6 Asma Bonquial

7/24/2019 6 Asma Bonquial

1/8

Ks`k Ercoqulkh

Nh ks`k ercoqulkh ns uok nofnr`ngkg lofhk`ktcrlk irolik gn hks vks krnks y icostltuyn uo snrlcprcehn`k gn skhug pehlik k olvnh ùoglkh y uok gn hks prl`nrks ikusks gn

lobrnsc acspltkhkrlc no hk lofkoilk, kuoqun oc ns uolfcr`n no hcs glfnrnotns pksns, y suprnvkhnoilk ak lgc no ku`notc (Lotnrokilcokh Ytugy cf sta`k kog hhnrblns lo !alhgaccg " LY!#$$%&' hk gnflolilo gntnr`lokgk pcr hk buk gn prkitlik iholik ic`c uok nofnr`ngkg iroliklofhk`ktcrlk gn hks vks rnsplrktcrlks qun sn ikrkitnrl)k pcr cestruiilo rnvnrslehn c pkrilkh`notnrnvnrslehn gn nstks, kgn`*s gn alpnrrnspunstk k glfnrnotns nstùhcs y sn ikrkitnrl)kiholik`notn pcr+ tcs, glsonk y slelhkoilks'

Gnflolilo

Nh ks`k ns uo sogrc`n ikrkitnrl)kgc pcr sotc`ks kbugcs c pnrslstnotns tkhns ic`c glsonk,gchcr tcr*ilic, slelhkoilks y tcs' Yn kscilk ico uok hl ltkilo vkrlkehn gnh fhuc krnc nalpnrrnkitlvlgkg ercoqulkh no rnspunstk k nstùhcs n-bnocs y nogbnocs' .k lofhk`kilo y sus

nfnitcs rnsuhtkotns no hk nstruiturk gn hk vk krnk sco icoslgnrkgcs ic`c hcs prloilpkhns`nikols`cs qun hhnvko kh gnskrrchhc y pnrslstnoilk gnh ks`k'

Yn gn`cstrkgc qun hk prnvkhnoilk gn ks`k ercoqulkh ku`notkek k `nglgk qun hks icùolgkgnskgcptkeko uo nstlhc gn vlgk urekol)kgc, pnrc pcr fkhtk gn `nglcs sn l`plgn prnilskr k glkbocstlic'

]ktcbnolk

.cs nhn`notcs qun cikslcoko hk cestruiilo gn vks krnks sco nh ngn`k gn hk `nèrkokùicsk, ku`notc gn snirnilo gn `cic y nspks`c gn hk ùsiuhkturk hlsk' Nh ic`lno)c gn uoktkqun ks`*tlic, no pkrtliuhkr sl nstn ns seltc, tlnogn k gnsn`pn/kr nh prloilpkh pkpnhpktcbnontlic nh nspks`c gn hk ùsiuhkturk hlsk' `nglgk qun hk irlsls ks`*tlik nvchuilcok nh

ngn`k gn hks `nèrkoks ùicsks y hk alpnrsnirnilo tlnogno k snr hcs nhn`notcs ihkvns no hkpktcbnolk gnh trkstcroc'=cgcs hcs pkilnotns ks`*tlics pcsnno uok ikrkitnrstlik gn alpnrrrnkitlvlgkg gn hks vks krnkskotn uok brko vkrlngkg gn fkitcrns kèlnotkhns, loihuynogc hcs lrrltkotns gn glvnrsks ihksns(gl-lgc gn suhfurc, au`c gn tkekic y ctrcs icotk`lokotns&, chcrns funrtns, tn`pnrkturk'

Ntlchcbk

Nh ks`k ns uo trkstcroc ic`phnc no nh qun gnsn`pn/ko su pkpnh glvnrscs fkitcrns elcqu`lics,loùochblics, lofniilcscs, pslichblics y nogcirlocs'

;'" oc`khks elcqu`liks+ No glvnrscs nstuglcs sn ak gn`cstrkgc uok rnspunstk elcqu`likkocr`kh k hk loyniilo gn kgrnokhlok' 5cr`kh notn kh kg`lolstrkr kgrnokhlok prcvcikalpnrbhuin`lk y hkitkilgn`lk ic`c kiilo gn hcs rninptcrns entk ùsiuhkrns y anp*tlics, khbcicotrkrlc k hcs pkilnotns ico ks`k pcr hc qun sn pcstuhc qun no hcs loglvlgucs qun sufrno ks`kn-lstn uok koc`khk bnonrkhl)kgk no hk nstruiturk c fuoilo gn su ic`phnc kgnolhilihksk"rninptcrns kgrnorblics entk'

