Smokers Bronchitis

Chronic smoker bronchitis is often met. Usually the diagnosis of chronic bronchitis is made when the person coughs for three months per year and more within two years. The tobacco smoke thus is the major factor irritating respiratory tracts mucosa.

More often this disease arises in 20-40-year-old, gradually progresses, and if the patient doesn’t leave off smoking, reaches peak by 60-70 years.

When smoking tobacco weighed particles enlarging a myxopoiesis are accumulated on the internal surface of bronchi. The excessive myxopoiesis and disorder of its removal is an excellent substrate for reproduction of microorganisms.

At first tussis arises in the mornings. Then it annoys the patient day and night, becomes more intensive at wet cold weather. A large number of transparent sputum is constantly secreted. Other symptoms of bronchitis are: weakness, chest pain, temperature increase.

If chronic bronchitis lasts for years, bronchi are narrowed; periodically there are dyspnea attacks up to asphyxia, with more exhalation than inspiration disorder.

The smoker should refuse the addiction to smoke for treatment of chronic bronchitis. Expectorant and bronchus extensional medicines are prescribed. If there is an infection in addition antibiotics are prescribed. In the period of exacerbation of bronchitis anti-inflammatory and preparations to rising of immunity, inhalation (salt and baking soda solutions) are helpful.

Antibiotics For Bronchitis Treatment

Most of patients with bronchitis recover without use of antibiotics. Prescription of antibiotics is recommended at:

- probable infection with a pertussis bacillus within first two weeks.

- infection with mycoplasmas or clostridiums.

- elderly patients at the accompanying severe chronic illness: malignant tumors, diabetes mellitus, heart failure.

- children of preschool age if within a week clinical improvement of an acute bronchitis has not come.

- The adult with a serious general condition, frequent productive tussis in the afternoon (with plentiful sputum secretion).

Prescription of antibiotics is also recommended for children at temperature above 38 °C more than three days, a dyspnea, the expressed toxicosis, a leukocytosis more 12000/mkl, the ESR is more than 20 mm

It isn’t necessary to prescribe  antibiotics of wide range of activity (fluoroquinolones, amoxicilan). If the patient insists the postponed prescription of antibiotics is recommended – antimicrobial medicine is suggested for application not at once but if the condition has not improved within 3-7 days of therapy without antibiotics.

The acute bronchitis more often is caused by viruses, and it is not necessary to apply antibiotics in this case. Unreasonable application of antibiotics conducts to disbacteriosis, allergic reactions, forms the resistance of microorganisms.

Antibiotics at bronchitis are selected at random, knowing what microbe more often causes an acute bronchitis in patients of a certain age in this district. If possible (agents and equipment allow) it is necessary to carry out sputum inoculation and to specify what originator caused bronchitis, to define its sensitivity to antibiotic.

Chronic Bronchitis

Chronic bronchitis is Continuous bronchi inflammation. If two years in succession there is a cough more than 3 months annually, it is possible to call bronchitis chronic. Smokers have the most serious risk. Cancer tumors, with which cigarette packs frighten smokers, can be met seldom in reality, but practically all smokers have bronchitis.

Any bronchi irritation changes their mucosa, facilitates penetration of microbes. More and more sputum is excreted; its expectorating becomes worse. Morning tussis is supplemented by daily and evening cough, becomes stronger in wet, cold weather, becoming continuous in due course. At an exacerbation the transparent sputum grows turbid, gets thick, and has unpleasant smell. Bronchi are narrowed, there is a dyspnea (the exhalation is more difficult). There is not enough oxygen in a blood, respiratory insufficiency grows.

For diagnosis of bronchitis an x-ray film should be done, carry out culture sputum, extracting pathogenic bacteria and defining their sensitivity to antibiotics. Investigate external respiration functions and carry out a bronchoscopy if necessary.

Treatment of chronic bronchitis is a continuous procedure so it is desirable to begin at initial stage. At an exacerbation doctor prescribes anti-inflammatory and expectorant drugs, antibiotics. It is also possible to clean out bronchi through a bronchoscope with solutions of preparations for mucus volume decrease and putting off of an inflammation. Inhalations and physiotherapy are helpful.

For prophylaxis of chronic bronchitis it is necessary to have healthy life style, quit smoking. If the disease has already developed, avoid overcooling, and treat respiratory infections in time.

