Antibiotics from bronchitis and cough in adults

Antibiotics for bronchitis

Antibiotics for bronchitis are selected after a thorough examination, examination and all necessary tests by the treating doctor.

Bronchitis is a common disease, both among children and among older people; in recent years, the disease has become chronic in the population. In an adult, the signs of the disease manifest themselves differently depending on certain factors. Before you start treating the disease, you need to determine the cause that led to the disease. Unfortunately, modern doctors prescribe antibiotics at random, according to the principle of "no more will be." However, with some forms of bronchitis, the use of antibiotics only hinders recovery. Bronchitis of a viral origin and without antibiotics is well treatable, since viruses are not destroyed by antibacterial agents. When treating viral bronchitis with antibiotics, depression of immunity begins, dysbacteriosis, allergic reactions, bacteria develop resistance to the drug.

With bronchitis in acute form, the focus of inflammation in the bronchi develops due to ingestion of viruses or infection. If before the disease in humans in the lungs there were no pathological processes, in 95% of the bronchitis was caused by viruses. At a bronchitis of the acute form of a virus origin antibiotics are not obligatory. If a person has a strong immune system, then treatment of a disease of staphylococcal, streptococcal, pneumococcal infection is predominantly symptomatic, recovery is an average of two of the week. If the defenses of the body are weakened, antibiotics must be taken. Acute bronchitis is manifested by a strong cough, pain in the chest, increased body temperature. Most of the patients recover fairly quickly (within two weeks), in some cases, cough lasts about a month.

Chronic bronchitis is considered if the disease occurs throughout the year often enough (the total number of days of illness for a year exceeds 90). At a chronic bronchitis of the person excruciates a strong cough with allocation of slime. Such a cough can be associated with harmful working conditions, smoking, allergic manifestations, infections in the upper respiratory tract. With exacerbations or repeated diseases, treatment is carried out with antibacterial drugs in combination with expectorants.

In a separate category there are bronchitis of Chlamydia and Mycoplasma origin. Recently, bronchitis, provoked by bacteria of chlamydia and microplasma, is diagnosed more often. The development of the disease is very slow, accompanied by signs of intoxication, the disease proceeds in a protracted form, with frequent relapses, treatment such bronchitis succumb extremely hard. In addition to a person's strong cough, fever, high fever, and muscle pains are excruciating.

Antibiotics for pregnant women with bronchitis

The frequency of bronchitis in pregnant women is quite high. This is primarily due to a weakened immune system that is unable to resist viruses and infections. The development of bronchitis begins as a manifestation of the common cold (weakness, temperature). After a few days, a dry cough begins, and after a couple of days sputum begins to appear from the bronchi. It is extremely important for a future mother to take their health seriously, because this threatens with various (sometimes quite serious) complications for the child. If there is a suspicion that the bronchitis is developing, you should immediately consult a doctor.

The excretion of sputum from the lungs in pregnant women is difficult, since the mobility of the diaphragm is reduced, and it is in a raised state. A long time stagnating in the bronchi sputum prolongs the term of the disease, in addition, this state is extremely harmful for the future mother, and for her baby. If in total the disease lasted no more than two weeks, most likely, the disease proceeded in acute form, but if the treatment lasted for a month or more - it means that the disease became chronic shape. Acute bronchitis has no harmful effect on the future baby, but a long chronic form of the disease can lead to intrauterine infection of the fetus. After the examination and all tests confirmed the diagnosis of bronchitis, treatment of a woman should be started as soon as possible.

X-rays to pregnant women are prescribed only in extreme cases, when the doctor has doubts about the correct diagnosis, the disease is accompanied by a very serious condition of the woman, a variety of complications. Antibiotics for bronchitis are prescribed quite often, but the use of such potent drugs for women in period of pregnancy is not recommended, especially during the first three months you need to exclude any medicinal preparations. As a rule, antibiotics are prescribed to pregnant women in extreme cases, when mothers are threatened with serious complications. In the event that it is not possible to dispense with antibiotics, preparations from a number of penicillins, which can be used in the treatment of pregnant women, are prescribed. These drugs virtually eliminate the possibility of harm to the child. If a woman is in the second trimester, then the use of cephalosporin group drugs is possible.

With bronchitis in acute form, you can use Bioporox - a local antibiotic with which inhalations are carried out. This agent acts directly in the respiratory tract, therefore, the possibility of penetration through the placenta is completely excluded, which is extremely important for a woman in the position.

List of antibiotics for bronchitis

Aminopenicillins:

• amoksiklav;
• amoxicillin;
• arlet;
• augmentin.

Antibiotics of this series are destructive to the walls of bacteria, their action is directed only at harmful microorganisms, and there is no harm to the body as a whole. The only drawback of such drugs is that penicillins are capable of provoking strong allergic reactions.

Macrolides:

• Macropen;
• sumamed.

Block the multiplication of microbes due to disruption of protein production in cells.

Fluoroquinolones:

• ofloxacin;
• levofloxacin;
• moxifloxacin.

Antibiotics for bronchitis of a wide spectrum of action, their frequent use leads to disruption of the digestive tract, provokes dysbiosis.

Cephalosporins:

• ceftriaxone;
• cefazolin;
• cephalexin.

Antibiotics of a wide spectrum of action, well cope with microorganisms resistant to penicillins. Preparations of this group are usually well tolerated by patients, in very rare cases cause allergic reactions.

Antibiotics for bronchitis in adults

Antibiotics for bronchitis in older people often have a major importance in the treatment of the disease. First of all, anti-infectious agents with antibacterial effect are used: rovamycin, flemoxin, chemomycin, azithromycin.

In second place is a cephalosporin group of antibiotics: suprax, ceftriaxone, cefazolin, cefepime. Such antibiotics are used in light and medium course of the disease, mainly in the form of tablets. Severe stages of the disease are treated with injections, in some cases it is advisable to use combination therapy combining injections and taking tablets. With bronchitis of viral origin, antiviral agents such as vifron, kipferon, geneferon, and the like are used. It is also necessary to take expectorants (ACS, lazolvan, bromhexine, etc.). If you suffer from dyspnea, you can use bronchodilators: teopek, euphyllin, berodual, salbutamol, etc. Also, treatment should be supplemented with vitamin preparations to strengthen the defenses of the body.

If antibiotics are prescribed without sputum analysis, preference is given to broad-spectrum antibiotics, usually penicillin or a protected penicillin group. The most commonly prescribed is augmentin from the group of protected penicillins, which has a disastrous effect on most bacteria that are unable to develop resistance to this drug. Augmentin is available in the form of tablets, injections, suspensions. The drug in the form of a suspension is convenient to use for the treatment of small children, this drug can also be used in pregnancy. Safety of use of the drug in childhood and pregnant women has been proved by numerous studies.

Also, antibiotic preparations of the macrolide group, for example, azithromycin, have a good therapeutic effect. Preparations are convenient to use, since it is required to be taken once, besides the course of treatment is not very long, 3 to 5 days.

However, the appointment of an antibiotic should be carried out taking into account the identified pathogens of the disease, on the basis of bacteriosives (sputum analysis).

