Advices for Life


November 23, 2016 00:03

Treatment of pulmonary fibrosis : the basic principles

in modern pulmonology treatment of pulmonary fibrosis is associated with certain difficulties as pulmonary fibrosis with symptoms common - polietiologic disease.However, to focus efforts on eliminating the causative agent of this disease is not possible due to the almost complete irreversibility of fibrosis in the lungs.

Therefore, treatment of fibrosis, mainly symptomatic, aimed at the elimination of foci of inflammation and maintenance of respiratory function of patients with this diagnosis.

fibrosis treatment: pharmacological and non-pharmacological methods of treatment of pulmonary fibrosis

pharmacological agents directed at combating its manifestations.And when pnevmoskleroze symptoms often are the same as in diseases that it often cause - bronchitis, pneumonia, pleurisy, etc.

emergence of bacterial inflammation of character entirely justifies the use of antibiotics, including the appointment of doctors prefer oletetrin in combination with sulfanilamidnymi drugs (sulfapiridazina) at standard

doses;Amoxicillin (Augmentin) - three times a day 500 mg (after meals) for five days;Azithromycin (Sumamed) - the first day of 0.5 g (single dose, one hour before meals) and for a further four days to 0.25 g is effective in such cases Ciprofloxacin (. TSifran, tsiprinol, etc.), which is recommended to take0,25-0,5 g twice a day for at least five days.

Coughing associated with exacerbation of bronchitis or pneumonia, are used expectorants such as acetylcysteine ​​(Fluimucil, ACC) - 0.2 g three times a day;Bromhexine (8-16 mg 3-4 times a day) or ambrogeksal (Ambroxol, Lasolvan et al.) - On the tablet 2-3 times a day (after meals).

In acute inflammation of the basal treatment of pulmonary fibrosis, when the proliferation of fibrous tissue occurs in the basal parts of the lungs, is conducted in a similar manner.

consequence of reducing the elasticity of the lung tissue in focal pnevmoskleroze often problems with blood circulation and heart failure.Then the treatment of pulmonary fibrosis should include cardiac glycosides and potassium supplements.The infusion of hawthorn, lily of the valley and drops Corvalol apply 20-25 drops inside (before the meal) three times a day.Drugs Digoxin or Tselanid appointed one tablet (0.25 g) three times a day.To reduce the load on the heart and blood vessel lumen enlargement can use Nitroglycerin - 0.5 mg tablet under the tongue.And among potassium drugs often doctors recommend Asparkam (potassium and magnesium aspartate, Panangin) - one tablet three times a day (after eating).

the presence of patients with allergic pneumosclerosis components must be administered antihistamines, eg Suprastin Tavegil or - on a tablet (0.25 g), 2-3 times a day, after meals.

improve the condition and state of health of patients with this pathology physiotherapy help such as UHF chest, iontophoresis (calcium chloride), ultrasound, diadynamic currents (in the absence of acute inflammation), as well as sessions oksigeno- and aeroionotherapy (for 30 minutesday).In addition, to improve respiratory function is very useful special breathing exercises.

treatment of diffuse pulmonary fibrosis

diffuse pulmonary fibrosis, in which lung tissue fibrosis affects large areas of light are condensed and reduced in volume, worsening of blood supply to heal harder than regional fibrosis.

basic principle, which is based on the treatment of diffuse pulmonary fibrosis - to support the functioning of the respiratory system at a level as close as possible to the physiological, and thereby save the sick person's ability to breathe.

patients with diffuse pneumosclerosis compulsorily appointed corticosteroids, most often, prednisolone in tablet form: in the first three months to 1 mg per kilogram of body weight (but not more than 100 mg per day), three months - 0.5 mg per kilogram body weight, the following six months - 0.25 mg.The total duration of treatment of diffuse pulmonary fibrosis prednisolone is 12 months, but may be longer.

treatment of diffuse pulmonary fibrosis may be carried out with the help of such preparata- immunosuppressant with a cytostatic effect as Azathioprine (Azanin, Azamun, Imuran), which is usually taken along with corticosteroids.The standard daily dosage of azathioprine 1-1.5 mg per kilogram of body weight, individual dose determined by the physician depending on the state;mandatory systematic monitoring of the blood.While not clear whether such a treatment to slow the transformation of normal cells into lung tissue fibroblasts.

exclusively under the constant supervision of a doctor and with the control of the blood and urine prescribers violates the synthesis of collagen in the body - Penicillamine.The dosage is determined depending on the extent of lung lesions: by 125-250 mg a day (in four stages), one hour before or two hours after a meal.The use of this drug should be accompanied by the additional intake of vitamin B6.