#'"9kitcrns loùochblics+ 7rnsnotn no pkilnotns qun pkgnino nh hhk`kgc ks`k khrblik cn-trosnik hk iukh slbuno k hk n-pcslilo gn fkitcrns kèlnotkhns (pchvc, pchno, pnhc y khl`notcs&Nh ku`notc gn icoinotrkilcons tkotc Lb N tctkhns ic`c nspnilfliks ns uo akhhk)bc frniunotnkuoqun oc uolvnrskh' Yn ak gn`cstrkgc no ol/cs ico gnr`ktltls ktplik y snoslelhl)kilo kprctnoks gnh aunvc hk prcekelhlgkg gn prnsnotkr ks`k k hcs iuktrc k/cs gn ngkg sn nhnvk kh >$6'


2/8

Yn ak gn`cstrkgc qun hc olvnhns nhnvkgcs gn LbN tctkh srlik nst*o rnhkilcokgcs ico hkalpnrrnkitlvlgkg ercoqulkh 21'@kolfnstkilcons iholiks

.ks `kolfnstkilcons gnh prcinsc ks`*tlic pungno snr gn uok `konrk loslglcsk c keruptk,kic`pk/kgcs gn tcs kic`pk/kgc ico snoskilo gn plicr no nh `noto, okrl) c trk-' Nh prcinscpungn snr brkgukh y hnotk iukogc hk irlsls ks`*tlik nst* kic`pk/kgk ico uo prcinsc lofniilcscrnsplrktcrlc, pcstnrlcr`notn kpkrnin slelhkoilks y hk rlocrrnk

Nh pkrc-ls`c ks`*tlic ns ikrkitnrl)kgc pcr uok glsonk prcbrnslvk sco prchcobkilo gn hk fksnnsplrktcrlk gn hk rnsplrkilo, pcr slelhkoilks y pcr nstnrtcrns brunscs y flocs' Nstk notlgkg hl`ltklotnosk`notn hk vnotlhkilo puh`cokr rnfhn*ogcsn no nh pkilnotn ic`c khntnc okskh, n`phnc gn`siuhcs rnsplrktcrlcs kiinscrlcs y no cikslcons alpnrikpolk, frniunoilk rnsplrktcrlk y ikrglkikku`notkgk n lrrltkelhlgkg' .k prnsnoilk gn glkfcrnsls prcfusk ns ic`o n loihusc kic`pk/kgk gngchcr kegc`lokh (gnelgc k hk tcs lotnosk& akstk vc`ltc'

No hk n-phcrkilo fslik tcr*ilik sunhn snr alpnrrnscokotn, ico slelhkoilks nsplrktcrlks y nstnrtcrnsrcoics' .cs akhhk)bcs fslics sco hcs gn uo noflsn`k cestruitlvc bnonrkhl)kgc kuokgc k hksic`phlikilcons kic`pk/kotns ic`c sco onu`ctrk-, onu`c`nglkstloc y ktnhnitkslks'


3/8

Alstcrlk okturkh gnh ks`k ercoqulkh

Nh glkbostlic sn akin glfilh no ol/cs, nspnilkh`notn no hcs `nocrns gn % k/cs, no hcs iukhns hcsnplscglcs gn tcs y slelhkoilks sco `uy frniunotns y nh K$6 qun slelhko kotns gn hcs % k/cs gnkr*ogn akinrhc no hk ngkg nsichkr' Yn ako gnsirltc : iktnbcrlks gn slelhkoilks+

;'"Ylelhkoilks tn`prkoks trkosltcrlks qun sn kscilko k prn`kturn) y kh au`c gn tkekic no nhk`elnotn fk`lhlkr' No nhhcs sn pcstuhk hk prnsnoilk gn uok vk krnk gn `nocr ikhlern ic`c ikuskgn hcs nplscglcs gn slelhkoilks y bnonrkh`notn supnrko hcs sotc`ks kotns gn hcs : k/cs gn ngkg'

#'"Ylelhkoilks gn lolilc tn`prkoc, bnonrkh`notn kscilkgks k nplscglcs gn lofniilo vlrkh, no ol/csslo nvlgnoilk c alstcrlk fk`lhlkr gn ktcpk' .cs sotc`ks sunhno pnrslstlr gurkotn nh pnrcgc nsichkry ko akstk hcs ;# k/cs y sunhno kscilkrsn k lofniilcons pcr vlrus rnsplrktcrlc sloiltlkh no ol/cspcr gnekc gn hcs # k/cs, `lnotrks qun ctrcs vlrus prngc`loko no ol/cs `kycrns'

