Astma
Zapobieganie i profilaktyka
Astma jest przewlekłą chorobą zapalną dróg oddechowych dotykającą około 300 milionów osób globalnie, z prognozowanym wzrostem do 400 milionów do 2025 roku. Kluczowym elementem zarządzania astmą jest indywidualny, pisemny plan postępowania, który obejmuje samokontrolę objawów i pomiar PEF, schemat przyjmowania leków oraz działania w przypadku zaostrzeń. Leki kontrolujące, takie jak kortykosteroidy wziewne (ICS) stosowane zwykle dwa razy dziennie, oraz długo działające beta-2-agonisty (LABA) w połączeniu z ICS, stanowią podstawę terapii. Unikanie czynników wyzwalających, takich jak alergeny (kurz, pyłki, roztocza), dym tytoniowy, zanieczyszczenia powietrza, infekcje wirusowe (np. RSV, grypa) oraz stres, jest niezbędne w profilaktyce zaostrzeń. Nowe wytyczne GINA 2024 odrzucają monoterapię SABA ze względu na ryzyko poważnych zaostrzeń, rekomendując stosowanie ICS u wszystkich dorosłych i młodzieży z astmą.
- Astma – Kontrola i Profilaktyka
- Plan postępowania w astmie
- Identyfikacja i unikanie czynników wyzwalających
- Farmakoterapia zapobiegawcza
- Zapobieganie astmie indukowanej wysiłkiem
- Szczepienia ochronne
- Immunoterapia alergenowa
- Modyfikacja stylu życia i środowiska
- Stworzenie przyjaznego dla astmy środowiska domowego
- Unikanie dymu tytoniowego
- Zdrowy tryb życia
- Kontrola refluksu żołądkowego
- Specjalne grupy pacjentów
- Nowe podejścia w profilaktyce astmy
- Rola mikroflory i ekspozycji mikrobiologicznej
- Interwencje przeciwwirusowe
- Terapie biologiczne
- Personalizowane podejście do zapobiegania astmie
- Monitorowanie astmy
- Edukacja i wsparcie
- Zapobieganie astmie
Astma – Kontrola i Profilaktyka
Astma jest przewlekłą chorobą zapalną dróg oddechowych, która dotyka około 300 milionów osób na całym świecie, a szacuje się, że do 2025 roku liczba ta może wzrosnąć o dodatkowe 100 milionów1. Ze względu na znaczne obciążenie, jakie astma nakłada na zdrowie pacjenta, system opieki zdrowotnej i globalną gospodarkę, skuteczne interwencje zapobiegające astmie są pilnie potrzebne2. Mimo że nie ma możliwości całkowitego zapobieżenia rozwojowi astmy, istnieje wiele skutecznych strategii kontroli choroby i zapobiegania zaostrzeniom34.
Plan postępowania w astmie
Dla osób z astmą posiadanie planu postępowania w astmie jest najlepszym sposobem zapobiegania objawom5. Plan postępowania w astmie to narzędzie opracowane przez pacjenta i lekarza, mające na celu pomoc w kontrolowaniu astmy, zamiast pozwalać, by astma kontrolowała pacjenta6. Plan ten powinien zawierać szczegółowe informacje dotyczące przyjmowania leków i postępowania w przypadku zaostrzenia astmy7.
Pisemny plan działania powinien określać8:
- Sposób samokontroli objawów i/lub czynności płuc (PEF)
- Instrukcje dotyczące przyjmowania leków
- Działania do podjęcia w przypadku pogorszenia stanu zdrowia
- Kiedy i gdzie szukać pomocy medycznej w nagłych przypadkach
Badania pokazują, że osoby korzystające z planu postępowania w astmie mają lepszą kontrolę nad swoją chorobą9. Korzystanie z planu zmniejsza liczbę wizyt w nagłych przypadkach w podstawowej opiece zdrowotnej lub w placówkach pogotowia, zmniejsza liczbę hospitalizacji oraz zmniejsza korzystanie z leków ratunkowych10.
Identyfikacja i unikanie czynników wyzwalających
Unikanie czynników wyzwalających jest najlepszym sposobem na zmniejszenie potrzeby stosowania leków i zapobieganie epizodom astmy11. Atak astmy może wystąpić, gdy pacjent jest narażony na czynniki wyzwalające astmę12. Ważne jest, aby nauczyć się identyfikować czynniki wyzwalające astmę i podejmować kroki w celu ich uniknięcia13.
Typowe czynniki wyzwalające astmę obejmują1415:
- Alergeny (kurz, pyłki, pleśń, sierść zwierząt, roztocza)
- Dym (papierosowy, kadzidełka, świece, ogniska)
- Zanieczyszczenie powietrza
- Zimne, wilgotne lub suche powietrze
- Infekcje związane z grypą, przeziębieniami i RSV
- Wysiłek fizyczny
- Stres emocjonalny
Aby ograniczyć narażenie na czynniki wyzwalające, należy1617:
- Stosować nieprzepuszczalne dla alergenów pokrowce na materace i poduszki
- Zwracać uwagę na prognozy jakości powietrza w radiu, telewizji i internecie
- Kontrolować obecność szkodników w domu poprzez usunięcie źródeł wody i pożywienia
- Rozważyć znalezienie nowego domu dla zwierzęcia domowego, jeśli może ono powodować ataki
- Usunąć pleśń z domu
- Suszyć wilgotne lub mokre przedmioty w ciągu 24-48 godzin, aby zapobiec rozwojowi pleśni
- Utrzymywać dom wolny od dymu
Farmakoterapia zapobiegawcza
Leki kontrolujące astmę kontrolują objawy na co dzień, zmniejszają stan zapalny i obniżają ryzyko ataków astmy18. Są to leki, które stanowią podstawę leczenia astmy. Zwykle są przyjmowane codziennie w przypadku astmy umiarkowanej lub wysokiego ryzyka, ale czasami są przepisywane do stosowania w razie potrzeby w przypadku astmy łagodnej i niskiego ryzyka19.
Główne grupy leków zapobiegawczych w astmie to202122:
- Kortykosteroidy wziewne (ICS) – blokują odpowiedź zapalną organizmu i są wyjątkowo skuteczne w zmniejszaniu objawów astmy. Dostępne są w kilku mocach i zwykle stosowane dwa razy dziennie. Przy długotrwałym stosowaniu, stopniowo zmniejszają prawdopodobieństwo ataku astmy, czyniąc drogi oddechowe mniej wrażliwymi na różne bodźce prowokujące.
- Długo działające leki rozszerzające oskrzela (LABA) – nie powinny być stosowane w monoterapii, zawsze w połączeniu z kortykosteroidami wziewnymi. Grupa ta obejmuje:
- Długo działające beta-agoniści (np. salmeterol, formoterol)
- Bardzo długo działające beta-agoniści – skuteczne do 24 godzin, wymagające tylko jednej dawki dziennie
- Leki antyleukotrienowe (np. montelukast, zafirlukast, zileuton) – pomagają kontrolować astmę poprzez zapobieganie działaniu lub syntezie leukotrienów. Przyjmowane są doustnie i są bardziej przydatne w zapobieganiu atakom astmy niż w ich leczeniu.
- Stabilizatory komórek tucznych (kromolyn, nedokromil) – stosowane wziewnie, przydatne w zapobieganiu, ale nie w leczeniu ataku.
- Leki antycholinergiczne (np. ipratropium, tiotropium) – blokują acetylocholinę przed wywoływaniem skurczu mięśni gładkich i wytwarzaniem nadmiernej ilości śluzu w oskrzelach.
W najnowszych wytycznych GINA (Global Initiative for Asthma) z 2024 roku stosuje się stopniowe, dwutorowe podejście w zależności od wyboru leków23. Ze względów bezpieczeństwa nie zaleca się już leczenia wyłącznie krótko działającymi beta-2-agonistami (SABA). Aby zmniejszyć ryzyko poważnych zaostrzeń i kontrolować objawy, wszyscy dorośli i młodzież z astmą powinni otrzymywać leczenie kontrolujące zawierające kortykosteroidy wziewne (ICS)24.
Wytyczne GINA podkreślają potrzebę zapewnienia osobom z astmą dostępu do leków wziewnych, które są niezbędne zarówno do kontrolowania choroby podstawowej, jak i leczenia ataków25. Leki zawierające kortykosteroidy wziewne zapobiegają atakom astmy poprzez leczenie stanu zapalnego, który powoduje astmę26.
Zapobieganie astmie indukowanej wysiłkiem
Aktywność fizyczna jest ważna dla ogólnego zdrowia, nawet u osób z astmą27. Jeśli masz astmę indukowaną wysiłkiem, planujesz intensywny trening lub zamierzasz ćwiczyć w zimnym, wilgotnym lub suchym powietrzu, podejmij kroki, aby zapobiec atakowi astmy28.
Metody zapobiegania astmie indukowanej wysiłkiem293031:
- Niefarmakologiczne metody zapobiegawcze:
- Noszenie luźno dopasowanego szalika lub maski podczas ćwiczeń w zimnym, suchym powietrzu
- Ćwiczenie w miejscach, gdzie powietrze jest cieplejsze i bardziej wilgotne
- Rutyny rozgrzewkowe przed intensywnym wysiłkiem
- Dla osób ćwiczących raz dziennie lub rzadziej:
- Inhalacja szybko działającego leku rozszerzającego oskrzela (np. dwa wdechy albuterolu) 5-20 minut przed ćwiczeniami
- Alternatywnie, inhalator łączony zawierający formoterol i kortykosteroid wziewny (np. budezonid-formoterol, mometazon-formoterol) – jeden wdech co najmniej pięć minut przed wysiłkiem
- Dla wysiłku przez cały dzień:
- Długo działający wziewny lek rozszerzający oskrzela (np. salmeterol lub formoterol)
- Modyfikator leukotrienowy (np. montelukast lub zafirlukast) zapewniający całodzienną ochronę
Szczepienia ochronne
Osoby z astmą są bardziej narażone na poważne problemy związane z niektórymi chorobami, którym można zapobiec poprzez szczepienia32. Zaleca się, aby osoby z astmą i ich bliscy otrzymali szczepienia w celu zmniejszenia ryzyka tych chorób33.
- Szczepienie przeciwko grypie: Najlepszym sposobem ochrony jest otrzymanie szczepionki przeciw grypie przed rozpoczęciem sezonu. Osoby z astmą są bardziej narażone na poważne powikłania grypy34.
- Szczepienie przeciwko pneumokokom: Istnieją dwa rodzaje szczepionki przeciwko pneumokokom. Należy porozmawiać z lekarzem, aby dowiedzieć się, czy jedna z nich jest odpowiednia dla pacjenta35.
- Inne zalecane szczepienia: CDC zaleca szczepionki przeciwko pneumokokom PCV15 lub PCV20 dla dorosłych w wieku 65 lat lub starszych36.
Szczepienia mogą pomóc zmniejszyć ryzyko infekcji układu oddechowego, które mogą wywołać atak astmy37.
Immunoterapia alergenowa
Biorąc pod uwagę związek między uczuleniem alergicznym a rozwojem atopii i astmy, badano unikanie alergenów jako środek zapobiegania astmie, uzyskując sprzeczne wyniki38. Niedawne badania potwierdzają, że związek między narażeniem na alergeny a rozwojem astmy jest skomplikowany i zależny od genów oraz metylacji genów39.
Poza unikaniem alergenów w celu zapobiegania astmie, badano również immunoterapię (IT) ukierunkowaną na uczulenie alergiczne40. Immunoterapia ingeruje w patofizjologię, która pośredniczy w chorobie alergicznej i astmatycznej, i może wpływać na długoterminową trajektorię atopii i astmy41.
Jeśli lekarz stwierdzi, że pacjent ma alergie, zastrzyki na alergię (immunoterapia) mogą pomóc zapobiec objawom alergii i zapobiec pogorszeniu astmy42. Oprócz immunoterapii podskórnej (SCIT), badano również immunoterapię podjęzykową (SLIT) w celu zapobiegania astmie i atopii43.
Modyfikacja stylu życia i środowiska
Stworzenie przyjaznego dla astmy środowiska domowego
Jakość powietrza w pomieszczeniach odgrywa dużą rolę w kontroli astmy. Obecność kurzu, dymu i pleśni może nasilać objawy44. Aby stworzyć środowisko domowe przyjazne dla astmatyków, należy zmniejszyć ilość alergenów poprzez45:
- Utrzymywanie czystości domu poprzez regularne sprzątanie
- Stosowanie oczyszczaczy powietrza do filtrowania pyłków, pleśni i roztoczy kurzu
- Unikanie dywanów i ciężkich zasłon, które mogą zatrzymywać alergeny
- Zapewnienie dobrej wentylacji w celu zmniejszenia wilgoci i zapobiegania rozwojowi pleśni
- Regularne odkurzanie, co może pomóc w utrzymaniu roztoczy kurzu z dala od domu
- Kontrolowanie szkodników w domu
- Rezerwowanie pokoju hotelowego dla niepalących
Dla dzieci z wysokim ryzykiem rozwoju alergii, można podjąć kroki w celu kontroli roztoczy kurzu46. Należy używać zamykanych, „nieprzepuszczalnych dla alergenów” pokrowców na poduszki i materace oraz prać pościel w gorącej wodzie co tydzień. Wilgotność wewnątrz pomieszczeń powinna być utrzymywana poniżej 50%. Jeśli to możliwe, dywany i tapicerowane meble powinny zostać usunięte z sypialni dziecka47.
Unikanie dymu tytoniowego
Bardzo ważne jest, aby nie narażać dzieci na dym tytoniowy przed lub po urodzeniu48. Palenie podczas ciąży zwiększa prawdopodobieństwo wystąpienia świszczącego oddechu u dziecka w okresie niemowlęcym. Wykazano również, że narażenie dzieci na bierne palenie zwiększa rozwój astmy i innych przewlekłych chorób układu oddechowego49.
Dym i astma to złe połączenie50. Należy ograniczyć narażenie na wszystkie źródła dymu, w tym tytoń, kadzidełka, świece, ogień i fajerwerki. Nie należy pozwalać na palenie w domu lub samochodzie i unikać miejsc publicznych, które na to pozwalają. Jeśli palisz papierosy, uzyskaj pomoc, aby rzucić. Palenie zawsze pogarsza astmę51.
Zmniejszenie narażenia na dym tytoniowy jest ważne zarówno dla pierwotnej profilaktyki astmy, jak i dla kontroli choroby52.
Zdrowy tryb życia
Oprócz stosowania leków podtrzymujących, można podjąć kroki każdego dnia, aby poprawić ogólny stan zdrowia i zmniejszyć ryzyko ataków astmy53. Obejmują one:
- Zdrowa dieta: Zdrowa, zbilansowana dieta może pomóc poprawić ogólny stan zdrowia54. Według badań z 2020 roku, pewne nawyki żywieniowe mogą pomóc zapobiegać astmie. Badania łączą większe spożycie owoców i warzyw z niższym ryzykiem astmy. Łączą również spożycie nabiału z wyższym ryzykiem i może ono pogorszyć objawy55. Diety śródziemnomorska i wegańska mogą zmniejszyć ryzyko i ograniczyć zaostrzenia. Diety te koncentrują się na owocach, warzywach, pełnych ziarnach i roślinach strączkowych, ograniczając jednocześnie produkty pochodzenia zwierzęcego56.
