Asthma – respiratory diseases of various etiologies, the main sign of which is suffocation. Distinguish between bronchial, cardiac and dyspeptic asthma.
In today’s article, we will consider bronchial asthma, as well as its causes, symptoms, forms, severity, diagnosis, treatment, folk remedies and prevention. And at the end of the article or on the forum we will discuss this disease. So…
What is bronchial asthma?
Bronchial asthma is a chronic inflammatory disease of the respiratory system, the main signs of which are attacks of shortness of breath, cough, and sometimes suffocation.
The term “ἆσθμα” (asthma) from the ancient Greek language literally translates as “shortness of breath” or “panting”. For the first time, records of this disease are found in Homer, Hippocrates
Symptoms of bronchial asthma are manifested as a result of a negative effect on the cells and cellular elements (eosinophils, mast cells, macrophages, dendritic cells, T-lymphocytes, etc.) of the respiratory tract of various pathological factors, such as allergens. Further, the hypersensitivity of the body (cells) to these factors contributes to the narrowing of the airways – the lumen of the bronchi (bronchial obstruction) and the development of an abundant amount of mucus in them, due to which normal air exchange is subsequently disturbed, and the main clinical manifestations are manifested – wheezing, coughing, feeling chest congestion, shortness of breath, difficulty breathing, etc.
Attacks of bronchial asthma are most often activated at night and in the early morning.
The cause of bronchial asthma is a combination of external and internal factors. External factors are allergens (house dust, gas, chemical fumes, odors, dry air, stress, etc.). Internal factors are disorders in the functioning of the immune, endocrine and respiratory systems, which can be either congenital or acquired (for example, hypovitaminosis).
The most common causes of asthma are dust allergies, work in places with sharp chemical odors (household chemicals, perfumes), and smoking.
According to statistics from the World Health Organization (WHO), the number of patients with bronchial asthma is from 4 to 10% of the world’s population. The highest percentage of which are residents of the UK, New Zealand, Cuba, which is due primarily to the local flora, as well as a high concentration of allergens carried to these territories by the air masses of the ocean. In Russia, the percentage of adult morbidity is up to 7%, children – up to 10%.
An increase in asthma has been seen since the mid-1980s. Among the reasons there is a deterioration of the environmental situation – air pollution by oil products, deterioration in the quality of food (GMOs), as well as a sedentary lifestyle.
On the first Tuesday of May, since 1998, WHO established World Asthma Day, which is sponsored by the Global Initiative for Asthma (GINA).
Bronchial asthma. ICD
ICD-10: J45 ICD-9: 493
Causes of bronchial asthma
The causes of bronchial asthma are very diverse, and their number is quite large. However, as already noted, they are all divided into 2 groups – external and internal.
External causes of bronchial asthma
Dust. Household dust contains a large number of different particles and microorganisms – dead skin particles, wool, chemicals, plant pollen , dust mites and their excrement. All these dust particles, especially dust mites, are known allergens that, when they enter the bronchial tree, provoke attacks of bronchial asthma.
Bad environmental conditions. Doctors note that residents of industrial areas, cities where there is a large amount of smoke, exhaust gases, harmful fumes, as well as people living in places with a cold, humid climate, suffer from bronchial asthma more often than residents of villages and places with a dry and warm climate .
Professional activity. An increased percentage of asthma sufferers was noticed among workers in the chemical industry, craftsmen working with building materials (especially plaster, drywall, paint, varnish), workers in poorly ventilated and dirty rooms (offices, warehouses), beauty salon masters (working with nails, painting hair).
Smoking. The systematic inhalation of tobacco smoke, smoking mixtures, leads to the development of pathological changes in the mucous membrane of the respiratory system, which is why smokers often have diseases such as chronic bronchitis, bronchial asthma, and cancer.
Household chemicals and personal care products. Many cleaning and detergents, as well as personal care products (hair spray, toilet water, air freshener) contain chemicals that can develop coughing fits, suffocation, and sometimes asthma.
Respiratory diseases. Diseases such as chronic bronchitis, tracheitis, pneumonia, as well as their pathogens – infection, contribute to the development of inflammatory processes in the mucous membranes and disturbance of the smooth muscle components of the respiratory system, bronchial obstruction.
Medications. Taking certain medications can also disrupt the normal activity of the bronchial column and lead to asthma attacks, especially among such drugs are Aspirin and other drugs from a number of non-steroidal anti-inflammatory (NSAIDs).
