CHILDREN AND ASTHMA

CHILDREN AND ASTHMA

Asthma is the one of the most common disease of childhood. Most children with asthma have an asthmatic parent or a family history of the disease. Before puberty, asthma occurs more often among boys than girls. After puberty, the incidence is equal between the genders. Asthma can be so debilitating that often it reduces the child's ability to move around. This may harm his or her self image.

You can help children avoid asthma by identifying irritants that may trigger an attack and eliminating them as soon as possible.  In some asthmatic children an extremely frustrating, frightening or upsetting situation may trigger some wheezing. But this does not mean that you don't discipline your child. Talk to your child when she is fine and explain that you love her, but that everyone must live by certain rules. 

Many asthmatic children suffer from other emotional problems. They often suffer from feelings of inferiority because they can't participate in peer activities. These emotional problems may lead to depression.

About 50=60 percent of children who develop asthma between ages 2 and 10 will stop having asthma attacks after an age, say puberty. But it does not mean they have outgrown the disease; it may recur when they rach their 30s or 40s.

In many cases, parents underestimate the child's disease. this can delay treatment. Some other factors that put the child in a high - risk category are under-use of steroids and non-compliance of the prescribed treatment. 

Asthma among children can be divided into mild, moderate and severe, depending on their family history, symptoms, lung function tests and medication. Children with mild asthma have attacks up to one each week. The attacks can be controlled using bronchodilators. They have good school attendance, and exercise and sleep well.
Those kids with moderate asthma show the symptoms more frequently, more than once every week. they cough and wheeze and may have disturbed sleep. They need regular medication rather than quick reliefs.

Some develop severe asthma, usually perennial rather than seasonal. This type of asthma is traumatic as it can be incapacitating and affects general activity. Children may not eat and will not lie down. they are forced to stay away from school and general actgivity. They require continuous and systematic medical treatment.

Children can be taught to use inhalers for effective delivery of drugs. Spacer is better suited for children because it retains the medicine for a longer duration than an inhaler. Another device for easy delivery of medicine is the nebuliser. Since there are safe and effective ways of treating asthma, children should be taken to the doctor and not allowed to suffer its symptoms. 

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