allergic

allergic

 What is good about allergic asthma?

Allergic asthma; is a chronic inflammatory reaction in which the body and respiratory tract are shown against various microbial agents or toxins. What is good allergic asthma?

What is good about allergic asthma?
Asthma is a serious public health problem that is estimated to affect about 300 million people worldwide. It is seen in 5-7 out of every 100 adults in our country, 13-15 out of every 100 children. It is a chronic illness that affects individuals of all ages, can be controlled by proper treatment, and can seriously restrict daily activities if not controlled.

Asthma is a disease that manifests itself in the constriction of the airways and in episodes (crises). Patients feel well during the attacks. Asthma has an inflammation that is microbial in the airways. For this reason, the airway wall is swollen and swollen. This causes the lungs to be overly sensitive to stimulants. Stimulants such as dust, smoke, and smell immediately cause complaints such as coughing, shortness of breath, and a feeling of pressure on the head. In the crisis, the muscles surrounding the airways increase in contractions, edema and swelling, and the airway wall thickens with the progressive inflammation. A viscous mucus (secretory-phlegm) is released from the glands of the airways. All this shrinks the airways significantly and prevents air from entering and exiting the lungs. This is manifested by increased cough, shortness of breath, wheezing, wheezing.

Allergic asthma treatment
The aim of asthma treatment is to relieve the airway microbial inflation and to allow the patient to breathe easily. Cooperation between the physician and the patient / family ensures that the symptoms are fully controlled (clinical control).

What are the prospects for treatment?
The goals of a successful asthma treatment should be:

To control and maintain the indications,
Maintaining normal activity level, including exercise,
To keep lung functions as close to normal as possible,
Preventing asthma attacks,
Preventing undesirable effects of asthma medications.
To reach these targets;

The development of patient / physician collaboration,
Identification and reduction of exposure to trigger factors,
Good evaluation and treatment of asthma, presentation and treatment of accompanying diseases, medical treatment should be well monitored
How should I be protected from asthma triggers?
Allergens: House dust mites → Mites are small insects that are invisible to house dust. They live in damp, dark and hot environments; People are fed with skin rashes. Essentially the feces carry an allergen character. These sticky stool particles adhere to various objects and spread to the air continuously. Most are found in beds, quilts, pillows, carpets, fabric-coated furniture and hairy toys.

How to Protect?

- Ventilation is increased, humidity is prevented (humidity should fall below 40%)
- Those made of leather, wood or plastic should be preferred instead of fabric-furnished items
- Masks can be used when doing housework
- Clean with a strong vacuum cleaner at least once a week
- Carpet should not be used especially in bedrooms
- Feathered and solid toys must be removed
- Bedding should be washed at least once a week and over 60C
- Beds, quilts and pillows can be covered with special casesPollen → Pollen spreading for each plant varies, depending on the varieties may show. Tree pollen usually occurs from February to March, pollen from April to mid-July, and weed pollen emerges in the summer and usually in the autumn. It is unlikely to be completely avoided from pollens, but exposure can be reduced.

How to Protect?

- The person should avoid as much outdoor activities as possible during the pollen spreading period when they are allergic.
- Pollen filter air conditioners are useful for cars.
- Masks and goggles can be worn on the outside when pollen spread is intense.
- The doors and windows should be kept closed during periods of intense pollen spread.
- When it comes to the house from the outside, showering and dressing should be changed.

Fungus spores → Ideally they live at 20 ° C and 60% humidity. In a place called mushroom repellent mold. The most common places are the basements, the dark and underdeveloped places, the window sills, the bathroom curtains, the pantry, the shelter, the stables, the fields, the gardens, the leaky wall corners, the wallpapers, the pots of house plants. The density of mold in stove houses is higher.

How to Protect?

- Household moisture must be reduced,
- If possible in the winter all rooms of the house should be heated and the laundry in the house should not be dried,
- Old carpet, bedding, furniture and musty smelling material must be discarded,
- No potted plants should be kept in excess,
-Accumulation and bird cages around the mildew can easily be developed at home should not be kept,
- Areas with water leaks should be repaired,
-Fathed surfaces should be cleaned with bleach, but this procedure should not be done by the patient.

Animal feathers and rashes → All pile animals may cause allergies. Allergens are found in the urine and saliva of animals and stick to their fur. There is no relationship between hair volume and length and the level of allergy. There are no significant differences among different species within the same animal genus. For example, if there is a kind of cat allergy, it is expected to be for another species. In susceptible individuals, the development of allergies lasts 6-12 months and may continue for months or even years after the animal is removed.

How to Protect?

- If you are allergic at home, it is best practice not to take that animal home
- Frequent washing in cases where the animal can not be transported from the home, not being allowed into the bedroom, reduction of carpets and fabric covered furniture at home is recommended
- Cats and dogs allergens can be moved with clothes, so after the contact clothes should be changed
- No method is as effective as removal of the animal.

Cockroaches → There is a major problem in public housing, especially in cities.

