19.Can asthma be cured? Asthma cannot be completely cured yet, and the goal in the treatment now is to control the condition effectively. However, the prevention and treatment of asthma has reached a more advanced level, and the key lies in whether the patient can have a standardized treatment. Under the premise of standardized treatment, 80% of asthma can be controlled without its attacks, and patients do not need additional medication, are not affected at night, and can work and live like normal people. 20.Can women with asthma have children? Is there any danger? Women with asthma are often concerned about whether they can have a normal pregnancy and delivery, and whether frequent asthma attacks after pregnancy will affect the safety of mother and child. There is enough information to show that most women with asthma can go through pregnancy and childbirth relatively smoothly. The number and severity of asthma attacks in pregnant women with asthma are generally similar to those before pregnancy. Asthma attacks during pregnancy usually do not interfere with the progress of pregnancy, so termination of pregnancy is not necessary. Mild or moderate asthma attacks have little effect on the fetus. The birth weight of newborns is not significantly different from that of newborns delivered by normal women. However, in pregnant women with persistent asthma during pregnancy, severe hypoxia and systemic dysfunction can endanger the health of the mother and fetus, and even threaten life. For this reason, it is important for pregnant women to properly prevent and control asthma attacks. First of all, you should avoid as much as possible the triggers that can cause asthma attacks, eliminate tension, don’t worry too much about fetal malformation and other accidents, keep your body and mind in a normal state, combine work and rest, avoid too strenuous activities, make a delicious diet, prevent infections and colds, and keep the air in your room fresh and circulating so as to pass through the pregnancy stage smoothly. As to whether adrenocorticotropic hormone can cause fetal malformation, there are still different views, so it is better not to use it or use it sparingly. In summary, asthma patients can become pregnant, and most pregnant women can deliver their babies successfully, but during pregnancy, attention should be paid to preventing attacks as much as possible. Once an asthma attack occurs during pregnancy, you should go to the hospital early to seek medical guidance and treatment. 21.How can asthma patients do physical exercise? Appropriate and individualized physical activities can not only enhance the physical fitness of patients, but also reduce the attacks of asthma. Under the specific guidance of doctors, certain exercises should be selected appropriately for exercise. ① Whole body health exercise: according to the physical strength, gradually increase the amount of exercise in a planned manner. Take walking as an example, gradually expand the walking distance, gradually increase the speed and reduce the number of breaks in between. If the situation permits, on top of walking, you can also do some activities such as climbing, jogging or hiking. ② abdominal breathing: generally sitting practice, but also lying or standing practice. When practicing first body sitting stable, waist naturally straight, both hands on the thighs, shoulders and chest fully relaxed sag. Begin with exhalation, gently contract the abdomen when exhaling, exhale through the mouth, and at the same time exhale a vowel sound such as “Ah ……” or “Ming …… “etc., or the lips of the mouth contracted into a flute-like, the purpose is to make the vocal cords narrow, the trachea to maintain high air pressure to avoid further atrophy of the narrow small bronchial part of the inaccessible. Exhalation should be gentle, but deeper, longer than inhalation. When inhaling, the mouth should be closed, the air should enter through the nostrils, the abdomen should be naturally bulged, and the shoulders and chest should be kept relaxed. The entire breathing process is natural and easy rhythm, do not hold your breath. Practice for 3 to 6 minutes each time. Practice reasonable will feel chest relaxation, breathing gradually tends to smooth and slow. If you feel chest tightness, shortness of breath or dizziness during the exercise, mostly due to too much force, uncoordinated movements or breath-holding, pause and rest for a while before practicing. When the asthma attack, the shortness of breath is more significant, you can still do abdominal breathing. 22.Does asthma cause other diseases? Asthma attacks can be complicated by pneumothorax, mediastinal emphysema, pulmonary atelectasis; long-term recurrent attacks and infections or complications such as slow branching, emphysema, bronchiectasis, interstitial pneumonia, pulmonary fibrosis, pulmonary heart disease and respiratory failure. 23.How to prevent asthma attack? The prevention of asthma, in addition to treatment, should take into account genetic factors, environmental factors and individual factors. ①If you know what you are allergic to, you should first get rid of the allergen environment. ② Dress appropriately. Pay attention to the necessary warmth, add and remove clothing in time to avoid cold and flu and the stimulation of cold air. It may trigger your asthma attack. ③The living environment should be suitable. Asthma patients should keep their rooms warm and dry, pay attention to ventilation and light, and wash and dry bedding and clothes regularly to avoid dust mites and mold growth. ④ Access should be appropriate. Patients with asthma should try not to go to crowded public places; avoid going out in sandy and dusty weather; for people with pollen and plant allergies, wear a mask when going out during the season when pollen concentration is high. ⑤ If you have asthma patients at home, avoid using insecticides, disinfectants and mosquito coils, and do not keep pets in the living room. ⑥Live a regular life, eat a light diet, ensure regular rationing and nutritious diet, eat more