First, what is asthma and how to manifest it?
Asmul is a chronic inflammatory disease, manifested by "spasm" of bronchial smooth muscle, mucosal edema and hypersecretion of mucus. All this translates clinically by cough, mostly at night, feeling of pressure in the chest and breathlessness. Because of excessive industrialization, asthma is a disease with an increase in prevalence, especially in developed countries. Statistics show that 1% of pregnant women have asthma. Lack of asthma control can endanger the fetus's hipooxigenarea. As you know, asthma is a chronic disease that does not heal but it can be controlled, achieving asthma control is anti-asthma therapy target.
What is the evolution of asthma in pregnancy?
Evolution of asthma during pregnancy is unpredictable: one third of pregnant women showed an improvement of asthma, one third stationeazaiar third worsen during pregnancy. If asthma is deteriorating, worsening levels occur between the weeks 24-36, rarely an asthma attack can occur at birth, induced by medication use. Pregnant should have an asthma control plan, drawn up with your gynecologist or a pulmonologist, during pregnancy can alter sensitivity to certain triggers, so there must be a "partnership" ge pregnant obstetrician-pulmonary-to successfully complete this task. Triggerii symptoms of asthma in pregnancy are like outside of pregnancy but with a special sensitivity in pregnant women: virozele respiratory, sinusitis, cigarette smoke, exercising strenuously, astmosferice changes, "hay fever" with exacerbation of allergic rhinitis and asthma, reflux gastro-oesophageal reflux (manifested by "burning", heartburn).
At the same medication can call in pregnancy to treat this disease?
Unfortunately, there often during pregnancy tend to give any medication to not affect fatul.Acest is not true asthma control medication for asthma discontinuation may precipitate an asthma attack with negative consequences for the fetus : hipooxigenare, but fetal hypotrophy and maternal distress: preeclampsia, high blood pressure. Sometimes lack of oxygen to the fetus in a severe crisis uncontrolled asthma may lead to fetal loss.
Medications include pregnant asthmatic medication "contoller" - long-term control of the disease - and "crisis" that requires only adminisreaza when worsens symptoms. Pregnant women should not fear the medication "controller" that is "gold-standard 'asthma medication: inhaled corticosteroids. Whether it budesonide or beclomethasone for, their administration by inhalation, in the lowest dose that provides asthma control is rule based, with minimal systemic absorption and thus no harm to the fetus. Sometimes, in severe cases or when the asthma deteriorated, requires a combination of inhalation: long-acting beta2 addition to inhaled corticosteroids.
Therapy "crisis" is given when needed and is represented by beta2 agonists with short-acting (salbutamol, albuterol, etc.).
On the other therapies that are administered in allergic asthma, nasal decongestants on antialergicelor and not enough safety studies in pregnancy, so will avoid long-term use of epinephrine, which can cause fetal risk, aspirin and NSAIDs should be avoided more especially during advanced pregnancy. Heartburn is common during pregnancy, it can counter and by raising the head of the bed during sleep, avoid eating two hours before bedtime, avoiding copious meals, and to avoid prolonged use of antacids with magnesium and bicarbonate.
Influenza vaccination benefit, for a respiratory virus can trigger an asthma attack, is indicated in the 2nd and 3rd trimester of pregnancy, there are few safety data in the first quarter.
How relevant is the family medical history?
In this case we can say that both genetic predisposition are required as well as living conditions / environment. The fact that in the last 20 years the incidence of asthma has increased dramatically, without a concomitant significant change in gene reveals important role of the environment. Statistics say that 63% of families where both parents have asthma, at least one child will have asthma, compared with 28% of families where no parent does not suffer from this condition. Gene inheritance of asthma does not necessarily develop asthma. Thus, genetics is only one piece of a puzzle where there is exposure to allergens from the environment but is relevant and lifestyle.