Bronchial asthma

1. Inhale. Say on the exhale " pf -f" with tightly compressed lips. Pause. Repeat 4-5 times.
2. Inhale. Pronounce the sound “ mmm ” while exhaling with pursed lips . Pause” Repeat 5-6 times.
3. With the pads of the ring fingers, rub both sides of the nose from the bottom up at three points for 1 minute each: on the wings of the nose, above the wings of the nose and at the root of the nose.
4. With the index or thumb, press down on the back surface of the sternum in the area of the jugular fossa until moderate pain appears. If after 2-3 minutes breathing returns to normal, the pressure can be relieved. The duration of a single massage of this point is up to 5 minutes.
If, with the help of these exercises, breathing has not returned to normal, then you should use the usual medicines that stop the attack of suffocation. You can continue training only the next day, subject to good health.

3-chi dars
Bronchial Asthmaning Utkir Holatida Yerdam Berish Usullari. Aerosol inhalatordan tughri foydalanishning usullari .

Rules for the use of an inhaler.

The main groups of drugs used in inhalers and their mechanism of action.
Principles for choosing an inhaler
Applied doses and symptoms of overdose.
Spacers .
Props: inhalers containing bronchodilators , corticosteroid hormones, anticholinergics ; spacer , peak flowmeter .

1. Shake the inhaler

2. Remove protective cap
3. Turn the inhaler upside down
4. Exhale completely through closed lips
5. Close the mouthpiece of the inhaler tightly with your lips
6. Starting to inhale, press the bottom of the inhaler and inhale the medicine deeply. In this case, there should be a feeling that the medicine did not remain in the mouth, but got into the bronchi
7. Hold your breath for 5-10 seconds.
8. Take a calm breath
9. Put a protective cap on the inhaler
It is important to emphasize that there are 2 types of treatment for bronchial asthma: basic - anti-inflammatory and symptomatic, used mainly to stop an attack. There are 2 types of medicines that are in inhalers. Anti-inflammatory drugs include inhaled steroids, chromoglycate and nedocromil sodium. Symptomatic drugs include berstek , ventolin ( salbutamol ), brikanil , atrovent , berodual . Usually, patients immediately have a large number of questions - on the names of drugs, the mechanism of action - all questions must be answered, without giving individual medical recommendations - this is the business of the attending physician. It is necessary to convey to each patient the fundamental difference between prophylactic anti-inflammatory drugs and bronchodilators . A question like “why does berotek help me well and bekotid doesn’t help at all ?” will be frequently repeated by patients. Experience shows that it is necessary to return to this topic at each lesson, as patients forget or do not understand the principles of using an inhaler the first time. Therefore, if possible, you need to repeat the material (see the list of questions for the lesson).
The patient should know that the doctor should choose the treatment for him. It is harmful to use the advice of others, tk. there are different forms of bronchial asthma and, accordingly, uses different treatment. However, if it is difficult to get a doctor's advice in time or if there is a shortage of drugs in pharmacies, patients should know which inhalers are interchangeable. It is desirable that patients write down groups of inhalers according to the mechanism of action: bronchodilators ( berotek , salbutamol , bricanil ), anticholinergics ( atrovent , troventol ), mixed-action drugs ( berodual , ditek ), anti-inflammatory drugs - intal ( tailed ) and inhaled glucocorticoids ( ingacort , becotide , pulmicort , etc.). Understanding - which inhalers are interchangeable - is achieved through training (see questions to the topic). The patient can independently monitor the effect of the applied metered aerosol using a peak flowmeter .
Each patient uses an individually selected dosage of drugs. So the dosage of inhaled hormones can reach 1000-1500 mcg. It is important that an increase in the amount of inhaled bronchodilator indicates an exacerbation of the disease or inadequately selected treatment. In this case, the patient should consult a doctor or use existing recommendations.
The main side effects of bronchodilators - tachycardia, muscle tremor, psychomotor agitation - are more pronounced in sympathomimetics of the 1st generation: izadrin ( Novodrina ), Alupenta . When such effects occur, it is desirable to reduce the dose used or change the metered aerosol. Side effects of atrovent and troventol associated with their atropine -like action are rare. When using inhaled glucocorticoids , in order to prevent mucosal candidiasis, we recommend that patients rinse their mouth and throat with soda solution or just water after using the aerosol, and also, if possible, use the aerosol after meals and use a spacer .
Some patients cannot synchronize the breath with pressing the bottom of the can. Currently, it is recommended to use spacers - plastic chambers of various designs and sizes. They are also recommended when using inhaled CS. Ask patients if they know about spacers , and if so, have them demonstrate how to use them. The rules for using the spacer are as follows:
1. Remove the protective cap, shake the inhaler and insert it into the spacer .
2. Place your lips around the mouth end of the spacer .
3. Press the inhaler so that the medicine enters the spacer .
4. Inhale deeply and slowly.
5. Hold your breath for 5-10 seconds, then exhale through the mouth.
6. Repeat the breath without pressing the inhaler .
7. Detach from the spacer .
8. Wait 30 seconds, then inject a second dose of aerosol (if necessary) and repeat steps 1-7.
9. During the asthma school, it is desirable that patients practice using spacers .