I. How to diagnose bronchiectasis
Patients present with symptoms of chronic cough and sputum, the volume and nature of sputum vary; some have hemoptysis, and the amount and cause of hemoptysis varies; most have intermittent fever, malaise, poor appetite, panic, shortness of breath and other symptoms. In early childhood, there may be a history of measles, whooping cough, bronchopneumonia, tuberculosis, etc.; in early and mild cases, there are no abnormal signs, and after infection, dry and wet rales and croup may be heard in the lungs, and in late stages, there may be emphysema, pulmonary hypertension, pestle finger (toe) and other signs. The disease should be differentiated from chronic bronchitis, pulmonary tuberculosis, and lung abscess. The clinical diagnosis can be made after combining relevant examinations, and systemic disease factors.
II. Manifestations of the disease
The typical symptoms of the patient are chronic cough with large amount of pus sputum and recurrent hemoptysis. If the bronchial drainage is poor and the sputum is not easily coughed up, the patient may feel chest tightness and discomfort as the inflammation extends to the lung tissues around the lesion, and symptoms such as high fever, poor sweating, emaciation and anemia appear. In chronic severe bronchiectasis, when the lung function is seriously impaired, the labor force is obviously reduced, and there is shortness of breath and cyanosis with pestle-like fingers (toes) when there is slight activity.
Third, coughing and coughing health care methods
1. Deep breathing and effective coughing: The patient sits with both feet on the ground, leans forward slightly, wraps his hands around a pillow, takes several deep and slow abdominal breaths, holds his breath at the end of deep inhalation, then shrinks his lips (pouts), exhales slowly, and holds his breath for 3-5 seconds after stretching to inhale a breath. Body rest forward, 2-3 short strong cough from the chest, open the mouth to cough up sputum, contract the abdominal muscles when coughing, or have their own hands pressed on the upper abdomen to help cough.
2, chest buckling method: buckle only when hitting avoid the breast, heart and bone protrusion parts, the patient lying on his side, the buckler makes the palm side in the shape of a cup, with the strength of the hand and cavity, from the bottom of the lung to the bottom and up, from the outside to the inside, rapid and articulated bow bow Ky Ky prayer for 5-15 minutes.
Fourth, the advantages of Chinese medicine treatment
It can relieve the symptoms, reduce the adverse reactions of western medicine, improve the quality of life and prolong the survival period.
1.Chinese medicine treatment
(1) Treatment for wind-heat offending the lung and putting heat in the lung: relieving the symptoms and clearing heat, promoting the lung and relieving cough.
(2) Treatment of phlegm-heat in the lung: clearing heat and phlegm, dipping fire and stopping bleeding.
(3) Treatment for deficiency of both Qi and Yin: benefit Qi and nourish Yin, moisten the lung and stop cough.
2. Acupuncture: body acupuncture treatment: select Kong Shen, Diaphragm Yu, Lung Yu and Sanyinjiao as the main points. If phlegm and dampness are in abundance, match with Tanzhong and Fenglong; if yin is in abundance, match with Taixi and Laogong; if liver fire offends the lung, match with Taichong and Yanglingquan; if lung and kidney qi is deficient, match with Spleen Yu and Foot Sanli. Needle once a day, flat tonics and flat diarrhea, can stay for 10-20 minutes. Be sure to use under the guidance of a doctor.
3.Patching therapy: take 3 grams of cinnamon, 18 grams of sulfur, 9 grams of ice chips and 1 head of garlic, pound together to take the right amount of the above medicine and put it on the Yongquan points on both sides. Must be used under the guidance of a doctor.
Five, self-care
1, pay attention to avoid cold to keep warm, prevent cold and flu.
2.Avoid contact with irritating gases and foreign bodies of clear etiology.
3, clean living room, avoid dust. The room should not be carpeted, put flowers and plants. Bedding should not be filled with feathers or old cotton wool.
4, pay attention to diet and nutrition, eat less and more meals, eat more nutrient-rich food, avoid tobacco and alcohol, spicy. Ginseng, mealybug, Chuanbei mother, safflower, cordyceps in appropriate amounts, powdered into capsules, taken in moderation, or daily consumption of walnuts 2-3.
5.Strengthen physical exercise, do chest massage, deep breathing, walk, practice tai chi, qigong, etc. as appropriate.
6, regularly do sputum bacterial culture, early symptomatic use of drugs.