- Unikanie pokarmów, na które jest się uczulonym: Bogate w składniki odżywcze pokarmy są niezbędne do zmniejszenia objawów, ale alergie pokarmowe mogą wywoływać objawy astmy57.
- Utrzymywanie umiarkowanej wagi: Astma ma tendencję do pogarszania się u osób z nadwagą lub otyłością. Jeśli lekarz zaleca utratę wagi, może to być korzystne dla serca, stawów i płuc58.
- Rzucenie palenia: Dym papierosowy jest czynnikiem drażniącym, który może wywołać astmę i zwiększyć ryzyko rozwoju przewlekłej obturacyjnej choroby płuc (POChP)59.
- Regularne ćwiczenia: Aktywność fizyczna może wywoływać ataki astmy, ale regularne ćwiczenia mogą w rzeczywistości pomóc zmniejszyć ryzyko problemów z oddychaniem60.
- Znalezienie zdrowych sposobów radzenia sobie ze stresem: Stres może wywoływać objawy astmy i utrudniać zatrzymanie ataku astmy61.
Kontrola refluksu żołądkowego
Refluks kwasu żołądkowego lub ciężki refluks żołądkowo-przełykowy może pogorszyć objawy astmy u pacjenta62. Aby kontrolować refluks kwasu żołądkowego, pacjent może potrzebować leków na receptę lub leków dostępnych bez recepty63.
Specjalne grupy pacjentów
Profilaktyka astmy u dzieci
Od dawna wiadomo, że alergie i astma mają tendencję do występowania rodzinnego, co sprawia, że dzieci, u których jedno lub oboje rodziców ma chorobę alergiczną, są bardziej narażone na rozwój tych schorzeń64. Na szczęście istnieją kroki, które mogą opóźnić lub potencjalnie zapobiec rozwojowi alergii lub astmy65.
Strategie zapobiegania astmie u dzieci666768:
- Karmienie piersią: Karmienie piersią przez co najmniej cztery do sześciu miesięcy wzmacnia układ odpornościowy dziecka, co pomaga uniknąć infekcji i, w dłuższej perspektywie, astmy. Wyłączne karmienie piersią przez pierwsze cztery do sześciu miesięcy lub stosowanie hipoalergicznego preparatu może wzmocnić układ odpornościowy, opóźniając lub zapobiegając atopowemu zapaleniu skóry i alergii na mleko.
- Zmniejszenie narażenia na alergeny: Zmniejszenie narażenia na niektóre alergeny, takie jak roztocza kurzu, może opóźnić lub zapobiec objawom alergii lub astmy.
- Unikanie dymu tytoniowego: Narażenie na dym tytoniowy przed i po urodzeniu zwiększa ryzyko rozwoju świszczącego oddechu i astmy u dziecka.
- Suplementacja witamin w okresie prenatalnym: Badano suplementację witaminą C podczas ciąży pod kątem zapobiegania astmie i wykazano korzyści dla potomstwa matek, które paliły w czasie ciąży. Oceniono również suplementację witaminą D w okresie prenatalnym.
Najwcześniejsze strategie mające na celu zapobieganie astmie wynikają z ograniczenia marszu atopowego69. Strategie zapobiegania astmie, w tym unikanie alergenów i immunoterapia alergenowa, były ukierunkowane na etapy marszu atopowego z różnym powodzeniem70.
Astma w ciąży
Okres wewnątrzmaciczny może stanowić krytyczne okno w rozwoju atopii i astmy71. Japońskie Towarzystwo Alergologiczne (JSA) zaleca kortykosteroidy wziewne jako leczenie pierwszego rzutu w długoterminowym postępowaniu u kobiet w ciąży z astmą72.
Najważniejszą radą dla kobiet w ciąży jest niepalenie, a jest to jeszcze ważniejsze, jeśli w rodzinie występuje astma73. Jeśli astma pogarsza się, może być konieczne zwiększenie dawki leków i rewizja planu działania astmy z pracownikiem służby zdrowia74.
Nowe podejścia w profilaktyce astmy
Rola mikroflory i ekspozycji mikrobiologicznej
Ekspozycja na mikroorganizmy środowiskowe może wpływać na rozwój astmy75. Badano mikrobiom dróg oddechowych w patogenezie astmy76.
Interwencje przeciwwirusowe
Świszczący oddech wywołany wirusami często poprzedza diagnozę astmy77. Wczesna infekcja rinowirusem (RV) może być nawet silniejszym czynnikiem przyczyniającym się do patogenezy astmy niż RSV78. Obecnie badane jest hamowanie odpowiedzi zapalnej na wirusy oddechowe79.
Terapie biologiczne
Omalizumab jest również badany jako immunomodulator w zapobieganiu astmie80. Omalizumab zapobiega wiązaniu IgE z komórkami tucznymi, a tym samym zapobiega uwalnianiu substancji chemicznych wywołujących stan zapalny, które mogą zwężać drogi oddechowe81. Może zmniejszyć zapotrzebowanie na doustne kortykosteroidy i pomóc złagodzić objawy82.
Wspólne wytyczne Europejskiego Towarzystwa Oddechowego/Amerykańskiego Towarzystwa Klatki Piersiowej (ERS/ATS) z 2020 roku zawierają następujące dodatkowe zalecenia dotyczące leczenia ciężkiej astmy83:
- W przypadku ciężkiej astmy alergicznej, próba terapeutyczna omalizumabem
- Nie stosować metotreksatu ani antybiotyków makrolidowych w leczeniu ciężkiej astmy
- W przypadku ciężkiej astmy i nawracających zaostrzeń alergicznej aspergilozy oskrzelowo-płucnej (ABPA) należy podawać leki przeciwgrzybicze
- Nie stosować leków przeciwgrzybiczych w przypadku ciężkiej astmy bez ABPA, niezależnie od uczulenia na grzyby
Personalizowane podejście do zapobiegania astmie
Przyszłe postępy w zapobieganiu astmie mogą obejmować bardziej spersonalizowane podejście84. Międzynarodowe dokumenty zawierające wytyczne dotyczące astmy podkreślają znaczenie współpracy pacjenta z lekarzem dla optymalnej opieki nad astmą85. Gdy lekarze starają się uwzględnić preferencje, cele i perspektywy pacjentów i rodzin, pacjenci są bardziej skłonni do zaangażowania się i zrozumienia edukacji w zakresie samodzielnego zarządzania, co potencjalnie prowadzi do zmniejszenia chorobowości związanej z astmą86.
Wielodyscyplinarna opieka w przewlekłych chorobach dróg oddechowych, takich jak astma, może poprawić wyniki u niektórych pacjentów, szczególnie tych z bardziej złożoną lub ciężką chorobą87.
Monitorowanie astmy
Monitorowanie oddychania
Możesz nauczyć się rozpoznawać sygnały ostrzegawcze zbliżającego się ataku, takie jak lekki kaszel, świszczący oddech lub duszność88. Domowy miernik szczytowego przepływu może pomóc monitorować, jak dobrze powietrze przemieszcza się przez płuca89. Podczas ataku drogi oddechowe zwężają się. Miernik może poinformować o tym na godziny lub dni przed wystąpieniem jakichkolwiek objawów90.
Wczesne rozpoznawanie i leczenie zaostrzeń
Rozpoznawaj i lecz ataki wcześnie91. Jeśli działasz szybko, jest mniej prawdopodobne, że będziesz mieć poważny atak. Nie będziesz też potrzebować tak dużo leków do kontrolowania objawów92.
Kluczem do kontrolowania astmy jest przyjmowanie leków przy najwcześniejszych możliwych oznakach pogorszenia stanu93. Jeśli rozumiesz swój plan zarządzania astmą i go przestrzegasz, będziesz dokładnie wiedzieć, co robić w przypadku epizodu astmy lub sytuacji awaryjnej94.
Doradzanie pacjentom w zakresie sygnałów ostrzegawczych, takich jak nasilenie zwykłych objawów astmy lub nowe objawy, takie jak kaszel, które mogą poprzedzać zaostrzenia, może skłonić do leczenia terapią przeciwzapalną, pomóc złagodzić nasilenie zaostrzenia i potencjalnie zapobiec wystąpieniu zaostrzenia95.
Wizyty kontrolne
Wizyta kontrolna po zaostrzeniu jest niezbędna w celu przeglądu wszelkich utrzymujących się objawów, oceny bieżącej terapii, oceny i zarządzania modyfikowalnymi czynnikami ryzyka (takimi jak czynniki wywołujące, takie jak infekcje wirusowe – zwłaszcza te, którym można zapobiec poprzez szczepienia [np. grypa, syncytialny wirus oddechowy [RSV], SARS-CoV-2] i alergie, kontynuowane palenie lub narażenie na dym, otyłość, zła adherencja i zła technika inhalacji), zalecenie wskazanych szczepień i aktualizację planu działania w przypadku astmy96.
Zwracaj uwagę na zwiększone korzystanie z inhalatora doraźnego97. Jeśli odkryjesz, że polegasz na inhalatorze doraźnym, takim jak albuterol, twoja astma nie jest pod kontrolą. Skonsultuj się z lekarzem w sprawie dostosowania leczenia98.
Edukacja i wsparcie
Edukacja w samodzielnym zarządzaniu astmą
Skuteczna edukacja w zakresie samodzielnego zarządzania astmą obejmuje pomoc pacjentom w zrozumieniu samokontroli objawów i/lub czynności płuc (PEF) oraz ich pisemnego planu działania w przypadku astmy99.
Osoby z astmą i ich rodziny potrzebują edukacji, aby lepiej zrozumieć swoją astmę100. Obejmuje to ich opcje leczenia, czynniki wyzwalające, których należy unikać, oraz jak zarządzać objawami w domu101.
Programy edukacyjne w zakresie samodzielnego zarządzania astmą mogą obejmować102:
- Pracę z edukatorem ds. astmy
- Zrozumienie, czym jest astma i jak wpływa na organizm
- Naukę technik oddychania, które pomagają kontrolować astmę
- Rozpoznawanie czynników wyzwalających astmę i ich unikanie
- Właściwe przyjmowanie leków na astmę
Badania pokazują, że osoby, które otrzymują edukację w zakresie samodzielnego zarządzania astmą, oprócz opieki medycznej, mogą poprawić kontrolę astmy103.
Wsparcie interdyscyplinarne
Lekarze podstawowej opieki zdrowotnej odgrywają kluczową rolę w zarządzaniu astmą i zaostrzeniami astmy na całym świecie, ponieważ większość pacjentów z astmą jest leczona w placówkach podstawowej opieki zdrowotnej104.
Skoordynowane wysiłki i rzecznictwo między lekarzami, władzami lokalnymi i organizacjami globalnymi mogą uzupełniać lokalne zasoby w celu poprawy dostępu do opieki i leczenia astmy dla pacjentów z barierami, pomagając w rozwiązaniu problemu nierówności105.
Zapobieganie astmie
Chociaż astma nie może być wyleczona, osoby z astmą mogą cieszyć się normalnym życiem, jeśli zostaną prawidłowo zdiagnozowane i leczone106. Inhalatory (zarówno leki rozszerzające oskrzela, jak i steroidy) są uważane za niezbędne leki w pakiecie WHO dotyczącym podstawowych interwencji w zakresie chorób niezakaźnych dla podstawowej opieki zdrowotnej i powinny być dostępne dla wszystkich osób żyjących z astmą na całym świecie107.
Inhalator steroidowy lub zapobiegawczy zmniejsza stan zapalny w płucach i jest istotnym elementem długoterminowego leczenia astmy108. Stosując inhalator steroidowy, zgodnie z zaleceniami lekarza, poprawisz swoje objawy i zmniejszysz ryzyko ciężkiego ataku109.
Inhalatory są najbezpieczniejszym, najskuteczniejszym leczeniem astmy i umożliwiają osobom z astmą prowadzenie normalnego, aktywnego życia110.
Kolejne rozdziały
Zapraszamy do dalszego czytania naszego leksykonu.
Wybierz kolejny rozdział z menu poniżej, aby otworzyć nową podstronę kompedium wiedzy i uzyskać szczegółowe informację o leku, substancji lub chorobie.
Materiały źródłowe
- #1 Prevention of Asthmahttps://pmc.ncbi.nlm.nih.gov/articles/PMC7478233/
Approximately 300 million people worldwide are estimated to be affected by asthma, and the number of patients affected is growing exponentially with potential for an additional 100 million people affected by the condition by 2025. […] Given the significant burden asthma imposes on a person’s health, the health care system, and the global economy, effective interventions to prevent asthma are desperately needed. […] The earliest strategies aimed at asthma prevention stem from limiting the atopic march. […] Asthma prevention strategies, including allergen avoidance and allergen immunotherapy, have targeted steps in the atopic march with varying success. […] Our ability to intervene in these contributing factors through intrauterine and early life interventions can alter the course of the disease and is the focus of ongoing investigation.
- #2 Prevention of Asthmahttps://pmc.ncbi.nlm.nih.gov/articles/PMC7478233/
Approximately 300 million people worldwide are estimated to be affected by asthma, and the number of patients affected is growing exponentially with potential for an additional 100 million people affected by the condition by 2025. […] Given the significant burden asthma imposes on a person’s health, the health care system, and the global economy, effective interventions to prevent asthma are desperately needed. […] The earliest strategies aimed at asthma prevention stem from limiting the atopic march. […] Asthma prevention strategies, including allergen avoidance and allergen immunotherapy, have targeted steps in the atopic march with varying success. […] Our ability to intervene in these contributing factors through intrauterine and early life interventions can alter the course of the disease and is the focus of ongoing investigation.
- #3 Asthma – Symptoms and causes – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/asthma/symptoms-causes/syc-20369653
While there’s no way to prevent asthma, you and your doctor can design a step-by-step plan for living with your condition and preventing asthma attacks. […] Follow your asthma action plan. With your doctor and health care team, write a detailed plan for taking medications and managing an asthma attack. Then be sure to follow your plan. […] Get vaccinated for influenza and pneumonia. Staying current with vaccinations can prevent flu and pneumonia from triggering asthma flare-ups. […] Identify and avoid asthma triggers. A number of outdoor allergens and irritants ranging from pollen and mold to cold air and air pollution can trigger asthma attacks. Find out what causes or worsens your asthma, and take steps to avoid those triggers. […] Monitor your breathing. You may learn to recognize warning signs of an impending attack, such as slight coughing, wheezing or shortness of breath.
