Asthma

PRESENTED BY:

Nrt. Gargi

Myths and Facts about Asthma

• Asthma is “all in the mind” • You will "grow out of it.“• Asthma can be cured, so it is not serious and nobody dies

from it.• You are likely to develop asthma if someone in your family

has it.• You can "catch" asthma from someone else who has it.• Moving to a different location, such as the desert, can cure

asthma• People with asthma should not exercise.• Asthma does not require medical treatment.

What is Asthma

• It is a common chronic inflammatory disease of the airways characterized by:

• Variable and recurring symptoms• Reversible airflow obstruction• Bronchospasm• Sudden recurrent attacks of labored breathing, chest

constriction and coughing.

Normal Airways v/s Asthmatic Airways

How does asthma affect breathing

• It causes a narrowing of the breathing airways, which interferes with the normal movement of air in and out of the lungs

Major Factors responsible for this narrowing:• Inflammation• Bronchospasm• Hyperreactivity

Inflammation

Bronchospasm

Hyperreactivity (hypersensitivity)

Allergens and Irritants

Asthma Classification

Signs and symptoms

• Wheezing• Dyspnea• Cough with or without sputum• Rapid pulse• Cyanosis in lips & face• Trouble in sleeping• Lots of sneezing• Headache• Chest tightness

Diagnosis

• 1.Chest x-ray • 2.Spirometry

Asthma Management Goals

• Control symptoms• Prevent exacerbation• Maintain lung function as close to normal as possible• Avoid adverse effects from medications• Prevent irreversible airway obstruction• Prevent asthma mortality

Management

• Assess and monitor asthma severity with symptom reports and measures of lung function as much as possible

• Avoid exposure to risk factors• Establish medication plans for chronic management in

children and adults• Establish individual plans for managing exacerbations• Provide regular follow-up care

Pharmacotherapy

1.Long acting beta-2 agonists(LABA)

2.Albuterol(short acting beta-2 agonist)

3.Inhaled corticosteroids

4.Mast cell stabilizers.

5.Leucotrienes receptor antagonists

6.Theophylline

Management In ayurveda

• In acute attack, oleation and sudation should always be performed. If the patient is strong, and there is excess accumulation of Kapha in the respiratory system, then a medicated emesis is the treatment of choice.

• Sitopaladi  powder should be given with warm water or honey repeatedly.

• During the attack, give a bronchodilator and anti – spasmodic herbs such as lobelia, vasa, or ephedra 125 mgm; with warm water every 10 minutes.

• Rasayana treatment – For giving strength to the respiratory channel, proper rejuvenative herbs should be used.

ROLE OF YOGA IN HEALING ASTHMA

• By regular exercise of Yogasana and pranayama the constriction of the bronchial tubes gets very much reduced.Slowly the capacity of bronchial tubes increases to great extent.

• By this type of performances one can control attack of asthma to great extent and subsequently gradually asthma can be cured from the roots

• YOGA ASANAS• Ekpada Uttanasana• Tadasana• Yoga Mudra• Ushtrasana• Simhasana• Sarvangasana• Matsyasana• Shavasana• Pranayaman• Ujjayee Pranayama

Supplements and Asthma

• Vitamin C • Magnesium• B-6 or Pyridoxine• Vitamin D• Vitamin E• Probiotics

Dietary Recommendations 1

• Encourage families to eat more:– Fruits and Vegetables– Better Quality Fats– Quality Protein (Animal and Vegetable)– Eggs

Dietary Recommendations 2

• Encourage families to eat less:– Sodas and Fruit Juices– Commercial Fast Foods– Snacks high in sugar, fat and salt– Avoid Sulfites– Avoid Hydrogenated Fats

• Margarine• Vegetable Shortening

THANK YOU…...