Obstructive bronchitis


  • What is obstructive bronchitis
  • Symptoms and diagnosis of obstructive bronchitis
  • Treatment of obstructive bronchitis

  • What is obstructive bronchitis

    Obstructive bronchitis is a type ofacute bronchitis. Obstructive bronchitis is often caused by parainfluenza virus, respiratory syncytial virus, rhinovirus, adenovirus, influenza virus rarely and mycoplasma pneumonia,
    viral and bacterial associations. The leading sign
    disease is an obstruction (bronchoconstriction), respiratory tract, developing
    mainly under the influence of SARS. Bronchial obstruction
    due to the presence of inflammatory swelling and edema of the mucous
    shell thickening her overproduction of secretion glands, accumulation in
    lumen and the wall of the bronchi of the mucous. Together with
    the possible short-term low-grade reflex spasm
    bronchial smooth muscle due to irritation of the mucous

    Passing through narrowed portions of the respiratory tract
    air encounters resistance to its current, especially as you exhale,
    It leads to the air swirl jet turbulent motion,
    thereby producing a "whistling breath"
    audible in the distance.

    Symptoms and diagnosis of obstructive bronchitis

    Obstructive bronchitisThe main symptoms of the disease are
    Noisy labored breath, accompanied by expiratory (exhalation) whistle
    participation in the act of respiration auxiliary muscles. Temperature
    low-grade (37-37,5), upgrades are not typical to high numbers. Cough or dry
    wet, frequent, persistent, mostly at night.
    Shortness of breath is the expiratory character (difficulty breathing out). In young children, there is a loud exhale,
    hindered. In severe cases, there is expansion of the chest
    anterior-upper sections. In light define boxed
    sound color, and listened dry whistling and variegated
    crackles over a large area. Physical data differ
    high lability. Character wheezing largely changed
    after coughing. Dry wheezing may
    be felt by palpation or be audible in the distance. choking or
    sense air deficiency in children with this does not occur.
    Duration 7-10 days of illness, and for protracted course - 2-3

    For the detection of the pathogen hold special
    Research: virological - immunofluorescence method
    prints from the nasal mucosa; serological - from the increase
    antibody titer in paired sera; Bacteriological - use
    for sowing smears from the mucous membrane of the larynx (the fence material
    possible through a catheter).
    In the blood reveal leukopenia (reducing the number of leukocytes in the blood), Leukocyte shift to the left, lymphopenia (Decrease in the number of lymphocytes in blood).

    On radiographs reveal
    increased transparency of light, the shadow of the bronchi and blood vessels narrow and separated
    apart. In some cases, there is a widespread
    symmetrical increase in basal broncho-vascular pattern,

    To distinguish from the obstructive bronchitis asthma
    necessary to clarify familial hereditary allergic child
    (Anomalies konstitutsii- diathesis; atonic allergy - food,
    drug and so on. d.). In young children at the first time
    arisen spastic syndrome without anamnesis is
    it is difficult to make a correct diagnosis. Note that in bronchospasm
    the development of obstructive bronchitis is not leading
    and is transient in nature, is not accompanied by eosinophilia (increase in the number of eosinophils in the blood) and usually not repeated further. For asthma is typical for a paroxysmal
    repeated episodes of bronchospasm and suffocation (sometimes even without lamination
    SARS). Clarifies and dispensary observation
    such children.

    Treatment of obstructive bronchitis

    For the treatment of upper respiratory
    ways and restore their patency recommended methods such as
    suctioning mucus or electric pumps with a rubber balloon,
    postural drainage, vibration massage. Assign distracting
    therapy - hot foot bath or shared. Recommended warm drink,
    expectorants medicine based on extracts of marshmallow root, ipecac,
    thoracic collecting grass senega, Thermopsis, ammonium chloride,
    ammonia-anise drops of iodine and salt. To reduce swelling of the mucous
    shell bronchi and bronchioles, and used to liquefy sputum
    aerosol inhalation.

    vitamin (ascorbic acid, pyridoxine, calcium pangamat,
    cocarboxylase) in dosages of age. Sulfanilamidnye funds and
    Antibiotics are recommended for severe and in young children
    age when it is impossible to eliminate bacterial pneumonia.
    Use as Bactrim - Children from 2 to m 2 tablets (for children) 2
    times a day; from 5-12 years - 4 Table 1-2 times a day. The course of treatment 5-10
    days. For young children, use of bactrim suspension. For prophylaxis for the prevention of complications of antibiotics and sulfa agents are not used.

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