Chrohes with bronchitis: wet, dry, residual

Bronchi in the human body play the role of an airway. These are the ways in which air enters the so-called respiratory departments, warms, moistens and clears. They depart from the trachea and divide into two branches: right (thicker and shorter) and left, and then repeatedly divided into smaller "processes", forming a bronchial tree. The structure of the bronchus wall consists of the inner mucosa, submucosa, fibro-cartilaginous and external. If epithelial cells are damaged by mucous viruses, physical or chemical effects, their death occurs, a bacterial flora appears, provoking inflammation, which is called bronchitis. At this time in the bronchi during breathing there is an extraneous noise - wheezing. Bronchitis is a very common disease of the respiratory system.

[1], [2], [3], [4],

What wheezing with bronchitis?

What are wheezing with bronchitis and how do they occur? Bubbles of air during the movement fill with oxygen sputum. They periodically burst, creating characteristic sounds both during inspiration and exhalation. The volume of noise gives an idea of the depth of the lesion and the area of inflammation localization. There are several types of wheezing - dry and wet:

• dry rales in bronchitis occur with narrowing of the lumen of the bronchi or the formation of bridges inside it due to viscous sputum. Chryps resemble buzzing (a stream of air stumbles upon an obstacle, a jumper vibrates) or whistle (small bronchi inflamed);
• wet wheezing in bronchitis is similar to the hissing of soda (finely bubbled), or to the gurgling of water (corresponds to a disease of medium severity), with severe stages are audible without a stethoscope (large-bubbles).

Chryps on exhalation with bronchitis

Chryps on exhalation with bronchitis indicate a plentiful accumulation of mucus in the bronchi. It creates interference, closing the gaps. Chryps on exhalation are characteristic not only for bronchitis, but also bronchial asthma, pneumonia, tuberculosis, allergic reactions, Quincke edema, heart failure. To determine the cause of their occurrence, you need to undergo an examination in the clinic.

How long do rales persist in bronchitis?

How long do rales persist in bronchitis? Even after treatment of bronchitis and getting rid of cough rales can be listened to even weeks a few weeks. If the doctor recommends that you continue to medication, do inhalations, you must bring the therapy to the end, until the edema of the mucous membranes is gone, and the bronchi are not cleaned.

Chrohes with acute bronchitis

Acute bronchitis is most often provoked by catarrhal diseases, and its pathogens are viruses (influenza, adenovirus), bacteria (staphylococci, pneumococci), fungi. It is accompanied at the initial stage by a rise in temperature to 38-39 ° C, dry barking exhausting cough, weakness, fast fatigue, sweating, and chest pain. Acute bronchitis corresponds to dry, scattered on the entire surface of the lungs rales and hard breathing. After a while, the cough becomes moist and sputum begins to retreat, the sound of wheezing changes, breathing becomes softer.

[5], [6], [7], [8]

Chroches with chronic bronchitis

Chronic bronchitis occurs as a complication of acute, as well as under the influence of a constantly acting aggressive external environment (the effect of chemical elements in harmful production), of smokers. It can be considered as such if the cough is worried for several consecutive years with a frequency of at least three months a year. In addition to coughing shortness of breath occurs during physical exertion, and sometimes without them, at night there is a strong sweating, which causes the patient to even get up and change clothes. Chryps of chronic pathology dry with whistling.

[9]

Chroches with obstructive bronchitis

One type of chronic bronchitis is obstructive. For him, the presence of a bronchospastic component is inherent, when the circular muscles of the bronchi are spasmodic and their lumen narrows, breathing is difficult, shortness of breath, oxygen deficiency is felt. Chypuses with obstructive bronchitis are so loud that they can be heard even without a phonendoscope, and by tonality determine which kinds of bronchi are affected by the inflammatory process: a high sound indicates damage to the thin bronchi.

