Bronchiectasis is a structurally destructive disease of the trachea, most of which are secondary, many being the sequelae of other diseases, especially infectious diseases, and some being the result of passive pulling of the trachea in lung diseases such as interstitial lung disease. The disease itself is not only the enlargement of the bronchial lumen, but more importantly, the destruction of the pseudociliated columnar epithelium lining the walls of the trachea, which damages the well-established microenvironment of the bronchial tubes and even the surrounding lung tissues, and results in the loss of immunity to external bacteria, leading to a series of syndromes. Here is a study of this disease with you.

Normal structure of the bronchi

The wall of a normal bronchial tube is not bare, the wall is covered with a very complex layer of cellular structures called pseudocomplex ciliated columnar epithelium, the meaning of this term is divided into three parts, one is pseudo, here means that although the cells appear to be very much divided into multiple layers, but each cell's feet are attached to the wall of the tube, whereas the real complex layer is like a brick wall yards and yards, and each layer of cells has its own roots. Cilia (B) refers to the top layer of hair, these hairs are not static, but at the same time swinging in one direction, the image is like a row of porters, responsible for eliminating secretions and foreign objects including bacteria PM2.5, etc., columnar epithelium refers to the top layer of cells are long columnar (A), but the epithelium is by no means the only cells, there are many other functions underneath. The pseudociliated columnar epithelium has a number of different functions, and the various structures of the pseudociliated columnar epithelium each have their own roles to play, and together they ensure the stability of the microenvironment in the trachea and the role of the barrier of the local immunity.

How bronchial tubes are kept sterile

Bronchial dilatation is an infectious disease, long-term exclusion of a large amount of yellow sputum, which is caused by the destruction of the internal structure of the bronchial tubes, so the normal bronchial tubes is how to maintain the sterility of the bronchial tubes? This and several key structures within the bronchial tubes, we know that although the air through the nasal cavity after the pharynx many pathogenic microorganisms, toxic and harmful particles have been removed by filtration, but inhalation of air into the trachea bronchial tubes still contain a small number of bacteria, this time the bronchial lining of the pseudocomplex layer of ciliated columnar epithelium play a role in the first of all, the bronchial lining of the cells will be secreted by the cells will secrete a lot of liquid, some secreted relatively dilute plasma To keep the inside of the bronchial tube moist, some secretion of mucus, this mucus has a certain role in the adhesion of particles, including bacteria, including a lot of particles are adhered to the lungs can not be further into the mucus contains some of the antibodies secreted by the immune cells IgA, the antibody can be quickly combined with the pathogen for immune clearance, this is the second barrier, the next mucus containing impurities accumulate on the surface of the bronchial tubes. How to deal with it, this time mainly rely on the trachea porter - cilia, cilia constantly swinging towards the direction of the throat, the secretions of the trachea, including the bacteria in it, whether dead or alive, are cleaned up to the pharynx, and finally discharged out of the body, a lot of people say that I don't have a feeling, this is because people will do countless times a day to swallow the action of the throat, a lot of the mucus that reaches the pharynx, and the mucus that reaches the pharynx will be removed. This is because people swallow countless times a day, and much of the mucus that reaches the throat is swallowed.

What diseases cause bronchiectasis

China is a big country of tuberculosis, the population suffering from tuberculosis even exceeds the total population of some European countries, and tuberculosis is precisely an important cause of bronchial dilatation, many people still cough more than after tuberculosis is cured, and even hemoptysis is the legacy of bronchial dilatation caused by, in addition, all kinds of pneumonia, whether it is bacterial, viral or fungal pneumonia, may be in the control of the infection is cured and left behind by bronchial dilatation. Expansion of the problem, there are some hereditary diseases, such as cilia immobility syndrome is a very important manifestation of bronchial dilatation and intractable lung infections, the main cause of its pathogenesis is the whole body with ciliated structures and cellular inactivity, cilia inactivity of the trachea mucus can not be discharged on the always infected, infected with a long time on the bronchial dilatation, the sperm's tail has no vitality on the infertility. Women are also prone to bronchial dilatation into the middle lobe syndrome, which occurs in the middle lobe of the right lung, the right middle lobe bronchial lumen is narrow, there are more lymph nodes around the root surroundings, in the case of infection, it is easy to enlarge the compression of the bronchial tubes resulting in secretions that can not be eliminated, and over time, it will evolve into bronchial dilatation and pulmonary atelectasis.

