Is there a real disease with this name?
The term "asthmatic bronchitis" in medicine has long since disappeared and is obsolete. This happened in connection with the distinction between the concepts "bronchitis" and "asthma", which denote various diseases by their nature. Inflammation in the bronchial wall with asthma and bronchitis has different causes and mechanisms of implementation. Accordingly, the treatment of these two different diseases is carried out by different medications. Therefore, scientists and doctors agreed to call asthma an asthma, without hiding the allergic nature of the disease behind the vague "asthmatic bronchitis" signboard.
Some health workers received vocational education more than 35 years ago. They remember this outdated term "asthmatic bronchitis" and, habitually, call it chronic obstructive adult bronchitis or asthmatic (acute obstructive) bronchitis in children. Also, patients who many years ago had been diagnosed with "chronic professional bronchitis with an asthmatic component", out of habit, call it their condition.
What is bronchial obstruction?
Bronchitis, accompanied by attacks of suffocation or persistent shortness of breath, is now called the term "obstructive." Bronchial obstruction means a restriction of the speed of movement of air through the bronchial tubes due to the narrowing of their lumen. The name "asthmatic" in the characteristics of diseases is replaced by "obstructive", as a more accurate reflection of the mechanism of dyspnea. And the nature of lung diseases that occur with dyspnea may be different, and asthma is not always the cause of obstruction.
Why did they separate bronchitis and asthma? Is it all the same?
The causes of bronchitis, which occurs with attacks of suffocation or dyspnoea with exercise, need to be clarified. Revealing the true nature of inflammation will allow the doctor to choose the right treatment that will benefit the patient.Currently, the diagnosis of obstructive bronchitis (with an asthmatic component in the old terminology), each the patient should be refined and assigned to one of the really existing types of bronchial inflammation.
How to recognize asthma behind a screen of asthmatic bronchitis?
If the "asthmatic" bronchitis has such symptoms as choking attacks, arising at rest; cough with difficult passage of viscous vitreous sputum; episodes the appearance of wheezing in the chest; frequent allergic reactions; manifestation of these symptoms in the early morning hours, then, most likely, a person suffers from asthma.
The essence of asthma is allergic inflammation in the wall of the bronchi. A person who has allergy symptoms and "bronchitis" at the same time should consult a pulmonologist. The doctor will conduct the examination and pick up the correct treatment of asthmatic bronchitis, which is the beginning of asthma.
Treatment of asthmatic bronchitis, as a precursor of asthma, is carried out with special medications: anti-inflammatory and bronchodilators. Antibiotics are not used to treat asthmatic cough and suffocation, since they do not have an application point. It is also necessary to warn people, prone to allergies, from self-treatment "folk" methods. Medicinal herbs can benefit if the patient does not have allergies to plant pollen. Only after consulting with an allergist or pulmonologist can the treatment be supplemented with folk recipes.
What else can be hidden under the mask of asthmatic bronchitis?
If the symptoms of chronic "asthmatic" bronchitis appear in the form of a constant cough with the release of purulent sputum, dyspnoea with physical exertion (walking uphill, on the stairs), there are no attacks of suffocation at rest and at night, then a diagnosis of chronic obstructive pulmonary disease (COPD) is likely. The cause of COPD is a combined effect on light smoking and harmful production factors. In the early stages of this disease, dyspnea is negligible, the predominant symptoms are coughing and spitting.
If such a patient measures the rate of movement of air through the bronchi during inspiration and exhalation, then there are initial signs of difficulty breathing. This is bronchial obstruction of mild severity. This bronchitis was called chronic obstructive bronchitis.
Treatment of chronic obstructive bronchitis is unthinkable without parting with smoking. The cause of inflammation in the wall of the bronchi in this disease is the toxic effect of tobacco smoke, together with industrial aerosols. Currently, methods of treatment with effective drugs have been developed, inhibiting the deterioration of lung function in the early stages of COPD. But the treatment will be effective only if the cause of irritation of the bronchi is removed.
Along with bronchodilating drugs (spiriva, onbrez), the treatment of chronic obstructive bronchitis is supplemented by expectorants that facilitate coughing. The most effective and safest drugs in this class are ambroxol, N-acetylcysteine, carbocysteine. These funds dilute sputum, help self-purification of the bronchi, removing purulent mucus and releasing the airway clearance of the bronchi. Cough with purulent bronchitis with an obstructive component can and should be treated with folk methods, if there is no allergy to grass.
