If breathing is a natural and unconscious act for people in perfect health, it is much more complicated for asthmatics . Because in asthma , the bronchi that lead the air to the lungs are permanently inflamed: the muscles that surround the bronchi contract, the wall thickens, the amount of mucus produced increases, making the passage of air to the lungs difficult. Hence the unpleasant sensation of suffocating.

Unfortunately, the asthmatic disease is chronic and the bronchi are almost permanently inflamed. This inflammation does not only result in more or less frequent and more or less severe asthma attacks . It is also manifested daily, by various symptoms: cough, shortness of breath, wheezing or tightness of the chest.

Best medication for the astma is symbicort inhaler. However symbicort price is high but you can buy it from Prescription Hope at cheap price by using symbicort coupon.

  • A health appointment at your pharmacist Giphar

Your pharmacist Giphar and his team take part in the prevention and vigilance actions of the 
asthmatic disease. Do not hesitate to ask him for advice to measure your risk factors or to optimize your treatment.

The asthma attack

The asthma attack is a medical emergency that requires immediate care of the patient. For if the obstruction of the bronchi is severe, the passage of the air can become almost impossible. Life is in danger! Fortunately, asthma can be relieved quickly in the majority of cases. This is thanks to inhaled inhaled medications that dilate the bronchi ( short-term bronchodilators) and let the air through normally. But when they are not enough and the crisis does not go away or gets worse, call 112 or go to the nearest emergency service.

Asthmatics: the indispensable background treatment

To control asthma , reduce the number of seizures and improve quality of life, it is therefore absolutely essential to control the basic phenomenon: chronic inflammation of the bronchi . Continuous DMARD therapy, which often combines anti-inflammatory drugs (corticosteroid-based) with long-lasting bronchodilators , is therefore essential.

The watchword: regular monitoring!

Although the benefits of DMARD are well known, it is estimated that about half of all people with asthma do not follow it correctly. Why this negligence? In part, because asthma is sometimes forgotten between two crises and that asthmaticsthink they are cured! And that taking a puff in a crisis is (wrongly) enough treatment! This is where regular medical monitoring is important: it allows you to find the right medicine and the right dosage by looking for the minimum dose that permanently reduces inflammation of the bronchi without causing unpleasant effects. In short, the key to a new quality of life!

The air path

To make our body work, our blood and cells need oxygen.

  • With each breath, the air enters through the nose and mouth, passes through the larynx and trachea, before reaching the bronchi, then the bronchioles and finally reaching the lungs.
  • It is there, in the pulmonary alveoli, that the blood captures the fresh oxygen and rejects the carbon dioxide, which takes the same way in opposite direction before being expelled by the expiration.

The advice of your pharmacist GIPHAR

  • Asthma and allergy: put the odds on your side!

In 70 to 80% of cases, asthma has an allergic origin. In children, this proportion reaches even 95%.

To reduce the risk of crisis:

  • ventilate every room in the house for 20 minutes every day,
  • avoid contact with pets, especially cats and dogs,
  • find out about the allergenic aspect of some houseplants,
  • ban tobacco from your home.

How to prevent and treat diabetes

The prevention of diabetes should focus on avoiding obesity and sedentary lifestyle

For several years, diabetes mellitus has gained popularity. Diabetes is frequent and complications are serious. The International Diabetes Federation had estimated that by 2025 the population of diabetics would reach figures of up to 300 million worldwide and, what is more worrying, the increase in diabetes in Latin America would be 148%. In Costa Rica, its prevalence increased from 5% in the 1990s to approximately 10% in more recent years. Best medication for the diabetes is trulicity. However trulicity cost is high but you can buy it from Prescription Hope at cheap price by using trulicity coupon.

The increase in the prevalence of diabetes, particularly type 2, which occurs in adults, has a direct relationship with obesity and, Costa Rica being a country in which alarming obesity figures of up to one year have been reported. 60% in adults, it is understandable the evolution that diabetes has experienced in Costa Rica.

The causes of obesity are multiple; Genetic and environmental factors are involved, particularly sedentary lifestyle and exaggerated caloric intake.

Recent studies have shown that lifestyle components alter energy metabolism and induce obesity.