Can bronchiectasis be cured or not: yes!

Can bronchiectasis be cured or not, this depends on the criteria for healing, if you want to completely restore the normal structure of the lungs, so that it is as new as a young child, it is impossible, because the lungs in the final analysis is a non-renewable organ, unlike the liver removed part of the new can grow, the destruction of the bronchial tubes can not be grown to replace the new one, if it is through the intervention of medication or surgery, so that the symptoms do not flare up If the symptoms are kept at bay by medication or surgical intervention, it is quite possible to keep them stable for a long time. For example, if the bronchiectasis is confined to one part of the lungs, it can be completely cured by surgery, removing the bad lungs, and the remaining lungs will not have the symptoms of bronchiectasis, and there is also a part of the people who have had bronchiectasis, but the bronchial tubes are located in a special position out of the upper lungs, in which the secretions can be discharged due to the effect of gravity flowing by itself to the structurally intact bronchial tubes, and in the anti-inflammatory treatment of the case of usual attention to the maintenance of the bronchi, can be long-term no attack, equivalent to cure. I myself have a bronchial dilatation in the upper left lobe, once had a serious lung infection, after the infection is cured basically do not have too many symptoms.

How to take care of controlling the symptoms of bronchiectasis

Bronchial dilatation is not only the increase in the diameter of the lumen, but more importantly, the destruction of the internal structure, resulting in the mucus is difficult to exclude, on the one hand, the bacteria adhering to the inside can not be eliminated to exclude on the other hand, the mucus components are highly nutritious, rich in protein, as long as the accumulation of the accumulation of can not be excluded, will soon be full of bacteria, bacteria, so bronchial dilatation of the person is an important maintenance measure is the position of the drain! Therefore, the important maintenance measure for bronchiectasis patients is postural drainage. Every day, lie on the bed like a frog, head down and buttocks up to form a posture of pouring phlegm, family members use the half-held hollow palm to help pat the back, and make efforts to cough gently (the smallest strength that has been able to cough up the phlegm) to exclude the phlegm, for 10-15 minutes every day in the morning and the evening, which can greatly reduce the number of lung infections and the amount of coughing up phlegm in normal times.

Bronchial dilatation for many people is a very painful disease, can be said to be a lifetime of torture, it will not threaten the life in the short term, but long-term repeated infections, so that people's quality of life can not be said, serious cases every day spit out a large amount of sputum in the public arena also coughing constantly, very much affecting the image of the person once aggravated, the fever can be bedridden. Early measures to take active treatment, usually pay attention to the position of drainage can control the condition, to maintain a stable not to develop.

01

Bronchial dilatation can be cured, if you suffer from bronchial dilatation, the family should not be too negative, the family must give continued treatment, the patient should also be positive to face life, but also actively cooperate with the doctor, don't be negative, that will only make the condition more serious, you have to be positive, in order to get well soon.

02

If you suffer from bronchial dilatation, we should not be too anxious, do not get angry to trust the doctor. We have to keep a positive heart, maintain an optimistic attitude to face life do not have a negative attitude, which will only make the condition more serious, we must eat more fresh fruits and vegetables, keep the body hydrated.

03

If you suffer from bronchial dilatation, then it is a very serious disease, we must actively seek medical treatment, find a regular doctor to give us a checkup, to do a comprehensive examination, and we must actively cooperate with the doctor's work, and take more of the doctor's advice, so that we can get well early and stay away from the pain of the disease.