Why are children often diagnosed with asthmatic bronchitis?
The field of medicine, where till now it is possible to meet the legitimate use of the phrase "asthmatic bronchitis", is pediatrics. Why is that?In the child's body there are features of the structure of the respiratory tract, which differ from those in adults. In children, bronchi have a relatively narrow lumen, and the mucous membrane is loose and prone to edema. With the usual viral infection, massive edema of the inner shell of the bronchi can develop. The lumen of the bronchi narrows, and the child suffers suffocation. In the narrowed bronchi air passes with a whistle, which can be heard even from a distance.
This disease is now called acute obstructive bronchitis, and used to be called "asthmatic bronchitis." Treatment of acute viral bronchitis with an obstructive component includes antiviral and bronchodilator drugs (salbutamol, berodual, atrovent). Treatment for suffocation is best done by inhaling the medication through a nebulizer - a compressor inhaler.
With severe dyspnea, the treatment of asthmatic bronchitis is supplemented by inhalation of hormones, which usually treat asthma. A short course of inhalation budesonide will quickly reduce the mucosal edema, eliminate the life-threatening asphyxiation. After recovery, the patient should consult an allergist or pulmonologist in order not to miss the onset of asthma.
Prognosis and prevention
Usually the prognosis with this disease is favorable, but in some patients it can go to asthma.
To prevent the recurrence of the disease, the elimination of the allergen is necessary, it is necessary to conduct non-specific and specific hyposensitization, and sanation of chronic foci of infection. In rehabilitation, in some cases, tempering, aeroprocedures, therapeutic breathing exercises, water procedures are shown. Patients with these diseases are to be monitored by an allergist and pulmonologist.
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Treatment and prevention of bronchitis with an asthmatic component
Bronchitis with asthmatic component treatment requires symptomatic, using traditional and folk medicine methods. Very often, against the background of influenza or acute respiratory viral infection, an inflammatory disease of bronchial tubes develops - bronchitis, which can occur in acute or chronic form.Chronic bronchitis with an asthmatic component is a dangerous disease.Especially often it is diagnosed in childhood. Chronic bronchitis has forms of remission and exacerbation. Provoke an exacerbation of hypothermia, increased physical activity, a viral infection. Very often the cause of bronchitis is an allergic reaction.
The danger of this disease is that often it is asymptomatic, the patient does not have a high temperature and signs of intoxication. A symptom that should alert is a persistent cough that intensifies at night. In this case, very often there is shortness of breath, which is accompanied by a whistle on exhalation, shortness of breath.
Forms of bronchitis with asthmatic components
The manifestation of the disease largely depends on the reasons that caused it:
- It can be an allergic reaction, in which case it can be concluded that the form is atopic.
- If the causes are viruses and allergies, then consider the infectious form of asthmatic bronchitis.
- There is another form - pathomorphological. Violated patency of the bronchi, develops spasm and swelling of the mucous tissue. Sometimes against the background of this in the bronchi begins to form pus.
- Often, bronchitis leads to serious complications from the cardiovascular system.
Methods for diagnosing this disease
In order to determine asthmatic bronchitis, you need to undergo examination with a specialist. If the disease is allergic, it develops as a systemic allergic disease. In this case, the therapy will be prescribed by an allergist.
One of the symptoms of asthmatic bronchitis is an increase in the size of the chest. At the same time, breathing becomes hard and is accompanied by wheezing and wet wheezing.
Very often, after an X-ray, emphysema is detected, a rarefied lung pattern is a characteristic feature. When conducting a general blood test, there is an increased amount of histamine, eosinophil, immunoglobulin.
One of the methods for diagnosing asthmatic bronchitis is to conduct a bacterial culture test. This allows you to determine the presence of infection, sensitivity to certain types of antibiotics. In addition, a study of the washing water is carried out.
How to cure asthmatic bronchitis
Treatment of asthmatic bronchitis should be started as soon as possible. His danger is that he can very quickly go into asthma. The main treatment for bronchitis is symptomatic. As a rule, this is a medication that facilitates the phlegm withdrawal. If the disease passes in severe form, then the administration of antibiotics is prescribed. It is very useful to conduct physiotherapy in the form of warming up, therapeutic gymnastics and massage.