- #4 Asthma: Symptoms, Treatment, and Morehttps://www.healthline.com/health/asthma
Asthma is an inflammatory disease that can affect the airways to your lungs. It makes breathing difficult and can make some physical activities challenging or even impossible. […] Because researchers have not yet found the exact cause, its challenging to know how to prevent asthma. […] But some strategies can help prevent asthma attacks, including: […] Avoiding triggers: Try to steer clear of chemicals, smells, or products that have caused breathing problems in the past. […] Reducing exposure to allergens: If youve identified allergens, such as dust and mold, that trigger asthma attacks, avoid them whenever possible. […] Getting allergy shots: Allergen immunotherapy is a type of treatment that may help change your immune system. With routine shots, your body may become less sensitive to triggers you encounter.
- #5 Asthma Prevention | AAFA.orghttps://aafa.org/asthma/asthma-prevention/
For people with asthma, having an asthma management plan is the best way to prevent symptoms. An asthma management plan is something developed by you and your doctor to help you control your asthma, instead of your asthma controlling you. […] Avoiding your triggers is the best way to reduce your need for medicines and to prevent asthma episodes. […] Discuss your notes with your doctor to look for trends. As you identify your triggers, talk about which ones you can avoid, and how to best avoid them. […] Asthma medicines are usually inhaled through a machine called a nebulizer, through a small device called a metered dose inhaler (also called an inhaler, puffer or MDI) or through a dry powder inhaler (DPI). […] The more you understand about what those medicines do and why they help, the more likely you are to use them correctly. […] The key to controlling your asthma is taking your medicine at the earliest possible sign of worsening. […] If you understand your asthma management plan and follow it, you will know exactly what to do in case of an asthma episode or an emergency.
- #6 Asthma Prevention | AAFA.orghttps://aafa.org/asthma/asthma-prevention/
For people with asthma, having an asthma management plan is the best way to prevent symptoms. An asthma management plan is something developed by you and your doctor to help you control your asthma, instead of your asthma controlling you. […] Avoiding your triggers is the best way to reduce your need for medicines and to prevent asthma episodes. […] Discuss your notes with your doctor to look for trends. As you identify your triggers, talk about which ones you can avoid, and how to best avoid them. […] Asthma medicines are usually inhaled through a machine called a nebulizer, through a small device called a metered dose inhaler (also called an inhaler, puffer or MDI) or through a dry powder inhaler (DPI). […] The more you understand about what those medicines do and why they help, the more likely you are to use them correctly. […] The key to controlling your asthma is taking your medicine at the earliest possible sign of worsening. […] If you understand your asthma management plan and follow it, you will know exactly what to do in case of an asthma episode or an emergency.
- #7 Asthma – Symptoms and causes – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/asthma/symptoms-causes/syc-20369653
While there’s no way to prevent asthma, you and your doctor can design a step-by-step plan for living with your condition and preventing asthma attacks. […] Follow your asthma action plan. With your doctor and health care team, write a detailed plan for taking medications and managing an asthma attack. Then be sure to follow your plan. […] Get vaccinated for influenza and pneumonia. Staying current with vaccinations can prevent flu and pneumonia from triggering asthma flare-ups. […] Identify and avoid asthma triggers. A number of outdoor allergens and irritants ranging from pollen and mold to cold air and air pollution can trigger asthma attacks. Find out what causes or worsens your asthma, and take steps to avoid those triggers. […] Monitor your breathing. You may learn to recognize warning signs of an impending attack, such as slight coughing, wheezing or shortness of breath.
- #8 Best practice advice for asthma exacerbation prevention and management in primary care: an international expert consensus | npj Primary Care Respiratory Medicinehttps://www.nature.com/articles/s41533-024-00399-2
To limit the use of SCS, PCCs can implement asthma treatment that appropriately uses ICS-based therapies in both acute and maintenance regimens, thereby reducing the risk of exacerbations and the need for SCS. […] Effective asthma self-management education includes helping patients understand self-monitoring of symptoms and/or lung function (PEF) and their written asthma action plan. […] A follow up visit after an exacerbation is essential to review any persistent symptoms, assess current therapy, evaluate and manage modifiable risk factors (such as causative triggers like viral infectionsespecially those preventable by vaccines [e.g., influenza, respiratory syncytial virus [RSV], SARS-CoV-2]and allergies, continued smoking or smoke exposure, obesity, poor adherence, and poor inhaler technique), recommend indicated immunizations, and update the asthma action plan.
- #9 Managing Your Asthmahttps://www.asthmafoundation.org.nz/your-health/living-with-asthma/managing-your-asthma
Everyone diagnosed with asthma should have a written asthma action plan. An asthma action plan is a personalised self-management plan, prepared by your healthcare practitioner, alongside you. It can be provided in print or digital form, and is designed to be easily shared with other family members, whnau, school, work, sports coaches and others. […] Research shows that people who use an asthma action plan have better control over their asthma. Having an asthma action plan reduces emergency visits to primary care or After Hours surgeries, reduces hospital admissions, and reduces reliever medication use. […] It is important that you understand how your medicines or asthma inhalers work, and take them as prescribed. […] Being physically active is especially important for people with asthma, although some people are afraid it might cause an asthma flare-up. However, by following some simple tips, most people can exercise free of asthma symptoms.
- #10 Managing Your Asthmahttps://www.asthmafoundation.org.nz/your-health/living-with-asthma/managing-your-asthma
Everyone diagnosed with asthma should have a written asthma action plan. An asthma action plan is a personalised self-management plan, prepared by your healthcare practitioner, alongside you. It can be provided in print or digital form, and is designed to be easily shared with other family members, whnau, school, work, sports coaches and others. […] Research shows that people who use an asthma action plan have better control over their asthma. Having an asthma action plan reduces emergency visits to primary care or After Hours surgeries, reduces hospital admissions, and reduces reliever medication use. […] It is important that you understand how your medicines or asthma inhalers work, and take them as prescribed. […] Being physically active is especially important for people with asthma, although some people are afraid it might cause an asthma flare-up. However, by following some simple tips, most people can exercise free of asthma symptoms.
- #11 Asthma Prevention | AAFA.orghttps://aafa.org/asthma/asthma-prevention/
For people with asthma, having an asthma management plan is the best way to prevent symptoms. An asthma management plan is something developed by you and your doctor to help you control your asthma, instead of your asthma controlling you. […] Avoiding your triggers is the best way to reduce your need for medicines and to prevent asthma episodes. […] Discuss your notes with your doctor to look for trends. As you identify your triggers, talk about which ones you can avoid, and how to best avoid them. […] Asthma medicines are usually inhaled through a machine called a nebulizer, through a small device called a metered dose inhaler (also called an inhaler, puffer or MDI) or through a dry powder inhaler (DPI). […] The more you understand about what those medicines do and why they help, the more likely you are to use them correctly. […] The key to controlling your asthma is taking your medicine at the earliest possible sign of worsening. […] If you understand your asthma management plan and follow it, you will know exactly what to do in case of an asthma episode or an emergency.
- #12 Controlling Asthma | Asthma | CDChttps://www.cdc.gov/asthma/control/index.html
An asthma attack can happen when you are exposed to asthma triggers. […] Know your triggers and how to avoid them. […] To prevent attacks: Use allergen-proof mattress and pillowcase covers. […] Pay attention to air quality forecasts on radio, television, and the internet. […] To control pests in your home: Remove as many water and food sources as you can. […] If you think a furry pet may be causing attacks, you may want to find the pet another home. […] Get rid of mold in your home to control your attacks. […] To reduce mold exposure in your home: Dry damp or wet items within 24 to 48 hours to prevent mold growth. […] Other triggers for an asthma attack include: Infections linked to flu, colds, and RSV. […] Asthma can be controlled with medications and avoiding triggers that cause an attack.
- #13 Asthma Prevention: 10 Tips To Prevent Asthma Attackshttps://www.webmd.com/asthma/asthma-prevention
1. Identify Asthma Triggers […] Its vital to learn to identify your asthma triggers and take steps to avoid them. […] If you have exercise-induced asthma, are planning a heavy workout, or plan to exercise in cold, humid, or dry air, take steps to prevent an asthma attack. Follow your doctor’s advice on asthma treatment (usually by using an asthma inhaler containing the drug albuterol before you exercise). […] 2. Stay Away From Allergens […] If you have allergies and asthma, its important to keep your distance from allergens (things youre allergic to). Allergen exposure can increase the inflammation in your airways for a while, making an attack more likely. […] 3. Avoid Smoke of Any Type […] Smoke and asthma are a bad mix. Limit exposure to all sources of smoke, including tobacco, incense, candles, fires, and fireworks. Dont allow smoking in your home or car, and avoid public places that permit it. If you smoke cigarettes, get help to quit. Smoking always makes asthma worse.
- #14 Controlling Asthma | Asthma | CDChttps://www.cdc.gov/asthma/control/index.html
An asthma attack can happen when you are exposed to asthma triggers. […] Know your triggers and how to avoid them. […] To prevent attacks: Use allergen-proof mattress and pillowcase covers. […] Pay attention to air quality forecasts on radio, television, and the internet. […] To control pests in your home: Remove as many water and food sources as you can. […] If you think a furry pet may be causing attacks, you may want to find the pet another home. […] Get rid of mold in your home to control your attacks. […] To reduce mold exposure in your home: Dry damp or wet items within 24 to 48 hours to prevent mold growth. […] Other triggers for an asthma attack include: Infections linked to flu, colds, and RSV. […] Asthma can be controlled with medications and avoiding triggers that cause an attack.
- #15 Asthma Prevention: 10 Tips To Prevent Asthma Attackshttps://www.webmd.com/asthma/asthma-prevention
1. Identify Asthma Triggers […] Its vital to learn to identify your asthma triggers and take steps to avoid them. […] If you have exercise-induced asthma, are planning a heavy workout, or plan to exercise in cold, humid, or dry air, take steps to prevent an asthma attack. Follow your doctor’s advice on asthma treatment (usually by using an asthma inhaler containing the drug albuterol before you exercise). […] 2. Stay Away From Allergens […] If you have allergies and asthma, its important to keep your distance from allergens (things youre allergic to). Allergen exposure can increase the inflammation in your airways for a while, making an attack more likely. […] 3. Avoid Smoke of Any Type […] Smoke and asthma are a bad mix. Limit exposure to all sources of smoke, including tobacco, incense, candles, fires, and fireworks. Dont allow smoking in your home or car, and avoid public places that permit it. If you smoke cigarettes, get help to quit. Smoking always makes asthma worse.
- #16 Controlling Asthma | Asthma | CDChttps://www.cdc.gov/asthma/control/index.html
An asthma attack can happen when you are exposed to asthma triggers. […] Know your triggers and how to avoid them. […] To prevent attacks: Use allergen-proof mattress and pillowcase covers. […] Pay attention to air quality forecasts on radio, television, and the internet. […] To control pests in your home: Remove as many water and food sources as you can. […] If you think a furry pet may be causing attacks, you may want to find the pet another home. […] Get rid of mold in your home to control your attacks. […] To reduce mold exposure in your home: Dry damp or wet items within 24 to 48 hours to prevent mold growth. […] Other triggers for an asthma attack include: Infections linked to flu, colds, and RSV. […] Asthma can be controlled with medications and avoiding triggers that cause an attack.
- #17 Asthma Prevention: 10 Tips To Prevent Asthma Attackshttps://www.webmd.com/asthma/asthma-prevention
4. Prevent Colds […] Do what you can to stay well. Avoid close contact with people who have a cold or the flu, because catching it will make your asthma symptoms worse. Wash your hands well if you handle items that someone with a respiratory infection may have touched. […] 5. Allergy-Proof Your Home […] Whether youre at home, work, or traveling, there are things you can do to allergy-proof your environment and lower your chances of an asthma attack: […] Regular vacuuming can help keep dust mites at bay. […] Control pests in your home. […] Reserve a smoke-free hotel room. […] […] 6. Get Your Vaccinations […] Get a flu shot every year to protect against the flu virus, which can worsen your asthma for days or weeks. […] The CDC recommends pneumonia shots PCV15 or PCV20 for adults age 65 or older.
- #18 Asthma Prevention and Control MedicinesShare to Facebookprint pageBookmark for latercaret iconFollow us on facebookFollow us on instagramFollow us on facebookFollow us on linkedincaret iconhttps://asthma.net/treatment/prevention
Long-term asthma medicines help prevent and control asthma symptoms. They should be taken while also avoiding triggers and maintaining a healthy diet and exercise. This treatment method lowers the risk of asthma attacks and other complications. […] Asthma control drugs control symptoms on a day-to-day basis. They reduce inflammation and lower the risk of asthma attacks. These drugs are the cornerstone of asthma treatment. They are generally taken every day for moderate or high-risk asthma but are sometimes prescribed for as-needed use for mild and low-risk asthma. […] Experts recommend a stepwise approach to treating asthma. This means increasing or decreasing the drugs you take for asthma depending on your symptoms. If a drug does not control your symptoms in 2 to 6 weeks, doctors may increase your treatment up a step. If your symptoms are controlled for at least 3 months, you may go down a step. This helps you control symptoms with the least medicine necessary. […] At all steps, also avoid known triggers, get regular exercise, maintain a healthy diet, and manage stress.
- #19 Asthma Prevention and Control MedicinesShare to Facebookprint pageBookmark for latercaret iconFollow us on facebookFollow us on instagramFollow us on facebookFollow us on linkedincaret iconhttps://asthma.net/treatment/prevention
Long-term asthma medicines help prevent and control asthma symptoms. They should be taken while also avoiding triggers and maintaining a healthy diet and exercise. This treatment method lowers the risk of asthma attacks and other complications. […] Asthma control drugs control symptoms on a day-to-day basis. They reduce inflammation and lower the risk of asthma attacks. These drugs are the cornerstone of asthma treatment. They are generally taken every day for moderate or high-risk asthma but are sometimes prescribed for as-needed use for mild and low-risk asthma. […] Experts recommend a stepwise approach to treating asthma. This means increasing or decreasing the drugs you take for asthma depending on your symptoms. If a drug does not control your symptoms in 2 to 6 weeks, doctors may increase your treatment up a step. If your symptoms are controlled for at least 3 months, you may go down a step. This helps you control symptoms with the least medicine necessary. […] At all steps, also avoid known triggers, get regular exercise, maintain a healthy diet, and manage stress.
- #20 Drugs for Preventing and Treating Asthma – Lung and Airway Disorders – Merck Manual Consumer Versionhttps://www.merckmanuals.com/home/lung-and-airway-disorders/asthma/drugs-for-preventing-and-treating-asthma
Drugs allow most people with asthma to lead relatively normal lives. Most of the drugs used to treat an asthma attack can be used (often in lower doses) to prevent attacks. […] Therapy is based on two classes of drugs: Anti-inflammatory drugs suppress the inflammation that narrows the airways. Anti-inflammatory drugs include corticosteroids (which can be inhaled, taken by mouth, or given intravenously), leukotriene modifiers, and mast cell stabilizers. […] Other types of drugs that directly alter the immune system (called immunomodulators) are sometimes used for people with severe asthma, but most people do not need immunomodulators. […] Long-acting beta-adrenergic drugs are available, but they are used to prevent rather than to treat asthma attacks. […] The long-acting beta-adrenergic drugs are not used alone because people using only long-acting beta-adrenergic drugs may have a slightly higher risk of death. Thus, doctors always give them together with inhaled corticosteroids.