Chronic Bronchitis

Chronic bronchitis is a long time disturbing, periodically renewing an inflammatory disease of the bronchial tree. For the recognition of chronic bronchitis, you need one condition – the repetition of the disease for at least 3 times a year for the last two consecutive years. In fact, chronic bronchitis – a disease that accompanies the patient on life, but without showing symptoms. Bronchitis symptoms appear only in times of acute illness. Typically, this occurs against a variety of viral diseases such as influenza, SARS, etc.
In medicine, isolated primary and secondary chronic bronchitis.
Primary chronic bronchitis – a distinct disease characterized by the presence of diffuse lesions of the bronchial tree.
Secondary as chronic bronchitis does not exist by itself as a separate disease, and is closely associated with chronic inflammatory diseases of the lungs, nose; with severe diseases of the cardiovascular system, kidney failure and some other diseases. The vast majority of secondary chronic bronchitis has a clear localization, in contrast to the primary.
According to scientists, physicians, a major role in the occurrence of chronic bronchitis is played by so-called polyutanty. These are substances that are present in the inhaled air sick, and irritates the mucous membranes of the bronchi. These agents may be both chemical and natural origin.
Said disease amenable to effective treatment. Moreover, medicine known cases of complete and definitive cure patients.

Symptoms Of Bronchitis

Symptoms (manifestations) of bronchitis are directly dependent on the reason for which bronchitis appeared. Recall that such reasons may be two, in particular – an infection and allergy.
If bronchitis is contagious nature and the cause of its occurrence was the acute respiratory disease, bronchial mucosa becomes extremely sensitive and susceptible to a variety of bacteria, being weakened by illness. Once in the body, more or bacteria infection causes swelling of bronchus, and as a consequence – the restriction of air passageways. Hence the difficulty breathing. Exacerbation of infectious bronchitis often occurs in the winter.
Bronchitis may be harbingers of rhinitis, sore throat, hoarseness, and even hoarseness in his voice, sometimes a temporary loss of voice, and a dry cough. It is also possible increase in body temperature caused by the fact that these chills, weakness, aching joints. Later in the course of the disease the patient is disturbed secretion of mucus in the bronchi, and there is a strong characteristic of bronchitis heavy cough with sputum (transparent gel or with shades of green matter). Throat bronchitis is usually not affected and does not hurt. Pains behind the sternum, in the bronchi. From frequent intense coughing start to hurt your abdominals.
With long-term preservation of symptoms (7 days) the doctor may send you to a chest X-ray to rule out the possibility of joining such diseases as pneumonia (pneumonia).

Prevention Of Bronchitis

Preventive measures contribute to the exclusion of the possibility of recurrence of the disease. Been ill for bronchitis is important to quit smoking, because smoking – one of the most highly probable risk of recurrence of the disease.
More complicated is the task of preventing bronchitis for employees of hazardous industries, including chemicals. The fact that the toxic elements inhaled specified category of persons every day, one way or another, will periodically cause disease. Moreover, in such cases, allergic bronchitis often attached or alternatively bronchitis is caused by allergic reactions.
In the remission of bronchitis is very important to support the human immune system. This problem is easily solved with the help of complex vitamin preparations or bracing of broad actions prescribed by your doctor. Myself patient may also benefit from the recipes of traditional medicine, for whom such a case there is a great variety. You can, for example, every day on an empty stomach drink 1 tablespoon of the mixture of walnuts, prunes, dried apricots, raisins, figs, lemon and honey. At the tea, you can add a few drops of tincture of echinacea.
Absolute benefit in the prevention of bronchitis brings annual visit to the brim with warm sea, where the patient can, and a pleasure to spend time with, and a breath of sea, air saturated with iodine. It is also recommended at least occasional visits salt caverns or rooms.
Corresponding effect will bring classes breathing exercises.
But remember, any disease, including bronchitis, should heal completely. Do not stay on the removal of a number of symptoms causing the most discomfort.

