Frequent questions He asks the doctor Beginning   
BRONQUIECTASIAS
DENOMINATION DEFINITION YOU CAUSE SYMPTOMS DIAGNOSTIC TREATMENT TO CONSULT

OTHER NAMES

  • Chronic bronchitis
  • Emphysema
  • OCFA

DEFINITION

The bronquiectasias are formations saculares or arrosariasdas of formed from normal bronchi of the pulmonary airlines, that for a destruction or destructuración they lose his flexible capacity and stay without a capacity of elimination of his secretions.

CAUSES

The bronquiectasias it is possible to have to to infections acquired by a pneumonia or pulmonary tuberculosis and in other occasions to a hereditary problem. In both cases there takes place an inflammation of the bronchial mucous membrane that leaves injuries to the cicatrizar and without a functioning adapted to eliminate the secretions. It is very frequent that appear already in the infancy.

Another possible cause is the inhalation or aspiration of a strange body, particle or food.

Some genetic illnesses as the fibrosis quística it causes today approximately 50 % of all the bronquiectasias, especially you diagnose them in the small children.

Also in congenital illnesses of the cilios as there are the syndrome of the immobile cilio or the Kartagener syndrome (situs inversus).

Other causes are the syndromes of immunodeficiency of antibodies.

SYMPTOMS

It is frequent that the symptoms appear some years after his production, there being a few years silentes of symptoms.

The most frequent are:

  • The broncorrea, phlegms in abundance every day.
  • Bad smell of the secretions.
  • Halitosis or bad breath.
  • Persistent productive cough.
  • Presence of fresh blood in the phlegms.
  • Make difficult to breathe in the efforts.
  • Asthenia and loss of weight.
  • Fingers appearance in drum toothpick.
  • Humid noises on having breathed.

DIAGNOSIS

In the physical examination it will be possible to auscultate humid death rattles (crackling and subcrackling) in the affected area. This find associated with illnesses previously diagnosed congenital can give a bronquiectasias suspicion.

Then it is possible to confirm by means of:

  • Simple thorax radiography.
  • Scanner ó axial scanner thorax computarizada.
  • Sputum cultivation.
  • Chlorine measurement in perspiration to diagnose a fibrosis quística.
  • Antibodies analysis in whey and saliva.
  • Precipitinas against the Aspergillus fumigatus.
  • Tuberculina.

TREATMENT

As the principal problem is the secretions accumulation in the bronquiectasias and his possible infection, the treatment will be directed to:

  • To control the infections with antibiotics to the minor sign of them.
  • Bronchodilators.
  • Secretions Fluidificantes.
  • Pulmonary physical therapy with daily and regular drainage, in order to extract the bronchial secretions.
  • Vaccination of the annual flu.
  • Vaccination of the pneumococcus.
  • To avoid the active or passive nicotinism.

The surgery of the bronquiectasias only is indicated at present in bronquiectasias very rebellious, with repeated infections that should not yield to the treatment or in case of bled habitually.

WHAT DOCTOR CAN TREAT ME?

To look a specialist Service offered for
Writing: Medical equipment   Update: June, 2009
Know the limitations of this service


Our Feature links that help to sponsor our site
www.money4car.co.uk , reviews.deluxe-car.co.uk , Just katowice airport taxi and krakow airport transfers., Interesting reviews , 1000 mots anglais , Rent house - Isla Mujeres ,bathroomfurniture.wordpress.