Stress. Frequent stressful situations, as well as the inability to overcome and adequately respond to various problems lead to stress. Stresses weaken the immune system, making it harder for the body to cope with allergens and other pathological factors that can lead to the development of bronchial asthma.
Nutrition. It was noted that with good nutrition, mainly food, of plant origin, enriched with vitamins and microelements – fresh fruits, vegetables, juices, food with minimal heat treatment, minimizes the hyperactivity of the body to allergens, thereby reducing the risk of asthma. In addition, such food improves the course of bronchial asthma. At the same time, unhealthy and unhealthy foods, as well as foods rich in animal proteins and fats, refined easily digestible carbohydrates, worsen the clinical course of asthma, and also increase the number of exacerbations of the disease. Asthma attacks can also be caused by food additives, such as sulfites, which are preservatives used by many manufacturers in wine and beer.
Internal causes of bronchial asthma
Hereditary predisposition. If future parents have bronchial asthma, there is a risk of this disease in the child, and it does not matter at what age after his birth. Doctors note that the percentage of asthma diseases with a hereditary factor is about 30-35%. If a hereditary factor is established, such asthma is also called – atopic bronchial asthma .
Violations of the autonomic nervous system (ANS), the immune and endocrine systems.
Symptoms of bronchial asthma
Signs or symptoms of bronchial asthma are often similar to symptoms of bronchitis, vegetative-vascular dystonia (VVD) and other diseases, therefore, we outline the first and main signs of bronchial asthma.
Important! Asthma attacks usually worsen at night and early in the morning.
The first signs of bronchial asthma
- Shortness of breath, especially after exercise;
- Feeling of stuffiness in the chest, suffocation;
- Cough, first dry, then with clear phlegm;
- Rapid shallow breathing, with a feeling of difficulty exhaling;
- Wheezing when breathing, with a whistle;
- Orthopnea (the patient, sitting on the bed or in the chair, holds on tightly to her, legs are lowered to the floor, so it is easier for him to make a full exhalation).
At the first signs of bronchial asthma, it is best to seek medical help, because even if the symptomatology of the disease appears and disappears on its own, each time, this can lead to a complex chronic course with exacerbations. In addition, timely assistance warns against pathological changes in the respiratory tract, which are sometimes almost impossible to turn into a completely healthy state.
The main symptoms of bronchial asthma
- General weakness, malaise;
- Violation of the rhythm of the heart (tachycardia) – the pulse during the disease is in the range up to 90 beats / min., And during an attack, increases to 130 beats / min .;
- Wheezing when breathing, with a whistle;
- Feeling of stuffiness in the chest, suffocation;
- Headache, dizziness;
- Pain in the lower chest (with prolonged seizures)
Symptoms in Severe Disease
- Acrocyanosis and diffuse blueness of the skin;
- Heart enlargement;
- Signs of emphysema are chest enlargement, respiratory depression;
- Pathological changes in the structure of the nail plate – the nails crack;
- The development of minor diseases – dermatitis, eczema, psoriasis, runny nose (rhinitis).
Classification of bronchial asthma
Bronchial asthma is classified as follows:
- exogenous bronchial asthma – asthma attacks are caused by allergens entering the respiratory tract (dust, plant pollen, animal hair, mold, dust mites);
- endogenous bronchial asthma – asthma attacks are caused by internal factors – cold air, infection, stress, physical activity;
- bronchial asthma of mixed genesis – asthma attacks are caused by the simultaneous impact of both external and internal factors on the body.
Each of the degrees has its own characteristics.
Stage 1: Intermittent asthma. Asthma attacks occur no more than 1 time per week, and for a short time. There are even fewer night attacks, no more than 2 times a month. The forced expiratory volume in the first second of the forced expiratory maneuver (FEV1) or peak expiratory flow rate (PSV) is more than 80% of the normal respiration rate. The dispersion of PSV is less than 20%.
Step 2: Mild persistent asthma. Attacks of the disease occur more than 1 time per week, but not more than 1 time per day. Night attacks – 2-3 per month. Exacerbations were identified more clearly – the patient’s sleep is disturbed, physical activity is inhibited. FEV1 or PSV, as in the first degree – more than 80%. Scatter PSV – from 20 to 30%.
Stage 3: Persistent moderate asthma. The patient is followed by almost daily attacks of the disease. There are also more than 1 night attacks per week. The patient has a disturbed sleep, physical activity. FEV1 or PSV – 60-80% of normal breathing, the spread of PSV – 30% or more.