Antibiotics for bronchitis in children

For the treatment of such a disease as bronchitis in children, drugs that improve drainage of the bronchi, i. a variety of mucolytic agents (liquefying phlegm): ambroxol, licorice root, althea, etc. Recently, inhalers have become very popular with the help of a special inhalation device - a nebulizer, which can be used at home.

Antibiotics for bronchitis in children are often prescribed together with antiallergic and immunomodulating drugs. Its effectiveness and safety for children was proved by the phytoantibiotic Umkalor, which includes bacteriostatic properties. This drug is well suited for the final cure of the disease, after using more powerful antibiotics, since the drug has good immunostimulating properties. Umcalor is recommended to take at least a week after the disappearance of the main symptoms of the disease for prevention.

It is mandatory to take funds aimed at maintaining and restoring the intestinal microflora in order to prevent the development of dysbiosis and weakening of the body's defenses. If treatment is started in a timely manner and an effective course of treatment is chosen, recovery occurs in 2 to 3 weeks.

Antibiotics for chronic bronchitis

Chronic bronchitis develops a change in the bronchial mucosa. Characteristic signs of bronchitis is sputum for more than two consecutive years, frequent prolonged exacerbations of the disease (at least three months a year). With chronic bronchitis there are stages of exacerbation and remission. In case of exacerbations, usually, the patient's extremely difficult condition is observed, in which he is forced to seek qualified help. In such periods, people suffer severe attacks of cough, weakness, increased sweating, fever. Periods of remission are accompanied by regular sputum discharge when coughing, which does not greatly affect a person's daily life. With chronic bronchitis, mucous ulcers get purulent sputum, sometimes bloody impurities appear.

The chronic form of bronchitis is most often sick at an older age, young people and children usually suffer the disease in a protracted form, with frequent relapses.

Antibiotics for bronchitis should be prescribed only after determining the sensitivity of pathogens to the active substance. Exacerbation of the chronic form of the disease can occur with the activity of chlamydia, legionella, and microplasmas. In this case, effective drugs for the treatment of the disease are antibiotics of the macrolide group (azithromycin, rovamycin). If the causative agent is Gram-positive coccal bacteria, antibiotics of the cephalosporin series are prescribed, with Gram-negative coccal infection - preparations of the last generation.

Good efficacy in the treatment of chronic forms of bronchitis are shown by antibiotics of a wide spectrum of action, tetracyclines, macrolides, etc.

Antibiotics for acute bronchitis

The causative agents of the acute form of bronchitis are mainly rhinovirus infections, respiratory-sentient viruses, influenza viruses, and the like. Bacterial pathogens of the disease are most often mycoplasmas, chlamydia. The culprits of acute bronchitis are viruses in 90% of cases, in the remaining 10% - bacteria. Also, acute bronchitis can develop as a result of prolonged exposure to poison gas or chemical compounds.

When acute form of bronchitis appears cough with the discharge of mucous sputum (sometimes with an admixture of pus), fever, weakness. In some patients, cough lasts about a month.

Antibiotics for bronchitis, which occurs in acute form, in most cases, use is undesirable, because the disease is most often caused by a viral infection, in which antibiotic therapy is ineffective. Treatment of bronchitis in acute form is mostly symptomatic (antipyretic, antitussive, vitamin preparations). If bronchitis has developed as a result of influenza virus, treatment is advisable to carry out antiviral drugs.

In some cases, the use of antibacterial drugs for bronchitis is still a necessity. First of all, these are people in old age and small children, since they have an increased risk of developing severe complications (exacerbation of chronic disease, pneumonia). Usually, in such cases, amoxicillin (500 mg three times a day), josamycin (500 mg three times a day), spiramycin (2 times a day for 3 million IU), erythromycin (500 mg four times a day) is prescribed in such cases.

Antibiotics for obstructive bronchitis

Obstructive bronchitis is accompanied by a dry obtrusive cough that lasts almost without stopping, usually arises, and after coughing, there is no relief. Cough often intensifies at night, thus preventing a person from resting, the first time the body temperature is not increased. The usual symptoms of the disease (weakness, headache, fever) are practically not observed. In most cases, dyspnea appears in the disease, difficulty breathing, small children often widen the wings of the nose when trying to breathe, while breathing noisy, with hissing sounds.

The course of obstructive bronchitis occurs in acute or chronic form. Diseases in the acute form are most often affected by children, chronic - adults and elderly people.

Antibiotics for bronchitis of the obstructive form are appointed after a bacterial infection is detected. The usual means used for treatment are fluoroquinolones, aminopenicillins, macrolides. With an exhausting cough that does not give the patient a full rest, an erespal is prescribed (usually one tablet twice a day).

Antibiotics for purulent bronchitis

The development of a purulent form of the disease usually occurs due to the initially incorrect treatment of the acute form of the disease. With bronchitis, sputum analysis is rarely prescribed for sensitivity, and in most cases, drugs with a wide spectrum of action are immediately prescribed. Usually this kind of treatment is effective. Together with antibiotics, thinner phlegm and antiallergic drugs are prescribed. A number of complications are caused by the viral nature of the disease, in this case, antibiotics for bronchitis are completely ineffective, since their effect does not apply to viruses. With such treatment, the disease progresses, and passes into a more severe form, most often into a purulent one. With purulent bronchitis, sputum appears with purulent impurities.

Treatment of the disease should be done after the mandatory determination of microflora and its sensitivity to antibiotics. Good efficacy in the treatment of purulent forms of bronchitis show inhalation.

Natural antibiotics for bronchitis

Natural antibiotics in bronchitis are not able to completely replace drugs, but they can fully protect the body from of most infections, to strengthen immunity (in contrast to chemical), besides natural remedies do not destroy microflora in the intestine and do not provoke a dysbacteriosis.

For a long time people knew the products and plants that had anti-inflammatory and bactericidal properties during treatment. One of the most famous strong antibiotics of natural origin is garlic. It well destroys viruses, bacteria, parasites, penetrating into our body. Garlic acts fatal to such bacteria as Styrmococcus, Staphylococcus, Salmonella, diphtheria, tuberculosis. In total, garlic fights with 23 different bacteria.

Onion is also a widely known powerful natural antibiotic that helps stop the reproduction of sticks of dysentery, diphtheria, tuberculosis, streptococcal, staphylococcal infections. The aroma of onion helps cleanse the airways.

The root of horseradish contains lysozyme, which destroys the cellular structure of bacteria, thereby eliminating the infection.

Black radish acts destructively on cells of microorganisms. In combination with honey, it has a strong bactericidal effect. In addition, it helps to strengthen the defenses of the body, weakened by the disease.

Garnet has strong anti-inflammatory and antimicrobial properties, since ancient times pomegranate was used to treat typhoid fever, salmonellosis, colitis, stomach diseases, non-healing wounds, dysentery, cholera, sore throat. Substances in the pomegranate function in the human body selectively, in contrast to chemicals, and destroy only pathogens.

