4.1.5.Cytokine and Chemokine in inflammation: Many multifunctional cytokines are present in exocytosis of mast cells which play important roles in late- phase inflammatory response. The mast cell is a source of cytokines such as IL-1, -2, -4, -5, -6, TNF-α (85). IL-1 functions to grow T-helper cells and B cells with its proliferation whereas IL-2 influences the proliferation of T lymphocytes and activation of B lymphocytes. IL-4 helps to differentiate B lymphocytes into plasma cells secret IgE. With TNF-α, IL-4 regulates the expression of both high- and low-affinity IgE receptor on antigen presenting cells. IL-5 activates B lymphocytes and helps in the differentiation of eosinophils, and IL-6 causes B lymphocytes to increase the synthesis and…
The recurrence and severity of attacks are influenced by several triggers, of which exposure to tobacco smoke and viral illnesses are the most frequently identify factors. Other respiratory exposure are air pollution, allergens, dust, cold air, exercise, perfumes, or medicines may contribute to asthma attacks. Autonomic and inflammatory mediators especially arachidonic acid derivate such as leukotrienes play important roles. Mild episodic asthma is well managed with the intermittent use of short-acting inhaled beta 2 agonists, such as albuterol. Patients with more severe disease or frequent exacerbation rely on medication to control the disease, such as inhale corticosteroids.…
During an acute exacerbation of asthma, allergens are inhaled and attach to IgE molecules that are bound to the outside of mast cells in the airways (Douglas and Elward 2010). IgE molecules are a type of antibody that are secreted by B lymphocytes in response to allergens (Douglas and Elward 2010; Holgate and Douglass 2010). Once the allergens have attached to the IgE molecules on the mast cells, the mast cell then secretes histamine, prostaglandin D2 and leukotriene C4 (Bradding et al. 2006). These are chemical mediators which can induce bronchoconstriction, excess mucus secretion and mucosal oedema (Bledsoe et al. 2004;…
This is due to the constriction of the airways from an exaggerated response to triggers that lead to “episodes of wheezing, chest tightness, dyspnea and coughing” (Rogers 2010). Asthma can start at any age. Atopic asthma, in most cases starts in childhood, and is often related to an inherited predisposition to identifiable…
Inflammation is the body’s way of signaling to leukocytes and other signal molecules to rush to the site of injury or disease to begin fighting it to prevent it from damaging tissue. The leukocytes fight whatever pathogens are present and the signaling molecules initiate the process of tissue repair. After this is complete, the body inhibits the inflammatory response to prevent it from…
These medications block the acetylcholine that regulates bronchoconstriction, mucus production, and inflammation and relax the smooth muscles of the airway and dilate them open to decrease shortness of breath and improve work of breathing. The effects of these medications usually last three to six hours. The short acting beta agonist have a five to fifteen minute onset of action and works on the beta 2 receptor sites to relax the airways. The short acting antimuscarinic drugs have a thirty to forty minute onset of action and target the muscarinic receptor sites in the lungs. There are also long-acting bronchodilators that work in the same fashion as the short acting medications but last at least twelve hours.…
Asthma affects a lot of people in this world from children, Adults, and elderly; some have a hard time adjusting because there’s so many things you have to be cautious about. Diseases that affect the airway can be very challenging and difficult to live with, especially for children because they have to have to be very careful not to do anything to trigger their asthma. How Asthma is Trigger People today are living with asthma and will probably never know because they never had any signs or symptoms to occur until something triggers their…
Asthma Asthma is a respiratory tract disease characterized by spasms of the airway tube that can affect individuals. According to Huether and McCance (2012) well over 34 million adult and children were diagnosed with asthma by health care providers. Although, it is more prevalent during childhood. The purpose of this paper is to discuss the pathophysiology of chronic and acute asthma disorders, implications of genetics on Asthma, as well as diagnosis and treatment. Pathophysiology of Chronic Asthma Asthma is a chronic inflammatory disorder of the airways that is characterized by intermittent period of acute airflow obstruction (Kennedy 2006).…
"Effect of 1-year Smoking Cessation on Airway Inflammation in COPD and Asymptomatic Smokers. " European Respiratory Journal. N.p., Nov. 2005. Web.…
In fact, asthma symptoms could last his whole life, but it could be less or more severe at different points in his life. Then, his parents had to spend many nights in the hospital and were always aware of signs of an asthma attack. Moreover, they were always worried about what activities were safe for him and how many days of school he was missing. In the beginning of our interview, I also asked my uncle how asthma has impacted his life.…
Asthma is a disease that affects your lungs. Your air passages inflame and it causes a temporary narrowing of the airways that carry oxygen to your lungs. An asthma attack is a sudden worsening of asthma symptoms caused by the tightening of muscles around your airways. During the asthma attack, the lining of the airways also becomes swollen or inflamed and thicker mucus is produced.…
Symptoms Childhood asthma: In children during asthma the lungs and airways becomes easily irritated when have contact with some certain triggers for instance inhaling pollen or any kinds of respiratory infection. Asthma in children can cause troublesome daily symptoms that inhibit with play, school, sport and their sleep. in some cases, unmanaged asthma can cause asthma attacks.…
As the attack progresses the pulse rate and wheezing increases causing chest pains, anxiety and confusion. In extreme cases, they could experience total respiratory failure, even death may occur. It is estimated that 20 % of persons who had survived an extremely severe asthma attack would meet the criteria for a PTSD diagnoses (Chung, Wall, 2013). Treatment possibilities…
1. Discuss the pathophysiology of asthma. Asthma occurs when a patient’s airway becomes narrow, swells and produces excess mucus. The patients’ breathing becomes labored and causes shortness of breath, wheezing, and coughing.…
In the case of asthma, there are different symptoms that are usually linked to asthma, but the most common symptoms of asthma include shortness of breath, chest tightness, wheezing, and coughing. A person suffering from asthma may experience all of these symptoms on some days, only some of these, or no symptoms at all on other days. Wheezing is a sound likened to squeaking or whistling, and one might experience this sound when air moves through their bronchial tubes that have been narrowed. Coughing may be experienced at night or early mornings while chest tightness may be experienced any time of the day or night (Adeniyi, Awopeju & Erhabor,…