How to treat obstructive bronchitis in adults

Obstructive bronchitis in adults

Obstructive bronchitis in adults - diffuse bronchial damage caused by prolonged irritation and inflammation, in which the bronchial narrowing occurs, accompanied by difficulty in getting out of the accumulating mucus, sputum. With bronchospasm, which are inherent in this disease, there is difficulty breathing, shortness of breath, wheezing, not associated with the defeat of other systems and organs. Progressive inflammatory process leads to impaired ventilation of the lungs.

Causes of bronchial obstruction

Factors affecting the development of obstructive bronchitis:

Medical factors:

• Infectious inflammatory diseases of the respiratory system and nasal breathing disorders, foci of infection in the upper respiratory tract - bronchitis, pneumonia
• Recurrent viral infections and nasopharyngeal diseases
• Tracheal tumorsand bronchi
• Hyperreactivity of the respiratory tract
• Genetic predisposition
• Propensity to allergic reactions
• Injuries and burns
• Poisoning

Socio-economic factors:

• Smoking, second-hand smoke( see video of what cigarettes do)
• Alcohol abuse
• Adverse living conditions
• Elderly age

Environmental factors:

• Long-term exposure to bronchial mucosa of physical stimuli in the environment -allergens, such as pollens of some plants, house dust, animal wool, etc.
• The presence of chemical stimuli in the air at work or in the home is inorganic andorganic dust, acid vapors, ozone, chlorine, ammonia, silicon, cadmium, sulfur dioxide, etc.( cf.influence of household chemicals on health).

Types of obstructive bronchitis

Acute obstructive bronchitis - an acute form of bronchial obstruction for adults is not typical, as most often acute obstructive bronchitis occurs in children under 4 years. However, in adults primary obstructive bronchitis is observed - due to the addition of several risk factors described above, an inflammatory process develops. On the background of acute respiratory viral infection, influenza, pneumonia, with inadequate treatment and other provoking factors, the onset of obstruction may begin. In acute obstructive bronchitis, the main symptoms in patients are as follows:

• First catarrh of upper respiratory tract
• Strong dry cough, with hard-to-separate sputum
• Coughing attacks especially worse at night
• Difficulty breathing, with exhalation noise
• Subfebrile temperature, no higher than 37.5 isdistinguishes acute obstructive bronchitis from a simple acute bronchitis, which is usually a high temperature.

Acute bronchial obstruction is curable, but if it becomes chronic, it can become a progressive, irreversible disease.

Chronic obstructive bronchitis is a progressive bronchial obstruction in response to various stimuli. Violation of bronchial patency is conditionally divided into: reversible and irreversible. Signs with which patients usually consult a doctor:

• Strong cough with discharge of sparse sputum of mucous
• in the morning Shortness of breath, first appears only with physical activity
• Whistling, labored breathing
• Sputum can become purulent in the period of joining other infections and viruses and is assessedas a relapse of obstructive bronchitis.

Over time, with an irreversible chronic process, the disease progresses, and the intervals between relapses become shorter. In chronic course should

How to treat obstructive bronchitis

Treatment of obstructive bronchitis should be with the active participation of the patient in the treatment process. If possible, it is necessary to eliminate the negative factors provoking the progression of the disease - this is primarily a refusal to smoke, the desire to lead a maximally healthy lifestyle, if the main reason for the development of obstruction of bronchial production hazards is a change of work.

Bronchodilator therapy. It consists of three groups of medicines:

• Anticholinergic drugs. The most effective and known of them Ipratropium bromide in metered aerosols is Atrovent. The effect of inhalation drugs is slow for about an hour and lasts 4-8 hours. Daily dosage 2-4 inhalations 3-4 times. Beta - 2-agonists. These medications are recommended to be used 3-4 times a day. If the patient does not have a clear manifestation of the symptoms of the disease, then they can be used only as a prophylaxis immediately before physical exertion. The most famous drugs: Berotek, salbutamol.
• Methylxanthines. Widespread use of prolonged theophylline, they are used 1 -2 times a day. The most famous of these drugs is Teopek. A solution of euphyllin is administered only in hospitals according to indications. Caution is necessary when treating methylxanthines in patients with heart failure. Mucoregulatory agents. Acetylcysteine, Ambroxol or Lazolvan( see list of all cough suppressants) are used to improve sputum discharge.

