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Asthma physiology and pathophysiology
Asthma physiology and pathophysiology
Asthma physiology and pathophysiology
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Recommended: Asthma physiology and pathophysiology
Asthma is a disease that, according to Massoud Mahmoudi in Allergy and Asthma: Practical Diagnosis and Management, is “…a disorder of chronic airway inflammation associated with episodic and at least partially reversible airflow obstruction” (pg. 125). According to Mahmoudi, its causes are unknown and its pathogenesis is not completely understood. However, it can be most likely determined that asthma is more closely related to a syndrome than a disease with a single structural or genetic cause; this determination can be deduced from considering the various clinical manifestations and irregular inheritance patterns.
One of the main environmental stimuli that exacerbate asthma symptoms, along with asthma attack, is allergies by stimulating inflammation, which is the main cause for symptoms. According to Gerard J. Tortora and Bryan Derrickson in Principles of Anatomy and Physiology, inflammation is a nonspecific, defensive response of the body to tissue damage. Conditions that stimulate inflammation include: pathogens, abrasions, chemical irritations, cell distortion or disturbance, and extreme temperatures. In each case of inflammation, due to no specificity, the inflammatory has three stages: vasodilation and increased blood vessel permeability; movement of white blood cells from blood into interstitial fluid; tissue repair (2012). According to the National Institute of Health (NIH) in Understanding Asthma pathophysiology, one of the ways asthma is defined is through bronchial hyperresponsiveness; this is how inflammation affects the lungs. Bronchial hyperresponsiveness can be described by decreased airflow after bronchial irritation by methacholine or histamine. Bronchial provocation with allergens induces an early and late phase...
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...ia medicaid population. Retrieved from http://www.wvdhhr.org/bph/hsc/staterv/viewer.asp?target=http://www.wvdhhr.or/bph/hsc/pubs/briefs/012/default.htm&Source=pub.asp&DocID=53
International Study of Asthma and Allergies in Childhood. (2011). The global asthma report. Retrieved from http://www.globalasthmareport.org/images/files/Global_Asthma_Report_2011.pdf
Mahmoudi, M. (2008). Allergy and asthma: Practical diagnosis and management. (pp. 124-125). New Yok: McGraw-Hill Medical. DOI: web.a.ebscohost.com/ehost/ebookviewer/ebook/bmxlYmyfXzIxNDkyOF9fQU41?sid=da57c6be-dfae-41d0-a054-42aa7b546@sessionmgr4001&vid=2&format=EB&rid=1
National Institute of Health. (2003). Understanding asthma pathophysiology. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/12776439
Tortora, G., & Derrickson, B. (2012). Principles of antomy&physiology. (13 ed., p. 888). John Wiley & Sons, Inc.
Asthma is a chronic inflammatory disease of the airways. It is a reversible airway obstruction, occurring 8 to 10% of the population worldwide. According to a study in 2005, asthma affects over 15 million Americans, with more than 2 million annual emergency room visits. Asthma patients have a hyper-responsiveness in their airways and generally and increase in their airway smooth muscle cell mass. This hyperplasia is due to the normal response to the injury and repair to the airway caused by exacerbations. The main choice of therapy for asthma patients is β2- adrenergic agonists. Racemic albuterol has been the drug of choice for a short acting bronchodilator for a long time, but since the development of levalbuterol, there is the question of which drug is a better choice for therapy. Efficacy and cost of treatment must both be taken into consideration in each study of these therapies to determine which is best for the treatment of asthma.
VanPutte, C., Regan, J., & Russo, A. (2014). Seeley's anatomy & physiology(10th ed.). NEW YORK, NY: MCGRAW-HILL.
Basile, Maria. "Asthma." The Gale Encyclopedia of Genetic Disorders. 2nd ed. 2005. Gale Opposing Viewpoints in Context. Web. 9 Feb. 2011.
