Mkb 10 hr bronchitis exacerbation. How and how to treat chronic bronchitis of a smoker? The best pharmaceutical medicines and folk remedies. Causes of bronchitis in children

Chronic bronchitis (microbial code 10 - J42) is still a very common disease in our time. And one of the most, perhaps, common in the field of respiratory diseases. Chronic bronchitis is a consequence of acute bronchitis. It is the acute form, constantly repeated, that leads to the chronic form. In order not to suffer from this ailment, it is important to prevent recurrence of acute bronchitis.

What is chronic bronchitis?

In simple terms, it is an inflammation of the bronchial mucosa. As a result of inflammation, a large amount of phlegm (mucus) is secreted. A person's breath suffers. It is broken. If excess sputum is not excreted, then the ventilation of the bronchi is impaired. The mucus literally floods the cilia of the ciliated epithelium, and they cannot perform their function, the function of expulsion. Although, due to the insufficient amount of mucus, the active activity of the cilia is also disrupted.

There are two forms of chronic bronchitis - primary (independent inflammation of the bronchi) and secondary (bronchi are affected by infection in infectious diseases). The cause is infection by a virus or bacteria. The effect of various physical (or chemical) irritants is also possible. Caused by bronchitis and dust. They are called dust bronchitis.

The nature of the sputum is also different: just mucous or mucopurulent; putrefactive; may be accompanied by hemorrhage; croupous.

Chronic bronchitis can cause complications:

• asthmatic syndrome;
• focal pneumonia; This article tells you what to do when your cough persists after pneumonia.
• peribronchitis;
• emphysema of the lungs.

Causes and risk factors

The development of chronic bronchus is promoted by foci of chronic infection, diseases of the nose, nasopharynx, and accessory cavities

Recurrent acute bronchitis leads to chronic bronchitis. So the best prevention in this case will be a quick cure for the acute form of the disease.

Prevention of secondary bronchitis: therapeutic exercises, hardening (is of great importance), taking general tonics. These remedies include: pantocrine, ginseng, eleutherococcus, lemongrass, apilak, vitamins.

The development of chronic bronchitis is promoted by smoking, dustiness, air pollution, alcohol abuse. Diseases of the nose, nasopharynx, and accessory cavities may also be the cause. Focuses of chronic infection contribute to re-infection. This condition can be caused by a weak immune system.

The very first signs

With exacerbations of chronic bronchitis, the cough increases, the purulence of sputum increases, fever is possible

The first and most important symptom is a cough. It can be "dry" or "wet", that is, with or without phlegm. Chest pain appears. Most often, the temperature rises. Lack of fever is a sign of a weak immune system.

With a simple form of bronchitis, ventilation of the bronchi is not disturbed. The symptoms of obstructive bronchitis are wheezing, as ventilation is impaired. With exacerbations, the cough increases, the purulence of sputum increases, fever is possible.
The diagnosis of chronic bronchitis is usually not in doubt.

The four main symptoms are cough, sputum, shortness of breath, and deterioration in general condition. However, when making a diagnosis, it is necessary to exclude other respiratory diseases.

Treatment methods

Bed rest, humidified air and a ventilated room are the main conditions for the treatment of bronchitis.

Treatment depends on the stage of the disease. General measures in various forms are the prohibition of smoking, elimination of substances that irritate the respiratory tract; treating the common cold, if any, of the throat; the use of physiotherapy and expectorants. Additionally, antibiotics are prescribed for purulent bronchitis, and for obstructive bronchitis - bronchospasmolytics and glucocortecoids (steroid hormones).

What are the symptoms of untreated bronchitis is indicated in this article.

How bronchitis is treated with pine buds is indicated in the article.

What antibiotics should be taken for acute bronchitis is indicated in the article here: http://prolor.ru/g/lechenie/kak-vylechit-bronxit-antibiotikami.html

Hospitalization is required only in a very serious condition.

At high temperatures, bed rest is required. In other cases, you can do without bed rest, but it is worth observing more or less strict rest. The air in the room needs to be humidified. Now let's talk specifically about the methods of treatment.

Medication treatment

Strong antibiotics for bronchitis are used only in severe or neglected form, because in the first place, the immune system suffers from their use. Prescribed only by a doctor individually.

Here it is necessary to remember that there are also natural antibiotics. These include, first of all, propolis. Chronic bronchitis often affects adults and alcohol tincture can be used: 40 drops must be diluted with water. Take such a solution 3 times a day. In this proportion, propolis should be taken for the first three days, then the dosage is reduced to 10-15 drops. You can use its water extract: 1 tsp each. 4-6 times a day. Treatment with propolis (as well as herbs) is long-term, up to a month. Natural antibiotics also include calendula flowers. We will remind about others
effective drugs:

• Acetylsalicylic acid... You should not neglect such a simple tool in our time. It should be taken strictly after meals, three times a day. It reduces chest pain, lowers fever, and eliminates fever. Acts like a raspberry decoction.
• Expectorants... Here you need to decide what you like best - herbs or ready-made pharmaceutical forms. Pharmacists offer a huge selection, these are various syrups: marshmallow, licorice root, primrose flowers, etc. Doctor MOM syrups and ointments are very effective. They have an exclusively vegetable basis. There are also ready-made preparations like bromhexine, ambrobene, gedelix, fervex. They are all effective, but pay special attention to contraindications. This article lists expectorant cough syrups for children.
• With obstructive bronchitis, effective licorin hydrochloride... The drug has a bronchodilating effect, it dilutes phlegm well. But he has contraindications.

Folk remedies

For the treatment of chronic bronchitis folk remedies in adults are used:

What other herbs are used in the treatment of chronic bronchitis? Marsh calamus, marshmallow and anise. Black elderberry (used for fever), common heather, spring adonis. This is medicinal sweet clover, medicinal lungwort, tricolor violet.

And one more remedy, if there are no contraindications, available to everyone is milk. Nothing cleanses the bronchi and lungs like milk. But in case of illness, you need to drink it with soda and oil (even better - fat, bacon). If bronchitis is accompanied by a cough, grandma's effective cough recipes, such as figs with milk, milk and soda, and homemade cough drops, can help.

The first recommendation for bronchitis is to drink plenty of fluids! It's great if it is berry juice. Berries of cranberries, viburnum, raspberries, sea buckthorn, lingonberries are very effective. Chamomile tea, just lemon tea (freshly brewed). Drink must be warm! Cold, even at room temperature, is unacceptable.

Physiotherapy is a necessary part of the treatment. But you can start physiotherapy not earlier than the temperature drops. What is it about him? Everyone knows and affordable mustard plasters, banks. Compresses on the chest will also help. They should be warming. You can go on your back. It is advisable to use herbal inhalation. Rubbing with interior lard, badger fat, pharmacy rubbing. A light rubbing massage is useful.

You can do "dry" inhalation ": drip 4-5 drops of essential oil (pine, spruce, juniper, eucalyptus, etc.) into a hot frying pan.

The role of nutrition. In chronic bronchitis, nutrition should be light! The presence of a large amount of vitamins is invaluable, especially vitamin "C". Non-fatty chicken broth is useful. This cannot be neglected.

Note: if at the very beginning of treatment you take a laxative (hay leaf, buckthorn bark), i.e. cleanse the body, then it will be easier for him to cope with the disease. The body's defenses will become stronger.

Important: funds that restore the immune system cannot be used in the acute stage! These include: apilak, pollen, immunal, ginseng, eleutherococcus, etc. You will take this during the recovery period.

Video

Read more about the correct treatment for chronic bronchitis in this video:

To summarize: chronic bronchitis can be cured! The main thing is not to give up and not leave treatment. Don't let the disease come back. It is very important to individually select the medicine that is right for you. Weigh the pros and cons". And don't forget about prevention.

Chronic obstructive bronchitis and COPD

Chronic obstructive bronchitis is a diffuse inflammatory disease of the bronchi, characterized by early damage to the respiratory structures of the lung and leading to the formation of broncho-obstructive syndrome, diffuse pulmonary emphysema and progressive impairment of pulmonary ventilation and gas exchange, which are manifested by cough, shortness of breath and sputum production not associated with other lung diseases, heart, blood system, etc.

Thus, in contrast to chronic non-obstructive bronchitis, the key mechanisms that determine the features of the course of chronic non-obstructive bronchitis are:

1. Involvement in the inflammatory process of not only large and medium, but also small bronchi, as well as alveolar tissue.
2. The development as a result of this broncho-obstructive syndrome, which consists of irreversible and reversible components.
3. Formation of secondary diffuse pulmonary emphysema.
4. Progressive impairment of ventilation and gas exchange, leading to hypoxemia and hypercapnia.
5. Formation of pulmonary arterial hypertension and chronic pulmonary heart disease (CPH).

If at the initial stage of the formation of chronic obstructive bronchitis, the mechanisms of damage to the bronchial mucosa resemble those in chronic non-obstructive bronchitis (impaired mucociliary transport, hypersecretion of mucus, seeding of the mucous membrane by pathogenic microorganisms and initiation of humoral and cellular factors of inflammation), then the further development of the pathological process in chronic obstructive bronchitis and non-obstructive bronchitis is fundamentally different from each other. The central link in the formation of progressive respiratory and pulmonary heart failure, characteristic of chronic obstructive bronchitis, is centroacinar emphysema of the lungs, which occurs as a result of early damage to the respiratory parts of the lungs and increasing bronchial obstruction.