A normal person's lungs have a lot of bronchial tubes inside, in fact, you can compare the lungs to a tree, the branches and trunks are the bronchial tubes and the leaves are similar to the alveoli, branches and trunks + leaves = tree, bronchial tubes + alveoli = lungs. That's pretty much it.

The so-called bronchial dilatation is like the expansion of a tree trunk. Normal bronchial tubes are supposed to have a fixed diameter, but the destruction of the bronchial walls due to various reasons (such as recurrent bronchial inflammation) causes abnormal and persistent dilatation of the bronchial tubes, which eventually leads to the dilatation of the whole bronchial tube. In some people, bronchial dilatation is due to recurrent infections, in others, no cause can be found, and it may be related to genetics, immunity, and so on.

The clinical manifestations of bronchiectasis are mainly chronic cough, coughing up sputum, mainly coughing up purulent sputum, and there may be repeated hemoptysis because the bronchial arteries may also be damaged and bleed repeatedly.

It is very difficult to cure bronchiectasis, and if it is caused by immune or genetic aspects, there is no way to cure it because it is caused by congenital factors. It can only be treated to improve clinical symptoms, improve life treatment, and prolong life. If the bronchial dilatation is caused by tuberculosis, or other repeated verification, the bronchial dilatation can be relieved by treating the cause of the disease, but it is impossible to make the dilated bronchial tubes completely return to normal.

In general, patients with bronchiectasis are able to improve their symptoms after treatment with anti-infection, treatment of underlying diseases, expectoration, and treatment of hemoptysis, but it is much harder to cure. However, if left untreated, then bronchiectasis will worsen and eventually seriously affect the quality of life.

Bronchiectasis is the result of chronic suppurative inflammation and fibrosis of the bronchial tubes and their surrounding lung tissue, leading to deformation and persistent dilatation of the bronchial tubes. So generally bronchiectasis belongs to a group of chronic diseases that are not curable, but which can be managed.

Causes of bronchiectasis：infectionsIt is the most important cause of bronchiectasis, such as pneumonia in infancy for a very long time without regular treatment. In some cases, lymphatic tuberculosisblockageThe proximal segment of the trachea causes distal dilatation. There are alsoinbornSexual ones, such as Kartagener's syndrome, i.e., simultaneous visceral transposition, sinusitis, and bronchiectasis, are sometimes associated with consanguineous marriages. I have also previously run into an industrial operation that accidentallyinhalationHarmful gases caused by a young man in his twenties with dilated lungs from the central to the peripheral bronchi.

There's no cure for bronchiectasis.It is not possible to return dilated bronchi to normal with any medication, except in cases of limited bronchiectasis surgically removed. But it can be controlled, and how well it is controlled very much affects the prognosis, and in some cases it does not affect lung function in old age.

The most important thing in normal times isAvoiding Infection, because repeated infections can aggravate bronchiectasis. In more severe cases of bronchiectasis, care should be taken to change the position frequently andpulling out of a riverThick sputum that accumulates in dilated bronchial tubes. Other limited bronchial dilatation and recurrent infections or hemoptysis can be surgically removed.
Welcome to your attention