How to Protect?

- Any gaps, cracks and pipe circumferences that may be the entrance area must be checked and repaired. There is no question that other measures will be effective without this.
- They can be destroyed by special chemical substances. At this time the asthmatic patient should not be in the same environment.
- All mitigating measures in the house and in the apartment must be taken (no food left open, jugs closed, etc.).

Air pollution: Household airborne irritants make asthmatic patients more disturbed than normal individuals and facilitate asthma symptoms. Some of these irritants may be recognized by their smell, and some may not even be recognized. Cigarettes, gas stoves and gas heaters, defective central heating boilers, underground garage cars, wood stoves and fireplaces, furniture insulation materials that release formaldehyde materials, radon gas leaking into the premises from building bases are among these irritants. Products such as bleach, cosmetics, perfumes and deodorants, which are also used as cleaning agents, can also stimulate airways.

To prevent air pollution in domestic environment;

- Never smoke in houses,
- Paint-lacquer- cleaning materials must be applied carefully and then thoroughly ventilated,
- Observe the chimney cleanliness of the stoves and not use chimneyless chimneys (gas oil, butane insecticide, gas fired etc.).Sudden changes in humidity and temperature, even in the wind, can initiate symptoms of asthma on the outside. Generally, cool and rainy weather increases the complaints. Gases and particles from fuels used in motor vehicles, industrial or residential buildings irritate respiratory tracts. Unnecessary activities should be avoided on days when the air pollution is intense on the outside, house windows should be kept closed and should not go out unless absolutely necessary.

Infections: Upper respiratory tract infections in asthmatic patients often lead to increased asthma symptoms. Sensitivity increases in the airways for 2-6 weeks after infections; asthma symptoms may appear or increase in this period. For this reason, crowded places should be avoided because of the increased risk of transmission of infectious diseases in winter. Every year in September or October, flu vaccination should be done once. This is especially important for cases with moderate to severe asthma. Antibiotics should not be used unless required by the doctor.

Occupational factors: Exposure to metal and wood powders, vegetable-animal and chemical substances and irritants in workplaces can lead to asthma. In asthma due to occupational factors, there is a decrease in complaints on weekends and holidays, and when the work is resumed, symptoms increase again. Especially in smokers, this condition develops more easily and is heavier. People with occupational asthma may need to move away from the workplace; If this is not possible, it must be an effective ventilation system in the workplace, a suitable mask should be used and it is recommended that people who are known to have asthma should not work in risky works (carpentry, painting, hairdressing, baking etc.).

Drugs: Drugs play an important role in about 10% of asthmatics. Various medicines may cause coughing or asthma attacks. For this reason, when the medicine is applied for any reason, the person should definitely tell that he has asthma. Medicines given by another physician should also be shown to the physician who regulates and follows asthma treatment. Random medication should not be taken without consulting the doctor. The main drug groups that pose a risk for the use of asthmatic patients are: high blood pressure, cardiovascular diseases, heart rhythm disorders, migraine, some drugs used for eye pressure (glaucoma); anesthetics used in surgery, aspirin and similar painkillers and rheumatism drugs, drugs used during x-ray examinations.

Food and nutrient additives: In adults, asthma is less likely to be triggered by nutrients. In allergic individuals, allergenic nutrients (fish, shellfish, nuts, eggs, milk, bananas, etc.) can trigger other asthma attacks as well as cause other allergic symptoms. In highly sensitive individuals, even the smell of the nutrient can stimulate the asthma attack. In addition, additives that are allowed to enter into foods to give them flavor, color, or deterioration can lead to asthma in asthmatic individuals, even if they do not harm normal people at high doses. Drinks prepared by fermentation such as dried and packaged fruit, juices, beer, wine, pickles, pickles, sausages, sausages, ready-made cakes, crisps and processed ready-to-eat foods are the most important things to be aware of. Commonly used soy products in Chinese cuisine can also increase asthma complaints. If the individual is sensitive to any nutrient, he or she should not consume these nutrients.
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News> Health News> Scoliosis does not prevent you from exercising
Scoliosis does not prevent you from exercisingIn adults, scoliosis is most commonly seen in the lumbar region. It is possible to reduce the complaints of the patient with exercise programs to be performed in physical therapy clinics
DİDEM SEYMEN
DİDEM SEYMEN Health News
Check-in Date: 19.12.2017
Scoliosis does not prevent you from exercising
Scoliosis, also known as spine curvature, can be seen in each region of the spine. Scoliosis in adults is most commonly seen in the waist region.
New Century University Gaziosmanpaşa Hospital Orthopedics and Traumatology Expert Dr. Atilla Parmaksızoğlu answered our questions about scoliosis in adults ...
What is adult scoliosis?
Normally, when the human spine is viewed from the side, there is a slight pit in the neck and waist region and a slight hump in the back region. When viewed from the rear and front, it appears flat. Scoliosis is also known as spinal curvature. Scoliosis spine; right, left, or both. Adult scoliosis; is the spinal curve, which is not recognized in childhood, neglected, or the curvature that remains in the course of conservative treatment (non-surgical treatment), in the adult period, or in the adult period.