- #21 Drugs for Preventing and Treating Asthma – Lung and Airway Disorders – Merck Manual Consumer Versionhttps://www.merckmanuals.com/home/lung-and-airway-disorders/asthma/drugs-for-preventing-and-treating-asthma
Ultralong-acting beta-adrenergic drugs are effective for up to 24 hours, so people need only one dose per day. […] Ultralong-acting beta-adrenergic drugs are also not used alone because they may cause the same increase in the risk of death as long-acting drugs. Thus, doctors always give them together with inhaled corticosteroids. […] Anticholinergic drugs, such as ipratropium and tiotropium, block acetylcholine from causing smooth muscle contraction and from producing excess mucus in the bronchi. […] These drugs further widen (dilate) the airways in people who have already been given beta-adrenergic drugs or an inhaled corticosteroid. […] Leukotriene modifiers, such as montelukast, zafirlukast, and zileuton, also help control asthma. They are anti-inflammatory drugs that prevent the action or synthesis of leukotrienes.
- #22 Drugs for Preventing and Treating Asthma – Lung and Airway Disorders – Merck Manual Consumer Versionhttps://www.merckmanuals.com/home/lung-and-airway-disorders/asthma/drugs-for-preventing-and-treating-asthma
These drugs, which are taken by mouth, are used more to prevent asthma attacks than to treat them. […] Mast cell stabilizers, which are inhaled, include cromolyn and nedocromil. […] They are useful for preventing but not treating an attack. […] Corticosteroids block the body’s inflammatory response and are exceptionally effective at reducing asthma symptoms. […] Inhaled corticosteroids come in several strengths and are generally used twice a day. […] People should rinse their mouth after use to decrease the likelihood that a fungal infection of the mouth (thrush) develops. […] If taken for long periods, corticosteroids gradually reduce the likelihood of an asthma attack by making the airways less sensitive to a number of provocative stimuli. […] Long-term use of corticosteroids, especially larger doses taken by mouth, can cause side effects including obesity, osteoporosis, cataracts, easy bruising, skin thinning, insomnia, elevated blood glucose levels, and, very rarely, psychosis.
- #23 Asthma Guidelines: Guidelines Summary, Classification Guidelines, Management Guidelineshttps://emedicine.medscape.com/article/296301-guidelines
The goals for successful management of asthma outlined in the 2020 Focused Updates to the Asthma Management Guidelines: A Report from the National Asthma Education and Prevention Program Coordinating Committee Expert Panel Working Group. 2007 NHLBI publication „Global Strategy for Asthma Management and Prevention” (see the images below) include the following: […] – Achieve and maintain control of asthma symptoms […] – Maintain normal activity levels, including exercise […] – Maintain pulmonary function as close to normal as possible […] – Prevent asthma exacerbations […] – Avoid adverse effects from asthma medications […] – Prevent asthma mortality […] […] […] The 2024 GINA guidelines employs a stepwise, two track system depending on the choice of medications. For safety reasons, treatment with short-acting beta2-agonists (SABA) only is no longer recommended. To reduce risk of serious exacerbations and to control symptoms, all adults and adolescents with asthma should receive controller treatment containing inhaled corticosteroids (ICS).
- #24 Asthma Guidelines: Guidelines Summary, Classification Guidelines, Management Guidelineshttps://emedicine.medscape.com/article/296301-guidelines
The goals for successful management of asthma outlined in the 2020 Focused Updates to the Asthma Management Guidelines: A Report from the National Asthma Education and Prevention Program Coordinating Committee Expert Panel Working Group. 2007 NHLBI publication „Global Strategy for Asthma Management and Prevention” (see the images below) include the following: […] – Achieve and maintain control of asthma symptoms […] – Maintain normal activity levels, including exercise […] – Maintain pulmonary function as close to normal as possible […] – Prevent asthma exacerbations […] – Avoid adverse effects from asthma medications […] – Prevent asthma mortality […] […] […] The 2024 GINA guidelines employs a stepwise, two track system depending on the choice of medications. For safety reasons, treatment with short-acting beta2-agonists (SABA) only is no longer recommended. To reduce risk of serious exacerbations and to control symptoms, all adults and adolescents with asthma should receive controller treatment containing inhaled corticosteroids (ICS).
- #25 Global Initiative for Asthma – Global Initiative for Asthma – GINAhttps://ginasthma.org/
The GINA global strategy for asthma management and prevention is presented in its strategy documents, which are freely available on the GINA Website. […] We work with health care professionals, patient representatives, and public health officials around the world to reduce asthma prevalence, morbidity, and mortality. […] Through resources such as evidence-based strategy documents for asthma management, and events such as the annual celebration of World Asthma Day, GINA is working to improve the lives of people with asthma in every corner of the globe. […] GINA emphasizes the need to ensure that people with asthma can access inhaled medications that are essential both for controlling the underlying disease and treating attacks. […] Inhaled corticosteroid-containing medications prevent asthma attacks by treating the underlying inflammation that causes asthma.
- #26 Global Initiative for Asthma – Global Initiative for Asthma – GINAhttps://ginasthma.org/
The GINA global strategy for asthma management and prevention is presented in its strategy documents, which are freely available on the GINA Website. […] We work with health care professionals, patient representatives, and public health officials around the world to reduce asthma prevalence, morbidity, and mortality. […] Through resources such as evidence-based strategy documents for asthma management, and events such as the annual celebration of World Asthma Day, GINA is working to improve the lives of people with asthma in every corner of the globe. […] GINA emphasizes the need to ensure that people with asthma can access inhaled medications that are essential both for controlling the underlying disease and treating attacks. […] Inhaled corticosteroid-containing medications prevent asthma attacks by treating the underlying inflammation that causes asthma.
- #27 7 Ways to Prevent Asthma Attackshttps://www.mountelizabeth.com.sg/health-plus/article/7-ways-to-prevent-asthma-attacks
Get a flu shot every year to protect against the flu virus, which almost always makes asthma much worse for days to weeks. […] Physical activity is important for overall health, even for those with asthma. […] It always pays to be prepared. Apart from keeping your asthma under control by taking your medication as prescribed, you can also bring quick-relief asthma medication wherever you go. […] Several types of medications are available to prevent and treat asthma symptoms: Long-term asthma control medications are the most important treatment for most people with asthma. […] Always speak to a doctor before starting any medications. […] If you find that you’re experiencing asthma attacks once too often, consult your doctor on the lifestyle changes you can make to regain control of your condition.
- #28 Asthma Prevention: 10 Tips To Prevent Asthma Attackshttps://www.webmd.com/asthma/asthma-prevention
1. Identify Asthma Triggers […] Its vital to learn to identify your asthma triggers and take steps to avoid them. […] If you have exercise-induced asthma, are planning a heavy workout, or plan to exercise in cold, humid, or dry air, take steps to prevent an asthma attack. Follow your doctor’s advice on asthma treatment (usually by using an asthma inhaler containing the drug albuterol before you exercise). […] 2. Stay Away From Allergens […] If you have allergies and asthma, its important to keep your distance from allergens (things youre allergic to). Allergen exposure can increase the inflammation in your airways for a while, making an attack more likely. […] 3. Avoid Smoke of Any Type […] Smoke and asthma are a bad mix. Limit exposure to all sources of smoke, including tobacco, incense, candles, fires, and fireworks. Dont allow smoking in your home or car, and avoid public places that permit it. If you smoke cigarettes, get help to quit. Smoking always makes asthma worse.
- #29 Patient education: Exercise-induced asthma (Beyond the Basics) – UpToDatehttps://www.uptodate.com/contents/exercise-induced-asthma-beyond-the-basics
Exercise-induced asthma prevention […] Exercise is important for your health, even if you have asthma, so it is important to develop a routine that allows exercise. Some patients can often prevent or reduce exercise-induced asthma symptoms by improving their day-to-day asthma control and improving their fitness level with regular exercise. […] Nonmedical preventive methods â Breathing cold, dry air during exercise can provoke asthma symptoms. Wearing a loosely fitting scarf or mask when exercising in cold, dry air or exercising where the air is warmer and more humid can help prevent exercise-induced asthma symptoms. Some patients find that warm-up routines before intense exertion can help reduce asthma symptoms. […] For people who exercise once a day or less â Preventing exercise-induced bronchoconstriction usually includes use of an inhaled medication prior to exercise.
- #30 Patient education: Exercise-induced asthma (Beyond the Basics) – UpToDatehttps://www.uptodate.com/contents/exercise-induced-asthma-beyond-the-basics
Rapid-acting bronchodilators â Inhalation of a rapid-acting bronchodilator (eg, two puffs of albuterol) may be taken 5 to 20 minutes before exercise. This inhaler can also be used to relieve symptoms caused by exercise. […] An alternative is to use a combination inhaler that includes formoterol and an inhaled corticosteroid. Formoterol works as quickly as albuterol and lasts for 12 hours, so it is both a rapid-acting and a long-acting bronchodilator. For prevention of exercise-induced asthma one of the combination inhalers, such as budesonide-formoterol (brand names: Breyna, Symbicort) or mometasone-formoterol (brand name: Dulera), can be used one inhalation, at least five minutes prior to exertion. Like albuterol, these medications can also be used to relieve asthma symptoms. […] For exertion throughout the day â Some adults and most children exercise intermittently throughout the day, making it hard to use a preventive treatment before each episode of activity. In this case, a long-acting inhaled bronchodilator (eg, salmeterol or formoterol) or a leukotriene modifier (eg, montelukast or zafirlukast) may be recommended to provide day-long protection.
- #31 Patient education: Exercise-induced asthma (Beyond the Basics) – UpToDatehttps://www.uptodate.com/contents/exercise-induced-asthma-beyond-the-basics
Long-acting bronchodilators â Long-acting bronchodilators (LABAs), such as salmeterol and formoterol, work for a longer period than rapid-acting bronchodilators. LABAs should always be used in combination with an inhaled glucocorticoid. […] Leukotriene modifiers â Leukotriene modifiers work by decreasing airway narrowing, inflammation, and mucus production. Examples of leukotriene modifiers include montelukast (brand name: Singulair) and zafirlukast (brand name: Accolate). These are taken in pill form by mouth once daily (montelukast) or twice daily (zafirlukast) and have few side effects. Taken regularly, either of these medications is useful in preventing exercise-induced bronchospasm. […] Montelukast is approved for use as needed before exercise for patients who do not require daily medication. If not taken on a daily basis, montelukast should be taken at least two hours before the start of exercise. If the medication is taken daily, there is no need to take an additional dose prior to exercise. […] Leukotriene modifiers are used for prevention of symptoms, NOT for relief of symptoms once they have developed. If asthma symptoms develop despite pretreatment with a leukotriene modifier, a rapid-acting bronchodilator (eg, albuterol, levalbuterol, or budesonide-formoterol) should be used.
- #32 Asthma Increases Risk of Certain Preventable Diseases | AAFA.orghttps://aafa.org/asthma/asthma-prevention/vaccine-recommendations/
People with asthma are at higher risk for serious problems from certain vaccine-preventable diseases. […] It is recommended that people with asthma and their loved ones get vaccines to reduce the risk of these preventable diseases: […] The best way to protect you is to get a flu shot before outbreaks begin. People with asthma are more likely to have severe complications from the flu. […] There are two types of the pneumococcal vaccine. Talk with your health care provider to find out if one of them is right for you. […] You can protect your health by getting these vaccines. Talk with your doctor about what vaccines you may need.
- #33 Asthma Increases Risk of Certain Preventable Diseases | AAFA.orghttps://aafa.org/asthma/asthma-prevention/vaccine-recommendations/
People with asthma are at higher risk for serious problems from certain vaccine-preventable diseases. […] It is recommended that people with asthma and their loved ones get vaccines to reduce the risk of these preventable diseases: […] The best way to protect you is to get a flu shot before outbreaks begin. People with asthma are more likely to have severe complications from the flu. […] There are two types of the pneumococcal vaccine. Talk with your health care provider to find out if one of them is right for you. […] You can protect your health by getting these vaccines. Talk with your doctor about what vaccines you may need.
- #34 Asthma Increases Risk of Certain Preventable Diseases | AAFA.orghttps://aafa.org/asthma/asthma-prevention/vaccine-recommendations/
People with asthma are at higher risk for serious problems from certain vaccine-preventable diseases. […] It is recommended that people with asthma and their loved ones get vaccines to reduce the risk of these preventable diseases: […] The best way to protect you is to get a flu shot before outbreaks begin. People with asthma are more likely to have severe complications from the flu. […] There are two types of the pneumococcal vaccine. Talk with your health care provider to find out if one of them is right for you. […] You can protect your health by getting these vaccines. Talk with your doctor about what vaccines you may need.
- #35 Asthma Increases Risk of Certain Preventable Diseases | AAFA.orghttps://aafa.org/asthma/asthma-prevention/vaccine-recommendations/
People with asthma are at higher risk for serious problems from certain vaccine-preventable diseases. […] It is recommended that people with asthma and their loved ones get vaccines to reduce the risk of these preventable diseases: […] The best way to protect you is to get a flu shot before outbreaks begin. People with asthma are more likely to have severe complications from the flu. […] There are two types of the pneumococcal vaccine. Talk with your health care provider to find out if one of them is right for you. […] You can protect your health by getting these vaccines. Talk with your doctor about what vaccines you may need.
- #36 Asthma Prevention: 10 Tips To Prevent Asthma Attackshttps://www.webmd.com/asthma/asthma-prevention
4. Prevent Colds […] Do what you can to stay well. Avoid close contact with people who have a cold or the flu, because catching it will make your asthma symptoms worse. Wash your hands well if you handle items that someone with a respiratory infection may have touched. […] 5. Allergy-Proof Your Home […] Whether youre at home, work, or traveling, there are things you can do to allergy-proof your environment and lower your chances of an asthma attack: […] Regular vacuuming can help keep dust mites at bay. […] Control pests in your home. […] Reserve a smoke-free hotel room. […] […] 6. Get Your Vaccinations […] Get a flu shot every year to protect against the flu virus, which can worsen your asthma for days or weeks. […] The CDC recommends pneumonia shots PCV15 or PCV20 for adults age 65 or older.
- #37 10 Tips To Prevent Asthma Attackshttps://www.sparshhospital.com/blog/tips-to-prevent-asthma-attacks/
Pay attention to the air quality in your environment. Pollution levels and pollen counts can significantly impact your asthma symptoms. […] Asthma management should be an ongoing process. Regular check-ups with your doctor can help ensure that your asthma is under control. […] While exercise is important for overall health, it can sometimes trigger asthma symptoms, especially if it is done in cold or dry environments. […] Emotional stress can trigger asthma symptoms. Its important to find ways to relax and manage stress effectively. […] Ensure that you and your family members receive annual flu vaccinations and other recommended vaccines. This will help reduce the chances of respiratory infections that could trigger an asthma attack. […] Its essential that everyone around you is aware of your asthma condition and how to help in case of an emergency. Share information about your asthma triggers, how to use your inhaler, and what to do if you have an asthma attack. This will ensure a quicker response and minimize risks.
