STUDENT: AMANDA ZAMBRANO
Hello today i’m going to talk about serious asthma events with fluticasone plus of material vs fluticasone alone definition asthma is a common long-term inflammatory disease of the airways of the lungs it is character aside by variable and recurrent symptoms reversible airflow obstruction and bronchospasm symptoms include episodes of wheezing coughing chest tightness
And shortness of breath air or oxygen is taken in through the mouth and nose it then passes through the trachea to the bronchi asthma is a condition where the airways become irritated and inflamed the bronch e are large tubes which are found in the lungs air flows through these tubes the brontë branch and narrow intertubes called bronchioles the bronchioles continue
To branch and end with tiny air sacs called alveoli in healthy lungs oxygen is taken into the body through the brawn key and passes into the blood via the alveoli if you have an asthma attack you may start wheezing your chest may feel tight and you may be breathless the ma application in medicine asthma is the result of chronic inflammation of the conducted son of
The airways most especially the blankie underground kelly’s which subsequently results in increased constructability of the surrounded a smooth muscles typically changes in the airways include and increasing your signal fields and thickening of the lamina reticularis chronically the airways smooth muscle may increase in size along with an increase in the numbers
Of mucous glands and also other cell types involved include the langford cedestri macrophage and neutrophils 15 year old chris is having a severe asthma attack his immune system has made what could be a fatal mistake and is shutting down his airways without help from the medical team chris’s body may shut down completely the breathing tubes and chris’s chest are
Squeezing tightly shut and filling sticky mucus blocking his vital oxygen supply if he’s not treated soon he will die he’s a really life-threatening episode of asthma that’s was pretty common in our community and most of the time it’s not this life-threatening but this one is quite serious chris’s allergic reaction has tricked his immune system into shutting down
His airways blocking vital oxygen to the rest of his body curses many environmental factors have been associated with asthma development and exacerbation including allergens air pollution and other environmental chemicals better blocker medications such as propanolol and can trigger asthma and also yoga and gasping the strongest risk factor for developing asthma
Is historic of atopic disease such as dermatitis renee ds and asthma that was pretty sure she’s here today along with dr. jeff gales chief of the division of pulmonary care medicine in virginia hospital thank you both and what i love about this is so many people suffer from asthma breathing difficulties and we’ve traditionally treated them with certain medications
Trying to keep symptoms under control but this is groundbreaking what you’re doing yes so the technique is called bronchial thermoplasty it’s a procedure based technique for asthma severe asthmatic patients that have the disease and remain symptomatic despite using data medications so these are patients who their airways constantly are closing up on them patricia
You know this feeling you feel like you’re going to die i know it well can’t get air wheezing and you know you’re putting heat into though that bronchial airway right with radiofrequency waves what is that exactly doing to their so this gentle heat therapy causes regression of the smooth muscle and that smooth muscle is what constricts and asthma attack what we’re
Seeing is a video showing a small tube being placed through the windpipe into the lower airways a catheter is being advanced and the basket is is touching the walls of the airway applying the gentle heat therapy which leads to the regression of the airway muscle and once again that muscle is what constricts the airways during an asthma typically how many treatments
Do you do it’s a series of three sessions each scheduled about three weeks apart sal material and fluticasone sal material is responsible for a stimulation of beta 2 receptors in the land that causes relaxation of bronchial smooth muscle the spread of sink bronco dilatation therapy increasing bronchial airflow this guy inhibit bronchoconstriction produced by
Histamine meta cooling and exercise fluticasone is a corticosteroid that block allergic response to allergens life face inhibit the release of mediators of inflammation a tener mucho secretion reducing bronchial hyperresponsiveness and asthma exacerbations neither of these two drugs are using acute attacks because its effects are slow to be clinically detectable
I get to the water can’t breathe when you try to really don’t work you feel like like you wish you could don’t be playing outside people feel like they thought someone’s squeezing their chest like an elephant is sitting on them where they can’t get there and they can’t get air out you have a good day or bad do whatever it’s just hits you you gavin morning trying
To put a pillow in your face push it is it’s horrible you feel you feel desperate because you can breathe in five percent of the time i have ever taken because of the air is what i’m breathing there’s making me sick i know it’s essentially ashes in an ashtray you know we’re breathing these particles down into our bodies 11 americans die every day from an asthma
Attack and that’s something that we can prevent conclusion in a study of 11.6 29 patients 34 patients were in the fluticasone some material group and 33 patients on in the flood tickets and group the patients that received combination of symmetrel fluticasone asthma exacerbation events did not have a significantly higher risk than in the fluticasone group asthma
Is a respiratory condition that prevents normal air flow from outside to the alveoli of the lungs during normal respiration when we inhale air goes in through the nose to the upper airways then it moves through the trachea or windpipe the trachea branches into two large tubes called bronchi then inside the lungs bronchi branch into smaller air pipes called bronchiole
I finally from bronchiole i air moves inside tiny air sacs called alveoli so that gas exchange can take place oxygen moves inside the blood while some carbon dioxide diffuses in the opposite direction from the blood into the alveoli in people with asthma a flow of air is restricted due to narrowing of bronchi and bronchioles bronchospasm due to asthma is caused
By three factors constriction of smooth muscles around bronchi and bronchioles swelling of cells in airways due to chronic inflammation production of extra mucus due to inflammation and asthma triggers these three factors cause the airways of asthmatics to narrow and swell to some degrees these factors can be present in people with asthma all the time during an
Asthma attack the degree of bronchoconstriction is even higher as a result asthmatic suffer from coughing wheezing whistling or rattling sounds in the chest chest tightness and difficulty breathing thank you for listening
Transcribed from video
ASTHMA WITH FLUTICASONE AND SALMETEROL VS FLUTICASONE ALONE By Amanda Zambrano
