Asthma rehabilitation, regular review is very important
When I went to the outpatient clinic, I often saw strange "old patients" with acute attacks of asthma. The reason for being strange is that I have never seen this little patient in an outpatient clinic, but in the computer records, I have also seen the child''s record of several visits. Checking the records carefully, the contents of the medical records are empty. It turns out that the parents just came to the hospital to buy asthma medicines, and did not bring the children to review.
These were The “old patient” diagnosed in our hospital has two reasons for not coming to the hospital for review. One is that parents are worried about delaying their children’s studies and are unwilling to ask for leave for review; the other is that parents think that asthma is a chronic disease, as long as the child does not have an attack. There is no need to review frequently. As a result, the doctor could not see the child, and the child became an "unfamiliar" old patient.
Until one day, the child had a sudden asthma attack, the parents were in a hurry, and took the child to the hospital again. Then the procedure may be: admission, blood test, oxygen inhalation and atomization, injection and infusion, and discharge after spending a lot of money. There are many cases of appealing around me: poor asthma control, repeated attacks, and hospitalization.
If parents can pay attention to the regular review of asthma children, understand the child’s physical condition with doctors, learn preventive medicine knowledge, and develop a personalized treatment plan, you can greatly reduce the acute attacks and the incidence of asthma The degree, that is to say, even if the attack occurs, it will be very mild, and it can be done by the doctor''s outpatient guidance and home treatment.
Don’t underestimate the review, asthma care, focus on the details.
Among the children who regularly review, I found many details that are easily overlooked by parents. For example, if the child has been taking medicine for a long time, he will slack off, and if the force is not enough, the medicine will be sucked into the throat, and will not reach the lungs, which will lead to the recurrence of asthma. Another example is that some children use an admittance device (such as Xinbi Kedu). Bao) When taking medicine, there was one more rotation, which turned off the newly opened medicine, which led to ineffective use of medicine. Also, some parents would forget to wipe their faces after taking medicine for their children. The hair around the mouth has increased; some parents have forgotten the time of taking the drug, and the drug has been inhaled for a long time, but it has not been found; some of the drugs have expired, and the parents do not know. ......Small similar events are numerous. Therefore, for children with asthma, regular review is very important.
Children with asthma, once diagnosed, how often is it appropriate to recheck?
Children diagnosed for the first time, if the treatment is successful, they must be reviewed in the outpatient clinic one month later. The condition is stable and is reviewed every three months. If there is a cold or fever in the middle, it must be reviewed in time. The average duration of childhood asthma treatment is about two years. That is to say, once the child is diagnosed with asthma, he must keep in touch with the doctor in charge for at least two years.
Although asthma is a chronic disease, childhood asthma is different from adults. Children''s bodies are constantly developing and the airway plasticity is strong. As long as they are reviewed regularly and cooperated with the doctor''s treatment, some minor problems that are neglected in the treatment process are found in time. Regular monitoring of the child''s lung function and other treatments, correct care, will definitely reduce recurrence.
It can be said that the more re-examination, the better the doctor understands the child’s condition, the better he can work out the best treatment plan, and at the same time discover all kinds of small problems in the treatment process, so as to help the child smooth Breathe freely.
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