Stage 4: Severe persistent asthma. The patient has daily asthma attacks, night attacks several times a week. Physical activity is limited, accompanied by insomnia. FEV1 or PSV – about 60% of normal breathing, the spread of PSV – 30% or more.
Special forms of bronchial asthma
There are also a number of special forms of bronchial asthma, which differ in clinical and pathological processes in the body. Consider them.
Atopic bronchial asthma. The disease develops against the background of a hereditary factor.
Reflux-induced bronchial asthma. The disease develops against the background of gastroesophageal reflux (GER), or getting into the respiratory tract (lumen of the bronchial tree) of the contents of the stomach. In addition to asthma, getting into the airways of the acidic contents of the stomach sometimes leads to the development of diseases such as bronchitis, pneumonia, pulmonary fibrosis, sleep apnea.
Aspirin bronchial asthma. The disease develops while taking such medications as Aspirin, as well as other drugs from a number of non-steroidal anti-inflammatory (NSAIDs).
Bronchial asthma of physical effort. The disease develops against the background of physical activity, mainly after 5-10 minutes of movement / work. Especially attacks are activated after working in cold air. It is mainly accompanied by a cough, which independently passes through 30-45 minutes.
Occupational asthma. The disease develops due to work in contaminated places, or when working with substances that have a strong chemical smell / vapor.
Nocturnal asthma. This form of asthma is only a definition of nocturnal attacks of the disease. At the moment, the causes of bronchial asthma at night are not fully understood. Among the hypotheses put forward – the lying position of the body, hypothermia, a more active effect on the body of allergens at night.
Cough variant of asthma. It is characterized by a special clinical course of the disease – only cough is present . The remaining symptoms are absent, or present, but minimally. The cough form of bronchial asthma is observed mainly in children. Symptoms usually worsen at night.
Diagnosis of bronchial asthma
Diagnosis of bronchial asthma includes the following examination methods and features:
- Anamnesis and complaints of the patient;
- Physical examination;
- Spirometry (study of the function of external respiration) – FEV1 (forced expiratory volume in 1 second), PSV (peak expiratory flow rate), FVC (forced lung capacity);
- Breathing tests with bronchodilators;
- Investigation for the presence of eosinophils, Charcot-Leiden crystals and Kurshman spirals in sputum (bronchial secretion) and blood;
- Establishment of an allergological status (skin, conjunctival, inhalation and nasal tests, determination of general and specific IgE, allergy-absorbing test);
- X-ray (x-ray) of the chest;
- Computed tomography (CT);
- Electrocardiogram (ECG);
- Daily pH-metry with suspected reflux nature of bronchial asthma;
- Test with an 8 minute run.
Bronchial asthma treatment
How to treat asthma? The treatment of bronchial asthma is a painstaking and lengthy work, which includes the following treatment methods:
- Drug treatment, which includes basic therapy aimed at supporting and anti-inflammatory treatment, as well as symptomatic therapy aimed at stopping the symptoms accompanying asthma;
- Exclusion from the patient’s life of factors of the development of the disease (allergens, etc.);
- General strengthening of the body.
In the treatment of asthma, it is very important not to use only one symptomatic means (briefly alleviating the course of the disease), for example beta-adrenergic agonists (Ventolin, Salbutamol), because the body gets used to them, and over time, the effectiveness of these funds decreases, and sometimes is completely absent, while pathological processes continue to develop, and further treatment, as well as a positive prognosis for a full recovery, are complicated.
1. Medication for asthma. Asthma medicine
Basic therapy of asthma affects the mechanism of the disease, it allows you to control it. Basic treatment drugs include glucocorticosteroids (including inhalation), cromons, leukotriene receptor antagonists and monoclonal antibodies.
Symptomatic therapy allows you to act on the smooth muscles of the bronchial tree, as well as relieve asthma attacks. Symptomatic therapy includes bronchodilators: β2-adrenergic agonists and xanthines.
Consider medications for asthma in more detail …
Basic asthma therapy
Glucocorticosteroids. They are used in the treatment of mild to moderate asthma, as well as the prevention of exacerbations of its course. This series of hormones helps to reduce the migration of eosinophilic and leukocyte cells to the bronchial system when an allergen enters it, which in turn leads to a decrease in pathological processes in the lumen of the bronchi and edema. In addition, glucocorticosteroids slow down the development of the disease. To minimize side effects, glucocorticosteroids are used as an inhalation. With exacerbations of the disease, effectiveness is not found in their application.
