A SURVEY ON INDOOR, FOOD AND PSYCHOLOGICAL FACTORS THAT TRIGGERS TAMAKA SHVASA (CHILDHOOD ASTHMA) IN CHILDREN AGED BETWEEN 5-15 YEARSA SURVEY ON INDOOR, FOOD AND PSYCHOLOGICAL FACTORS THAT TRIGGERS TAMAKA SHVASA (CHILDHOOD ASTHMA) IN CHILDREN AGED BETWEEN
Abstract
Background: Tamaka shvasa is a chronic disorder of pranavaha srotas (respiratory system) that is comparable with asthma. Asthma is an episodic disease manifested clinically by paroxysms of dyspnoea, cough and wheezing. Most of them acutely manifest following exposure to various indoor, food, psychological and occupational factors. This cross-sectional survey was aimed to identify common indoor, food, psychological triggering factors for tamaka shvasa (childhood asthma) in children aged between 5-15 years. Materials and Methods: 50 Children suffering with tamaka shvasa (childhood Asthma) consulting outpatient department and inpatient department of SDMIA hospital were interrogated for triggering factors of tamaka shvasa using structured questionnaire based on asthma trigger inventory (ATI). Results: Categorical screening was done on various triggering factors of tamaka shvasa(childhood asthma) like indoor (15), food (10), initial symptoms (5) and psychological (5). Amongst indoor factors dusting/vacuum cleaning and dust mites were the strongest triggers. Ice cream and cold juices in food were strongest triggering factors. Cold and cough were the common initial features prior to the asthma. Psychological factors like anxiety, crying and laughing hard elicited acute asthma manifestation. Discussion: Primary factor that leads to recurrent and acute exacerbation of asthma could be because of the innate anatomical and immunological peculiarities in children. Further, familial traits, atopic disorders, housing and living standards contributes to the condition. Though various factors are identified, their mechanism and causal relationship with asthma needs to be explored in future studies with large population.
Keywords: Ayurveda, childhood asthma, indoor triggering factors, psychological factor, tamaka shvasa
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