Frequent cough, sputum, and panting may be a signal of chronic respiratory disease!

Everyone knows that the blood pressure is high when the blood pressure is high, and the blood sugar should be monitored by high blood sugar. However, when there is cough, sputum or asthma, many people do not know what to check, let alone how to conduct early intervention.

If the symptoms of "cough, sputum, asthma" last for several months, it is likely to be a warranty of slow lung blocking! Due to the low awareness rate, the prevention and control of chronic respiratory diseases in my country is facing the problem of low early diagnosis rate and low standardized management rate. The prevention and control situation is not optimistic.

According to the latest epidemiological research of the international authoritative medical journal "Liu Ye Dao", the total number of asthma diseases in my country reached 45.7 million people ①, the total number of patients with slow lungs was about 100 million people. The group data is only 28.8%of patients with asthma. They have obtained a clear diagnosis during the medical treatment. The slow lung obstruction is as high as 70%②, and it is important to timely and standardize treatment.

The early symptoms of chronic respiratory diseases are not obvious

Whether it is chronic lung or asthma, the early symptoms of chronic respiratory diseases are not obvious. Even if there is cough or sputum, many patients will feel caused by a cold or smoking. The decline of lung function to a certain extent can be paid attention to.

There were no obvious symptoms in early slowing the pulmonary. Some patients just started to feel sputum in their throats, and there were no other discomfort. Slowly, cough and sputum occurred, and then they felt poor breathing, especially after activity or exercise. It takes more than 10 years, and few patients associate these symptoms with chronic lung block. On the contrary, patients who diagnose less than 3%of the patients who know their own illness, and most of the patients have decreased by 30%to 50%at the time of consultation.

Symptoms of asthma are also no specific. Because asthma is an allergic disease, it is paroxysmal or seasonal. When it comes to exposure to foreign material stimuli, symptoms such as cough, asthma, and dyspnea will occur. Fast disappearance. Other patients do not have obvious symptoms or asthma, and they are often treated as bronchitis, chronic pharyngitis, and allergic rhinitis.

"Patients' early manifestations of asthma, chronic obstructive pulmonary disease, risk factors, and knowledge of prevention and treatment need to be improved, and early intervention can be achieved with scientific cognition of disease. We are also actively promoting slow -obstructing the lungs into the national basic public health service project I hope that slow blood pressure and high blood pressure and diabetes will be paid attention to. "Professor Li Weimin, deputy chairman of the Chinese Medical Association Respiratory Disease Branch and dean of the West China Hospital of Sichuan University, explained. In order to enhance the cognition of public diseases and promote standardized diagnosis and treatment, experts in the respiratory industry organize disease education activities such as asthma and slow obstructions to the lungs every year, and extensively popularize the early diagnosis and treatment of disease knowledge. The two preventive and treatable airway diseases that block the lungs are recommended to actively participate in active screening.

Early diagnosis of respiratory disease is critical

"Whether it is asthma or slow lung blocking, their diagnosis is not difficult. It is rare that patients do not come to check." Professor Chen Rongchang, vice chairman of the China Respiratory Medicine Association and director of the Institute of Respiratory Diseases of Shenzhen People's Hospital, pointed out that respiratory diseases The early diagnosis is very important. He has been in the clinical clinic to patients who have been in smoking and sputum for more than 20 years to see a doctor for the first time to see a doctor. The lung function is only about 30%.

In fact, when you are breathing, dullness, and difficult to walk, if you want to recover lung function and block the progress of the disease, the available means are very limited. Only early diagnosis and early intervention can ensure standardized treatment. Due to too much affected, climbing and running are expected to be easily completed.

"It is necessary to promote early screening and early diagnosis." Professor Li Weimin suggested that early diagnosis and early screening should be included in the scope of medical insurance reimbursement. In fact, through early screening and early treatment The cost of hospitalization. At the same time, we must strengthen the correct diagnosis capacity of grass -roots medical personnel, and take the grassroots level as the starting point to establish a chronic respiratory disease prevention and control system that combines medical control centers, hospitals and communities at all levels, and the combination of medical and prevention, and improve the level of early treatment and early treatment.