  Antibiotic therapy. In cases of attachment of a bacterial infection, in the presence of purulent sputum and signs of general intoxication, antibiotics are prescribed for bronchitis of a wide spectrum of action for 7-14 days. In inhalations, antibiotics are not used. If the patient has chronic obstructive bronchitis, antibiotic treatment prophylactically, in order to avoid exacerbations, do not.

  Corticosteroids .Their use is limited, and systemic corticosteroids are prescribed only with severe respiratory failure. Perhaps the use of inhaled hormones, because the side effects in this application are significantly reduced.

  Therapeutic respiratory gymnastics. The training of the respiratory musculature is shown to all patients with chronic obstructive bronchitis. This gymnastics exercises in Strelnikova, and breathing Buteyko, and the use of Frolov's breathing apparatus.

  Indications for inpatient treatment

  • Exacerbation of chronic obstructive bronchitis that does not stop with outpatient treatment( persistent cough with purulent sputum, shortness of breath, signs of respiratory failure increase)
  • Respiratory failure that develops sharply.
  • Attachment of pneumonia.
  • Signs of heart failure in the development of pulmonary heart.
  • Need for bronchoscopy.

  Advantages of nebulizers for the administration of medications for COPD

  Medicines for the treatment of obstructive bronchitis should be used as inhalations. Most often in the home for this purpose use nebulizers. Their advantages are as follows.

  • The drug is sprayed in the form of fine particles in the composition of the aerosol, thereby increasing the penetration depth of the substance in the airways.
  • Ease of use in children and the elderly( do not coordinate inhalation with inhalation, which is difficult to teach a small child or elderly).
  • The nebulizer allows you to inject high doses of the drug and can be used to stop attacks of suffocation.

  zdravotvet.ru

  Obstructive bronchitis in adults - symptoms and treatment

  

  Diagnosis of obstructive bronchitis in adults is associated with prolonged inflammation, accompanied by damage to the mucous membranes of the bronchial tree. The disease leads to a narrowing of the bronchi, which prevents sputum and hampers the ventilation of the lungs.

  Symptoms of obstructive bronchitis in adults

  The disease is characterized by several specific signs:

  1. A strong cough that does not give rest. Attacks of dry cough are especially strong at night. Sputum is separated severely.
  2. Minor physical exertion provokes dyspnea.
  3. In adults, acute obstructive bronchitis leads to an increase in temperature. However, this species is rare in adult patients. With the development of a chronic form of pathology, the temperature may not rise, since the weakened immunity already practically does not fight the disease.
  4. In any form, there is high fatigue.

  It should be noted that obstructive bronchitis in chronic form is difficult to treat.

  Treatment of obstructive bronchitis in adults

  If treatment is not performed in a timely manner, the disease can be complicated by pathologies such as bronchial asthma or pneumonia. Sometimes changes caused by bronchitis become irreversible.

  Treatment of obstructive bronchitis in adults is based on symptoms, as well as causes. For example, often a chronic disease occurs as a result of smoking. The patient needs to abandon the habit to achieve a positive effect. Statistics say that 80% of those suffering from chronic obstructive bronchitis are smokers.

  The program for treatment of acute pathology includes adherence to bed rest at the initial stage. Gradually introduce small loads, such as short walks.

  It is necessary to eliminate the cause of irritation of bronchial mucosa. Therefore, the contact of the patient with household chemicals, cigarette smoke or cosmetic means should be minimized. From the diet exclude sharp, salty foods, fatty and fried foods.

  Medication therapy includes the following drugs:

  1. Antibiotic. Antibiotics for obstructive bronchitis in adults are used in case of severe clinical picture, if other drugs do not have a pronounced positive effect.
  2. Mucolytic. Allow to translate dry cough into wet and facilitate the departure of phlegm.
  3. Adrenoceptors. Thanks to these drugs, bronchial tubes expand.

  Simultaneously with drug therapy it is allowed to use folk recipes, which should be agreed with the attending physician.

