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Krónikus bronchitis és COPD

PDFNyomtatás

Írta: Tüdőbeteg.hu 2009. november 03. kedd, 18:36

Krónikus bronchitis és COPD

A krónikus bronchitis (hörgőgyulladás) egy olyan betegség, amely esetében a betegnél krónikus, nedves köhögés áll fenn legalább 3 hónapig két egymást követő évben és ahol a köhögés egyéb okai, mint például fertőzés, a tüdőben zajló rákos folyamatok és krónikus szívelégtelenség kizárható.

A krónikus bronchitis a krónikus obstruktív tüdőbetegség (COPD) megközelítőleg 90%-áért felelős és leggyakoribb oka a cigarettázás.

A krónikus bronchitis mintegy 70 százalékát bakteriális infekció, és körülbelül 30 százalékát vírusfertőzés okozza. A légszennyeződés és egyéb a levegőben lévő irritáló hatású anyagok ugyancsak lehetnek kiváltói.

A krónikus bronchitisben szenvedő beteg légútjaiban rendszerint a baktériumok nagy számban vannak jelen, mivel a betegség károsítja azokat a mechanizmusokat, amelyek megtisztítják a baktériumoktól a a légutakat. Ezért aztán nehéz megmondani, hogy milyen baktérium az okozó.

Hogyan diagnosztizálható?

A krónikus bronchitis (hörgőgyulladás) vagy a COPD akut exacerbációjának (fellángolásának) diagnózisát rendszerint akkor állítják fel, amikor a krónikus bronchitisben szenvedő beteg köhögése erősödik, megnő a felszakadt váladék mennyisége és gennyessé válik. A betegnél erősödhet a légszomj is.

Hogyan kezelik?

  • A krónikus bronchitisben szenvedő beteg nagy valószínűséggel használ már bronchodilatatorokat, amelyek a légutak tágítása révén hatnak. Ezek dózisának emelése, vagy gyakoribb használatuk ajánlott az említett krónikus tüdőbetegségekben.
  • A légutak gyulladásának csökkentésével ható kortikoszteroidok alkalmazása

Antibiotikum alkalmazását akkor kell fontolóra venni, ha a betegnél az alábbi tünetek közül kettőt, vagy több mutatkozik:

  • Fokozott légszomj
  • Megnövekedett váladék mennyiség
  • A felköhögött váladék gennyes

Ez is érdekelheti



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