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Asthama is the most troublesome of the
respiratory disease. It is characerised by variable
obstruction of the airpassage, resulting in wheezing. But
by no means every wheeze in childhood is
asthma. Wheezy bronchitis, for instance, can be easily
mistaken for asthma. Many children are prone to
wheezy bronchitis in the early years, but
outgrow this as they mature.
Bronchial asthma can occur at any age from infancy to
over 90 years. It has,however, been estimated that it
occurs in about 10 per cent of children and five per cent
of adults. About one-half of the cases develop before the
age of 10 years. In childhood, boys suffering from this
disease outnumber girls by 2:1.Symptoms
The child
suffering from asthma appear to be struggling for breath.
Actually, they have more trouble in exhaling than
inhaling because the air passage of the small bronchi
become clogged and constricted with mucus, thus making it
difficult for the patient to breathe out. All asthamatics
have more difficulty in the night, especially when
asleep.
In case of asthma in children, there are recurrent
attacks of cough and wheezing, accompanied occassionally
by fever and breathlessness. Breath-lessness in case of
child-patient does not come in the form of paroxysmal
attack. The child with asthma is likely to be thin. The
chest expands poorly and may be deformed, and expiratory
bronchi is heard in the lungs. The child tends to be
over-dependant and lacking in self-confidence. He may
tend to worry more than most children and become
interested in his own reactions and fears. One of the
reasons may be a fear in him that his breathing will
stop, perhaps while he is asleep.
Causes
Asthama is caused
by variety of factors. For many children, it is an
allergic condition resulting from the reaction of the
system to the weather, food drugs, perfumes and other
irritants which vary with different children. Allergy to
dust is most common. Some children are sensitive to the
various forms of dust like cotton dust, wheat dust, and
paper dust, some pollens, animal hair, fungi and insects,
especially cockroaches. Foods which generally cause
allergic reactions are wheat, eggs, milk, chocolates,
beans, potato, meat and fish.
Asthama may also result from the abnormal body chemistry
involving the systems enzymes or a defect in
muscular action within the lungs. Quite often, however,
asthma is precipitated by a combination of allergic and
non-allergic factors, including emotional tension, air
pollution, infections and hereditary factors. It has been
estimated that when both parents have asthma or has
fever, in 75 to 100 per cent cases, the offspring also
has allergic reactions.
Treatment
The natural way to
treat asthma consists of stimulating the functioning of
slack excretory organs, adopting appropriate diet
patterns to eliminate morbid matter and reconstruct the
body.
Mud-packs applied to the abdomen will relieve the
fermentation caused by undigested food and will promote
intestinal peristolysis. Wet packs should be applied to
the chest to relieve the congestion of the lungs and
strengthen them. The grown-up children should be
encouraged to perspire through steam bath, hot hip bath,
hot foot bath and sun bath. This will stimulate the skin
and relieve congested lungs. The procedure for these
baths have been explained in the Appendix.,
No one should be allowed to smoke in the childs
bedroom and no member of the family should smoke in the
house,as the tobacco smoke in the atmosphere can harm the
asthmatic children. Emotional upsets at home should be
avoided as they make the asthmatic child worse. And above
a,, the parents should always remain cool and calm when
their children get attacks of asthama.
Diet plays an important role in the treatment of asthma.
Ideally, the diet of child patient should contain a
limited quantity of carbohydrates, fats and proteins
which are acid forming foods, and a liberal quantity of
alkaline foods consisting of fresh fruits, green
vegetables and germinated gram. Foods which tend to
produce phelgm such as rice, sugar, lentils and curd and
also fried and other difficult-to-digest foods should be
restricted. The last meal should preferably be taken at
least two hours before going to bed.
Children with asthma should be encouraged to eat less
than their capacity, eat slowly and chew their food
properly. They should drink six to either glasses of
water a day, but should avoid taking water or any liquid
with meals. Spices, chilies and pickles, too much tea and
coffee should also be avoided.
Honey is considered beneficial in the treatment of
asthma. It is said that if a jug of honey is held under
the nose of an asthma patient and he inhales the air that
comes into contact with the honey, the breathing becomes
easier and deeper. The effect lasts for about an hour or
so. Honey usually brings relief whether the air flowing
over it is inhaled or whether it is eaten or taken either
in milk or water.
Turmeric is regarded as an effective remedy for bronchial
asthma. The child-patient should be given half a teaspoon
of turmeric powder with half a glass of milk two or three
times daily. It acts best when taken on an empty stomach.
The use of garlic has also been found beneficial in the
treatment of asthma. One clove of garlic boiled in 15 ml.
of milk can be given daily as an effective medicine to
the child-patient in the early stages of asthma.
During the attack, mustard oil mixed with little camphor
should be massaged over the back of the chest. This will
loosen up the phelgm and ease breathing.
Prevention
Parents who suffer
from some kind of allergy should take special precaution
for their children. Breast-fed infants have much less
chances of getting allergic to certain things than
bottle- fed babies. It is believed that the major cause
of allergy in children lies in feeding babies foods such
as cereals, meat, corns, whole milk , etc. before they
reach the age of 10 to 12 months. These foods cause
allergic reactions as babies lack the proper enzymes
needed for their digestion before that age. Babies should
be breast-fed for atleast eight months as this is
natures way of providing all the required nutrients
during this period.
Other precautions considered necessary for preventing
asthma in children are boiling milk before giving,
delaying of inclusion in the daily diet foods which
commonly cause allergy such as egg, whest, fish, and
coco, keeping children in environment free from dust, air
pollution and damp climate, keeping away pet animals from
the house and adopting all possible measures to protect
children against bacterial and viral infections.
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