Glucocorticosteroids for asthma: “Acolate”, “Singular”.
Antagonists of leukotriene receptors (leukotrienes). They are used for all degrees of severity of asthma, as well as in the treatment of chronic obstructive bronchitis. Effectiveness was observed in the treatment of aspirin bronchial asthma. The principle of action is to block communication between cells that migrate to the bronchial tree when an allergen enters it and mediators of these cells, which actually lead to a narrowing of the bronchial lumen. Thus, swelling and secretion by the walls of the bronchial tree are stopped. The lack of drugs from a number of leukotriene receptor antagonists is the lack of their effectiveness in the treatment of isolated asthma, which is why they are often used in combination with hormonal drugs (glucocorticosteroids), which, by the way, increase the effectiveness of these drugs. Another disadvantage is the high price of these funds.
Antagonists of leukotriene receptors in asthma: zafirlukast (“Akolat”), montelukast (“Singular”), pranlukast.
Cromons. They are used for 1 (intermittent) and 2 (light) stages of the course of bronchial asthma. Gradually, this group of drugs is replaced by inhaled glucocorticosteroids (IHC), because the latter at the lowest dosage have better efficiency and ease of use.
Cromones in asthma: cromolyn sodium (Intal), nedocromil sodium (Tyled).
Monoclonal antibodies. It is used in the treatment of 3 (moderate) and 4 (severe) stages of bronchial asthma, with allergic asthma. The principle of action is the specific effect and blocking of certain cells and their mediators in the disease. The disadvantage is the age limit of 12 years. With exacerbations of the disease is not used.
Monoclonal antibodies for asthma: “Xolar”, “Omalizumab”.
Allergen-specific immunotherapy (ASIT). It is a traditional method of treating exogenous bronchial asthma in patients aged 5 to 50 years. ASIT is based on the translation of the body’s immune response to an allergen from a Th2 type to a Th1 type. In this case, an inhibition of the allergic reaction occurs, hypersensitivity of the tissues of the bronchial lumen to the allergen decreases. The essence of treatment with ASIT is the gradual, with certain intervals of time, the introduction of a small dose of allergens. The dose is gradually increased, thereby developing the resistance of the immune system to possible allergic agents, for example, dust mites, often found in house dust. Among the introduced allergens, the most popular were mites, tree pollen and mushrooms.
Symptomatic treatment of bronchial asthma
β2-adrenergic agonists (beta-adrenergic agonists) short-acting. They are the most effective group of drugs (bronchodilators) to relieve exacerbations and attacks of bronchial asthma, and without limiting the age group of patients. The fastest effect (from 30 to 120 minutes) and with fewer side effects is observed in the inhaled form of beta-adrenergic agonists. It protects well from bronchospasm due to physical activity.
Short-acting β2-adrenergic agonists for asthma: salbutamol (Ventolin, Salamol Steri-Neb), terbutaline (Brikanil), fenoterol (Berotek).
β2-adrenergic agonists (beta-adrenergic agonists) long-acting. They are used to relieve asthma attacks and its exacerbations, as well as their frequency. When using drugs based on the substance salmeterol, for the treatment of asthma with respiratory complications, there have been cases of death. Formoterol-based drugs are safer.
Long-acting β2-adrenergic agonists for asthma: salmeterol (Serevent), formoterol (Oksis, Foradil), indacaterol.
Xanthines. They are used for emergency relief of asthma attacks, but mainly in cases where other drugs are not available, or to enhance the effectiveness of beta-adrenergic agonists. However, β2-adrenergic agonists gradually displace the xanthines that were previously used before them. The effectiveness of the simultaneous use of xanthines, for example, drugs based on theophylline, along with IGCS or SGCS has been noticed. Xanthines are also used to eliminate day and night attacks of asthma, improve lung function, reduce the dosage of hormones in severe asthma in children.
Xanthines for asthma: “Theopec”, “Theotard”, “Theophylline”, “Eufillin”.
Inhalers for asthma
Asthma inhalers are small (pocket) inhalers that can quickly deliver the active drug (asthma) drug to asthma to the right place in the respiratory system. Thus, the tool begins to act on the body as quickly as possible, which in some cases minimizes acute attacks with all the consequences of an attack. Among asthma inhalers, the following drugs can be distinguished:
Inhaled glucocorticosteroids (IGCS): non-halogenated (budesonide (Benacort, Budenite Steri-Neb), cyclesonide (Alvesco)), chlorinated (beclomethasone dipropionate (Becotide, Beclazone Eco), mometasone Auroxate ( ”)), Fluorinated (azmocort, triamcenolone acetonide, flunisolid, fluticasone propionate).
b2-adrenergic agonists : short-acting (Ventolin, Salbutamol), long-acting (Berotek, Serevent).