Patients with asthmatic bronchitis are recommended treatment in a sanatorium.
Effective use and folk therapy. In particular, the use of decoctions and inhalations.
It is useful to take broths of anise, dill, thyme, licorice, mother-and-stepmother, oregano. It is very useful to drink juices.
Traditional expectorants are the juice of black radish, onions with sugar, in the absence of an allergic reaction to beekeeping products, it is best to add honey to them.
How to deal with asthmatic bronchitis
As a rule, asthmatic bronchitis has a direct connection with an allergy. Therefore, taking antihistamines is mandatory. These include tavegil, suprastin, diazolin and a number of others. Expectorants include bronchodilators, antispasmodics, vitamins, mucolytics. The patient must necessarily have with him special inhalers, such as borotec, salbutamol.
A person who suffers from asthmatic bronchitis must completely change his way of life. Of great importance is the prevention of seizures, which can be life-threatening.
It should be regularly examined by a doctor, this will keep the disease under control.
Do not forget that asthmatic bronchitis is allergic in nature, so you need to eliminate the factors that can trigger an allergic reaction:
- It is important to keep the room clean. Wool of domestic animals, fungi, cockroaches of litter are strong allergens.
- Often an allergy attack can also cause pollen of flowering plants.
- Do not take medications that are capable of provoking an allergy attack.
- Care must be taken when working with chemical allergens.
- It is extremely important to get rid of bad habits, especially from smoking. Tobacco smoke is an allergen.
It is very important to monitor your health. As a rule, the onset of an attack is accompanied by swelling of the tissues of the nose, and the patient has sneezing. Cough has a paroxysmal character, the skin becomes pale, a cold sweat appears. There is frequent urination, there is a seizure.
It is very important to stop the attack of itching at the very beginning, for this use the prednisolone nebulizer. It has an anti-inflammatory effect. As a rule, it allows you to quickly stop the attack. In the event that you can not cope with the attack, you should immediately call an ambulance.
Very often, the treatment of asthmatic bronchitis occurs long and hard. If you do not go through the course of therapy, then the seizures will repeat. Gradually bronchitis will pass into asthma. In order to avoid this, it is necessary to follow a diet prescribed by a doctor, have at hand drugs that allow you to time to stop seizures
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Asthmatic bronchitis: symptoms and treatment. Folk remedies for asthmatic bronchitis
Asthmatic bronchitis, whose symptoms and treatment deserve special attention, is a widespread disease. Everyone is at risk, both as an adult and as a child. The most important symptom of the disease is a buildup of mucus in the bronchi. It is not displayed independently. As a result, spasms appear, manifested by a cough, on the background of which bronchial canals narrow.
Description of pathology
The disease is characterized as an inflammatory process of the lower respiratory tract. Doctors say that it is the allergic reactions to various irritants (dust, pollen, bacteria and viruses) that trigger asthmatic bronchitis. Symptoms and treatment of pathology deserve special attention.
It is very important, once the diagnosis is confirmed, immediately begin therapy. Otherwise, as a result of complication, bronchitis risks developing into asthma. And this is already a very dangerous disease. Pulmonologists consider bronchitis a harbinger of asthma. Distinguish these diseases only by the absence of attacks of suffocation in the first case.
Disease affects people of all ages. But most often it manifests itself at an early age. Constant satellites of bronchitis - rhinitis, dermatitis and other allergic reactions in chronic form.
What triggers asthmatic bronchitis
Symptoms and treatment of pathology are determined by the sources that caused the disease.
As a rule, the causes of the development of an ailment are hidden in the nature of stimuli:
- Non-infectious. Various household and food irritants. These include: dust, wool, pollen, cleaners, paint, citrus, chocolate, nuts, seafood. Also in this group of allergens are all red and orange berries, fruits and vegetables (even carrots).
- Infectious. These are viral irritants of the mucous membrane. These include staphylococcus, fungal infections, mold and others.
At a young age, asthmatic bronchitis can occur as a result of a hereditary predisposition or allergy to a medicine, an inoculation. Also, the causes of the disease can be respiratory diseases: bronchitis, influenza, measles, whooping cough.