Raspberry has long been known for its sweating, anti-inflammatory, bactericidal properties, besides, it has a good soothing effect. Raspberries are especially effective for diseases of the throat, bronchi, and the like.

Kalina has good bactericidal properties, successfully destroys various fungi, bacteria, viruses, and also increases immunity. But the viburnum can not be taken continuously, it is recommended as a prophylaxis of seasonal diseases (in the autumn-winter period).

In honey contains all important for our body trace elements. It helps to cope with various diseases, in particular caused by bacterial infections.

The composition of propolis is rich in essential oils, flavonoids, flavonoids, organic acids. Scientists have repeatedly argued that propolis is effective in fighting a variety of pathogenic microorganisms. Propolis has no contraindications and side effects (except for individual intolerance), in addition, microorganisms do not develop resistance to it.

Aloe - a long-known medicinal plant, which is popular in our days. In scarlet, except for a multitude of trace elements, vitamins, etc., there is one substance that has a strong antiviral, antiseptic, antifungal effect. In addition, scarlet increases the body's defenses and helps cope with serious diseases.

Mumiye in its principle of action resembles propolis. Scientists have already been shown the presence in the mummy of an antibiotic, which is superior in strength to the effects of penicillin. The solution mummy destroys E. coli, staphylococcus and other pathogenic microorganisms. Take mummies should be a course of no more than 10 days, because there is a strong stimulating effect.

In the composition of chamomile is a large number of essential oils, which have a good anti-inflammatory and antiseptic effect on the human body. Also in the composition of chamomile are various acids, glucose, carotene, which are very useful for human health. Modern science has recognized the chamomile as one of the few plants that help a person effectively combat gastrointestinal diseases, nervous disorders, colds, etc. Camomile is also a strong antiseptic and has expectorant properties.

Calendula has a wide variety of uses. Its antibacterial properties of calendula is due to the essential oil entering into its composition. Infusion and flowers of calendula is usually well tolerated by people prone to allergic reactions.

Sage is one of the strong natural antibiotics, which has antiseptic and antiviral properties. Sage has proven itself as an additional remedy in the treatment of diseases that cause various viral and bacterial infections. It is very effective against gram-positive microorganisms (enterococci, staphylococci, etc.).

Essential oils of plants such as sage, cloves, tea tree, fir, lavender, mint, etc. are natural antibiotics that destroy bacteria, viruses, fungi and inhibit the reproduction of microbes.

A good antibiotic for bronchitis

Antibiotics for bronchitis are used in several groups:

• aminopenicillins - act destructively on the walls of bacteria, thus causing the death of microorganisms. Amoxicillin is often prescribed from this group. The human body does not have components that are similar in structure to the bacterial cell walls, so preparations of this group act solely on microbes and do not have a harmful effect on the body rights. But penicillin antibiotics are more likely than other drugs to provoke severe allergic reactions.
• macrolides - disrupt the production of protein in bacterial cells, as a result, bacteria lose their ability to reproduce. A wide spread of azithromycin, roxithromycin. If the nature of the disease is protracted, drugs of this group can be treated for a long time, without fear that the medicine will harm the body. This group of drugs can be used in childhood, during pregnancy and lactation.
• fluoroquinolones - break the DNA of bacteria, which leads to their death. Usually moxifloxacin, levofloxacin is prescribed. Preparations of this group show a good result in the treatment of various forms of bronchitis, but they are quite expensive. Fluoroquinolones have a wide spectrum of action (an order of magnitude greater than macrolides and aminopenicillins), therefore, with prolonged reception, the development of dysbacteriosis is provoked.

Antibiotics from which group is better, it is rather difficult to say. The drugs of the first line (ie those that the doctor appoints first) are penicillin antibiotics. With individual intolerance or expressed resistance of microorganisms to penicillins, second-line drugs - macrolides are used. If, for some reason, macrolide antibiotics are not effective in treating bronchitis, they switch to fluoroquinolones. Usually, treatment is limited to only three of the above groups of antibiotics, but in some cases, tetracyclines, cephalosporins can be used. In different clinical situations, a drug is selected that is optimally suited to specific conditions, taking into account the analyzes, the patient's condition and the severity of the disease.

Sumamed with bronchitis

Sumamed is used in the treatment of various infectious-inflammatory diseases. This drug belongs to the group of macrolides, it is well absorbed into the digestive tract, it has a good ability to penetrate into the blood and bacteria cells. In particular, the preparation penetrates the cells responsible for immunity, which contributes to its rapid entry into the infection site, where it destroys the causative agents of the disease. In the focus of inflammation, a sufficiently high concentration of the drug is observed, for a long time, not less than three days, which reduced the course of treatment. Sumamed is prescribed a course three days once a day (500 mg), an hour before meals or two hours later. This antibiotic is active against a large number of pathogens of the upper respiratory tract, ENT organs, soft tissues and skin, joints, bones, as well as against ureaplasma, mycoplasmal, chlamydial infections, which are difficult to cope with treatment.

Antibiotics for bronchitis should be prescribed only after preliminary examination of excreta (sputum) on the sensitivity of bacteria. However, in practice, antibacterial drugs with a broad spectrum of action, such as sumamed, are usually immediately prescribed, and if after the analysis it is established that the bacteria are insensitive to this type of antibiotic, the doctor changes it to another antibacterial a drug.

Usually sumamed by patients is well tolerated and does not cause side reactions if all the necessary admission rules are followed. However, adverse reactions still occur in rare cases (as with any other medication): nausea, vomiting, abdominal pain. In the intestine, irritation is not caused by the drug itself, but by a conditionally pathogenic microflora inhabiting the intestine of a person who begins an active life after the destruction of a beneficial microflora. Also intensify the activity of Candida fungus, which threatens the development of candidomycosis (thrush) of the oral cavity, intestines, genital organs and other mucous membranes. Also, Sumamed can disrupt the liver, nervous system (lethargy, insomnia, dizziness, increased excitability, etc.).

In general, sumamed is an effective drug that must be applied correctly and accurately.

Augmentin with bronchitis

Augmentin inhibits the growth of bacteria and acts destructively on microorganisms. The drug refers to the semisynthetic antibiotics of the aminopenicillin group, contains clavulanic acid, which enhances the action of the basic substance. An antibiotic preparation is produced in the form of injections, drops, tablets, powder for suspensions. Due to a wide spectrum of action, the drug is used in the treatment of most inflammatory infections caused by bacteria that do not develop resistance to penicillins. Despite the fact that augmentin refers to penicillin antibiotics, its effect on microorganisms is enhanced by clavulanic acid, which blocks the action of beta-lactamase, produced by microorganisms to suppress activity penicillins. As a result, augmentin is effective against a greater number of bacteria than other antibiotics in the bronchitis of the penicillin group.

Adverse reactions in the treatment of augmentin develop quite rarely, in some cases, the emergence of dysbiosis, violations of the liver, nausea, urticaria. Very rarely can anaphylactic shock occur. Do not prescribe augmentin for individual intolerance to penicillins, with hepatic or renal failure, during pregnancy (especially in the first trimester).

