Tracheitis is not the most dangerous disease of the respiratory system, however, inattention to this inflammatory process can lead to the development of tracheobronchitis, and then - bronchopneumonia. In this case, the infection simply "slips" from the trachea first into the bronchi, and then into the lungs.
With weakened immunity, acute tracheitis can become chronic, which leads to a constant cough and lowers the overall level of resistance of the body.
Even without the chronization of the process, untreated acute tracheitis is fraught with many months of imperative attacks of cough, which lowers the patient's standard of living.
Given the prospect of complications, acute tracheitis must be treated.
- 1 General principles of drug treatment for acute tracheitis in children and adults
- 1.1 Drug therapy( photo)
- 2 Treatment of acute tracheitis in pregnant women
- 3 Reflexology and massage with acute tracheitis
- 4 Home treatment principles
- 4.1 Principles of home treatment of tracheitis( photo)
- 5 Compresses
- 6 Inhalations for acute tracheitis
- 6.1 Video: how to properly administer inhalation
General principles of drug treatment of acute tracheitis in children and adultmated
Typically, acute tracheitis - a viral disease. In the season of respiratory diseases, such processes are not excreted except for a coughing disease among other viral infections. Acute tracheitis in such cases can be combined with chronic rhinitis, subfebrile temperature and other ARVI classics.
At this stage for treatment are used antiviral drugs - Arbidol, Remantadin, etc. It is best to use Arbidol, since it is effective against most adeno-, rhino, and enteroviruses, unlike other antiviral drugs.
Unfortunately, at this stage, as a rule, antiviral therapy is not performed. The bacterial infection "sits down" on the mucous virus weakened by the virus. In people with a chronic focus of pathogenic bacteria( chronic sinusitis, external otitis, pharyngitis, etc.), this stage occurs almost immediately, so many doctors prescribe antibiotics at the first signs of a viral disease( in some cases this position is well founded).
Of the antibacterial drugs, a penicillin series and macrolides are generally prescribed. This is the least toxic( and not the strongest) antibiotics - amoxicillin, amoxiclav, azithromycin, clarithromycin, etc. Among this group of substances are allowed to children and pregnant women. Dose selection and treatment regimens are individual.
Cough attacks in children in the acute period are treated with antitussive drugs that have antispasmodic and some other effects:
- The sinecode has a powerful antitussive effect. Effectively eliminates cough even with whooping cough, not to mention tracheitis. Shown to adults and children;
- Lazolvan. It is often used in pediatrics, exists in the form of syrup;
- Erespal. Has both antitussive and anti-inflammatory effects.
Drug therapy( photo)
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With a pronounced inflammatory process, the doctor can additionally prescribe antihistamines( cetrine, cetirizine Hexal, etc.).You can be prescribed inhalation Berodualom and other means. For inhalations, it is better to use a nebulizer.
If a lot of viscous sputum is formed, and there are difficulties with expectoration, mucolytics are prescribed based on ambroxol, bromhexine, acetylcysteine, and the like.
In a vast process accompanied by temperature - prescribe antipyretics - nimesulide, paracetamol, ibuprofen.
The patient needs treatment as much as the doctor indicated. The disappearance of the symptoms of the disease does not mean that the treatment can be stopped. In a similar situation, a relapse may develop and a chronic disease may develop.
Treatment of acute tracheitis in pregnant women
The treatment of tracheitis in pregnant women is rather difficult, as most antiviral drugs, antibiotics and reflexotherapy are contraindicated.
The doctor in this case balances between the risk of harm to the fetus and the prospect of complicating tracheitis with pneumonia in the mother.
At the stage of viral defeat, soft immunomodulators are prescribed. A good effect is therapy with human immunoglobulins intramuscularly or intravenously( the latter method is quite expensive).The patient is shown plenty of alkaline drinking, observance of bed rest.
Plumbers and compresses are contraindicated. Rubbing can be done with caution, and not all compounds.
If the bacterial infection still joined, macrolides are prescribed, since these antibiotics have at least some kind of evidence base for pregnant women. If the situation worsens, the doctor may prescribe more severe antibiotics.
In the first trimester of pregnancy, any antibiotics are dangerous for the fetus, so doctors try to delay the appointment of these drugs, if there is such an opportunity.
Tracheitis in pregnant women should be treated under the strict supervision of a physician( preferably - pulmonologist).
Reflexotherapy and massage with acute tracheitis
Massages and work with active points are excellent in the treatment of acute tracheitis, both to suppress indomitable cough attacks, and to stimulate mucociliary transport and general immunity. Thanks to this method of treatment, the circulation of the mucosa of the trachea improves, sputum leaves better, the mucosal regeneration time shortens( the cough after curing the tracheitis passes much faster).