Symptoms of pathology
It is important to recognize such a disease as asthmatic bronchitis in a timely manner. Symptoms and treatment can be properly interpreted only by a specialist. Therefore, if you suspect a pathology, you should consult a competent doctor.
For the disease characterized by pronounced symptoms. Therefore, you can suspect the presence of asthmatic bronchitis yourself.
Characteristic signs of the disease are:
- Attack long-lasting cough. It intensifies during small physical exertion, laughter or crying. Since this is an allergic reaction, it will be preceded by a stuffy nose and a sore throat. It all begins with a dry cough, and after a couple of days, sputum appears.
- Difficulty exhaling. This is due to the narrowing of the bronchi.
- Increased sweating, lethargy and malaise.
- Chryps in the bronchi. Characteristic wheezing will be heard even without a stethoscope.
- There may be a slight increase in body temperature.
If asthmatic bronchitis is caused by a reaction to a domestic irritant, then after excluding the allergen from the environment, the symptoms will disappear. If the cause of the disease is an infection, then the temperature will rise and a runny nose will appear.
The course of treatment for asthmatic bronchitis lasts less than a month. The disease itself has no effect on other internal organs. But with frequent repetition, pathology can lead to bronchial asthma.
Obstructive asthmatic disease
This is a complicated form of the disease.
Such asthmatic bronchitis is characterized by:
- night cough,
- impaired breathing,
- slight suffocation,
- dark spongy dark sputum.
This leads to contaminated air.
Therapy is based on mucolytic and moisturizing drugs. Benefit will bring home recipes. Patients who are diagnosed with obstructive asthmatic bronchitis, symptoms and treatment with folk remedies should be discussed with a doctor in advance. Typically, recommended soda inhalation with the addition of medicinal herbs.
It is also necessary to fight with the symptoms. Drugs that reduce temperature can be used. If necessary, rinse the nose and nasopharynx.
Chronic asthmatic bronchitis
If the cough and other symptoms that characterize asthmatic bronchitis do not leave the patient for more than 3 months, and the disease repeats annually, then this is already a chronic stage.
Most of all from such pathology workers of industrial enterprises suffer. Often, the disease is detected in smokers. Tobacco, dust and a couple of harmful chemicals affect the bronchial mucosa. As a result, infection easily enters the body.
Most often, men over 50 suffer from such a disease as asthmatic bronchitis. Symptoms and treatment in adults should be considered exclusively by a specialist. After all at this age as a result of the disease, the functioning of the bronchi is severely impaired. Mucous is simply not capable of completely withdrawing phlegm.
At a chronic stage, asthmatic bronchitis is also obstructive and non-obstructive. The course of the disease without obstruction allows the patient to live a full life and work. However, such individuals are sensitive to weather changes and often suffer from colds. And people with obstructive form should strictly follow all the doctor's recommendations to prevent the development of pulmonary embolism. Treatment in this case is mandatory. It will take a long time.
The first sign of chronic asthmatic bronchitis is a morning cough. Then it begins to manifest itself day and night, and in the cold season increases. Over time, cough becomes round-the-clock and hysterical. It is accompanied by a permanent discharge of sputum. During exacerbations, it becomes a yellow-green color, with the presence of pus and it smells unpleasant. The disease can lead to chronic obstructive pulmonary disease.
Pathology in children
For the first time the disease can manifest itself in the preschool age.
This is due to the structural features of the bronchial tree:
- the tendency of the mucous to edema,
- narrowed passage in the bronchi.
During the reaction, the irritant develops the strongest edema, the bronchi closes as much as possible.
For a child this is a serious pathology - asthmatic bronchitis. Symptoms and treatment in children should always be discussed with a pulmonologist. Kids need correct therapy.
For the production of sputum in small children nebulizers are used - compressor inhalers containing bronchodilators. A pulmonologist can be assigned a short hormonal course if there is a strong shortness of breath.
Disease in adults
Pathology can appear at any age.
In adults, the disease develops as a result of:
- work in hazardous industries,
- long-term smoking,
- polluted ecosystem,
- weakened immunity.
Not every person connects morning coughing with bronchitis. Because of this, the late discovered disease has time to develop and move to a more serious stage.