SPAZM IN THE SEASIDE
What are the indications of adult scoliosis?
Curvature in adult scoliosis is usually recognized by the patient itself or by relatives. Curvature in the pelvic girdle, height difference in the shoulder bones, the center may appear in the form of right, left or front curvature. Adult scoliosis usually occurs with back pain as a symptom. As curvature progresses and degeneration increases, pain increases and the mobility of the patient gradually decreases. After sitting for a long time, there may also be complaints such as difficulty in getting up, spasm in the back muscles, feeling of fatigue in the legs, loss of strength and numbness, difficulty in breathing due to diminished lung capacity, and fatigue quickly.
How is adult scoliosis diagnosed?
It is important to accurately identify the patient's complaint and severity in determining the nature of the treatment to be performed in adult scoliosis, as in all diseases. One of the first to be performed during the examination phase is direct radiography (x-ray). Direct radiographs can be used to draw the anterior-posterior and lateral spine graphs, as well as special scoliosis graphs if necessary. Magnetic resonance imaging may be necessary if you have symptoms such as pain in your legs, loss of strength, and changes in urine-excretion functions. If more detailed imaging of the bone is deemed necessary, CT or MyeloBT may be required. Electrodiagnostic tests may be required to identify the level at which nerve compression occurs, especially in patients with leg pain.
Examination and examination are done to the patient with diagnosis of idiopathic or degenerative scoliosis. Degenerative scoliosis should definitely be investigated (osteoporosis, fracture, back shift, metabolic and rheumatic diseases, tumor, etc.).

MOST BEL BELT REGION
What are the most important things you should know about scoliosis in adults?
It is the most common degenerative scoliosis in the adulthood and most commonly seen in the waist region. While smoking causes back and back problems, treatment has negative effects. If the patient to be treated for adult scoliosis is smoking, the cigarette should be stopped before the treatment begins. Smokers may have delayed boiling of the vertebrae, and even the bones may not boil. Thus, it can be difficult to reach the desired result in the treatment.
Surgery is not the first choice in the treatment of adult scoliosis. Only a very small percentage of patients with scoliosis need surgery. First of all, non-surgical methods should be applied in the treatment.
As the aging progresses, the backbone curvature emerges, which is weakened and weakened. Symptoms in adult scoliosis may vary from person to person. While there are no symptoms in some people, some people have complaints such as leg pain, numbness, tingling, or back pain, especially when walking. However, the symptoms differ according to each patient. Therefore, a patient-specific treatment approach should be identified. The diagnosis of scoliosis in adults does not mean that the patient will restrict their activities. On the contrary, it is possible to reduce or prevent the patient's complaints with exercise programs in physical therapy clinics. So scoliosis does not prevent you from exercising.CAN YOU PREVENT SCOLLOSE FORMATION?
Idiopathic scoliosis is a condition that should be followed and treated as soon as it is noticed in adolescence. The purpose of the treatment is to keep the curvature below the surgical margin of 40 degrees until puberty. If the curvature progresses rapidly during adolescence, or if it is over 40 degrees, it is necessary to treat with surgery. If this curvature is neglected or untreated, it will appear as an idiopathic scoliosis in adulthood. Degenerative scoliosis; it can be avoided by keeping the muscles around the spine strong by regular sports, paying attention to the weight gain rate and avoiding the things that are under heavy load.

PHARMACEUTICAL AND PHYSICAL TREATMENT METHODS CAN BENEFIT
The treatment method to be selected in adult patients is determined by the severity of the complaints, especially the pain rather than the degree of curvature. Generally, non-surgical treatment methods are applied to the patient first. Many patients can be treated with medication and physical therapy without the need for surgery. With all these methods, surgery is needed to reduce the pressure on the patient's spinal canal, which can not be relieved. Strengthening exercises and stretching exercises for the abdomen, waist and back muscles can relieve muscle spasms and reduce pain. Corset therapy can also be started with exercise. However, corset therapy, exercise and physical therapy should be considered as a helpful method and should be considered short term. Use of the corset for a long time can be very damaging. Pain medications may also be given to help with pain control, as well as physical therapy and exercise. If the pain source is degenerative facet joints or nerve compression pain, then spinal injections may be a good alternative. These non-surgical treatment methods can be applied individually or in combination. There is no consensus in the literature about which one is superior or superior to another.

WHEN IS THE NEED FOR ADULT SCOLLOSIS SURGERY?
The adult scoliosis surgery is more difficult than the adult one and the operation times and surgical procedures may be different.Especially in patients with degenerative scoliosis due to advanced age due to heart, lung disorders, diabetes and osteoporosis,surgical treatment can become more difficult and surgical risks increase. Today, however, surgical techniques and anesthesiasurgical treatment can become more difficult and surgical risks increase. Today, however, surgical techniques and anesthesia