00:08Mga ka-RSP, ngayong panahon ng tag-ulan, hindi lang baha at lamig ang dapat nating bantayan,
00:14kundi pati na rin ang mga sakit na pwedeng mag-trigger sa ating respiratory system tulad ng asthma.
00:21Nako, tama ka dyan Leslie, no?
00:23Kaya naman ngayong umaga sa SanyDoc, makakasama na rin si Dr. Karina Meicheng, isang pulmonologist upang bigyan tayo ng mahalagang
00:31informasyon tungkol sa sakit na asthma.
00:33Good morning, Dr. Karina, at welcome po sa Rise and Shine, Pilipinas.
00:37Hello, good morning. Thank you for the invitation.
00:39Ang ganda ni Doc.
00:41Parang gumaling na agad yung sipon ko.
00:43Parang studyante pa si Doc eh.
00:45Kaya nga, si Doc parang studyante lang.
00:47Pero ito, Doc, para lang po sa kaalaman na lahat, baka may mga hindi pa familiar kasi sa asthma,
00:52ano po ba itong asthma, paano po siya nakukuha?
00:55Okay, so para sa kaalaman ng lahat, ang asthma po ay isang chronic airway inflammation.
01:00Ibig sabihin po nun, hindi siya, bale, ngayon lang.
01:05Ibig sabihin, matagal na siyang meron at commonly lang ito natitrigger po.
01:10Ang example is the weather.
01:12Kaya nanotis niyo po ngayon, sobrang daming nagkakaroon ng hiccup.
01:16It usually starts with an infection, triggered by the change of the weather,
01:20and then that's the time we have what we so called asthma.
01:25Ngayon, Doc, tamang-tama nabanggit mo kasi panahon ngayon ng tag-ulan at marami po sa atin ang nagkakasakit ng
01:30ubo.
01:31At sipon, minsan nga po sa sobrang tindi nito eh, hindi na natin halos makahingi o makahinga.
01:36Makahinga. Makahinga. O makahingi ng tulong.
01:39Oh, yan. Okay. Kasi hindi makahinga.
01:41Kasi hindi makahinga.
01:42Paano po ba natin malalaman, Doc, o paano po ba natin masasabi na yung naranasan nating karaniwang ubo o sipon
01:49ay asthma na po pala?
01:50At ano po ba yung tamang pag-diagnose ng asthma?
01:53Okay, sige.
01:53Okay. So, ang asthma po ay iba po doon sa sipon or ubo.
01:58The sipon is the common trigger po ng asthma. Okay?
02:03So, it's a different entity po kumbaga.
02:05So, kunwari, ang pasyente o tayo nagkakaroon ng asthma, that is the most common trigger for asthma.
02:12Common, the viral po. Okay?
02:14Isa sa manifestation po ng pagkakaroon ng asthma ay yung pagkakaroon ng ubo.
02:19Okay? Hirap sa paghinga. At yung common complaint ng mga tao, yung pagkakaroon ng huni.
02:26Okay? So, yun ang mga sinyales na pwedeng magkakaroon ng asthma.
02:31However, it is not the same po sa sinasabi nating common cold or common cough po.
02:37It is usually from genetics.
02:40And asthma is only a manifestation from the trigger of the infection, change of climate, and all those po.
02:47Ayun. Meron po kasi mga bata pa lang, may asthma na.
02:51Meron din naman kung kailan tumanda, tsaka pa nagka-asma.
02:55So, ano po ba yung difference nun or paano po ba ito na-acquire?
03:01Asthma po is genetically determined in some po.
03:05And that is what we call the common allergic asthma.
03:08So, it manifests during childhood and then triggered by, again, commonly, colds, cough, change in the weather, allergens.
03:18Those are the, that's what we call the allergic asthma.
03:22And sometimes there's also a rest time.
03:24That is why it is a chronic airway inflammation.
03:27However, naman, in comparison to adult onset, okay, it's a different thing naman.
03:33Usually, triggered po siya sa mga, um, among adult onset asthma po.
03:40So, this type of asthma naman po, yung mga, we diagnose later part.
03:45So, usually, co-existent din po siya yung mga smoking, yung, uh, okay.
03:49So, it's a different thing.
03:50It is non-allergic asthma po.
03:52When we say it's adult onset.
03:54Right.
03:55Naku-dok, nabanggit mo nun na may mga triggers.
03:58So, mabalik tayo sa usapan ng panahon.
04:01Talaga po bang may epekto yung panahon natin sa ating mga nararamdaman patungkol sa asthma?
04:07Or natitrigger ba ito through the weather, no?
04:10Yung sa panahon natin ngayon.
04:11Lalo't ulan, init, ulan, init.
04:14Yes.
04:15So, weather is one of the most common trigger for asthma.
04:18That is why asthma is defined with a change of variability po.
04:22Ibig sabihin ito, for now, init, diba?
04:26That's the most trigger din po.
04:27Extreme sa na-temperature.
04:29You would notice a person, sobrang init.
04:32Biglang hingal, ubo, ganun.
04:34And then, later on, mag-die down ito.
04:37Once there is also extreme, the cold temperature,
04:39you would also notice, again, the onset of it.
04:42So, that is the variability of asthma.
04:44Ah, hirap naman, no?