Mitigation fibrinous formations and liquefaction of viscous exudates promotes proteolytic enzyme preparations Trypsin Lidaza, Plasmin, which is used by inhalation.

form Diffuse pulmonary fibrosis often increases the pressure in the pulmonary artery that leads to an increase of the right ventricle of the heart and its failure.This in turn causes stagnation of blood in the systemic circulation with the inevitable negative consequences.Therefore, the therapy is used so-called antagonists of calcium ions - drugs that are adapted to work in conditions of myocardial oxygen deficiency, help to stop spasms of blood vessels of the pulmonary circulation, relax the muscles of the respiratory system.Amlodipine (normodipin, Norvaks, Korvadil et al.) Is usually appointed by 2.5-5 mg once a day.The drug nifedipine (cordipin, Corinfar, Nifikard et al.) - 0.01-0.02 g for 1-2 times a day (after a meal).

improves microcirculation and myocardial oxygen supply, as well as improve overall blood oxygenation Captopril and Pentoxifylline (Trental).For example, captopril is assigned as tablets of 25 mg twice daily (about an hour before the meal).

also in diffuse pnevmoskleroze need to take vitamins C, B1, B6, E, P, PP.

In the case of tissue necrosis of lung fibrosis treatment requires surgery - removal of the affected part of the body.

According to the American Medical Publishing Journal of Respiratory and Critical Care Medicine (2013), continuing studies and clinical trials for the treatment of pulmonary fibrosis using mesenchymal stem cells, which help to restore the lung tissue.

Treatment of pulmonary fibrosis folk remedies

Symptomatic treatment of pulmonary fibrosis folk remedies uses these herbs with expectorant effect as thyme, mother-and-stepmother, oregano, sweet clover, Viola tricolor, plantain, nard, black elderberry (flowers), the root of licorice and marshmallow.From them prepare decoctions or infusions (normal ratio - a tablespoon of dry raw materials cup of water) to drink 50-100 ml three times a day.From the leaves of eucalyptus and pine buds make a decoction for steam inhalation.

have a recipe of oatmeal broth, which herbalists recommend taking in this disease.To cook whole grain oats (two tablespoons) should be cleaned and cook for 40-50 minutes in a liter of water (at low heat under the lid);strain the broth, cool and drink 150 ml three times a day.

also recommended wine and honey tincture Aloe: 250 ml dry red wine taken tablespoon of liquid or buckwheat honey and May 80-100 ml of the juice of aloe.Before squeeze agave juice from leaves, they must stand on the bottom shelf of the refrigerator at least 10 days.Tincture will be ready for use after 7-10 days after the connection of all the ingredients and a means for taking tablespoon 2-3 times a day.

treatment of diffuse pulmonary fibrosis folk remedies recommended spending nettle tincture: half a liter of vodka need about 250 g of fresh nettle leaves.The leaves are finely cut and pour the vodka, insist in a dark place for a week;teaspoon drink before meals three times a day.

Well relieves lung tissue swelling heather, clover, St. John's wort, nettle, couch grass.You can combine these herbs with plantain leaves, strawberries, black currants and rose hips.

contribute to the improvement of blood microcirculation in the tissues of the lungs napar mixture of chamomile, clover, nettle, horsetail and birch buds (in equal amounts).Tablespoon of the mixture pour a glass of boiling water, container tightly closed and wrapped up 1.5-2 hours.After filtering napar take two tablespoons 3-4 times a day.

treatment of diffuse pulmonary fibrosis complicated by the fact that pathological replacement lung tissue by fibrous - with a gradual increase in shortness of breath, followed by bouts of irritating dry cough, wheezing, chest pain - may be caused by tuberculosis, syphilis, pneumoconiosis (lung disease respirable industrial dusts)radioactive irradiation, granulomatous lung diseases, collagen diseases, systemic sclerosis, and other autoimmune diseases.So the only pulmonologist doctors can prescribe the correct treatment of pulmonary fibrosis.