Asthma & Allergic Asthma?
The development of hypersensitivity to environmental factors in the respiratory tract and respiratory difficulties caused by swelling of the mucous membrane is called asthma. The cause of this swelling or sensitivity is called allergic asthma, especially when there are small particles in the air or any allergen in the spring (Turkish thorax, 2018).
Allergic asthma is the most easily recognized type of asthma. This type of asthma, which usually starts in childhood, has a history of allergic rhinitis, eczema, drug or food allergy (Kaya et al, 2009; Türk thorax, 2016).
Symptoms and clinical table
Asthma is a chronic inflammatory disease. Chronic inflammation causes chest pain, coughing, wheezing and shortness of breath. For the effectiveness of treating asthma, the diagnostic process is very important. For this reason, respiratory tests and clinical picture are important for diagnosis. The tests used today for diagnosis (ekzhale nitric oxide, eosinophil in sputum, Endobronchial biopsy etc.) are high cost and impractical methods. However, heavy tables require these methods. For this reason, more respiratory tests and diagnostic criteria are used in the diagnostic process.
The following criteria are important in diagnosing asthma (Turk thorax, 2018):
• Whether there is an attack of rustling, if there is a frequency,
• Severe coughing and coughing fits at night,
• Cough or rustle after exercise and physical activity,
• Air allergens, pollen or air pollution in cases such as rustiness, shortness of breath and cough,
• Colds lasting longer than 10 days, and Passing on symptoms when given asthma treatment e
After exposure to allergens, the formation of shortness of breath, changes in symptoms according to the season, asthma in the family and the presence of similar atopic allergen disease are important criteria in the diagnosis process. It is possible to group asthma risk factors as follows (Turk thorax, 2018).
Table 1. Assessment of risk factors for asthma
Major risk factors
Minor risk factors
Asthma in the parent
Vizing without a cold
There is no definite relationship between asthma and pregnancy. In general, there is an increase in complaints in one in three patients and a decrease in complaints in one in three patients. Rinosinuzit in childhood chronic, gastroesophageal reflux, recurrent viral lower respiratory tract infections, cystic fibrosis, bronchopulmonary dysplasia, tuberculosis, congenital malformations that causes narrowing of intrathoracic Airways foreign body aspiration primary ciliary dyskinesia syndrome, immune deficiencies and need to be pursued in conditions such as congenital heart disease (the Turkish thoracic, 2018).
In allergic asthma patients, the response to inhaled corticosteroids is good. Asthma symptoms start in the neonatal period and growth retardation accompanies symptoms, cardiovascular signs or focal lung signs and vomiting, such as alternative diagnosis and additional tests are required. In asthma, the term “asthma control” is used rather than treatment. This term is the Prevention of symptoms and inflammation or exacerbation. For this reason, the doctor will give the drug, as well as an allergen for the removal of it, environmental conditions must be regulated.
For this, it is possible to: Determination and removal of allergen sources
Avoid synthetic and allergenic artificial materials,,
The patient's environments should be ventilated regularly and adequately
Furniture, carpet, etc. environments where allergens may be present in the patient's environment should be as little as possible and should be cleaned regularly
Ventilation of the house to minimize pollen exposure, especially in spring
Exercise should be done in accordance with the advice of the doctor and the expert, if necessary, the supervision.
Moisture levels in living and working areas should be minimized
Filters such as HEPA developed for pollen and similar allergens should be used
Kaya Y, Ergüven M, Tekin E, Özdemir M and Yılmaz Hamzah Ö. (2009). “The Use of Alternative Treatment Methods in Bronchial Asthma Treatment in Children in Our Region”. Children's Journal 9 (2): 84-89.
Turkish Thorax, (2016). Turkish Thoracic Society Asthma Diagnosis and Treatment Guide 2016 Update.