How to cure bronchiectasis?

Written by Yang Feng
Pulmonology
Updated on September 15, 2024
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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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How to completely cure bronchiectasis?

Bronchiectasis refers to the inflammation and fibrosis of the bronchi and surrounding lung tissue due to various causes, ultimately leading to the destruction of the muscular and elastic tissue of the bronchial walls. This causes the bronchi to become deformed and permanently dilated, commonly referred to as bronchiectasis. The most common clinical symptoms of bronchiectasis include coughing, production of phlegm, and coughing up blood. When treating bronchiectasis, the first step is to treat the symptoms, such as administering treatments to reduce phlegm, fight infection, and stop bleeding. If the patient continues to experience symptoms repeatedly after these treatments, we may recommend surgical intervention, if the patient's condition allows, to remove the dilated bronchi, thereby achieving the goal of cure.

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Written by Yang Feng
Pulmonology
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What medicine is used for bronchiectasis?

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 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 bronchiectasis be treated with nebulization?

Patients with bronchiectasis can undergo nebulized inhalation, and nebulized inhalation has a very good therapeutic effect for the treatment of bronchiectasis. Commonly used nebulized medications include budesonide suspension and terbutaline nebulizer solution, among others. These medications work to dilate the bronchi and relieve airway spasms. For patients with excessive phlegm, these treatments can promote expectoration. They are also very effective for patients with bronchiectasis-caused breathing difficulties. Furthermore, there is now literature proving that inhaling budesonide suspension has a good anti-inflammatory effect on lower respiratory tract infections and helps in the absorption of inflammation.

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Written by Zou Zhong Lan
Pulmonology
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How is bronchiectasis treated?

The treatment of bronchiectasis mainly includes medical treatment and surgical treatment. Medical treatment primarily aims to control infection and promote the drainage of sputum. Antibiotics are crucial for controlling infections, initially based on empirical therapy. Adjustments can be made accordingly if results from sputum culture and drug sensitivity tests are available. Secondly, to promote sputum drainage, we can use postural drainage or mechanical vibration to expel sputum. Expectorant medications such as ambroxol and bromhexine, or nebulized inhalation therapy may also be utilized. Thirdly, bronchodilators can be used to relieve asthma symptoms and ease the patient's discomfort. If the patient has hemoptysis, hemostatic treatment should be provided. Surgical treatment is primarily considered for patients with localized bronchiectasis and when medical treatment is ineffective, in which case surgical resection may be considered.