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Bronquiectasia - Treatment

Nombres alternativos

Bronquiectasia adquirida; Bronquiectasia congénita

Tratamiento:

El tratamiento está encaminado a controlar las infecciones y las secreciones bronquiales, aliviar la obstrucción de las vías respiratorias y prevenir complicaciones.

Parte de la rutina en este tratamiento es el drenaje diario y regular para eliminar las secreciones bronquiales. Un terapeuta respiratorio puede enseñarle al paciente ejercicios para la expectoración que le pueden ayudar.

Por lo general, se prescriben antibióticos, broncodilatadores y expectorantes para las infecciones.

Se puede necesitar cirugía para extirpar el pulmón si los medicamentos no funcionan o si el paciente presenta un sangrado profuso.

Expectativas (pronóstico):

El pronóstico depende de la causa específica de la enfermedad. Con tratamiento, la mayoría de las personas pueden llevar vidas normales sin mayor discapacidad.

Complicaciones:

Situaciones que requieren asistencia médica:

Consulte con el médico si:

  • El dolor torácico o la insuficiencia respiratoria empeora
  • Hay un cambio en la cantidad o color de la flema que se expectora o ésta sale con sangre
  • Otros síntomas empeoran o no mejoran con el tratamiento
  • Reviewed last on: 9/15/2010
  • David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc., and Denis Hadjiliadis, MD, Assistant Professor of Medicine, Division of Pulmonary, Allergy and Critical Care, University of Pennsylvania, Philadelphia, PA.

Referencias

Iseman MD, Chan ED. Bronchiectasis. In: Mason RJ, Broaddus CV, Martin TR, et al. Murray & Nadel's Textbook of Respiratory Medicine. 5th ed. Philadelphia, Pa: Saunders Elsevier; 2010:chap 42.

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