Obstructive bronchitis in children

Obstructive bronchitis is one of the most common and serious diseases of the broncho-pulmonary system. It can often recur and lead to the development of a baby's bronchial asthma. So to treat him you need to seriously and carefully fulfill all the doctor's prescriptions.

Obstruction is the violation of airway patency. The term "bronchitis" comes from the word "bronchus" - the name of one of the lungs. So "obstructive bronchitis" is a violation of the patency of the bronchi due to spasm, swelling of their mucous membrane or excessive formation of mucus. As a result, their lumen narrows, breathing becomes difficult, and thick mucus accumulated in the bronchi can not come out.

Who is most likely to have obstructive bronchitis?

There is this ailment at any age. But usually obstructive bronchitis starts to hurt from 3 months, and the peak falls on 6 months. It is at this time that the teeth break through the teeth and the mucous membrane swells not only in the oral cavity, but also in the airways. Since they are narrow, even a small mucosal edema narrows them more than half. It becomes difficult for a child to breathe.

When obstructive bronchitis is recommended to do inhalation drug solutions. This method is good because it allows you to transfer the liquid form of the drug into the gaseous and direct it directly to the mucous membrane. In addition, inhalation with the help of a nebulizer can be done even by a sleeping babe.

The next peak of diseases is 3-4 years. He is related to the fact that children begin to visit kindergarten, and their immune system can not cope with a lot of pathogenic microorganisms. But at this age, obstruction can be caused not only by viral and bacterial infection, but also by allergic inflammation.

How to diagnose obstructive bronchitis in children?

It is difficult to diagnose obstructive bronchitis in very young children. They can not, by order, control their breathing - hold it, breathe more often, etc. For this reason, for the doctor, when he listens for light crumbs with a phonendoscope, an elongated exhalation is an indicator of obstruction. If sputum accumulates, rales may appear.

Children with 5-6 years can be spirography - a study of the change in lung volume in forced and quiet breathing. As a result, a graph of deviation from the norm is obtained, which signals obstruction.

Obstructive bronchitis is considered relapsing if it has been repeated more than 2 times a year during the last 2 years.

But the most modern way of research is computer bronchophonography, which estimates how much effort the child makes with quiet breathing. It can be carried out even to infants. To get the data, the baby should breathe freely into the tube connected to the computer for 10 seconds. Simultaneously with the help of a sensitive microphone, one can hear an exhalation and rales. The main advantage is that even a hidden obstructive syndrome is detected, which can not be diagnosed by listening to a phonendoscope.

If the baby coughs, he has more than 3 days of fever to exclude pneumonia, the doctor will prescribe a lung X-ray and a general blood test.

To prevent a repetition of obstruction, you must carefully deal with the prevention of the disease. Immunity is strengthened first of all by hardening. It is also necessary to get advice from an ENT doctor and, if the adenoids are enlarged or inflamed, to undergo treatment. If the baby can not breathe through the nose, the infection will fall into the lower respiratory tract. Treatment of obstructive bronchitis

Infection is accompanied by an increase in temperature. Precisely identify the culprit helps a clinical blood test. If it is a virus, the leukocytes will be slightly less than normal or normal, the level of monocytes and lymphocytes will be increased, neutrophils - lowered. The main indicator of bacterial infection is a high level of lymphocytes, neutrophils and ESR (erythrocyte sedimentation rate). If these indicators are normal, then the nature of the obstruction is most likely allergic: you need to do a blood test for general and specific immunoglobulins.

Antiviral drugs are prescribed for a viral infection, antibiotics for a bacterial infection. Regardless of the nature of the disease, the doctor recommends inhalation with hormonal drugs to relieve inflammation, bronchodilators, enlarging bronchial tubes and relieving spasm, and mucolytics that dilute sputum and facilitate its excretion from the body.

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