Self-manipulation is not necessary, an experienced reflexologist is needed to understand the processes. If there is a possibility - ask him to show( and explain) the technique in detail. Below is a list of the key points affected by tracheitis( it is somewhat unusual that the points may not apply to the massage of the trachea itself):
- in the area between the index finger and the thumb. Mass with rotational movements;
- The point between 7 and 8 cervical vertebra, pressure;
- Point exactly in the middle of the jugular fossa, rotational movements;
- The point in the center of the 6th intercostal space, pressing.
An ordinary massage with tracheitis is also used. As a rule, it is combined with grinding warming local means( especially in children).It is a soft spiral movement from chest to neck.
Principles of home treatment
Acute tracheitis is most often treated at home. In the acute period, a strict bed rest is shown and the patient's contacts are limited. The reasons for these measures are simple: movement in an acute period provokes coughing attacks, which intensifies inflammatory processes, and limit contacts because the tracheitis is quite contagious( the bacterial flora "reaches" when coughing by 2.5 meters, and the viruses much further).
Bed rest, on average, is recommended for 7 days.
Principles of home treatment of tracheitis( photo)
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As with any viral disease, an abundant drink is shown. It is desirable that the liquid stimulates sputum evacuation. Show teas, fruit drinks, broths of berries and medicinal plants.
Wet cleaning should be done 2 times a day with ventilation( it must be taken into account that cold air causes a reflex attack of coughing with tracheitis).
The patient suffers from cough and at night( especially in the morning), so you should give antitussive drugs before bedtime( Sinecod, etc.).
Inhalations are made at least 2 times a day. In the absence of temperature, it is recommended to rub and place mustard plasters.
Recently it is fashionable to say that mustard trees are savagery and anachronism. In the case of tracheitis - mustard is a well-founded and highly effective method of stimulating blood and lymph circulation.
in the use of mustard plasters. Besides, they are a classical method of distracting reflexotherapy - a massive flow of information from the skin receptors reduces the sensitivity of interoceptors on the mucous trachea. As a result, the frequency and intensity of cough decreases.
Plumbers contain essential oils and phytoncides that dilate blood vessels and improve blood supply. Reflexively increases the release of adrenaline and norepinephrine, which stimulates the immune system and reduces inflammation.
Put on the mustard plaster on the back and chest at the same time( in the projection of the center of the sternum), you can additionally on the calves of the legs. The duration of the procedure is up to 10 minutes in children and up to 20 in adults.
Do not place the yellow card directly on the projection of the heart and spine.
Are appointed to activate blood supply for better sputum discharge and accelerate the recovery of inflamed mucosa.
Compresses, in theory, should reduce the intensity of cough, but in some cases they, on the contrary, cause a cough.
This is due to the fact that the compress can not be applied at the start of acute tracheitis:
- Mucous is not yet edematous, there is no sputum, there is nothing to go away( ie there will be no positive effects);
- Strengthening of the metabolism in combination with acute viral infection can just trigger a sharp mucus edema and worsening of the patient's condition.
Thus, the compress can be applied only on the 4th day after the start of tracheitis, when sputum already appears.
In acute tracheitis, the following ingredients are used for compresses:
- Camphor alcohol with honey;
- Hot boiled potatoes with honey;
- Compresses with honey and essential oils( 2-3 drops);
- Mustard-oil compress. A tablespoon of honey is mixed with 2 tablespoons of mustard, 3 tablespoons of sunflower oil and 5 drops of fir essential extract.
Compress from above is insulated with a towel or scarf. It is best to do compresses at night.
Inhalation in acute tracheitis
Effective agent, applied 2 and more times a day. With the help of inhalations, you can reduce the intensity of cough, bring the antibiotic to the mucosa of the trachea and bronchi, accelerate tissue repair.
nebulizer. For procedures, use extracts, decoctions, aromatherapy eucalyptus, juniper, fir, pine and ginger. Used as nebulizers, and steam method.
The duration of steam treatments is from 10 minutes. Steam should not be too hot, as it can provoke a cough.
Typical prescription of steam inhalations:
- 3-5 drops of essential oil in hot water, teaspoon of soda, 3 drops of iodine;
- Inhale, cover with a towel and bend over the container for 10 minutes.
Video: how to properly administer inhalation
If you have a tendency to tracheitis( there were episodes of the disease in the past), then at the first signs of the inflammatory process, start taking OTC antiviral drugs. If symptoms increase - contact your doctor at your place of residence.
Timely diagnosis and treatment of tracheitis help prevent the development of complications and the involvement of the underlying structures of the respiratory system in the inflammatory process. The prognosis of treatment for acute tracheitis is favorable.