RESPIRATORY DISORDERS - World Class
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RESPIRATORY DISORDERS – Allergy & Asthma
The incidences of Asthma and Allergies are in alarming rise all around the
world. Even though pollution, chemicals, fast foods, changes in life style are
all blamed for occurrences and frequent recurrences, weakened immune
mechanisms, negligence in initial period of complaints / disease or lack of
proper treatment or maltreatment of the disease also plays a major role to lead
one to asthma or persistent allergicdisorders. Those peoples will be
most often compelled to sacrifice many of their favourites (food items or
life styles) which all seem to act as triggers for an episode. Sometimes, they
may also need to lead a restricted unsatisfied life with continuous dependence
on antihistamines / steriodal inhalers or sprays or tablets / immune therapies.
Asthma has close relationship with allergic respiratory disorders and
allergic skin disorders (dermatitis / eczematous skin diseases), i.e. they
promote each other for their perseverance and prevalence. Asthma seems to be
more common with the persons who had a family history of allergy rhinitis /
dermatitis. Most often children below the age of five are most common victims.
Even though, asthma can occur on any one in any of the time irrespective of age,
race and sex, familial asthma usually manifest its symptoms before the
completion of teenage. Further, the habit of smoking, snuffing, drinking,
tobacco chewing and using unnecessary drugs can precipitate the asthma or
allergic disorders in more intensified manner.
Allergy
Allergy symptoms are always resulting because of too much
hypersensitiveness. Allergies can be due to any foreign material ? natural or
artificial. Our immune system usually protects us from diseases by producing
antibodies that fight against bacteria and disease. Immunoglobulin (IgE)
antibody is responsible for this antibody reaction (i.e., immune response). In
allergic patients, these antibodies will be found in blood high titer values
for fighting against disease. Normally, antigen (otherwise called as immunogen
? it may be a part of bacteria / virus / fungus, i.e., cell parts / proteins or
toxins) when get ingested or inhaled or injected or get contacted with surface
of skin usually get attach to blood cells to form mast cells. These cells
secrete histamine to cause allergic reactions (i.e., to trigger sneezing,
coughing or feeling of itch / rashes).
This sort of allergic reactions can crop up in any one in any of the time.
All these allergic reactions are very uncomfortable and can also turn serious
medical emergency endangering life by any time. when the skin is confronted
with any foreign irritant substances, our immune system counteracts to withstand
all sorts of ill effects from that substance. During that occasion,
antigen-antibody reaction will develop to inhibit all the ill effects caused
thereby. If it is excessive, it will create a disease like condition called
Allergy. In simple, allergy can be explained as over reactions. For example,
normally, when any foreign objects enters the nose or any irritation occurs in
nose, every one happened to sneeze once or twice as a natural defensive
mechanism to throw away the foreign substance or irritation. In case of
allergic condition, sufferers happened to sneeze continuously for 20-40 times
and sometimes even more. Likewise, with exposure to irritant or smoke, normally
make one to cough to exhale all the irritant or smoke from lungs, but the same
reaction in sensitive allergy patients can cause a violent continuous barking
cough to end in wheeze. These (allergic reactions) are all the heightened
reaction of the body to external agent (allergen). Allergies are of different
types as allergic rhinitis, allergic sinusitis, asthma, allergic skin disorder
etc. Some times, allergic reactions will be immediate. Some times it will be
late. Some body will have allergic tendency to one substance, but many people
often have an allergy response to more than one substance. Some reactions may
be 100% reversible and some may not. Some may be transient and some may be
persistent (seasonal or perennial). The incidences and intensity of allergic
reactions cannot be predicted at any moment even while under treatment.
Asthma:
commonly occurs due to
·
Inflammation and swelling of airways (tracheo bronchial
tree)
·
Increased sensitivity of airways to allergens or
irritants
·
Narrowing / obstruction of airways (may be due to
bronchospams or thick mucous coating / collections or foreign bodies)
·
Asthma as a reactive lung disease, is usually caused by
heightened reactions of sensitivity airways to allergens or triggers.
Altogether, the muscles surrounding the airways get tightened to cause
narrowing of airways and turbulance in breathing. Sometimes they cause
obstruction of airway too. One such acute violent exacerbation of asthmatic is
called as ?Status Asthmaticus?. This extreme condition need to be attended as a
medical emergency, since it is often potentially life threatening due to
repiratory or lung failure.
·
The incidences of Allergic asthma may also be transient
or persistent (seasonal or perennial) as like allergies. Transient wheeze will
usually go off after a certain period of suffering. It can also go off
permanently after clearing the lung complaints or after getting widening of
airways with growth. Any how, frequency of occurences and precipitation factors
may differ from person to person and may vary in same person in different
times. It may be due to foods, drinks, polluted air, temperature variation, strenuous
exercise, woolen clothes, perfumes, soaps, room sprays, etc. Asthma may be of
different types according to their symptom presentation.
·
Asthma without cough ? called also as classical asthma
where broncho-spasm causes asthmatic symptoms
·
Asthma with cough ? violent cough occurs due to
heightened cough reflex (may have elevated eosinophils counts in blood)
·
Allergic asthma ? tendency to have wheezing with
recurrent cold, cough and sneeze with raised levels of eosinophils in blood
·
Asthma with dermatitis (atopic dermatitis ? occurs
commonly in children especially in face, bends of elbow, knee, etc) – asthma
with raised IgE levels & skin lesions. Usually come with family history
·
Just as cough – recurrent and irritant cough occurs with
out spasmodic contraction or airway narrowing, i.e., not at all having any
wheezing
New perspective of medical world classified asthma under two categories
·
Childhood asthma
·
Adult asthma
Even though, both of them have similar causes, triggers, sufferings,
treatment plans in most of the cases, childhood asthma can go off with growth
(natural cure) / proper treatment (cure with medicines), whereas adult asthma
need to be managed life long with medicines. Anyway treatment result may also
vary from person to person.
for
new hope
Dr. S.
Chidambaranathan, BHMS, MD (Homeo)
Laxmi
Homeo Clinic
24 E.
New Mahalipatti Road
Madurai,
TN 625 001
India
Tel: +91-452-233-8833 | +91-984-319-1011
(Mob)
Fax:
+91-452-233-0196
E-mail:
drcheena@yahoo.com
www.drcheena.com / www.drcheena.in
(Disclaimer
- The contents of this column are for informational purpose only. The content
is not intended to be a substitute for professional healthcare advice,
diagnosis, or treatment. Always seek the advice of healthcare professional for
any health problem or medical condition.)