Bronchiectasis is a common chronic suppurative disease of the respiratory tract, resulting in persistent dilatation and deformation of the bronchi due to destruction of the airway wall. Clinical symptoms include chronic cough, coughing up large amounts of purulent sputum and recurrent hemoptysis. The site of the lesion is the lower lobe, especially the left lower lobe, and often coexists with lingual bronchial dilatation. [Treatment principle] (a) strengthen the nutrition, target the cause, promote sputum, control infection, symptomatic treatment, if necessary, resection of the lesion. (2) Treatment plan: 1, promote sputum: sputum can reduce secondary infection, often using postural drainage and expectorant. 2, control infection: according to the sputum culture and drug sensitivity results of the selection of sensitive anti-inflammatory. 3, control bleeding: hemoptysis hemoptysis immediate use of hemostatic agents. 4, surgical treatment: confined to a lobe of the lungs, or the lesion is not large in scope, the effectiveness of medical hemostasis is not good, the use of this method. 5, the use of surgical treatment, the use of hemostasis hemoptysis, the use of hemostasis hemoptysis. 6, the use of hemostasis, the use of hemoptysis, the use of hemoptysis. [Treatment observation] 1, hemoptysis, we should always pay attention to the occurrence of ventricular respiration, in the process of using pituitary, we should pay attention to ask the patient whether there are palpitations, chest tightness, abdominal pain, urgency, headache, cold limbs, etc., and to observe whether there is a pale face, elevated blood pressure, cold and clammy skin and other vasospasm phenomena. 2, antibacterial therapy, the efficacy of the good or bad, from the color of the phlegm sputum volume, the sputum with the blood in the amount of sputum, as well as sputum odor reflect. If the color of sputum changes from yellowish viscous to thin white, the amount of sputum decreases, and the bleeding stops, it means that the antibacterial treatment is effective; on the contrary, the dosage and type of drugs should be considered to be adjusted.3 When extracorporeal drainage is performed, we should focus on observing the change of sputum volume, and at the same time, we should pay attention to the patient's color and pulse, if there are signs of weakness such as pallor, cold sweat, and rapid pulse, we should suspend the drainage. (C) remove chronic foci: many 'bronchiectasis' combined with chronic paranasal sinusitis, chronic dental silver inflammation, chronic tonsillitis and other chronic foci, pus flow into the bronchial tubes, resulting in primary infection of the bronchial tubes and pathologic damage, eradicate these foci, conducive to the symptoms of bronchiectasis salty light. (D) promote the repair of lesions: those who are not suitable for surgery, only comprehensive treatment, can be long-term oral hyacinthine tablets, (hyacinthine 4 parts, 2 parts of lily of the valley, 1 part of the part of the part of salvia,) each time a 6 grams, three times a day, have to promote the repair of lesions. (v) Strictly quit smoking and avoid inhaling harmful air. (E), Chinese herbal medicine treatment.

First of all, thank you for your question. First of all, we have to understand the definition of bronchiectasis, that is, most of the recurrent bronchial inflammation secondary to acute and chronic respiratory infections and bronchial obstruction, resulting in structural destruction of the bronchial wall, causing abnormal and persistent dilatation of the bronchi, if diagnosed with bronchiectasis, there is no need to feel terrible, as long as we pay more attention to the number of episodes in our life will be reduced. Bronchial dilatation is not an independent disease, but a pathological change.

For the treatment of bronchiectasis, medical treatment is mainly based on the necessity of applying antimicrobial drugs in acute infectious episodes, and for those with excessive sputum, expectorants, nebulized inhalation and postural drainage can be used to maintain relative patency. The main symptomatic treatment is symptomatic, and sputumization and expectoration are often crucial. In case of hemoptysis patients can be treated with bronchial artery embolization. In terms of surgical treatment, mainly bronchiectasis that is not easily controlled by medication, or accompanied by recurrent infections or episodes of hemoptysis, where the site of the lesion has been clearly defined, and where the lesion is limited in scope, the corresponding segmental or lobar resection of the lung should be performed.

Clinically bronchiectasis needs to be differentiated from tuberculosis, chronic bronchitis, lung abscess and lung cancer.

I hope the above answer can help you.

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On bronchiectasis:A chronic purulent disease in which the lumen of the bronchial tubes and their surrounding lung tissues become dilated and deformed with infection due to chronic inflammation that damages the walls of the tubes.Typical clinical symptoms of bronchiectasis include chronic cough, coughing up large amounts of purulent sputum and recurrent hemoptysis.It is a stubborn disease that is likely to stay with the patient for life if left untreated.

The course of bronchiectasis tends to be chronic and can occur at any age.Let's learn about the treatment together.

