In the clinic, we often meet family members who say that their children have recurrent asthma attacks, they have inhaled hormones and the dosage is enough, but the asthma is not well controlled. Today, I would like to share with you my views on why asthma is not well controlled. 1.Does your child use the device correctly? The most commonly used asthma long-term inhalation therapy in the clinic are sprays such as co-solvadione, DuPao such as Shinbiq, and compass devices like Shuriday, generally children over 6 years old can use the latter two, while children generally use sprays, but no matter which device is used, your child is required to be able to inhale the drug while inhaling deeply, and at the same time require closed air for about 30 seconds, but most of the age However, most young children are unable to do this, so most of the medication inhaled by the child is deposited in the throat and cannot effectively enter the lungs, so it is not effective and cannot effectively control asthma. For younger children, or children who cannot inhale deeply or close their breath, you can only use the spray along with an adjunctive device, a storage canister, to help your child inhale the medication effectively. 2.Can your child’s canister still be used normally? Some parents ask, “Why is my child’s asthma still not under control even though he or she is using a canister? The first thing you need to check is the integrity of the canister, not that it is not broken is good, some family members often scrub the inner tube of the canister with a brush, resulting in the disappearance of the electrostatic layer inside, so most of the drugs are attached to the wall, when the effective inhalation of drugs is not enough, in addition to check the integrity of the flap inside the canister, once a parent brought over the canister to me, the result of the flap was stabbed by the child early, it is recommended that each follow-up visit to let the doctor It is recommended to let the doctor check the device at each follow-up visit, and it is also recommended to change one every six months. 3.Do you listen to your doctor’s advice? Many parents are very cooperative when their child has an asthma attack, but when the asthma is under control, they are paralyzed and often stop the medication on their own, knowing that asthma is a long-term control process, and generally require a follow-up visit every half month for the first 3 months, and then once a month for 3 months in a row, and then later once every 3 months, which is good for long-term assessment of the child and drug reduction. 4.Is your child in contact with allergens? Asthma attacks are closely related to allergen exposure, so it is important to actively look for allergens. When your child has recurrent attacks recently, you should check whether your child is in contact with allergens, such as special pillows (e.g. chrysanthemum pillow, duck feather pillow), cosmetics, car ornaments, pets, etc. It is also important to look for allergens for asthma control. 5.Did you pat your back when using compressed nebulization? We often encounter children who need to do compressed nebulizer inhalation (commonly known as large nebulizer) during asthma attack in the ward, it is recommended to pat their backs before and after nebulization.