The future of diagnosis, theraphy and prophylaxis in patient with asma

Taking into account their psychomatic disorder

Billy Aditya Pratama Muhamad Dwi Nugroho 1018011017

In these day, the increasing prevalence of asthma also increasing the percentage asthma patient with neuro-pshycological mechanism of pathogenesis of disease. Early diagnosis of neuro-vegetative status of the child will introduction into clinical practice of medical and pshycotherapeutic methodes of non-drug treatment for asthma.

Phsycological charateristic of children and adolscent from asthma affect such aspect emotional response, protectiv mechanism, coping strategies, interpersonal relation, quality of life, and the properties of vegetative nervouse system.

Recommended diagnostic Methode for assesment neuro-vegetative status patients with asma

Spectral analysis of heart rate/ cardiointervalography Electroenchepalography Rheonchepalography / duplex ultrasoung of brain vessels Cognitive evoked potential Eysenck test Luscher test Neuro-Phsycological test Questionnaire of alexythemia

Phsycophamacological, phsycotherapeutic, and other on-drugs methodes of treatment and rehabilitation of patient with asthma.
1.

Phsychopharmacotheraphy (nootropic drugs, antidepressant, antiphsychotics, tranquilizer, ect).

Phsycotherapy

2.

Indication of use Non-medicated methods

Inadequate response to disease wich complecates the full rehabilitation Inadequate response of family member to the disease The state of phsycological crisis Related mental disorder History of personal and microsocial risk factor The presence in relatives the phsycoshomatic models of adaption to stress Possible secondary neurotization as a consequence of somatic disease proces Dynamic transformation to personality features of disease

Varieties of therapy

Hyposuggestive theraphy Autogenic training Naurolinguistic training Gestalt-Theraphy Music Theraphy Game theraphy Art theraphy Positive psychotheraphy Cognitive behavioral psychotheraphy Body-orienteed psychoteraphy

Other non-medical methods

Respiratory gymnastic Therapeutic massage Climatotheraphy Acupuncture

The greatest effect of phsycotherapeutic intercention occur if treatment is started before the onset of irreversible pathophysiological changes. Clinical practios of medical and phsycotherapeutic methods of non-drugs treatment for asthma, will allow not only to carry out the necessary phsyco-prophilactic measure, but, if necessary, develope an effective individualized comprehensice treatment of patients, taking into account their phsycosomatic disorder

Refrences

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