Sunday, June 29, 2008 ohh i'm smart xD visited kk yst nite cos smart me misplaced d damn inhaler ): and i got a scolding ): haiz. actually yst i din do much anw. afternoon jus wen down play A WHILE only ma. at first played volleyball, which resulted in my hands having blueblacks. then tennis cos d security guard came up and tell us only can play tennis on d tennis court. so we played a while then she gone le we played badminton XD made a bet with papa that i will win jiejie :P although she used to train badminton, but i don believe i cant win her xP after tt as usual wen up and watch tv. but abnormally d windpipe din open up even after an hour. usually is after i reach home den ok le. but then yst still din. so wen up, even eat dinner le still like that. so i watch tv den lie on d mat. fell asleep cos i think these few days i not really feeling well. so slept and woke up after half an hr cos still cant breathe properly, then started my house wide search for my blue inhaler. couldnt find it and it was like already 8 plus. so decided to go into kk if not d whole nite cant slp properly. so wen there then go d children a and e. of all the people had to see my dear cousin there o.O hmphs. but actually cos of her also i don hv to queue so long la. shorter. then after go in le den d doc as usual bring me go inside another room where that person appeared to assist d doc. inhale in some stuff. take in oral medicine also la. but my cousin tell me d oral medicine don keep taking cos that one is considered drug before comps cant take de. than got a lot of side effects, like sth like will make you put on a lot of weight and also i think will affect brain growth or sth. aiya not sure la. she blabs on and on about things she know. anw i was askin her since its so bad why take it, then she said for people like me so troublesome so just give that strong dose one to open up my windpipe and get done with it. hmphs. actually its cos its stronger. anw i have all that medicines at home anyway, just cant find it ): haiz. after tt go pharmacy to buy another inhaler to keep at home then wen home. and hor, someone not bad ar. got a boyfriend like a chauffeur to wait at kk there d lobby there to pick her go out for supper xD haha. after tt go home then wen to sleep again. then today mrng woke up super early again. cos of a certain human that needs to go for training. practically went around the whole yio chu kang just to fetch her friendS. note d pural form. wth la. although we have a car, it is not a taxi ok. make d back so squeezy. and make d car so noisey. waddheck la. super pissed off with them. after they finally got off slammed d door and sat more comfortably (: went to eat breakfast then wen to mama's hse. was feeling sleepy so wen to sleep on d bed. slept for 2 hours straight. ended up when i woke up i had a fever again, no wonder i was so tired la. din bother to see a doc as usual. they just give you some crap medicine and tell u to rest. then they take your money. o.O might as well not see la. after waking up go fetch d troublesome person and ate lunch. then go back to mama's house for a while until that person needed to go for maris trg then left again. wen home and decided to go downstairs. but wasnt allowed to since d doc yst tell me rest for tmr, which is today first. wth. infringe on my rights, hmph. morally wrong XD but i still wen down. too bad :D my arm hurts now. haiz haiz. then after tt come up and go fetch the annoying person again. i guess my life revolves around her la. bad luck of me to have such a sister. after that wen to hv dinner with her equally annoying friend. wth. after dinner went home and i decided to go down again. but this time my dear cousin called to check if i was resting properly at home. hmphs. den i started to be sacarstic and went, since when kk hospital have such a good service, call and make sure patient rest de har. then she wen like no la, not hospital. its just that i'm being nice and kind to call and check on my dear meimei to see if she's resting which she should!!!!! hmph!!!!!!!!!$#@!#$ arghhh. spoilt my plan man. so damn annoying la. hmphs. but talked to her for so long till late le so cant go down anw. ok, that's all. gotta go. i'm feeling sleepy again. bye <3 Exercise-Induced Asthma Exercise can make asthma symptoms worse. This is called exercise-induced asthma. Exercise can cause asthma symptoms in up to 80 percent of people with asthma. Treatment and monitoring can allow people with exercise-induced asthma to participate fully in the physical activity or exercise of their choice. How will I know if I have exercise-induced asthma? How is exercise-induced asthma treated? Monitoring Exercise-Induced Asthma What sports are best for people with exercise-induced asthma? How will I know if I have exercise-induced asthma? For some people, exercise-induced asthma occurs within three to eight minutes of starting activity or exercise. For others, exercise-induced asthma occurs after stopping exercise. Often the exercise-induced asthma starts during exercise and worsens when exercise stops. The most common symptoms of exercise-induced asthma are: * Coughing * Wheezing * Shortness of breath * Chest tightness Some people are