Recently, to designate such a pathogenetically determined combination of chronic obstructive bronchitis and pulmonary emphysema with progressive respiratory failure, the term "chronic obstructive pulmonary disease (COPD)" has been recommended, which, in accordance with the latest version of the International Classification of Diseases (ICD-X), is recommended to be used in clinical practice instead of the term "chronic obstructive bronchitis". According to many researchers, this term largely reflects the essence of the pathological process in the lungs in chronic obstructive bronchitis in the last stages of the development of the disease.

Chronic obstructive pulmonary disease (COPD) is a collective term that combines chronic inflammatory diseases of the respiratory system with a predominant lesion of the distal airways with irreversible or partially reversible bronchial obstruction, which are characterized by constant progression and progressive chronic respiratory failure .. The most common causes of COPD include chronic obstructive bronchitis (in 90% of cases), severe bronchial asthma (about 10%), pulmonary emphysema, which developed as a result of alpha1-antitrypsin deficiency (about 1%).

The main symptom by which the COPD group is formed is the steady progression of the disease with the loss of a reversible component of bronchial obstruction and increasing symptoms of respiratory failure, the formation of centroacinar pulmonary emphysema, pulmonary arterial hypertension and cor pulmonale. At this stage of development of COPD, indeed, the nosological affiliation of the disease is leveled.

In the United States and Great Britain, the concept of "chronic obstructive pulmonary disease" (COPD) also includes cystic fibrosis, bronchiolitis obliterans and bronchiectasis. Thus, at present in the world literature there is a clear inconsistency in the definition of the concept of "COPD".

Nevertheless, despite a certain similarity in the clinical picture of these diseases at the final stage of the development of the disease, at the early stages of the formation of these diseases it is advisable to maintain their nosological independence, since the treatment of these diseases has its own specific features (especially cystic fibrosis, bronchial asthma, bronchiolitis, etc.) ...

Until now, there are no reliable and accurate epidemiological data on the prevalence of this disease and the mortality of patients with COPD. This is mainly due to the ambiguity of the term "COPD" that has existed for many years. It is known that currently in the United States, the prevalence of COPD among people over 55 years of age reaches almost 10%. From 1982 to 1995, the number of patients with COPD increased by 41.5%. In 1992, the death rate from COPD in the United States was 18.6 per 100,000 population and was the fourth leading cause of death in that country. In European countries, mortality from COPD ranges from 2.3 (Greece) to 41.4 (Hungary) per 100,000 population. In the UK, approximately 6% of male deaths and 4% of female deaths are due to COPD. In France, 12,500 deaths per year are also associated with COPD, accounting for 2.3% of all deaths in that country.

In Russia, the prevalence of COPD in 1990-1998, according to official statistics, reached an average of 16 per 1000 population. Mortality from COPD over the same years ranged from 11.0 to 20.1 per 100,000 population. According to some reports, COPD shortens natural life expectancy by an average of 8 years. COPD leads to a relatively early disability of patients, and in most of them, disability occurs approximately 10 years after the diagnosis of COPD.

ICD-10 code J44.8 Other specified chronic obstructive pulmonary disease J44.9 Chronic obstructive pulmonary disease, unspecified

Risk factors for chronic obstructive bronchitis

The main risk factor for the development of COPD in 80-90% of cases is tobacco smoking. Among “smokers”, chronic obstructive pulmonary disease develops 3-9 times more often than non-smokers. At the same time, mortality from COPD is determined by the age at which smoking was started, the number of cigarettes smoked and the duration of smoking. It should be noted that the problem of smoking is especially relevant for Ukraine, where the prevalence of this bad habit reaches 60-70% among men and 17-25% among women.

Chronic obstructive bronchitis - Causes and pathogenesis

Chronic obstructive bronchitis symptoms

The clinical picture of COPD consists of a different combination of several interrelated pathological syndromes.

COPD is characterized by a slow gradual progression of the disease, and therefore most patients see a doctor late, at the age of 40-50 years, when there are already quite pronounced clinical signs of chronic inflammation of the bronchi and broncho-obstructive syndrome in the form of coughing, shortness of breath and reduced tolerance to everyday life. physical activity.

Chronic Obstructive Bronchitis - Symptoms

What's worried about?

Cough Wheezing in the lungs Shortness of breath

Diagnostics of the chronic obstructive bronchitis

At the initial stages of the development of the disease, careful questioning of the patient, assessment of anamnestic data and possible risk factors is of great importance. During this period, the results of an objective clinical study, as well as data from laboratory and instrumental methods, are not very informative. Over time, when the first signs of broncho-obstructive syndrome and respiratory failure appear, objective clinical, laboratory and instrumental data acquire an increasing diagnostic value. Moreover, an objective assessment of the stage of development of the disease, the severity of the course of COPD, the effectiveness of the therapy is possible only with the use of modern research methods.

Chronic obstructive bronchitis - Diagnosis

What should be examined?

Bronchi Lungs

How to examine?

Bronchoscopy Examination of the bronchi and trachea X-ray of the lungs Examination of the respiratory organs (lungs) Computed tomography of the chest

What tests are needed?

Sputum analysis

Who to contact?

Pulmonologist

Chronic obstructive bronchitis treatment

Treatment of patients with COPD in most cases is an extremely difficult task. First of all, this is explained by the main regularity of the development of the disease - the steady progression of bronchial obstruction and respiratory failure due to the inflammatory process and hyperreactivity of the bronchi and the development of persistent irreversible violations of bronchial patency caused by the formation of obstructive pulmonary emphysema. In addition, the low efficiency of treatment of many patients with COPD is due to their late visit to the doctor, when there are already signs of respiratory failure and irreversible changes in the lungs.

Nevertheless, modern adequate complex treatment of patients with COPD in many cases allows to achieve a decrease in the rate of progression of the disease leading to an increase in bronchial obstruction and respiratory failure, to reduce the frequency and duration of exacerbations, to increase efficiency and exercise tolerance.

Chronic Obstructive Bronchitis - Treatment

Additional treatment

Treatment of bronchitis Physiotherapy for bronchitis Obstructive bronchitis: treatment with folk remedies Treatment of obstructive bronchitis in adults Antibiotics for bronchitis Antibiotics for bronchitis in adults: when prescribed, names How to treat? Tavanik Daxas

What is COPD and how to treat it

Chronic respiratory illness is often exacerbated during cold, damp seasons. Deterioration occurs even in the presence of bad habits, poor environmental conditions. Basically, people with a weak immune system, children, and the elderly suffer from such ailments. COPD: what is it and how is it treated? Chronic obstructive pulmonary disease is a dangerous pathology. She periodically reminds of herself between remissions. Get to know the inflammatory process and its features.

What is COPD

The wording is as follows: chronic obstructive airway disease, which is characterized by a partially irreversible restriction of air in the respiratory tract. What is COPD? It combines chronic bronchitis and pulmonary emphysema. According to medical statistics, 10% of the world's population over the age of 40 suffer from manifestations of COPD. Obstructive pulmonary disease is classified as the bronchitis / emphysematous type. COPD code according to ICD 10 (international classification of diseases):

• 43 Emphysema;
• 44 Another chronic obstructive disease.

Etiology of the disease (causes of occurrence):

• the main source of the onset of pathology is active / passive smoking;
• polluted atmosphere of settlements;
• genetic predisposition to the disease;
• the specifics of the profession or place of residence (inhalation of dust, chemical vapors, polluted air over a long period of time);
• a large number of transferred infectious diseases of the respiratory system.

COPD: what is it and how is it treated? Let's talk about the symptoms of pathology. The main signs of the inflammatory process include:

• repeated recurrence of acute bronchitis;
• frequent daily coughing fits;
• constant sputum discharge;
• COPD is characterized by an increase in temperature;
• shortness of breath, which worsens over time (at the time of ARVI or during physical exertion).

COPD classification

COPD is divided into stages (degrees) depending on the severity of the disease and its symptoms:

• the first mild stage has no signs, practically does not make itself felt;
• the stage of moderate severity of the disease is distinguished by shortness of breath with little physical exertion, the appearance of a cough with or without phlegm in the morning is possible;
• COPD grade 3 is a severe form of chronic pathology, accompanied by frequent shortness of breath, bouts of wet cough;
• the fourth stage is the most serious, because it carries an open threat to life (shortness of breath in a calm state, persistent cough, sharp weight loss).

Pathogenesis

COPD: what is it and how is it treated? Let's talk about the pathogenesis of a dangerous inflammatory disease. In the event of a disease, irreversible obstruction begins to develop - fibrous degeneration, compaction of the bronchial wall. This is the result of a prolonged, non-allergic inflammation. The main manifestations of COPD are coughing up phlegm and progressive shortness of breath.

Life span

Many people are concerned about the question: how long do people live with COPD? It is completely impossible to recover. The disease develops slowly but surely. It is “frozen” with the help of drugs, prophylaxis, and traditional medicine recipes. Positive prognosis for chronic obstructive disease depends on the degree of pathology:

1. When the ailment is detected at the first, initial stage, the complex treatment of the patient allows you to maintain a standard life expectancy;
2. Second-degree COPD does not have such a good prognosis. The patient is prescribed the constant use of medications, which limits normal life activity.
3. The third stage is 7-10 years of life. If obstructive pulmonary disease worsens or additional diseases appear, then death occurs in 30% of cases.
4. The last degree of chronic irreversible pathology has the following prognosis: in 50% of patients, life expectancy is no more than a year.