Anticholinergics: Atrovent, Spiriva.
Cromons: Intal, Tyled.
Combined preparations: Berodual, Seretid, Symbicort. They have a very fast stopping effect of bronchial asthma.
Other medicines for asthma
Expectorant drugs. They contribute to reducing the viscosity of sputum, loosening mucous plugs, as well as removing sputum from the respiratory tract. Efficiency is noted through the use of expectorant drugs through inhalation.
Expectorants: Ambroxol, Codelac Broncho.
Antibacterial agents (antibiotics). They are used in combination with asthma and infectious diseases of the respiratory system (sinusitis, tracheitis, bronchitis, pneumonia). Children under 5 years of age are contraindicated. Antibiotics are selected based on the diagnosis, depending on the type of pathogen.
Among the antibiotics can be noted: “Tetracycline”, “Erythromycin” (with mycoplasma infection), penicillin and cephalosporin (with streptococcal infection).
2. Non-drug treatment of bronchial asthma
Eliminating Asthma Risk Factors
Without a doubt, the elimination of factors contributing to the risk of development, as well as exacerbation of asthma attacks is one of the fundamental stages in the treatment of this disease. The risk factors for the development of bronchial asthma, we have already considered at the beginning of the article, in the paragraph Causes of bronchial asthma “, so here we will only briefly list them.
Factors contributing to the development of asthma: dust (home and outdoor), dust mites, plant pollen, nitrogen oxides (NO, NO2), sulfur oxides (SO2, O3), carbon monoxide (CO), atomic oxygen O, formaldehyde, phenol, benzopyrene , pet hair, smoke from tobacco and smoking mixtures (smoking, including passive), infectious diseases (flu, acute respiratory infections, acute respiratory viral infections, sinusitis), some medications (Aspirin and other NSAIDs), contaminated air conditioning filters, evaporation of household chemicals (cleaning and detergents) and cosmetics (hair spray, perfume), work with building materials (gypsum, drywall, plaster, paint, varnishes), etc.
Speleotherapy and halotherapy
Speleotherapy is a method of treating asthma and other diseases of the respiratory system, based on the patient’s prolonged stay in a room in which the microclimate of natural karst caves is provided, in which there is air containing salts and other minerals that have beneficial effects on the respiratory system.
Halotherapy – in fact, is an analogue of speleotherapy, the only difference is that halotherapy implies treatment with only “salt” air.
In some resorts, as well as in some places of health, there are special rooms that are completely lined with salt. Sessions in salt caves relieve inflammation of the mucous membranes, inactivate pathogens, increase the production of hormones by the endocrine system, decrease the content of immunoglobulins in the body (A, G, E) and much more. All this leads to an increase in the period of remission, and also helps to reduce the dose of drug therapy for asthma.
Diet for asthma
A diet for asthma helps to accelerate the treatment process, and also increases the positive prognosis for the treatment of this disease. In addition, the diet allows you to exclude foods that are highly allergenic from the diet.
What to eat with asthma: fish products, seafood, caviar, fatty meats (poultry, pork), smoked meats, fatty foods, eggs, legumes, nuts, chocolate, honey, tomatoes, tomato-based sauces, yeast foods, citrus fruits (oranges, lemon, tangerines, pomelo, grapefruits), strawberries, raspberries, currants, apricots, peaches, melons, alcohol.
What should be limited in use: bakery products from the highest grades of flour, baking, sugar and salt, dairy products (milk, sour cream, cottage cheese).
What to eat with asthma: cereals (with butter), soups (hateful), chicken, low-fat sausages and sausage (doctor’s), rye bread, bran bread, oatmeal or biscuit cookies, vegetable and fruit salads, fruit drinks, mineral water, tea coffee (if it has caffeine).
Diet – 4-5 times / day, without overeating. It is better to cook food for a couple, but you can cook, stew, bake. Eat only in a warm form.
With minimal heat treatment, food is less likely to lose the supply of vitamins that are contained in food, because many vitamins are destroyed when exposed to boiling water, or simply water. An excellent household appliance is a double boiler, which takes into account many features of dietary nutrition, not only for asthma, but also for many other diseases.
