What medicine is used for bronchiectasis?

Written by Yang Feng
Pulmonology
Updated on October 30, 2024
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Bronchiectasis is particularly common clinically. The choice of medication for bronchiectasis needs to be determined based on the specific conditions of the patient. Generally, the aggravation of bronchiectasis is caused by recurrent infections, so controlling infections is fundamental in treatment. As for the application of antibiotics, the principle we follow is to select medications based on the different bacterial spectrums in different regions, with the most scientific method being the use of sensitive antibiotics identified through sputum bacterial culture and drug susceptibility tests. Additionally, we also use expectorants like ambroxol and bromhexine. If there is concurrent respiratory distress or a decline in lung function, inhalants such as budesonide-formoterol powder may also be used.

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Written by Li Jian Wu
Pulmonology
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How to manage bronchiectasis?

Firstly, sensitive antimicrobial agents should be chosen during the acute phase to control the infection, with the preferred medications being beta-lactam antibiotics. Penicillin-type drugs can be administered intravenously for anti-inflammatory treatment. Additionally, medications that dilute phlegm and relieve bronchial smooth muscle spasms should be selected to ease symptoms such as coughing and expectoration. If there is significant hemoptysis, hemostatic drugs should also be considered. For symptoms of respiratory distress accompanied by hypoxia, clinical treatments primarily include oxygen therapy to alleviate symptoms, focusing on symptomatic treatment.

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Written by Yang Feng
Pulmonology
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How is bronchiectasis cured?

Bronchiectasis is a type of chronic respiratory disease characterized primarily by recurrent coughing and sputum production. Once diagnosed with bronchiectasis, it is incurable. Prevention is crucial, and the main reason for recurrent episodes of bronchiectasis is infection. Therefore, preventing infection is paramount, including annual vaccinations against influenza and pneumonia to prevent infections. Additionally, it is important to avoid excessive fatigue and extreme emotions, as these can trigger episodes of bronchiectasis. Bronchiectasis is caused by chronic suppurative inflammation and fibrosis of the bronchi and surrounding lung tissue, leading to the destruction of the muscular and elastic tissues in the bronchial walls, resulting in deformation and permanent dilation of the bronchi.

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Written by Yang Feng
Pulmonology
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Can people with bronchiectasis eat lamb?

Patients with bronchiectasis can eat mutton, as in traditional Chinese medicine, mutton is considered a warming and tonifying food. It generally benefits conditions like cold-induced cough, chronic bronchitis, and deficiency-cold asthma. Patients with bronchiectasis, who often suffer from repeated lung infections and have lower immune function, are generally weaker, so consuming an appropriate amount of mutton can be beneficial. However, it should not be consumed in excess as mutton can cause heatiness or indigestion, which are particularly detrimental for individuals with bronchiectasis.

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Written by Han Shun Li
Pulmonology
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Is bronchiectasis contagious?

Bronchiectasis is relatively common clinically and is caused by destruction of the bronchial wall due to various reasons, leading to abnormal dilation of the bronchi. Common symptoms include repeated coughing, coughing up phlegm, and even hemoptysis. It can be definitively stated that bronchiectasis itself is not contagious. Contact with a person with bronchiectasis will not result in contracting bronchiectasis. However, in some cases, care should be taken when coming into contact with bronchiectasis patients. For example, some cases of bronchiectasis are caused by pulmonary tuberculosis, known as tuberculous bronchiectasis. Since pulmonary tuberculosis is contagious, in this scenario, there is contagion. However, it is the tuberculosis that is contagious, not the bronchiectasis itself.

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Written by Yang Feng
Pulmonology
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How to exercise with bronchiectasis

Firstly, patients with bronchiectasis are not suitable for intense physical exercise, especially during the onset of the disease. They should rest appropriately instead of engaging in excessive exercise, as overexertion can lead to a further worsening of the condition. When the condition is stable, activities like walking, swimming, and brisk walking can be considered. However, the choice should be based on one's personal health status, and the exercise must be moderate. The intensity of the exercise should not be too high, nor should it be too exhausting, as excessive fatigue can also trigger the onset of the disease.