The dosage of the drug depends on the patient's condition, the individual sensitivity of the microflora, the age of the patient. For young children (up to a year), the drug is prescribed three times in the form of drops per day for 0, 75 or 1, 25ml. In severe cases, intravenous injections are given every 8 hours. Children 7 - 12 years are prescribed a drug in the form of a syrup or suspension of 5 ml 3 times a day. Children over 12 years of age and adults with a mild and moderate course of the disease are recommended to take the drug three times in the form of tablets per day (by, 75 mg). In severe bronchitis it is recommended to take three times a day, 25 mg (2 tablets). If the hepatic function, the individual dosage of the drug is determined by the attending physician.

Amoxiclav in bronchitis

Amoxiclav is a combined preparation with a wide spectrum of action, it acts perniciously on the majority of microorganisms-pathogens of infectious diseases. Produced by the drug, like many other antibiotics for bronchitis in various forms: tablets, injections, drops and suspensions. The dosage of the drug depends on the age, body weight, severity of the disease. The recommended dose for an adult is 1 tablet three times a day.

Amoxiclav contains an antibiotic of the penicillin series (amoxicillin) and clavulanic acid, which also has a slight antibacterial effect. Due to this, the drug is effective against bacteria that are resistant to penicillin.

Amoxiclav is well absorbed into the digestive tract, penetrates into the blood, from which it enters various tissues, and it also has the ability to penetrate the placenta. The drug is excreted mainly by the kidneys, decomposing into metabolic products. Usually the drug is well tolerated by patients and has virtually no contraindications. You can not use amoxiclav for individual intolerance, violations of the liver, with lymphocytic leukemia, infectious mononucleosis, in children under 12 years (in the form of tablets). After taking the drug in some cases, nausea, vomiting, dizziness and headaches may occur, rarely convulsions appear. Also, the drug has the ability to reduce the defenses of the body.

New generation antibiotics for bronchitis

Antibiotics for bronchitis are usually prescribed with a wide range of effects, although the choice of drugs should depend on the results of a laboratory study of sputum. The best way to treat the disease will be that which has a disastrous effect directly on the causative agent of the disease. This approach to treatment is due to the fact that laboratory analysis takes quite a long time (3-5 days), and treatment should be started as early as possible in order to avoid complications.

In bronchitis, the following groups of antibacterial drugs are used:

• penicillins - the composition includes penicillin and substances that enhance their effect. Penicillin drugs have been used in medicine for quite some time. During this period, microorganisms acquired resistance to the action of penicillin, so it became necessary to strengthen the drugs special substances that will block the action of enzymes produced by microorganisms to reduce activity penicillin. Currently, the most effective antibacterial drugs of the penicillin series are panclav, amoxiclav, augmentin.
• macrolides - are usually prescribed when there is an individual penicillin intolerance. Today, erythromycin and clarithromycin are widely used for the treatment of bronchitis.
• Cephalosporins are usually prescribed for obstructive forms of the disease. Modern effective drugs are ceftriaxone, cefuroxime.

• fluoroquinolones - are commonly used in the treatment of bronchitis in chronic form in the stage of exacerbation, it is recommended to begin treatment from the first days. Today, moxifloxacin, levofloxacin, ciprofloxacin are of great efficacy.

The effectiveness of an antibiotic is determined after a laboratory test for the sensitivity of pathogenic microflora.

How to cure bronchitis without antibiotics?

Bronchitis is a widespread disease of the respiratory tract, so there are many recipes of folk medicine that help effectively fight against viruses and bacteria. Antibiotics for bronchitis are usually appointed in case of detection of a bacterial infection. In other cases, treatment with such drugs will harm the body more.

The most first aid to man in the fight against diseases are the well-known products: onions and garlic. Their action has been known to people for a long time. For the treatment of bronchitis, tincture of onions with honey was widely used. To make a medicine, grate the onion, then add the honey (1 part of honey and 3 parts of onions) to it. Take such a drug you need about three times a day for a tablespoon, after 20-25 minutes a field of food.

Also, the sweetly baked bulb is effectively helped to fight the diseases of the respiratory tract according to the old French recipe. For cooking, you need to remove the core from the half-cut bulb and pour a teaspoon of sugar into the cavity, bake in the oven at 150 degrees to caramelize the sugar.

A debilitating cough will help to defeat milk with sage. A glass of milk will require a tablespoon of herbs, the broth should be boiled for about 10 minutes. Then the mixture is filtered and taken in a warm form in half a cup. The broth should be drunk in small sips.

A good hot drink helps in the fight against bronchitis: tea with the addition of honey, viburnum or raspberry, in which there is a lot of vitamin C to maintain immunity. Certainly you need to consume more citrus (lemon, grapefruit). Good anti-inflammatory and supporting the body properties are decoctions of linden, mint, pine buds. A decoction from a mixture of plantain, licorice root, violet, mother-and-stepmother (mixed in equal amounts, then a tablespoon is poured into 200 ml of boiling water, brought to a boil and boiled for 20 minutes slowly fire). The broth is taken about six times a day for 5 tbsp. spoons.

In addition to broths, various inhalations have good efficacy in the treatment of bronchitis, after which dry mucous moisturizes, calms down, coughs die, directly in the hearth inflammation. Inhalations can be carried out with the addition of various essential oils (fir, pine, eucalyptus).

Antibiotics for bronchitis help cope with a disease that is of bacterial origin, i.e. is caused by the activity in the bronchi of various bacteria. With viral bronchitis (for colds, flu), antibiotics are prescribed only in extreme cases, when the disease threatens with severe complications, there is a risk of developing a bacterial infection, etc. Bronchitis with the right approach to treatment is cured within two weeks. To prevent the disease from turning into a heavier form, it is necessary to comply with bed rest, drink enough liquid (mainly teas with the addition of raspberry jam, viburnum, honey, as well as herbal decoctions of mint, linden, chamomile and etc.).

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Antibiotics for bronchitis in children and adults

Bronchitis is a common disease that in recent years has been chronic in the population, and the signs of bronchitis in adults vary and depend on many factors.

Before the treatment of bronchitis it is necessary to find out the cause that caused the disease. Unfortunately, antibiotics for adults are prescribed empirically in adults, and in some states their purpose is completely inappropriate.

It is known that bronchitis without antibiotics is easily treated if the inflammation has a viral origin, since the virus is not treated with antibacterial agents.

If you take antibiotics during ARVI - this only interferes with the body's defense mechanisms to fight the virus, they depress immune system, lead to the development of dysbacteriosis, allergies, develop the resistance of microorganisms to the drug drug.
Depending on the type of bronchitis the doctor is prescribed the appropriate treatment:

Types of bronchitis

• Acute bronchitis

It is an inflammatory process in the bronchi that occurs most often against the background of Orvi, the flu. With a normal immune response, the body can cope with the virus and in this case antibiotics are not shown. But with the accession of a bacterial infection - pneumococci, staphylococci, streptococci, with a severe course of acute bronchitis without antibiotics is indispensable. Symptoms of acute bronchitis: purulent sputum (yellow or green) with a strong cough, temperature 3, -3, C, chest pain. The doctor prescribes expectorants, mucolytic agents for improving the excretion of sputum (bromhexine, lazolvan, chest collection), showing inhalation. With a dry, painful, unproductive cough, the anticancer preparations are shown (Sinekod, Libexin). Well helps therapeutic exercises, physiotherapy, vibrating massage. With timely and adequate treatment, the disease passes quickly, residual phenomena in the form of a cough may persist for 3-4 weeks after the illness.

