Can bronchiectasis be treated with nebulization?

Written by Yang Feng
Pulmonology
Updated on September 20, 2024
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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 Wang Chun Mei
Pulmonology
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What will happen if bronchiectasis worsens?

Bronchiectasis is classified as an infectious disease of the respiratory internal medicine, mainly caused by the invasion of various pyogenic bacteria into the respiratory tract, which usually leads to inflammation and fibrotic changes in the bronchi and surrounding lung tissue. Therefore, patients with bronchiectasis often exhibit clinical symptoms such as cough, expectoration, difficulty breathing, chest tightness, and chest pain. It is crucial to provide timely treatments for such patients, including anti-infection measures, cough relief, expectoration, and hemostasis. If bronchiectasis is not effectively treated, it may lead to complications such as hypoxemia and severe bleeding. It is known that bronchiectasis does not lead to cancer due to local inflammation.

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Written by Yang Feng
Pulmonology
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What tea is good for bronchiectasis?

Patients with bronchiectasis do not have special requirements for drinking tea; they can generally drink green tea, black tea, etc. These teas contain a higher amount of tea polyphenols, which have antioxidant and antibacterial effects and can also promote the body's metabolism. These are beneficial to patients with bronchiectasis. However, it is not recommended to drink excessively, especially before bedtime, as it may lead to insomnia or digestive system disorders. In summary, drinking green tea and black tea has certain benefits for patients with bronchiectasis.

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Written by Zou Zhong Lan
Pulmonology
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The first choice for the diagnosis of bronchiectasis

For the diagnosis of bronchiectasis, we can rely on the symptoms of the patients such as chronic cough, coughing up large amounts of purulent sputum, repeated hemoptysis, and history of lung infections. Physical examination of the lungs may reveal fixed and persistent localized wet crackles. For auxiliary examinations, we can combine X-ray and CT scans to find imaging changes consistent with bronchiectasis and make a diagnosis. The preferred method for a definitive diagnosis of bronchiectasis is high-resolution CT, and the diagnosis can be made based on the results of a high-resolution CT scan.

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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 Wang Xiang Yu
Pulmonology
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How long can one live with bronchiectasis?

This question is actually very difficult to answer because no doctor can predict exactly how long their patient will live. They can only provide a general prognosis of the disease. Bronchiectasis is relatively a benign condition. The prognosis for most patients depends mainly on the severity of the bronchiectasis and their comorbidities, among other factors. Generally, if a patient’s bronchiectasis is not very severe and mild, and does not affect lung function or is not compounded by other underlying diseases, they might experience long-term, recurrent coughing and sputum production, requiring long-term hospitalization. However, if they do not experience acute complications associated with bronchiectasis, such as asphyxiation caused by hemoptysis, then actually they can live for a long time. There are many patients who are in their seventies or eighties and frequently admitted to the hospital. When asked how long they have had bronchiectasis, their condition might span over forty or fifty years, or even longer. This means that patients with bronchiectasis can live for a long time, provided their condition is relatively stable and they don’t suffer from acute complications such as severe bleeding or asphyxiation. However, if the bronchiectasis is severe, or unfortunately, even if the bronchiectasis isn’t very severe, if a patient suffers from major hemoptysis, it can cause asphyxiation rapidly leading to death within minutes. Therefore, it is impossible for doctors to predict exactly how long each patient will live.