Diagnosis and treatment of bronchial dilators

The article was consulted professionally by Master, Dr. Nguyen Huy Nhat – Department of Medical Examination and Internal Medicine – Share99 Da Nang International Hospital.

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Bronchial dilation is a common form of pathology in the period when antibiotics have not been invented and are very likely to lead to disability and death. However, at this period, the frequency of disease has become more rare thanks to the effective use of antibiotics for respiratory infections and immuno-generation drugs in children against diseases such as measles, whooping cough,…

1. What is bronchial dilator?

Bronchial dilation is a frequent and isentious dilation of one or more bronchis accompanied by the destruction of the structure of the bronchial structure, causing symptoms such as cough, sputum and recurrent respiratory infections. The bronchi stretches into an ispasm and is often associated with other diseases. Bronchial dilation is divided into such forms as: spartic bronchial dilation, cylindrical bronchial dilation and rosary-shaped bronchiodilation.

Bronchial dilated disease can be congenital, heredotic or acquired, can form a loaf and is limited to only one part or one pulmonary lobe, but can also spread to multiple lobes on one or two sides of the lungs.

2. How to diagnose bronchial dilator?

2.1 Definitive diagnosis

For the diagnosis of bronchial dilated dilated it is necessary to rely on both clinical and subclinical symptoms of the patient. Clinical symptoms of the patient will include symptoms of muscle, physical and sub-clinical symptoms

Symptoms of muscle function:

  • Prolonged cough: this is a very important symptom. Patients may cough up green or yellow pus, which can mix more or less blood (over 150ml/day). If left to settle, it will be divided into 3 layers including the foam layer above, the purulent mucous layer in the middle and the chiseled pus at the bottom. In some cases there are also patients who do not cough or dry cough due to dry bronchial dilators in the upper lobes.
  • Coughing up blood: In some cases may be the only symptom of the disease, coughing up blood again and again, lasting for many years. The level of coughing up blood may be less or less, if large amounts of 500ml/ day can be accompanied by acute respiratory failure.
  • Shortness of breath: this is a symptom that usually appears late, there may be bruising of the lips and the head of the extatorum is a symptom of respiratory failure caused by damage to the lungs.
  • Fever: symptoms usually appear after respiratory infections, when fever is often accompanied by increased sputort or changes in sputort color.

Coughing up blood

In some cases, coughing up blood may be the only symptom of the disease
  • Chest pain: is a manifestation of infection near the pleura or stretched bronchial spectorary.

Physical symptoms:

  • Hearing lungs feel damp, rans off is mainly. Ran hissing, snoring is only heard during the exacerbation, there may be convulsive freezing syndrome when the lungs collapse.
  • Signs of manicures are seen in patients with repeated, persistent bronchial multiple infections.
  • Symptoms of the chronic center of mind such as: edema of the legs, enlarged liver, floating cervical veins,…

Sub-clinical symptoms:

  • Lung X-ray: suggestive signs for bronchial dilators such as bronchial dilators can be seen to create parallel lines, elastic lung lobe volume, smaller bronchi, or brightened drives such as honeycomb images.
  • High-resolution CT scanner: this is a gold test to diagnose bronchiect dilated with signs such as a larger bronchial diameter than the accompanying artery, bronchis that do not have a smaller diameter as prescribed.

2.2 Differentive diagnosis

It is common for a different diagnosis when the patient has not received a computer ctectar scan. Diagnosis distinguishes it from some of the following:

  • Pulmonary anesthose: relatively difficult to distinguish when bronchial dilators are accompanied by acute multiple infections.
  • Pulmonary tuberculosis.
  • Gas cocoons in the lungs of multiple infections: distinguished by computer-cirtorication.

3. How to treat bronchial dilator?

Do antibiotics have side effects?

Antibiotics selected may be given orally or injected depending on the patient's severe

The treatment regimen for bronchial dilators includes treatment of bronchial multiple infections, treatment of bronchospasm, and treatment of coughing up blood if any.

3.1 Treatment of bronchial multiple infections

  • Antibiotics selected may be given orally or injected depending on the patient's severe weight.
  • Bronchodilators with multiple infections for patients are usually antibiotics of the 2nd generation Cephalosporin group in combination with Aminoglycosid antibiotics
  • Antibiotic changes may be based on clinical response and antibiotic results where applicable. Some antibiotics that can be used instead are Penicillin or if beta-lactamase secretion is suspected, Penicillin G should be replaced with Amoxicillin + Clavulanic acid or Ampicillin-Sulbactam.
  • The normal duration of antibiotic use is 1-2 weeks but may be longer with severe bronchial dilators, drug-resistant bacteria.
  • Instruct patients to cough, vibrate their chest, or conductively in a pose to avoid a backlog of multiple infections.

3.2 Treatment of bronchospasm

  • Conducted when the patient has difficulty breathing, the lungs sound hissing, snoring.
  • Medications used can be Beta-2 boosters, anti-Cholinergic drugs or a combination of both.

3.3 Treatment of coughing up blood

  • If coughing up low amounts of blood can lie down, eat liquid and take cough relievers.
  • If you cough up moderate blood, you can take the above care in combination with Transamin and Morphine (caution in chronic respiratory failure).
  • If coughing up high-volume and critical blood requires the use of morphine, vascular drugs, infusion combinations, blood transfusions accretion of circulation volume. In some cases, blood clots causing bronchial obstruction need to suck up blood, put int management or open the int management to remove.
  • All cases of coughing up blood from medium to above must be given antibiotics as a precaution against infection.

Dr. Nguyen Huy Nhat has many years of experience in the field of respiratory pathology treatment at Hue Central Health Hub, Hoan My General Health Hub,.. before being a Doctor of General Internal Medicine at Share99 Danang International Health Hub.

For detailed advice on the disease, please go directly to Vinmec health system or book an online visit HERE.

SEE MORE:

  • Is bronchial dilator contagious?
  • Is bronchial dilator dangerous?
  • Notes in the use of bronchodilators

SEE MORE:

  • Bambuterol is a bronchodilator
  • What is the pathology of coughing up blood with nosebleeds?
  • How when the baby wheezes, coughs with phlegm?

About: John Smith

b1ffdb54307529964874ff53a5c5de33?s=90&r=gI am the author of Share99.net. I had been working in Vinmec International General Hospital for over 10 years. I dedicate my passion on every post in this site.

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