Avtor/Urednik		Fležar, Matjaž
Naslov		Stopenjska diagnostika bolnikov z blago astmo v ambulanti zdravnika družinske medicine
Prevedeni naslov		Staged dignosis of patients with mild asthma in the family physician's office
Tip		članek
Vir		Med Razgl
Vol. in št.		Letnik 41, št. Suppl 1
Leto izdaje		2002
Obseg		str. 139-41
Jezik		slo
Abstrakt		Diagnosis of mild asthma relies on the patient's history - the physician must inquire about cough, dyspnea, chest tightness, wheezing, nighttime awakenings and exertional symptoms. Unfortunately, a substantial proportion of patients do not perceive their symptoms or even disregard them; therefore, we need to assess the severity of their disease by objective means, spirometry being the first choice. If the resting FEV1 is less than 80% predicted, the disease is no longer defined as mild asthma and more aggressive treatment is needed.
Izvleček		Diagnoza blage astme praviloma temelji na bolnikovi zgodbi - vprašati ga moramo o kašlju, težji sapi, piskanju v prsih, nočnih zbujanjih in simptomih, ki se pojavljajo ob telesnih obremenitvah. Žal pa imamo veliko bolnikov, predvsem otrok, ki nam ne znajo natančno opisati teže in pogostnosti svojih težav in torej z našo definicijo blage astme na podlagi anamneze ne moremo potrditi. Zato je pomembno, da bolnik opravi spirometrijo in po potrebi bronhodilatatorni test, in če so vrednosti FEVl pri spirometriji pod 80% norme, ne gre več za blago astmo in tudi zdravljenje mora biti intenzivnejše.
Deskriptorji		ASTHMA FAMILY PRACTICE SPIROMETRY FORCED EXPIRATORY VOLUME BRONCHIAL PROVOCATION TESTS