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‘Asthma’, a symptom similar to Covid-19 but not stagnant in a risk group
Date May 05, 2020 Time 10:35 hrs.
May 5, 2020 “World Asthma Day” World Asthma Day, doctors reveal asthma symptoms. Although similar to Covid-19 but not a risk group. Initial asthma statistics kill nearly 7,000 Thais a year, launching the #AdayinAlifeChallenge campaign.
World asthma day OR World asthma day It was first established in 1998 by the World Health Organization and the Global Asthma Initiative, which took place on the first Tuesday in May of each year. That this year is May 5, 2020, for the idea of enough asthma death to reduce asthma deaths. Encourage medical staff, patients, and family members to realize the importance. Create alert Know the symptoms of the disease, preventive treatment to reduce the effects and death from asthma.
Data from the World Health Organization Thais have died of asthma up to 6,808 cases, representing 7.76 cases per 100,000 inhabitants or 1.3% of all deaths. Compared to global data on death from this disease, Thailand was found to be ranked 76th in the world, ranking fifth in Southeast Asia. Comparing data on Thai deaths from other diseases, he found that asthma is the leading cause of death for Thai people, ranking 19th in number 1-3, which is the coronary artery. Flu / pneumonia AND stroke respectively
How to observe yourself that you have asthma or not.
You used to be tired. Wheezing, chest tightness, cough and cough in the morning / night OR when there are stimuli such as dust, smoke, cold air, cat hair, or dog hair Have you ever been unable to sleep or have to wake up due to cough , shortness of breath, chest tightness that is not caused by the flu? Have you ever had asthma or not? (Wheezing, wheezing, shortness of breath, incomplete breathing, serial cough) Have you ever used medicine to suppress asthma symptoms?
Prof. Dr. Orapan Phanchanukun The President of the Association of the Asthma Council of Thailand said that the death rate in Thailand of 7,000 people per year is considered a very high number. Because this disease can be cured if treated quickly, there is a high probability of cure. In the past, patients often understood that chronic illness was incurable. Resulting in a lack of medication on a regular basis. Treating symptoms Patients must have 2 types of medication to take, namely controlled drugs. If used long-term, the symptoms of the disease can be cured. And emergency medications that are bronchodilators, even without symptoms. It can cause an exacerbation at any time. In which the patients died due to not taking emergency medications. Resulting in suffocation OR in other cases the drug has expired (Generally, the average age is 2 years) is one of the main causes of death from this disease.
Another risk of death is the age factor. In general, the mortality rate in adults is approximately 5 times higher than that of children, while the faster they are treated, the faster they are treated, especially in children. It has the possibility of disappearing more than 50%, but the main group of risk is the patients older than 65 years because the aerosol is more difficult. The symptoms are more severe and many people are used to panting without even knowing that they have asthma.
Asthma Symptoms: Many people will understand that you have to start with wheezing. You’re actually panting. It always starts with “Coughing at night,” so asthmatic patients need to take proper care of themselves without going to the hospital, therefore, they have created an “Asthma Care” app for patients to observe. symptoms and take care of yourself even in an emergency. With the “Asthma Action Plan” action plan, which will specify how to observe symptoms Self-infusion method Emergency number Tips for setting a reminder With accompanying videos Dividing into green levels is normal. The yellow color appears but can be treated by yourself. And red is an emergency. Cannot be treated alone You have to come to the hospital (You have to spray medicine while taking it to the hospital) with an emergency call button to the nearest hospital
In addition to avoiding stimuli that can easily cause asthma, such as cigarettes, mites, dust, pollution, and stress, current applicationsTheory 4Es Invented by patients to pay attention to their own care, including
- Exercise should exercise for health.
- Eat a healthy diet.
- Environment Environment Asthma patients should avoid stimuli that cause symptoms.
- Emotion In patients with stress, depression, mood swings. It will make the disease relapse
The study results show that asthma patients can control symptoms. Reduce the potential loss that can occur.
However, in the Covid-19 epidemic situation With symptoms from asthma patients, symptoms similar to Covid-19 But it is not a risk group. In the case of asthma, patients often only have a cough. Have a little water but no fever. While the disease, Covid-19 has fever of up to 60%, sore throat, muscle pain. And important signs and symptoms That is, without smell or taste. This can be verified by having the patient spray the emergency medication. What to recover from symptoms caused by asthma If you do not recover and have the above symptoms There is a suggestion to check Covid-19.
Suggestions for 5 actions in the Covid-19 situation According to the World Asthma Organization
- Do not stop the medication: Reduce the medication AND you must spray the medication regularly Due to a hissing sound (Minimizing hospital visits)
- Avoid nebulization due to the possibility of asthma patients infected with Covid-19. It will spread the infection. And it recommended the use of MDI with spacers (spray equipment), which started the “Stop Covid-19 with Thai Kit Spacer” project, distributed between 500 and 600 hospitals throughout the country and collaborated with the Institute of Plastics to innovate Spacers spraying while wearing a respirator To help critically ill patients who have to spray asthma medications together OR those who lack funds can do DIY Spacers for them on a budget of 30-40 baht. See the Asthma Talks by Dr.Ann page.
- Patients must understand and have an Asthma Action Plan to know how to behave and observe symptoms. Usually emergency medication formula every 15 minutes x 3 times. If it improves, spray for 6 to 8 hours until it has improved 2-3 days, which many patients remember poorly. Or don’t remember how to take care of yourself, you should use the Asthma Action Plan (in the App: Asthma Care) to take care of and observe symptoms at home. Reduces risk to hospital Asthma patients see a doctor only when they are panting every day. What it means not to treat yourself well
- Procedure to avoid the lungs Reduce the risk of spreading the infection. Although the patient was found to be infected with Covid-19, he does not have much
- Patient care through telemedicine: asthma can be controlled and treated remotely. When sending the medicine home or taking the medicine at the pharmacy near the house
Source: Association of Asthma Organizations of Thailand
Image: Freepik
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