Asthma is a disorder that interferes with the lungs and the airways to the lungs. It causes attacks of wheezing and difficult breathing. An asthma attack occurs when the airways respond to some kind of trigger, Some examples of triggers for Asthma attacks are dust, mold, pets, exercise, cold weather, and some attacks start for no known reason. The triggers may irritate the airways to the lungs, allowing disease-fighting cells to build up and causing the lungs to swell up. In addition, the airways could get blocked when the muscles surrounding the lungs tighten. This keeps air from circulating freely in the lungs. Or, mucus may clog and narrow the airways in the lungs, making breathing even more difficult.
Imagine a young child competing with his or her fellow classmates during recess and immediately losing the ability to breathe normally. He or she stops in the middle of the competition and falls to the ground while holding his or her chest trying to find air. When you are young, being able to keep up with your peers during recess and sporting events is very important, however, having asthma restricts this. Asthma has a significant impact on childhood development and the diagnosis of asthma for children 18 years and younger has dramatically increased over the years. Asthma is known as a “chronic inflammation of the small and large airways” with “evident bronchial hyper-responsiveness, airflow obstruction, and in some patients, sub-basement fibrosis and over-secretion of mucus” (Toole, 2013). The constant recreation of the lung walls can even occur in young children and “lead to permanent lung damages and reduced lung function” (Toole, 2013). While one of the factors is genetics, many of the following can be prevented or managed. Obesity, exposure to secondhand smoke, and hospitalization with pneumonia in the early years of life have all been suggested to increase children’s risk of developing asthma.
"Asthma is a pulmonary disease with the following characteristics: 1) airway obstruction that is reversible in most patients either spontaneously or with treatment; 2) airway inflammation; and 3) increased airway responsiveness to a variety of stimuli" (Enright, 1996, p. 375). There presently exist many varieties of asthma that differ in the severity, means of induction, and methods of treatment. One type is exercise-induced asthma. "Exercise-induced asthma (EIA) is a temporary increase in airway resistance and acute narrowing of the airway that occurs after several minutes of strenuous exercise, usually after the exercise had ceased" (Spector, 1993, p. 571). Perfectly healthy individuals with no history of asthma or allergies can experience EIA. EIA can be found in 5.6%-25% of the general population and in 40%-90% of asthmatics (Randolph, 1997). EIA has been recognized for over 300 years, but only recently have it's pathophysiology, diagnosis, and treatment been studied in detail.
Understanding the pathogenesis of asthma is a solution to creating treatments that are more effective. “For more than two decades now, asthma has been recognized as a chronic inflammatory disease involving inflammation of both the central and peripheral airways” (Tulic 71). This chronic inflammation results in structural changes in the airways of the asthmatic patient, referred to as airway remodeling. Airway remodeling is the cause of the symptoms seen in asthmatics during an attack like severe dyspnea, wheezing or difficulty in expiration (Kumar and Robbins 492). There are five major aspects of the body affected by asthma, mostly due to chronic infl...
Asthma is chronic inflammatory disorder of the airways characterized by recurring episodes of wheeling and breathlessness. It often exists with allergies and can be worsened through exposure to allergens. In fact, asthma is complicated syndromes that have neither single definition nor complete explanation to the point. In light of its treatment, it is worthwhile to notice that asthma cannot be cured, instead can be only managed by avoiding exposure to allergens and/or by using medications regularly.
Asthma is a disorder of the respiratory system in which the passages that enable air to pass into and out of the lungs periodically narrow, causing coughing, wheezing, and shortness of breath. This narrowing is typically temporary and reversible, but in severe attacks, asthma may result in death. Asthma most commonly refers to bronchial asthma, an inflammation of the airways, but the term is also used to refer to cardiac asthma, which develops when fluid builds up in the lungs as a complication of heart failure. This article focuses on bronchial asthma.
An asthma attack has many effects on the body. Asthma affects the body by limiting the flow of air into the lungs. It causes airway inflammation, bronchial restriction and irregular airway obstruction. Airway inflammation is how the body reacts to something that is irritating the airways. When happening your lungs begin swelling, your breathing passageway becomes restricted and mucus is secreted. Bronchial restriction happens when the muscles in your airways tighten around the breathing tubes in your lungs. (Bronchial tubes). Mucus or fluid that is accumulated by the reaction can obstruct your airway and make it very difficult to breathe properly.