  Folk remedies for the treatment of obstructive bronchitis in adults

  You can take advantage of the unique properties of black radish.

  Medication recipe

  Ingredients:

  • black radish juice - 500 ml;
  • liquid honey - 200 ml.

  Preparation and use of

  The components are mixed and refrigerated. Before use, the mixture should be warmed to room temperature. A day take 5-6 tablespoons of the mixture.

  Treatment of the chronic form of obstructive bronchitis in adults is often performed with the help of a raisin decoction.

  Recipe for decoction of

  • raisins - 100 g;Boiling water for
  • - 250 ml.
  • 

  Preparation and use of

  Rinsed raisins are steamed with boiling water. The liquid is brought to a boil and then heated for 10 minutes. The resulting broth is filtered off and allowed to cool to room temperature. Drink the product on the day of preparation for several receptions.

  Inhalations are also useful herbal decoctions, which can be prepared from sage, raspberry leaves, linden, pine buds. A good effect is also possessed by breathing exercises. A quick separation of sputum is provided by massage procedures.

  WomanAdvice.ru

  Bronchitis obstructive in adults: treatment with traditional and folk remedies

  Nowadays, people are exposed to a large number of adverse factors for health. This is bad ecology, gassed air, smoking, viral infections. All these phenomena can become the culprits of such an extremely unpleasant disease as obstructive bronchitis in adults. Treatment of pathology should be started as soon as possible. Otherwise, serious complications can develop.

  

  Description of the disease

  Initially, it should be understood what constitutes obstructive bronchitis in adults. What it is? This is a serious enough pathology. It is characterized by a progressive narrowing of the airways. This state, unfortunately, is practically irreversible. The disease is associated with various diseases occurring in the small airways. In addition, it is characterized by emphysema - a process that destroys the parenchyma of the lungs.

  Such phenomena provoke harmful substances, dust, tobacco smoke, which the patient faces daily. As a result, an inflammatory reaction begins to develop in such a person.

  Sometimes the disease occurs in a chronic form( COPD).This is an extremely serious and difficult condition. After all, COPD is an incurable chronic disease. Taking medications, using traditional recipes help to slow down the development of pathology and significantly improve the patient's condition.

  However, do not underestimate the znacharian prescriptions. Means of traditional medicine in the treatment of this disease play a very important role. There are cases when patients recovered using herbs, infusions and decoctions as medicines.

  Causes of the disease

  What causes the development of an illness such as obstructive bronchitis in adults? Symptoms and treatment, as well as factors that provoke pathology, of course, deserve special attention, but it is not worth forgetting about the causes of the disease development, as it is known that any disease is easier to prevent than treat.

  

  The pathology is characterized by constriction of the airways. As a result, sputum has no way out. This condition often leads to the development of an inflammatory process in the lungs.

  Culprits of the disease are:

  1. Frequent colds.
  2. Chronic forms of nasopharyngeal diseases.
  3. Bad ecology.
  4. Smoking.
  5. Harmful working environment. A person with air inhales particles of substances that contribute to the development of the disease.
  6. Heredity. If someone has obstructive bronchitis in the family, the pathology can develop in relatives. When the first symptoms of an illness should immediately consult a doctor.

  Symptomatic of

  Physicians state that at an early stage, it is possible to suspect obstructive bronchitis in adults. Symptoms and treatment of pathology is best discussed with your doctor. After all, independently diagnose, and even more so choose therapy, can be very dangerous.

  The manifestation of the signs of the disease depends on the cause that caused the ailment.

  If as a result of a viral infection an acute form of the disease develops, then the patient usually experiences the following clinical picture:

  1. Cough. First dry, sputum production begins with time. In acute bronchitis, the duration of cough is from one to two weeks. If it does not disappear for a long time, then, most likely, bronchitis has become chronic.
  2. Very high temperature( reaches 39 degrees).

  When acute bronchitis occurs as a result of a bacterial infection, it can be mistaken for an ordinary cold. After all, the symptoms are very reminiscent of such ailments: low temperature, wet cough, general state of weakness.

  

  Acute obstructive bronchitis can be cured in a week. Of course, if in time it is diagnosed and to conduct the correct therapy.

