Asthma in children is one of the most common causes of sick leave school. Asthma relapse can interfere with sleep, play, and other children's activities. Asthma can not be cured, but you and your child can reduce symptoms by following a number of asthma treatment action plan.
The goal of treatment of asthma in children
Asthma in children should always be treated under medical supervision. The goal of treatment is to:
- Reducing the frequency and worsening of symptoms, and reduce or prevent the symptoms of chronic cough and difficulty breathing
- Develop a "plan of action" for asthma symptoms in order to reduce emergency medical treatment
- Allows children to grow and develop normally and follow normal childhood activities as much as possible
- Controlling the symptoms of children with the number of medications that may be at least in order to reduce the risk of side effects of drugs
- Ensure regular school attendance
- Reduce the risk of back and forth to the emergency and the need for rescue treatment
How to treat asthma in children?
1. Design your asthma action plan
With this goal in mind, the pediatrician will prescribe medication and may refer you to a specialist who is able to diagnose asthma in children. The doctor will also help you plan a specific program of childcare in the home. This will include learning how to use medicines and treatments prescribed and develop a plan to avoid irritants and allergens that may cause the child to cough or sigh. It might help to write the asthma management plan that keeps you reading, which should explain the child's medication, when and how to take medicine, and other instructions given pediatrician to keep the child's condition.
2. Using a spirometer
If the child's asthma is triggered by allergies seem severe, your pediatrician may refer you to an allergy specialist or a child lung specialist. Assessment of lung function of children may include the use of a tool called a spirometer, which measures the amount of air that a child can breathe out of the lungs. Spirometers are usually technically not a success for children under 3-5 years.
3. Prescription drugs
Prescription drugs for children will depend on the nature of asthma. There are two main types of asthma medications. The first type of open airways and relax the muscles that inhibit. Drugs that relieve quickly or "savior" is called a bronchodilator. The second type is a controller or maintenance medications, which are useful for treating airway inflammation (swelling and mucus production).
Drugs that relieve quickly or rescuer intended for short-term use. If the child has an asthma attack, with cough and / or sigh, saving drugs should be administered. For example, albuterol. By opening up the narrowed airways, rescue medications was able to relieve the tightness in the chest and reduces wheezing and feeling unable to breathe. This medication is prescribed based on the needs. If asthma attacks more severe, your doctor may give additional medications - such as oral corticosteroids. It is important to realize that if there is no progress or changes after giving rescue medications, children may need further assessment. Usually breathing will improve for a few hours before returning wheezing.
Some children kept sighing lightly although it has been treated, but for children to eat and are not in trouble this may not be a problem.
4. Drug suction
Saving drugs be administered with an inhaler driven by HFA (HFA = hydrofluoroalkanes) -also known as puffer-or with a nebulizer.
Controller medication intended to be used every day. They are designed to control childhood asthma and reduce the number of daytime asthma symptoms and night. In general, controller medication is suitable for children who have symptoms two or more times a week, who woke up with symptoms more than twice a month, which require more than two sets of oral steroids within a year, or who have been hospitalized with symptoms of asthma. These drugs can reduce the inflammation gradually and over time but not immediately relieve the symptoms.
The most effective controller medication is kortikostreoid breathe. There are several different types, but they all work by preventing inflammation in the airways, which could potentially reduce the number and severity of asthma episodes. In infants and small children, inhaled corticosteroid may be given through a nebulizer with a face mask or through suckers. Suckers require a plastic tube called a spacer or chamber that holds the volume, which is required to allow the particles of space to spread out and reach a small area of the lung.
Without the spacer, the majority of drugs will come back to the throat and swallowed rather than inhaled. In infants and small children, this is usually done with a mask (small or medium), which should be placed on the face with a good seal when the child takes a few breaths.Spacers can also be a mouth protector for older children, which require that children inhale slowly and hold breath for 10 seconds. Usually two gusts are given for 1 minute apart, with children taking six breaths for each and every breath, which can be repeated every 4-6 hours or as directed by your doctor. After suction steroid use, it is important for children to clean up and spit or brush his teeth.
Another way to enter is by nebulizer medication. Compressor (or breathing machine) is connected by a tube to a tool such as a small glass toward the drug. Compressor transform the liquid into a moisture which is then inhaled. In young children, a mask is used, and should be installed in the face with a good seal. If you do not have a good seal, the vast majority of drugs evaporated and never reaches the lungs.
It is advisable to give the drug when the child is not being fussy or crying, because of shortness of breath and sesunggukan can reduce the amount of drug that can reach the lungs. It may not always happen, but over time most children learn to take drugs.
The Treatment of asthma are most effective for children?
Although all equally effective techniques, the child may be more cooperative with one technique than other techniques. Saving drugs may seem more effective through a nebulizer, but a dose of albuterol ternebulisasi generally larger than two gusts sent through suckers. Because asthma can be a complicated disease and may be different for each person, the doctor will determine the treatment of each child. If the child's symptoms appeared later, the pediatrician may only give a bronchodilator for episodic cough or wheezing sound. When chronic or recurrent asthma, your doctor will usually prescribe the controller to be used regularly. These drugs generally takes two weeks to give the full effect.
Anti-inflammatory drugs - most commonly inhaled corticosteroid - recommended for all children with asthma who have prolonged symptoms. These drugs are very effective and safe but should be used regularly. These drugs often fail because it is not used consistently. Because it does not have a rapid effect, children are often tempted to discontinue its use. However, it will stop letting children unprotected airways, and he may have an asthma attack.
Class of drugs is relatively new controller called leukotriene receptor antagonists inhibit the activity of the chemical (leukotriene) associated with inflammation of the airways; they only apply to oral preparations, such as in the form of pills and powder granules and chewable tablets. Although not as effective as inhaled corticosteroid to prevent asthma attacks, this drug may be an option for prolonged mild symptoms or in addition to corticosteroids suction.
Again, it must be given every day to prevent attacks. Another way for the child to receive certain drugs is via a dry powder inhaler, which releases the drug without propellant. Kids must rely on its own strength to take medicine inhaler and put it into the lungs. As a result, the drug is generally not prescribed until the child reaches school age (at least 5-6 years).
Are there any side effects from the treatment of asthma in children?
Make sure to provide medication as directed. Do not discontinue use of the drug is too fast, reduce the administration of the recommended or turn to drugs or other treatments without first discussing the changes with your doctor.
In some children, some drugs may be given at the same time to control asthma, and then the amount of medication that once reduced asthma symptoms under control. If you do not understand why certain treatments have been suggested, or how to give, ask for clarification.
In some cases, asthma in children has not progressed at all even when they use drugs. If this happens, more asthma medications may be needed, they may have not have asthma or other medical conditions may interfere with their treatment. The pediatrician will examine the child and problems that exacerbate asthma, such as allergic rhinitis, sinus infections, and stomach acid (GERD).