I******t 发帖数: 1619 | 1 帮国内的一个哥们问一下:
他母亲哮喘,原因是过敏,但是过敏原不明,发作就会引起支气管炎,在北京协和治疗
过,回老家就有复发。求问在美国有什么更好的治疗方案。
如果我提供的信息不够,请指示,我再问他,多谢! |
f****o 发帖数: 2770 | |
I******t 发帖数: 1619 | |
k******e 发帖数: 8870 | 4 过敏原不明可不可以查过敏原呀?有可能是对老家的某些东西过敏。查到了就尽可能不
接触那东西。话说我最近几个月也过敏,上周去别的城市办事竟然好了,但一回这边又
犯了。
【在 I******t 的大作中提到】 : 帮国内的一个哥们问一下: : 他母亲哮喘,原因是过敏,但是过敏原不明,发作就会引起支气管炎,在北京协和治疗 : 过,回老家就有复发。求问在美国有什么更好的治疗方案。 : 如果我提供的信息不够,请指示,我再问他,多谢!
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l*h 发帖数: 4124 | 5 the term 哮喘 is used too loosely in China. it can be very different from
asthma in the U.S.
回老家就有复发
it could be just a chronic bronchitis. when you leave the hospital, you have
active infection again. some patients also pick up some more resistant
bacterial strains while in hospital.
【在 I******t 的大作中提到】 : 帮国内的一个哥们问一下: : 他母亲哮喘,原因是过敏,但是过敏原不明,发作就会引起支气管炎,在北京协和治疗 : 过,回老家就有复发。求问在美国有什么更好的治疗方案。 : 如果我提供的信息不够,请指示,我再问他,多谢!
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I******t 发帖数: 1619 | 6 北京朝阳医院给的治疗方案是沙美特罗替卡松粉吸入剂+桉柠蒎肠溶软胶囊+孟鲁司特钠
各位有什么好的建议吗?多谢! |
I******t 发帖数: 1619 | |
f****o 发帖数: 2770 | 8 沙美特罗替卡松粉吸入剂+孟鲁司特钠 is a reasonable plan if he really has
asthma
does she have breathing difficulty when having symptoms?
does she have albuterol inhaler on hand? |
l*h 发帖数: 4124 | 9 "发作就会引起支气管炎"
if this is the case, I don't think asthma is the right diagnosis. the actual
scenario is very likely that infection at early stage causes asthma like
symptoms mistaken as asthma, but infection is only noticed a short while
later.
【在 I******t 的大作中提到】 : 北京朝阳医院给的治疗方案是沙美特罗替卡松粉吸入剂+桉柠蒎肠溶软胶囊+孟鲁司特钠 : 各位有什么好的建议吗?多谢!
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I******t 发帖数: 1619 | 10 update:
朋友说,他母亲现在憋气严重,在当地医院检查,发现主要对化学试剂,油烟,烟雾过
敏,诊断是过敏+哮喘,在北京朝阳医院的治疗方案如上,在北京治的差不多了,回家
又发作,不知道有没有 albuterol inhaler。
我建议他带母亲去北京确诊然后对症治疗,各位不管有什么方面的建议,都请不吝赐教! |
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l*h 发帖数: 4124 | 11 "朋友说,他母亲现在憋气严重,在当地医院检查,发现主要对化学试剂,油烟,烟雾
过敏,诊断是过敏+哮喘,"
this is a very odd "diagnosis" based on very odd reasoning and lack of basic
understanding of diseases.
教!
【在 I******t 的大作中提到】 : update: : 朋友说,他母亲现在憋气严重,在当地医院检查,发现主要对化学试剂,油烟,烟雾过 : 敏,诊断是过敏+哮喘,在北京朝阳医院的治疗方案如上,在北京治的差不多了,回家 : 又发作,不知道有没有 albuterol inhaler。 : 我建议他带母亲去北京确诊然后对症治疗,各位不管有什么方面的建议,都请不吝赐教!
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I******t 发帖数: 1619 | 12 医生,怎么讲?请赐教!
我朋友他很着急,怕养成肺气肿。。。
basic
【在 l*h 的大作中提到】 : "朋友说,他母亲现在憋气严重,在当地医院检查,发现主要对化学试剂,油烟,烟雾 : 过敏,诊断是过敏+哮喘," : this is a very odd "diagnosis" based on very odd reasoning and lack of basic : understanding of diseases. : : 教!
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l*h 发帖数: 4124 | 13 as you said, "发作就会引起支气管炎", if this is true, the primary disease
should be diagnosed as chronic bronchitis. in most chronic bronchitis
patients, cold air, cigarettes and fog/smog etc. all can cause severe
exacerbation. this looks similar to asthma. in practice, it is not necessary
to say whether there is also asthma because the treatment of this part is
the same. in theory, if you want to distinguish, in simple asthma, the
thickness of bronchi returns to normal very fast after asthma attack, while
in chronic bronchitis, the thickness of bronchi reduces but usually doesn't
completely return to normal after treatment.
for chronic bronchitis, in addition to dilation of bronchi, treatment should
also emphasize prevention and early treatment of infection, as well as
avoiding all exacerbating factors (including cessation of smoking / avoiding
contact with cigarette smoke from other people).
【在 I******t 的大作中提到】 : 医生,怎么讲?请赐教! : 我朋友他很着急,怕养成肺气肿。。。 : : basic
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l*h 发帖数: 4124 | 14 these drugs are ok. but she seems to have infection most of the time that
makes these drugs not as effective as they should be.
【在 I******t 的大作中提到】 : 北京朝阳医院给的治疗方案是沙美特罗替卡松粉吸入剂+桉柠蒎肠溶软胶囊+孟鲁司特钠 : 各位有什么好的建议吗?多谢!
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I******t 发帖数: 1619 | 15 更新:朋友母亲最近确诊肺腺癌晚期,另起一帖求助! |