not aware of these symptoms but know they tire easily and have a hard time keeping up with others. It is important to recognize the difference between poor conditioning and exercise-induced asthma. In well-conditioned athletes, symptoms of exercise-induced asthma may only occur with the most vigorous activity or exercise. Think about how you feel when you exercise. Do you tire easily or cough and wheeze? Share this information with your healthcare provider. Your healthcare provider will ask you questions about your asthma and do a physical exam. He or she may also order a test called an exercise induced bronchoconstriction to help diagnose exercise-induced asthma. An exercise challenge may be done in your doctor's office or the hospital. During an exercise challenge, you will walk or run on a treadmill or ride an exercise bicycle and perform repeated breathing tests. Using this information, your healthcare provider will be able to understand if exercise can make your asthma symptoms worse. How is exercise-induced asthma treated? There is a simple and effective way of treating exercise-induced asthma. Your healthcare provider may prescribe a "pre-treatment." A pre-treatment is a medicine that is inhaled before exercise. By using a prescribed pre-treatment, people with asthma are often able to participate safely and successfully in the exercise they enjoy. A pre-treatment can prevent asthma symptoms during and after exercise. Examples of inhaled medicines often used as a pre-treatment include: * Proventil®, Proventil HFA®, Ventolin® (albuterol) * Maxair® (pirbuterol) * Xopenex® (levalbuterol) These medicines are often prescribed 10 to 15 minutes before exercise and quickly open the airways to prevent asthma symptoms. Discuss the use of a pre-treatment with your healthcare provider. Some people with exercise-induced asthma respond well to other medications. Healthcare providers may recommend using Intal® (cromolyn sodium) or Tilade® (nedocromil sodium) as a pre-treatment. In all cases, work with your healthcare provider to decide the pre-treatment that is right for you. Regardless of which inhaled medicine you use, it is important to use good technique. Good technique helps you get the full dosage and benefit from the medicine. Using a spacer device with your metered-dose-inhaler can improve delivery of the medicine to your airways. Review your inhaled medicine technique with your healthcare provider at your next visit. If your asthma symptoms are occurring more often with exercise or are more severe talk with your healthcare provider. Your healthcare provider may increase the medicine you take every day (long-term control medicine) to get your asthma under better control. Monitoring Exercise-Induced Asthma Monitor your asthma while you exercise by watching for asthma symptoms. The peak flow meter can also be useful in monitoring your asthma. A peak flow meter is a portable, hand-held device that measures how fast you blow air out. When the airways are narrowed by asthma, the peak flow number will drop. A significant drop in your peak flow number and/or asthma symptoms is a signal that you need extra medicine or maybe a short rest during exercise. Ask your healthcare provider about a written Asthma Action Plan. It will help you know what to do if you are getting worse while you exercise. A peak flow meter can be an objective way to make decisions about participation in sports, gym class, recess or other activities. In many situations physical education teachers, coaches and employers may be confused about asthma and exercise or physical activity. Some may prohibit people from participation while others may push those with asthma to keep up with their peers without proper monitoring or treatment. A peak flow meter combined with monitoring asthma symptoms can help take the confusion out of this situation. What sports are best for people with exercise-induced asthma? Sports or activities with bursts of activity are least likely to cause asthma symptoms. Activities followed by brief rest periods can allow the person to regain control of their breathing. Activities such as baseball, softball, volleyball, tennis, downhill skiing, golf and some track and field events all have brief rest periods. Read specific information about cold-weather sports. Sports that require continuous activity like swimming, cycling, distance running and soccer also can be enjoyed by people with exercise-induced asthma. Participation in any sport often requires use of a pre-treatment before exercise and close monitoring. Along with appropriate treatment and close monitoring, a good warm-up and cool-down period are often helpful. Research shows everyone can benefit greatly from exercise physically and in terms of self-esteem and stress relief. When asthma is well controlled people with exercise-induced asthma should be able to participate in any sport. In fact, it is estimated that exercise-induced asthma affects one in ten athletes. At the 1984 summer Olympic games in Los Angeles, 67 of the 597 members (or 11%) of the American team tested positive for exercise-induced asthma. These 67 athletes won a total of 41 medals! |
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