{"id":8037,"date":"2021-04-15T12:58:15","date_gmt":"2021-04-15T09:58:15","guid":{"rendered":"https:\/\/www.filha.fi\/?page_id=8037"},"modified":"2024-01-09T13:33:06","modified_gmt":"2024-01-09T11:33:06","slug":"astman-oireet-ja-diagnoosi","status":"publish","type":"page","link":"https:\/\/www.filha.fi\/en\/astman-oireet-ja-diagnoosi\/","title":{"rendered":"Astman oireet ja diagnoosi"},"content":{"rendered":"<h3><strong>Astman tyyppioireita <\/strong><\/h3>\n<ul>\n<li>Hengityksen vinkuna uloshengityksess\u00e4<\/li>\n<li>Pitkittynyt ysk\u00e4<\/li>\n<li>Y\u00f6ysk\u00e4<\/li>\n<li>Rasituksen siedon lasku<\/li>\n<\/ul>\n<p>Astmaoireet voivat my\u00f6s olla ep\u00e4tyypillisi\u00e4, kuten rintakipua tai rasitukseen liittyv\u00e4\u00e4 v\u00e4symist\u00e4.<\/p>\n<p>Joskus astma on l\u00e4hes oireeton, sill\u00e4 ihminen voi kompensoida hengitt\u00e4misen hankaluutta esimerkiksi lopettamalla liikkumisen.<\/p>\n<h3><strong>Astman pahenemiseen tai puhkeamiseen vaikuttavia tekij\u00f6it\u00e4<\/strong><\/h3>\n<p>Eri asiat voivat laukaista astman puhkeamisen tai pahenemisen, mutta geneettinen alttius on usein pohjalla.<\/p>\n<p>Triggereit\u00e4 ovat esimerkiksi<\/p>\n<ul>\n<li>el\u00e4inp\u00f6lyt<\/li>\n<li>siitep\u00f6lyt<\/li>\n<li>infektiot<\/li>\n<li>kylm\u00e4 ilma<\/li>\n<li>stressi<\/li>\n<li>hajusteet<\/li>\n<li>saasteet<\/li>\n<li>l\u00e4\u00e4kkeet<\/li>\n<\/ul>\n<p>Triggerit vaihtelevat ihmiskohtaisesti ja samalla ihmisell\u00e4 voi olla monta triggeri\u00e4.<\/p>\n<h3><strong>Diagnoosin teko<\/strong><\/h3>\n<ul>\n<li>tehd\u00e4\u00e4n perusterveydenhuollossa<\/li>\n<li>spirometria bronkodilaattorilla<\/li>\n<li>2 viikon diagnostinen PEF-seuranta keuhkoputket avaavalla l\u00e4\u00e4kkeell\u00e4<\/li>\n<li>kortisonihoitokoe<\/li>\n<li>erikoissairaanhoidon kokeet<\/li>\n<\/ul>\n<p><strong>Diagnoosia mietitt\u00e4ess\u00e4 huomioitavaa<\/strong><\/p>\n<ul>\n<li>Oireet sopivat astmaan.<\/li>\n<li>Anamneesin t\u00e4rkeys: suku, allergiat, atopia, allerginen nuha.<\/li>\n<li>Oireilu on aaltoilevaa, joten statuksessa ei v\u00e4ltt\u00e4m\u00e4tt\u00e4 l\u00f6ydy mit\u00e4\u00e4n.<\/li>\n<li>Hengityksen vinkuna uloshengityksess\u00e4, kuuntele aina voimistettu hengitys!<\/li>\n<li>Diagnoosin teko on t\u00e4rke\u00e4\u00e4 l\u00e4\u00e4kkeiden erityiskorvattavuuden vuoksi, joka my\u00f6nnet\u00e4\u00e4n 6 kk s\u00e4\u00e4nn\u00f6llisen l\u00e4\u00e4kek\u00e4yt\u00f6n j\u00e4lkeen (Kela voi tarkistaa ostot).<\/li>\n<li>Jos potilaan vointi on huono, hoito tulee kuitenkin aloittaa, eiv\u00e4tk\u00e4 tutkimukset saa viiv\u00e4stytt\u00e4\u00e4 sit\u00e4.<\/li>\n<\/ul>\n<p>Jos kyseess\u00e4 on 70-vuotias mies, joka polttanut tupakkaa 50 vuotta ja tulee pitkittyneen ysk\u00e4n vuoksi vastaanotolle, on todenn\u00e4k\u00f6isemmin kyse COPD:sta, vaikka keuhkoputkissa olisikin avautumista spirometriassa. Steroidihoitokokeilu voi t\u00e4ll\u00f6in auttaa diagnostiikassa.<\/p>\n<p>Potilaan vointi ensin: inhalaatiol\u00e4\u00e4kkeit\u00e4 ei kannata pel\u00e4t\u00e4 tai niiden m\u00e4\u00e4r\u00e4\u00e4misess\u00e4 kitsastella, jos niist\u00e4 vaan on apua.<\/p>\n<p><strong>Muuta huomioitavaa<\/strong><\/p>\n<ul>\n<li>Astmaa sairastavalla on usein nen\u00e4oireita, hoida my\u00f6s ne.<\/li>\n<li>Nen\u00e4n tukkoisuus, polyypit ym. heikent\u00e4v\u00e4t astman hoitotasapainoa.<\/li>\n<li>Allergiat kuuluu my\u00f6s selvitt\u00e4\u00e4 ja allergiat hoitaa. Tarvittaessa aloitetaan sied\u00e4tyshoito.<\/li>\n<li>Diagnoosin varmistuessa tulee antaa omahoito-ohjeet.<\/li>\n<li>Erotusdiagnostiikassa tarvitaan keuhkor\u00f6ntgenkuva ja nen\u00e4n sivuonteloiden r\u00f6ntgenkuva.<\/li>\n<li>Puutu tupakointiin ja tue lopettamista.<\/li>\n<li>Liikunta ja fyysinen kunto on t\u00e4rke\u00e4\u00e4. Kannattaa opetella hengenahdistuksen ja heng\u00e4stymisen ero.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Astman tyyppioireita Hengityksen vinkuna uloshengityksess\u00e4 Pitkittynyt ysk\u00e4 Y\u00f6ysk\u00e4 Rasituksen siedon lasku Astmaoireet voivat my\u00f6s olla ep\u00e4tyypillisi\u00e4, kuten rintakipua tai rasitukseen liittyv\u00e4\u00e4 v\u00e4symist\u00e4. Joskus astma on l\u00e4hes oireeton, sill\u00e4 ihminen voi &#8230; <a title=\"Astman oireet ja diagnoosi\" class=\"read-more\" href=\"https:\/\/www.filha.fi\/en\/astman-oireet-ja-diagnoosi\/\" aria-label=\"Read more about Astman oireet ja diagnoosi\">Read more<\/a><\/p>\n","protected":false},"author":4,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"categories":[4,74,47,73],"class_list":["post-8037","page","type-page","status-publish","category-astma","category-miia","category-tuula","category-tuuli"],"translation":{"provider":"WPGlobus","version":"3.0.2","language":"en","enabled_languages":["fi","en"],"languages":{"fi":{"title":true,"content":true,"excerpt":false},"en":{"title":false,"content":false,"excerpt":false}}},"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Astman oireet ja diagnoosi - 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