:'"Ylelhkoilks gn kpkrlilo tkrgkGks`k+ nstcs ol/cs tlnono ks`k, qun k `nougc pnrslstn no hklofkoilk y ko no hk vlgk kguhtk' =plik`notn tlnono alstcrlk gn ktcpk, ico hk prnsnoilk gn ni)n`ky pktchcbk gn hk vk krnk ico ikrkitnrstliks gn ks`k'

Ulnsbc gn ks`k no olcs pnquncs ico slelhkoilksrniurrnotns Irltnrlcs@kycrns Irltnrlcs @nocrns

;.- Kotningnotns fk`lhlkrnsgn ks`k ;.- Glkbocstlic gn rloltls khrblik

5.- Glkbocstlic gn nin`k5.- !lelhkoilk funrk gn rnsfrlkgc"lrkh#.- $csloc%hlk &' ( )*

Unsuhtkgc +csltl"c , !lelhkoilks ; Irltnrlc @kycrUnsuhtkgcs +csltl"c, !lelhkoilk 5 Irltnrlcs nocrns

N-lstno glkbostlics glfnrnoilkhns gn slelhkoilks trkosltcrlks k icoslgnrkr no nh prl`nrk/c gn vlgk ic`c sco+

1nfhuc bkstrcnscf*blic 9lercsls qustlik 8lsphkslk ercoicpuh`cokr 0khfcr`kilcons icoboltks rnsplrktcrlks, ikrgkiks yGc glbnstlvks

Glkbocstlic y Ihkslflikilo gnh Ks`k no olc y kgchnsinotn

Nh glkbocstlic gn ks`k sn rnkhl)k iholik`notn pcr hc qun ns gn su`k l`pcrtkoilk hk alstcrlkiholik y n-phcrkilo fslik'.cs sotc`ks qun gneno cesnrvkrsn pkrk rnkhl)kr uo pcslehn glkbostlic gn ks`k


4/8

sco hcs slbulnotns+ nplscglcs rniurrnotns gn slelhkoilks, glsonk, tcs y snoskilo gn cprnslo no nhpniac'

Ikrkitnrstliks iholiks pkrk n"khukr hk prcekelhlgkg gn ks`k. /lcs `nocrns gn = kcs Ku`notk hk pcslelhlgkg gn ks`k Gls`louyn hk pcslelhlgkg gn ks`k

; c gn hcs slbulnotns slbocs ,!otc`ks schk`notn icornsfrcs slo

!lelhkoilks cs Glsonk sotc`ks no hcs lotnr"khcs

!lbocs n`pncrko pcr hk oci9n ccs klshkgk no kusnoilk gnslelhkoilks c

no hk kkok gl%iuhtkg no hk rnsplrkil7o

>cs slbocs ciurrno no rnspunstk c snIkrkitnrstliks iholikscrlnotkgcrks k

n`pncrko gnspus gn, n6nrililc glkbo7stlics khtnroktl"cs

n2pcslil7o k khrbnocs frc c klrn91`ngc n`cilcons

>cs slbocs sco lognpnoglnotns gn$2k`no fslic rnsplrktcrlcrnpntlgk`notn

lofniilcons "lrkhns ocr`kh


5/8

I>K!3M3IKI3/ G$ 8UKG G$ !$E$U3GKG G$>K!@K

!3/@K!!3/@K!/IU/!

M/I3/+>@/KU

/3E$> ( !otc`ks icotloucsMrniunotns

E$M; c +M$ NF)gnh "khcr

+$U!3!$/$ >l`ltkil7o kitl"lgkg fslikprnglitl"c

!$E$U

$2kinrekilcons

frniunotns

Ekrlkelhlgkg +M$

'#F)

/3E$> # !otc`ks glkrlcs ' ; "n pcrE$M; c +M$ 'NF)BF)

+$U!3!$/$sc glkrlc gn 05kbcolstks sn`kok gnh "khcr prnglitl"c

@G$UKG $2kinrekilcons kfnitko hkEkrlkelhlgkg +M$'#F)

kitl"lgkg$2kinrekilcons '5 "ninspcrsn`kok pungno gurkrgks

E$M; c +M$ 'BF)gnh "khcr

/3E$> 5 !otc`ks 5 "nins pcr ' 5"nins kh

prnglitl"c

+$U!3!$/$ sn`kok. `nsEkrlkelhlgkg +$M 5FA #F)

>$E$ $2kinrekilcons pungnokfnitkr hk kitl"lgkg

/3E$> ; !otc`ks 5 "nins pcr3/$U@3$/$ sn`kok.

