{"id":11692,"date":"2020-06-30T04:53:55","date_gmt":"2020-06-30T02:53:55","guid":{"rendered":"http:\/\/news-papers.eu\/?p=11692"},"modified":"2020-06-21T15:57:50","modified_gmt":"2020-06-21T13:57:50","slug":"therapie-von-leichtem-und-mittelschwerem-asthma-bei-erwachsenen","status":"publish","type":"post","link":"https:\/\/news-papers.eu\/?p=11692","title":{"rendered":"Therapie von leichtem und mittelschwerem Asthma bei Erwachsenen"},"content":{"rendered":"<p><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" data-attachment-id=\"4972\" data-permalink=\"https:\/\/news-papers.eu\/?attachment_id=4972\" data-orig-file=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/06\/Lunge-e1496415746440.jpg?fit=300%2C200&amp;ssl=1\" data-orig-size=\"300,200\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Lunge\" data-image-description=\"\" data-image-caption=\"\" data-large-file=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/06\/Lunge-e1496415746440.jpg?fit=1024%2C682&amp;ssl=1\" class=\"size-medium wp-image-4972 alignright\" src=\"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/06\/Lunge.jpg?resize=300%2C200\" alt=\"\" width=\"300\" height=\"200\" \/>Im <strong>Deutschen \u00c4rzteblatt<\/strong> ist ein interessanter Artikel zum Asthmatherapie erschienen:<\/p>\n<div class=\"page\" title=\"Page 1\">\n<div class=\"section\">\n<div class=\"layoutArea\">\n<div class=\"column\">\n<blockquote>\n<p style=\"text-align: justify;\"><strong>Lommatzsch M, Buhl R, Korn S: The treatment of mild and moderate asthma in adults. Dtsch Arztebl Int 2020; 117: 434\u201344. DOI: 10.3238\/arztebl.2020.0434 (<a href=\"https:\/\/www.aerzteblatt.de\/archiv\/214399\/Therapie-von-leichtem-und-mittelschwerem-Asthma-bei-Erwachsenen\" target=\"_blank\" rel=\"noopener noreferrer\">PDF<\/a>)<\/strong><\/p>\n<\/blockquote>\n<\/div>\n<p style=\"text-align: justify;\"><strong>Hier heisst es:<\/strong> &#8222;Therapieziel ist das Erreichen einer bestm\u00f6glichen Asthma-Kontrolle und eine Minimierung des Exazerbations- und Mortalit\u00e4tsrisikos, eines Lungenfunktionsverlustes und von Medikamentennebenwirkungen. Hierzu dienen nichtmedikament\u00f6se (wie Schulungen, sportliche Aktivit\u00e4t, Rauchentw\u00f6hnung und Rehabilitation) und medikament\u00f6se Ma\u00dfnahmen. Die medikament\u00f6se Therapie basiert auf inhalativen Steroiden (ICS) und Bronchodilatatoren. Bei leichtem Asthma wird eine reine Bedarfstherapie mit Fixkombinationen aus ICS und Formoterol oder mit kurzwirksamen Bronchodilatatoren empfohlen. Bei mittelschwerem Asthma wird eine inhalative Dauertherapie mit Fixkombinationen aus ICS in unterschiedlicher Dosis und langwirksamen Betamimetika empfohlen, eventuell erg\u00e4nzt um langwirksame Anticholinergika. Eine Allergen-Immuntherapie (Hyposensibilisierung) sollte erwogen werden, sofern die allergische Komponente der asthmatischen Beschwerden gut dokumentiert ist und kein unkontrolliertes Asthma vorliegt. Die Asthma-Kontrolle sollte in regelm\u00e4\u00dfigen Abst\u00e4nden \u00fcberpr\u00fcft und die Therapie entsprechend angepasst werden.&#8220;<\/p>\n<div class=\"column\">\n<p>Viel Spass beim Lesen !<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Im Deutschen \u00c4rzteblatt ist ein interessanter Artikel zum Asthmatherapie erschienen: Lommatzsch M, Buhl R, Korn S: The treatment of mild and moderate asthma in adults. Dtsch Arztebl Int 2020; 117: [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":4972,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"__cvm_playback_settings":[],"__cvm_video_id":"","jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"_wpas_customize_per_network":false},"categories":[1090],"tags":[1129],"class_list":["post-11692","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-dyspnoe","tag-asthma"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/06\/Lunge-e1496415746440.jpg?fit=300%2C200&ssl=1","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p7fR2g-32A","jetpack-related-posts":[{"id":6992,"url":"https:\/\/news-papers.eu\/?p=6992","url_meta":{"origin":11692,"position":0},"title":"Soziale Unterschiede bei den\u00a0Notarztdiagnosen &#8222;Herzinfarkt&#8220; &#038; &#8222;Schlaganfall&#8220;","author":"Michael Bernhard","date":"Mai 29, 2018","format":false,"excerpt":"Eine retrospektive Studie wurde die 16.767 Notarzteins\u00e4tze der Stadt Bochum von 2014 und 2015 untersucht. Dabei fanden die Kollegen soziale Unterschiede bei den Notarztdiagnosen Herzinfarkt und Schlaganfall: Hanefeld C et al., Soziale Unterschiede bei den\u00a0Notarztdiagnosen Herzinfarkt und Schlaganfall.