• Chronical bronchitis

If the number of days of illness in two years exceeds three months, such bronchitis is considered chronic. It is distinguished by the presence of a strong cough with mucus. This can be due to smoking (see. lung cancer and smoking), occupational hazard, allergic reaction and respiratory tract infections.

Separately stands out atypical forms of bronchitis. Mycoplasmal and chlamydial bronchitis are special types of inflammation of the bronchi and lungs, which are caused by such atypical pathogens as chlamydia and mycoplasma. Recently, these bronchitis have become more often diagnosed. Mycoplasmal and chlamydial bronchitis and pneumonia develop slowly, are accompanied by intoxication, have a recurrent and protracted nature, are difficult to treat. In patients other than cough, there is a high body temperature, chills, muscle aches.

Which antibiotic is better

The table provides a choice of treatment depending on the type of bronchitis:

Types of bronchitis	additional characteristics	Treatment choice
Acute bronchitis	Viral etiology	Expectorants, Inhalation Bed rest Abundant drink Bronchitis without antibiotics
Chronic uncomplicated bronchitis	Less than 4 exacerbations per year	Aminopenicillins Macrolides
Chronic complicated bronchitis	More than 4 relapses per year, the patient's age is more than 65 years	Amoxicillin, Amoxiclav Cephalosporins Macrolides
Chronic bronchitis with concomitant diseases	The presence of chronic diseases, diabetes, kidney, heart failure	Fluoroquinolones (in resistant flora, contraindicated in children)
Chlamydia bronchitis	It develops in children and in adults with weakened immunity	Tetracyclines Macrolides Fluoroquinolones
Mycoplasma bronchitis	It develops in children and in adults with weakened immunity	Macrolides

• Aminopenicillins - first-line drugs

This is Amoxicilin (average price 50-100 rubles.), Amoxiclav (average price 250-280 rubles), Augmentin (price 120-180 rub.), Arlette (price 240-260 rubles). Such antibiotics destroy the bacterial cell walls, acting only on microbes, without harming the body. The disadvantage is that penicillins very often cause allergic reactions in patients.

• Macrolides - second-line drugs

Azithromycin (Sumamed price 540-560 rub. Azithromycin, Azitrox, Hemomycin, Z-factor, Azitrus 140 rub., Azicid, Azitral), Midekamycin (Macropen price 220-230 rubles.). Violate the production of protein in the cells of bacteria, so the microbes stop multiplying.

• Fluoroquinolones - appointed with inefficiency, allergic reactions to the first 2 rows

Levofloxacin (price 430-670 rub.), Ofloksatsin (price 30 - 170 rubles.), Moxifloxacin (Avelox price 1100-1200 rub.). Quite expensive drugs, refer to antibiotics of a wide spectrum of action, are contraindicated to children, cause dysbacteriosis, are considered to be preparations of the reserve.

• Cephalosporins

Cefazolin (10-12 rubles a bottle for 1 injection), Ceftriaxone (17-50 rubles per bottle for 1 in.), Cefalexin (capsules 40-50 rubles. for 16 pcs.), Cefixim (Suprax, Panzef, Ixim).

What is the best antibiotic for bronchitis?

This is the one to which the causative agent of the disease is most sensitive. How to determine this, and what antibiotics to drink with bronchitis? The most correct choice of a drug will be after the result of bacterial culture of phlegm on sensitivity to antibacterial agents. The disadvantage of such an analysis is the duration of the result, as well as the fact that the analysis is not done because of savings in reagents or lack of laboratories. Most often, the doctor prescribes a broad spectrum antibiotic according to the standard of treatment.

Antibiotics for children

The use of antimicrobial agents in children with colds is unacceptable, their administration is justified only in case of complication development:

• This may be the case when after the flu virus, ARVI after 4-5 days, the deterioration of the general condition of the child, the rise of high fever, a wet cough with purulent sputum. In this case, call a doctor.
• The safest and most effective drugs that can be prescribed for children are aminopenicillins and macrolides. Cephalosporins and macrolides are prescribed if there is an allergy to penicillins.
• During and after taking antibiotics, the child should take probiotic drugs in between using antibiotics, and after end of the course of treatment to continue the use of Bifiform, Rio Flora Immuno, Acipola, Bifidumbacterin, Linex for another 2-4 weeks (cm. a complete list of probiotics, analogues of Linesque).

The main rules for taking antibiotics

• Continuity of the course of treatment. The doctor evaluates the patient's condition and determines the duration of therapy, usually enough 5-7 days, with macrolide treatment - 5 days.
• Take exactly the time. It is necessary to observe the frequency of reception and maintain the same time intervals (24, 12, 8, 6 hours), that is, if an antibiotic is prescribed 3 times a day, then it is taken every 8 hours. This is necessary to maintain a constant concentration of the drug in the blood. Some antibiotics should be drunk 1 time per day (every 24 hours), others 2 (every 12 hours), some three (8 hours).
• Monitor the effect of the antibiotic. If there is no improvement within 72 hours, then the causative agent to this antibacterial agent is stable and should be changed.
• Continue treatment 2-3 days after the obvious improvement, recovery (see, for example, 11 rules for the correct intake of antibiotics).

For any malaise, cough, temperature, always consult a doctor. Distinguish manifestations of diseases, differentiate the disease, which drug should be chosen better for bronchitis and how to correctly take it, only a specialist can do it. Trust doctors, then you will not have to deal with the situation of complications from untimely or incorrect treatment, as well as with unreasonable intake of medications.

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Treatment of bronchitis with antibiotics in adults. Acute bronchitis: treatment with antibiotics

Bronchitis is an inflammation of the bronchi, when the narrowing of their lumen occurs, breathing becomes difficult, a cough with phlegm appears. Let's further define what is bronchitis. Symptoms and treatment with antibiotics of this disease will be considered in the article.

This ailment, as a rule, appears due to the penetration of the infection into the body. Most often these are viruses (parainfluenza, influenza, adenovirus), bacteria (staphylococci, hemophilia, pneumococcus, streptococci), intracellular parasitic elements. During the cold, there is an inflammation of the respiratory tract. Now, there are 100 microbes that cause disease. Infections such as PC infection, influenza, attack the bronchi directly, and already in the first days of the disease lead to bronchitis. As a rule, the bacterial infection is replaced by a viral infection (for example, during the flu).

