Bronchial pneumonia
Contents:
- Description
- Bronchial pneumonia symptoms
- Bronchial pneumonia reasons
- Treatment of Bronchial pneumonia
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see also:
- Intersticial pneumonia
- Pneumonia
- Atypical pneumonia
- Acute pneumonia
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Description:
Bronchial pneumonia or (bronchial pneumonia or bronchogenic pneumonia) (not to confuse to share pneumonia) — is an acute inflammation of walls of bronchioles. This type of pneumonia are characterized by the multiple centers of isolation, acute consolidation, zatragivayushchiy one or several pulmonary segments.
Bronchial pneumonia symptoms:
If bronchial pneumonia develops against the background of bronchitis, Qatar of upper respiratory tracts, etc., the beginning of a disease does not manage to be established. However it is frequent, especially at young people, the disease begins sharply, sometimes with a fever. Temperature increases to 38-39 °C, weakness, a headache, cough appear (dry or with a mucopurulent phlegm). Patients are disturbed sometimes by thorax pain; breath becomes frequent (till 25-30 in a minute). The percussion sound in the presence of many close located or drain centers is shortened, is frequent with a tympanic shade. At melkoochagovy defeat or deeper and central arrangement of the centers the percussion sound is not changed. At auscultation on the limited site of a thorax the small-bubbling and dry rattles differing in inconstancy are listened: they can disappear after cough or deep breath, their localization often changes. Breath remains vesicular. Tachycardia is noted (pulse to 100-PO in a minute), cardiac sounds can be muffled. In peripheral blood the neutrophylic leukocytosis (but also the leukopenia can be observed) sometimes is found, SOE is raised.
Bronchial pneumonia reasons:
The fact that one of causative agents of bronchial pneumonia is the streptococcus is improbable than as the causative agent of share pneumonia.
Bronchial pneumonia is connected by hospital pneumonia as they have one and those zhevozbuditel, such as golden staphylococcus, a klebsiyella, colibacillus, and a pseudo-monad.
At bacterial pneumonia, invasion into parenchyma of easy bacteria, as an immune response, happens an inflammation. This reaction leads to filling of alveolar bags with exudate. Loss of airspace and its replacement by liquid is called consolidation. At bronchial pneumonia and focal pneumonia several centers are isolated, acute consolidation affects one or pulmonarier shares.
Though these two models of pneumonia, share and bronchial pneumonia, are classical anatomic categories of bacterial pneumonia, in clinical practice it is difficult to apply types as templates are usually blocked. Bronchial pneumonia (focal) often leads to share pneumonia as the infection progresses. One organism can lead to one type of pneumonia at one patient, and other various patients can have other type. From the clinical point of view, it is much more important, than the distinctive anatomic subtype of pneumonia, is definition of its activator and exact assessment of degree of a disease.
Treatment of Bronchial pneumonia:
Observance of a bed rest, plentiful and warm drink (to two liters a day), chemically and mechanically sparing food with decrease in content of table salt and enriched with vitamins and microelements is obligatory.
Complex treatment of patients with bronchial pneumonia includes use of antibacterial drugs (semi-synthetic penicillin) and the drugs raising an immune responsiveness of an organism (a ginseng, Nerobolum, элеутерококк, an autohemotherapy, methyluracil), recovery of function of bronchial tubes (expectorants (a mallow, an ipecacuanha, a thermopsis) is most often used, and at dry cough - codeine, dionine), physiotherapeutic methods of treatment (mustard plasters, applications of ozokerite, paraffin, therapeutic muds, a short-wave inductothermy or a diathermy, an electrophoresis of various medicines) and physiotherapy exercises.