What are the common problems of asthma?

  1.What are the principles of asthma control?  A: Asthma control treatment should be the earlier the better. The principles of long-term, continuous, standardized and individualized treatment should be adhered to.  2.Is the prognosis for children with asthma good?  A: Clinical studies have confirmed that with standardized treatment, 80% of asthma patients can achieve complete control or good control, achieve no attacks, no additional medication, and do not affect learning and life, and only 5% to 10% of these children will develop into adults with asthma. On the contrary, if asthma is not treated regularly and repeatedly, it will not only affect growth and development, but also lead to increasing airway inflammation, and once it develops to airway structural changes, the lesion will be irreversible, and then it is impossible to cure asthma, and lifelong medication must be used.  3.How long is the inhalation course of co-codone?  A: For children with typical asthma, the total course of treatment is 1~3 years, evaluated once every 3 months. If asthma is controlled and maintained for at least 3 months without an attack, the treatment regimen may be considered for downgrading until the minimum dose to maintain asthma control is determined.  In children with wheezing aged less than 3 years, if there are no allergic symptoms and no clinical symptoms after 3 to 6 months of treatment as asthma, the child’s wheezing may be evaluated for possible association with prematurity or infection and may be considered for discontinuation of the drug for observation. If the child has clear evidence of allergy and asthma is considered to be related to allergy, the treatment time should be longer.  4.When does a child with asthma need a follow-up visit?  A: After the asthma management program is started, you must come to the hospital for a follow-up visit at the 1st week, 1st month and 3rd month of treatment to assess the efficacy and decide on the later treatment plan. If your condition is well controlled, you will be seen every 3 months thereafter. If you continue to have recurrent coughing and wheezing symptoms during the treatment period, come back to the hospital at any time and ask your doctor to find the cause of the attack. Please bring the Asthma Management Plan and other medical records with you to the follow-up appointment.  5.When can a child with asthma stop inhaling co-codone?  A: Generally speaking, after 1 year of continuous use of the lowest dose of inhaled cozhukone without any attack, you can consider stopping the medication. However, before stopping the drug, we should do pulmonary function measurement, observe the airway inflammation and airway hyperresponsiveness, and determine the allergens of the child. If both are normal, the drug can be discontinued; if the lung function is normal and the allergen is positive, it suggests that the child has allergy and attention should be paid to anti-allergy treatment. It is advisable to perform peak expiratory flow rate (PEF) monitoring in children with drug discontinuation to observe changes in lung function and to observe whether there is a relapse after drug discontinuation.