More and more parents are faced with a diagnosis of "bronchial asthma" Every day. The reasons for the growth of this disease is a number of factors: environmental degradation, ubiquitous household chemicals, viral diseases carried over the child at an early age. As a result, the immune system is deteriorating, and she was no longer able to provide decent opposition harmful microorganisms and substances that enter the body from the outside.
In contrast to asthma in adults, which may occur for many reasons, children's asthma in most cases refers to the allergic type. This means that the main cause of this disease in children is the allergens that cause inflammation in the bronchial mucosa ventolin hfa directions.
This disease not only reduces the quality of life, impact on his intellectual and physical development, but, depending on the severity of the disease, can cause complications, life-threatening.
The correct and timely diagnosis of asthma in children is sometimes complicated by the fact that the disease often takes the form of viral respiratory diseases. And the parents, for the first time watching the symptoms of asthma in a child, not even suggest that faced with something more than a common cold.
But unlike viral diseases, bronchial asthma is not accompanied by elevated body temperature. And the lack of temperature in dry, hacking cough without phlegm should not pass unnoticed.
Asthma in children is most often manifested by the following symptoms and signs:
Children up to 1 year is observed dry paroxysmal cough in the morning and at night. The intensity of coughing may decrease after you take the baby in her arms or lift the upper part of his body. But once the child is returned to the horizontal position, the cough resumes. Before the attack the child may stuffy nose, appear irritability and tearfulness. Breathing in a child becomes noisy, whistling and inspiratory duration - instead of being equal to the length of exhalation - is halved.
Older children may complain of chest tightness, lack of air. The child may reflexively begin to breathe through the mouth, trying to capture more air, but it provokes a more severe cough.
Some of the symptoms of asthma in children are not typical and have individual character: rash, itching, watery eyes.
Coughing is usually a long and non-productive (without sputum). Only after a few minutes of continuous coughing child can cough up a small amount of clear mucus.
The attack cough often starts under certain circumstances: on a walk or after returning home after playing with a cat or a dog, after a visit to the botanical garden or while drawing paints. Such "predictable" episodes show that there was contact with the allergen, and parents should keep a diary, which will be recorded as own asthma attacks and events that occurred shortly before them.
Despite the fact that the first signs of asthma in children resemble colds, they are accompanied by an elevated body temperature. This is the most accurate indicator that you are not dealing with SARS, and allergic disease.
Asthma - quite heavy and serious disease that left untreated can cause a wide range complications. The list of complications the most "innocent" will be a sore throat disease, rhinitis, sinusitis - as a result of chronic dry cough nasal mucosa appear microtrauma serving gateway for pathogens. For this reason, timely and accurate diagnosis is crucial.
Parents often ask the question: what kind of doctor treats asthma? But before you start treatment, you should find out the reasons for which the child has developed the disease. Therefore, the first doctor to whom you should address - a pediatrician.
First the doctor will listen to the lungs and heart, examine the shed, measure the temperature and prescribe lab blood tests to rule out acute bronchitis, pneumonia and other diseases that require immediate hospitalization and medical treatment.
In addition, the doctor will conduct a survey of parents to determine whether there are factors that could cause the development of asthma of allergic type:
as the pregnancy proceeded, whether it was complicated by viral diseases; I have the mother during pregnancy any medication; consumed if the mother during pregnancy and lactation vysokoallergennye products (fish, nuts, citrus fruits, chocolate, etc.), and in what quantities;
whether the child was breastfed or artificial; the age at which he began giving complementary foods; what products were child's diet at the age of 1 year;
suffers if someone from the family members with allergies.
After this consultation pediatrician assigns an allergist, who will conduct a survey to determine the allergen that causes asthma attacks.
For that skin tests are conducted, during which a small scratches are made on the forearm child prepared solutions containing allergens. Each of the scratches marked the number corresponding to the number introduced allergen. After 20-30 min. doctor checks a skin reaction: scratch, around which the skin is slightly swollen and reddened, it contains the allergen, which is sensitive to the child's body.
This method does not apply in cases where the child's body is weakened by a recent myocardial disease and if asthma symptoms recur frequently and are classified as severe (sudden upcoming severe shortness of breath, which leads to suffocation).
In this case, the appointed allergological blood tests. The child is carried out blood sampling, and then in the laboratory examined her reaction to allergens. Prepared several blood samples, each of which makes a certain allergen. If one of the samples appeared specific antibodies, this suggests that the allergen causes a child increased the immune response of the organism.
In those cases where the laboratory tests have not been able to identify the causes of allergies, it can be assigned to consulting pulmonologist - a specialist in respiratory diseases.
Pulmonologist conduct additional tests aimed at identifying the diseases of the bronchi and lungs.