«Toilet Bronchi». How to make cough useful?

Content

  • Non-drug «Toilet Bronchi»?
  • Hardware methods «Gigien Bronchi»
  • Postural or Position Drainage
  • Manual percussion and vibration
  • Controlled cough
  • Active respiratory technique

  • & laquo; toilet bronchi & raquo;. How to make a cough useful?Cough — Protective reflex, which is of great importance for purification of bronchi from sputum, dust particles and smoke. In case of diseases of the bronchopulmonary system, the cough prevents the accumulation of mucus in the respiratory tract and the development of infection, improves bronchial patency and serves as the prevention of atelectasis. The cough occurs when the natural mechanisms of cleansing the bronchial wood do not cope with their function when the sputum is too much when the ciliary epithelium ciliates and the upstream air flows do not carry out the products of inflammation.

    Non-drug «Toilet Bronchi»?

    Cough is a useful reflex and therefore, with lung diseases, it is necessary to take all measures to strengthen the mechanisms of cleansing the bronchopulmonary system using optimizing cough. Undoubtedly, in the first place are medicinal products that increase the bronchial secretion, diluted with sputum expanding bronchi. But besides medication drugs, cough should include non-drug methods.

    Non-media methods «Bronchial hygiene», Applied in traditional medicine:

    • position drainage;
    • manual percussion and vibration;
    • active respiratory equipment;
    • Hardware methods for supporting the natural mechanisms of purification of bronchi.

    Hardware methods «Gigien Bronchi»

    This technique is used in medical institutions and requires special devices. In recent years, such devices are becoming more and more.

    • Breathing apparatus with positive pressure on exhalation.
    • Actuators with positive pressure on inhalation and high-frequency intra-light oscillation.
    • Apparatuses with intra-light percussion ventilation.
    • Apparatuses with external mechanical percussion (climbing).

    Postural or Position Drainage

    Postural or Position Drainage — This is the most well-known technique for improving sputum, suitable for home use.

    Before proceeding with drainage, 30 minutes before it should be taken expectorant drugs, and if necessary, bronchorant.

    Actually postural drainage includes:

    • Passive drainage position when it is planned to improve the selection of sputum under the action of gravity. It is necessary to take various positions, for example, on the side, on the stomach, with a slope of the body for 20-30 degrees ahead, empirically choosing that position in which the sputum is easier. In each position it is recommended to be 15 minutes. Repeat drainage is required 1-2 times a day.
    • Autogenous drainage — Pretty difficult for perception, but effective technique, including several consecutive phases.
    • Department of mucus: Conventional breathing alternates with short and frequent breathing movements and breathing delays for 3 seconds (2-3min.).
    • Collection of mucus in large bronchops: Slow breathing with short shallow exhalations, as if swinging the mucus before the appearance of wheezing (2-3 minutes.).
    • Evacuation of mucus: removal of sputum cough jerk.

    Position drainage effectively combine with other techniques «bronchial toilet».

    • Forced exhalation when mucus is removed by powerful air flow.
    • «Huffing» — Forced exhalation with open voice clock and noise «hhuuuuuffff».
    • Controlled cough with relaxation and respiratory control.

    Manual percussion and vibration

    Manual percussion and vibration — it is a pill of the chest folded «Boat» palm or «soft» fist. Usually the tenders are combined with positional drainage and perform within a minute in each of the body positions. It should not knock on the spine and chest — Only on the ribs. These manipulations that do not cause pain and discomfort in the patient quite effectively improve the wet wet from the walls of the bronchi and contribute to its promotion «to the exit».

    Controlled cough

    Before applying this technique should assign several consecutive phases.

    1. Lips fold the tube, breathe slowly, calmly and deep.
    2. Hold breathing for 3-4 seconds.
    3. Produce 2-3 sharp cough shoes with a ripped mouth. At the first impetus, the wet is separated from the walls of the bronchi, with the second and third will turn out to be output and removed from the bronchi.
    4. Calmly and not very deeply inhale.
    5. Rest.

    Active respiratory technique

    Active respiratory equipment includes several stages:

    1. Relaxation and controlled breathing.
    2. 3-4 influence on the chest (tapping and vibration).
    3. Relaxation.
    4. 3-4 tapping and vibration.
    5. Relaxation and normal breathing.
    6. 1-2 cough jolts and «Huffing».
    7. Relaxation and normal breathing.

    «Lazy» Cough is most often observed in patients with chronic obstructive lung diseases. It leads to exacerbation of diseases, contributes to the development of a pulmonary infection. In these cases, the use of the above-described techniques is of particular importance, but even with acute infection, for example, in acute bronchitis, listed techniques significantly accelerate recovery at home, even without using special devices.

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