Diagnostics

The formulation of the diagnosis of COPD is carried out on the basis of a set of data on the inflammatory disease, the results of the examination by means of visualization, and physical examination. Differential diagnosis is carried out with heart failure, bronchial asthma, bronchiectasis. Sometimes asthma and chronic lung disease are confused. Bronchial dyspnea has a different history, gives a chance for a complete cure of the patient, which cannot be said about COPD.

Chronic disease is diagnosed by a general practitioner and a pulmonologist. A detailed examination of the patient, tapping, auscultation (analysis of sound phenomena) is carried out, breathing over the lungs is heard. The primary test for COPD includes testing with a bronchodilator to make sure there is no bronchial asthma, and the secondary is X-ray. The diagnosis of chronic obstruction is confirmed by spirometry, a test that measures how much air the patient is breathing in and out.

Home treatment

How is COPD treated? Doctors say that this type of chronic pulmonary disease cannot be completely cured. The development of the disease is stopped by timely prescribed therapy. In most cases, it helps to improve the condition. Only a few are achieving full restoration of the normal functioning of the respiratory system (lung transplantation is indicated in severe COPD). After confirming the medical opinion, the lung disease is eliminated with drugs in combination with folk remedies.

Drugs

The main "doctors" in the case of respiratory pathology are bronchodilator drugs for COPD. For a complex process, other medications are also prescribed. The approximate course of treatment looks like this:

1. Beta2 agonists. Long-acting drugs - Formoterol, Salmeterol; short - salbutamol, terbutaline.
2. Methylxanthines: Aminophylline, Theophylline.
3. Bronchodilators: tiotropium bromide, oxitropium bromide.
4. Glucocorticosteroids. Systemic: "Methylprednisolone". Inhalation: Fluticasone, Budesonide.
5. Patients with severe and maximally severe COPD are prescribed inhaled medications with bronchodilators and glucocorticosteroids.

Folk remedies

1. We take 200 g of linden blossom, the same amount of chamomile and 100 g of flaxseeds. Dry the herbs, grind, insist. On one glass of boiling water, put 1 tbsp. l. collection. Take once a day for 2-3 months.
2. Grind 100 g of sage and 200 g of nettle into powder. Pour the mixture of herbs with boiled water, insist for an hour. We drink for 2 months, half a glass twice a day.
3. Collection for the removal of sputum from the body with obstructive inflammation. We need 300 g of flaxseeds, 100 g each of anise berries, chamomile, marshmallow, licorice root. Pour boiling water over the collection, leave for 30 minutes. We filter and drink half a glass every day.

Respiratory gymnastics for COPD

Special breathing exercises contribute to the treatment of COPD:

1. Starting position: lie on your back. As you exhale, we pull our legs towards us, bend them at the knees, and grab them with our hands. We exhale the air to the end, inhale with the diaphragm, return to the starting position.
2. We collect water in a jar, insert a cocktail straw. We collect the maximum possible amount of air while inhaling, slowly exhaling it into the tube. Perform the exercise for at least 10 minutes.
3. We count to three, exhaling more air (draw in your stomach). On "four" we relax the abdominal muscles, inhale with the diaphragm. Then we sharply contract the abdominal muscles, cough.

Prevention of COPD

Preventive measures for COPD require compliance with the following factors:

• it is necessary to stop using tobacco products (a very effective, proven method for rehabilitation);
• vaccination against influenza helps to avoid another exacerbation of obstructive pulmonary disease (it is better to be vaccinated before the onset of winter);
• revaccination against pneumonia reduces the risk of exacerbation of the disease (shown every 5 years);
• it is advisable to change the place of work or residence if they have a detrimental effect on health, increasing the development of COPD.

Complications

Like any other inflammatory process, obstructive pulmonary disease sometimes leads to a number of complications, such as:

• pneumonia (pneumonia);
• respiratory failure;
• pulmonary hypertension (increased pressure in the pulmonary artery);
• irreversible heart failure;
• thromboembolism (blockage of blood vessels by blood clots);
• bronchiectasis (development of functional inferiority of the bronchi);
• pulmonary heart disease (an increase in pressure in the pulmonary artery, leading to a thickening of the right heart sections);
• atrial fibrillation (heart rhythm disorder).

Video: COPD disease

Chronic obstructive pulmonary disease is one of the most serious pathologies. During the identified COPD and its complex treatment will allow the patient to feel much better. From the video it will become clear what COPD is, what its symptoms look like, and how the disease is triggered. The specialist will tell you about the therapeutic and preventive measures of the inflammatory disease.

Chronic bronchitis (CB) is one of the most common pathologies of the respiratory system along with pneumonia, bronchial asthma, COPD and bronchiectasis. According to statistics of recent years, there is a general tendency towards an increase in the number of registered cases of this pathology, which, of course, is largely due to the earlier detection during medical examination of the population, the improvement of diagnostic methods and their greater availability among different regions of the Russian Federation.

Some readers do not know what the bronchial tree is and what is its role in the breathing process. So, it includes bronchi of different caliber (orders), as well as bronchioles. The development of the inflammatory process leads to edema of the bronchial mucosa, discrinia (mucus-sputum accumulates), spasm of smooth muscles, which significantly complicates the patient's breathing. However, all these processes are reversible. In chronic inflammation in the wall of the bronchus, connective tissue grows, replaces it with a typical healthy bronchus, and changes the structure of the epithelium of the mucous membrane. It is already more difficult to suspend and neutralize these processes.

Most often, chronic bronchitis is recorded in men and elderly people. In the absence of proper treatment, the usual inflammation of the bronchi can take on a chronic form and proceed with certain complications:

• irreversible bronchial obstruction;
• respiratory failure;
• bronchial asthma and bronchospasm.

According to medicine, the disease is one of the most common in the world: every third person on the planet is diagnosed with chronic bronchitis. It is not surprising that many of us are interested in questions about how to cure chronic bronchitis, how dangerous this disease is, what are the main signs of pathology, what is its classification, and so on. We will try to give answers to these and other questions below.

Modern classification of bronchitis

Physicians are familiar with ICD-10, in fact, it is a handbook for every practitioner, since this document is the basis for the classification of diseases in health care. All information in the ICD-10 is periodically reviewed, updated and, if necessary, supplemented. The tenth revision of the ICD was carried out back in 1999, the next is planned in 2015. MBK-10 provides comprehensive information about all pathologies.

Today there is no unified classification of respiratory diseases. In the Russian Federation, as well as in other CIS countries, doctors use two classifications, which are based on the presence of obstruction and the nature of inflammation. Based on the data obtained, the following classification of bronchitis has been developed:

With the flow:

• spicy;
• protracted;
• recurrent;
• chronic.

By type of inflammation:

• purulent;
• catarrhal;
• catarrhal-purulent;
• hemorrhagic.

By localization:

• distal;
• proximal;
• diffuse (common);
• localized.

By the presence of obstruction:

• purulent;
• fibrinous;
• obstructive;
• not obstructive (simple).
• catarrhal;
• purulent obstructive;

By etiology:

• toxic;
• allergic;
• thermal;
• dusty;
• unspecified genesis;
• viral;
• bacterial;
• mixed etiology.

Most often, chronic bronchitis is accompanied by obstruction, which is expressed to one degree or another.

The main symptom of bronchial obstruction is difficulty in breathing, which is manifested to a greater extent by difficulty in exhaling, its lengthening, the involvement of auxiliary respiratory muscles, whistling, whistling, dry wheezing (less often fine bubbling wet), and coughing. A characteristic feature of non-obstructive bronchitis is that the patient does not have difficulty breathing, and the clinic is dominated by symptoms of intoxication, prolonged cough with phlegm (more often of a purulent or mucopurulent nature). In advanced cases, without qualified treatment, chronic bronchitis is complicated by more severe pathologies - pneumonia, bronchiectasis, asthma, pneumosclerosis, hemoptysis, etc.

Obstructive and non-obstructive bronchitis is characterized by a phase of exacerbation and remission. The length of these periods depends on many factors.

Diagnosis coding according to ICD-10

According to ICD-10, HB is included in the J40-J47 heading. Each pathology has its own unique code.

1. Inflammation of the bronchi, which at the time of examination can not be attributed to either acute or chronic in the ICD-10 is designated as J40. This group of pathologies includes catarrhal bronchitis, tracheobronchitis, tracheitis, without indicating the course. Usually, such difficulties arise in persons over 15 years of age.
2. Uncomplicated chronic simple bronchitis in ICD-10 is designated as J41, characterized by a wet cough and the discharge of purulent and mucopurulent exudate. Inflammatory reactions involve both small and large bronchi, while the patient has no symptoms of bronchial obstruction (including according to FVD data).
3. Code J42 - HB, chronic tracheitis and tracheobronchitis without specification.
4. Emphysema unrelated to trauma. This is one of the most common complications of COPD in ICD-10 and is labeled J43.
5. Another COPD in ICD-10 is labeled J44.
6. J45 - Asthma.
7. J46 - status asthmaticus.
8. J47 in the international classifier ICD-10 - bronchiectasis. It is characterized by irreversible change, expansion and deformation of the bronchi with a suppurative process in them.