Chryps with bronchitis in a child

In children, bronchitis often occurs as a complication after severe hypothermia, viral infection, and influenza. It manifests itself with a strong paroxysmal cough, hampered by breathing. A few days later the child begins to clear his throat, which at a small age does not bring relief, because the airways are narrow and this affects the work of the lungs. Children under one year of age are mostly affected by small bronchi and bronchioles. In this case, rattles are heard from both sides and resemble the sounds of bursting small bubbles. Acute bronchitis is determined by diffuse dry wheezing or discontinuous wet. Obstructive bronchitis in children manifests itself with dry wheezing in the lungs. Basically, any type of bronchitis is accompanied by an increase in temperature. So, in the first days of the disease it is high and reaches 39 ° C, then a few days it keeps at 37-37.5 ° C. But there are cases that bronchitis occurs without temperature. This is possible with the following types of bronchitis:

• obstructive allergic - there is a reaction to one or another stimulus, there is shortness of breath, a tearing cough, a wheezing sound on exhalation;
• relapsing - accompanies frequent ARVI, the body adapts and does not respond with a rise in temperature to the pathogens of the virus;
• plastic - in the bronchi, a clot of mucus is formed, which makes itself felt with pain in the sternum, with heavy breathing.

Is it possible to have bronchitis without a cough? Coughing is a defense for the bronchi. He may not be in the first few days of illness. With weakness, poor health, heavy breathing, but no cough, you should immediately consult a doctor.

Differences in wheezing in bronchitis and pneumonia

The manifestations of bronchitis and pneumonia are very similar, since they are associated with the lesion of the lower respiratory tract. In bronchitis, the bronchial tree suffers, and with pneumonia bronchioles (bronchial endings) and alveoli (peculiar sacks at their ends). Despite the fact that, at first glance, it is difficult to differentiate these pathologies, wheezing with bronchitis and pneumonia is different, which is not difficult to determine for a doctor with auscultation of the lungs using a phonendoscope. Bronchitis gives noises over the entire surface of the lung, both to the left and to the right, they are tapped from the back and chest, and pneumonia - concentrated in a certain place: under the scapula, for example, or the clavicle.

Differences in wheezing in bronchitis and pneumonia

Manifestations of bronchitis and pneumonia are very similar. Are associated with the lesion of the lower respiratory tract. In bronchitis, the bronchial tree suffers, and with pneumonia bronchioles (bronchial endings) and alveoli (peculiar sacks at their ends). Despite the fact that, at first glance, it is difficult to differentiate these pathologies, rales in bronchitis and pneumonia are different, which is not difficult to determine the doctor with a phonendoscope. Bronchitis gives noises over the entire surface of the lung, both to the left and to the right, they are tapped from the back and chest, and pneumonia - concentrated in a certain place: under the scapula, for example, or the clavicle.

[10], [11], [12]

Treatment of wheezing with bronchitis

Treatment of wheezing with bronchitis depends on the variety, the reasons for their appearance, and is always complex:

• at a bacterial or virus compound pathology prescribe antibiotics, depending on the pathogen (amoxicillin, cefuroxime, augmentin);
• Obstructive requires the use of bronchospasmolytics to relieve spasms;
• acute bronchiolitis is treated with inhaled and systemic corticosteroids ( becotide, virazol);
• mucolytic drugs are prescribed, diluting viscous sputum and promoting its excretion;
• expectorants in case of liquid sputum;
• homeopathic and alternative means.

Inhalation with bronchitis with wheezing

Inhalation with bronchitis with wheezing is an effective method of treating the disease. Are used as aerosol inhalations, conducted with the help of nebulizer, and steam. The aerosol method as a therapy uses medicinal preparations, the steam - medicinal herbs. So, with obstructive, acute, chronic bronchitis with the help of a nebeliser, antibiotics, antispasmodics, corticosteroids, mucolytics "deliver" to the bronchi. The advantage of this method is the rapid absorption of the drug and direct entry into the lesion. For steam inhalations, extracts and essential oils of such medicinal plants as eucalyptus, fir, calendula, sage, etc. Are suitable. Inhalations with alkaline (soda, mineral waters) and saline solutions have a pronounced moisturizing effect. Steam inhalations are good for prolonged chronic bronchitis, when drug therapy has already been applied.

Chrohes after bronchitis

Chryps after treatment of bronchitis can be auditioned for another two to three weeks, but if the general condition has improved, there is no temperature, then gradually coughing becomes more and more rare, sputum is good to go away. These are residual wheezing after bronchitis. If the cough does not pass a long time, and the state of health is bad: the head hurts, weakness is felt, then you should definitely consult a doctor. Perhaps, an inadequate medication was misdiagnosed or ineffective, the patient does not always follow the recommendations of a specialist, sometimes interrupts treatment prematurely. Complications are dangerous to health, because it can be pneumonia, bronchial asthma, emphysema of the lungs and others.

[13], [14]