04:46Oo, no?
04:47Parang depende sa'yo kung hindi ka makakahinga o ano.
04:50Buti na lang wala tayong asthma, no?
04:51So, thankfully, thankfully.
04:53Eh, pag may asthma, ah, kunyari yung mga bata,
04:56pag inatake or like, kahit matatanda na,
04:59ano ba yung dapat na gagawin nila?
05:01Okay.
05:03So, first of all, we should really know that it is really asthma.
05:07Yun.
05:07Okay.
05:07So, again, the best thing first is to consult.
05:10Okay.
05:10Okay.
05:11Kasi, um, there are some kasi who use inhalers left and right,
05:16pero it is not asthma.
05:18Kasi some would manifest as honey,
05:20but it is just hyperactive to an infection po.
05:24That is why I would really suggest if a child or anyone would have this,
05:29let's have a first, early consult.
05:31Marami naman po tayong tanggapan po,
05:33na malapit lang, even the primary health centers.
05:37Pwede.
05:37So, they're really open naman.
05:39So, to be properly diagnosed po.
05:42Okay.
05:42So, kailangan diagnosis muna.
05:44Yes.
05:45Pag-in sinabi ni Doc na first is to consult.
05:49So, yun na yung gagawin nila.
05:50Magko-consult na sila.
05:52Kasi, pero paano ba malalaman, Doc?
05:54Kahit ba kunyari, simple lang yung ubo o yung sipon,
05:57tapos hindi nila madetermine kung asthma,
05:59kailangan magpa-check up na agad.
06:01Yes.
06:02Better.
06:02Better.
06:03Kasi some would reach the, for example po,
06:05it is common to have atopino yung mga from inborn.
06:09So, may mga rhinitis, gano'n.
06:11So, they would thought na, it is a common cold.
06:13So, they would really take antibiotic right away.
06:16So, that would build resistance kasi to further taking some antimicrobial.
06:21That is why we really recommend early consult.
06:26O, yun.
06:27Atto yun ni Joe, ito naman regarding naman sa gamutan.
06:31Ikaw ba may mga kapamilya ka ba na may asthma?
06:35Naku, thankfully walang may asthma sa amin.
06:37So, wala talaga sa atin.
06:38Wala.
06:38Pero, andami kong nakikita, Doc, na may mga inhalers.
06:42So, sometimes I wonder, marami po bang may asthma o iba, eh, bigla na lang nag-i-inhaler.
06:47At ano po ba yung tamang paggamot ng asthma, no?
06:52Or tama ba yung self-medication, Doc?
06:54Okay.
06:54So, again, I would really recommend, again, i-consult first.
06:58Okay.
06:59Kasi it is, we really categorize po if it is really asthma.
07:02Kasi giving, for example, if it is really asthma, kailangan maagapan agad ito.
07:09Kasi it can cause further exacerbation or yung mga dead tail sign of asthma.
07:13That can lead to death.
07:15Oo nga.
07:15Okay.
07:16So, that is why, for the first sign of it, it's better to have a consultation.
07:21Right.
07:21Huwag mo nang bilhin ng inhaler, no?
07:23Yes.
07:23Oo, kasi parang ginagawang fad yung inhaler.
07:27Iakala nila, cool ka pag may inhaler, mali po yun, no?
07:30Huwag po natin gawin yun.
07:31Okay.
07:33Doc, siguro, mensahe na lang po, no?
07:35Para doon sa mga viewers po natin na may asthma, ano ba yung mga dapat na lang gawin.
07:42Okay, sige.
07:43So, sa mga nanonood ngayong umaga, una sa lahat, hindi po lahat ay asthma.
07:48Okay.
07:49So, first, I would really recommend to seek consult.
07:53There are left and right health facilities all over the town or even in the cities po.
07:58And then also, the lung center is really open for such.
08:03Okay.
08:04For asthma naman, if you really have asthma, it's better to have a complete workup.
08:11So, usually, we start with, again, how are you now?
08:16Are you really compliant with your medications?
08:18If you really have asthma, and then we really monitor on that.
08:22So, hindi lang siya ibig sabihin na, ay, may asthma ako ngayon, okay na ako kasi may inhaler.
08:26Hindi po siya ganon.
08:29We really recommend to seek follow-ups.
08:32Kasi sometimes, we increase those doses, the doses of the medications, if you're not really controlled with it.
08:39Nako, ang galing magpaliwanag ni Dr. Karina, no?
08:41Pero kung ang galing ba yung asthma, last na question.
08:43Okay.
08:44The asthma is, ano siya, up and about.
08:46Ibig sabihin, if you are compliant with the medications, we can control.
08:50Oh, so control.
08:51Ah, pero never siyang gagaling.
08:53Never po.
08:54Kasi there is what we call the triggers naman po.
08:56Ah, which is yung pinaliwanag mo kanina, no?
08:58Yes, infection, weather, yan ka na.
09:01Alright.
09:02Nako, Doc, damang, ang galing niyo po magpaliwanag.
09:03Maraming salamat po, Doc Karina May Cheng, sa mga informasyon pong ibinahagi niyo sa amin ngayong umaga tungkol po sa
09:09asthma.
09:10Maraming salamat po, Doc.
09:10Thank you, thank you.
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