Bronchitis is a disease caused by inflammation of the bronchial mucosa in the human body. Generally speaking, long-term living in a harsh environment will easily lead to bronchial inflammation. Bronchitis can easily cause coughing, which can be treated with medication. You can take some cough suppressants and anti-inflammatory drugs. In daily life, you should also maintain a warm and clean environment, eat more light food and fruits, and drink more boiled water. treat 1. If the patient has systemic symptoms, he should rest and keep warm. The goals of treatment are to relieve symptoms and improve body function. People often require fluids and antipyretic drugs. Antitussive drugs can be used appropriately. When the sputum is large or sticky, expectorants can be used. 2. Patients with acute bronchitis There is no obvious therapeutic effect of antibacterial drugs, and the abuse of antibacterial drugs should be avoided when treating patients with acute bronchitis. However, if the patient has fever, purulent sputum and severe cough, it is an indication for the use of antibacterial drugs. Patients with acute bronchitis should be treated with antibiotics. Antibiotics against Chlamydia pneumoniae and Mycoplasma pneumoniae, such as erythromycin, can be used. Clarithromycin or azithromycin can also be used. During influenza epidemics, anti-influenza treatment measures should be applied if there are symptoms of acute bronchitis. 3. Treatment of acute exacerbation of chronic bronchitis (1) To control infection, antimicrobial drugs should be selected based on the main pathogens and severity of the infection or based on the drug sensitivity results of the pathogens. If the patient has purulent sputum, it is an indication for the use of antibacterial drugs. Mild cases can be taken orally, while more serious cases can use intramuscular injection or intravenous drip of antibiotics. Commonly used antibiotics include penicillin G, erythromycin, aminoglycosides, quinolones, cephalosporins, etc. (2) Expectorant and antitussive drugs: In addition to anti-infection treatment, patients in the acute stage should be given expectorants and antitussive drugs to improve symptoms. Commonly used drugs include ammonium chloride mixture, bromhexine, ambroxol, carboxymethylcysteine and strong diluent. Chinese patent medicine also has a certain effect in relieving cough. For the elderly who are weak and unable to cough up sputum or those with a large amount of sputum, they should be assisted in expectoration to clear the respiratory tract. The use of cough suppressants should be avoided to prevent central nervous system depression, aggravation of airway obstruction and complications. (3) Antispasmodics and antiasthmatic drugs are usually taken orally, such as aminophylline and terbutaline, or inhaled short-acting bronchodilators such as salbutamol. If airflow limitation persists, pulmonary function testing is done. If the diagnosis of COPD is confirmed, long-acting inhaled bronchodilators, or glucocorticoids plus long-acting inhaled bronchodilators should be used if necessary. (4) Nebulizer therapy: Nebulizer inhalation can dilute secretions in the trachea and facilitate expectoration. If the sputum is thick and difficult to cough up, nebulization inhalation may be of some help. 4. Treatment of stable chronic bronchitis Pay attention to the prevention and treatment of colds: colds can cause relapse of old illnesses in patients in remission. Over a longer period of time (at least 1 year), it is important to regularly take preventive measures against colds, such as taking a flu shot or taking Chinese herbal medicine to prevent colds. prevention 1. Quit smoking In order to reduce the irritation of smoking to the respiratory tract, patients must quit smoking. Other irritating gases, such as kitchen fumes, should also be avoided. 2. Promote expectoration For elderly and weak patients who are unable to cough up sputum or patients with a large amount of sputum, expectoration should be the main treatment, and antitussive drugs should not be used to avoid inhibiting the central nervous system and aggravating respiratory inflammation, leading to worsening of the condition. Helping critically ill patients change their body positions regularly and gently massaging their chest and back can promote the discharge of phlegm. 3. Maintain good home hygiene The indoor air is fresh and has a certain humidity, controlling and eliminating various harmful gases and smoke. Improve environmental hygiene, do a good job in dust and air pollution prevention, strengthen personal protection, and avoid the effects of smoke, dust, and irritating gases on the respiratory tract. 4. Do some physical exercise Strengthening physical fitness, improving respiratory resistance, preventing upper respiratory tract infections, and avoiding inhalation of harmful substances and allergens can prevent or reduce the occurrence of this disease. Exercise should be gradual and the amount of activity should be gradually increased. 5. Pay attention to climate change and cold seasons In severe winter or when the weather suddenly turns cold, pay attention to the warmth or coldness of your clothes and add more clothes in time to avoid catching a cold due to the cold. In winter, the indoor temperature should be between 18 and 20 degrees Celsius. |
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