The etiology of chronic bronchitis is diverse. Many experts are of the opinion that the leading role in the development of the inflammatory process belongs to pollutants (chemical compounds, dust, smoke). Analysis of statistical data shows that smokers have this disease four times more often than nonsmokers. At the same time, chronic bronchitis against the background of smoking is usually obstructive.

Toxic substances irritate the endothelium of the bronchi, provoke the development of an inflammatory reaction, and activate the formation of mucus. Violation of the secretion of the mucous membrane, mucociliary transport (bronchial cleaning system) leads to easier infection of the bronchial tree, the creation of favorable conditions for the reproduction of conditionally pathogenic flora, which normally lives in the oropharynx and nasopharynx. If the diagnosis is made "chronic bronchitis", then, perhaps, the etiology of the disease is associated with endogenous factors:

• violation of the metabolism of substances;
• chronic diseases of the cardiovascular and respiratory system, including developmental abnormalities;
• disruption of the endocrine system;
• genetic predisposition;
• pathology of the nasopharynx, including trauma;
• acute respiratory pathologies;
• dysfunction of enzymatic systems;
• alcoholism;
• helminthic invasion.

Typically, bronchitis worsens in the fall and spring. Risk factors for the development of the disease include the following:

• ARVI;
• lack of vaccination against pneumococcus and hemophilic infection;
• smoking;
• living in a damp, unfavorable climate;
• overdrying of air in residential premises;
• allergic reactions and predisposition to them.

If in adults the disease, as a rule, develops as a result of exposure to irritants (dust, chemicals, tobacco smoke), then infection in children comes to the fore. What is the reason for this? The fact is that in childhood the immune system is not yet fully formed. Particularly aggressive respiratory viruses and bacterial infections circulate in preschool and educational institutions.

The signs of chronic bronchitis largely depend on the duration, phase of the disease and the presence of complications. Clinical manifestations of the disease:

• shortness of breath;
• difficulty breathing expiratory type (in the case of obstructive chronic bronchitis);
• dry and wet wheezing that changes when coughing up;
• symptoms of intoxication: weakness, lethargy, decreased appetite;
• subfebrile temperature (can persist for a long time);
• cough with mucopurulent or purulent discharge.

Bronchitis is dangerous for both the health of children and adults. The symptomatology of the manifestation of pathology depends on many factors:

• the duration of the illness;
• the presence of any complications;
• phases of development of the disease, etc.

At the initial stages of the development of pathology, patients complain of a cough that occurs mainly in the morning. With the progression of the disease, shortness of breath appears, first with physical exertion, and after several years at rest.

Against the background of bronchial obstruction, cardiopulmonary failure develops.

Symptoms of exacerbation of non-obstructive chronic bronchitis are manifested as follows:

• hyperthermia;
• cough;
• headache;
• malaise;
• sputum production;
• sweating;
• myalgia;
• decrease in working capacity.

In the initial stages of the development of the disease, the cough is dry. For chronic simple (non-obstructive) bronchitis, seasonal exacerbations are characteristic. A discharge of mucous, watery sputum is a typical symptom of catarrhal bronchitis. At the beginning of the disease, the cough does not bother the patient, however, with the progression of the pathology, it intensifies and becomes paroxysmal. The main symptom of purulent bronchitis is the release of purulent exudate, the amount of which depends on the prevalence and severity of inflammation in the bronchial wall. The key signs of chronic obstructive bronchitis are:

• dry or unproductive cough, initially mainly in the morning;
• shortness of breatha of an expiratory nature (difficulty exhaling) initially with physical exertion, coughing, changing weather, and then at rest;
• an increase in coughing, shortness of breath and an increase in the amount of sputum during an exacerbation;
• with percussion, a boxed sound is heard, the auscultatory picture includes a weakening of breathing or it is hard with a prolonged exhalation, whistling dry wheezing on exhalation;
• with exacerbation, moist rales may also occur;
• diffuse cyanosis.

If the disease is of an infectious origin, the patient has symptoms of general intoxication of the body;

• dysfunction of digestion;
• lack of appetite;
• headache;
• hyperthermia;
• general weakness.

Chronic obstructive bronchitis is dangerous for the patient's health, because without appropriate therapy, it is complicated by cor pulmonale, respiratory and heart failure. Asthmatic bronchitis is characterized by bronchial obstruction, which manifests itself mainly in the form of bronchospasm caused by sensitization and hyperreactivity of the bronchi.

The disease proceeds in different ways. In some patients, chronic bronchitis is atypical, that is, without pronounced symptoms, in others, the disease progresses and exacerbates under the influence of various endo- and exogenous factors. As a rule, the symptoms of chronic bronchitis appear gradually. The clinic of the disease, as a rule, manifests itself in the form of a cough that occurs in the morning. With the progression of the pathology, patients complain of a night and daytime cough, which intensifies in the presence of irritants (cold air, tobacco smoke, dust, etc.). The amount of exudate increases, over time it acquires a purulent or mucopurulent character. In some patients, shortness of breath is observed and progresses. In most cases, the presented pathology is complicated by bronchial stenosis and sclerosis of the bronchial wall.

Signs of exacerbation

A humid and cold climate provokes an exacerbation of the disease. Signs of exacerbation - chills, hyperhidrosis (excessive sweating), increased coughing. The attachment of infectious agents (staphylococci, viruses, mycoplasmas, pneumococci, streptococci) worsens the course of the disease, which leads to the generalization of the inflammatory process to the deeper layers of the bronchial wall. As a result of exposure to bacteria, the secretory epithelium, as well as muscle and elastic fibers of the bronchi and bronchioles, are damaged. Due to the accumulation of purulent exudate in the lumen of the bronchi, coughing increases, shortness of breath appears, general malaise, fatigue, night sweats, and sometimes body temperature rises.

Possible complications

All complications of chronic bronchitis can be classified into two groups:

• diseases caused by the evolution (emphysematous expansion of the lungs, generalized pneumosclerosis, respiratory failure, hemoptysis, cor pulmonale);
• caused by infection (broncho-obstructive component, bronchiectasis, pneumonia, bronchopneumonia).

Chronic bronchitis often ends in disability.

1. Acute pneumonia

The main symptoms of acute pneumonia include the following symptoms:

• chills;
• hyperfatigue;
• hyperthermia above 38 degrees;
• pain in the chest associated with the act of breathing;
• moist cough;
• fatigue;
• headache;
• myalgia;
• general weakness;
• shortness of breath;
• decreased appetite.

It can be noted that the main signs of bronchopneumonia are cough, hyperthermia, auscultation and percussion data, as well as radiological and laboratory data. In the process of performing auscultation, crepitus, moist rales, and weakening of breathing over the affected area of ​​the lung tissue are found. Inflammation of the lungs with an acute or fulminant course is accompanied by fever. On radiographs, changes in the tissues of the lungs are quite clearly visible. The presence of inflammatory processes of the lungs can also be identified by the blood picture: leukocytosis (the number of white blood cells increases), neutrophilia with a shift to the left, increased ESR.

1. Pulmonary emphysema

The disease is characterized by pathological expansion of the lung parenchyma. Due to the development of pathological processes in the alveoli, they lose their plasticity, which as a result leads to disruption of gas exchange in the lungs. The main signs of pathology include the following symptoms:

• diffuse cyanosis;
• shortness of breath;
• an increase in the volume of the chest.

O2 deficiency disrupts the work of all organs and systems in the patient's body.

1. Pulmonary heart

Sometimes chronic bronchitis is complicated by a pathology called cor pulmonale. This disease is characterized by an increase in the size of the right heart. The listed pathological processes increase the pressure in the pulmonary circulation, as a result of which the heart fills with blood and increases in volume. The main clinical signs of cor pulmonale:

• hyperhidrosis;
• shortness of breath, worse lying down;
• severe headaches;
• swelling of the veins in the neck;
• heart pains that are not relieved by nitroglycerin;
• the presence of edema.

Without appropriate therapy, the disease progresses, myocardial dystrophy develops, which further exacerbates heart failure.

Pathogenetic basis

The pathogenesis of chronic bronchitis is associated with a violation of local bronchopulmonary protection (a decrease in the production of surfactant, immunoglobulins, lysozyme, a decrease in the activity of α1-antitrypsin, a decrease in the function of the ciliated epithelium, T-killers and T-suppressors).

Activation of the above factors leads to the development of a pathogenetic triad: hypercrinia-discrimination-mucostasis. With hypercrinia, activation of the bronchial glands is observed, as a result of which a huge amount of mucus accumulates in the lumen of the bronchi. With mucostasis, stagnation of thick exudate in the bronchi is observed.

Endoscopic examination reveals hyperemia of the mucous membrane, accumulation of purulent exudate in the bronchi. At the later stages of the development of the disease, atrophic and sclerotic changes are detected in the walls of the bronchi.

Diagnosis of chronic bronchitis is carried out on the basis of anamnestic data, the results of instrumental and laboratory studies. The main auscultatory symptoms of the disease include the following: wheezing, hard breathing (weakened in the later stages) and prolonged exhalation. In the presence of emphysema, a characteristic boxy, percussion sound is tapped. The use of X-ray of the lungs makes it possible to differentiate chronic bronchitis from pneumonia, cystic fibrosis, lung cancer and tuberculosis.

