哮喘常识须知.PDFVIP

哮喘常識須知 許漢琳醫生 兒科專科醫生 常見氣管問題: • 鼻敏感 • 氣管敏感 • 哮喘 流行病學研究顯示 大部份哮喘病人同時患有鼻敏感 • 約八成的哮喘病人同時患有鼻敏感 鼻敏感 鼻敏感 + 哮喘 哮喘 Adapted from The Workshop Expert Panel. Management of Allergic Rhinitis and its Impact on Asthma (ARIA) Pocket Guide. A Pocket Guide for Physicians and Nurses. 2001; Bousquet J and the ARIA Workshop Group J Allergy Clin Immunol 2001;108(5):S147-S334; Sibbald B, Rink E Thorax 1991;46:895-901; Leynaert B et al Am J Respir Crit Care Med 2000;162:1391-1396. SGA 2001-W-6472-SS 哮喘與鼻敏感共同的敏感原: • NSAIDs (e.g.亞士匹靈) • 室內的敏感原 - 塵蹣 - 動物 – 昆蟲 (e.g., 蟑螂敏感原) – 香煙 • 室外的敏感原 – 花粉 , 霉 Adapted from National Institutes of Health Global Initiative for Asthma: Global Strategy for Asthma Management and Prevention: A Pocket Guide for Physicians and Nurses. Publication No. 95-3659B. Bethesda, MD: National Institutes of Health, 1998; Workshop Expert Panel Management of Allergic Rhinitis and its Impact on Asthma (ARIA) Pocket Guide. A Pocket Guide for Physicians and Nurses. 2001. 呼吸系統結構圖 哮喘與鼻敏感同屬一條氣管的炎病 • Asthma /哮喘 – 刺激物引致氣管長期發炎, 形成氣管阻塞 及阻隔氣流 • Allergic rhinitis / 鼻敏感 – 由 IgE-引起的炎病,敏感原刺激鼻膜而引 起鼻敏感徵兆 Adapted from National Institutes of Health Global Initiative for Asthma: Global Strategy for Asthma Management and Prevention: A Pocket Guide for Physicians and Nurses. Publication No. 95-3659B. Bethesda, MD: National Institutes of Health, 1998; Bousquet J et al J Allergy Clin Immunol Suppl 2001;108(5):S148-S149. 鼻與肺在哮喘和鼻敏感的相互影響 鼻 白三烯素阻斷劑/ 支氣管 Leukotriene- antagonist Antihistamines / 吸入式類固醇