  If chronic obstructive bronchitis in adults is observed, the symptoms of the pathology are as follows:

  • a persistent cough that intensifies in the morning;
  • body temperature is basically normal;
  • developing dyspnea, which is treatable only at an early stage.

  Diagnosis of

  It is very important to diagnose bronchitis( obstructive) in adults in a timely manner. Treatment and diagnosis are carried out by a doctor-pulmonologist.

  To determine the exact pathology, the following tests are used:

  • immunological assays;
  • general tests of urine and blood;
  • bronchoscopy;
  • listening to the phonendoscope;
  • sputum examination and airway flushes;
  • tomography of the lungs;
  • X-ray.
  

  Treatment: general recommendations

  How to be in case if the diagnosis of "obstructive bronchitis" in adults is confirmed? How to treat a pathology?

  The patient needs to protect himself as much as possible from the negative impact of the environment and other circumstances that can worsen his health.

  To do this, perform the following:

  1. Take medicine and traditional medicine on a regular basis.
  2. Refuse from smoking, including passive.
  3. Try not to be in places with polluted or polluted air.
  4. Use preventive measures to protect against infections. Try to avoid crowded places, take drugs to strengthen immunity.
  5. Often to ventilate rooms, make walks.
  6. Do respiratory gymnastics.
  7. Adhere to the right diet. Eating foods rich in protein, potassium, vitamin C, calcium. Pay attention: dairy products that contribute to the formation of sputum are contraindicated.
  8. Drink plenty of fluids( non-carbonated).
  9. Try not to salt food.
  

  Medical therapy

  If obstructive bronchitis is diagnosed in adults, treatment is prescribed exclusively by a doctor( however, as in any other case and for any other illness).And only after a comprehensive examination of the patient.

  The following medicines are usually prescribed:

  1. For the dilution of sputum and the expansion of the alveoli, drugs Terbutalin and Salbutamol are used.
  2. For better separation of sputum and cough relief, the drugs Ambroxol, ACC, Bromhexine are recommended.
  3. Antibiotics( tablets or injections): "Erythromycin", "Amoxicilin", "Azithromycin".
  4. Hormonal drugs are rarely prescribed. They are recommended only if other medications do not help. Most often, "Prednisolone" is prescribed.

  Treatment with gymnastics, massage and inhalation

  These methods are very effective in case of an illness such as obstructive bronchitis. In adults, treatment( and in children, in principle, too) includes massage, inhalation, respiratory gymnastics, which helps to restore the body more quickly.

  

  Doctors recommend:

  1. Do steam inhalations. They make them with soda-alkaline and folk remedies.
  2. The method of respiratory gymnastics is recommended after exacerbation of the disease.
  3. Excellent results provide one more event. This is sound gymnastics. It operates as follows. When the various sounds are spoken, vibration of the ligaments begins. It passes into the respiratory tract. As a result, the bronchial tubes relax. The rules for conducting sound gymnastics are prescribed by a doctor for each patient individually.
  4. Chest massage - helps to reduce the muscles of the bronchi. This stimulates sputum evacuation and facilitates breathing.

  Traditional medicine recipes

  Quite often they include in the therapy znakhar recipes. They are quite effective in combating such a disease as obstructive bronchitis in adults. Symptoms and treatment with folk remedies must be discussed with the doctor. There are many recipes for alleviating the condition of a patient with obstructive bronchitis.

  Here are some of them:

  1. A special collection of oregano( 200 g), leaves of mother-and-stepmother( 200 g) and lime-colored( 150 g) facilitates breathing. To fall asleep in a thermos 3 tbsp.l.herbal mixture, add 1 liter of boiling water and leave overnight. In the morning, extract the infusion and during the day drink small portions.
  2. All patients with obstructive bronchitis experience breathing difficulties and chest pain when coughing. To improve the condition of the patient, folk medicine offers such an infusion. Pour 100 grams of flaxseed seeds with half a liter of vegetable oil. Put in a dark and warm place. After two weeks, the infusion is ready, it must be filtered and taken four times a day on a tablespoon, with egg yolk.
  3. Oil infusion of bay leaves helps to facilitate breathing. In addition, it improves blood supply to the bronchi. Finely chop fresh leaves of laurel( 100 g) and pour with vegetable oil( preferably olive) in an amount of 50 g. Infuse for 10 days, then strain. Ready to infuse the infusion overnight into the chest area.
  

