Unfortunately bronchiectasis is not a disease that can be cured. Treatments are primarily intended to help control a patient’s secretions and preventing possible infections. Sometimes, when the disease is limited to one part of the lung, surgery might be a possibility in order to remove the disease affected area.
Basic lung hygiene is imperative for everyone diagnosed with bronchiectasis. Immunizations need to be kept up to date to help prevent infections. Patients need to remain properly hydrated to ensure mucous secretions stay less sticky. Maintaining adequate nutrition is also highly important. For some patients with bronchiectasis, breathing requires more effort and therefore requires increased fuel for the Krebs-Cycle.
One of the most important treatments for bronchiectasis is assistance with the mobilizing of secretions. This can be accomplished by the use of chest physical therapy, CPT. With bronchiectasis the smooth muscles surrounding the bronchial tubes are damaged, by clearing secretions, air flow can be increased which decreases the risk of infection. Chest physical therapy is accomplished by use of percussion and clapping on the patient’s back to assist with loosening secretions. Next, changing positions of the patient’s body will allow gravity to help the secretions to be expectorated. Chest clapping is performed by a physical therapist; however, family members can also be taught to routinely perform this at home. Devices such as chest clappers or oscillation vests might also may be considered.
Antibiotics can be prescribed to treat infections that occur; they may also be used as prophylactics to aid in preventing infection. Determination of antibiotics depends upon each specific clinical situation, and might be guided by sputum or blood cultures. These cultures will aid in...