Asthma is a condition in which the airway narrows and air flow is restricted, and presented with attacks of shortness of breath, wheezing, feeling compressed chest, and accompanying cough. It is considered to affect around 300 millions of people in the world.
Personal and environmental factors play role in occurrence of asthma. Personal factors include genetic (atopy and bronchial hyperresponsiveness), gender and obesity. Environmental factors include indoor and outdoor allergens (pollens, house dust mites, fungus, and cockroach), infections, occupational sensitizers, smoking, air pollution, reflux, and diet.
Diagnosis of asthma is primarily based on history of the patient; they describe wheezing typically in attacks and increasing during night time, cough, shortness of breath, and feeling of compressed chest. Sometimes the disease is only presented with persistent cough, and only occurs during exercising. The most important characteristic of asthma is that complaints are recurrent. Other parameters that we use for diagnostic evaluations are respiratory function tests, PETmeter measuring that can be easily monitored at home, bronchial provocation test, and simple exercises for children.
For effective treatment of patients with asthma, the patient and the doctor need to cooperate. It is critical that a treatment suitable to the patient is selected; the patient monitors his/her symptoms of asthma; and the drug compliance is ensured. The aim of the treatment is to repair the airway obstruction as quick as possible, and prevent attack recurrences. Severe attacks, especially in patient at risk, can be treated under supervision and hospital conditions. Our center follows asthma monitoring program with national and international diagnosis and treatment guidelines.