Start of chronic bronchitis may catch when close attention to the patient's cough.In some patients, periodic exacerbations, they occur seasonally or after viral respiratory diseases.This exacerbation of chronic bronchitis should be distinguished from similar symptoms of acute bronchitis.Let's talk about the progression of the disease chronic bronchitis!
Acute bronchitis usually lasts no more than 2 weeks, and exacerbation of chronic bronchitis - from 3 to 4 weeks.Some patients with acute bronchitis flows into chronic bronchitis.The disease is chronic bronchitis or emphysema can be connected with each other and develop simultaneously.Chronic bronchitis usually begins in the large bronchi, and gradually extend to all parts of the bronchial tree.But maybe such a development of the disease that affects only a small bronchi.This disease occurs without visible symptoms, as these offices are not equipped with shortness of breath and cough receptors occurs much later.Therefore, small bronchi called dead zone o
To differentiate chronic bronchitis disease from other diseases with similar symptoms, you must know that bronchitis occurs in waves.This is an important sign of chronic bronchitis.When purulent bronchitis may cause fever and intoxication, pathological process can extend to a nearby lung tissue.
With the progression of chronic bronchitis is further increased cough, increased sputum, which may contain pus.The patient's condition is deteriorating periodically due to hypothermia, the presence of viral infections and other negative factors.The number of exacerbations increases, thus they are becoming longer.Gradually increasing shortness of breath.
Treatment of chronic bronchitis should be individualized, that is, the doctor need to know about the disease the patient about his lifestyle and work.Treatment should be timely, t. E. It should be initiated as early as possible.It is necessary to eliminate the influence of harmful factors on the body.If treatment is started late, it may not produce any results.Therefore it is impossible to underestimate the early diagnosis and the start of treatment.Further treatment of chronic bronchitis should be continuous.Many patients show constant medication, they further recommended to engage in physical therapy, to monitor the daily routine and stick to a certain type of food.In chronic bronchitis, possible hospitalization, the question of which should be decided on an individual basis.The indications for hospitalization are usually periods of acute or progressive respiratory failure.Hospitalization is required if there is an acute respiratory failure, which is associated with exacerbation of bronchitis, pneumonia or acute.
patients with chronic bronchitis it is recommended to adhere to a strict high-calorie diet.It should contain a large number of vitamins, uncooked fruits and vegetables, fruit juices and beer yeast.The most effective treatment is endobronchial drug rehabilitation.Typically poured isotonic sodium chloride solution, warmed to room temperature.Readjustment made with the help of laryngeal syringe or a rubber catheter, which is inserted through the nose.In this procedure, the patient is sitting, using gauze hand he pulls the tongue forward - 5 ml of solution is introduced to the root of the tongue.If the procedure is performed correctly, then immediately after the patient has to cough.Such infusions promote drainage of the bronchi.
In infusion of drug solutions through a rubber catheter is necessary to anesthesia of the nasal mucosa, pharynx and larynx.Typically, a solution or novocaine tetracaine instilled into the nasal passages using a pipette.Once the patient marks numbness and "lump" in the throat, the catheter is inserted through the nose into the trachea to shallow breath.If the catheter is correct, then there is an infringement of phonation, a cough and cough through the end of the catheter comes out a strong stream of air.In addition, effective treatment is a bronchoscopic readjustment of the bronchial tubes.Widely used in treating various aerosols with drugs that are administered to the respiratory tract.Their use creates high local concentration and promotes distribution throughout the bronchial tree.
In bacterial inflammation are treated with antibiotics.They are used as aerosols.Assign streptomycin, penicillin and other drugs.During an exacerbation of chronic bronchitis recommend the use of sulfa drugs (Biseptol, sulfapiridazin, sulfalen et al.).Also used bronchodilatory agents, particularly effective aminophylline.In chronic bronchitis bronchial mucus accumulates, which must be promptly removed.For these purposes, use expectorants, which are divided into mucolytics and mukoregulyatory.An effective expectorant is potassium iodide, which is used to 1 tablespoon5-6 times per day (3% solution).After such treatment make a break, about 2-3 days.To facilitate sputum discharge recommend giving the patient fluids and use herbs that enhance the sputum.It rosemary, mother and stepmother, and others. As a supplement use different techniques of physiotherapy: ultrasound, ultraviolet irradiation of the chest, pine baths.It is necessary - as in chronic bronchitis conduct classes physiotherapy and massage, which is dominated by the vibrational motion.