Treatment
Bronchiectasis
Damage done to the airway is irreversible and while bronchiectasis
can be socially embarrassing, regular treatment can help the patient
live a normal life. The goals of treatment include:
Controlling Infections
- Medication
Antibiotics are often used to clear an infection, but avoiding smoking
and pollution — including secondhand smoke — may decrease
susceptibility to infection.
Relieving Airway Obstruction and Clearing Secretions
- Medication
Medicine can be prescribed to thin the sputum, and bronchodilators
may be prescribed to help keep the airway open.
- Coughing
Device
Secretions can be controlled with a coughing device. The device
helps to loosen mucus so that it can be removed from the airway.
- Clearing
Technique at Home
Patients can learn how to remove sputum from the lungs and
should perform the technique once or twice a day to keep the
airway clear. To begin,
the patient should be positioned so that the airway and damaged lungs
can drain with the help of gravity. This may be done by hanging over
the side of a bed, making sure that the upper torso is upside down
and the patient’s head is near the floor. The patient or a
family member should begin clapping on the chest to help loosen the
mucus. Done regularly, this technique will help to clear secretions.
- Exercise
Exercising regularly will improve muscle strength and tone and
help make breathing and clearing mucus from the airway easier.
- Surgery
If the patient does not respond to therapy or experiences massive
bleeding, surgery can be performed. Lung transplantation is also
an option
in severe cases.
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