Wednesday, August 15, 2012

The elderly's bronchiectasis health care _ prevention and health care

The elderly's bronchiectasis health care _ prevention and health care
Do the work of finding at disease that diagnoses early and therapeutic prevention in early days in early days well in earlier stage, in order to control development and deterioration of disease, prevent and cure the recurring of disease or transfer to chronically, should carry on the regular health checkup, find and diagnose in early days. For instance immunization campaign of vaccine such as measles, whooping cough, Bacillus Calmette-Guerin.
Should isolate the tuberculosis patient early and treat early, and guide and use antibiotic rationally through the doctor. Treat sinusitis and tonsillitis by chronic noses, pay attention to preventing foreign matter from sucking the trachea, find by fine to prop up mirror, take out immediately. Prevent and cure bronchitis.
To the already ill patient, should prevent or reduce a line of emergence that infects of respiratory tract, keep the respiratory tract unobstructed and the phlegm liquid is guided, use antibiotic rationally. The intersection of focus and the intersection of position and limitation, spit blood repeatedly the intersection of internal medicine department and therapeutic effect should make surgery to excise and treat while being getting poor.
Dangerous factor and intervening measure: In the physiology functionally, the elderly increase with age, the organ function drops gradually, the function of regulation mechanism of organism is reduced. Breathing the physiological respect displays and reflects weakening in the defence, such as cough reflex, cells lie between immunity led to drop, the ciliary movement of bronchus is weakened, thus increase the airway infection chance, lung and thoracic elasticity are weakened, lead to the fact thoracic cage and lung elasticity are reduced weakly, the peripheral alveolus of lung withers, dissect and shunt to increase, it is imbalance to keep in touch with the blood flow, airway resistance increases, organize the fiber in gas maldistribution, the old lung, the capillary bed is reduced, diffusing capacity is reduced, cause the breathing function to drop, the oxygen deficiency of organism, defend the function to drop.
Psychologically, old age because factor of family and social environment changes,etc. influences, will demonstrate behavioral obstacle at the different property, such as feeling of loneliness suspicious sense, inferiority complex, depressed sense, mood unstable, etc. Set up the care of the whole society and ensure organizing, implement all-round treatment, not merely limited to disease, should consider the influence in factors such as the material, spirit, social natural environment,etc., including all of happy life of whole old age, include through organizing the elderly to launch various beneficial and physically and mentally healthy recreational and sports activities, help each other to mutually help the activity etc..
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