El día de hoy orientare conocimiento básico de asma es un problema de salud global que afecta todos los grupos de edades, con prevalencia en aumento, especialmente en niños.
*En 1993 el (National Heart, Lung and Blood Institute) en colaboración con la organización Mundial de la Salud creó el informe ‘Estrategia Global para el tratamiento y la Prevención del Asma. (GINA) 2017 )
Enfermedad inflamatoria crónica de las vías aéreas respiratorias, inmunoalergica que provoca una obstrucción episódica y variable al flujo aéreo que suele revertirse espontáneamente o con tratamiento.
Se define por síntomas respiratorios como:
Sibilancias, dificultad respiratoria, opresión torácica y tos, con una limitación variable del flujo aéreo espiratorio.
Etología.* La prevalencia ha aumentado en todo el mundo.
- Antes de la pubertad, el asma ocurre 1,5 a 3 veces más en varones que hembras.
- En la adolescencia esta diferencia tiende a igualarse.
- La morbilidad y mortalidad es más elevada en niños de raza negra.
- Tiene asociación genética se ha ligado a locus que contienen genes proalergicos y proinflamatorios
- Historia familiar de atopia (rinitis, dermatitis…)
Factores determinantes.Factores genéticos.
- Ambiente y estilo de vida.
- Aeroalérgenos.
- Alergias alimentarias. - Infección.
- Humo de tabaco.
- Contaminación.
- Nutrición.
- Clima.
Criterios diagnósticos.* Antecedentes de sibilancias, opresión torácica, tos, disnea.
- Más de un síntoma respiratorio.
- Ocurren con tiempo e intensidad variable.
- Empeoran en la noche o al despertar.
- Desencadenadas por ejercicio, risa, alérgenos, frío.
- Empeoran con infecciones
- Reversibilidad con broncodilatador.
- Exceso de variabilidad 2 veces al día por dos semanas >13% en niños.
- Mejoría en función pulmonar después de 4 semanas de antiinflamatorio.
- Prueba de esfuerzo positiva.
- Exceso de variación entre función pulmonar entre consultas
Manejo de la crisis asmática:
NAEP (National Asthma Program)Objetivo principal: reversión rápida de OBSTRUCCIÓN bronquial (ß2 adrenérgicos inhalados).
Esteroides sistémicos: acelera la mejoría de pacientes que fallan o responden incompletamente a los ß2 inhalados.
Hipoxemia: corregir administrando 02 suplementario, pocos casos requieren UCI o ventilación mecánica.
Monitoreo: evaluación clínica y mediciones de la función pulmonar periódicas para establecer la respuesta al tratamiento.
Hi and welcome here! When I started on steemit, my biggest problem was to find interesting people to interact with. So, to help newcomers getting started I created a directory with other interesting and or talented steemians to follow or interact with. Feel free to check it out at https://www.steemiandir.com I am sure it will help you find like-minded people. Enjoy your stay here and do not hesitate to contact me if you have any questions!
Welcome to Steemit sayyan. The official FAQ can be found here and has A LOT of information https://steemit.com/faq.html - Also remember, Steemit is just ONE of the sites built that uses Steem the blockchain. You should also check out DTube and DSound for starters and if you're a gamer, Splinterlands! There are many other cool apps but I can't list them all here, there's just too many! But I'd also like to mention Steempeak, it's a better blogging platform that has a lot of cool features. The latest project you should also check as a new member is a palnet! Welcome to the blockchain! :) Oh, and if you're interested in creating your own tokens or smart contracts, check Steem engine!
Welcome to Steemit sayyan. The official FAQ can be found here and has A LOT of information https://steemit.com/faq.html - Also remember, Steemit is just ONE of the sites built that uses Steem the blockchain. You should also check out DTube and DSound for starters and if you're a gamer, Splinterlands! There are many other cool apps but I can't list them all here, there's just too many! But I'd also like to mention Steempeak, it's a better blogging platform that has a lot of cool features. The latest project you should also check as a new member is a palnet! Welcome to the blockchain! :) Oh, and if you're interested in creating your own tokens or smart contracts, check Steem engine!
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Hi, welcome to SteemIt. Good luck on your Steem journey and I wish you the best. I've been here since 2016 but it was only last June when I fully committed to take Steem seriously. Please feel free to read my STEEMJOURNEY.
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hola, gracias por seguirme.
Hey sayyan! If you would like to make your personal feed contain the top trending media and talking points of the whole internet, consider following @coffeebreak and @topicstoday accounts - And welcome to Steem!