- #38 Prevention of Asthmahttps://pmc.ncbi.nlm.nih.gov/articles/PMC7478233/
Given the association between allergic sensitization and the development of atopy and asthma, allergen avoidance was studied as a means of asthma prevention, yielding conflicting results. […] Recent studies confirm that the relationship between allergen exposure and asthma development is complicated, mediated by genes and gene methylation. […] Aside from allergen avoidance for the prevention of asthma, targeting allergic sensitization through immunotherapy (IT) has been studied. […] IT interferes with the pathophysiology that mediates allergic and asthmatic disease, and can impact the long-term trajectory of atopy and asthma. […] In addition to SCIT, sublingual IT (SLIT) has been studied for asthma and atopy prevention. […] Lung function abnormalities and airway remodeling can be seen in early life in those who develop persistent asthma.
- #39 Prevention of Asthmahttps://pmc.ncbi.nlm.nih.gov/articles/PMC7478233/
Given the association between allergic sensitization and the development of atopy and asthma, allergen avoidance was studied as a means of asthma prevention, yielding conflicting results. […] Recent studies confirm that the relationship between allergen exposure and asthma development is complicated, mediated by genes and gene methylation. […] Aside from allergen avoidance for the prevention of asthma, targeting allergic sensitization through immunotherapy (IT) has been studied. […] IT interferes with the pathophysiology that mediates allergic and asthmatic disease, and can impact the long-term trajectory of atopy and asthma. […] In addition to SCIT, sublingual IT (SLIT) has been studied for asthma and atopy prevention. […] Lung function abnormalities and airway remodeling can be seen in early life in those who develop persistent asthma.
- #40 Prevention of Asthmahttps://pmc.ncbi.nlm.nih.gov/articles/PMC7478233/
Given the association between allergic sensitization and the development of atopy and asthma, allergen avoidance was studied as a means of asthma prevention, yielding conflicting results. […] Recent studies confirm that the relationship between allergen exposure and asthma development is complicated, mediated by genes and gene methylation. […] Aside from allergen avoidance for the prevention of asthma, targeting allergic sensitization through immunotherapy (IT) has been studied. […] IT interferes with the pathophysiology that mediates allergic and asthmatic disease, and can impact the long-term trajectory of atopy and asthma. […] In addition to SCIT, sublingual IT (SLIT) has been studied for asthma and atopy prevention. […] Lung function abnormalities and airway remodeling can be seen in early life in those who develop persistent asthma.
- #41 Prevention of Asthmahttps://pmc.ncbi.nlm.nih.gov/articles/PMC7478233/
Given the association between allergic sensitization and the development of atopy and asthma, allergen avoidance was studied as a means of asthma prevention, yielding conflicting results. […] Recent studies confirm that the relationship between allergen exposure and asthma development is complicated, mediated by genes and gene methylation. […] Aside from allergen avoidance for the prevention of asthma, targeting allergic sensitization through immunotherapy (IT) has been studied. […] IT interferes with the pathophysiology that mediates allergic and asthmatic disease, and can impact the long-term trajectory of atopy and asthma. […] In addition to SCIT, sublingual IT (SLIT) has been studied for asthma and atopy prevention. […] Lung function abnormalities and airway remodeling can be seen in early life in those who develop persistent asthma.
- #42 Asthma Prevention: 10 Tips To Prevent Asthma Attackshttps://www.webmd.com/asthma/asthma-prevention
7. Consider Immunotherapy Allergy Shots […] If your doctor finds that you have allergies, allergy shots (immunotherapy) may help prevent allergy symptoms and keep your asthma from getting worse. […] 8. Take Asthma Medications as Prescribed […] Long-term asthma medications are designed to prevent symptoms and attacks. You need to take them every day, even if you dont have symptoms. […] 9. Follow Your Asthma Action Plan […] Take your meds, even when you feel OK. Keep an inhaler on you. If you notice symptoms, check your plan for instructions on what medications to take. […] 10. Use a Home Peak Flow Meter […] The meter shows how well air is moving through your lungs. During an attack, your airways narrow. The meter can let you know this is happening hours or days before you have any symptoms.
- #43 Prevention of Asthmahttps://pmc.ncbi.nlm.nih.gov/articles/PMC7478233/
Given the association between allergic sensitization and the development of atopy and asthma, allergen avoidance was studied as a means of asthma prevention, yielding conflicting results. […] Recent studies confirm that the relationship between allergen exposure and asthma development is complicated, mediated by genes and gene methylation. […] Aside from allergen avoidance for the prevention of asthma, targeting allergic sensitization through immunotherapy (IT) has been studied. […] IT interferes with the pathophysiology that mediates allergic and asthmatic disease, and can impact the long-term trajectory of atopy and asthma. […] In addition to SCIT, sublingual IT (SLIT) has been studied for asthma and atopy prevention. […] Lung function abnormalities and airway remodeling can be seen in early life in those who develop persistent asthma.
- #44 10 Tips To Prevent Asthma Attackshttps://www.sparshhospital.com/blog/tips-to-prevent-asthma-attacks/
Asthma attacks can be unpredictable and scary, but with the right precautions and lifestyle adjustments, you can significantly reduce the risk of an episode. Asthma prevention is all about managing triggers, maintaining a healthy environment, and working closely with doctors. […] While it cannot be fully cured, with the right asthma prevention measures, people can manage this condition effectively and reduce the frequency and severity of asthma attacks. […] The key to preventing asthma attacks is to identify triggers, create an asthma-friendly environment, and follow the prescribed treatment plan consistently. […] By understanding what triggers your asthma, you can take proactive steps to avoid these situations. This is one of the most effective asthma precautions you can take. […] Indoor air quality plays a big role in asthma management. The presence of dust, smoke, and mould can aggravate symptoms.
- #45 10 Tips To Prevent Asthma Attackshttps://www.sparshhospital.com/blog/tips-to-prevent-asthma-attacks/
While asthma cannot always be prevented, its symptoms and attacks can be minimized with effective management. Identifying triggers, maintaining a clean-living environment, and adhering to medical advice can help reduce flare-ups significantly. […] To make your home asthma-friendly, reduce allergens by: Keeping your home dust-free with regular cleaning. Using air purifiers to filter out pollen, mould, and dust mites. Avoiding carpets and heavy curtains, which can trap allergens. Ensuring good ventilation to reduce moisture and prevent mould growth.
- #46 Prevention of Allergies and Asthma in Childrenhttps://www.aaaai.org/tools-for-the-public/conditions-library/allergies/prevention-of-allergies-and-asthma-in-children
Prevention of Allergies and Asthma in ChildrenIt has long been known that allergies and asthma tend to run in families, making children where one or both parents have an allergic disease more likely to develop these conditions. Fortunately, there are steps that may delay or possibly prevent allergies or asthma from developing. […] If your child is at high risk of developing allergies, there are steps you can take to control dust mites. Use zippered, „allergen-impermeable” covers on pillows and mattresses and wash bedding in hot water weekly. Indoor humidity should be kept below 50%. If possible, carpets and upholstered furniture should be removed from your infant’s bedroom. […] It is very important not to expose your children to tobacco smoke before or after birth. Smoking during pregnancy increases the chance of your child wheezing during infancy. Exposing children to secondhand smoke has also been shown to increase the development of asthma and other chronic respiratory illnesses.
- #47 Prevention of Allergies and Asthma in Childrenhttps://www.aaaai.org/tools-for-the-public/conditions-library/allergies/prevention-of-allergies-and-asthma-in-children
Prevention of Allergies and Asthma in ChildrenIt has long been known that allergies and asthma tend to run in families, making children where one or both parents have an allergic disease more likely to develop these conditions. Fortunately, there are steps that may delay or possibly prevent allergies or asthma from developing. […] If your child is at high risk of developing allergies, there are steps you can take to control dust mites. Use zippered, „allergen-impermeable” covers on pillows and mattresses and wash bedding in hot water weekly. Indoor humidity should be kept below 50%. If possible, carpets and upholstered furniture should be removed from your infant’s bedroom. […] It is very important not to expose your children to tobacco smoke before or after birth. Smoking during pregnancy increases the chance of your child wheezing during infancy. Exposing children to secondhand smoke has also been shown to increase the development of asthma and other chronic respiratory illnesses.
- #48 Prevention of Allergies and Asthma in Childrenhttps://www.aaaai.org/tools-for-the-public/conditions-library/allergies/prevention-of-allergies-and-asthma-in-children
Prevention of Allergies and Asthma in ChildrenIt has long been known that allergies and asthma tend to run in families, making children where one or both parents have an allergic disease more likely to develop these conditions. Fortunately, there are steps that may delay or possibly prevent allergies or asthma from developing. […] If your child is at high risk of developing allergies, there are steps you can take to control dust mites. Use zippered, „allergen-impermeable” covers on pillows and mattresses and wash bedding in hot water weekly. Indoor humidity should be kept below 50%. If possible, carpets and upholstered furniture should be removed from your infant’s bedroom. […] It is very important not to expose your children to tobacco smoke before or after birth. Smoking during pregnancy increases the chance of your child wheezing during infancy. Exposing children to secondhand smoke has also been shown to increase the development of asthma and other chronic respiratory illnesses.
- #49 Prevention of Allergies and Asthma in Childrenhttps://www.aaaai.org/tools-for-the-public/conditions-library/allergies/prevention-of-allergies-and-asthma-in-children
Prevention of Allergies and Asthma in ChildrenIt has long been known that allergies and asthma tend to run in families, making children where one or both parents have an allergic disease more likely to develop these conditions. Fortunately, there are steps that may delay or possibly prevent allergies or asthma from developing. […] If your child is at high risk of developing allergies, there are steps you can take to control dust mites. Use zippered, „allergen-impermeable” covers on pillows and mattresses and wash bedding in hot water weekly. Indoor humidity should be kept below 50%. If possible, carpets and upholstered furniture should be removed from your infant’s bedroom. […] It is very important not to expose your children to tobacco smoke before or after birth. Smoking during pregnancy increases the chance of your child wheezing during infancy. Exposing children to secondhand smoke has also been shown to increase the development of asthma and other chronic respiratory illnesses.
- #50 Asthma Prevention: 10 Tips To Prevent Asthma Attackshttps://www.webmd.com/asthma/asthma-prevention
1. Identify Asthma Triggers […] Its vital to learn to identify your asthma triggers and take steps to avoid them. […] If you have exercise-induced asthma, are planning a heavy workout, or plan to exercise in cold, humid, or dry air, take steps to prevent an asthma attack. Follow your doctor’s advice on asthma treatment (usually by using an asthma inhaler containing the drug albuterol before you exercise). […] 2. Stay Away From Allergens […] If you have allergies and asthma, its important to keep your distance from allergens (things youre allergic to). Allergen exposure can increase the inflammation in your airways for a while, making an attack more likely. […] 3. Avoid Smoke of Any Type […] Smoke and asthma are a bad mix. Limit exposure to all sources of smoke, including tobacco, incense, candles, fires, and fireworks. Dont allow smoking in your home or car, and avoid public places that permit it. If you smoke cigarettes, get help to quit. Smoking always makes asthma worse.
- #51 Asthma Prevention: 10 Tips To Prevent Asthma Attackshttps://www.webmd.com/asthma/asthma-prevention
1. Identify Asthma Triggers […] Its vital to learn to identify your asthma triggers and take steps to avoid them. […] If you have exercise-induced asthma, are planning a heavy workout, or plan to exercise in cold, humid, or dry air, take steps to prevent an asthma attack. Follow your doctor’s advice on asthma treatment (usually by using an asthma inhaler containing the drug albuterol before you exercise). […] 2. Stay Away From Allergens […] If you have allergies and asthma, its important to keep your distance from allergens (things youre allergic to). Allergen exposure can increase the inflammation in your airways for a while, making an attack more likely. […] 3. Avoid Smoke of Any Type […] Smoke and asthma are a bad mix. Limit exposure to all sources of smoke, including tobacco, incense, candles, fires, and fireworks. Dont allow smoking in your home or car, and avoid public places that permit it. If you smoke cigarettes, get help to quit. Smoking always makes asthma worse.
- #52https://www.who.int/news-room/fact-sheets/detail/asthma
Inflammation and narrowing of the small airways in the lungs cause asthma symptoms, which can be any combination of cough, wheeze, shortness of breath and chest tightness. […] Avoiding asthma triggers can also help to reduce asthma symptoms. […] Inhalers can help control the disease and enable people with asthma to enjoy a normal, active life. […] There are two main types of inhaler: bronchodilators (such as salbutamol), that open the air passages and relieve symptoms; and steroids (such as beclometasone) that reduce inflammation in the air passages, which improves asthma symptoms and reduces the risk of severe asthma attacks and death. […] It is also important to raise community awareness to reduce the myths and stigma associated with asthma in some settings. […] People with asthma and their families need education to understand more about their asthma. This includes their treatment options, triggers to avoid, and how to manage their symptoms at home. […] Reducing tobacco smoke exposure is important for both primary prevention of asthma and disease management. […] Air pollution is an important risk factor for asthma, causing new cases and making existing disease worse.
- #53 Asthma: Symptoms, Treatment, and Morehttps://www.healthline.com/health/asthma
Taking preventive medication: Your doctor may prescribe medication for you to take every day (in addition to the one you use in case of an asthma attack). […] Your doctor can help you create an asthma action plan so you know which treatments to use and when. […] In addition to using maintenance medications, you can take steps each day to improve your overall health and reduce your risk for asthma attacks. These include: […] Eating a nutritious diet: A healthy, balanced diet can help improve your overall health. […] Avoiding any foods youre allergic to: Nutrient-rich foods are vital to helping reduce symptoms, but food allergies can trigger asthma symptoms. […] Making efforts to maintain a moderate weight: Asthma tends to be worse in people with overweight or obesity. If your doctor recommends that you lose weight, doing so may be beneficial for your heart, joints, and lungs.
- #54 Asthma: Symptoms, Treatment, and Morehttps://www.healthline.com/health/asthma
Taking preventive medication: Your doctor may prescribe medication for you to take every day (in addition to the one you use in case of an asthma attack). […] Your doctor can help you create an asthma action plan so you know which treatments to use and when. […] In addition to using maintenance medications, you can take steps each day to improve your overall health and reduce your risk for asthma attacks. These include: […] Eating a nutritious diet: A healthy, balanced diet can help improve your overall health. […] Avoiding any foods youre allergic to: Nutrient-rich foods are vital to helping reduce symptoms, but food allergies can trigger asthma symptoms. […] Making efforts to maintain a moderate weight: Asthma tends to be worse in people with overweight or obesity. If your doctor recommends that you lose weight, doing so may be beneficial for your heart, joints, and lungs.
