The elderly's bronchiectasis prevents the prognostic _'s prevention and health care

The elderly's bronchiectasis prevents the prognostic _'s prevention and health care
Prognosis:Bronchiectasis erupts lung source heart disease simultaneously, this is a main death reason of bronchiectasis, should prevent actively.
Prevent:The country is in order to prevent disease, promote the health to take a series of public health measure, should take the following precautionary measures to this disease.
First of all, launch the health education, improve crowd's immune level, prevent disease, carry on the immunization campaign in an organized way. Dispel the risk factor; Improve health, improve the resistance against diseases, pay attention to the rational nutrition and meal; Often carry on physical exercise, train good behavior and life style; Keep good psychology and social adaptive capacity. Environmental protection, take the protective measure to the atmosphere, source of water, soil, food, make regulation and sanitary standard of environmental protection to create and safeguard and is favorable to physically and mentally healthy natural environment and social environment, reducing causes the cause of disease to be plain.
After 1992, our country made " China's Agenda 21 " ,Guarantee the development strategy of sustainability is implemented in our country, make people realize human survival and importance of the relation between environmental protection progressively.
Secondly, it is prevented in clinical earlier stage that should do well, namely do the work of finding at disease in early days and diagnosing early and therapeutic prevention 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..
The community intervenes:First of all, set up and amplify the intersection of the elderly and the intersection of health and file and the intersection of system and management, survive the intersection of quality and difference and necessary difference of service content according to the intersection of the elderly and health status under community, survey it, and to investigating the materials obtained carry on scientific analysis and appraisal, set up health files of the elderly on this basis, build the volume through the registration of the old age in the community at the same time, health examination, to the self-care ability of its life, the difference of ill situations of age, guard different medical treatment and health care separately, system management that is graded and offering a series of continuous health care measure that the outpatient service, daily life are attended to,etc. from health education, psychological consultation in hospital.
Meanwhile, set up and amplify the social health care network of old age. The systematic management of old age of community needs support and cooperation of every department of the whole society, community's doctor should take the main responsibility, need and not that concerted efforts of Ministry of Health cooperate with the hygiene in the community, set up and perfect old community's health care network. Except Ministry of Health, the governments at all levels set up the old age to work in the executive office from central to local, in order to coordinate and support the health care for the aged to work.
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