When developing a series of acute dyspnoea attacks, especially those that are expiratory and accompanied by pain, it is necessary to call an ambulance team. Until she arrived, you can alleviate the condition of the patient as follows:
- at an attack of an allergic etiology, first of all, it is necessary to eliminate an irritant and give an antihistamine medication recommended by a doctor and available in the medicine cabinet of any allergic person;
- if the provoking factor is unknown, arrange the patient in a semi-sitting position, creating an eminence from pillows, blankets;
- to facilitate breathing, unbuttoning the pulling clothes (tight collar, corsetry);
- Ensure access to the premises of fresh air, if possible - to humidify the air;
- if the patient has an aerosol with a drug (inhaler) - to help him apply it.
Dyspnea with bronchitis may appear periodically, but may be of a permanent nature. An ambulance is called in an emergency. Basically, with seizures cope on their own. Than to remove a dyspnea or short wind at a bronchitis?
Currently, there is a large selection of conventional inhalers and nebulizers in which the drug is sprayed into minute particles and, getting into the respiratory tract, acts quickly and efficiently.
With spasmodic contraction of the muscular layer of the bronchi, inhalation with Fenoterol is used. This product is available in aerosol containers. The drug by inhibiting the transport of calcium ions through the cell membranes lowers its concentration in the muscle tissue, relaxing the muscles of the bronchi and promoting their expansion. Spasmolytic action occurs quickly, arresting attacks of suffocation of the most diverse etiology, and lasts up to eight hours. Contraindications to its use are severe atherosclerotic lesions of the heart vessels, disturbances of the heart rhythm. It can cause side effects in the form of tahikradia, anxiety, the appearance of trembling in the fingers, and also - there is increased sweating, fatigue, migraine.
Dosage the drug individually, with acute dyspnea, patients with a six-year-old age are recommended a one-time inhalation of 0.2 mg of the drug or twice in 0.1 mg. If the first attempt is ineffective, the drug may be reused after five minutes. The next inhalation is carried out with an interval of six hours (not earlier!).
Prophylactic dosage is 0.2 mg. Adult patients do inhalations three times a day, children 6-18 years - twice.
The age group of patients 4-5 full years is recommended aerosol in a dosage of 0.1 mg of active substance up to four times a day.
The largest permissible daily number of aerosol applications for patients of all age categories is four.
You can do inhalations with a preparation based on herbal ingredients - Solutan. It can also be used orally. Not recommended for insomnia, high blood pressure, increased thyroid function, organic pathologies of the heart muscle and coronary arteries. In childhood, from five to ten drops are dosed and taken three times a day. Adult patients with bronchitis are recommended to take from 10 to 30 drops. The number of receptions is similar. The drug is taken after a meal.
Anticholinergic Atrovent may also be designated as a means cupping bonhospazm occurring on a background of colds and infectious diseases, bronchial obstruction and reducing the secretory activity of the bronchial mucous glands. This drug is available in aerosol form and in drops for inhalation. Aerosol can be used in patients older than five years, and the solution is older than four. Pregnant women can be prescribed by a doctor from the second trimester.
Aerosol Atrovent H, as a means of preventing shortness of breath, is recommended to use two or three inhalations three times a day, as a therapeutic - up to five times. Children 6-12 years old are given up to two inhalations with a break of at least six hours as needed.
In the inhaler for adults, from 20 to 40 drops of the solution are added and three or four inhalations per day are administered. The daily dose should not be more than 2 mg.
In pediatric practice, patients between five and 12 years of age are given inhalations with 10 or 20 drops of solution. Perform the procedure as needed under the supervision of medical staff. The daily dose should not be more than 1 mg.
When using nebulizer, the required dose is diluted with physiological solution to a capacity of 4 ml. A fresh solution is prepared before each inhalation.
Quite often prescribed pills for dyspnoea with bronchitis - Theophylline. Its ability to dilate the bronchi helps to stop attacks of dyspnea. This drug is not recommended to take for a long time, since it can provoke cramps. Tablets are prescribed from the age of two, they can cause dyspeptic side effects. You can avoid this by applying the drug in the form of rectal suppositories. Sometimes this form is more effective.
Children's dosage: from two to four years - a single dose of 10-40mg, from five to six - 40-60mg, from seven to nine - 50-75mg, from ten to 14 years - 50-100mg. Adult patients take 100-200 mg each. Multiplicity of admission - twice or four times a day. The daily dose for adults should not exceed 15 mg per kilogram of body weight, in childhood - 20 mg.
