MANAGEMENT OF BRONCHIAL ASTHMA
• Goals of asthma management are:
• To achieve good control of asthma symptoms and maintain normal activities.
• To minimise future risk of exacerbation, fixed airflow limitation and medication side effects.
• Management of bronchial asthma can be discussed under following broad headings-
1. Avoidance of allergens. 2. Modify risk factors for exacerbation.
3. Desensitisation or immunotherapy. 4. Drug therapy to control or suppress clinical manifestations.
Modify Risk Factors for Exacerbation
• Cessation of smoking; avoidance of passive smoke inhalation. • Control of associated rhinitis.• Control obesity. • Inadequate use of inhaled corticosteroids. •Avoid overuse of inhaled short-acting beta-agonists. •Poor inhalation technique. •Avoid major psychological problems.