Asthma is classified as mild when a child has one or two brief episodes every week, in moderate asthma, episodes occur more than twice a week, and severe asthma characterized by continuous symptoms. Great attention is the study says that people, including children with life-threatening asthma, become insensitive to recognize symptoms and indicators may not be dangerous. Asthma is usually worse at night and attacks often occur between 2 and 4 amphora several reasons: chemical changes in body temperature and causes inflammation and reducing airway; delayed allergic response may occur due to exposure to allergens in the afternoon, towards morning, drug effects inhaled can disappear and trigger attacks.

What is the sign of asthma in children? At the beginning of the attack, the child usually feels limited, or tight in the chest that is often accompanied by productive cough, audible breathing children may become violent. Anxiety and agitation are common. Wheezing when breathing is almost always present in the attack. Mild severity of symptoms varies from episodes that are sometimes accompanied by shortness of breath to daily wheezing that lasts even high doses of the drug. In general, the attack begins with wheezing and rapid breathing becomes more severe as all breathing muscles become visible active. Neck muscles can contract and conversations may be difficult or impossible. Often, the end of the attacks was marked with a cough that produces thick mucus threads.

Without effective treatment during the attacks, fatigue can contribute to worsening respiratory distress. When the struggle of the chest sufficient to bring air into the lungs, breathing often becomes flat. In threatening situations, the skin becomes bluish in color, the skin around the rib cage the chest seems to be depressed and the patient began to lose consciousness.

After the initial acute attack, inflammation lasts for day’s weeks. The main problem with asthma is that the second phase can not cause symptoms, however, must be treated because it usually leads to relapse inflammatory for renewed narrowing of the airways and subsequent attacks.

Although wheezing is a hallmark of asthma, another disease that can cause asthma-like wheezing. Half of all babies and children suffer from wheezing at some point, but few suffer from asthma. Most infants presenting with wheezing are still underdeveloped airways that is not normal as they grow older. They also may have mothers who smoke. Infants with asthma may have a family history of allergies and asthma. Flask may have a sound when they cough or breathing changed, and can present with frequent respiratory illnesses.

Hypercholesterolemia is an increase in blood cholesterol above values considered normal for the general population. The value from which it is considered pathological and that is also an important risk factor for cardiovascular disease is 250 mg / dl.

Cholesterol is a type of fat found in the blood as a result of digestion of various foods we consume. This type of fat is transported through the blood attached to proteins called lipoproteins pose. This makes protein binding in the total cholesterol can distinguish two types, one popularly known as bad cholesterol that is that cholesterol is transported from the liver to the tissues and is the part of the plaques of atherosclerosis and its increase is the which is considered to have a better relationship with cardiovascular disease. The other type are known as good cholesterol and that is transported from peripheral tissues to the liver, such is not part of arteriosclerotic plaques and their presence at high levels is considered a protective factor for cardiovascular disease.

Inside there is another type of blood fat whose role as a risk factor for cardiovascular disease is unclear but whose growth is also considered pathological are triglycerides. Values are considered abnormal triglycerides above 200 mg/dl.

In short, the increase in blood fat of any of the previously discussed is called hyperlipidemia or hyperlipidemia, if what is growing is just one type of fat called fat increase, hypercholesterolemia and hypertriglyceridemia, and if they are augmented the two is called mixed hyperlipidemia.

Why do you have increased cholesterol?

Within hypercholesterolemias distinguish two types: one that primaries are those in which no obvious cause is appreciated, and other high schools where the cause of the increase in cholesterol is due to a disease already known.

In the primaries there are some that are due to genetic deficiencies of proteins that function in cholesterol metabolism, and others, which are the most frequent (85% of total cholesterol), which are known as polygenic diseases that affect 5% of the population. The term polygenic means that apart from a genetic deficiency is not located in a single gene, but several. In these cases other factors act primarily environmental and dietary intake related to dietary cholesterol.

What are the early symptoms which noticable?

Hypercholesterolemia is an asymptomatic disease until there is vascular disease (stroke, angina, etc.). But sometimes called xanthomas may appear that are the result of infiltration of the skin and tendons by cholesterol may be cutaneous or tendinous and are typically in the interdigital areas of hands, buttocks, knees and elbows, if they occur around the eyelids are called xanthelasma, the latter are not pathognomonic of hypercholesterolemia and that can also occur in people with normal cholesterol levels . These two types of skin disorders associated with hypercholesterolemia, appear more frequently in those that are due to a genetic defect is already known, rather than the polygenic nature. Given the importance of this risk factor, using any contact with health services which make an analytical determination should be a serum total cholesterol and triglyceride levels. This determination is advisable to do it once before age 35 in men and women age 45 and then at intervals of 5 or 6 years to 65.

What is the complications?

