Treatment of symptoms of bronchiectasis

summary

Bronchiectasis is due to chronic suppurative inflammation and fibrosis of the bronchus and its surrounding lung tissue, which destroys the muscle and elastic tissue of the bronchial wall, leading to the deformation and persistent expansion of the bronchus. The typical symptoms are chronic cough, cough with a lot of purulent sputum and repeated hemoptysis. Treat the symptoms of bronchiectasis? Next, I'd like to share my views with you.

Treatment of symptoms of bronchiectasis

First, expectorant drugs, as well as chest physical therapy such as vibration, back slap and postural drainage are helpful to remove airway secretions. In order to improve the clearance of secretion, we should emphasize the position drainage and atomization inhalation of recombinant deoxyribonuclease, which can reduce the viscosity of sputum by blocking the release of DNA from neutrophils.

Second, antibiotics should be used when there are signs of acute infection such as increased sputum volume and purulent components. The use of antibiotics can be guided by sputum Gram staining and sputum culture, but experience treatment (such as ampicillin, amoxicillin or cefaclor) is often given at the beginning. Amoxicillin and clavulanate potassium can be used to treat Pseudomonas aeruginosa infection. For patients with chronic expectoration, in addition to the use of short-term antibiotics, but also consider the use of a longer course of treatment, small doses of macrolide antibiotics.

Third, if bronchiectasis is limited, and still intractable after adequate medical treatment, surgical treatment can be considered to remove the diseased lung tissue. If the massive hemorrhage comes from hyperplastic bronchial artery, and can not be relieved by rest and antibiotic conservative treatment, surgical operation can be considered if the lesion is limited, otherwise bronchial artery embolization can be used.

matters needing attention

1. Fried and other greasy food, not easy to digest, easy to generate internal heat, boiling body fluid, can help damp phlegm, blocking the lung, leading to cough, asthma aggravation. 2. Eat more fresh vegetables, such as cabbage, spinach, rape, radish, carrot, tomato, cucumber, wax gourd and so on, which can not only supplement the supply of multiple vitamins and inorganic salts, but also have the functions of clearing phlegm, removing fire and defecating; 3. Meat and vegetables should be well matched, especially green leafy vegetables and fruits rich in vitamins and inorganic salts.