Uncovering the etiology is the key to successful treatment. In the last
10-15 years in domestic scientific medicine there has been a loss of interest
in the study of the etiology and pathogenesis of bronchial asthma, there is a
massive introduction of practical proposals, to a greater extent associated
with the growing opportunities and prospects of pharmaceutical companies. But
the frequency of the disease continues to increase.
The concept approved by the author of the role of fungi of the genus Candida in the activation of the inflammatory process in the bronchial tree with a progressive course and the restructuring of the immunological response from Th-1-helper to Th-2-pathological, followed by the formation of atopy , is most realistic in explaining allergic ( antibody-mediated ) reactions with asthma attacks .
The author’s reference to the increase among the population of cases of candidiasis and at the same time bronchial asthma in the era of active use of broad-spectrum antibiotics is an indisputable fact. In our own observations from 1958 to 1975, we noted that among 907 patients with chronic pneumonia, 14 had candidal lesions of the lungs. A feature of the disease in half of them was the presence of a pronounced asthmatic syndrome, including 2 diagnosed with bronchial asthma, some had urticaria, skin vasculitis. Two years ago, we presented a description of a patient with bronchial asthma with a fatal outcome from candidal pneumonia and infective endocarditis of candidal etiology. The author’s concept is relevant, it focuses on new approaches in the examination, diagnosis and treatment of patients with bronchial asthma.
Asthmatics and Allergy sufferers in Russia
Almost half of the country’s population, 40 percent, suffer from
allergies and asthma. At the level of the Ministry of Health and the
government, it is necessary to solve the problem, reconsider the needs. 3.333
thousand people die from asthma every year. And these figures are only in 2007
– now this figure is much higher. But the deaths of many, many people could
have been prevented if they received timely and decent treatment. In addition,
medicines in hospitals are chronically lacking.
Asthma for many begins with a common allergic rhinitis. They try to treat him in the usual ways without going to the doctor. And then it’s too late. The range of allergens is expanding: if at the beginning of the disease, allergy was observed only to plant pollen, then after a few years, they were joined by house dust, animal hair, and much more that surrounds us. Then a severe flu, SARS or a cold . And here’s a finished asthmatic for you. Official pulmonology estimates that 10% of adults and 15% of children suffer from asthma. And this means that in Russia there are about 10-15 million asthmatics alone. And when the question is raised about the free provision of medicines to this army of patients, it becomes clear that this is just a bluff. So at the current growth rate of asthma and allergies in the world (every 10 years the incidence doubles ), Russian healthcare is waiting ugly prospects.
Statistics are taken from open sources.