شاب عمره ١٥ سنة عنده ربو خفيف، يلعب كرة قدم في المدرسة. يضيق نفسه ويكح ويصفر بعد ١٠ دقائق من الجري، خاصة في الجو البارد، ولا عنده أعراض في غير ذلك. أي نصيحة صحيحة؟

A 15-year-old with mild asthma plays school football. He becomes breathless, coughs and wheezes 10 minutes into running, especially in cold weather, with no symptoms otherwise. Which advice is correct?

1. Ban him from sport entirely to protect his lungs
2. Use salbutamol 15 minutes before exercise and warm up gradually
3. Use the inhaler only after training if he feels tired
4. Take oral steroids daily before every training session

Answer: B) Use salbutamol 15 minutes before exercise and warm up gradually. Exercise-induced bronchoconstriction is usually prevented with a short-acting bronchodilator 15–30 minutes before exercise plus a warm-up. Sport is beneficial and not banned; frequent symptoms prompt a review of control.