Morning we’re going to tell about it he’ll combine with us tonight for motorola’s needed milk as start with information of the presentator press on this and we’re going to give an introduction of this something burning about milk as mental mind therapy so we can say that milk ad which can be well controlled either with reliever medications such as short-acting beta-2
Agonists or condo service used all alone as needed or with low dose in or liquid air receptor antagonist uses as maintenance coach other medication kirstin approximately 50 to 75 percent of patients with asthma symptoms may not necessarily be burdensome but airway information is usually process patients with asthma remain at risk for severe xserve asians and asthma
Attacks government guidelines recommend that most items and offices with after use regular daily low dose inhaled with corticoids as maintenance treatment to reduce airway inflammation symptoms and the risk of servation there’s video explains in the pathology of aspirin in a healthy person respiration occurs as air goes in through the nose or the mouth to the
Pharynx and the larry’s from there it goes to the trachea that branches into bronchi and bronchioles then to round sacs called alveoli where gas exchange takes place in a person suffering from asthma the airways become inflamed and swollen and the muscle burns surrounding them constrict this prevents the movement of air to and from the alveoli there are two different
Ways in which asthma can affect health there is intrinsic or not combine them using combined therapy or the reasons of using combined therapy includes appearance as medication in help of quarters as maintainer therapy they use of only savas or seem to believe and increase of years of service is associated with higher this is your patient risk you can say pros and
Cons of this topic we can see the proxy that they use of a combination of avoiding excessive of use beta-2 agonist that complicate as serve asians reducing the dose of each medication to prevent adverse events and better adherence of medication for the patients there’s also tons cause include those benefits of each medication may vary because of socio-economical
Status the tanners therapy has no benefit over the use of only google corticoids there’s a possibility of lowered aaronson treatment in the meantime there’s media that first of all other risk factors to the asthma my name is john palms i’m a physician scientist at the university california san francisco and also at the university of california berkeley school of
Public health asthma is a classic gene-by-environment disease and there are multiple environmental risk factors in addition to heredity that can influence risk of asthma and risk of exacerbations of asthma and this slide shows many of those in the far left corner you see individual characteristics like age sex race and genes and then around to the right various
Exposures such as tobacco smoke outdoor and indoor air pollution infection to give some recommendations of treatment there’s also explains benefits of the studies other people made this is jeffrey drazen for the new england journal of medicine approximately half of patients with asthma have mild disease of these patients some are treated with short-acting beta
Agonists which we call saba’s only when they have asthma symptoms while others are treated with inhale glucocorticoids which we call ics every day without regard to asthma symptoms is there another approach to treatment of these patients the sigma-1 trial was designed to compare the number of well controlled asthma weeks a composite measure of asthma burden among
Various regimens used to treat mild asthma trial and rold just under 4,000 patients with mild asthma were randomized to one of three inhaled treatment arms twice daily placebo plus as needed saba which we call as needed sabah twice daily placebo plus s needed ics and a long-acting beta agonist in a single inhaler which we call hesitated combination or twice daily
Ics plus an as-needed saba which we call ics maintenance after a year of treatment a percentage of well controlled asthma weeks was 34.4% for a sedated combination as compared with 31.1% or as needed and 44.4% for ics maintenance the as needed combination was superior to as needed sabah but inferior to ics maintenance we can refer as a nation emperor of course
Is in ecuador exceeds the amount of people who are using the hailer with only one component of the combination or it’s 7 or corticoids and that order high population use the combined therapy which is more beneficial according to the size and most of this problem is related to the utterance of treatment socio-economical sales and the other factory is related to
Repetitive allergic process and make their treatment incomplete we can conclude with restarting the buddhist own id and formoterol use as needed was superior to those saba consider that terbutaline uses us needed both for asthma symptoms control and for reducing the risk of asthma exacerbations among patients with physician assess milk aspirin for more food as an
Id for model units as well as in future but as i maintain this therapy with regard to electronically recorded wakes with well controlled asthma but was similar to adenosine i’d maintenance therapy reducing their risk of asthma exacerbations a substantially lower total glucocorticoid though in and without the need for adherence to twice daily maintaining therapy its cap
Transcribed from video
Inhaled Combined Budesonide Formoterol in Needed in Mild Asthma By Freddy Vera Solis