- #55 How to stop an asthma attack without an inhalerhttps://www.medicalnewstoday.com/articles/321441
Avoiding exposure to known triggers and maintaining a moderate weight may help prevent asthma attacks. Eating a nutritious diet, such as the Mediterranean diet, also may reduce the risk. […] According to 2020 research, certain dietary habits can help prevent asthma. Research associates greater fruit and vegetable consumption with lower asthma risk. It also links dairy consumption to higher risk and it may worsen symptoms. […] Mediterranean and vegan diets may decrease the risk and reduce flare-ups. These diets focus on fruits, vegetables, whole grains, and legumes while limiting animal foods. […] Other asthma prevention measures include: maintaining a moderate weight, avoiding air pollution, keeping the home free of dampness and mold, avoiding exposure to known triggers.
- #56 How to stop an asthma attack without an inhalerhttps://www.medicalnewstoday.com/articles/321441
Avoiding exposure to known triggers and maintaining a moderate weight may help prevent asthma attacks. Eating a nutritious diet, such as the Mediterranean diet, also may reduce the risk. […] According to 2020 research, certain dietary habits can help prevent asthma. Research associates greater fruit and vegetable consumption with lower asthma risk. It also links dairy consumption to higher risk and it may worsen symptoms. […] Mediterranean and vegan diets may decrease the risk and reduce flare-ups. These diets focus on fruits, vegetables, whole grains, and legumes while limiting animal foods. […] Other asthma prevention measures include: maintaining a moderate weight, avoiding air pollution, keeping the home free of dampness and mold, avoiding exposure to known triggers.
- #57 Asthma: Symptoms, Treatment, and Morehttps://www.healthline.com/health/asthma
Taking preventive medication: Your doctor may prescribe medication for you to take every day (in addition to the one you use in case of an asthma attack). […] Your doctor can help you create an asthma action plan so you know which treatments to use and when. […] In addition to using maintenance medications, you can take steps each day to improve your overall health and reduce your risk for asthma attacks. These include: […] Eating a nutritious diet: A healthy, balanced diet can help improve your overall health. […] Avoiding any foods youre allergic to: Nutrient-rich foods are vital to helping reduce symptoms, but food allergies can trigger asthma symptoms. […] Making efforts to maintain a moderate weight: Asthma tends to be worse in people with overweight or obesity. If your doctor recommends that you lose weight, doing so may be beneficial for your heart, joints, and lungs.
- #58 Asthma: Symptoms, Treatment, and Morehttps://www.healthline.com/health/asthma
Taking preventive medication: Your doctor may prescribe medication for you to take every day (in addition to the one you use in case of an asthma attack). […] Your doctor can help you create an asthma action plan so you know which treatments to use and when. […] In addition to using maintenance medications, you can take steps each day to improve your overall health and reduce your risk for asthma attacks. These include: […] Eating a nutritious diet: A healthy, balanced diet can help improve your overall health. […] Avoiding any foods youre allergic to: Nutrient-rich foods are vital to helping reduce symptoms, but food allergies can trigger asthma symptoms. […] Making efforts to maintain a moderate weight: Asthma tends to be worse in people with overweight or obesity. If your doctor recommends that you lose weight, doing so may be beneficial for your heart, joints, and lungs.
- #59 Asthma: Symptoms, Treatment, and Morehttps://www.healthline.com/health/asthma
Quitting smoking, if you smoke: Cigarette smoke is an irritant that can trigger asthma and increase your risk of developing chronic obstructive pulmonary disease (COPD). […] Exercising regularly: Physical activity can trigger asthma attacks, but regular exercise may actually help reduce your risk of breathing problems. […] Finding healthy ways to manage stress: Stress can trigger asthma symptoms and make it more difficult to stop an asthma attack.
- #60 Asthma: Symptoms, Treatment, and Morehttps://www.healthline.com/health/asthma
Quitting smoking, if you smoke: Cigarette smoke is an irritant that can trigger asthma and increase your risk of developing chronic obstructive pulmonary disease (COPD). […] Exercising regularly: Physical activity can trigger asthma attacks, but regular exercise may actually help reduce your risk of breathing problems. […] Finding healthy ways to manage stress: Stress can trigger asthma symptoms and make it more difficult to stop an asthma attack.
- #61 Asthma: Symptoms, Treatment, and Morehttps://www.healthline.com/health/asthma
Quitting smoking, if you smoke: Cigarette smoke is an irritant that can trigger asthma and increase your risk of developing chronic obstructive pulmonary disease (COPD). […] Exercising regularly: Physical activity can trigger asthma attacks, but regular exercise may actually help reduce your risk of breathing problems. […] Finding healthy ways to manage stress: Stress can trigger asthma symptoms and make it more difficult to stop an asthma attack.
- #62 Childhood asthma – Symptoms & causes – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/childhood-asthma/symptoms-causes/syc-20351507
Help your child maintain a healthy weight. Being overweight can worsen asthma symptoms, and it puts your child at risk of other health problems. […] Keep heartburn under control. Acid reflux or severe heartburn might worsen your child’s asthma symptoms. To control acid reflux, your child may need prescription medicines or medicines you can buy off the shelf.
- #63 Childhood asthma – Symptoms & causes – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/childhood-asthma/symptoms-causes/syc-20351507
Help your child maintain a healthy weight. Being overweight can worsen asthma symptoms, and it puts your child at risk of other health problems. […] Keep heartburn under control. Acid reflux or severe heartburn might worsen your child’s asthma symptoms. To control acid reflux, your child may need prescription medicines or medicines you can buy off the shelf.
- #64 Prevention of Allergies and Asthma in Childrenhttps://www.aaaai.org/tools-for-the-public/conditions-library/allergies/prevention-of-allergies-and-asthma-in-children
Prevention of Allergies and Asthma in ChildrenIt has long been known that allergies and asthma tend to run in families, making children where one or both parents have an allergic disease more likely to develop these conditions. Fortunately, there are steps that may delay or possibly prevent allergies or asthma from developing. […] If your child is at high risk of developing allergies, there are steps you can take to control dust mites. Use zippered, „allergen-impermeable” covers on pillows and mattresses and wash bedding in hot water weekly. Indoor humidity should be kept below 50%. If possible, carpets and upholstered furniture should be removed from your infant’s bedroom. […] It is very important not to expose your children to tobacco smoke before or after birth. Smoking during pregnancy increases the chance of your child wheezing during infancy. Exposing children to secondhand smoke has also been shown to increase the development of asthma and other chronic respiratory illnesses.
- #65 Prevention of Allergies and Asthma in Childrenhttps://www.aaaai.org/tools-for-the-public/conditions-library/allergies/prevention-of-allergies-and-asthma-in-children
Prevention of Allergies and Asthma in ChildrenIt has long been known that allergies and asthma tend to run in families, making children where one or both parents have an allergic disease more likely to develop these conditions. Fortunately, there are steps that may delay or possibly prevent allergies or asthma from developing. […] If your child is at high risk of developing allergies, there are steps you can take to control dust mites. Use zippered, „allergen-impermeable” covers on pillows and mattresses and wash bedding in hot water weekly. Indoor humidity should be kept below 50%. If possible, carpets and upholstered furniture should be removed from your infant’s bedroom. […] It is very important not to expose your children to tobacco smoke before or after birth. Smoking during pregnancy increases the chance of your child wheezing during infancy. Exposing children to secondhand smoke has also been shown to increase the development of asthma and other chronic respiratory illnesses.
- #66 Prevention of Asthmahttps://pmc.ncbi.nlm.nih.gov/articles/PMC7478233/
Approximately 300 million people worldwide are estimated to be affected by asthma, and the number of patients affected is growing exponentially with potential for an additional 100 million people affected by the condition by 2025. […] Given the significant burden asthma imposes on a person’s health, the health care system, and the global economy, effective interventions to prevent asthma are desperately needed. […] The earliest strategies aimed at asthma prevention stem from limiting the atopic march. […] Asthma prevention strategies, including allergen avoidance and allergen immunotherapy, have targeted steps in the atopic march with varying success. […] Our ability to intervene in these contributing factors through intrauterine and early life interventions can alter the course of the disease and is the focus of ongoing investigation.
- #67 Prevention of Allergies and Asthma in Childrenhttps://www.aaaai.org/tools-for-the-public/conditions-library/allergies/prevention-of-allergies-and-asthma-in-children
Prevention of Allergies and Asthma in ChildrenIt has long been known that allergies and asthma tend to run in families, making children where one or both parents have an allergic disease more likely to develop these conditions. Fortunately, there are steps that may delay or possibly prevent allergies or asthma from developing. […] If your child is at high risk of developing allergies, there are steps you can take to control dust mites. Use zippered, „allergen-impermeable” covers on pillows and mattresses and wash bedding in hot water weekly. Indoor humidity should be kept below 50%. If possible, carpets and upholstered furniture should be removed from your infant’s bedroom. […] It is very important not to expose your children to tobacco smoke before or after birth. Smoking during pregnancy increases the chance of your child wheezing during infancy. Exposing children to secondhand smoke has also been shown to increase the development of asthma and other chronic respiratory illnesses.
- #68 Prevention of Allergies and Asthma in Childrenhttps://www.aaaai.org/tools-for-the-public/conditions-library/allergies/prevention-of-allergies-and-asthma-in-children
Since breast-feeding for at least four to six months strengthens a child’s immune system, it is helpful in avoiding these infections and, in the long term, asthma. […] Breast-feeding exclusively for the first four to six months, or using a hypoallergenic formula, may strengthen the immune system while delaying or preventing atopic dermatitis and milk allergy. […] Reducing exposure to some allergens, such as dust mites, may delay or prevent allergy or asthma symptoms. Exposure to tobacco smoke before and after birth increases your infant’s risk of developing wheezing and asthma.
- #69 Prevention of Asthmahttps://pmc.ncbi.nlm.nih.gov/articles/PMC7478233/
Approximately 300 million people worldwide are estimated to be affected by asthma, and the number of patients affected is growing exponentially with potential for an additional 100 million people affected by the condition by 2025. […] Given the significant burden asthma imposes on a person’s health, the health care system, and the global economy, effective interventions to prevent asthma are desperately needed. […] The earliest strategies aimed at asthma prevention stem from limiting the atopic march. […] Asthma prevention strategies, including allergen avoidance and allergen immunotherapy, have targeted steps in the atopic march with varying success. […] Our ability to intervene in these contributing factors through intrauterine and early life interventions can alter the course of the disease and is the focus of ongoing investigation.
- #70 Prevention of Asthmahttps://pmc.ncbi.nlm.nih.gov/articles/PMC7478233/
Approximately 300 million people worldwide are estimated to be affected by asthma, and the number of patients affected is growing exponentially with potential for an additional 100 million people affected by the condition by 2025. […] Given the significant burden asthma imposes on a person’s health, the health care system, and the global economy, effective interventions to prevent asthma are desperately needed. […] The earliest strategies aimed at asthma prevention stem from limiting the atopic march. […] Asthma prevention strategies, including allergen avoidance and allergen immunotherapy, have targeted steps in the atopic march with varying success. […] Our ability to intervene in these contributing factors through intrauterine and early life interventions can alter the course of the disease and is the focus of ongoing investigation.
- #71 Prevention of Asthmahttps://pmc.ncbi.nlm.nih.gov/articles/PMC7478233/
Interventions to improve the lung function of young children at high risk of developing asthma have been evaluated in asthma prevention. […] The intrauterine period may represent a critical window in the development of atopy and asthma. […] Vitamin C supplementation during pregnancy has been studied for asthma prevention and has shown benefit to offspring of mothers who smoked during pregnancy. […] Prenatal supplementation with vitamin D has also been evaluated. […] Environmental microbial exposures may influence asthma development. […] The airway microbiome has been studied in asthma pathogenesis. […] Virus-induced wheezing often precedes asthma diagnosis. […] Early life rhinovirus (RV) infection may be an even stronger contributor to asthma pathogenesis than RSV. […] Abrogation of the inflammatory response to respiratory viruses is currently being studied. […] Omalizumab is also being studied as an immunomodulator in asthma prevention. […] Given the significant burden of asthma, effective prevention strategies are desperately needed. […] Future advances in asthma prevention may include a more personalized approach.
- #72 Asthma Guidelines: Guidelines Summary, Classification Guidelines, Management Guidelineshttps://emedicine.medscape.com/article/296301-guidelines
[…] […] The 2020 joint European Respiratory Society/American Thoracic Society (ERS/ATS) guidelines include the following additional recommendations for treatment of severe asthma: […] – For severe allergic asthma, a therapeutic trial of omalizumab […] – Do not use methotrexate or macrolide antibiotics to treat severe asthma […] – For severe asthma and recurrent exacerbations of allergic bronchopulmonary aspergillosis (ABPA), antifungal agents should be given […] – Do not use antifungal agents for severe asthma without ABPA irrespective of sensitization to fungi (ie, positive skin prick test or fungus-specific immunoglobulin E in serum) […] […] […] The JSA recommends that anti-immunoglobulin E antibodies and other biologics as well as oral steroids be reserved for very severe and persistent asthma related to allergic reactions. […] […] […] The JSA recommends ICSs as first-line treatment for long-term management of pregnant women with asthma.
- #73 Managing Your Asthmahttps://www.asthmafoundation.org.nz/your-health/living-with-asthma/managing-your-asthma
Make it a rule that your home is smokefree at all times for everyone. […] The most important advice for pregnant women is dont smoke, and this is even more important if there is a family history of asthma. […] If your asthma gets worse, you may need to increase your medication and revise your asthma action plan with your healthcare practitioner.
- #74 Managing Your Asthmahttps://www.asthmafoundation.org.nz/your-health/living-with-asthma/managing-your-asthma
Make it a rule that your home is smokefree at all times for everyone. […] The most important advice for pregnant women is dont smoke, and this is even more important if there is a family history of asthma. […] If your asthma gets worse, you may need to increase your medication and revise your asthma action plan with your healthcare practitioner.
- #75 Prevention of Asthmahttps://pmc.ncbi.nlm.nih.gov/articles/PMC7478233/
Interventions to improve the lung function of young children at high risk of developing asthma have been evaluated in asthma prevention. […] The intrauterine period may represent a critical window in the development of atopy and asthma. […] Vitamin C supplementation during pregnancy has been studied for asthma prevention and has shown benefit to offspring of mothers who smoked during pregnancy. […] Prenatal supplementation with vitamin D has also been evaluated. […] Environmental microbial exposures may influence asthma development. […] The airway microbiome has been studied in asthma pathogenesis. […] Virus-induced wheezing often precedes asthma diagnosis. […] Early life rhinovirus (RV) infection may be an even stronger contributor to asthma pathogenesis than RSV. […] Abrogation of the inflammatory response to respiratory viruses is currently being studied. […] Omalizumab is also being studied as an immunomodulator in asthma prevention. […] Given the significant burden of asthma, effective prevention strategies are desperately needed. […] Future advances in asthma prevention may include a more personalized approach.