Factors of bronchitis

It is possible to isolate the following factors that lead to the development of this disease:

• physical factors - wet, cold air;
• sharp temperature fluctuations;
• radiation, dust and smoke;
• chemical factors - such substances in the air as carbon monoxide, ammonia, hydrogen sulphide, vapors of acids, cigar smoke;
• bad habits - alcoholism, smoking;
• diseases that lead to stagnation in the circulation;
• infection of the nasal cavity, for example, sinusitis, sinusitis, tonsillitis;
• congenital pathology and hereditary predisposition;
• trauma of the chest.

Treatment of bronchitis

There are chronic and acute bronchitis.

Therapy for acute illness includes:

• Bed rest.

• Abundant drink leading to liquefaction of sputum.

• Use of antipyretic and anti-inflammatory drugs.

• Appointment of mucolytic and antitussive medications.

Treatment of bronchitis in adults with antibiotics is the most difficult moment, when solving it, you need to consider the validity of using these medical devices.

The main cause of acute bronchitis is considered to be viral infections, so the use of antibiotics does not have the desired therapeutic effect. Moreover, the unreasonable use of such medications can lead to intestinal dysbiosis, which leads to a decrease in immunity, forms immunity to bacteria, causes allergic reaction.

The prophylactic use of antibiotic drugs has a negative impact on the recovery process. A treatment of bronchitis and pneumonia with antibiotics, such as "Levomycetin" Penicillin "Erythromycin" Tetracycline can weaken the immune system.

Most often, antibiotic drugs are selected empirically, that is, without performing an appropriate study of the microflora of the body for susceptibility to these substances.

Treatment of bronchitis in adults with antibiotics is performed with such symptoms:

• A temperature increase of more than 38 ° C for more than three days.

• Shortness of breath.

• Severe intoxication.

• Detection of leukocytosis in the blood (over 1, 00 in one microliter), shifting left leukoformula.

Acute bronchitis: therapy

Treatment, as a rule, is carried out at home on an outpatient basis.

• Mode - semi-bed.

• Abundant drink, twice the amount of daily needs.

• Milk and vegetable diet, limiting allergenic foods and spicy foods.

• Antiviral therapy: 5 cap. preparation "Interferon" six times a day. When the flu is prescribed remedy "Remantadine and with acute manifestations of acute respiratory viral infection, they prescribe a medication" Immunoglobulin. "

• The drug "Azithromycin" is used for five days and often cures acute bronchitis.

• Antibiotic treatment is prescribed if there is a clear bacterial infection, severe inflammatory changes, revealed by a general blood test, with a tendency to a protracted illness.

• It is recommended to perform inhalations - soda-salt, soda.

• If it is difficult to get rid of sputum, it is recommended to take expectorants ("Pertussin Syrup Licorice Root Mukaltin Breast Collection, "Thermopsis") and mucolytic drugs that are used in viscous sputum ("Bronchicum" Erespal "Mukopron" Ambroxol "Lazolvan" Ascoril ") in the corresponding dosages.

• With a plentiful discharge of phlegm, a vibrating massage is prescribed.

• Antitussives ("Sinekod" Kofeks ") is prescribed for dry cough, in the early days of the disease.

The use of plant expectorants (althea, anise, thermopsis, plantain, elecampane) helps maintain bronchiolar peristalsis, and also leads to an improvement in the output of sputum.

Obstructive bronchitis: treatment with antibiotics

This type of bronchitis manifests itself in the form of a narrowing of the lumen of small bronchi and pronounced bronchospasm. His symptoms are leukocytosis, high fever, shortness of breath, cough, intoxication of the body.

Therapy of this disease includes bed rest, in large quantities warm drink, the use of antitussives. At a high temperature prescribe antipyretic drugs.

Antibacterial substances with obstructive bronchitis are used if it is of bacterial origin. Often, they use medicines from the category of macrolides:

• The drug "Erythromycin". Characterized by bacteriostatic and bactericidal action. Dosage is prescribed by a doctor.

• The drug "Rovamycin". It differs excellent tolerance, with it the treatment of bronchitis with antibiotics in adults is effective. Dosage is prescribed by the doctor, based on the weight of the patient and the severity of the inflammation process.

• The drug "Azithromycin". This is a very effective remedy, well tolerated by many patients. The doctor determines the dosage of the drug, based on the age of the patient, the severity of the disease, the individual characteristics of his body. Undoubted advantage of the tool is the convenience of use. The drug "Azithromycin" is used once a day. The course of treatment is six days.

Acute bronchitis: treatment with antibiotics

With this type of bronchitis, antibiotic agents are prescribed very rarely, since it often occurs due to viruses against which these medicines are powerless. Therefore, such drugs for acute bronchitis are prescribed only when its treatment is complicated by severe bacterial infection. In such cases, antibiotics of the penicillin group are usually used. If the patient is allergic to penicillins, then drugs such as "Azithromycin" or "Macropen" and the like may be prescribed.

Antibiotics for chronic bronchitis

In contrast to acute bronchitis, with chronic antibiotic agents are used in almost all cases. And if there is a purulent bronchitis, treatment with antibiotics is an effective way to defeat the disease. The main medicinal products used in the treatment of the chronic form of such diseases are medicines, which we will consider below.

Macrolides

This means "Macropen "Clarithromycin "Erythromycin". They are effective antibacterial drugs, have a wide spectrum of action and remove most harmful microorganisms. Not bad are transferred by patients.

Penicillins

These include the following medicinal products: Flemoxin, Solutab, Panklav, Amoxiclav, Augmentin. Antibiotics of this group are the basis for the treatment of chronic forms of the diseases under consideration. Treatment of bronchitis with antibiotics in adults usually begin with them. They have relatively few side effects, but, unfortunately, do not help much in the fight against neglected cases of the disease. Therefore, if antibiotics of other groups are not responding to penicillins, the causative agent of the disease is prescribed.

Fluoroquinolones

Fluoroquinolones are medicines "Ciprofloxacin "Moxifloxacin "Levofloxacin". They, unlike all other antibiotics, have a unique chemical structure and origin. Used to fight it with chronic bronchitis. Fluoroquinolones work in the bronchi and have few side effects. Antibiotics of this category are prescribed only if the pathogens of bronchitis are unresponsive to the groups of other antibiotic drugs.

Cephalosporins

These drugs are "Ceftriaxone" and "Cefuroxime." These new antibacterial agents will allow effective treatment of bronchitis in adults with antibiotics. The injections are prescribed by a doctor. In addition, these drugs have many side effects.

Antibiotics for bronchitis in pregnant women

As a rule, in the future mothers the immune system of the body is often weakened and can not resist different viruses and infections. Therefore, in pregnant women, cases of bronchitis occur frequently. A woman has a violent cough, and she goes into phlegm. This is dangerous for both the future mother and the baby.

Strongly-acting antibiotic drugs taken during pregnancy are not advised (especially in the first 3 months). Antibiotics are prescribed only in case of a real threat to the health of the fetus and the mother. As a rule, pregnant women are recommended antibiotic drugs penicillin group, since they are less harmful.

You can apply the antibiotic Bioparox, which enters the bronchi by inhalation and acts locally, so penetration through the placenta is prevented.

Self-treatment of bronchitis with antibiotics in adults is not allowed, especially for pregnant women. Only the doctor can prescribe them!

