Treatment of bronchiectasis heldcomplex, with therapeutic, bronchoscopic, and if necessary - surgical methods. Treatment can be conducted on an outpatient basis or in hospital. The indications for placement in a therapeutic or a specialized pulmonology department is worsening infection or a pulmonary heart disease. In pulmonary hemorrhage patient should send urgently a specialized surgical department. There also is directed to routinely patients who due to health shows the planned surgical treatment.
Conservative treatment of bronchiectasis(Ie treatment without the help of a surgeon) is mainly in the prevention of acute infection and eliminate it flashes. This is especially antibiotics, as well as measures aimed at emptying bronchiectasis areas.
Antibiotics may appoint a doctor,since not all bacteria are equally sensitive to different antibiotics. Typically, drugs are selected after all the analyzes. Antibiotics may be ingested or administered intravenously or intramuscularly, but preference is given to introducing them directly into the respiratory system. This is done using special tube leading into the bronchi (bronchoscope). Through the same tube can be washed with the bronchi and extended areas, remove the pus. First, the procedure is carried out 2 times a week, and then, with a decrease of purulent secretions, 1 time in 5-7 days.
An effective measure is to positiondrainage, ie the removal of pus and phlegm from the bronchial tubes by giving the body the patient several times a day a certain position, improving sputum. The same purpose is served by the appointment of expectorants, various breathing exercises, special massage of the chest.
To increase the body's resistance prescribe hormones, vitamins, immunostimulants, blood transfusion, various physiotherapy.
Completely get rid of bronchiectasisdisease is only possible by surgery. The best results are seen with early surgical intervention, preferably before the age of 40 years. Contraindications to surgery are: heavy defeat both lungs, pulmonary heart disease, etc. The operation is the removal of the affected part of the lung.