PERSONALISED MEDICINE IN BRONCHIAL ASTHMA: CURRENT CONCEPTS AND PROSPECTS

R. Fayzullina, V. V. Viktorov, R. R. Gafurova
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Abstract

Bronchial asthma (BA) is today a global medical and socio-economic issue in the health care system. Manifesting in childhood, the disease persists throughout the patient’s life, characterised by a variable clinical course. The periods of remission are combined with the periods of exacerbation and a wide range of symptoms ranging from mild symptoms to severe illness. Following the data of epidemiological studies, BA occupies a leading place among the chronic disorders of the lungs of non-infectious aetiology with increasing the annual prevalence trend. The article presents a literature review on the prospects for a personalised medicine (PM) approach for the group of socially significant, multifactorial diseases, including BA. Implementing PM for asthma patients makes it possible to diagnose and predict the disease even at the preclinical stage. This will reduce mortality, morbidity and disability rates, cut the costs of treatment and rehabilitation of symptomatic patients, and increase the patient’s adaptive capabilities, coping with outdoor environmental and local factors. Keywords: Bronchial asthma, personalised medicine, HealthNet program, P4 medicine concept.
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支气管哮喘个体化治疗:目前的概念和前景
支气管哮喘(BA)是当今卫生保健系统中的一个全球性医学和社会经济问题。这种疾病在儿童时期表现出来,在患者的一生中持续存在,其特点是临床病程多变。缓解期与加重期相结合,症状范围广泛,从轻微症状到严重疾病。根据流行病学研究数据,BA在非感染性肺部慢性疾病中占主导地位,且每年患病率呈上升趋势。本文介绍了一篇文献综述的前景,个体化医疗(PM)的方法组的社会意义,多因素疾病,包括BA。对哮喘患者实施PM可以在临床前阶段就诊断和预测疾病。这将降低死亡率、发病率和残疾率,降低有症状患者的治疗和康复费用,并提高患者的适应能力,应对室外环境和当地因素。关键词:支气管哮喘,个体化治疗,健康网计划,P4医学理念
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