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bronchial-asthma - Female Bronchial Asthma Dr Muhammad El...

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Female Bronchial Asthma Dr Muhammad El Hennawy Ob/gyn specialist Rass el barr central hospital and dumyat specialised hospital Dumyatt – EGYPT www.geocities.com/mmhennawy
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Diseases of chest COLD----Chronic obstructive lung disease reversible (bronchial asthma ) Irreversible (chronic bronchitis – chronic obstructive emphysema) Reversible and irreversible — asthmatic bronchitis SLD (supurative lung diseases) Bilateral ---bronchiectasis --- infected systemic lung Unilateral- --lung abscess --- empyema Syndrome of multiple negative – pleural thickning, Pleural effusion ,lung fibrosis
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Definition Of Asthma It is reversible chronic obstructive lung disease , characterized by recurrent episodes of wheezing, chest tightness, and coughing alternating with periods of relatively normal breathing. . Asthma symptoms can occur spontaneously or may be triggered by allergens, environmental factors, exercise, cold air, infections, and stress.
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there is strong evidence that estrogen and progesterone may actually improve lung function and asthma Progesterone has been shown to suppress the immune system and so in that sense it's protective or helpful. It may reduce the increased inflammation that's occurring. both progesterone and estrogen have been found to reduce constriction of the airways and relax the bronchial smooth muscle in the airways
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Asthma premenstrual menestrual OCPs pregnancy menopause HRT delivery Breast feeding
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hormone levels are lower during the premenstrual and menstrual phases--asthmatics have been found to experience an increase Oral contraceptives , which really dampen and smooth out these fluctuations in hormone levels, have been found to improve pulmonary function in some women as well. women move through and into the menopausa l period because at this time estrogen, progesterone also rapidly decrease -- experience an increase hormone replacement therapy in asthmatic menopausal women have better pulmonary function and less pulmonary obstruction but the increased risk of asthma to HRT on the basis of an observational study in healthy menopausal women
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Menstruation and asthma Asthma is more common in boys than in girls before puberty, but then girls "catch up," suggesting a possible hormonal influence initiating the onset of asthma at menarche asthma symptoms can begin to worsen from three to seven days before the onset of menses(premenstrual asthma), and can last until the bleeding ceases (menestrual asthma) half of cases the woman's attack struck within four days of the start of her menstrual period. one-third of women think their symptoms are worse just before or during menstruation.
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Contraceptive pills and asthma Oral contraceptives , which really dampen and smooth out these fluctuations in hormone levels, have been found to improve pulmonary function in some women as well Some women who use birth control pills may have greater difficulty controlling their asthma.
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