The drug Salbutamol is available in a variety of forms: in tablets of usual and prolonged action, syrup, in powders and solution for the inhaler, in solution for injections. Eliminates spasms of the bronchi for a long time (from five to eight hours), without having a significant impact on the cardiovascular system. Has no absolute contraindications, requires caution when prescribing to pregnant women, patients with toxic goiter and attacks of strong palpitations, hypertensive patients.
Orally, patients older than 12 years may take a daily dose of 6 to 16 mg divided into three or four doses. The maximum permissible daily dose is 32 mg. For children, the drug is dosed as follows: from two to six years 3-6 mg per day, divided into three doses; older than six, but younger than 12 years - 6-8mg per day, divided into three or four receptions.
The aerosol form is dosed at 0.1 mg in childhood, 0.1-0.2 mg for adult patients - three to four inhalations per day.
The powder form is also used three times or four times a day, 0.2 mg for children and 0.2-0.4 for adults.
The solution can be dosed at 2.5 mg (if necessary - you can increase the single dosage, but not more than 5 mg) in the same scheme.
These drugs facilitate the patient's condition and are included in the therapeutic regimen if the patient has dyspnea.
In the treatment of bronchitis, the patient is prescribed vitamins to support the immune system and prevent the development of complications. Vitamin therapy is prescribed by a doctor based on the patient's condition. Vitamin-mineral complexes can be prescribed, in their composition should be vitamin C and A, vitamins of group B, to exclude the development of anemia.
Often it happens that people who have been ill with bronchitis for a long time are tormented by shortness of breath. It should be noted that the recovery period takes a long time. It is not necessary after the disease to return to bad habits, in particular, to smoking. It is necessary to conduct a fairly active lifestyle, including walking on fresh air, feasible physical exercises. As a rehabilitation, a good effect is given by massage, special physical therapy, physiotherapy. Thermal procedures can be useful - mud, paraffin, ozocerite applications; impact of pulses of low-frequency current; amplipulse therapy; ultrahigh-frequency therapy; halotherapy.
To get rid of dyspnea, it is possible and with the help of prescriptions of alternative medicine, supplementing them with the permission of the attending physician scheme of therapy of bronchitis. In the rehabilitation period with residual effects in the form of dyspnea, it is also possible to fight with the help of alternative means.
It is recommended to use a regular turnip: finely chop or grate on a large grater one root, pour water (400ml), boil a quarter of an hour, strain. To drink before going to bed a glass of broth from turnip to the disappearance of dyspnea.
People suffering from shortness of breath of any etiology should drink tea from cranberry leaves.
Virtually everyone probably had to inhale boiled potatoes in their uniform, covering themselves with a towel over the pan.
At a dyspnea, arising at a physical pressure accompanying chronic diseases it is possible to accept courses (three times in day before meal during a month) the following mixture: two dots of garlic cloves grind with a blender or on a grater and fill with unrefined vegetable oil. Stir and refrigerate - the mixture is ready for use. Take, mixing a teaspoon of a mixture and freshly squeezed juice from a lemon. After a month of taking, you need to make the same break in time. During the year, you can spend four wellness courses.
Treatment with herbs: from dyspnea with bronchitis get rid of by the next infusion. Prepare the herbal mixture, taking one part of oregano for two of the same parts of the marshmallow and mother-and-stepmother, mix. A tablespoon of a mixture of herbs brew with boiling water (½ liter), insist for 20 minutes, strain. Daily to drink half a glass after breakfast, lunch and dinner.
In spring, drink infusion of young birch leaves, two teaspoons of which are brewed with a glass of boiling water, insist 30 minutes and eat once a day.
You can take a tablespoon of lilac flowers and pour it with the same amount of boiling water. Infuse four hours. Take infusion for shortness of breath for three weeks, with an interval of a week to repeat the course.
Dyspnoea with allergic bronchitis: mix eight tablespoons of flowers of viburnum, five - sage herbs and turns, three - flowers of chamomile and mint leaves. To fill in a thermos a tablespoon of the collection, to boil with boiling water in volume of 250ml, to leave for the night. Strain and drink before eating during the day, dividing into four divided doses.
Recipe for adults: dry shredded flowers of horse chestnut (a teaspoon) insist on medical alcohol (50ml). The tincture is kept for a week in a cool place without access to light. Finished product, filtered, take 30 drops, diluted in 150 ml of water, before breakfast and dinner.
