MANAGEMENT AND TREATMENT OF ASTHMA Pengelolaan dan perawatan dari asma

Non-pharmacological Treatments: Environmental Control Non-pharmacological Perawatan: Lingkungan Pengendalian

• Avoidance of triggers Menghindari memicu

• Control of allergens and respiratory irritants Kontrol pernafasan dan alergen dari irritants

• Modify activity Memodifikasi kegiatan

Education Pendidikan

• Appropriate use of medications, compliance Sesuai penggunaan obat, kepatuhan

• Anticipate exacerbations; self-management Mengantisipasi exacerbations; swakelola

• Asthma diary Asma buku harian

Pharmacological Treatments: Relievers Pharmacological perawatan: Relievers

• Bronchodilators – for acute symptomatic relief; prn Bronchodilators - untuk gejala akut relief; prn

• short-acting b2-agonist (salbutamol, terbutaline) pendek-bertindak B2-agonist (salbutamol, terbutaline)

• Metered-dose inhaler or dry-powder inhaler Meter-dosis pengisap kering atau bubuk-pengisap

• Side-effects: tachycardia, tremor, headache -Efek samping: tachycardia, gemetaran, sakit kepala

• Increased use or lack of response indicates poor asthma control Peningkatan menggunakan atau kurangnya respon menunjukkan miskin asma kontrol

Pharmacological Treatments: Controllers: Steroids Pharmacological Perawatan: Controller: Steroids

• Decrease airway inflammation Penurunan udara inflamasi

• For control of symptoms Untuk kontrol dari gejala

• Indicated if bronchodilators required > 3 times/week Ditunjukkan bronchodilators jika diperlukan> 3 kali / minggu

• Inhaled corticosteroids (ICS) – first-line therapy Dihidu corticosteroids (ICS) - baris pertama-terapi

• Fluticasone, budesonide, beclomethasone Fluticasone, budesonide, beclomethasone

• Early initiation increases benefits Awal inisiasi meningkatkan keuntungan

• Improvement in symptoms seen very early (within one day) Peningkatan dilihat dalam gejala awal sangat (dalam satu hari)

• Administered – metered-dose inhalers (aerochamber) Diperintah - meter-dosis inhalers (aerochamber)

• Dry-powder inhalers or nebulized Kering-serbuk inhalers atau nebulized

• A/E: local: oropharyngeal candidiasis, hoarseness, throat irritation, coughing A / E: lokal: oropharyngeal candidiasis, hoarseness, gangguan tenggorokan, batuk