How is bronchiectasis cured?

Written by Yang Feng
Pulmonology
Updated on September 26, 2024
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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 Li Jian Wu
Pulmonology
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How to check for bronchiectasis?

How to check for bronchiectasis: generally, corresponding physical examinations and laboratory tests are used for diagnosis. Early physical examinations may not show positive signs. When the condition is severe or secondary bacterial infection occurs, fixed and persistent moist rales can be heard in the affected areas. Some patients may show signs of oxygen deficiency, such as clubbing and cyanosis. During acute infections, routine blood tests will show increased white blood cell counts and neutrophil counts. Sputum examination may reveal elastic fibers and pus cells. A chest X-ray can show thickened and disordered lung periphery, and typical lesions may appear as honeycomb-like curly shadows.

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Written by Zou Zhong Lan
Pulmonology
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The manifestations of bronchiectasis

Bronchiectasis refers to the destruction of bronchial wall tissues caused by chronic inflammation of the bronchi and surrounding lung tissues. The lumen undergoes irreversible dilation and deformation. Some patients have a history of recurrent respiratory tract infections, mainly presenting with chronic coughing and coughing up large amounts of thick sputum. Many patients have a history of repeated hemoptysis, although the amount of blood is usually small. There can be blood in the sputum or slight bleeding, and it can also manifest as a large amount of blood, potentially life-threatening. In the affected areas, fixed and persistent localized wet rales can be heard.

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Written by Yuan Qing
Pulmonology
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Does bronchiectasis cause nausea?

Bronchiectasis generally does not present with symptoms of nausea. Bronchiectasis primarily occurs when the body is infected with particular pathogenic microorganisms, such as Pseudomonas aeruginosa, atypical mycobacteria, or from childhood infections like measles or whooping cough that damage the cartilage of the trachea, causing the tracheal cartilage to fail in maintaining the normal shape of the trachea. Consequently, the trachea can become dilated due to the pulling by the surrounding lung tissue. Once diagnosed with bronchiectasis, the main symptoms displayed are coughing, coughing up phlegm, and some patients may also experience chest tightness and shortness of breath. Generally, it does not cause nausea. However, severe coughing or a significant amount of difficult-to-expel phlegm can lead to concurrent symptoms of nausea, but these are not directly caused by the disease itself, but rather by its complications. Therefore, appropriate treatment can significantly alleviate these symptoms.

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Written by Yang Feng
Pulmonology
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How to cure bronchiectasis?

Bronchiectasis is caused by chronic suppurative inflammation and fibrosis of the bronchi and the surrounding lung tissue, damaging the muscles and elastic tissues of the bronchial walls, leading to deformation and permanent dilation of the bronchi. Bronchiectasis is chronic in formation, thus once diagnosed, it is incurable. Prevention is very important. The main cause of recurrent episodes of bronchiectasis is infection, so preventing infections is crucial. It is advised to consume a high-quality protein diet, participate in appropriate physical activities, and get annual vaccinations for influenza and pneumonia to prevent infections.

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Written by Li Tao
Pulmonology
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Bronchial dilation diagnostic methods

Bronchiectasis refers to the inflammation of the bronchi and surrounding lung tissue caused by various diseases and etiologies. This inflammation leads to the destruction of the muscles and some elastic tissues of the bronchial walls, resulting in the deformation and persistent dilation of the bronchi, which cannot recover, collectively known as bronchiectasis. The definitive diagnosis of bronchiectasis is most commonly based on clear clinical symptoms such as significant coughing, phlegm production, and hemoptysis; secondly, cystic and cylindrical dilations in the patient’s bronchi can be clearly seen through chest CT and high-resolution CT, allowing for a direct diagnosis of bronchiectasis.