Explanation of Asthma Control Questions

  Myth 1: Asthma in children will not be cured as they get older?
  Truth: Asthma is a chronic inflammatory disease of the airways. If left untreated, childhood asthma will affect their lifelong lung function once irreversible damage to the airway wall structure occurs, i.e., airway remodeling. A proportion of children with asthma will experience varying degrees of relief of asthma symptoms as they grow and develop, but some of these children will still have relapses as adults. Therefore, early detection, diagnosis, treatment and prevention of asthma in children are necessary.
  Myth 2: Occasional cough and shortness of breath in asthma patients are not considered serious?
  Truth: Occasional cough and asthma, which are usually not taken seriously, can be life-threatening in one attack. Mild symptoms often indicate that the disease is in a developmental stage, so it needs more attention to avoid permanent lung function damage.
  Myth 3: No symptoms after medication means asthma is cured?
  Truth: Chronic airway inflammation is the real cause of asthma. After the use of relieving medication, although the symptoms disappear, airway inflammation can still persist. It is like the tip of an iceberg showing on the surface of the sea, when in fact there is a much larger iceberg hidden in the water. Medications for airway inflammation should be used to prevent asthma attacks and avoid airway remodeling.
  In conclusion.
  Asthma in children should be: early detection, early diagnosis, early treatment and early prevention.
  Without persistent symptoms after medication, airway inflammation can still persist, so long-term maintenance treatment must be adhered to for more than 3 months.
  Is it possible to cure asthma? Why is it important to adhere to long-term treatment?
  A large worldwide medical study on asthma treatment has shown that with 1 year of regular and continuous medication, asthma patients can achieve complete control of their asthma, meaning that you can live a normal life as normal.
  No symptoms during the day
  No need for bronchodilators
  Morning peak expiratory flow rate (PEF) of 80% or more of the expected value
  No awakening from sleep at night
  No acute exacerbation of asthma
  No need to receive emergency medical attention
  No side effects of treatment medications
  Are there any health effects from long-term hormone inhalation?
  Myth: Using hormone therapy will cause side effects such as facial swelling, body fat, increased body hair and osteoporosis?
  Truth.
  Hormone treatment methods
  Whole body treatment
  Topical treatment
  Method of administration
  Intravenous or oral
  Inhalation
  Site of action
  Into the body and then into the airway
  Airway
  Dosage
  High dose, measured in milligrams
  Smaller doses, measured in micrograms
  Duration of application
  Acute exacerbations
  Maintenance asthma treatment
  Side effects
  Systemic side effects such as osteoporosis when taken orally
  Local side effects, such as oral fungal infections
  Combination therapy (e.g. inhaled long-acting bronchodilators in combination with inhaled corticosteroids) reduces the dose of hormones used, takes less time to achieve control, and causes fewer side effects due to hormones.
  Myth: Inhaled hormone use in children with asthma can affect height and growth?
  Truth: Current research shows that children with asthma treated with inhaled hormones can reach normal height in adulthood. Even though inhaled hormone therapy may have some effect on the rate of height growth for 1-2 years, it is only transient and does not affect height in adulthood. On the contrary, if one is too worried about the possible side effects of hormones and does not adhere to the standard medication, the asthma will not be controlled but will be repeatedly attacked, which will cause permanent damage to the child’s lungs on the one hand, and will eventually affect the growth and development of the child on the other hand.
  In conclusion, inhaled hormones are currently the accepted method of asthma prevention and treatment, and the recommended dose of inhaled hormones plays a crucial role in the prevention and treatment of asthma.