E$M; c +M$ 'BF)gnh "khcr

Kslotc`?tlic ico +M$ 5 "nins khprnglitl"c

ocr`kh notrn hks `nsEkrlkelhlgkg +M$5F)

n2kinrekilcons$2kinrekilcons ern"ns


6/8

Nh ks`k no hk prl`nrk lofkoilk sn prnsnotk iukogc hcs sotc`ks gn nofnr`ngkg cestruitlvk gn hksvks krnks n`pln)ko tn`prkok`notn no su vlgk prloilpkh`notn gurkotn nh prl`nr k/c' uoqun nsl`pcrtkotn icocinr qun `uiaks ctrks sltukilcons inrikoks kh ks`k pungno prcvcikr uokcestruiilo pkrilkh gn vks krnks qun prcvcquno slelhkoilks'

Khbuoks ikusks gn slelhkoilks rnsplrktcrlks no hk prl`nrklofkoilk;. estruiil7o kokt7`lik

k. Koc`khks icoboltks;. 0rcoqulkh, no%sn`k hceuhkr5. Eksiuhkr, "kscs kenrrkotns

e. Iunrpcs n2trkcs5. 3ofniilcons

k. 0kitnrlkse. Elrus

#. Khnrblksk. 3o9khkotnse. Khl`notcs

]runeks gn fuoilo !uh`cokr

Yn ak gn`cstrkgc qun uok nsplrc`ntrk cestruitlvk ico tnst ercoicglhktkgcr pcsltlvc ns tlh no nhglkbostlic gnh ks`k, tnolnogc uok khtk nspnilflilgkg y uok ekk snoslelhlgkg' 7ungn uskrsn uokprunek ico icrtliclgns trks hk nsplrc`ntrk cestruitlvk ico prunek ercoicglhktkgcrk onbktlvk pkrkgn`cstrkr rnvnrslelhlgkg gn hk cestruiilo ercoqulkh

No hcs pkilnotns ico scspniak iholik gn ks`k y nsplrc`ntrk ocr`kh, sn gnen rnkhl)kr nh nstuglcgn vkrlkelhlgkg gnh funr)k nsplrktcrlk `ol`k 9N0' .ks koc`khks flslchbliks cesnrvkgks no hkspruneks gn fuoilo puh`cokr gn hcs pkilnotns ico ks`k rnfhnko nh prcinsc cestruitlvc gn hkspnqun/ks vks krnks' .ks pruneks qun `lgno hk ikpkilgkg gnh fhuc nsplrktcrlc (!9N& , nhvchu`no nsplrktcrlc `*-l`c no ; snbuogc (3N0& , nh fhuc `*-l`c k `ltkg gn hk nsplrkilo(900N& y nh fhuc nsplrktcrlc `*-l`c (9N0& , vkhcrko hk cestruiilo gn hks vks krnks' h nfnitukrhks pruneks sn kg`lolstrk kh pkilnotn pngl*trlic uo ercoicglhktkgcr pkrk nstkehninr hkrnvnrslelhlgkg gnh trkstcroc cestruitlvc ikrkitnrstlic gnh ks`k' .k vkrlkelhlgkg gnh 9N0 gn #$6kpcyk nh glkbostlic gn ks`k

.k kg`lolstrkilo pcr oneuhl)kilo gn ercoicglhktkgcrns ic`c lscprctnrnoch bnonrkh`notn

prcvcik uo slbolfliktlvc ku`notc gn ikpkilgkg gn fhuc nsplrktcrlc ico rnspnitc k hcs vkhcrns


7/8

ekskhns' 7runeks `*s rnflokgks gn fuoilo puh`cokr pcr `nglc gn phntls`brkfc icrpcrkhùnstrk uo ku`notc gn hk ikpkilgkg puh`cokr tctkh y gn hk rnslstnoilk gn hks vks krnks,`lnotrks ico hk tiolik gn anhlc c oltrbnoc vkhcrko hk glstrleuilo lrrnbuhkr gnh bks qun icèlokgcico nh phntls`brkfc icrpcrkh gnùnstrko ktrkpk`lnotc gn klrn'

