Treatment and prevention of pneumosclerosis

First of all, the elimination of the etiological factor (including Smoking). Careful follow-up care of pneumonia (not only antibacterial, but physiotherapy and exercise therapy) until the complete disappearance of all clinical and radiological signs of the so - called residual phenomena. Active monitoring of patients undergoing pneumonia, for a period of not less than one year (fall, spring). If sputum is concern about its evacuation. Limitation protivokashlevami means. Expectorants (potassium iodide). Drainage situation. Bronchodilators. During exacerbations of - the early appointment of sulfa drugs, antibiotics. Remediation of the nasopharynx. Prevention of bronchitis - see Bronchitis.
In the initial stages of pneumosclerosis - by prolonged pneumonia and bronchitis with violation of bronchial passability - you can apply short courses (2-3 weeks) prednisone (starting with 20-30 mg followed by decrease) in combination with antibiotics or sulfa drugs effective in fighting this illness. Antibiotics and sulfa drugs are used in the form of aerosols (preferably not less than 2-3 sessions per day). The session begins with inhaled bronchodilators (izadrin, aminophylline, atropine sulfate). Inside recommended sulfanilamidnye preparations of prolonged action (sulfapiridazin 2.0 g in day 1 and 1.0 g in the following days, until the disappearance of the symptoms of acute more mild cases - half dose). Penicillin is usually ineffective. We recommend that chloramphenicol in a dose of 2.0 to 1.0 g / day, tetracycline in the same doses or oletetrin. In the absence of effect within three days of antibiotic change. The extremely high value increase of bronchial drainage (bronchodilators, expectorants, drainage position), especially if you have bronchiectasis. The great value has a cautious but steady hardening patients (dry wiping, wiping with a damp towel, physiotherapy).
Diffusive forms of pneumosclerosis important timely diagnosis of heart failure, which presents difficulties, as the basic signs (cyanosis, the jugular veins) are caused by pulmonary process. In doubtful cases, it is advisable trial application strofantina. Increased urine output after 2-3 injections of 0.25 mg strofantina shows latent heart failure. If there hypoxemia shows the use of oxygen-requiring, however, caution expressed in the degrees of cyanosis. Due simultaneously available delays carbon dioxide (hypercapnia) the reaction of the respiratory centre to carbon dioxide reduced in these patients. Breathing is supported mainly due to the stimulation of chemoreceptors carotid zone, irritated by the lack dissolved in the plasma of oxygen. With the weakening of this incentive can stop breathing. During the session oxygen therapy the patient should be under continuous observation by the frequency and depth of breathing. High concentration of oxygen, it is better to give intermittently, ages 15 to 20 minutes the Use of nasal catheter feeding 5-7 litres per minute, through humidifier, creates a relatively safe concentration of oxygen (35-40%). Favorable results Spa treatment in the climatic resorts, mainly Primorsko (southern coast of Crimea, Odessa - Arcadia, the Gulf of Riga and other), in the warm half of the year, as well as in specialized local (suburban) hospitals for patients with lung diseases of non-tubercular character. To ensure these resorts shows pnevmoskleros, including professional (toxic, radiation), in General satisfactory condition of the body and cardio-pulmonary insufficiency not higher than I degree, not complicated pulmonary tuberculosis.