  Opinion of patients

  So, now you know what should be in case of such pathology as obstructive bronchitis in adults, treatment. The patients' testimonies testify that the medicinal preparations selected by the doctor bring considerable relief.

  Popular enough and popular means. Many patients make inhalations. Improvement of the state after such procedures, according to patients, comes quickly enough.

  fb.ru

  Obstructive bronchitis - treatment with drugs and folk remedies. How to treat obstructive bronchitis in children, video

  The human respiratory system is a unique mechanism that saturates the body with oxygen and protects against infection, toxins, and viruses. If the failure occurs, the inflammatory process begins, known as the bronchial obstruction syndrome. What is acute or chronic obstructive bronchitis as a disease and how to effectively get rid of it? Full information about this you will find in a short review.

  What is obstructive bronchitis

  

  The inflammatory process in the bronchi, which causes damage to the patency of the respiratory tract, is called bronchitis. According to ICD 10, a progressive disease leads to a violation of the ventilation of the lungs, affects the internal organs. There is an inconvenient respiratory process, wheezing, shortness of breath. There are two forms of bronchitis with obstruction:

  • Acute, typical for children, appears after viral infections( influenza, SARS, pneumonia).
  • Chronic, manifested after any stimulus( disease, allergic reaction).

  Symptoms of

  Bronchial obstruction in the acute form develops against a respiratory viral disease. The patient has a fever, signs of fever, weakness. The main symptom of bronchitis with the name obstructive is a dry, intrusive cough, which then passes into a damp form. Severe cases of the disease due to congestion of pulmonary secretion, edema of the mucosa are characterized by:

  • dyspnea;
  • wheezing;
  • whistling sounds.

  Symptoms of obstructive bronchitis in chronic form do not appear for a long time. Exacerbations occur against the background of hypothermia, the effects of diseases. The symptomatology of bronchitis, which is called obstructive, arises as a result of complications, depends on the level of the lesion of the respiratory system:

  • is a strong, suffocating cough;
  • scant sputum gets purulent;
  • shortness of breath with whistling.
  

  Reasons for

  There are many factors that will cause bronchitis with obstruction:

  • inflammation of the nasopharynx;
  • allergy;
  • poisoning;
  • burns, injuries to respiratory organs;
  • genetic predisposition( antitrypin deficiency);
  • age( risk groups include children and the elderly);
  • tumors of bronchi, trachea;
  • recurrent viral infections.

  There are other things: an incorrect way of life( for smokers and alcohol abusers) affects all the body's functions, and poor environmental conditions and work in harmful production can lead to the development of respiratory diseases. In addition, the presence of chemical stimuli easily affects the appearance of symptoms of bronchitis: if the time does not eliminate the allergen, then asthmatic bronchitis will develop into bronchial obstruction.

  How to treat obstructive bronchitis in adults and children

  The main task in the treatment of bronchitis, which is indicated as obstructive, is the localization of the underlying disease, as well as the coping of the consequences of respiratory patency. For this, all irritants are excluded, the influence of which adversely affects the patient's condition. In acute bronchitis with osteoporosis in children under one year, it is recommended to release respiratory organs from secretions and accumulated mucus by applying a vibrating massage.

  Folk remedies

  

  Experienced doctors prescribe a comprehensive therapy, which includes folk medicine as an additional tool. Remember: with such a serious illness as bronchitis, you can not rely solely on herbs. It is forbidden to engage in self-medication: all drugs are prescribed only by a doctor. Natural remedies help liquefaction and excretion of sputum.

  Aloe juice has surprising properties, it is used for serious diseases( including bronchitis) as an additional remedy:

  • 500 g of fresh plant leaves to grind in a blender or meat grinder;
  • add honey and Cahors to the resulting mass( in equal proportions);
  • mix thoroughly;
  • to insist 14 days;
  • take 18 g before meals( no more than three times).