Diagnosis of pathology
Do not rush to make a diagnosis, even if they indicate symptoms of asthmatic bronchitis. Treatment of pathology can be initiated only after confirmation of the disease by a doctor. For this, the patient will need to undergo some tests.
In the laboratory, the following studies are carried out to identify the disease:
- X-ray. Can show emphysema of the lungs.
- Blood test. Shows the level of immunoglobulins E and A, histamine. When the disease is elevated, and the level of the titre of the compliment, on the contrary, is lowered.
- Scraping of the skin.
- Bakposev phlegm. The reaction to antibiotics is checked.
- Endoscopy. The mucous membrane of the bronchi is examined in detail.
- Spirography. The volume of exhaled air is measured.
- Pikloometry. The rate of exhalation is measured from morning and evening. Then is the percentage between them. For a healthy person, the norm is 20%.
- Pneumotachography. Identification of the causes of difficulty in the passage of air through the bronchi.
Traditional treatment
Each patient has a disease depending on the individual characteristics. Therefore, there is no single therapy scheme. Initially, the doctor will determine what factors provoked asthmatic bronchitis. Symptoms and treatment in adults by folk remedies and medicines completely depend on the sources of pathology.
Depending on the characteristics of the disease to each patient, the pulmonologist appoints the appropriate therapy:
- Viral bronchitis. Antiviral drugs are prescribed.
- Allergic pathology. Recommend antihistamines.
- Infectious disease. The course of antibiotics is prescribed.
In addition, all without exception are prescribed bronchodilators, inhalations with alkaline and chloride-sodium solutions.
Therapy with folk remedies
But remember that only a doctor should prescribe medications to you that will treat asthmatic bronchitis.
Treatment with folk remedies can also be carried out, but by appointment and under the control of a pulmonologist. Such measures help support the body and prevent the onset of asthma.
There are different recipes:
- As a mucolytic agent and antibiotics can take 1 h. l. juice turnips with honey (ratio 1: 1) 4 r./day.
- Broth from the leaves of St. John's wort, mother-and-stepmother, nettle and motherwort (1 tbsp. l. collection is poured into a glass of hot boiled water and infused for 30 minutes). Decoction should drink a month.
- To prevent attacks of cough, it is recommended to drink a glass of milk with the addition of 15 drops of propolis tincture.
- Do inhalation with soda. 1 hour l. soda diluted in a glass of water, boil the solution in a teapot. The steam is inhaled for 10 minutes through a paper tube, put on the tip of the kettle.
- Mucolytic effect has and whey. It should be drunk 2-3 times a day, warmed or at room temperature.
- Infusion of flowers of clover or St. John's wort with the addition of honey. Prepares and uses a remedy like regular tea. It is recommended to improve sphagnum expectoration.
However, remember that this is a rather complex pathology - asthmatic bronchitis. Folk remedies are effective and effective. However, they can not replace medicinal preparations prescribed by a specialist. But they are an excellent addition to the main treatment.
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Causes, symptoms and treatment of asthmatic bronchitis
When diagnosing a disease such as asthmatic bronchitis, symptoms and treatment are of interest to the sick person first. This type of disease refers to an inflammatory disease of the respiratory organs of a chronic nature. There is an infectious or allergic condition, in which the edema and cramps of bronchi, having a large or medium size, are clearly pronounced. Attacks of suffocation for this type of disease, observed with bronchial asthma, are absent.
Modern pulmonology treats ailment as a form of bronchitis or pre-asthma. Asthmatic bronchitis is most often observed in schoolchildren. The disease develops due to the presence of such ailments as neurodermatitis, allergic diathesis and rhinitis.
Causes of the disease
The main cause of the appearance of the disease are allergens. But sometimes asthmatic bronchitis develops due to a viral, bacterial or fungal infection. It penetrates the human body through the respiratory and digestive organs. Allergic reaction occurs due to dust, pollen of various plants, poplar fluff. Provoke allergies can wool and animal feces, chemical additives and some food ingredients.
A medicine or vaccine can trigger the onset of the disease in young children. In some cases, there is a hereditary predisposition to an allergic reaction to objects or foods. Bronchi and trachea affects the staphylococcus a rod, which causes the disease. After such acute virus infections, as measles, influenza, whooping cough and bronchitis, this ailment often occurs. Reflux provokes the development of the disease. Seasons of asthmatic bronchitis are winter, spring and summer. In such periods, the probability of exacerbation of the disease increases.
