EUROMEDICA 

Hanover

1-2  Juni 2007

Advanced methods of diagnosis,
treatment and prophylactics

European Academy of Natural Sciences, Hanover

European Scientific Society, Hanover

Russian Academy of Natural Sciences, Moscow

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A.E.Novozhilov THE MEANING OF BUTEYKO BREATHING TECHNIQUE FOR TREATMENT OF BRONCHIAL ASTHMA
Buteiko Clinic, Moscow, Russia; Tel.: +7(495)304-1889; www.buteykomoscow.ru; www.buteykoclinic.ru

  1. In patients with all stages and forms of bronchial asthma an external breath function (EBF) is affected.
  2. EBF supports in the first line the CO2 concentration in alveolar air (PACO2) and in arterial blood: decrease of СО2 concentration in the lungs by 1,2 mmhg calls upon a stabilizing response of the external breath that exceeds ten times the oxygen (О2) sensibility.
  3. A clinical-physiological analysis of an asthmatic fit in asthma patients shows a persistent hyperventilation, which accelerates correspondingly to asthma progressing.
  4. Alveolar hyperventilation of the lungs is one of the conditions of gas exchange impairment particularly reducing a partial СО2 pressure in pulmonary alveolar air (рСО2А) that leads to irregularity of pulmonary ventilation.
  5. First of all on increase of lung ventilation occurs the rise of the tone of smooth muscles located on the bronchial walls that is a bronchoconstrictor effect of hypocapnia.
  6. Irregularity of lung ventilation and bronchospasm attribute to bronchial hyperactivity under condition of decrease in PACO2.
  7. Bronchospasm as well as clinically significant oedema and bronchial mucus hypersecretion occurs in asthma patients with PACO2 reduction below 31 mmhg in the hyperventilated parts of the lungs, which on the whole might be interpreted as a physiological reaction aimed at supporting homeostasis in the lung gas-exchange function. Reducing an opening of the airways due to development of the oedema and bronchial mucus hypersecretion leads to a gradual СО2 compensation in pulmonary alveolar air. An increase of PACO2 to 32 mmhg and higher, causes a spontaneous cessation of the bronchospasm and presents a reliable prevention of the asthmatic fit.
  8. Use of the Buteyko method enables to restore a physiological norm of PACO2 (40 mmhg), which maintenance during 6 months and more prevents allergic reactions in asthma patients. At the contact with the allergen that used to provoke oedema, mucus hypersecretion and bronchospasm, there is no allergic reaction any more. This shows a direct connection between the activity of allergic inflammation in the bronchs, bronchospasm and PACO2.
  9. The Buteyko method is an educational and treatment program aimed at search and removal of the factors that cause destabilization of breath homeostasis. Destabilization of breath homeostasis (chronic alveolar hyperventilation, alveolar hypokapnia) are the factors that influence development of compensatory reactions from the respiratory system, whose bright and clinically significant manifestations are oedema and airway mucus hypersecretion and bronchospasm.

 

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