Chronic obstructive bronchitis - treatment in the stage of exacerbation and remission

Chronic obstructive bronchitis is a diffuse chronic bronchial disease , which is accompanied by a progressive violation of their ventilation. The main manifestations of this disease are a persistent or recurrent cough with sputum and dyspnea. It is often complicated by the development of pulmonary hypertension, pulmonary heart disease and heart failure.

Clinical picture of chronic obstructive bronchitis

Cough with chronic obstructive bronchitis has been troubling for many years. At the onset of the disease, it occurs only in the morning, then becomes more permanent, continues throughout the day. Gradually the cough acquires a character of paroxysmal, debilitating, especially in the morning hours. With exacerbation and infection, sputum volume increases, symptoms of inflammatory syndrome are added. Below we will consider how to treat obstructive bronchitis (chronic) in the stage of exacerbation and remission. These stages have their own peculiarities in the clinic of the disease, which are taken into account in the appointment of certain treatment methods.

Chronic obstructive bronchitis: treatment in the acute stage

Inpatient treatment and mandatory bed rest is necessary for exacerbation of chronic obstructive bronchitis with an increase in respiratory and heart failure, the appearance of symptoms of intoxication. Showing hospitalization in case of pneumonia, if necessary, diagnostic and treatment procedures.

If a patient has chronic obstructive bronchitis, treatment is primarily aimed at treating obstruction. To this end, prescribe cholinolytics in high doses. If the effect of this group of drugs is insufficient, short-acting beta2-agonists are added. For more effective action, these drugs can be used in the form of inhalations. Increase the effectiveness and reduce the risk of complications can not only be a combination of drugs, but an increase in the dose of bronchodilators.

With further progression of the disease, methylxanthines and glucocorticosteroids are added. Systemic glucocorticosteroids are prescribed only during an exacerbation. If you get a positive clinical effect for several weeks, then gradually reduce the dose.

Antibiotics prescribe only with the proven infectious exacerbation of chronic obstructive bronchitis, the presence of symptoms of intoxication and purulent sputum. Usually the course of treatment is appointed for one to two weeks. With the development of purulent form of obstructive bronchitis, the use of detoxification therapy is necessary.

Chronic obstructive bronchitis: remission in remission

The basis for the treatment of chronic obstructive bronchitis is the refusal to smoke, the elimination of occupational hazards and the elimination of chronic foci of infection by the method of sanitation. Of great importance is regular breathing exercises, weight loss to normal, a diet containing enough vitamins and microelements. These treatments are important for the contractility of the respiratory muscles and reducing their fatigue.

Improvement of sputum isolation from the bronchi is achieved by the appointment of chest massage, postural drainage, phytotherapy. Patients with obstructive bronchitis almost always have to take expectorant and bronchospasmolytic drugs.

Despite the fact that chronic obstructive bronchitis, whose treatment we have considered, refers to progressive diseases, timely therapy can significantly slow the development of obstruction of the bronchi, prevents the development of possible complications. If chronic obstructive bronchitis in children is identified , treatment can not only stop the progression of the disease, but also cause its reverse development until complete recovery.