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What Is Asthma?
Asthma is a lung disease
that can be life threatening. Asthma is a chronic, or long-term disease,
which can affect you for the rest of your life. Asthma causes breathing
problems. The airways in the lungs get blocked, causing the lungs to get
less air than normal. Symptoms of an "asthma attack" can be difficulty
with breathing, a tight feeling in the chest, coughing and wheezing.
Asthma can develop quickly and it can range from being a mild discomfort
to a life-threatening attack if breathing stops completely. Asthma
problems are often separated by symptom-free periods.
What Happens In An Asthma Attack?
When asthma causes breathing
problems, the breathing problems are called asthma attacks or episodes of
asthma.
During an asthma attack,
three major changes that can take place in the lungs include:
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Cells in the air tubes make more mucus than
normal. This mucus is very thick and sticky, and tends to clog up
the tubes. |
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Cells in the airways get inflamed, causing the air tubes to swell.
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The muscles around the air tubes tighten.
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These changes cause the air
tubes to narrow which makes it hard to breathe.
Who
Gets Asthma?
Many cases of asthma likely
go undiagnosed. Asthma is a key public health problem in the U.S. and
asthma prevalence has been increasing since 1980. The CDC estimates that
up to 20 million people in the U.S. have asthma, including 6.3 million
children. Asthma is the leading cause of school absenteeism due to chronic
illness. During the past 20 years, the number of school absence due to
asthma has more than doubled. The CDC estimates that 14 million school
days were missed due to asthma in 2000. African-Americans continue to have
higher rates of asthma emergency room (ER) visits, hospitalizations, and
deaths than do Caucasians. Their ER visits for asthma are more than
double and their hospitalization rates are more than triple.
How
Are Children Affected By Asthma?
Asthma is the most common
long-term childhood disease, affecting 6.3 million children. Nearly 1 in
13 school-aged children has asthma, and the rate is rising more rapidly in
preschool-aged children than in any other age group. Approximately 4.2
million children had an asthma attack in the last year. In 2000, there
were nearly 2 million emergency room visits and nearly half a million
hospitalizations due to asthma. Asthma accounts for many nights of
interrupted sleep, limitation of activity, and disruptions of family and
care-giver routines. Asthma symptoms that are not severe enough to require
a visit to an emergency room or to a physician can still be severe enough
to prevent a child with asthma from living a fully active life. Asthma is
the leading cause of school absenteeism due to chronic illness. During
the past 20 years, the number of school absence days due to asthma has
more than doubled. The CDC estimates that 14 million school days were
missed due to asthma in 2000.
What Triggers Asthma
Attacks?
Asthma attacks can be caused
by something that bothers the lungs. These are called asthma triggers.
There are many kinds of asthma triggers. Two major categories of asthma
triggers are allergens and irritants. If you, or a loved one has asthma,
it's important to learn which triggers are a problem. Ask your doctor to
help. Your doctor may suggest keeping an asthma diary or recommend skin
testing for allergies. Once asthma triggers are known, actions can be
taken to prevent asthma attacks. Cutting down exposure to your triggers
may help in avoiding asthma attacks. When attacks occur, they will
probably be less severe.
About Asthma Triggers
There are many asthma
triggers. Two large categories of triggers are allergens and irritants.
Allergens are substances that cause no problem for a majority of people
but which trigger an allergic reaction in some people. During an allergy
attack, the body releases chemicals called mediators. These mediators
often trigger asthma episodes.
Irritants such as cold air,
cigarette smoke, industrial chemicals, perfume, and paint and gasoline
fumes can trigger asthma. These irritants probably trigger asthma symptoms
by stimulating irritant receptors in the respiratory tract. These
receptors, in turn, cause the muscles surrounding the airway to constrict,
resulting in an asthma attack. Viral infections are the leading cause of
acute asthma attacks. Surprisingly, bacterial infections, with the
exception of sinusitis, generally do not bring about asthma attacks. Since
Americans spend up to 90% of their time indoors, exposure to indoor
allergens and irritants may play a significant role in triggering asthma
episodes.
The
following is a list of some of the indoor environmental asthma triggers:
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Secondhand (cigarette)
smoke
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Cockroaches
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Dust mites
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Molds
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Pets and
other animals with fur or feathers
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House dust
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Ozone
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Combustion by-products
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Pollen (tree,
grass and weed)
If I Have Asthma, What Can
I Do?
If you have asthma, you
probably want to know how to reduce your chances of having an asthma
episode and what to do once you have an asthma episode. Your doctor will
be able to assist you. Consult your physician to set up an asthma
management plan. Your doctor can help you learn to monitor your asthma,
take appropriate medication for your asthma, and identify and avoid your
asthma triggers. Following your asthma management plan will help keep your
asthma under control.
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