Bronchoscopy allows you to determine the architectonics of the bronchial tree, the nature of inflammation and exclude the presence of bronchiectasis.

With the help of organoleptic and microscopic analyzes of sputum, its color, the nature of the exudate and the number of leukocytes are determined. Bacterial testing allows you to see the presence of infectious agents. Spirometry (study of FVD) helps to determine the severity of impaired respiratory function.

A laboratory blood test includes determining the amount of total protein, as well as its protein fractions (proteins and proteids), fibrin, seromucoid, immunoglobulins and sialic acids.

Additional diagnostic methods include:

• bronchography (performed to diagnose bronchiectasis);
• computed tomography (helps determine the severity of COPD, exclude oncology);
• pulse oximetry (determines the oxygen content in the blood);
• targeted biopsy (a piece of the bronchial wall is taken for analysis);
• peak flowmetry (determines the peak expiratory flow rate, allows to identify bronchial asthma);
• ECG (allows to exclude the cardiac genesis of shortness of breath and cough);
• pneumotachometry (performed to assess the air flow rate during inhalation and exhalation);
• echocardiography.

X-ray diagnostics helps to differentiate CP from other diseases accompanied by prolonged cough and shortness of breath (pulmonary tuberculosis, cystic fibrosis, lung cancer, bronchiectasis). To diagnose CP of allergic origin, it is necessary to carry out allergy tests.

When prescribing adequate, highly effective therapy, doctors are guided by the ICD-10 reference book. If the patient is diagnosed with chronic bronchitis, the treatment should be comprehensive, since it is not so easy to get rid of the symptoms of the above pathology. Therapeutic and prophylactic measures are aimed at preventing further deterioration of the patient's condition, lengthening the periods of remission and reducing the rate of progression of the pathology.

When choosing a treatment regimen, the doctor pays attention to the patient's condition, gender, age, social living conditions and the causes of the disease. Many experts argue that chronic inflammation of the bronchi with an obstructive component is an irreversible process, but you can live with pathology if you eat rationally, increase the body's immunoresistance and prevent infectious diseases. A logical question arises, how to treat chronic bronchitis? Below we present the main areas of treatment for chronic bronchitis.

Drug therapy

The medical treatment of chronic bronchitis is a difficult and time-consuming task. Before taking medications, you need to consult with an experienced pulmonologist. Drug treatment includes antibiotic therapy, expectorant drugs, vitamin therapy, immunomodulators and bronchodilators. The table shows antibiotic therapy depending on the type of bronchitis.

Pathology	Characteristic	Treatment, drugs
Chronic bronchitis, uncomplicated	The duration of the cough is about three months a year, there are no pulmonary and cardiac complications, the age is less than 65 years, the frequency of exacerbations is less than four times a year, pneumococci, Haemophilus influenzae, moraxella are sown	Tetracycline antibiotics (Doxycycline, Tetracycline are not prescribed for children) and penicillin antibiotics (Panklav, Amoxicillin, Augmentin), macrolides (Azithromycin, Clarithromycin)
Chronic bronchitis complicated	More than four relapses per year, the patient's age is over 65 years, the forced expiratory volume is less than 50% of the norm, there are complications from the cardiac and respiratory systems, staphylococci and Klebsiella are additionally sown.	Protected penicillins (Unasin, Amoxiclav, Flemoklav). Cephalosporins (Cephalexin, Suprax, Cefaclor, Cefpodoxime proxetil, Cephalexin, Cefadroxil, Cefixim). Respiratory fluoroquinolones (Tavanik, Sparflo). Carbapenems.
Acute bronchitis	Viral etiology	Expectorants (Acetylcysteine, Bromhexin, Ambroxol), inhalation, drinking plenty of fluids, bed rest, antibacterial drugs strictly according to indications.
Chlamydial, mycoplasma bronchitis	It develops in patients with immunodeficiency, in preschool children, adolescents.	Tetracyclines ("Rondomycin", "Metacyclin"). Macrolides (Fromilid, Wilprafen). Fluoroquinolones (Ciprofloxacin, Levofloxacin, Sparfloxacin).

The therapeutic scheme for non-obstructive bronchitis includes expectorants. The type of cough determines the choice of medication. For dry cough, antitussive drugs ("Levopront", "Bitiodin", "Gelicidin", "Libeksin") and blocking the cough reflex ("Sedotussin", "Sinekod", "Codipront", "Codeine", "Dimemorphan", "Ethylmorphine" "," Tekodin "," Glauvent "," Tusuprex "," Dionin ").

With a productive cough, drugs are prescribed that enhance the discharge of sputum (Ambroxol, Lazolvan, Thermopsis, Tussin). In the presence of viscous sputum, mucolytics-mucoregulators (ACC, "Carbocisteine", "Mucosolvin", "Erdostein") and proteolytic enzymes (proteases, trypsin, α-chymotrypsin, pepsin, streptokinase, renin) are used.

In the treatment of obstructive bronchitis, bronchodilators (methylxanthines, fenoterol, formoterol, salmeterol, saltos, including in combination with GCS - biasten, symbicort, m-anticholinergics) and expectorants are indicated. When an infectious component is added to obstructive bronchitis, antimicrobial drugs are added (Cefazolin, Azithromycin, Cefaclor, Amoxicillin, Doxycycline, Levofloxacin, Clarithromycin, Sparfloxacin, Piperacillin).

Antibiotics for chronic bronchitis should be prescribed after sputum examination. After carrying out the appropriate tests, the doctor will receive information about the sensitivity of bacteria to a particular medication. Thus, doctors select the most effective medicine for the treatment of bronchitis. In cases where it is impossible to carry out the above studies, doctors prescribe protected drugs (antibiotics) of the penicillin series.

Modern drugs ("Augmentin", "Panklav", "Amoxiclav") are very effective against most gram-negative and gram-positive bacteria. The main advantage of the presented medicines is the relatively mild side effects. It should be noted that these drugs are ineffective for combating advanced forms of the disease.

To exit the acute stage, anticholinergics are used (Spiriva, Atrovent, in combination with β-2-antagonists Berodual), glucocorticoids (Pulmicort, Bekotid, Beclomet, Flixotide, Asmanex ), inhibitors of the enzyme phosphodiesterase ("Theophylline"). In case of disruption of the cardiovascular system, cardiac glycosides, oxygen therapy, and diuretic drugs are prescribed.

In the treatment of purulent bronchitis, in addition to drugs that regulate mucociliary clearance, antimicrobial drugs are indicated. Since antimicrobial drugs worsen the rheological properties of sputum, they must be used with mucolytics (Ambroxol, Acetylcysteine, Carbocisteine).

In order to get rid of the negative consequences of chronic bronchitis, immunostimulating drugs have been increasingly prescribed. For this purpose, you can use "T-activin" and "Timalin". The immune stimulating effect is shown not only by biogenic preparations of the thymus, but also by ascorbic acid and retinol.

Therapeutic tactics in childhood

In children, chronic bronchitis and its exacerbation are recorded less frequently than in adults. If in adults, acute bronchitis, as a rule, has a viral etiology and does not require the use of antibacterial agents, then in children this disease can be associated with a layer of bacterial microflora (chlamydia, pneumococcus, mycoplasma).

To eliminate this disease, antibiotic therapy may be required (Amoxicillin, Sumamed, Azithromycin, Roxithromycin, Clarithromycin, Netilmicin, Amikacin). When treating bronchitis, special attention should be paid to the nutrition of the child. The diet should be rich in water and fat-soluble vitamins. Additionally, you need to give the child nicotinic (vitamin B5) and ascorbic (vitamin C) acids. Good results are obtained with the appointment of immunomodulators: "Polyoxidonium", "Methyluracil", "Levamisole", aloe extract.

Inhalation of essential oils of rosemary, fir, eucalyptus, camphor, garlic and onion phytoncides has an anti-inflammatory and expectorant effect. Immediately it is worth stipulating that you will not be able to get rid of the symptoms of bronchitis using only essential oils. Steam inhalation is ineffective; it is better to use a nebulizer. This device provides maximum nebulization of drugs. To achieve a therapeutic effect, inhalations with anti-inflammatory (Chlorophyllipt, Rotokan) and antiseptic (Dioxidin) drugs are prescribed.

Therapy of chronic bronchitis in children is carried out according to the same principles as in adults, with dose adjustment. Some types of medicines are not indicated for children. A good effect is the use of a nebulizer, spa treatment.

Performance criteria

Evaluation of the effectiveness of treatment is carried out according to the following criteria:

• clinical efficacy of therapy (significant decrease or complete disappearance of signs of exacerbation of chronic bronchitis at the end of the course of treatment);
• bacteriological effectiveness (eradication of an etiologically significant microorganism).

Side effects

The use of drugs can provoke the development of side effects in the patient's body:

• nausea;
• skin rash;
• headache;
• increased activity of liver enzymes;
• diarrhea;
• jaundice;
• vomit;
• Quincke's edema;
• decreased appetite;
• allergic reactions;
• joint pain;
• interstitial nephritis;
• pruritus, urticaria;
• colitis;
• mycotic lesions in the oral cavity (most often observed in the elderly and in patients with weakened immunity);
• hematological complications.