  When bronchitis is used to stop an attack of suffocating cough recommend warm milk with the addition of 10 drops of propolis, and turnip juice with honey will help liquefy sputum in case of illness, so you can take it several times a day in a teaspoonful. An auxiliary tool for chronic bronchitis is the collection of medicinal herbs, which is insisted for 60 minutes:

  • motherwort;
  • eucalyptus;
  • mother-and-stepmother;
  • nettle.

  Thyme is known for its mukalizing properties, so the use of traditional medicine as an additional remedy for bronchitis and pulmonary diseases is common. Broth stems of plants three times a day take two tablespoons before eating:

  • 15 g of raw material pour a glass of hot liquid;
  • put the container on the steam bath( at least 15 minutes);
  • when the product cools down, strain through gauze.

  Antibiotics

  Syndrome of bronchial obstruction with bacterial infection and purulent sputum is treated only with potent antibiotics. The task of the therapist( pediatrician in the case of a newborn) will be to eliminate the focus of the disease. The course lasts for 5-7-10-14 days. The type of medicines, their dosage is prescribed by the doctor individually, so do not trust the advertising or advice of friends. In addition, bronchitis with obstruction prescribes drugs with bifidobacteria to restore the microflora of the stomach.

  Features of treatment of obstructive bronchitis

  
  • If a person has a strong immune system, the process of recovery will take an average of 14 days.
  • In elderly people, due to age-related changes, the duration of rehabilitation procedures increases.
  • Close attention is required by the course of bronchitis in the infant or preschool child: the rapid development of inflammatory processes occurs during the first hours, so pediatrics provides for the continuation of therapeutic measures for up to three weeks.

  On how quickly the doctor will identify the cause of obstruction in the course of bronchitis, the timing and characteristics of the treatment depend. To identify the source of the disease, differential diagnosis is needed: this is how the symptomatology of bronchitis is recognized. At elevated temperature, the weakened organism of the patient is sent to the clinic, where he will be under round-the-clock supervision of medical personnel.

  Acute

  How to cure the acute form of bronchial obstruction syndrome? Do not engage in self-medication, especially for children. If the immunity of an adult is adapted to fight infection, then the baby requires immediate medical attention. Treatment is carried out with drugs that have expectorant properties( "Ambrobene").

  In acute bronchitis with characteristic obstruction, the cause that caused the disease is first eliminated. This is the main stage of therapy, so they give him maximum attention. If a microbial infection is found, then a course of antibiotics is prescribed( "Erythromycin", "Spiramycin", "Amoxiclav").When severe respiratory failure is recommended the use of corticosteroids( "Symbicort", "Advair").

  Chronic

  

  When bronchitis has passed into a chronic form, it means that the condition becomes aggravated against the background of the appearance of the stimulus. The treatment regimen is indicated by the therapist after a series of studies( to exclude concomitant diseases):

  • bronchodilator preparations are prescribed to restore airway patency( "Berodual", "Salbutamol");
  • uses funds for liquefaction of mucus and sputum in the bronchi( Lazolvan, Bromhexin, herbal preparations, homeopathy);
  • if there are purulent discharge, then antibiotics are used;
  • strengthens immunity with courses of vitamin therapy.

  Prevention

  To avoid relapses of bronchitis obstructive, it is necessary to exclude all irritants - smoking, alcohol abuse, allergens. Timely diagnosis and cure of nasopharyngeal diseases will save further problems. Prophylaxis of the chronic form of bronchial obstruction is carried out in sanatorium-medical institutions. To get rid of obstructive acute or chronic bronchitis, doctors recommend respiratory gymnastics.

  Video: treatment of obstructive bronchitis in children from Dr. Komarovsky

  All inflammatory processes with obstructive( often acute) bronchitis in the child's body occur swiftly: if in the morning there is sluggishness, then in a couple of hours the temperature will start to rise, therefore, one should immediately prescribe a therapy. With timely medical assistance, the transition of the acute form of the disease into a chronic one is excluded. The information on how quickly and easily get rid of bronchitis with obstruction will tell the pediatrician Komarovsky.

  sovets.net

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