作者是哥伦比亚在读重症监护博士
Kittyusedtoclarifysomethinginourgroup."Youcannotcureasthmabutyoucankeepitundergoodcontrol.Aninhaledcorticosteroidactuallyhasminimalsystemiceffectsandisfirstlimetherapy.Ifyourasthmaisnotintermittent-managedwithoccasionaluseofshort-actingbetaagonist(SABA)suchasalbuterol-thenthenextstepisalowdoseinhaledcorticosteroid(ICS)fordailycontrol,withaSABAasrescue.IfyourasthmacannothecontrolledwithalowdoseICS(requiringfrequentSABArescues),thentheICSdoseisincreased.Whenit’sevenmoreseverethenalong-actingbeta-agonist(LABA)canbeadded.Theclinicalmanagementofasthmaisstep-wiseanddependsonseverityofsymptoms.Torecapthestepsare:1.SABAoccasionally,2.ICSwithSABAforrescue.3.IncreaseICSwithSABAforrescue.4.ICS+LABAwithSABAforrescue.Othermodifierssuchascromolynormontelukastcanbeaddedaswellinvarioussteps.Makesureyourdoctorfullyexplainswhatyourinhaleractuallycontainsandpleasedonotbeblindlyscaredofsteroids."
"Whileyoumayhaveagoodgrasponself-management,otherpeoplemightnot.Chinesepeopleespeciallyhaveanirrationalfearofsteroidsevenwhentheuseisindicatedforaclinicalbenefit.I’dhateforsomeonetoreadyourexchangewithAlexanddecidethattheyortheirchildwillnotusetheinhaler."
Kitty关于群友有哮喘方面的问题进行了解答，并给我们普及了一下医疗方面的知识。英文部分比较难懂，给大家参考一下中文相关的信息。
Kitty用英文总结了第二张图的内容，以下内容来自《哮喘防治袖珍指南—供医疗专业人员使用手册更新版》
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