fresh fruits and vegetables, eat less fish, shrimp, crab and other seafood, and prohibit smoking and alcohol. (7) Maintain an optimistic and cheerful mood, avoid excessive excitement, tension and temper, take the initiative to exercise and actively cooperate with treatment. (8) Learn to use preventive medicine at home, self-monitor, use medicine on time and regularly, especially the correct inhalation method of some aerosols. Timely medication is good for relieving symptoms. Also when there is a change in the condition, you should get in touch with your doctor in time. 24.Allergic rhinitis, how to prevent asthma? The prevalence of allergic rhinitis is 10%-40% worldwide. Bronchial asthma is the most common complication of allergic rhinitis. Studies have found that the incidence of asthma in patients with allergic rhinitis is 30%-40%; the incidence of allergic rhinitis in asthma patients is 70%-80%; the prevalence of asthma in people with allergic rhinitis is 3-6 times higher than that in people without rhinitis. Thus, it is believed that allergic rhinitis is an important independent risk factor for asthma, which can occur before, after or at the same time of asthma onset, with the former accounting for the majority of cases. Even rhinitis patients without asthma symptoms have bronchial hyperresponsiveness and varying degrees of allergic inflammation of the lower airways. This is because the filtration and moistening functions of the nasal cavity play a role in protecting the lower airways. When nasal congestion is caused by nasal disease and breathing through the mouth, the lower airways are susceptible to antigenic stimulation, and the inflammatory mediators produced during the onset of allergic rhinitis and nasal regurgitation stimulate the pharynx, which can easily cause bronchial smooth muscle contraction and lower airway inflammation. Therefore, when the inflammation of allergic rhinitis is limited to the upper respiratory tract, effective therapeutic measures should be taken to prevent the inflammation from developing in the lower respiratory tract and leading to asthma. With reasonable and active treatment, most patients with allergic rhinitis can avoid the development of asthma. 25.Is there any medicine to prevent asthma? Asthma cannot be cured at present. Because the development of asthma is related to allergic constitution, the allergic constitution cannot be changed. The main goal of asthma treatment is to inhale medication regularly to minimize acute attacks and maintain a normal quality of life. The first step to successful asthma treatment is to establish the correct concept of treatment, not to pursue the so-called “cure”, which is easily deceived by quacks. Long-term treatment means insisting on medication even in the season of non-onset, and not waiting for the symptoms to become obvious before using medication. The commonly used drugs are inhaled hormones combined with long-acting bronchodilators, such as “Sulindac or Cymbalta”, which are very effective. The majority of patients can be completely symptom-free after using these drugs regularly, and these drugs have few side effects and are safe for long-term use. Many patients are concerned about the side effects of long-term use of hormones. In fact, inhaled hormones are different from oral hormones because the dose really absorbed into the blood is extremely small, and the side effects of long-term use are rare. If the medication is only used during acute attacks, not only will it affect normal life, but the asthma condition will also get worse. 26.How to prevent seasonal asthma? ① Identify the allergens that trigger asthma and try to avoid them: By recalling the medical history in detail, the factors that trigger asthma can be identified in many cases. 70% to 80% of allergic asthmatics are allergic to dust mites. If the onset occurs during the rainy season, it often suggests a possible fungal allergy, and if the onset occurs in mid- to late-April, it may be an allergy to sycamore pollen. To identify allergens, skin tests or serum specific IgE tests should be performed at the hospital. The allergens that have been identified should be avoided or reduced as much as possible, and may even be relocated for treatment. ② Avoid non-specific stimulation of the surrounding environment: such as spring, in the south is generally the rainy season, and even often thunderstorms. At this time, high air humidity, in addition to accelerated fungal reproduction, low air pressure, increased ozone in the atmosphere during thunderstorms, autumn and early winter, dry climate, and the stimulation of strong cold winds in the north of China are all important non-specific stimuli that stimulate asthma attacks. Therefore, asthma patients should get into the habit of listening to weather forecasts on weather stations, increasing and decreasing their clothing according to weather changes, and taking precautionary measures (e.g., wearing a clean mask) to avoid going out in the above-mentioned weather. If you are walking on the street and are suddenly hit by strong winds, you should walk with the wind at your back to avoid being exposed to the cold air. To prevent allergic airway inflammation due to seasonal inhalation of certain allergens, corticosteroids such as sodium cromoglycate and/or beclomethasone or budesonide can be inhaled before the attack season to suppress allergic airway inflammation and reduce airway reactivity. The specific usage is that inhaled corticosteroids can be started about 2 weeks before the asthma attack season as prophylaxis, and oral or intravenous hormones should not be used as prophylactic medication for seasonal asthma. When seasonal allergens are identified, especially pollen and fungi, and exposure cannot be avoided, desensitization therapy can be started before the asthma attack season (preferably 2 to 3 months before the attack season) and administered in maintenance doses during the attack season. If desensitization is started too late, the attack season is approaching or the asthma attack has already started.