Bronchoscopy - inflammatory diseases of bronchus, caused by various fungi genera and species. Bronchoscopy often combined with lesions of the lung tissue by the same fungus.
Pathogens bronhoektaza are actinobacteria, mold fungi of the genus Aspergillus, Penicillium and Mucor, Cryptococcus neoformans, Coccidioides immitis, yeast-like fungi of the genera Candida, Geotrichum and other Infection occurs as exogenous and endogenous way. Of considerable importance in the development of the disease is weakening the body's resistance to various diseases, fatigue, etc., Often bronchoscopy joins the already developed the disease of the respiratory tract. Known and primary diseases of bronholitikami in prolonged contact with stale fruit, grain, flour, hay, certain groups of workers. Long uncontrolled use of antibiotics can lead to kandidateksamen defeat of the bronchi and lungs.
The clinical picture of bronholitikov varied and depends on the type of pathogen and the nature of the lungs and other internal organs accompanying bronchoscopy. The most persistent symptoms of bronholitikov (including of actinomycetes and candidiasis of bronchi) is a persistent cough hard to cough up the mucous sputum, which may appear streaks of blood. In the sputum often find small whitish-gray lumps, representing a microscopic examination of the elements of fungi. Auscultatory - scattered dry rales. Radiographically - increased bronchial and vascular pattern, and in the long process seal peribronchial and radical lung tissue. Laboratory diagnosis is composed of microscopic examination of sputum inoculation to obtain cultures of pathogens, their definitions and serological reactions. For the diagnosis of some bronholitikov valuable addition are allergic samples.
The treatment is complex, involving increasing the body's resistance (high-calorie diet, vitamin therapy, according to the testimony of hormonal therapy, etc.,) and the effect on pathogenic fungi. With the purpose of influence on the pathogenic fungi apply iodine 10% solution of potassium iodide or sodium inside in gradually increasing doses - from 3 to 30 drops to 5 times a day or 10 % iodine alcohol solution by the same doses to 3 times a day in milk. Intravenous 10% potassium iodide solution but 5-10 ml treatment for a long time - months 2-3-week-mi breaks. During exacerbation and even the spread of fungal process in patients with high sensitivity to this fungus treatment is recommended to begin with the introduction of appropriate fungal vaccine. Applied also nystatin oral 600 000-3 000 000 DB per day for 5-7 days, then break (7-15 days). Prevention - implementation of sanitary-hygienic measures to combat dust in the shops, improving ventilation, elimination of mouldy materials, etc.