Treatment of dyspnea with bronchitis homeopathic remedies requires medical prescription of the drug. The choice of drugs for treatment is wide enough. Patients are assigned both constitutional and symptomatic means. One of the drugs used in acute dyspnea Antimonium tartaricum (vomiting stone, complex antimony and potassium salt), this medicine is one of the constitutional means for patients with bronchopneumonia. Kalium carbonicum (potassium carbonate) is prescribed for dyspnea, accompanied by severe pain syndrome, dry cough and tachycardia. Arsenicum album (white arsenic) is prescribed for nighttime dyspnoea attacks. Curare (curare) - with bronchitis, complicated by emphysema of the lungs.
Of the drugs that can be purchased at any pharmacy, for the treatment of dyspnea in bronchitis are intended Bronhalis-Heel and Tartuffeldel N. These drugs directly act on the bronchial tree, relieving spasms, stopping the inflammatory process, facilitating the excretion of phlegm. Preparations in homeopathic dilutions, included in their composition, activate their own protective forces of the patient's body, opposing diseases.
Bronchalis-Heel is a multicomponent drug with the ability to cure acute and chronic inflammatory processes in the respiratory system.
Atropa belladonna (krasavka) - a first aid for acute respiratory inflammatory processes;
Lobaria pulmonaria (pulmonary lobaria) - stops coughing attacks, hemoptysis;
Cephaelis ipecacuanha (vomiting root), Kreosotum (forest beech tar tar) - contribute to alleviating acute attacks of cough in chronic processes of any etiology;
Lobelia inflata (lobelia inflated) - it stops dyspnea, facilitates breathing, helps relax the muscles of the bronchi and other organs of the respiratory system, eliminates vegetative disorders accompanying acute respiratory symptoms;
Hyoscyamus niger (black henbane) - especially effective at night paroxysms of cough, eliminates dryness in the throat, larynx;
Bryonia (white transgression) - used as an expectorant, effective for pleurisy;
Antimonium tartaricum (emetic stone) - clears the respiratory tract from the viscous secretion of the bronchial glands, eliminates the dyspnea caused by its congestion, inflammation and hoarseness of the voice;
It is produced in tablet form for resorption under the tongue. Patients over six years of age are prescribed one tablet three times a day for a quarter of an hour before meals or an hour after.
For small patients aged 3-6 years, the tablet is crushed to a powdery mass, which is dissolved in 20 ml of cool boiled water. Dosage at one time 10ml solution.
For relief of acute symptoms, the drug is taken at intervals of 15 or 20 minutes, but not more than two consecutive hours.
Duration of admission is individual (from two weeks to a month). Repeated course appoints a doctor.
In case of sensitization to the components of the drug, an allergic reaction may be observed. Children under the age of three, pregnant and lactating women are not recommended to use without medical appointment. Contraindicated to persons sensitized to ingredients and with a deficiency of lactase. Can be taken in combination with other medicines.
The composition of oral homeopathic drops Tartefedrelle N echoes the composition of the previous remedy - Antimonium tartaricum, Atropa belladonna, Lobelia inflata, Cephaelis ipecacuanha is also in its composition.
Also in the composition of drops include:
Natrium sulfuricum (Glauber's salt or sodium sulfate) - is prescribed for asthmatic bronchitis and attacks of suffocation, especially in the morning, coughing and pains in the chest;
Arsenum iodatum (arsenic iodide) is an expectorant for bronchitis, pneumonia, tuberculosis, pleurisy, and also for respiratory manifestations of allergy;
Blatta orientalis (black cockroach) - a constitutional remedy for diseases of the respiratory system in people with a dense build;
Naphthalinum (naphthalene) - dyspnea, shortness of breath with bronchitis, infectious, cold and allergic, antispasmodic and expectorant, is prescribed for emphysema of lungs, bronchial asthma;
Illicium verum (anis stellate) - antispasmodic.
It should be noted that the medicine contains ethyl alcohol.
Contraindicated with intolerance of one or more ingredients of the drug. Persons with thyroid disorders should be admitted only as prescribed by the doctor.
Before taking ten drops, dissolve in ½ cup of water, drink, holding a mouthful in your mouth, three times during the day. For relief of acute conditions take a single dose at intervals of a quarter of an hour for the first two hours, then switch to the usual reception.
A long course of treatment (more than a month) is carried out according to the prescription and under the supervision of the attending physician.
For the treatment of dyspnea with bronchitis, conservative treatment is used in most cases. In cases of complications of long-term chronic bronchitis that have spread to the parenchymal lung tissue, operations are performed to excise atrophied tissue sites.