Nocturnal working hours and alterations of the sleep pattern affect the biological clock and induce modifications in the neurohipothalamic regulation of appetite, and alterations in the genetic expression of metabolic processes that cause insulin resistance and alterations in insulin production.

Prevention of diabetes. The prevention of diabetes should focus on avoiding obesity and sedentary lifestyle. Both in this country and in other regions of the world, despite what is known to be done to prevent or delay the development of diabetes, the necessary strategies to change lifestyles have not been applied, the main weapon for its prevention. Rather and sadly, unhealthy lifestyles such as inadequate nutrition, sendentarism and smoking gain ground.

It is contrasting that our society and its leaders who appreciate and recognize the achievements of our country to reduce infant morbidity and mortality and improve life expectancy, have not shown the will to promote healthy lifestyles in the population. We are still waiting for an approval of an anti-smoking law; that measures be taken in schools and colleges to reduce the number of overweight and obese adolescents. The philosophy with which the Hospital Without Walls was developed in the 70s, to prevent diseases that affected the child population, could be taken as an example to set primary attention towards the prevention of diseases and the promotion of health.

Treatment. Diabetics poorly controlled will inevitably suffer changes in their blood vessels, which irrigate the heart, brain, kidney, eyes, limbs, whose repercussions will manifest as heart attacks, strokes, kidney failure, blindness and amputations. That is why diabetics, without adequate control, live on average 10 years less and suffer early complications. In terms of finances, it should be remembered that it has been estimated that for every dollar used to control diabetes, up to $ 10 is saved in treating complications.

Research has allowed us to know the processes by which diabetes develops, the mechanisms that explain its complications and, most importantly, what should be done to adequately control the disease and thus prevent complications.

The latter is a difficult, expensive task and requires integrating the attention of health professionals, stimulating patient and family participation.

For this, a very important component is education in diabetes, which makes it easier for the patient and his family to learn more about his illness, make appropriate decisions in his diet of lifestyles and stick to treatment. Of special importance to achieve that the patient is empowered, is to have a glucometer and the reactive tapes that allow him to know his levels of glycemia. Unfortunately, the cost of these equipment is exorbitant, so we urge the competent authorities to take measures to reduce taxes on these essential equipment for diabetics. Furthermore, the new drugs, which have been shown to facilitate glycemic control, and treat other frequent alterations in diabetics, such as high blood pressure and cholesterol elevation, are not universally available in Costa Rica.

The attention of the diabetic must also contemplate emotional aspects, their family environment and negotiate with the patient changes in lifestyle, which must be permanent. The current care model in Costa Rica does not allow this type of intervention.

Against this background, it is urgent to take measures both in the prevention of the disease and in the patient’s care. Health authorities, governments and universities must play a critical role on the one hand in remodeling and reorienting the preventive approach, and on the other hand, in the medical care of the diabetic. I hope the day will come soon when people with diabetes can get the attention they deserve.


Medications used to treat asthma

The goals of treatment for asthma are to minimize symptoms and allow children to participate in normal physical activities with minimal side effects. It is also important to avoid visits to the emergency room and hospitalizations due to asthma attacks. Ideally, this means that your child should not experience asthma symptoms more than once or twice a week, asthma symptoms should not wake your child at night more than twice a month, and your child should be able to participate in all games, sports and physical education activities. Another best way to treat this disease is dulera inhaler. Dulera coupon is available at Prescription Hope where you can buy it cheaply.

Asthma medications come in a variety of forms, including the following:

  • Inhalers dosing
  • Dry powder inhalers
  • Liquids that can be used in nebulizers
  • Pills
  • Drugs that can be injected

Note : Inhaled forms are preferred because they deliver the medication directly to the respiratory tract with minimal side effects.

Types of medications used to treat asthma

Asthma is different in each patient and the symptoms may change over time. Your health care provider will determine which asthma medication is best for your child based on the severity and frequency of symptoms, and the age of your child. Children with asthma symptoms that occur only occasionally are given medication only for short periods. Children with asthma whose symptoms occur most often need to take control medications every day.