Main symptoms
Asthmatic bronchitis is characterized by symptoms such as a recurrent course, during which periods of exacerbation and remission are observed. In the acute phase in an adult, one can observe a non-stop cough that can occur suddenly. His appearance provokes laughter, physical stress or crying. If there is a stuffy nose or the presence of gray-mucous rhinitis, the appearance of a cough can not be avoided. Dry cough turns to wet. When acute attacks are often observed shortness of breath, forced, wheezing and noisy exhalation, expiratory dyspnea, deposition of sputum. The relief comes after the listed symptoms.The occurrence of such phenomena can be repeated several times. Noninfectious pathology is accompanied by an elimination effect, and if there is no allergen, coughing stops. Symptoms of coughing can worsen at a time when another time of the year, when there is a change in the diet, and when the place of residence changes. For an acute period of the disease, the duration is several hours (sometimes it takes up to one month). Bronchial asthma exacerbated several times, if not start a timely treatment. Characteristic for children is the development of traditional symptoms, which are accompanied by ailments that are allergic. This includes allergic diathesis, pollinosis, neurodermatitis. There are cases when in the human body there are polyorganic disorders, as well as changes in the vegetative and neurological nature. With these diseases, lethargy, excessive sweating and irritability are observed.
Disease definition
Doctors usually use some methods to determine the presence of ailment:- determine the size of the lungs;
- determine the presence of sputum;
- consider bronchial water;
- find out what spirometry is;
- endoscopic examination;
- over the lungs check the box sound and the presence of breath, accompanied by a wet wheeze;
- often use X-rays, which gives a clear picture of the definition of the state of the lungs;
- use the patient's blood test.
Proper treatment of the disease
To prevent bronchial asthma, it is necessary to undergo a course of treatment with the use of certain drugs. They are inhalations that dilate the bronchi. Specialists often recommend the use of drugs such as Salbutamol (Saltos, Salben, Astalin). In addition, many patients on the appointment of a doctor during the disease use Fenkarolom (Berotekom). To prevent the development of an allergic reaction during an illness, it is necessary to use antihistamines.
When there are acute bronchitis, you need to use antibiotics. Only they can prevent the further development of infection. Antibiotics should enter the penicillin series and into the macrolith group. If there is a suspicion of the appearance of a viral infection in the body, it is necessary to use Kipferon, Viferon, Genferon. The use of various inhalations leads to the fact that the airways are moistened, the sputum dilutes and easily leaves the human body, after which the patient feels more easily, and breathing becomes easier.
Folk remedies for asthmatic bronchitis
Many folk remedies can save adults from a terrible illness that brings discomfort and inconvenience. Some tools can be considered in detail.With such problems as laryngitis, coughing attacks, shortness of breath and bronchial asthma, use a turnip turnip garden. To do this, mix the juice of turnips with honey in a ratio of 1: 1 and take no more than 1 teaspoon 3 - 4 times a day.
Such herbs as St. John's wort, nettle, motherwort, eucalyptus, and mother-and-stepmother, in the same proportion recommend to use when there is a chronic bronchitis, having an asthmatic component. One tablespoon of the collection should be poured with steep boiling water and then insist for 30 minutes. For infusion it is desirable to use a thermos bottle. The drug should be taken for 4 weeks, and then stop taking it for a while and, if necessary, re-use it for 4 weeks.The folk remedy should be taken until the patient completely gets rid of the disease.In some cases, the treatment will take a year.
To prevent an attack and sharp unpleasant pain, it is recommended to use milk with alcohol tincture of propolis. To do this, the milk should be heated and add to it an alcoholic tincture in the amount of 15 drops. You need to use the drug for half a cup during the attacks.
The best remedy for obstructive bronchitis is the inhaler. It should always be nearby, because it is considered a means of quick action. If suffocation comes suddenly, he will cope with the disease in a few seconds.
A patient who knows that he will have seizures, should carry the inhaler with him, wherever he is. The drug will help him in the most difficult situation.
In order to avoid the disease, experts advise tempering your body. In the daily routine should be introduced therapeutic exercise. After using water procedures, the human body is gaining strength and becomes strong. People who engage in various sports are less prone to various diseases.
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