Severe bronchial asthma , according to the stratification of severity proposed in the GINA global strategy, is bronchial asthma , accompanied by daily attacks of suffocation , frequent nightly symptoms, with frequent exacerbations and severe impaired respiratory function (FEV 1 less than 60% of the required values, daily variability of PSV more than 30 %). [one]
Content
- 1 Classification
- 2 Treatment
- 3 notes
- 4 References
Classification
The term "severe bronchial asthma" is a collective concept in many respects and includes the following, to one degree or another, life-threatening conditions:
- asthmatic status [1] or severe exacerbation of AD (acute severe asthma or status asthmaticus);
- fatal asthma (fatal asthma);
- sudden onset of severe asthmatic attack (sudden onset attacks);
- slowly developing asthmatic attack (slow onset attacks);
- unstable asthma (brittle asthma);
- chronic severe asthma (chronic difficult asthma). [2]
Treatment
The latest method of treatment is based on the similarity of bronchial asthma and epilepsy, noticed even in ancient times by Hippocrates and Ibn Sina. Modern studies (confirmed by clinical practice) show that not only peripheral, but also central mechanisms are involved in an asthmatic attack. Thus, the impact on the central link of the asthmatic reaction by such inexpensive and well-established drugs as carbamazepine, sodium valproate and some other antiepileptic drugs, in more than 70% of cases, can turn the course of the disease and save the patient’s life, regardless of the severity of his initial condition.
Notes
- ↑ Global strategy for the treatment and prevention of bronchial asthma = Global Initiative for Asthma. - 2006. - 106 p. Archived on September 21, 2014. Archived September 21, 2014 on Wayback Machine
- ↑ Princely N.P. Severe bronchial asthma // CONSILIUM MEDICUM. - 2002. - T. 4 , No. 4 . Archived January 2, 2009.