Sometimes it is necessary to take several medications at the same time to control and avoid the symptoms. Your health care provider can give your child several medications at the beginning to control the symptoms of asthma, and then decrease the medications as needed. Your healthcare provider can also recommend a maximum respiratory flow meter for your child to use at home to monitor lung function. This can help you make decisions related to the change of therapy or after the effects of the changes made by your health care provider.

Medications for asthma are divided into 2 groups: rapid relief medications and control medications.

Rapid relief medications

  • Quick-relief medications are for short-term use, to open contracted airways and to help relieve the feeling of tightness in the chest, shortness of breath and shortness of breath. They can also be used to prevent asthma induced by exercise. These medications are taken only as needed. The most common quick relief medication is albuterol.

Control medications

  • Control medications are used daily to control asthma and reduce the number of days or nights your child has symptoms. Control medications are not used to relieve symptoms. Children who have symptoms more than twice a week or who wake up more than twice a month should use control medications. The amount and severity of asthma attacks also determines whether or not the control medication is needed.
  • Control medications include the following:
    • Inhaled steroids
    • Long-acting bronchodilators
    • Combination of products containing inhaled steroids and long-acting bronchodilators
    • Leukotriene receptor antagonists (only available in pills)
    • No inhaled steroids (such as cromoglycate and nedocromil)
    • Methylxanthines (for example, theophylline)
    • Omalizumab injections
  • The Corticosteroids Inhaled are preferred for all ages drug control. When used in recommended doses, they are safe for most children. However, in your child’s particular case, your health care provider may recommend another type of control medication.

Control plan against asthma

All people suffering from asthma should have an asthma action plan (plan to control asthma). The plan has information for the treatment of the child, for example the type of medication to take and when to take it. It also describes how to control asthma in the long term and how to react to an asthma attack. In addition, the plan explains when to call the doctor or go to an emergency room.            

All the people who care for the child should be aware of the action plan. People such as family members, child care providers, schools, camps, teams, coaches and instructors. In an emergency, they can help the child stick to his plan of action to control asthma.


Why is it important to study NLP?

Neurolinguistic Programming, also known by its acronym as NLP , has grown globally in a dizzying way in recent decades, and as more is known about the neurosciences, more is sustained and deepened the knowledge that this discipline gives us about how we build our experiences with help of NLP therapist. In this way, NLP studies the subjective experience that people have, about the experiences that are happening in our lives, and helps us to change certain mental connections, being able to model from our beliefs, emotions and even our actions, and with this, directly impacts on obtaining results in the various aspects of people.

When one begins to deepen on these subjects the perspective of things enters into contradiction. We realize that the beliefs on which we have built many of our decisions, positions and actions , do not help us achieve the satisfaction and results we really want, and we discover that there are new ways to re-educate and transform our mind .

It is for this powerful reason that more and more people choose to study and become certified in neurolinguistic programming, because regardless of whether you want to dedicate yourself to accompany others or simply enhance your own development skills, the applied and experiential learning that it is obtained in these experiences, helps to overcome situations that limit us, frustrate us and even hurt us, and that having the tools to mold them again in a more positive way, help us to heal, internally align and empower us externally.

 It is important to keep in mind that studying NLP is a discipline that is within the group of short therapies, this means that it also helps us in working with other people, helping them to overcome traumas, build new beliefs that help to enable achievement, and leaving behind those lack of personal resources that makes us act erratically, wrong the way or rightly makes us feel bad.

 There are many benefits of learning neurolinguistic programming, that is why more and more people of different professions, ages and personal challenges, want to learn how the mind works, and the tools that help to reconfigure it, to start enjoying the life of another way, and to successfully achieve challenges that seemed distant and impossible before.

 If you still have doubts about why you should make the decision to learn and be certified in NLP, let me give you a list of reasons that will help you make the best decision in your process of growth and transformation:

  1. You can learn to identify how the mind works and tools to re-educate it.
  2. You will improve your communication and perception skills, verbally and non-verbally.
  3. You can obtain an international certification from the Latin American Society of NLP.
  4. You will change patterns of thought and action, to begin to achieve results consistently.
  5. You will have the possibility to work past situations that are preventing your growth, to solve them in short times and to advance towards your goals.

 You already know, neurolinguistic programming points to where everything starts, our thoughts and the way we see the world and interact with it, so by learning this you will have a powerful key to build your own life as you truly wish.