pneumonia in the phase of breath at the same time are heard and mixed moist rales. Many patients from the beginning of the attack appears obsessive dry cough. Asthma symptoms can be observed in children with acute viral and bacterial pneumonia, but they disappear when the recovery. The disease is determined by the frequency and duration of attacks; the combination of a bronchial asthma, chronic pneumonia complicates the course. When started early and systematic treatment of bronchial asthma may result in the period of puberty, if the light does not have any irreversible changes.
The differential diagnosis of bronchial asthma in children should be borne in mind acute pneumonia, foreign body airway and Tumansky (granulomas) bronchogenic.
Treatment of bronchial asthma in children should be strictly divided into mild attack and treatment of the patient in the interictal period. Late and incorrect treatment of attack can help move it in heavy or long asthmatic condition. Usually start with subcutaneous injections of 0.3 ml solution of epinephrine 1 : 1000, regardless of age. The effect occurs in 5-10 minutes, but is short - 2 - 3 hours. In light and moderate attacks treatment can be continued by ingestion of ephedrine (0.002-0.02 g), tablets antelman or teofedrina (1/4-1/tabl.). Children over 2 years old can be given a triple powder from ephedrine, eufillina, Dimedrol (or another antihistamine drug - pipolfen, suprastin and others). In severe attacks, these drugs administered parenteral. Some children have effective inhalation (manual inhaler) 0.5 - 1 ml of 0.5% solution izadrina and 1 ml of 0.5% solution novokaina. When nekupeerootesa attacks the patient should be admitted to hospital; hospital injected water-soluble prednisone or hydrocortisone 0.5-1 ml (12.5 to 25 mg) in 5-10% solution of glucose. The improvement move on intramuscular injection of hormones, and then at the reception inside in the morning, gradually reducing the dose over a period of 3-7 days. At the same time introducing and antihistamines. If the attack goes a long asthmatic condition that occurs often at exacerbation of chronic pneumonia, simultaneously used antibiotics, penicillin should be avoided, because it has the most allergic action. It is strictly prohibited drugs morphine.
The treatment plan in the interictal period vary depending on the form of bronchial asthma. When neinfectine form of allergic exclude identified in the specific examination allergens and, if not, conduct specific hyposensitization. Appoint strict mode, large doses of ascorbic acid up to 1 g / day, the b vitamins, careful hardening, massage, gymnastics. If the allergen is not revealed, spend 1-2 treatment gistaglobina by 1.0 ml subcutaneously 2 times a week, 6-8 times per course. When infectious form of allergic asthma identify infectious foci and spend their reorganization until the surgical removal (on indications). With the defeat of bronchi - bronchoscopy with toilet bronchi. Apply iodine preparations, such as Sol. Kalii jodati 3-5%, 1 tea - 1 table spoon 2-3 times a day, as razzyzath sputum. When any form shows the wide use of the fresh air, the sleep in the air. You should not send sick children to the South from the Northern areas. With the free nasal breathing - swimming, skiing, skating, skiing. Prevention: prevention of respiratory diseases, early detection of exudative diathesis, off food allergens and other