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How Best to Manage Your AsthmaMedical scientists now believe that asthma is characterized by chronic inflammation and is active even when you have no symptoms. As a result of the continuous airway inflammation, irritants such as air pollutants or allergens produce, from time to time, medical consequences for the asthmatic.(1) Many mechanisms cause asthma and they are not well understood. For practical reasons, we distinguish asthma associated with allergies from those for which allergy plays a less prominent role. Regardless of the cause, asthma is a disease that needs to be continually managed. The best way to do this is to pursue treatment through both drugs and non-pharmacologic therapies. The primary goal of therapy is to reduce airway inflammation overall and manage flare-ups. Even though asthma is a disease of intricate physiology and genetics, it is clear that the environment — the setting in which it occurs — is very important. In the United States, data show that the patient's economic and social circumstances(2) and the medical support system available to the patient(3) are important factors affecting disability and death. An educated patient is important to managing asthma successfully. The National Institutes of Health developed for doctors and patients Guidelines for the Diagnosis and Management of Asthma.(4) The guidelines emphasize that though asthma is a chronic disease, the asthmatic's understanding of their environment and prescribed regimen is central to successful management of their disease. Self Management Strategies
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