If side effects occur, you must inform your doctor about it, but do not cancel the prescribed treatment yourself.

Preventive actions

Prevention of chronic bronchitis is aimed at preventing recurrence of the disease and eliminating the etiological factor. One of the important points in the prevention of ailment is smoking cessation. It is important to lead a healthy lifestyle - to play sports (running, walking, swimming, aerobics, cycling, etc.), to temper, to eat rationally, to take vitamins of natural origin. Patients susceptible to the disease should avoid stressful situations and hypothermia.

Annual flu vaccination reduces the likelihood of ARVI in the autumn-spring period and, therefore, can be recommended for the prevention of chronic bronchitis. Adhering to simple recommendations, you will forever forget what bronchitis is.

Prevention of chronic bronchitis in babies should include general strengthening of the body, increasing immune resistance and performing special breathing exercises. Only if you follow all the recommendations of your doctor can you get rid of this insidious disease forever.

ICD-10 was introduced into healthcare practice throughout the Russian Federation in 1999 by order of the Ministry of Health of Russia dated 05/27/97. No. 170

A new revision (ICD-11) is planned by WHO in 2017 2018.

As amended and supplemented by WHO

Processing and translation of changes © mkb-10.com

Chronic obstructive bronchitis: symptoms and treatment in adults and children, ICD code 10

Obstructive bronchitis (OB) is a serious upper respiratory tract disorder. It begins with inflammation of the bronchial membrane, then a spasm joins the inflammation, in which all the mucus accumulates in the organs of the respiratory system. In most cases, breathing is difficult with these symptoms.

The most serious symptom of this type of bronchitis is acute obstruction (most often seen in children) - a slow narrowing of the bronchial lumen. Abnormal wheezing occurs.

Disease code according to ICD-10

According to the international classification of diseases it belongs to class 10. It has the code J20, J40 or J44. Class 10 is respiratory diseases. J20 is acute bronchitis, j40 is bronchitis as unspecified chronic or acute, and j44 is another chronic obstructive pulmonary disease.

Symptoms and risk factors

Obstructive bronchitis can be divided into two types:

• Primary, it has nothing to do with other diseases;
• Secondary is associated with concomitant diseases. These include kidney disease (kidney failure) and cardiovascular disease; other respiratory diseases;

Risk factors for primary obstructive bronchitis:

• Smoking (also passive);
• Contaminated air;
• Occupation (working in a dusty, poorly ventilated area, working in a mine or quarry);
• Age (most often children and elderly people are sick);
• Genetic predisposition (if such a disease has occurred in the family history, it occurs mainly in women).

The main ones are the following: hemophilic bacillus, it occurs in half of cases, pneumococcus, it accounts for about 25%, as well as chlamydia, mycoplasma, Staphylococcus aureus and Pseudomonas aeruginosa, they account for 10% percent of cases.

Acute and chronic symptoms

Chronic bronchitis is classified by the nature of the sputum:

Catarrhal bronchitis passes in the mildest form and is characterized by a diffuse inflammatory process, in which the tissues of the bronchi and lungs are not affected. Light sputum contains only mucus.

Catarrhal-purulent - when examining sputum, purulent discharge occurs in the mucus.

Purulent obstructive bronchitis - when a patient coughs, purulent exudate is released. When examining sputum, purulent discharge will be present in large quantities.

• In the first 2-3 days of illness, there is a dry cough;
• On about 3-4 days, the cough becomes wet, and, depending on the degree of impairment of mucus permeability in the bronchial mucosa, it is divided into obstructive and non-obstructive;
• Headache;
• The temperature rise is no higher than 38 degrees;
• Dyspnea;
• Respiratory dysfunction.

Chronic symptoms:

• Relatively satisfactory condition;
• Allocation of a small amount of mucopurulent and purulent sputum;
• The period of exacerbation is most often winter;
• Mostly adults from 40 years old are ill.

Acute bronchitis often develops in children in the first year of life, since children at this age are predominantly in a horizontal position.

In connection with this position of the body, when a child begins to have ARVI accompanied by a runny nose, the mucus cannot properly come out and sinks into the bronchi.

A child at this age cannot cough up phlegm, which complicates the process of treatment and recovery. In most cases, acute bronchitis is caused by a virus.

Obstructive bronchitis occurs in children from about 2 to 3 years old, this is due to the physiology of the child. Children at this age have a narrow lumen of the bronchi. Signs of the disease can develop on the first day of ARVI (earlier than in acute bronchitis).

Symptoms of acute bronchitis:

• Fever 2-3 days;
• General weakness;
• Cough;
• The nasolabial triangle turns blue;
• Dyspnea;
• Bloating of the chest;

• The temperature remains within the normal range;
• Restless behavior;
• Breathing becomes noisy sibilant;
• The child often changes body position;
• The chest is enlarged;
• On auscultation - dry wheezing rales, as well as a large number of medium and large bubbling rales;
• The general condition is satisfactory;

Chronic obstructive bronchitis affects adults and only rarely children. This disease lasts for several years and over the years it only gets worse, the period of remission becomes shorter, and the course of the exacerbation becomes more and more difficult. Some symptoms, such as shortness of breath, do not go away and remain with the patient at all times.

Diagnosis of the disease

Physical examination and analysis are usually sufficient to confirm the diagnosis. As mentioned above, a patient with a disease such as obstructive bronchitis will have an enlarged chest, when viewed with a phonendoscope, whistling and buzzing sounds will be heard in the lungs.

But for reliability, it is worth conducting a sputum analysis in order to exclude asthma, whooping cough or a foreign body in the bronchi. For completeness of the data, it will be necessary to donate blood to see the indicators of ESR and leukocytes, with a viral infection these indicators will be increased.

Treatment

Treatment of obstructive bronchitis usually takes place on an outpatient basis, with the only exception of children under 3 years of age in severe cases. During treatment, it is necessary to exclude all types of irritants (dust, perfumes, cigarette smoke, household chemicals).

The room where the patient is located should be well ventilated and humidified. Rest and rest are also indicated in this disease. For sputum discharge, mucolytic and bronchodilator drugs are prescribed.

To avoid complications and the transition from an acute to a chronic state, the main therapy will be the use of antiviral drugs. The use of antibiotics is justified only if there is no visible improvement and pneumonia is suspected.

Drug treatment

Bronchodilator therapy is in most cases the main treatment for obstructive bronchitis, since it allows you to restore airway patency. There are drugs with an effect of 12 to 24 hours, which make life much easier for patients.

But the truth is, when more intensive bronchodilator therapy is needed, they are not suitable, since there is a risk of overdose. In such cases, more "controlled" drugs are used, for example, Berodual.

It is a symbiosis of two bronchodilators (Fenoterol and Ipratropium bromide). By relaxing the vessels and smooth muscles of the bronchi, it helps to prevent the development of bronchospasm.

Berodual also releases mediators from inflamed cells, has the properties of stimulating respiration, and also reduces the secretion of bronchial glands.

Mucolytic therapy is aimed at diluting sputum in the bronchi and removing it from the patient's body.

There are several groups of mucolytics:

1. Vasicinoids. Vasicinoids and mucolytics, these drugs do not have side effects like the previous groups. They can be used in pediatrics.

Representatives of vasicinoids are ambroxol and bromhexine.

Bromhexine is a vasicin derivative, synthetically created, with a mucolytic effect. Ambroxol is a new generation drug that is approved for nursing mothers and pregnant women.

Enzyme. This group of drugs is not recommended for use in pediatrics, as damage to the pulmonary matrix is ​​possible. Because they have a large list of side effects such as coughing up blood and allergies.

Thiol-containing. The thiol-containing drug acetylcistiine is able to break down the disulfide bonds of mucus.

But its use in pediatrics is also impractical because of the possibility of bronchospasm and suppression of the action of ciliated cells, which protect the bronchi from infection.

Mucolytics are mucoregulators. Representative of mucolytics - mucoregulators are derivatives of carbocisteine, which possess both mucolytic (reduce the viscosity of mucus) and mucoregulatory effect (reduce mucus production).

In addition, this group of drugs helps to restore the bronchial mucosa, its regeneration.

Another group of drugs that are prescribed to patients with obstructive bronchitis are corticosteroids. They are prescribed only when smoking cessation and bronchodilator therapy do not help.

Disability is lost and airway obstruction remains severe. The drugs are usually prescribed in tablet form, less often injections.

Bronchodilator therapy remains the mainstream, corticosteroids are an emergency aid for this disease. The most common drug in this group is Prednisolone.

Speaking of traditional medicine, you should not completely rely on it and self-medicate, but as an auxiliary therapy for the main treatment prescribed by a doctor, it can be used.

Here are some tips for treatment:

• To stop the beginning cough, you need to drink warm milk with propolis dissolved in it (15 drops).
• Black turnip and honey perfectly help in the discharge of phlegm. Take a turnip, wash it well, cut out the middle and put a spoonful of honey there.

When the turnip gives juice, which is mixed with honey, the infusion is ready. You need to drink it 3-4 times a day, a teaspoon.

Antibiotics for obstructive bronchitis

As mentioned above, antibiotics are prescribed only for bronchitis caused by a bactericidal infection.

