Do You Ever Have Asthma?

Bronkhiale Asthma is a disease characterized by the presence of airway hyper-reactivity, especially trachea and bronchi to a stimulus. This disease can strike at any age, especially at the age of children and the elderly. When attacks occur mostly at night and early morning.

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The signs and symptoms is the presence of chronic airway inflammation caused by an increase in response to excessive or hiperresponsive of the airway to allergens, which are often associated with airway obstruction extensive and often reversible with or without treatment. Obstruction occurs because of spasm of the muscles of the bronchus, the presence of inflammation of mucous glands, and the presence of excessive mucus production.
As a result of obstruction can lead to symptoms that are episodic and recurrent form of shortness of breath, chest feels heavy, accompanied by a wheezing or breathing high-pitched voice and coughing up phlegm, particularly at night or early morning.
Coughing in people with asthma initially is a symptom, but in the end will be a separate issue from the many existing problems. Some of the problems that often accompany asthma patients bronkhiale is the presence of shortness of breath, airway clearance disturbance, water flow, airway constriction, impaired gas exchange, respiratory muscle dysfunction, and breathing pattern disorders (abnormal breathing pattern) and cough intrinsically interconnected with each other.
Coughing in people with asthma bronkhiale vary greatly, which can be seen from the frequency or frequency of cough. The frequency of cough frequency in patients with asthma bronkhiale influenced by factors as follows:
1). Hiperskeresi bronchus that produces excessive mucus.
2). Accumulation of mucus or seputum due to reduced function of cilia.
3). Low ventilation due to airway obstruction.
4). Decreased endurance.

Management of physiotherapy in patients with asthma bronchiale in hospitals and clinics in physiotherapy is often done by providing intervention with microwave diathermi, drynage postural and breathing exercises.
Microwafe diathermi is a physiotherapy modality using an alternating current with a frequency of 2450 MHz and a wavelength of 12.25 cm. Based on the frequency and wavelength, the microwave diathermi have the ability to penetrate into the tissue ± 3 cm or to reach the muscle tissue. With the application of the approach to the anterior and posterior thoracic wall, the thermal effects of microwave diathermi expected to enhance muscle metabolism, particularly respiratory muscles, increasing local blood circulation, improve tissue elasticity, lower the tone of respiratory muscles and the smooth muscle wall of bronchus through normalization nosisensorik , so as to obtain a relaxing effect on smooth muscle bronchus and respiratory muscles.
Smooth muscle relaxing effect on the bronchus, it is hoped will be changes in the bronchus of the decrease of mechanical stress on the wall of the bronchus and bronchus dilation or widening. By decreasing the mechanical stress on the wall of bronchus it is hoped to reduce hiperskresi mucus and can reduce the frequency of cough. With the onset of dilated bronchus, will give effect to ease the drainage of mucus and reduce shortness of napas.Efek relaxation of respiratory muscles is reduced respiratory muscle tension, increased muscle metabolism, adequate nutrition to the muscles so that the breathing muscles to work optimally and breathing becomes better to generate an adequate pulmonary ventilation.
Postural drainage is a method of clearing the airway by positioning the patient in such a way, and with the influence of gravity, the mucus can be streamed to a larger tract, making it easy to remove. In practice postural drainage is always accompanied by tapotement or clap in order to remove mucus from the airway wall and to induce a cough reflex, cough reflex mucus so as to be more easily removed. If the breathing airway net will be normal and better ventilation. If the airway is clean and in good ventilation will cough frequency menurun.PD

Breathing exercise is a method of breathing exercises are done with a certain type, for a particular purpose and applied in certain circumstances as well. Breathing exercise is meant here is the passive force breathing exercise that is a form of breathing exercise which in practice is often performed in conjunction with postural drynage or conducted in separate sessions, where the end of expiration is given an emphasis to the direction in accordance with the movement of thoracic segments during expiration and the time inspiration pressure fisioterapist removed but the hand remained attached to the segment of the thoracic wall and direct the movement according to the thoracic wall segment motion during inspiration. With this breathing exercise can reduce the residual air and streamline the work of respiratory muscles so that they can improve pulmonary ventilation is decreased in patients with asthma bronkhiale.
if good ventilation will be able to produce an effective cough. If effective, the mucus cough will be easy to be issued, if the airway mucus out so clean, and if clean then airway cough frequency will decrease.