Injections with bronchitis

Injections with bronchitis should be prescribed only by a doctor, after the necessary thorough examination.

1. If there is treatment of bronchitis with antibiotics, injections should be done only by a medical professional. Also, only a specialist prescribes the dosage of the drug.

2. As a rule, antibiotics are prescribed simultaneously with broths of medicinal herbs and tablets ("Mukaltin").

3. Most often, when the treatment of bronchitis in adults with antibiotics, injections are prescribed intravenous solution of the drug "Benzylpenicillin." In some cases, it is diluted with the drug Streptomycin.

Treatment of bronchitis with antibiotics in adults should be combined with the reception of other drugs. Therefore, do not neglect useful and valuable medical recommendations and apply all methods that help to quickly recover. Often people suffering from bronchitis are advised to stop smoking, drink more warm liquids and drink herbal medicinal herbs.

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How quickly to cure bronchitis in an adult without antibiotics?

Answers:

wais

Bronchitis. Distinguish between acute and chronic bronchitis.
Acute bronchitis is an inflammation of the bronchial mucosa. It is most common in young children and the elderly. It is usually associated with viral infections of the upper respiratory tract, but can be caused by bacteria as well as by allergic reactions. With acute bronchitis, the tissues along the walls of the passages swell and produce a large amount of mucus.
Symptoms: There is a dry, sharp cough that intensifies at night. Cough usually softens in a few days due to the release of mucus.
Traditional methods of treatment: showing bed rest, abundant warm drink, mustard. Appointed expectorant, bronchodilator drugs. Sometimes, antipyretic and analgesic agents are used.
In chronic bronchitis, mucus-producing cells that line the bronchial walls thicken and produce too much mucus. The mucous membrane of the bronchi swells. The occurrence of chronic bronchitis is associated with the exposure to the mucous membrane of the bronchi of harmful impurities contained in the air: tobacco smoke, automobile exhausts, etc.
Symptoms: A persistent cough in which very much mucus is released. As the disease progresses, breathing difficulties increase, especially in connection with physical exertion. Sometimes swelling and puffiness of the whole body are observed. Destructive complications include congestive heart failure, acute respiratory arrest, emphysema.
Traditional methods of treatment: Assign expectorants, antibiotics. In severe cases, patients may be hospitalized.
Unconventional and folk methods of treatment:
1) Clean 3 garlic heads and together with 5 lemons with a peel, pass in a meat grinder or grate on a fine grater, pour them 1L. boiled water and soak in a closed pot for 5 days. Strain, squeeze the remainder. Take as a sucking agent for bronchitis 3 times a day for 1 tablespoon.
2) Take 5-6 large cloves of garlic, grind into a gruel, mix with 100 grams. A butter and a bunch of finely chopped dill. In the morning, afternoon and evening, spread the mixture on bread. This oil also helps with pneumonia.
3) An excellent prescription for the treatment of bronchitis: 1kg. ripe tomatoes, 50gr. garlic and 300 gr. root horseradish grind in a meat grinder. Mix and salt to taste. To eat: to children 1 teaspoon before meal 3 times a day, To adults - 1 table spoon 3 times a day.
4) Mix in the ratio by weight 2 grated on a fine grater onions, apples, honey. To treat bronchitis, accompanied by a cough, take at least 5-6 times a day.
5) Carrot juice, hot milk and honey in the ratio 1 to insist 4-5 hours and drink in a warm form on a glass 3-4 times a day.
6) Mix 300gr. honey and 1 sheet of finely chopped aloe, pour them, l. boiled water, put on fire, bring to a boil and keep on low heat for 2 hours. Cool and mix. Store in a cool place. Take 1 tablespoon 3 times a day.
7) To facilitate the separation of phlegm, drink cowberry juice with sugar syrup or honey. Take 1 tablespoon as often as possible.
8) Prepare fresh cabbage juice, add sugar (2 small spoons for 1 glass of juice). Take 2 times a day for 1 glass, as an expectorant.
9) With bronchitis with viscous sputum brew, l. boiling water 4 tablespoons chopped plantain leaf and insist 4 hours. Drink a glass 4 times a day.
10) To weld in, l. milk 2-3 sheets of mother-and-stepmother and add to the broth on the tip of the knife fresh lard. Drink before going to bed for 2 tablespoons.
11) Powdered althea root (sold in a pharmacy) diluted with warm boiled water, bringing to the consistency of thick sour cream. The resulting mixture is taken 1 tablespoon 4 times a day for chronic bronchitis.
12) Take 1 part of pine buds, 1 part of plantain leaves, 1 part of leaves of mother-and-stepmother. 4 teaspoons of the collection to insist 2 hours in a glass of cold water. Boil for 5 minutes and strain. Take 1 glass during the day.

Irina Belaya

Help marmot or badger fat, try breathing exercises from yoga. If you do not find it - please contact me - I'll write.

Vladimir

heat the bottle of beer until hot and drink, then cook the uncooked potatoes and steam over the pan with something covered, but to breathe when the potatoes cool down a little. good luck and health.

Wan Gogh

I can only advise the direction, and then I'll get to know you. Bronchi heals well with eucalyptus and birch buds, by the way they are collected now.

Olga Krandasova

A! Means the diagnosis have put - now self-treatment begins!!! Bad bronchitis is treated with paraffin: ordinary paraffin candles melt in a water bath, glue cakes from it. put on your back, covered with polyethylene film on top, then with a diaper, then a shawl and a blanket. and half an hour bainki. But only if there is no temperature!!! Good luck!! !
Yes, I forgot - it's 5 days in a row at night! And do not cool down after the procedure!

Helen

Apparatus such as "Monsoon" or more expensive modern nebulizers, they turn liquid medicine into aerosol for exposure to compressed air (jet or compressor nebulizer) or ultrasonic waves (ultrasonic).
The nebulizer is intended primarily for emergency therapy of exacerbations of bronchial asthma. For daily therapy, the doses of drugs used during exacerbations will be too great.
It can be used for chronic bronchoconstriction and for prolonged use of bronchodilators and expectorants.
Sometimes a nebulizer is used for routine therapy of bronchial asthma in very young children (up to 3-5 years) and in weakened patients. For example, treatment for children from asthma up to a year without a nebulizer is generally difficult.
Apply nebulizer in the treatment of cystic fibrosis, bronchiectasis and a number of other diseases and in all cases when it is necessary to deliver drugs to the alveoli.
The nebulizer is the only way of inhalation delivery of certain drugs: there is simply no antibiotic and expectorant metered-dose inhalers.
What are the advantages and disadvantages of using a nebulizer?
Benefits:
- there is no need to coordinate breathing and drug intake, which makes it easier to use and allows the use of a nebulizer even in patients who are not able to use other inhalers;
- You can use large doses of drugs;
- the medicine quickly falls into the zone of the respiratory tract necessary for its action, even through narrowed bronchi;
- the medicine is delivered continuously;
- the aerosol does not contain freon.