In all other cases, the use of antibiotics is unjustified and can lead to the opposite effect - dysbiosis, development of resistance to this drug, decreased immunity and allergic reactions. Therefore, it is worth taking antibiotics only as prescribed by a doctor and the dosage and dosage regimen prescribed by him.

Urgent care

Broncho-obstructive syndrome is a general symptom complex that includes violations of bronchial patency, which is based on occlusion or narrowing of the airways.

To alleviate this syndrome, it is better to inhale with a nebulizer and Berodual's solution, this will help to quickly restore respiratory function. If there is no nebulizer at hand or the ability to use it, then you can use this drug in the form of an aerosol.

Prophylaxis

Smoking cessation plays an important role in the prevention of obstructive bronchitis. And also it should be said about the room where a person works and lives, it must be ventilated, humidified and clean.

For people with weakened immunity, it is worth taking immunomodulators so as not to catch an infection, which in turn can lead to a relapse of the disease.

ICD code: J41

Simple and mucopurulent chronic bronchitis

ICD code online / ICD code J41 / International classification of diseases / Diseases of the respiratory system / Chronic diseases of the lower respiratory tract / Simple and mucopurulent chronic bronchitis

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ICD 10: acute and chronic bronchitis

Modern medicine is a constant process of searching for new methods of treatment, diagnosis and prevention of diseases, and it is impossible without the systematization of previously obtained knowledge. One of the methods of accounting for all accumulated statistical data, which are periodically revised, refined and supplemented, is the International Classification of Diseases.

This article will describe in more detail what place bronchitis occupies in ICD 10, depending on the etiology, form and course.

Place of bronchitis in the ICD classification

Bronchitis is an inflammatory disease, with the development of which the mucous membrane and walls of the bronchial tree are damaged. This pathology is currently diagnosed in every second inhabitant of the planet. Bronchitis affects people from different age groups, but most often children, the elderly, and patients with a weakening of the natural immune reactivity of the respiratory tract.

According to the classification, I distinguish two main types of bronchitis: acute and chronic. Acute inflammation of the bronchi (J20 - J22) is characterized by the appearance of symptoms of the disease, more often against the background of acute respiratory viral infections or acute respiratory infections, and complete recovery after 3-4 weeks.

In chronic bronchitis (J40-J47), inflammatory changes are progressive, cover large areas of the bronchial tree and there are periodic exacerbations of inflammation with aggravation of the patient's condition.

Acute bronchitis

Acute bronchitis code for mkb 10 depends on the type of pathogen and includes 10 clarifying diagnoses. With the development of inflammation provoked by various bacterial and viral agents with the obligatory laboratory clarification of the pathogen, the following codes of acute bronchitis caused by:

If the inflammatory process is caused by another specified pathogen that is not listed in the classification above, acute bronchitis has the ICB code J20.8. At the same time, situations often occur when it is not possible to clarify the causative agent of the inflammatory process in the bronchi.

In this case, bronchitis is diagnosed on the basis of the collection of complaints, anamnesis, the presence of clinical symptoms and auscultatory picture (hard breathing, rales of various sizes), the results of laboratory tests and, if necessary, an X-ray examination.

Acute bronchitis according to μb 10 with an unrefined pathogen has a code J20.9.

Chronic bronchial inflammation

Chronic bronchitis is diagnosed if there is a progressive lesion of the bronchial tree, and the characteristic manifestations of the disease are constantly present for at least three months in a row for one year, and these signs have been observed over the past two years.

In most cases, irreversible changes in the lower respiratory tract are observed after prolonged exposure to various irritating factors:

• smoking, including passive smoking:
• the constant presence of unfavorable environmental factors;
• long-term sluggish infections, somatic diseases with severe intoxication syndrome;
• professional harm;
• persistent decrease in immunity.

In chronic inflammation, the secretory apparatus of the bronchi is reorganized - this causes an increase in the volume and viscosity of sputum, as well as a decrease in the natural defense of the bronchial tree and its cleansing functions.

It is important to remember that in pediatric pulmonology up to the age of three there is no concept of "chronic bronchitis" - this is due to the absence of irreversible changes in the tissues of the bronchi. But at the same time, this pathology is possible in children of the older age group with a progressive course of the inflammatory process and the appearance of signs of hypertrophy, atrophy or hemorrhagic changes in the bronchi, which are specified during bronchoscopy and tissue biopsy.

In pediatrics, recurrent bronchitis is more common - repeated episodes of acute inflammation of the bronchi, which are recorded at least 3-4 times a year, and their duration ranges from 2 weeks to a month. There is no ICD code for recurrent bronchitis, and recurrent episodes of the disease are classified as acute bronchitis (J20) or J22 - acute viral lower respiratory infection (unspecified).

These children are allocated to a separate group of dispensary observation - CHDDB (often and long-term ill). The pediatrician constantly monitors a child with recurrent bronchitis, prescribes treatment during exacerbations and remission.

Chronic bronchitis (mkb 10)

In adult patients, the following forms of chronic bronchitis are distinguished:

Non-obstructive chronic bronchitis

This form is characterized by catarrhal inflammation of the bronchial mucosa and their walls, without complications in the form of bronchial obstruction and bronchiectasis.

• J40 - Unspecified catarrhal bronchitis with tracheitis (both acute and chronic);
• J42 - Chronic unspecified bronchitis.

Purulent or muco-purulent bronchitis

With this form of the disease, large sections of the bronchi are affected, more often these are infectious forms of inflammation caused by bacterial pathogens (Afanasyev-Pfeiffer bacillus, streptococci, pneumococci) with periods of exacerbation of infection and remissions. Chronic bronchitis, tracheitis or tracheobronchitis with discharge of purulent sputum has the ICB code 10 - J41.

Obstructive (asthmatic) bronchitis

With this form of the disease, against the background of chronic inflammation, there is an increased reactivity of the bronchi, which manifests itself in the form of their spasm and mucosal edema. Asthmatic bronchitis code 10 (J44).

Purulent obstructive bronchitis

This is a mixed form of the disease in which clinical signs of obstruction (bronchial spasm) and purulent sputum are present. The code of this pathology is chosen by the doctor depending on the prevailing component - purulent inflammation or spasm of the bronchi (J41 or J44)

The course and features of therapy for bronchitis

Often, chronic forms turn into more severe diseases (asthma, pulmonary emphysema, cor pulmonale).

Both non-obstructive and obstructive forms of chronic bronchitis have two phases:

• aggravation;
• remission is a period of weakening or absence of symptoms of the disease.

Patients of any form of chronic bronchitis react sharply to sudden weather fluctuations, they often get sick with acute respiratory infections and acute respiratory viral infections.

Therefore, in order to significantly reduce the risk of disease progression, patients must strictly follow the doctor's recommendations:

• instructions for taking medications, their doses, courses of admission;
• the use of herbal medicine, physiotherapy procedures, massage, exercise therapy, breathing exercises;
• quit smoking and other bad habits;
• lead an active healthy lifestyle.

The video in this article will tell you about preventive measures for exacerbations of chronic bronchitis during remission.

The ICD handbook is not only the correct definition of pathology, its etiology and pathogenesis, but also a guide for the doctor in prescribing the correct therapy for the disease. In the first place are the following aspects - preventing the deterioration of the patient's condition, lengthening the periods of remission in chronic diseases and reducing the rate of progression of pathological changes in organs and systems.

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Obstructive bronchitis (acute, chronic) according to ICD 10

Medicine is constantly looking for new ways to cure various diseases, preventive measures to prevent them, and also tries to do everything possible so that people live long. There are a lot of pathologies in the world, therefore, to make it easier for doctors, a special systematics was created, which is called ICD - International Classification of Diseases.

What is obstructive bronchitis according to ICD 10

Obstructive bronchitis according to ICD 10 is an inflammation of the respiratory system, which is accompanied by spasm of the bronchi and narrowing of the tubules. Most often, the pathology affects the elderly and small children, because they have a weakened immune system and susceptibility to various bacterial diseases.

With normal therapy, the prognosis for life is favorable, however, in some cases, the disease can end in death. To get rid of obstructive bronchitis, doctors prescribe standard treatments that include:

• anti-inflammatory drugs;
• antibacterial medicines;
• glucocorticosteroids.

When the ailment is still at its initial stage, it is possible to start using folk recipes in parallel with medicines. This can be a reception of decoctions, herbs, tinctures.

It is also important to be completely calm, so you need to stay in bed, diet, drink a lot. Necessarily, you need walks in the fresh air and regular ventilation.

Obstructive bronchitis ICD 10 is divided into acute and chronic phases. The acute phase differs in that the symptoms are very strong, but recovery occurs quickly - in a month. The chronic type is accompanied by periodic relapses with a deterioration in the patient's health.

Depending on the nature of the pathology, the acute phase is also divided into two types:

• Infectious. It occurs due to the penetration of an infectious source into the human body.
• The chemical type occurs when vapors of formaldehyde, acetone enter the respiratory tract.
• The mixed type is accompanied by the appearance in the body of two of the above types at once.

If the pathology appeared as a complication after suffering a disease of the respiratory system, then such a process is secondary and is treated much more difficult. The nature of inflammation in bronchitis can also be divided into purulent and catarrhal.

The disease can proceed in different ways, therefore, obstructive and non-obstructive types are distinguished. In the second case, the disease is not accompanied by problems with ventilation of the lungs, so the outcome for the patient's life is favorable.