\u00a0Eine sozialr\u00e4umliche Analyse in einer deutschen Gro\u00dfstadt.\u00a0Dtsch Arztebl Int 2018; 115: 41\u20138. DOI:\u2026","rel":"","context":"In &quot;Kardiovaskul\u00e4rer Notfall&quot;","block_context":{"text":"Kardiovaskul\u00e4rer Notfall","link":"https:\/\/news-papers.eu\/?cat=1079"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2018\/04\/ADAC_HUbschrauber-300x200.jpg?resize=350%2C200","width":350,"height":200},"classes":[]},{"id":5641,"url":"https:\/\/news-papers.eu\/?p=5641","url_meta":{"origin":11692,"position":1},"title":"(Notfall-)Therapie von Erkrankungen in der Schwangerschaft","author":"Michael Bernhard","date":"Oktober 31, 2017","format":false,"excerpt":"Einen \u00dcberblick \u00fcber die Therapie von Asthma\u00a0bronchiale, Hypo- und Hyperthyreose, Migr\u00e4ne und\u00a0Varicosis in der Schwangerschaft wurden gerade von Michael Bolz und Kollegen im Deutschen \u00c4rzteblatt zusammengestellt: Bolz M et al.\u00a0Begleiterkrankungen in der\u00a0Schwangerschaft. Dtsch Arztebl Int 2017; 114: 616\u2013626 (PDF) In diesem Artikel werden die Basistherapie und die Besonderheiten bei den\u2026","rel":"","context":"In &quot;Geburtshilfliche und gyn\u00e4kologische Notf\u00e4lle&quot;","block_context":{"text":"Geburtshilfliche und gyn\u00e4kologische Notf\u00e4lle","link":"https:\/\/news-papers.eu\/?cat=197"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/05\/Schwanger.jpg?fit=817%2C648&ssl=1&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/05\/Schwanger.jpg?fit=817%2C648&ssl=1&resize=350%2C200 1x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/05\/Schwanger.jpg?fit=817%2C648&ssl=1&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/05\/Schwanger.jpg?fit=817%2C648&ssl=1&resize=700%2C400 2x"},"classes":[]},{"id":16409,"url":"https:\/\/news-papers.eu\/?p=16409","url_meta":{"origin":11692,"position":2},"title":"Asthma und COPD &#8211; Ein Update","author":"Michael Bernhard","date":"Dezember 27, 2022","format":false,"excerpt":"Ein wirklich spannendes Update zu Asthma und COPD haben Hanisch et al. in An\u00e4sthesiologie und Intensivmedzin publiziert: Harnisch L\u00adO, et al. Pra\u0308klinische Versorgung von Patienten mit Asthma und COPD. Ana\u0308sth Intensivmed 2022;63:523\u2013534. DOI: 10.19224\/ai2022.523 (PDF) Hier eine Kurzzusammenfassung:\u00a0 Dyspnoe wird definiert als eine subjektive Erfahrung von Atembeschwerden, die aus qualitativ\u2026","rel":"","context":"In &quot;Asthma bronchiale&quot;","block_context":{"text":"Asthma bronchiale","link":"https:\/\/news-papers.eu\/?cat=417"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/06\/Lunge-300x200.jpg?resize=350%2C200","width":350,"height":200},"classes":[]},{"id":5349,"url":"https:\/\/news-papers.eu\/?p=5349","url_meta":{"origin":11692,"position":3},"title":"Asthmatote in Deutschland?","author":"Michael Bernhard","date":"September 29, 2017","format":false,"excerpt":"Eine sehr interessante Publikation ist gerade zu dem Thema Asthmatodesf\u00e4lle bei\u00a0junger Menschen im Alter von 5-34 Jahre am 07.08.2017 erschienen: Ebmeier S et al.