asthma

Prof. Saad S Al-AniSenior Pediatric Consultant

Head of Pediatric DepartmentKhorfakkan Hospital

04/11/23Khorfakkan Hospital /Pediatric Department

2

1

04/11/23Khorfakkan Hospital /Pediatric Department

3

04/11/23Khorfakkan Hospital /Pediatric Department

4

2

04/11/23Khorfakkan Hospital /Pediatric Department

5

04/11/23Khorfakkan Hospital /Pediatric Department

6

3

04/11/23Khorfakkan Hospital /Pediatric Department

7

04/11/23Khorfakkan Hospital /Pediatric Department

8

4

04/11/23Khorfakkan Hospital /Pediatric Department

9

04/11/23Khorfakkan Hospital /Pediatric Department

10

5

04/11/23Khorfakkan Hospital /Pediatric Department

11

04/11/23Khorfakkan Hospital /Pediatric Department

12

6

04/11/23Khorfakkan Hospital /Pediatric Department

13

04/11/23Khorfakkan Hospital /Pediatric Department

14

7

04/11/23Khorfakkan Hospital /Pediatric Department

15

04/11/23Khorfakkan Hospital /Pediatric Department

16

8

04/11/23Khorfakkan Hospital /Pediatric Department

17

04/11/23Khorfakkan Hospital /Pediatric Department

18

9

04/11/23Khorfakkan Hospital /Pediatric Department

19

04/11/23Khorfakkan Hospital /Pediatric Department

20

10

04/11/23Khorfakkan Hospital /Pediatric Department

21

04/11/23Khorfakkan Hospital /Pediatric Department

22

AsthmaAsthma

What is Asthma ?

04/11/23Khorfakkan Hospital /Pediatric Department

23

Unfortunately

Asthma

◙ Is one of the most common chronic

diseases with estimated 300 million

individuals affected worldwide

◙ Its prevalence is increasing

especially among children

04/11/23Khorfakkan Hospital /Pediatric Department

24

Fortunately

Asthma can be effectively treated and most patients can achieve good control of their disease

04/11/23Khorfakkan Hospital /Pediatric Department

25

Fortunately

When asthma is under control ,patients can :

- Avoid troublesome symptoms night and day

- Use little or no reliever medication

- Have productive , physically active lives

-Have { near} normal lung function

- Avoid serious attacks

04/11/23Khorfakkan Hospital /Pediatric Department

26

Asthma

Causes recurrent episodes of:

Wheezing

Breathlessness

Chest tightness

Coughing

particularly at night or in the early morning

04/11/23Khorfakkan Hospital /Pediatric Department

27

Asthma

Is a chronic inflammatory disorder of the airways.

04/11/23Khorfakkan Hospital /Pediatric Department

28

Asthma Attacks

Are episodic ,but airway inflammation is chronically present

04/11/23Khorfakkan Hospital /Pediatric Department

29

Chronically inflamed airways

Are hyperresponsive; they become obstructed and airflow is limited

(by 1. Bronchoconstriction

2 .Mucus plugs

3 .Increased inflammation)

When airways bare exposed to various risk factors

04/11/23Khorfakkan Hospital /Pediatric Department

30

Common Risk factors

Include: 1. Exposure to allergens:

* House dust mites * Animals with fur

* Cockroaches * Pollens

* Molds

04/11/23Khorfakkan Hospital /Pediatric Department

31

Common Risk factors (cont.)

2 .Occupational irritants

3 .Tobacco smokes 4 .Respiratory viral infections

04/11/23Khorfakkan Hospital /Pediatric Department

32

Common Risk factors (cont.)

5 .Exercise

6 .Strong emotional expressions 7 .Chemical irritants

04/11/23Khorfakkan Hospital /Pediatric Department

33

Common Risk factors (cont.)