Bok prunek gn rntc ercoqulkh ico `ntkichlok c alstk`lok kyugk k icoflr`kr nh glkbostlic gnks`k iukogc hk nsplrc`ntrk ns ocr`kh y uo `krikgcr oc lovkslvc gn hk lofhk`kilo ercoqulkh nsn-akhkilo gn c-lgc otrlic'

"rktk`lnotc

=rktk`lnotc oc fkr`kichblic

Ns l`pcrtkotn nofcikr hcs phkons gn kiilo no hk nguikilo gn pkgrns y ol/cs ico ks`k gkogcic`c rnsuhtkgc `ncrk no hk fuoilo puh`cokr y nh kutc`konc, hcbrk gls`loulr nh kusnotls`cnsichkr, hks vlsltks k urbnoilks y hcs sotc`ks ociturocs'

Boc gn hcs prloilpkhns puotcs pkrk nh trktk`lnotc ns hk òl`k n-pcslilo k lrrltkotns nspniflicsqun gnsnoikgnono hk alpnrrnkitlvlgkg gn hks vks krnks ks`*tliks ic`c pcr nn`phc nh au`c gnhtkekic, chcrns funrtns, gnslofnitkotns, enelgks frks, ihl`ks a`ngcs y ikèlcs erusics gn

tn`pnrkturk'

=rktk`lnotc fkr`kichblic'

Nh prloilpkh centlvc gnh trktk`lnotc ns nh icotrch gnh ks`k y hcs `nglik`notcs pkrk trktkr nh ks`ksn ihkslfliko no+ icotrchkgcrns y gn rnsiktn'7krk nvkhukr nh icotrch ns kgniukgc utlhl)kr uo lostru`notc ic`c nh !unstlcokrlc pkrk nh!cotrch gnh s`k !A'

Nh icotrch gnh ks`k k hkrbc phk)c sn gnen ekskr no uo nsqun`k gn iloic ntkpks c pkscs+;' 7ksc uoc, nh trktk`lnotc gn rnsiktn gn prl`nrk nhniilo ns ico entk"kbcolstk gn kiilo

r*plgk loakhkgcs' 7rnsirlelr entk"kbcolstk gn kiilo r*plgk loakhkgcs k tcgcs hcs pkilnotns

ico sotc`ks gn ks`k lotnr`ltnotn' !ukogc hcs sotc`ks sco `ks frniunotns ns oninskrlcuo icotrchkgcr'

#' 7ksc gcs , utlhl)kilo gn nstnrclgns k gcsls ekks loakhkgc ic`c icotrchkgcr gn prl`nrknhniilo'

Lolilkr nstnrclgn loakhkgc no pkilnotns qun prnsnotno iukhqulnrk gn hc slbulnotn+

N-kinrekilcons gn ks`k no hcs htl`cs gcs k/cs usc gn entk"kbcolstks gn kiilo icrtk `*s gn :vnins kh gk gurkotn uok sn`kok c `*s sotc`ks glurocs `*s gn trns vnins no uok sn`kok cgnspnrtkr ocituroc uok vn) pcr sn`kok' .cs pkilnotns ico ks`k hnvn k `cgnrkgcpungno snr icotrchkgcs kgniukgk`notn ico gcsls ekks k `cgnrkgks gn nstnrclgns loakhkgcs'

.k nglikilo icotrchkgcrk khtnroktlvk loihuyn cglflikgcrns gn hnuictrlnocs, pnrc oc gnenouskrsn ic`c `coctnrkplk y schc sn logliko no pkilnotns ico loikpkilgkg pkrk loakhkr hcs


8/8

Mhuicicrtliclgns, ico nfnitcs ichktnrkhns c ico rloltls khrblik'

:' 7ksc trns, hk prl`nrk nhniilo ns icèlokr nstnrclgns loakhkgcs ico kotlhnuictrlnocs .8snpkrkgcs c uotcs no uo `ls`c loakhkgcr'

7cr nh nfnitc kgltlvc gn hk icèlokilo ns suflilnotn uok gcsls ekk gn nstnrclgns y schc snloirn`notkr* sl oc sn khiko)k nh icotrch ico trns k iuktrc `nsns gn nstn rbl`no'

4' Nh trktk`lnotc no nh pksc iuktrc ns icèlokr uok gcsls `nglk c khtk gn nstnrclgnsloakhkgcs ico uo ercoicglhktkgcr y kotlhniutrlnoc (

6 Asma Bonquial

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