\u00a0Trends in international asthma mortality: analysis of data\u00a0from the WHO Mortality Database from 46 countries\u00a0(1993\u20132012). Lancet 2017,\u00a0http:\/\/dx.doi.org\/10.1016\/S0140-6736(17)31448-4 Anhand einer WHO Letalit\u00e4tsdatenbank wurde die durchschnittliche Letalit\u00e4t pro 100.000\u2026","rel":"","context":"In &quot;Asthma bronchiale&quot;","block_context":{"text":"Asthma bronchiale","link":"https:\/\/news-papers.eu\/?cat=417"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/08\/AbbildungEbmeier_Lancet2017.jpg?fit=1200%2C518&ssl=1&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/08\/AbbildungEbmeier_Lancet2017.jpg?fit=1200%2C518&ssl=1&resize=350%2C200 1x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/08\/AbbildungEbmeier_Lancet2017.jpg?fit=1200%2C518&ssl=1&resize=525%2C300 1.5x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/08\/AbbildungEbmeier_Lancet2017.jpg?fit=1200%2C518&ssl=1&resize=700%2C400 2x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/08\/AbbildungEbmeier_Lancet2017.jpg?fit=1200%2C518&ssl=1&resize=1050%2C600 3x"},"classes":[]},{"id":2048,"url":"https:\/\/news-papers.eu\/?p=2048","url_meta":{"origin":11692,"position":4},"title":"Asthma bronchiale &#8211; Ein Update Teil 1","author":"Michael Bernhard","date":"September 10, 2016","format":false,"excerpt":"Einen sehr sch\u00f6ne Beitragsserie ist aktuell in AINS publiziert worden zum Thema Asthma bronchiale: W\u00e4sche A, et al. Asthma bronchiale. Pathophysiologie, Diagnostik und Therapie. AINS 51: 392-399 Kozian A, et al. Asthma bronchiale. An\u00e4sthesiologisches Management. AINS 2016; 51: 402-409 Hansen M, et al. Asthma bronchiale. Notfallmedizinische Versorgung. AINS 2016; 51:\u2026","rel":"","context":"In &quot;Asthma bronchiale&quot;","block_context":{"text":"Asthma bronchiale","link":"https:\/\/news-papers.eu\/?cat=417"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/07\/Bildschirmfoto-2016-07-31-um-11.29.54.png?fit=563%2C726&ssl=1&resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/07\/Bildschirmfoto-2016-07-31-um-11.29.54.png?fit=563%2C726&ssl=1&resize=350%2C200 1x, https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2016\/07\/Bildschirmfoto-2016-07-31-um-11.29.54.png?fit=563%2C726&ssl=1&resize=525%2C300 1.5x"},"classes":[]},{"id":3207,"url":"https:\/\/news-papers.eu\/?p=3207","url_meta":{"origin":11692,"position":5},"title":"Zum Teufel mit der Luftnot &#8230;","author":"Michael Bernhard","date":"Februar 24, 2017","format":false,"excerpt":"Viele Patienten im pr\u00e4hospitalen Notfalleinsatz oder in der Notaufnahme klagen \u00fcber ein recht unspezifisches und machmal schwer zu objektivierendes Symptom: LUFTNOT. 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Dtsch Arztebl\u2026","rel":"","context":"In &quot;Zentrale interdisziplin\u00e4re Notaufnahme&quot;","block_context":{"text":"Zentrale interdisziplin\u00e4re Notaufnahme","link":"https:\/\/news-papers.eu\/?cat=10"},"img":{"alt_text":"waszumteufel","src":"https:\/\/i0.wp.com\/news-papers.eu\/wp-content\/uploads\/2017\/02\/WaszumTeufel-300x61.png?resize=350%2C200","width":350,"height":200},"classes":[]}],"jetpack_likes_enabled":true,"_links":{"self":[{"href":"https:\/\/news-papers.eu\/index.php?rest_route=\/wp\/v2\/posts\/11692","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/news-papers.eu\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/news-papers.eu\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/news-papers.eu\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/news-papers.eu\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=11692"}],"version-history":[{"count":1,"href":"https:\/\/news-papers.eu\/index.php?rest_route=\/wp\/v2\/posts\/11692\/revisions"}],"predecessor-version":[{"id":11693,"href":"https:\/\/news-papers.eu\/index.php?rest_route=\/wp\/v2\/posts\/11692\/revisions\/11693"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/news-papers.eu\/index.php?rest_route=\/wp\/v2\/media\/4972"}],"wp:attachment":[{"href":"https:\/\/news-papers.eu\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=11692"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/news-papers.eu\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=11692"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/news-papers.eu\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=11692"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}