8 .Drugs

such as: * Aspirin

* Beta blockers

04/11/23Khorfakkan Hospital /Pediatric Department

34

Stepwise approach

To pharmacologic treatment to achieve and maintain

control of asthma should take account the: - Safety of treatment

- Potential for adverse effects - Cost of treatment required to achieve control:

04/11/23Khorfakkan Hospital /Pediatric Department

35

Controller medications

For many patients controller medication

must be taken daily to: 1 .Prevent symptoms

2 .Improve lung function 3 .Prevent attacks

04/11/23Khorfakkan Hospital /Pediatric Department

36

Reliever medications

May occasionally be required to treat acute

symptoms such as: 1 .Wheezing

2 .Chest tightness 3. Cough

04/11/23Khorfakkan Hospital /Pediatric Department

37

1.Assess symptoms"In the last month

-Have you had difficulty sleeping because of your asthma symptoms )including cough(?

-Have you had your usual asthma symptoms during the day )cough, wheeze, chest tightness or breathlessness(?

-Has your asthma interfered with your usual activities e.g. housework, work/school etc"?

04/11/23Khorfakkan Hospital /Pediatric Department

38

Cont.

2.Measure peak flow

3.Assess inhaler technique

4.Consider personalised asthma plan

04/11/23Khorfakkan Hospital /Pediatric Department

39

1

04/11/23Khorfakkan Hospital /Pediatric Department

40

Asthma is not a psychological condition. However, emotional triggers can cause flare-ups.

04/11/23Khorfakkan Hospital /Pediatric Department

41

2

04/11/23Khorfakkan Hospital /Pediatric Department

42

You cannot outgrow asthma. In about 50% of children with asthma, the condition may become inactive in the teenage years. The symptoms, however, may recur at anytime

04/11/23Khorfakkan Hospital /Pediatric Department

43

3

04/11/23Khorfakkan Hospital /Pediatric Department

44

There is no cure for asthma, but the disease can be controlled in most patients with good medical care. The condition should be taken seriously since uncontrolled asthma may result in emergency hospitalization and possible death.

04/11/23Khorfakkan Hospital /Pediatric Department

45

4

04/11/23Khorfakkan Hospital /Pediatric Department

46

You have a:

6% chance of having asthma

if neither parent has the condition ;

30% chance

if one parent has it ;

70% chance

if both parents have it.

04/11/23Khorfakkan Hospital /Pediatric Department

47

5

04/11/23Khorfakkan Hospital /Pediatric Department

48

Asthma is not contagious

04/11/23Khorfakkan Hospital /Pediatric Department

49

6

04/11/23Khorfakkan Hospital /Pediatric Department

50

A new environment may temporarily

improve asthma symptoms, but it will not cure asthma. After a few years in the new location, many persons become sensitized to the new environment, and the asthma symptoms return with the same or even greater intensity than before.

04/11/23Khorfakkan Hospital /Pediatric Department

51

7

04/11/23Khorfakkan Hospital /Pediatric Department

52

Swimming is an optimal exercise for those with asthma. On the other hand, exercising in dry, cold air may be a trigger for asthma in some people

04/11/23Khorfakkan Hospital /Pediatric Department

53

8

04/11/23Khorfakkan Hospital /Pediatric Department

54

Asthma is best controlled by having an asthma management plan designed by your doctor that including the medications used for quick relief and those used as controllers.

04/11/23Khorfakkan Hospital /Pediatric Department

55

9

04/11/23Khorfakkan Hospital /Pediatric Department

56

Asthma medications are not addictive.

04/11/23Khorfakkan Hospital /Pediatric Department

57

10

04/11/23Khorfakkan Hospital /Pediatric Department

58

Asthma attacks cannot be faked.

04/11/23Khorfakkan Hospital /Pediatric Department

59

Partnership

To reach and maintain asthma control

requires the development of a partnership between the person with asthma and his or

her health care team

04/11/23Khorfakkan Hospital /Pediatric Department

60

Successful lives with asthma

Is not a cause for shame

Olympic athletes Famous leaders

Other celebrities and ordinary people live successful lives with asthma