General Treatment:

1. Keep the airway open, according to theThe area of the lesion varies and postural drainage is performed.

2. Use of expectorants：Make the sticky sputum thinner, favorable to cough out, according to the needs of the disease to give appropriateBronchodilators, orCombined with nebulized inhalation.

3. Conditional hospitals can through the fiberoptic bronchoscopy local irrigation, drainage and drainage of sputum.

Bronchiectasis in the course of treatmentTo take good care of it.Antibiotics should be tailored to the type of bacteria and sensitivity of the infecting bacteria.option, usually given broad-spectrum antibiotics.Oral medication is the mainstay in milder cases, while severe cases require fluids.

In severe cases, surgical treatment is needed to eradicate bronchiectasis if necessary.

theories of Chinese medicineThere are according to the dialectic typing treatment, Chinese medicine conditioning; for acupuncture point selection for acupuncture, massage for the prevention and prognosis of bronchiectasis have certain effects.

Life Advice:Modern life promotes healthy prevention, and in our daily lives we need to pay attention to water safety andclarificationAir, such asClean your air conditioner regularly;Try to stay away from smoking places to avoid second-hand smoke, etc. Go out in hazy weather and take relevant protective measures. Eat more vegetables and fruits.Exercise more.Not only do they nourish the lungs, but they also increase the body's fitness and resistance to these都It's very important.

We recommend that you have regular health checkups for early prevention and early detection! Give yourself a healthy lung!

Thanks for your attention and feel free to share your guidance in the comments section if you disagree. Concerned about health, I wish you well!

Can bronchiectasis be cured?

There is no complete cure for bronchiectasis, but the condition can be controlled with treatment. Therefore, it is important to treat the disease aggressively to slow down the damage to the lungs.

Bronchiectasis is primarily a heterogeneous group of disorders in which acute and chronic respiratory infections and bronchial obstruction are followed by recurrent inflammatory disease with bronchial suppuration, resulting in disruption of the bronchial wall structure and thickening of the wall, causing abnormal and persistent bronchial dilatation. In patients with limited bronchiectasis, aggressive treatment can improve quality of life and prolong life expectancy. Patients with extensive bronchial dilatation are prone to damage lung function and even develop respiratory failure and cause death. These patients should actively improve ventilation, treat underlying diseases, enhance sputum elimination, take immunomodulators, and take anti-infective drugs and sputum-cleansing drugs during acute exacerbation, which can control the bronchial dilatation to a certain extent.

This content was reviewed by Dr. Dong Xiaosong, Chief Physician, Department of Respiratory Medicine, Peking University People's Hospital.

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Professionally, bronchiectasis cannot be anatomically cured, but it can be clinically controlled to slow the progression of the disease.

1. Avoid cold, exertion, strengthen the body, prevent infection. 2. If the disease flares up, give anti-infection treatment, turn over, pat the back, head down and feet up to expel sputum. 3. If the infection is more serious, if the effect of drugs is not good, you can tracheoscopic lavage and suction. 4. If the infection is recurrent, or there are serious complications such as hemoptysis, you need to surgically resect diseased lobes of lungs. 5. If the infection is not serious, you need to remove the lungs. 6.

Bronchiectasis is a chronic suppurative inflammation of the airways that destroys the muscular and elastic tissues of the walls of the airways, leading to deformation and continuous dilatation of the airways.

Symptoms: Coughing, coughing up sputum, especially when position is changed. The amount of sputum is large, and attention is paid to the drainage of sputum. Some patients cough up blood, or even cough up blood.

Treatment: The disease can be controlled but not cured. Surgery is possible if the lesion is more limited and the symptoms are severe.
1. Anti-infective treatment, applying appropriate antibiotics (according to the results of drug sensitivity test of sputum culture), such as cephalosporins, quinolones.

2. Sputum discharge: give back patting, change position (head-down position) nebulization, etc. to promote sputum discharge.

3. Strengthen exercise, enhance immunity, avoid colds and flu, and it is recommended to get the flu vaccine in September every year.