- #76 Prevention of Asthmahttps://pmc.ncbi.nlm.nih.gov/articles/PMC7478233/
Interventions to improve the lung function of young children at high risk of developing asthma have been evaluated in asthma prevention. […] The intrauterine period may represent a critical window in the development of atopy and asthma. […] Vitamin C supplementation during pregnancy has been studied for asthma prevention and has shown benefit to offspring of mothers who smoked during pregnancy. […] Prenatal supplementation with vitamin D has also been evaluated. […] Environmental microbial exposures may influence asthma development. […] The airway microbiome has been studied in asthma pathogenesis. […] Virus-induced wheezing often precedes asthma diagnosis. […] Early life rhinovirus (RV) infection may be an even stronger contributor to asthma pathogenesis than RSV. […] Abrogation of the inflammatory response to respiratory viruses is currently being studied. […] Omalizumab is also being studied as an immunomodulator in asthma prevention. […] Given the significant burden of asthma, effective prevention strategies are desperately needed. […] Future advances in asthma prevention may include a more personalized approach.
- #77 Prevention of Asthmahttps://pmc.ncbi.nlm.nih.gov/articles/PMC7478233/
Interventions to improve the lung function of young children at high risk of developing asthma have been evaluated in asthma prevention. […] The intrauterine period may represent a critical window in the development of atopy and asthma. […] Vitamin C supplementation during pregnancy has been studied for asthma prevention and has shown benefit to offspring of mothers who smoked during pregnancy. […] Prenatal supplementation with vitamin D has also been evaluated. […] Environmental microbial exposures may influence asthma development. […] The airway microbiome has been studied in asthma pathogenesis. […] Virus-induced wheezing often precedes asthma diagnosis. […] Early life rhinovirus (RV) infection may be an even stronger contributor to asthma pathogenesis than RSV. […] Abrogation of the inflammatory response to respiratory viruses is currently being studied. […] Omalizumab is also being studied as an immunomodulator in asthma prevention. […] Given the significant burden of asthma, effective prevention strategies are desperately needed. […] Future advances in asthma prevention may include a more personalized approach.
- #78 Prevention of Asthmahttps://pmc.ncbi.nlm.nih.gov/articles/PMC7478233/
Interventions to improve the lung function of young children at high risk of developing asthma have been evaluated in asthma prevention. […] The intrauterine period may represent a critical window in the development of atopy and asthma. […] Vitamin C supplementation during pregnancy has been studied for asthma prevention and has shown benefit to offspring of mothers who smoked during pregnancy. […] Prenatal supplementation with vitamin D has also been evaluated. […] Environmental microbial exposures may influence asthma development. […] The airway microbiome has been studied in asthma pathogenesis. […] Virus-induced wheezing often precedes asthma diagnosis. […] Early life rhinovirus (RV) infection may be an even stronger contributor to asthma pathogenesis than RSV. […] Abrogation of the inflammatory response to respiratory viruses is currently being studied. […] Omalizumab is also being studied as an immunomodulator in asthma prevention. […] Given the significant burden of asthma, effective prevention strategies are desperately needed. […] Future advances in asthma prevention may include a more personalized approach.
- #79 Prevention of Asthmahttps://pmc.ncbi.nlm.nih.gov/articles/PMC7478233/
Interventions to improve the lung function of young children at high risk of developing asthma have been evaluated in asthma prevention. […] The intrauterine period may represent a critical window in the development of atopy and asthma. […] Vitamin C supplementation during pregnancy has been studied for asthma prevention and has shown benefit to offspring of mothers who smoked during pregnancy. […] Prenatal supplementation with vitamin D has also been evaluated. […] Environmental microbial exposures may influence asthma development. […] The airway microbiome has been studied in asthma pathogenesis. […] Virus-induced wheezing often precedes asthma diagnosis. […] Early life rhinovirus (RV) infection may be an even stronger contributor to asthma pathogenesis than RSV. […] Abrogation of the inflammatory response to respiratory viruses is currently being studied. […] Omalizumab is also being studied as an immunomodulator in asthma prevention. […] Given the significant burden of asthma, effective prevention strategies are desperately needed. […] Future advances in asthma prevention may include a more personalized approach.
- #80 Prevention of Asthmahttps://pmc.ncbi.nlm.nih.gov/articles/PMC7478233/
Interventions to improve the lung function of young children at high risk of developing asthma have been evaluated in asthma prevention. […] The intrauterine period may represent a critical window in the development of atopy and asthma. […] Vitamin C supplementation during pregnancy has been studied for asthma prevention and has shown benefit to offspring of mothers who smoked during pregnancy. […] Prenatal supplementation with vitamin D has also been evaluated. […] Environmental microbial exposures may influence asthma development. […] The airway microbiome has been studied in asthma pathogenesis. […] Virus-induced wheezing often precedes asthma diagnosis. […] Early life rhinovirus (RV) infection may be an even stronger contributor to asthma pathogenesis than RSV. […] Abrogation of the inflammatory response to respiratory viruses is currently being studied. […] Omalizumab is also being studied as an immunomodulator in asthma prevention. […] Given the significant burden of asthma, effective prevention strategies are desperately needed. […] Future advances in asthma prevention may include a more personalized approach.
- #81 Drugs for Preventing and Treating Asthma – Lung and Airway Disorders – Merck Manual Consumer Versionhttps://www.merckmanuals.com/home/lung-and-airway-disorders/asthma/drugs-for-preventing-and-treating-asthma
Omalizumab prevents IgE from binding to mast cells and thus prevents the release of inflammatory chemicals that can narrow the airways. […] It can decrease requirements for oral corticosteroids and help relieve symptoms. […] Theophylline is used mainly for prevention of asthma. […] Other drugs that may be given for chronic asthma include lidocaine or heparin given with a nebulizer, colchicine, and intravenous immune globulin. […] People who take inhaled corticosteroids and who have risk factors for osteoporosis may need to take calcium and vitamin D supplements and bisphosphonates to try to preserve bone density.
- #82 Drugs for Preventing and Treating Asthma – Lung and Airway Disorders – Merck Manual Consumer Versionhttps://www.merckmanuals.com/home/lung-and-airway-disorders/asthma/drugs-for-preventing-and-treating-asthma
Omalizumab prevents IgE from binding to mast cells and thus prevents the release of inflammatory chemicals that can narrow the airways. […] It can decrease requirements for oral corticosteroids and help relieve symptoms. […] Theophylline is used mainly for prevention of asthma. […] Other drugs that may be given for chronic asthma include lidocaine or heparin given with a nebulizer, colchicine, and intravenous immune globulin. […] People who take inhaled corticosteroids and who have risk factors for osteoporosis may need to take calcium and vitamin D supplements and bisphosphonates to try to preserve bone density.
- #83 Asthma Guidelines: Guidelines Summary, Classification Guidelines, Management Guidelineshttps://emedicine.medscape.com/article/296301-guidelines
[…] […] The 2020 joint European Respiratory Society/American Thoracic Society (ERS/ATS) guidelines include the following additional recommendations for treatment of severe asthma: […] – For severe allergic asthma, a therapeutic trial of omalizumab […] – Do not use methotrexate or macrolide antibiotics to treat severe asthma […] – For severe asthma and recurrent exacerbations of allergic bronchopulmonary aspergillosis (ABPA), antifungal agents should be given […] – Do not use antifungal agents for severe asthma without ABPA irrespective of sensitization to fungi (ie, positive skin prick test or fungus-specific immunoglobulin E in serum) […] […] […] The JSA recommends that anti-immunoglobulin E antibodies and other biologics as well as oral steroids be reserved for very severe and persistent asthma related to allergic reactions. […] […] […] The JSA recommends ICSs as first-line treatment for long-term management of pregnant women with asthma.
- #84 Prevention of Asthmahttps://pmc.ncbi.nlm.nih.gov/articles/PMC7478233/
Interventions to improve the lung function of young children at high risk of developing asthma have been evaluated in asthma prevention. […] The intrauterine period may represent a critical window in the development of atopy and asthma. […] Vitamin C supplementation during pregnancy has been studied for asthma prevention and has shown benefit to offspring of mothers who smoked during pregnancy. […] Prenatal supplementation with vitamin D has also been evaluated. […] Environmental microbial exposures may influence asthma development. […] The airway microbiome has been studied in asthma pathogenesis. […] Virus-induced wheezing often precedes asthma diagnosis. […] Early life rhinovirus (RV) infection may be an even stronger contributor to asthma pathogenesis than RSV. […] Abrogation of the inflammatory response to respiratory viruses is currently being studied. […] Omalizumab is also being studied as an immunomodulator in asthma prevention. […] Given the significant burden of asthma, effective prevention strategies are desperately needed. […] Future advances in asthma prevention may include a more personalized approach.
- #85 Best practice advice for asthma exacerbation prevention and management in primary care: an international expert consensus | npj Primary Care Respiratory Medicinehttps://www.nature.com/articles/s41533-024-00399-2
The burden of asthma can uniquely affect patients and families across different age, socioeconomic, and racial and ethnic groups. […] Coordinated efforts and advocacy between clinicians, local authorities, and global organizations can complement local resources to improve access to asthma care and treatments for patients with barriers, helping to address inequity. […] International asthma guidance documents emphasize patient-clinician collaboration for optimal asthma care. […] As clinicians seek to incorporate patients and families preferences, goals, and perspectives, patients are more likely to be engaged and understand education in self-management potentially leading to reduced asthma morbidity. […] Multidisciplinary care in chronic airway diseases such as asthma can improve outcomes for some patients, especially those with more complex or severe disease.
- #86 Best practice advice for asthma exacerbation prevention and management in primary care: an international expert consensus | npj Primary Care Respiratory Medicinehttps://www.nature.com/articles/s41533-024-00399-2
The burden of asthma can uniquely affect patients and families across different age, socioeconomic, and racial and ethnic groups. […] Coordinated efforts and advocacy between clinicians, local authorities, and global organizations can complement local resources to improve access to asthma care and treatments for patients with barriers, helping to address inequity. […] International asthma guidance documents emphasize patient-clinician collaboration for optimal asthma care. […] As clinicians seek to incorporate patients and families preferences, goals, and perspectives, patients are more likely to be engaged and understand education in self-management potentially leading to reduced asthma morbidity. […] Multidisciplinary care in chronic airway diseases such as asthma can improve outcomes for some patients, especially those with more complex or severe disease.
- #87 Best practice advice for asthma exacerbation prevention and management in primary care: an international expert consensus | npj Primary Care Respiratory Medicinehttps://www.nature.com/articles/s41533-024-00399-2
The burden of asthma can uniquely affect patients and families across different age, socioeconomic, and racial and ethnic groups. […] Coordinated efforts and advocacy between clinicians, local authorities, and global organizations can complement local resources to improve access to asthma care and treatments for patients with barriers, helping to address inequity. […] International asthma guidance documents emphasize patient-clinician collaboration for optimal asthma care. […] As clinicians seek to incorporate patients and families preferences, goals, and perspectives, patients are more likely to be engaged and understand education in self-management potentially leading to reduced asthma morbidity. […] Multidisciplinary care in chronic airway diseases such as asthma can improve outcomes for some patients, especially those with more complex or severe disease.
- #88 Asthma – Symptoms and causes – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/asthma/symptoms-causes/syc-20369653
While there’s no way to prevent asthma, you and your doctor can design a step-by-step plan for living with your condition and preventing asthma attacks. […] Follow your asthma action plan. With your doctor and health care team, write a detailed plan for taking medications and managing an asthma attack. Then be sure to follow your plan. […] Get vaccinated for influenza and pneumonia. Staying current with vaccinations can prevent flu and pneumonia from triggering asthma flare-ups. […] Identify and avoid asthma triggers. A number of outdoor allergens and irritants ranging from pollen and mold to cold air and air pollution can trigger asthma attacks. Find out what causes or worsens your asthma, and take steps to avoid those triggers. […] Monitor your breathing. You may learn to recognize warning signs of an impending attack, such as slight coughing, wheezing or shortness of breath.
- #89 Asthma Prevention: 10 Tips To Prevent Asthma Attackshttps://www.webmd.com/asthma/asthma-prevention
7. Consider Immunotherapy Allergy Shots […] If your doctor finds that you have allergies, allergy shots (immunotherapy) may help prevent allergy symptoms and keep your asthma from getting worse. […] 8. Take Asthma Medications as Prescribed […] Long-term asthma medications are designed to prevent symptoms and attacks. You need to take them every day, even if you dont have symptoms. […] 9. Follow Your Asthma Action Plan […] Take your meds, even when you feel OK. Keep an inhaler on you. If you notice symptoms, check your plan for instructions on what medications to take. […] 10. Use a Home Peak Flow Meter […] The meter shows how well air is moving through your lungs. During an attack, your airways narrow. The meter can let you know this is happening hours or days before you have any symptoms.
- #90 Asthma Prevention: 10 Tips To Prevent Asthma Attackshttps://www.webmd.com/asthma/asthma-prevention
7. Consider Immunotherapy Allergy Shots […] If your doctor finds that you have allergies, allergy shots (immunotherapy) may help prevent allergy symptoms and keep your asthma from getting worse. […] 8. Take Asthma Medications as Prescribed […] Long-term asthma medications are designed to prevent symptoms and attacks. You need to take them every day, even if you dont have symptoms. […] 9. Follow Your Asthma Action Plan […] Take your meds, even when you feel OK. Keep an inhaler on you. If you notice symptoms, check your plan for instructions on what medications to take. […] 10. Use a Home Peak Flow Meter […] The meter shows how well air is moving through your lungs. During an attack, your airways narrow. The meter can let you know this is happening hours or days before you have any symptoms.
- #91 Asthma – Symptoms and causes – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/asthma/symptoms-causes/syc-20369653
Identify and treat attacks early. If you act quickly, you’re less likely to have a severe attack. You also won’t need as much medication to control your symptoms. […] Take your medication as prescribed. Don’t change your medications without first talking to your doctor, even if your asthma seems to be improving. […] Pay attention to increasing quick-relief inhaler use. If you find yourself relying on your quick-relief inhaler, such as albuterol, your asthma isn’t under control. See your doctor about adjusting your treatment.
- #92 Asthma – Symptoms and causes – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/asthma/symptoms-causes/syc-20369653
Identify and treat attacks early. If you act quickly, you’re less likely to have a severe attack. You also won’t need as much medication to control your symptoms. […] Take your medication as prescribed. Don’t change your medications without first talking to your doctor, even if your asthma seems to be improving. […] Pay attention to increasing quick-relief inhaler use. If you find yourself relying on your quick-relief inhaler, such as albuterol, your asthma isn’t under control. See your doctor about adjusting your treatment.
