g******a
发帖数: 63 | 1 我儿子现在6个月大，刚回国有一周。
他在美国出生4周的时候得过细支气管炎bronchiolitis住院过，之后定期访问过哮喘专
家，每次都说没有问题。
这次回国可能是因为两地的温度差异出现感冒症状，带他去看医生说他得了
“哮喘”。我对细支气管炎和哮喘没有太大了解，但知道这两个是不同的呼吸道疾病，
而且对于婴儿这两个疾病很难分辨。我在怀疑是不是在国内对细支气管炎和哮喘的分别
不是很明确，视为同样的疾病？ 两周前在美国看哮喘专家时说没有哮喘，感冒突然能
发展到哮喘吗？
带患有哮喘的妈妈们应该注意什么？求有经验的妈妈分享对此方面的经验&知识。
准备在国内购买加湿器和空气净化器。有能推荐的品牌吗？ 多谢帮忙！ | az
发帖数: 16686 | 2 我见的医生都说不分，都叫哮喘，只要有哮鸣音了，就叫哮喘，治疗方案一样 | g******a
发帖数: 63 | 3
您好！ 您见的医生是国内的医生吗？ 我在怀疑美国是对细支气管炎和哮喘有明确的分
别，但国内的医生都通称为哮喘。
【在 az 的大作中提到】
: 我见的医生都说不分，都叫哮喘，只要有哮鸣音了，就叫哮喘，治疗方案一样
| w******y
发帖数: 4871 | 4 Chapter 11: the infant and toddler with wheezing.
AuthorsRobison RG, et al. Show all Journal
Allergy Asthma Proc. 2012 May-Jun;33 Suppl 1:S36-8. doi: 10.2500/aap.2012.33
.3543.
Affiliation
Division of Allergy-Immunology, Department of Medicine, Northwestern
University Feinberg School of Medicine, Chicago, Illinois, USA.
Abstract
Recurrent wheezing is common in young infants and toddlers with 27% of all
children having at least one wheezing episode by the age of 9 years. The
initial wheezing episodes in young children often are linked to respiratory
infections due to viral pathogens such as respiratory syncytial virus,
rhinovirus, human metapneumovirus, and influenza virus. Bacterial
colonization of the neonatal airway also may be significant in the late
development of recurrent wheeze and asthma. Some 60% of children who wheeze
in the first 3 years of life will have resolution of wheezing by age 6 years
("transient early wheezers"). Children who are "transient early wheezers"
have reduced lung function, which remains low at age 6 years, although
wheezing has ceased when compared with children who have never wheezed. In
contrast, "nonatopic wheezers" represent 20% of wheezing toddlers <3 years
of age. These children have more frequent symptoms during the 1st year of
life and may continue to wheeze through childhood, but, typically, episodes
become less frequent by early adolescence. Lung function in "nonatopic
wheezers" is slightly lower than in control subjects from birth to 11 years
of age, but they do not have bronchial hyperreactivity on methacholine
challenge. The third phenotype refers to "atopic wheezing" or wheezing
associated with IgE sensitization. This phenotype accounts for the last 20%
of wheezing children <3 years of age. These "atopic wheezers" have normal
lung function in infancy; however, lung function is reduced by age 6 years
and bronchial hyperreactivity typically is observed. | w******y
发帖数: 4871 | 5 治疗上一般都会用到inhaled albuterol , inhaled steroid。
Respiratory syncytial virus and asthma: speed-dating or long-term
relationship?
Authors
Piedimonte G.
Journal
Curr Opin Pediatr. 2013 Jun;25(3):344-9. doi: 10.1097/MOP.0b013e328360bd2e.
Affiliation
The Cleveland Clinic Pediatric Institute and Children's Hospital, Cleveland,
Ohio, USA.
Abstract
PURPOSE OF REVIEW: Respiratory syncytial virus (RSV) is the most common
respiratory pathogen in infants and young children worldwide. Furthermore,
epidemiological evidence has been accumulating that RSV lower respiratory
tract infection in infants may be linked to subsequent development of
recurrent wheezing and asthma in childhood. This article reviews the
epidemiological evidence linking RSV and asthma and some new hypotheses of
the cellular and molecular mechanisms of postviral airway inflammation and
hyperreactivity that have been proposed to explain the epidemiological link.
RECENT FINDINGS: New epidemiological studies have suggested that viral
pathogens other than RSV, especially human rhinoviruses (HRV), may play an
important role in the inception of atopic asthma. Also, recent experimental
evidence is challenging the widely accepted axiom that RSV is cleared from
immunocompetent hosts within weeks from the onset of the infection. In
particular, bone marrow stromal cells may be a frequent target of human RSV
infection, develop structural and functional changes when infected,
participate actively in the pathogenesis of the acute disease, and harbor
the virus chronically, allowing persistence of the infection.
SUMMARY: RSV - and possibly other common respiratory pathogens - play an
important role not only in the exacerbation, but also in the inception of
asthma. The latter effect may involve the persistence of latent virus in
extrapulmonary tissues, similar to what has been recently found for some
bacterial species. The most immediate consequence of these discoveries is
that future prophylactic and therapeutic strategies for common infections
caused by viral or bacterial pathogens may have to address the coverage of
remote sites of latent persistence or replication, in order to avoid chronic
sequelae-recurrent wheezing and asthma.
【在 g******a 的大作中提到】
:
: 您好！ 您见的医生是国内的医生吗？ 我在怀疑美国是对细支气管炎和哮喘有明确的分
: 别，但国内的医生都通称为哮喘。
| h********y
发帖数: 3778 | 6 治疗起来估计没什么区别。听到wheezing以后反正都是那一套，上albuteral
inhaler什么的。 | g******2
发帖数: 501 | 7 国内哪里呢？ 国内的空气质量太差。 听说有的大人回北京也支气管炎了。 | az
发帖数: 16686 | 8 美国医生。。。我的理解跟你相反，国内一般把哮喘定义的比较严格，美国这边只要啸
鸣音就是哮喘了。。。
【在 g******a 的大作中提到】
:
: 您好！ 您见的医生是国内的医生吗？ 我在怀疑美国是对细支气管炎和哮喘有明确的分
: 别，但国内的医生都通称为哮喘。
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