Appointment of injections for adults with bronchitis

Injections in bronchitis adults are appointed very rarely and in especially severe cases or when there is no possibility to take the medicine through the mouth.To date, almost all drugs exist in tablet form. Therefore, the expediency of this method of treatment can be determined only by a doctor.

Preparations for the treatment of acute bronchitis

The disease occurs suddenly. Within a few hours or 1-2 days, the patient develops a dry or wet cough with phlegm, the mucous membranes of the bronchi become inflamed. With inflammation of small bronchi, the patient may have shortness of breath.

The disease is caused by viruses and bacteria, dusty and gassy atmosphere of enterprises, severe hypothermia or, conversely, overheating in hot dry air. Viral and bacterial bronchitis, as a rule, is preceded by ARI.

Acute bronchitis without complications is treated mostly out-patient. People who have cardiovascular diseases, lung diseases, elderly people with chronic ailments are subject to hospitalization. Weakened people during treatment are prescribed a bed rest.

Treatment of acute bronchitis includes the use of drugs that lower the heat (if available), on the sternum to the patient put mustard plasters, from medicines, drugs that dilute sputum, and anti-inflammatory drugs (amidopyrine, pyramine, indomethacin, prodectin, acetylsalicylic acid). In the presence of purulent sputum in the drug complex, antibiotics are mandatory. Expectorants play a huge role in the treatment of bronchitis. Bronchicum, lazolvan, ambroxol, bromhexine contribute to the excretion of sputum. There are preparations from dry and wet cough.

Preparations for the treatment of chronic bronchitis

If inflammation of the bronchi with accompanying symptoms is observed annually, lasts for a total of three months or more, then the doctors diagnose the patient with chronic bronchitis. This is an infectious and noninfectious bronchial lesion, which is expressed by coughing, secretion of thick mucus (sputum), and shortness of breath. Chronic bronchitis is a disease of adults, which is rare in childhood.

Chronic bronchitis is divided into primary and secondary. The primary form of bronchitis is not associated with a previous lung injury. The secondary form is manifested as a complication of an already existing lung injury (including pneumonia), larynx, trachea or bronchi.

Treatment of chronic bronchitis in adults is complex, it involves the use of a large number of medicines and procedures. This disease disrupts the activity of the epithelium layer of the bronchi, a decrease in its plasticity and an increase in the viscosity of the moist secret. As a result, the overall secretion of mucus is increased, the drainage capacity of the bronchi decreases.

The cause of the disease can be bacterial and viral infection of the mucous membrane, irritation dust, mechanical particles and reactive substances in the air, tobacco smoke.

When observing patients, doctors often note uneven, focal lesions of the bronchi and lungs. Treatment improves the condition of patients, but the disease is gradually worsening and is steadily progressing from year to year. The periods of remission, initially long, are becoming shorter. If the patient is not under constant medical supervision and does not take medication, then in a few years he may develop severe respiratory failure.

The disease therapy includes a large set of measures. This is the reception of medicines, physiotherapy procedures, sanitation of the lungs, treatment of the patient for a healthy lifestyle and therapeutic physical training.

Preparations for the treatment of chronic bronchitis

1. antibacterial drugs;
2. anti-inflammatory drugs;
3. bronchodilators;
4. expectorants;
5. fortifying preparations, vitamins and food additives.

Antibacterial and antiviral drugs are prescribed in the period of exacerbation, with purulent phenomena in the bronchi, with an increase in temperature. If a test for bacterial sensitivity to an antibiotic (antibioticogram) was not made before the start of treatment, the patient is prescribed penicillin intramuscularly. This antibiotic acts very effectively against the hemophilic influenza bacillus and pneumococci. If the antibiotic image was taken, then one of the following drugs is prescribed: azithromycin, sumazid, zitrolide, sumamed, hemomycin, azithrox, ampicillin, oxacillin, levomycetin, oletetrin, tetracycline, other antibiotics (1.5-2 g per day). Also appoint rondomycin (-1.6 g per day). Antibiotics can be combined with sulfonamides of prolonged action.

Drugs the patient takes in the form of tablets or injections, the purpose of which is preferable, since injections give the best result. Injections in bronchitis to adult patients are done both in the hospital and in the treatment room. The duration of antibiotic treatment depends on the severity of the patient's condition and the degree of neglect of the disease. On average, recovery occurs in 8-12 days.

Obstructive chronic bronchitis occurs if ordinary bronchitis is not treated (or poorly treated) for more than one year. This complication is characterized by shortness of breath and changes in bronchial tissue. In this case, the use of antibiotics has less effect, as in the bronchi change mechanical properties of tissues, their structure, as a result of which the amount of mucus increases and bronchospasm. Obstructive chronic bronchitis can be further complicated by pulmonary emphysema, hypertension and chronic pulmonary heart.

Running chronic bronchitis is a life-threatening disease. In order to increase the body's resistance, the doctor can prescribe drugs methyluracil, potassium orotate and pentoxyl.

Anti-inflammatory effect is given by such drugs as sodium salicitate and presocil. Stimulant and fortifying effect gives ascorbic acid, galaxorbine and askorutin.

In therapy, the aloe extract (as a resolving agent), the vitreous body, the FIBS preparation (extract containing coumarins and cinnamic acid) proved to be excellent. Injections of bronchitis based on these drugs are done subcutaneously, the course in all cases includes 30 to 35 injections.

A good therapeutic effect on the patient's condition is provided by adaptogens: ginseng, magnolia vine, pantocrine.

As a bronchodilator in the presence of asthma, which is not amenable to treatment with bronchospasmolytic drugs, drugs are used:

1. atropine;
2. belladonna;
3. atrovent;
4. ephedrine;
5. beta-adrenostimulators;
6. eufillin.

Euphyllin also stimulates the respiratory center.

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With neglected obstructive bronchitis, corticosteroids may be prescribed, especially if there is an asthmatic syndrome. Hydrocortisone is administered intravenously, starting at 125 mg per day. After the patient's condition improves, the dose of the drug is reduced by 25 mg every two or three days, adding aerosol irrigation to the pharynx.

Expectorants play a huge role in the treatment of diseases associated with the accumulation of thick sputum. The best sputum discharge is obtained by the action of 3% potassium iodide, tincture of the althaea root, thermopsis terpinhydrate, mucaltin. Broncholitin, bronchicum, bromhexine, lazolvan, ambroksol - new modern drugs with mucolytic and expectorant action.

A good therapeutic effect is provided by inhalations with proteolytic enzymes (substances that break down proteins to amino acids and promote the dilution of sputum). This terpelitin, trypsin, chymostripsin, chymopsin, which are dissolved in a small amount (about 5 ml) of saline or in a solution of novocaine (0.25%), followed by inhalation.

With severe purulent bronchitis and severe dyspnea, the patient undergoes bronchoscopy, during which the bronchial tree is flushed, antibiotics and expectorants are administered.

People who have undergone bronchitis should avoid hypothermia and stay in a polluted atmosphere of the premises. A good prevention of the disease will be exercise therapy and special massage of the chest.

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Be healthy!

respiratoria.ru

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