These high -risk people should prevent early

Slow -blocked lung -long -term smokers; people with respiratory tract infections repeatedly; long -term indoor pollution, such as people who burned firewood in rural areas; people engaged in the dust environment. In particular, people over the age of 40 or more with a large amount of smoking and the number of smoking years are high -risk whether there are symptoms or not, because 70%to 80%of patients with slow pulmonary patients have a history of smoking.

Asthma -accompanied by allergic constitution, allergic rhinitis, and (or) eczema history, as well as the history of parents have a family history of asthma, this disease has a certain family gathering tendency; and it is a high -risk occupation engaged in contact with irritating smell, which is also easy Gas asthma.

Childbella and asthma cannot cure regulatory medication. It is critical

At present, slow pulmonary and asthma cannot be cured. Treatment is mainly to reduce the symptoms of discomfort: asthma patients must achieve no symptoms, no attacks, can exercise and live normally through drug treatment; Risk, because each aggravation is irreversible damage to the lung function, and the mortality rate also increases.

The global initiative of the 2022 version of chronic obstructive pulmonary disease clearly states that the treatment period of drug treatment can alleviate the symptoms of slow pulmonary blockage of patients and reduce the frequency and severity of acute aggravation. The 2022 edition of global asthma management and prevention strategies, once again reiterated the risk of severe asthma attacks and the necessity of inhalation of sugar corticosteroids (ICS) therapy ④. Therefore, the treatment of chronic respiratory diseases for slowing the pulmonary and asthma needs to be managed for a long time, and adhere to the standard of medication. The laws of diseases and irregular medications are different, and the concepts and means of understanding have changed a lot. However, non -standard medication is the most headache for doctors. Among them, the most typical is that after medication, cough, sputum, and asthma will stop the medicine by themselves. The suspension of drugs and reduction of the medicine will lead to repeated diseases and aggravate the decline in lung function. Other patients do not use inhalation agents. During the use, the medicine is not inhaled into the airway, which reduces the effect of medicinal effects. These are irregular medication.

"Patient's compliance is directly related to the effect of treatment. Compliance is not only regulatory medication, but also compliance with environmental improvement, such as staying away from allergies and quitting smoking in life; rehabilitation exercise, such as formulating scientific exercise plans; And follow the doctor's order regular review and re -examination. "Professor Chen Changrong believes that respiratory diseases need to be managed by both doctors and patients, long -term medication guidance, long -term follow -up, and long -term regulatory condition changes.

At the same time, inhalation of sugar corticosteroids (ICS), long -acting β2 receptor agonist (LABA), and long -acting anti -choline drugs (LAMA) have been released, which has continuously improved and break through the treatment methods and drug devices. The medication is simpler and more convenient. From the previous "breathing" to the "easy climbing and jogging", it improves compliance while helping patients return to normal life.

"Practice for more than 20 years has proved that in the case of obeying medical advice and standardized treatment, the possibility of acute aggravation of patients can be greatly reduced, and controlling asthma and slow obstructions. In addition to daily diagnosis and treatment, we should also strive to improve the construction of relevant departments at all levels at all levels, comprehensively promote standardized diagnosis and treatment and long -term management, improve the concept of prevention of the whole people, and solve the pain points of chronic respiratory diseases. " Professor Cao Bin, Deputy Dean of Friendly Hospital, said.

One of these three symptoms after 40, do a lung function test

Pulmonary function test is a gold standard for slow pulmonary diagnosis. At the same time, patients with asthma patients also have different degrees of lung function damage during the first acute attack. Therefore, lung function can not only perform disease diagnosis, but also be used as an important objective indicator for evaluating the progress of disease progress, prognosis and treatment response.

For people over 40 years old, if they meet any of the three three of the "long -term smoking, anxiety after activity, cough and sputum more than three months", they should go to the hospital as soon as possible for lung function testing to confirm whether it has suffered from slow lung blockage. Patients with asthma should also do regular lung function testing to adjust the medication scheme during the treatment and monitor the progress of the disease. Daily medical examinations should also increase lung function testing projects, discover abnormalities in early and intervene and block.

Cough, sputum, and even symptoms of dyspnea, and people with dangerous factors such as smoking and long -term contact with biofuels. It is recommended to do lung function test as soon as possible, screen for chronic respiratory diseases, and implement early diagnosis and early treatment.

Source: Health Times

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