Causes Of Bronchitis

In medicine, identified two main causes of bronchitis. It is an infection and allergic reaction. Concomitant cause can also act a genetic predisposition. But first things first.
1 Infectious bronchitis. Disease occurs due to contact with bronchial infection, viral or bacterial less. Typically, this occurs after the transfer of bronchitis patients with acute respiratory disease, the common cold. Over the primary disease weakens the protective function of the human immune system, and bronchi become more susceptible to the adverse effects of infections. Getting into the bronchi, the new bacterium or virus, causes their swelling and narrowing of the airways, making it difficult to breath while the patient. Disruptive to the mucus, it begins to be produced in large quantities, separated from the walls of the bronchi, leaving with a cough. Has, as a rule, a similar structure to the gel, a transparent, greenish or yellowish color.
2 Allergic bronchitis. Obstruction of bronchi such as bronchitis arises as a result of allergic reactions. However, as in the previous case, allergy and weakens the body’s immune system makes bronchi vulnerable. Further to the response associated infection and the initial allergic bronchospasm is at the stage of acute bronchitis.
Also contribute to the development of bronchitis unfavorable climate (dry, dusty air, or in front of the wet, cold), exposure to cigarette smoke, toxic gases, smoke.
Hereditary predisposition to bronchitis occurs in people whose parents suffer from chronic forms of bronchitis.

Obstructive Bronchitis

Obstructive bronchitis is an acute inflammatory disease of the bronchial tree, in which is sufficiently disrupted airway. Difficulty breathing or shortness of breath, and are, in fact, obstruction.
Said disease is treated in the acute and chronic forms. The acute form of obstructive bronchitis is more common in childhood. Particularly critical is considered the age of 1 year to 3 years. The main causes of the disease are the various types of infection. As a rule, such bronchitis in children are a consequence of old acute viral respiratory diseases, flu, etc. Chronic obstructive bronchitis same form observed in adults. Tom promotes accumulation of the effects of various negative factors, such as smoking, genetic predisposition, bad working conditions.
In addition to joining the obstruction, the specified type of bronchitis, in principle, to symptoms is no different from the others. The patient body temperature rises, possible chills, fever, loss of appetite, lethargy. Onset of the disease occurs with a dry little cough productive intrusive, which eventually becomes wet. Cough accompanied by sputum. In chronic forms, symptoms in patients manifested only during periods of exacerbation of the disease, usually caused by SARS. Specificity of treatment is only in the fact that the first priority is to get rid of the obstruction (dyspnea). This will help to avoid oxygen deficiency in the blood of the patient.

Mucolytics In The Treatment Of Bronchitis

To begin, we shall understand what mucolytics. Mucolytics – it’s drugs, thinning mucus, while not increasing its volume.
All mucoactive drugs are usually divided into 3 types:
- Effect on the qualitative properties of the mucus, such as viscosity and elasticity (in fact, we are considering mucolytics).
- Accelerating the process of separation and release mucus (the so-called mukokinetiki).
- Reduces the amount of mucus (mukoregulyatory).
Which of these types of drugs a patient decides to appoint a doctor only. However, they are effective in the treatment of acute and chronic respiratory diseases.
A variety of diseases of the respiratory system of the body suggest accumulation in the lungs (or the lumen of the bronchi) viscous mucus containing bacteria and germs in large numbers. Such diseases include pneumonia, asthma, bronchitis, and of course. Long-term course of these diseases without adequate treatment can lead to blockage of the lumen of the bronchi viscous sputum and as a consequence significantly complicate breathing and can lead to various infectious complications such as pneumonia. In this case, the main short-term priority task – to activate the removal of phlegm from the bronchial tubes. With this purpose, and mucolytic agents are used.
To mucolytics are Mukaltin, Lasolvan, acetylcysteine​​, Ambroxol and others.

Treatment Of Bronchitis

Treatment is symptomatic bronchitis that is primarily aimed at eliminating disease symptoms. For example, a patient with bronchitis recommended bed rest, frequent copious warm (but not hot) drinking in a variety of teas, preferably with immune and vitamin products such as honey, raspberry, lemon, lime, hot foot bath stimulates circulation.
Also prescribe medication, which in the first place are expectorants. The latter include Althea syrup, pertusin. Bronchospasm bronchitis cropped purpose tablet aminophylline.
Effective in treating considered steam inhalation, which include alkaline water (possibly mineral, but without gas) or 2% sodium bicarbonate solution (so-called physiological saline) with a few drops of eucalyptus, anise oil. In the liquid composition for inhalation also include Mucosolvan in ampoules. Will be more sparing inhalation, conducted with the help of the nebulizer.
To combat the high temperatures prescribed use of acetylsalicylic acid (aspirin), Nurofen or aminopyrine.
In therapy also included antihistamines – diphenhydramine Suprastin.
And Chronic obstructive bronchitis is usually treated with antibiotics to suppress infection. Antibiotic is selected taking into account the sensitive patients, previously holding the corresponding sample. Antibiotics are prescribed orally or parenterally.
In severe cases of obstruction used bronchodilators inhalers such as Atrovent, troventol, truvent.