- #93 Asthma Prevention | AAFA.orghttps://aafa.org/asthma/asthma-prevention/
For people with asthma, having an asthma management plan is the best way to prevent symptoms. An asthma management plan is something developed by you and your doctor to help you control your asthma, instead of your asthma controlling you. […] Avoiding your triggers is the best way to reduce your need for medicines and to prevent asthma episodes. […] Discuss your notes with your doctor to look for trends. As you identify your triggers, talk about which ones you can avoid, and how to best avoid them. […] Asthma medicines are usually inhaled through a machine called a nebulizer, through a small device called a metered dose inhaler (also called an inhaler, puffer or MDI) or through a dry powder inhaler (DPI). […] The more you understand about what those medicines do and why they help, the more likely you are to use them correctly. […] The key to controlling your asthma is taking your medicine at the earliest possible sign of worsening. […] If you understand your asthma management plan and follow it, you will know exactly what to do in case of an asthma episode or an emergency.
- #94 Asthma Prevention | AAFA.orghttps://aafa.org/asthma/asthma-prevention/
For people with asthma, having an asthma management plan is the best way to prevent symptoms. An asthma management plan is something developed by you and your doctor to help you control your asthma, instead of your asthma controlling you. […] Avoiding your triggers is the best way to reduce your need for medicines and to prevent asthma episodes. […] Discuss your notes with your doctor to look for trends. As you identify your triggers, talk about which ones you can avoid, and how to best avoid them. […] Asthma medicines are usually inhaled through a machine called a nebulizer, through a small device called a metered dose inhaler (also called an inhaler, puffer or MDI) or through a dry powder inhaler (DPI). […] The more you understand about what those medicines do and why they help, the more likely you are to use them correctly. […] The key to controlling your asthma is taking your medicine at the earliest possible sign of worsening. […] If you understand your asthma management plan and follow it, you will know exactly what to do in case of an asthma episode or an emergency.
- #95 Best practice advice for asthma exacerbation prevention and management in primary care: an international expert consensus | npj Primary Care Respiratory Medicinehttps://www.nature.com/articles/s41533-024-00399-2
Counseling patient on warning signs such as an increase in their usual asthma symptoms or new onset of things such as cough that can precede exacerbations could prompt treatment with anti-inflammatory therapy, help mitigate exacerbation severity, and potentially prevent an exacerbation from occurring. […] Appropriate use of anti-inflammatory therapy (ICS) prior to an exacerbation may decrease use and overuse of health care resources such as the ED or urgent care, SABA and systemic corticosteroids (SCS). […] The timeframe leading up to an exacerbation may represent a window of opportunity to minimize airway inflammation and either prevent or reduce the exacerbation by adding anti-inflammatory therapy, if the patient is not using anti-inflammatory therapy, or scaling up the current anti-inflammatory dose.
- #96 Best practice advice for asthma exacerbation prevention and management in primary care: an international expert consensus | npj Primary Care Respiratory Medicinehttps://www.nature.com/articles/s41533-024-00399-2
To limit the use of SCS, PCCs can implement asthma treatment that appropriately uses ICS-based therapies in both acute and maintenance regimens, thereby reducing the risk of exacerbations and the need for SCS. […] Effective asthma self-management education includes helping patients understand self-monitoring of symptoms and/or lung function (PEF) and their written asthma action plan. […] A follow up visit after an exacerbation is essential to review any persistent symptoms, assess current therapy, evaluate and manage modifiable risk factors (such as causative triggers like viral infectionsespecially those preventable by vaccines [e.g., influenza, respiratory syncytial virus [RSV], SARS-CoV-2]and allergies, continued smoking or smoke exposure, obesity, poor adherence, and poor inhaler technique), recommend indicated immunizations, and update the asthma action plan.
- #97 Asthma – Symptoms and causes – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/asthma/symptoms-causes/syc-20369653
Identify and treat attacks early. If you act quickly, you’re less likely to have a severe attack. You also won’t need as much medication to control your symptoms. […] Take your medication as prescribed. Don’t change your medications without first talking to your doctor, even if your asthma seems to be improving. […] Pay attention to increasing quick-relief inhaler use. If you find yourself relying on your quick-relief inhaler, such as albuterol, your asthma isn’t under control. See your doctor about adjusting your treatment.
- #98 Asthma – Symptoms and causes – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/asthma/symptoms-causes/syc-20369653
Identify and treat attacks early. If you act quickly, you’re less likely to have a severe attack. You also won’t need as much medication to control your symptoms. […] Take your medication as prescribed. Don’t change your medications without first talking to your doctor, even if your asthma seems to be improving. […] Pay attention to increasing quick-relief inhaler use. If you find yourself relying on your quick-relief inhaler, such as albuterol, your asthma isn’t under control. See your doctor about adjusting your treatment.
- #99 Best practice advice for asthma exacerbation prevention and management in primary care: an international expert consensus | npj Primary Care Respiratory Medicinehttps://www.nature.com/articles/s41533-024-00399-2
To limit the use of SCS, PCCs can implement asthma treatment that appropriately uses ICS-based therapies in both acute and maintenance regimens, thereby reducing the risk of exacerbations and the need for SCS. […] Effective asthma self-management education includes helping patients understand self-monitoring of symptoms and/or lung function (PEF) and their written asthma action plan. […] A follow up visit after an exacerbation is essential to review any persistent symptoms, assess current therapy, evaluate and manage modifiable risk factors (such as causative triggers like viral infectionsespecially those preventable by vaccines [e.g., influenza, respiratory syncytial virus [RSV], SARS-CoV-2]and allergies, continued smoking or smoke exposure, obesity, poor adherence, and poor inhaler technique), recommend indicated immunizations, and update the asthma action plan.
- #100https://www.who.int/news-room/fact-sheets/detail/asthma
Inflammation and narrowing of the small airways in the lungs cause asthma symptoms, which can be any combination of cough, wheeze, shortness of breath and chest tightness. […] Avoiding asthma triggers can also help to reduce asthma symptoms. […] Inhalers can help control the disease and enable people with asthma to enjoy a normal, active life. […] There are two main types of inhaler: bronchodilators (such as salbutamol), that open the air passages and relieve symptoms; and steroids (such as beclometasone) that reduce inflammation in the air passages, which improves asthma symptoms and reduces the risk of severe asthma attacks and death. […] It is also important to raise community awareness to reduce the myths and stigma associated with asthma in some settings. […] People with asthma and their families need education to understand more about their asthma. This includes their treatment options, triggers to avoid, and how to manage their symptoms at home. […] Reducing tobacco smoke exposure is important for both primary prevention of asthma and disease management. […] Air pollution is an important risk factor for asthma, causing new cases and making existing disease worse.
- #101https://www.who.int/news-room/fact-sheets/detail/asthma
Inflammation and narrowing of the small airways in the lungs cause asthma symptoms, which can be any combination of cough, wheeze, shortness of breath and chest tightness. […] Avoiding asthma triggers can also help to reduce asthma symptoms. […] Inhalers can help control the disease and enable people with asthma to enjoy a normal, active life. […] There are two main types of inhaler: bronchodilators (such as salbutamol), that open the air passages and relieve symptoms; and steroids (such as beclometasone) that reduce inflammation in the air passages, which improves asthma symptoms and reduces the risk of severe asthma attacks and death. […] It is also important to raise community awareness to reduce the myths and stigma associated with asthma in some settings. […] People with asthma and their families need education to understand more about their asthma. This includes their treatment options, triggers to avoid, and how to manage their symptoms at home. […] Reducing tobacco smoke exposure is important for both primary prevention of asthma and disease management. […] Air pollution is an important risk factor for asthma, causing new cases and making existing disease worse.
- #102 Maine Asthma Prevention and Control Program | – Division of Disease Prevention | MeCDC | Maine DHHShttps://www.maine.gov/dhhs/mecdc/population-health/mat/learn-to-control-your-asthma.shtml
Asthma cant be cured but it can be managed. Well-controlled asthma means you can enjoy an active, healthy life. […] Its a free program that helps people learn about asthma and steps that they can take to better control asthma symptoms. Studies show that people who get education for asthma self-management, in addition to their medical care, can improve their asthma control. […] It is available for adults and children with asthma and their caregivers. It is for Maine people who are being treated for asthma by their doctor, but feel that asthma is still causing problems like: […] You will work with an asthma educator to: […] The Maine Asthma Self-Management Education Program is free. […] You do not need to have health insurance to participate. The Maine Asthma Prevention and Control Program is fully funded through a grant from the US CDCs National Asthma Control Program.
- #103 Maine Asthma Prevention and Control Program | – Division of Disease Prevention | MeCDC | Maine DHHShttps://www.maine.gov/dhhs/mecdc/population-health/mat/learn-to-control-your-asthma.shtml
Asthma cant be cured but it can be managed. Well-controlled asthma means you can enjoy an active, healthy life. […] Its a free program that helps people learn about asthma and steps that they can take to better control asthma symptoms. Studies show that people who get education for asthma self-management, in addition to their medical care, can improve their asthma control. […] It is available for adults and children with asthma and their caregivers. It is for Maine people who are being treated for asthma by their doctor, but feel that asthma is still causing problems like: […] You will work with an asthma educator to: […] The Maine Asthma Self-Management Education Program is free. […] You do not need to have health insurance to participate. The Maine Asthma Prevention and Control Program is fully funded through a grant from the US CDCs National Asthma Control Program.
- #104 Best practice advice for asthma exacerbation prevention and management in primary care: an international expert consensus | npj Primary Care Respiratory Medicinehttps://www.nature.com/articles/s41533-024-00399-2
Primary care clinicians play a key role in asthma and asthma exacerbation management worldwide because most patients with asthma are treated in primary care settings. […] Evidence supports the use of inhaled corticosteroids (ICS) + fast-acting bronchodilator treatments when used as needed in response to symptoms to improve asthma control and reduce rates of exacerbations, and the symptoms that occur leading up to an asthma exacerbation provide a window of opportunity to intervene with ICS. […] Enhancing prevention and management of asthma exacerbations in primary care settings would be expected to further lower asthma morbidity and potentially mortality. […] The Global Initiative for Asthma (GINA) report includes an algorithm for exacerbation recognition and management in primary care, which can facilitate implementation of practical step-by-step strategies to deal with exacerbations.
- #105 Best practice advice for asthma exacerbation prevention and management in primary care: an international expert consensus | npj Primary Care Respiratory Medicinehttps://www.nature.com/articles/s41533-024-00399-2
The burden of asthma can uniquely affect patients and families across different age, socioeconomic, and racial and ethnic groups. […] Coordinated efforts and advocacy between clinicians, local authorities, and global organizations can complement local resources to improve access to asthma care and treatments for patients with barriers, helping to address inequity. […] International asthma guidance documents emphasize patient-clinician collaboration for optimal asthma care. […] As clinicians seek to incorporate patients and families preferences, goals, and perspectives, patients are more likely to be engaged and understand education in self-management potentially leading to reduced asthma morbidity. […] Multidisciplinary care in chronic airway diseases such as asthma can improve outcomes for some patients, especially those with more complex or severe disease.
- #106https://www.who.int/news-room/feature-stories/detail/dont-let-asthma-hold-you-back-5-ways-to-make-sure-that-you-are-in-control-of-your-asthma
Asthma is one of the most common noncommunicable diseases, affecting an estimated 262 million people in 2019, and causing nearly half a million deaths every year. […] Although asthma cannot be cured, people with asthma can enjoy a normal life if correctly diagnosed and treated. Inhalers (both bronchodilators and steroids) are considered essential medicines in the WHO package of essential noncommunicable disease interventions for primary health care and should be available to all people living with asthma around the world. […] A steroid or preventer inhaler reduces inflammation in the lungs and is an essential part of long term asthma treatment. By using a steroid inhaler, as directed by your doctor, you will improve your symptoms and reduce the risk of a severe attack. […] Inhalers are the safest, most effective treatment for asthma and allow people with asthma to lead a normal, active life.
- #107https://www.who.int/news-room/feature-stories/detail/dont-let-asthma-hold-you-back-5-ways-to-make-sure-that-you-are-in-control-of-your-asthma
Asthma is one of the most common noncommunicable diseases, affecting an estimated 262 million people in 2019, and causing nearly half a million deaths every year. […] Although asthma cannot be cured, people with asthma can enjoy a normal life if correctly diagnosed and treated. Inhalers (both bronchodilators and steroids) are considered essential medicines in the WHO package of essential noncommunicable disease interventions for primary health care and should be available to all people living with asthma around the world. […] A steroid or preventer inhaler reduces inflammation in the lungs and is an essential part of long term asthma treatment. By using a steroid inhaler, as directed by your doctor, you will improve your symptoms and reduce the risk of a severe attack. […] Inhalers are the safest, most effective treatment for asthma and allow people with asthma to lead a normal, active life.
- #108https://www.who.int/news-room/feature-stories/detail/dont-let-asthma-hold-you-back-5-ways-to-make-sure-that-you-are-in-control-of-your-asthma
Asthma is one of the most common noncommunicable diseases, affecting an estimated 262 million people in 2019, and causing nearly half a million deaths every year. […] Although asthma cannot be cured, people with asthma can enjoy a normal life if correctly diagnosed and treated. Inhalers (both bronchodilators and steroids) are considered essential medicines in the WHO package of essential noncommunicable disease interventions for primary health care and should be available to all people living with asthma around the world. […] A steroid or preventer inhaler reduces inflammation in the lungs and is an essential part of long term asthma treatment. By using a steroid inhaler, as directed by your doctor, you will improve your symptoms and reduce the risk of a severe attack. […] Inhalers are the safest, most effective treatment for asthma and allow people with asthma to lead a normal, active life.
- #109https://www.who.int/news-room/feature-stories/detail/dont-let-asthma-hold-you-back-5-ways-to-make-sure-that-you-are-in-control-of-your-asthma
Asthma is one of the most common noncommunicable diseases, affecting an estimated 262 million people in 2019, and causing nearly half a million deaths every year. […] Although asthma cannot be cured, people with asthma can enjoy a normal life if correctly diagnosed and treated. Inhalers (both bronchodilators and steroids) are considered essential medicines in the WHO package of essential noncommunicable disease interventions for primary health care and should be available to all people living with asthma around the world. […] A steroid or preventer inhaler reduces inflammation in the lungs and is an essential part of long term asthma treatment. By using a steroid inhaler, as directed by your doctor, you will improve your symptoms and reduce the risk of a severe attack. […] Inhalers are the safest, most effective treatment for asthma and allow people with asthma to lead a normal, active life.
- #110https://www.who.int/news-room/feature-stories/detail/dont-let-asthma-hold-you-back-5-ways-to-make-sure-that-you-are-in-control-of-your-asthma
Asthma is one of the most common noncommunicable diseases, affecting an estimated 262 million people in 2019, and causing nearly half a million deaths every year. […] Although asthma cannot be cured, people with asthma can enjoy a normal life if correctly diagnosed and treated. Inhalers (both bronchodilators and steroids) are considered essential medicines in the WHO package of essential noncommunicable disease interventions for primary health care and should be available to all people living with asthma around the world. […] A steroid or preventer inhaler reduces inflammation in the lungs and is an essential part of long term asthma treatment. By using a steroid inhaler, as directed by your doctor, you will improve your symptoms and reduce the risk of a severe attack. […] Inhalers are the safest, most effective treatment for asthma and allow people with asthma to lead a normal, active life.