The key to pediatric asthma treatment is in the parents!

  Many parents or children have seen the second season of “Daddy Go”, Yang Yang Yang must have a very deep impression. The performance of his performance in the program alone, whether it is running with the children or climbing a mountain on his own, even people who have experience with asthma can not see that he suffers from asthma at all. During the recording of the program, Yang Yang Yang listened to his mother and never stopped receiving asthma treatment, his asthma was fully controlled, so he could play, exercise and have fun like other normal children. As you can see, asthma treatment can reach a more ideal state, and it is inextricably linked to parents’ education about asthma treatment for their children.  Here is what parents should know about asthma: 1. The first thing to figure out is the diagnosis and whether the child is asthmatic or not. Because the diagnosis of asthma in childhood is not easy, it may be confused with other diseases, especially viral induced wheezing. Parents should not label their children as asthma without permission, but must be under the guidance of a medical professional. Even a medical professional sometimes has difficulty in clarifying a child’s diagnosis and requires dynamic evaluation.  2. When to consider asthma? The following information is helpful: parents with a history of asthma should be aware, as asthma has a certain genetic predisposition (but not always inherited); the child has atopic dermatitis and has allergies to be aware of; there has been an occurrence of inhalation allergen sensitization.  3. The earlier the controlled treatment of asthma, the better (you can turn to my previous article), and the principle of long-term, continuous, standardized and individualized treatment should be adhered to. This statement comes from our authoritative guidelines and is also a clinical practice, and it is all the more necessary for parents of children to fully understand and cooperate with the treatment. In particular, it is important to avoid the “foolishness of being afraid to use hormones” unless the doctor believes that the child has a contraindication to hormone use. Long-term studies have not shown that low doses of inhaled hormones can affect the growth and development of children, which means that ICS in moderate amounts is safe, at least compared to the harm caused by not using it and allowing asthma to develop, its adverse effects are insignificant.  4. Children with asthma are currently divided into two groups (under 5 years old and over 5 years old) and there are slight differences in treatment, for example, on the timing of the use of long-acting β2 agonists, but parents of children can ignore these details. However, it is important to know that for long-term treatment of asthma in children, the most effective medication is inhaled glucocorticoids (ICS), which can be combined with other medications (such as long-acting beta2 agonists, leukotriene receptor antagonists, extended-release theophylline, etc.) in severe cases.  5.How long should the treatment last? This question refers to the duration of controlled treatment. It is not very clear! At present, it is recommended that long-term controlled medication should still be used after remission, aiming for the lowest effective dose of ICS maintenance. If such a low dose of ICS can effectively control asthma (doctor’s evaluation is required) and there is no recurrence of symptoms within 1 year, you can consider stopping the medication!