Parents of asthmatic children should know that asthma is not a taboo disease or a debilitating disease and let them know that their child should lead a family, school, social and sporting life like any other child. Only one condition is that he must follow his doctor’s recommendations and treatment correctly and regularly. The best medication for asthma is a Symbicort inhaler.
For this, parents – and, gradually, the child – must have a good understanding of asthma, the goals of prescribed treatments and the importance of regular drug intake.
Follow the prescribed treatment scrupulously
Asthma is a chronic disease with unpredictable seizures: the best way to avoid them is to carefully follow the treatment prescribed by his doctor, explaining the difference between treatment and treatment of the crisis.
The behavior of the parents
The parents’ behavior largely depends on the acceptance of the disease, the adhesion or the negligence, and even the abandonment of the treatment by the child.
A flow meter at home
To follow the evolution of the child’s asthma, it is useful to have a Peak-Flow, or flowmeter, which the doctor has prescribed at home. It is a small, simple device used to measure peak expiratory flow at any time to determine the degree of obstruction of the child’s bronchi. An abacus gives the norms according to the child’s age, size and sex.
For more objectivity on the day of the consultation, it may be interesting to record in a notebook the measurements of the peak flow, as well as
2. At school:
Individualized reception project
Knowing that the average child spends 35 to 40 hours a week at school, and sometimes more, we understand the importance and the difficulties of observing asthma treatments in public or private schools.
The new Individualized Reception Project (PAI), a ministerial circular (Circular No. 99181 of 10 November 1999), should facilitate the integration of sick children into the school. It is therefore crucial that the regulatory and organizational material obstacles find their solutions and that parents, institutions, attending physicians, and school doctors combine their efforts to better monitor treatment at school.
For more USA health department guide lines, read this https://www.nhlbi.nih.gov/health-topics/asthma-management-guidelines-2020-updates
An order for acute crisis care
The mother of the asthmatic child must inform the teacher or asthma teacher of his child and ask the attending physician to make two prescriptions for him. The first contains:
- The usual daily treatment.
- Specifying the doses.
- The schedules of the catch and the route of administration of the products.
The second prescription proposes an emergency care protocol in the event of an acute crisis, specifying the measures to be taken and the actions to take, the medications to be administered and any useful information to the emergency doctor.
To this end, the IPA clarifies that “these exceptional and emergency-related cases must lead adults in the school community to make every effort to ensure that injectable treatment can be administered. While waiting for help to arrive, the emergency care protocol must strictly define them”. These orders are intended for the national education doctor, to whom they can be addressed directly by the attending physician, to respect medical confidentiality as well as possible.
It is obvious that each time the attending physician changes the basic treatment, a new prescription is sent to the school doctor.
The texts also specify that parents must become aware that they are and remain responsible for their children. Parents should ensure that their child has a bronchodilator permanently on them whenever they need it.
Sport is good for a child with asthma. It is known that the anatomy of the respiratory system in children continues its formation until 7 to 8 years. Physical activity allows a harmonious development and normal growth in the smallest asthmatics; later, it makes it possible to avoid and fight against the thickening of the bronchi. Thus their shrinkage is related to chronic inflammation and, consequently, delays the appearance of dyspnea of effort or, at some, the appearance of post-exercise asthma.
Asthmatic Child Should Not play Following Sports
Children with asthma should not play the following sports, they are very dangerous to them.
Two sports are to be avoided by children with asthma:
- Scuba diving with a bottle.
- Including among old asthmatics.
- Riding is a relative contraindication.
Horse hair is extremely allergenic, so it is not recommended for children with allergic asthma who risk sensitization.
The choice of a sport for asthmatic children depends on their tastes, their possibilities and the intensity of exercise-induced asthma, or exercise asthma, also called post-exercise asthma, triggered in school often at the end of a lap or endurance race (800-1000 meters), which usually occurs 5 to 10 minutes after cessation of the effort in the form of coughing or shortness of breath with whistling. Stress asthma is short-lived and is easily prevented by pre-warming and by taking an inhaled bronchodilator or chromone.
Swimming is the most recommended sport for asthmatics, without allergic rhinitis or atopic dermatitis (eczema), with certain precautions (avoid getting cold, drying hair …). Team sports, ball games and sequential games giving the player some respite are well tolerated by asthmatics.
Indoor sports (confinement, dust, air conditioning, etc.) can interfere with allergic asthmatics.
Improved tolerance to effort
In sports, the mother and the asthmatic child must know that tolerance to the effort the physical activity backs the appearance of dyspnea of effort in the long term and remains the best preventive treatment for asthma chronic.
The occurrence of exercise asthma should not prevent the practice of a sport; on the contrary, physical activity, the training with the effort improves the tolerance of the asthmatic to the effort. At the insistence of the child who uses this alibi to escape school sports activities, the famous exemption for the endurance test must not be requested by the parents to the attending physician.
To worried parents, it is worth recalling many politicians, artists, musicians, and writers who have lived with their asthma, as well as famous athletes, Olympic champions and world record holders in their category despite their asthma.