Most of you may not think of asthma as a killer disease, yet more that 5,000 Americans die of asthma each year. According to the Mayo Clinic web page, asthma also accounts for more that 400,000 hospital discharges annually. As the number of people with asthma increases, the more likely you are to come in contact with a person who has the disease. As far as I can remember, I have had asthma my whole life. My mother and one of my sisters also have asthma, so I have a first hand experience with it. This morning, I will discuss some interesting facts about asthma, I will specifically focus on what it is, warning signs, symptoms, causes, and the treatments that are used.
Human race is known to have developed numerous allergies to various known and unknown allergens. An extreme allergic reaction which can be “life-threatening”. (Mydr.com.au, 2014) is referred to as Anaphylaxis.It is a “medical emergency”(Lloyd & Sisman,2013).Statistics indicate that maximum deaths occur due to allergic reactions of various medicines. The other causative agents can be insects, food, latex, hair dye, etc(Lloyd & Sisman,2013). The most common trigger to stimulate anaphylaxis among children are food products such as peanuts, dairy, seafood etc. Exposure to any of these allergens can result in severe anaphylactic attack within 20 minutes.(Australian Resuscitation council, 2012).However the doctors discuss the history of symptoms occurring in children suffering with peanut allergy before declaring them to be anaphylactic and prescribing medication. (Unknown, 2014). Symptoms of anaphylaxis may occur in varied forms depending upon the severty of the reaction. For instance in mild cases swelling of lips, eyes or face occurs along with hives, rash, tingling of mouth and vomitting accompanied with abdominal pain. Nevertheless in extreme conditions the former symptoms may be accompanied with noisy breathing, wheezing, hoarseness and unconsciousness. (Lloyd & Sisman,2013).
Chronic bronchitis is a disorder that causes inflammation to the airway, mainly the bronchial tubules. It produces a chronic cough that lasts three consecutive months for more than two successive years (Vijayan,2013). Chronic Bronchitis is a member of the COPD family and is prominently seen in cigarette smokers. Other factors such as air pollutants, Asbestos, and working in coal mines contributes to inflammation. Once the irritant comes in contact with the mucosa of the bronchi it alters the composition causing hyperplasia of the glands and producing excessive sputum (Viayan,2013). Goblet cells also enlarge to contribute to the excessive secretion of sputum. This effects the cilia that carry out the mechanism of trapping foreign bodies to allow it to be expelled in the sputum, which are now damaged by the irritant making it impossible for the person to clear their airway. Since the mechanism of airway clearance is ineffective, the secretion builds up a thickened wall of the bronchioles causing constriction and increasing the work of breathing. The excessive build up of mucous could set up pneumonia. The alveoli are also damaged enabling the macrophages to eliminate bacteria putting the patient at risk for acquiring an infection.
Asthma is a disease that currently has no cure and can only be controlled and managed through different treatment methods. If asthma is treated well it can prevent the flare up of symptoms such as coughing, diminish the dependence on quick relief medication, and help to minimize asthma attacks. One of the key factors to successful treatment of asthma is the creation of an asthma action plan with the help of a doctor that outlines medications and other tasks to help control the patient’s asthma ("How Is Asthma Treated and Controlled?"). The amount of treatment changes based on the severity of the asthma when it is first diagnosed and may be the dosage may be increased or decreased depending on how under control the patient’s asthma is. One of the main ways that asthma can be controlled is by becoming aware of the things that trigger attacks. For instance staying away from allergens such as pollen, animal fur, and air pollution can help minimize and manage the symptoms associated with asthma. Also if it is not possible to avoid the allergens that cause a patient’s asthma to flare up, they may need to see an allergist. These health professionals can help diagnosis what may need to be done in other forms of treatment such as allergy shots that can help decrease the severity of the asthma ("How Is Asthma Treated and Controlled?").
Martini, F. H., & Nath, J. L. (8th Edition). (2009). Fundementals of human anatomy and physiology. San Francisco, CA: Pearson Benjamin Cummings.