The prognosis for treating bronchial asthma is positive, but in many respects depends on the degree to which the disease is detected, a thorough diagnosis, the patient’s exact fulfillment of all the instructions of the attending physician, and also limitations on factors that can provoke attacks of this disease. The longer the patient independently engages in treatment, the less favorable the prognosis of treatment.
Treatment of bronchial asthma with folk remedies
Important! Before using folk remedies for the treatment of bronchial asthma, be sure to consult your doctor.
Water asthma treatment (method of Dr. Batmanghelidzh). The essence of the treatment is to consume water according to the following scheme: 2 cups 30 minutes before a meal, and 1 cup 2.5 hours after a meal. In addition, water must be drunk throughout the day to quench thirst. Water can be alternated, first salted (½ teaspoon of sea salt per 2 liters of water), then thawed, boiled water cannot be used. Efficiency increases when several crystals of sea salt are placed under the tongue after drinking water, as well as with the additional intake of vitamin complexes. To alleviate the attacks, put a pinch of salt under the tongue, and then drink a glass of water. During treatment, the use of alcoholic and caffeinated drinks is not allowed. Drug treatment is retained.
Ginger. Grate about 4-5 cm of dried ginger root and pour it with cold water. Next, heat the mixture in a water bath until it starts to boil, then cover the mixture with a lid and boil the product for about 20 minutes. Next, set aside the container with the product, with the lid tightly closed, and let it infuse until it cools down. Take a decoction of ginger root in a heated form, 100 ml before a meal. It can also be added to tea.
With severe attacks, you can use ginger juice. To do this, squeeze it out of the fresh ginger root, and add a pinch of salt in 30 g of juice, and drink the remedy. Before going to bed, a mixture of 1 tbsp. Also has a beneficial effect. tablespoons of ginger juice and honey, which can be washed down with herbal tea or warm water.
As inhalations, ginger essential oil can be used.
Oats Sort and clean 500 g of oat grains, then wash them thoroughly and add 2 ml of milk and 500 ml of water to the boiling mixture. Cover the pan with a lid and simmer for 2 hours over low heat. After boiling, you should have about 2 liters of funds left. Next, add 1 teaspoon of honey and 1 teaspoon of butter in 150 ml of broth . You need to drink the drug on an empty stomach, in hot form. You can store the product in the refrigerator. The course of treatment is 1 year or more.
Salt lamp. As already mentioned, a little earlier, in the paragraph “Non-drug treatment of bronchial asthma”, in the fight against this ailment, inhalation of salt air was well established. To do this, you can visit special salt caves. You can also install a salt lamp in the room with the patient, which can be purchased at home goods stores. If you can afford it, you can equip a salt room in your country house, for this you can search the network for schemes, as well as sellers of rock salt. Halotherapy not only contributes to the treatment of asthma, but also many other diseases, and also generally strengthens the body.
Prevention of bronchial asthma
Prevention of bronchial asthma includes the following recommendations:
– Try to choose for your place of residence, and if possible and work place with a clean environmental situation – away from industrial areas, construction sites, large crowds of vehicles;
– Quit smoking (including passive), alcoholic beverages;
– Do wet cleaning in your home and workplace at least 2 times a week;
– Remember, the largest dust collectors, and then nurseries of pathogenic microflora are – natural carpets, down comforters and pillows, air conditioning and vacuum cleaner filters , upholstered furniture fillers. If possible, change the bedding to synthetic, reduce the amount of carpet in the house, do not forget to periodically clean the filters of the air conditioner and vacuum cleaner.
– If the house often collects a large amount of dust, install an air purifier;
– More often ventilate the room in which you live / work;
– Avoid stress, or learn to adequately respond to life’s difficulties and overcome them;
– Try to give preference to food enriched with vitamins and minerals in food ;
– At work with high dust or gas contamination, wear protective masks, and if possible, change it to a less harmful one;
– Think, maybe you should already give up hairspray? Deodorants, by the way, are better to use gel or liquid, but not sprayers;
– Follow the rules of personal hygiene;
– Do you have a favorite pet at home? Cat, dog, rabbit or chinchilla? Fine! But do not forget to look after them. It is better to comb out the faded hair yourself, than your favorite will do throughout the apartment;
– Do not let respiratory illnesses drift;
– Take medications only after consulting a doctor;
– Move more, temper;
– Put a salt lamp in your house, this is a good and an excellent piece of furniture;
– Try to relax at least once a year in ecologically clean places – on the sea, in the mountains, forests.