Asma Clase

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    DEFINICION Asthma is a chronic infammatory

    disorder o the airways in which many cells and cellularelements play a role: in particular, mast

    cells, eosinophils, T lymphocytes, macrophages, neutrophils,and epithelial cells. In susceptible

    individuals, this infammation causes recurrent episodes owheezing, breathlessness, chest

    tightness, and coughing, particularly at night or in the earlymorning. These episodes are

    usually associated with widespread but variable airfowobstruction that is oten reversible either

    spontaneously or with treatment. The infammation alsocauses an associated increase in the

    existing bronchial hyperresponsiveness to a variety o stimuli.eversibility o airfow limitation

    may be incomplete in some patients with asthma (EPR 1991;

    EPR 2 1997

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    FISIOPATOLOGIA Y

    PATOGENESIS

    BRONCOCONSTRICCION: Contraccin delmsculo liso en respuesta a estimulos alrgicos oirritantes.

    EDEMA: infamacin ms progresiva y persistentehipersecrecin moco , tapones, hipertroa ehiperplasia msculo liso.

    HIPERREACTIVIDAD VIA AEREA : Respuestaexagerada roncoconstrictora a una variedad de

    estimulos. REMODELAMIENTO:Camios estructurales

    permanentes .

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    DIAGNOSTICO

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    HALLAZGOS FISICOS

    !"#$R"%&'()*C"+% +R*-

    &"")*%C"* C+% R$"R*C"+% %+R/*) ,

    (+R0*1*

    &$CR$C"+% %*&*), $1$/*, #+)"#+&

    $C0$/* ,1$R/*""&

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    ESPIROMETRIA

    +&R'CC"+% *) ()'2+ *$R$+

    3R*1+ 1$ +&R'CC"+%

    R$4$R&"")"1*1 #+& 5

    %+ C+R$)*C"+% #R$C"&* C+% &"%+/*&

    $& %+R/*) %+ $-C)'6$ *&/* 6 &" $&+&R'C"4+ 6 R$4$R&")$ %+ $& 13 "$%$ 7'$*&+C"*R&$ $) #*R+% 1$ &"%+/*& 6 $-C)'"R +R+&13 #*R* 13 *&/*

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