Hypercholesterolemia is, along with hypertension and smoking, major risk factors for one of the leading causes of death in our country that is ischemic heart disease (angina, myocardial infarction), as well as cerebrovascular disease and peripheral vascular disease. This is supported by studies in which there has been a close relationship between high levels of total cholesterol and the occurrence of ischemic heart disease and cardiovascular mortality, and attitudes aimed at reducing cholesterol levels also cause decrease the probability of the pathology. However, the risk conferred any blood cholesterol level also depends on the coexistence of other risk factors such as age, sex, hypertension, diabetes, smoking, etc.. and that when conducting preventive work must also be taken into account.

How to treat hypercholesterolemia?

The treatment of hypercholesterolemia has two parts, one that is hygienic-dietary measures and
one that is drug therapy. These two parts are not exclusive but must be complemented for
cholesterol will lead to normal. However treatment must be individualized for each person, taking into account the presence or absence of other risk factors and associated pathologies.

Hygienic-dietary measures. Try to make a balanced diet is one that provides a number of calories according to energy expenditure that can achieve and maintain weight loss. The diet has to be
rich foods that contain carbohydrates and are mainly vegetable products, pasta, root vegetables, legumes, cereals, etc. .. Total fat must not exceed 30-35% of total calories, and of these the
saturated fats, which are those present in animal fats in butter, margarine, sausages, dairy products and coconut and palm oils (are the constituents of baked goods, cookies, fried, precooked and canned) has no that exceed 10% of total fats, and to be used are monounsaturated fats which are derived from oils
vegetables, particularly olive oil. The diet must be low in cholesterol, not exceeding
300 mg / day. Cholesterol is found in red meat, viscera (liver, kidneys, brains …), yolk
(and its derivatives, custards, mayonnaise), not being recommended greater consumption of 2-3 times the week. The poultry and rabbit meat containing less saturated fat and cholesterol, and white fish or blue should be used to replace red meat dishes. When you eat red meat it is advisable to remove visible fat before cooking it.

Do not ban alcohol, but can allow moderate consumption, 40 g / day for men and 24 g / day for women, roughly corresponding to two glasses of wine a day. We recommend a moderate reduction in salt intake and consumption of whole milk and dairy products as this is one of the largest sources of saturated fats are what we must avoid. It is not advisable, therefore, consumption of whole milk, fatty cheeses, ice cream, cream, butter and derivatives. When cooking is also advisable to use boiled, roasted, grilled and grilled rather than fried food.

The total calorie intake should aim to normalize the weight to help recommended dietary measures the performance of moderate physical exercise, which has seen it can increase good cholesterol for at least 30 minutes over 3 days week.
Dietary recommendations are summarized in Table 1 (Modified from Management in primary care of dyslipidemia. SEMFYC Recommendations 1997).

Diabetes is defined by an increase in blood sugar (glucose it is). The American Association of Diabetes (ADA) proposed in 1995 a modified biological criteria of diabetes, due to international epidemiological data showing that the diagnosis of diabetes was delayed. To facilitate the implementation of screening across field practitioners, it has simplified the diagnostic criteria: the glycemic threshold at which we speak of diabetes was 1.40 g / l is now 1.26 g / l. WHO in 1998, then France through the National Agency for Accreditation and Evaluation in Health (ANAES) in 1999, have also adopted these values in order to allow management of diabetes earlier and expand its domain to a larger number of subjects at risk.

You will find below the diagnostic criteria of diabetes mellitus:
1 – Symptoms of diabetes (polyuria, unexplained weight loss) and blood glucose regardless of the time of harvesting, including postprandial than 2 g / l.
2 – Fasting blood glucose greater than 1.26 g / l, this figure should be checked twice.
3 – Blood glucose greater than 2 g / l after ingestion of 75 g glucose orally. However, this test Oral glucose tolerance, which is not the purpose of clear recommendations currently has no place in current medical practice.

There are two types of diabetes: Type I diabetes requires daily treatment with insulin, diabetes type II most often associated with being overweight, can be treated with diet and / or drugs. Diabetes type II diabetes for nine out of ten about.

Screening: for whom?

The major studies on diabetes screening are mainly North American and show that, in the U.S., despite a prevalence of diabetes than that observed in France (6% 3% cons), it does not seem appropriate to propose a screening systematic type 2 diabetes in the general population.
The ADA provides, however, a diabetes screening targeted at-risk individuals such as the aisles of the first degree of diabetes, obesity, high blood pressure, dyslipidemia, renal impairment, women with a history of gestational diabetes. Screening by FPG should be performed every 3 years. These recommendations are very similar proposals screening published in 1998 by the High Committee on Public Health.
ANAES made recommendations for diabetes screening in February 2003. The conclusions of the experts recommend opportunistic screening targeted to the elderly over age 45 with at least one risk factor for diabetes among subjects over 45 years in a precarious situation, with or without other risk factor, all 3 years. This screening should be performed by a test of fasting glucose produced in the laboratory.

The kidney disease has no symptoms at first.

Most people do not realize that something is wrong until their kidneys are about to fail. Testing for kidney disease are the only way to know for sure if the disease is present. So if you are at risk is important to do these tests. Untreated kidney disease, can cause kidney failure. But, you can take steps to prevent or delay kidney failure. Learn more about how to know if at risk and how to protect your kidneys