ICD code 10 acute bronchitis

Acute obstructive bronchitis code according to ICD 10 - j 20.0, which contains 10 accurate diagnoses, differing in the type of causative agent of the disease.

Chronic obstructive bronchitis code according to ICD 10 -j 44.0, while excluding the appearance of the disease after the transferred flu.

Obstructive bronchitis in children, as described by ICD 10, occurs rapidly and is very similar in symptoms to the common cold.

Nature of occurrence

Obstructive bronchitis can appear under the influence of a wide variety of factors:

• hypothermia;
• weakening of the immune system;
• bad habits such as smoking and drinking alcoholic beverages;
• exposure to toxic and irritating components;
• allergic reaction.

When antigens, viruses and microorganisms enter a person, they are perceived by the body as foreign substances that must be disposed of. Therefore, the body begins to actively develop antibodies designed to identify and destroy foreign bodies that have got there. Lymphocytes and macrophages actively bind to harmful particles, absorb them, digest them and then produce memory cells for the immune system to remember them. The whole process is accompanied by inflammation, sometimes even with a rise in temperature.

In order for the immune cells to quickly find the focus of the disease, an increase in blood circulation begins, including to the bronchial mucosa. A large amount of biologically active substances begins to be synthesized. From the flow of blood, the mucous membrane begins to expand and acquires a red tint. There is a release of mucous secretions from the tissues that line the inner cavity of the bronchi.

This provokes the appearance of a dry cough at first, which eventually begins to turn into a wet one. This is because the amount of mucus secreted increases. If pathogenic bacteria enter the trachea, then the disease turns into tracheobronchitis, which has the ICD code j20.

Symptoms

All pathologies of the respiratory system, and acute obstructive bronchitis have a similar set of symptoms:

• lethargy;
• deterioration in general health;
• dizziness or headache;
• cough;
• the appearance of a runny nose;
• wheezing, accompanied by noise and whistling;
• myalgia;
• temperature increase.

When there is poor patency of the bronchi, the following symptoms occur:

• dyspnea;
• breathing problems;
• the appearance of a blue tint on the skin (cyanosis);
• incessant dry cough with periodic exhalation;
• fine bubbling rales;
• discharge of phlegm or mucus from the nose with a lot of pus;
• breathing, accompanied by whistling.

This disease is most active in the autumn-spring period, when all ailments begin to worsen. Newborn children suffer more from it. At the last stage, the following signs appear:

• a strong paroxysmal cough that occurs on inhalation;
• pain sensations arising behind the sternum, in the place of the diaphragm;
• breathing is hard with pronounced wheezing;
• sputum may contain impurities of blood and pus.

Diagnostics

To detect obstructive bronchitis according to ICD 10, the doctor must prescribe a number of diagnostic procedures:

• General inspection. The attending physician should listen to the lungs, feel the throat.
• X-ray. On an x-ray, the disease manifests itself as dark spots.
• Biochemical and general blood test.
• Analysis of urine.
• External respiration test.
• Bronchoscopy.
• Immunological methods.
• Microscopic analysis of sputum, as well as checking it for bacterial flora (bacterial culture).

If there is a suspicion that the patient is beginning tracheobronchitis, then a number of additional studies are supplemented:

• Ultrasound examination of the respiratory system.
• Spirometry.

Treatment

Treatment of obstructive bronchitis should be comprehensive and based on the nature of the disease. The conservative path of therapy includes:

• Taking medications. Based on the test results and the type of bacterial pathogen, antibacterial drugs are prescribed.
• Antiviral medicines (if viral particles are the culprits of the disease); antiallergic drugs (if it is allergic); anti-inflammatory, to relieve the focus of inflammation; expectorants for better sputum discharge; mucolytic drugs.
• Traditional methods.
• Physiotherapy procedures.

Inpatient treatment is indicated if the patient is at risk of developing ancillary disease or complications.

As an auxiliary aid, folk recipes will come in handy that will help you recover faster. For treatment, you can use:

• Compresses that improve blood circulation, which are applied to the bronchial region.
• Rubbing with warming and sputum-improving oils and gels. Such means can be badger fat, fir oil, turpentine ointment.
• Taking herbal preparations, which can have a wide variety of effects on the body.
• Massage treatments are helpful.
• Inhalation with a nebulizer.
• Aeroionotherapy.
• Electrophoresis.
• Gymnastics.

Prevention of obstructive bronchitis ICD 10

• strengthening the immune system;
• develop a system of proper nutrition;
• taking multivitamin complexes;
• constant physical activity;
• hardening;
• stop smoking and drinking alcoholic beverages.

If you ignore the treatment or do not follow it properly, then the acute phase flows into the chronic one. One of the dangerous consequences can be bronchial asthma. The elderly and young children may experience acute renal or respiratory failure. To learn more about acute obstructive bronchitis according to ICD 10:

Read better what the Honored Doctor of Russia Viktoria Dvornichenko says about this. For the last 2-3 years I have suffered from very poor health - endless colds and coughs, problems with the throat and bronchi, headaches, problems with excess weight, nausea, constipation, loss of energy, weakness and terrible depression. Numerous tests, visits to specialists, diets and medications, alas, did not solve my problems. The doctors just shrugged their shoulders. BUT thanks to a simple recipe, headaches, colds, gastrointestinal problems are now a thing of the past - my weight has returned to normal and I feel HEALTHY, energetic and full of energy. Now my doctor is wondering how it is. Here is the link to the article.

Medicine is in constant search of new methods of treatment of diseases, prevention and creation of conditions for prolonging the life of people. Without systematizing all the previously acquired knowledge, it would be very difficult to move forward in this direction. The method of accounting for all knowledge, statistical data is the ICD - International Classification of Diseases. This document is the basis for the classification of diseases in health care. The data are periodically reviewed, supplemented and updated.

The current ICD is the tenth edition, the transition to which was carried out in Russia in 1999.

What is disease?

One of the most common diseases, bronchitis, is also located in the ICD. This disease occurs in every second inhabitant of our planet, people of different ages get sick with it, but children and old people are most susceptible. Symptoms are well known - cough, which gradually turns from dry to wet, fever, general weakness, increased sweating.

The world medical community has adopted a special unified classification of diseases. Currently, its version 10 or ICD 10 is in effect. Chronic bronchitis, code for microbiological disease 10 in children and adults, is also included in this document and has its own digital designation.

Bronchitis, ICD code 10 in children

All diseases of the respiratory system are classified in the X class by the international classification. In addition to digital designation, they are coded by the Latin letter J and a set of numbers. Most often, bronchitis with various course and complications has a J 40 code. However, bronchitis, code for mkb 10 in children is designated as J 20... This includes the acute and chronic form of the disease and all complications of the disease in persons who are less than 15 years old:

• Acute bronchitis has a code J
• If the cause of acute bronchitis is mycoplasma infection, then the code J0.
• When acute bronchitis is caused by the stick of Afanasyev-Pfeiffer, then it is designated J1.
• Acute bronchitis caused by streptococci is designated by the J2 code.
• If the acute manifestation of bronchitis is associated with the Coxani virus, then it is recorded as J3.
• In the case when the cause of the acute form of bronchitis is the parainfluenza virus, then it is designated with the J4 code.
• If acute bronchitis is caused by other pathogenic viruses, then they are designated by codes J5 - J 20.8.
• Acute bronchitis of an unspecified nature - code J9.

Pediatric practice shows that bronchitis is the most common complication of colds and acute viral diseases in children. The most vulnerable are babies under five years old. Chronic bronchitis, microbial code 10, in children and adults, is indicated by different alphanumeric combinations, depending on the type and form.

Bronchitis code for microbiology 10 in adults

Inflammation of the bronchi occurs not only in children, but also in adults. The course of the disease can be divided:

• for spicy;
• for chronic.

Each form is assigned the microbial code 10; in adult patients, bronchial inflammation is indicated by:

1. Acute forms of bronchitis marked J J 20.0 to J 20.9... Acute forms of the disease in adults very often begin with a cold. The first symptoms are also similar to those of a cold. As a rule, there is a cough, a feeling of malaise, weakness. Shortness of breath is very common. In the most severe cases, the acute course is accompanied by a rise in temperature. If the situation is favorable, about the 10th day, there is an improvement and subsequent recovery.
2. Chronic bronchitis has a J code Depending on the forms and complications, the disease is coded J 40, J 41, J 42... The chronic course of the disease occurs in about a fifth of the adult population. If the patient suffers from bronchial inflammation for more than three months in two calendar years, then chronic bronchitis is diagnosed.

Simple chronic bronchitis, ICD code 10

Depending on the region, this form of bronchitis occurs in about 10 to 20% of patients. Simple chronic bronchitis, microbial code 10 J 41.0, is a progressive inflammation of the mucous membranes of the bronchi. Its main symptom is a prolonged wet cough. In childhood, bronchitis is considered chronic if the child has had it at least three times in 24 months. Chronical bronchitis, mkb code 10, for children and adults called simple, in that case, if:

1. The process is accompanied by the separation of mucus.
2. This form of bronchial inflammation is not characterized by purulent mucus.
3. The disease proceeds without obstruction.

The reasons for the chronic course of bronchitis:

• smoking;
• acute bronchitis;
• recurrent infections;
• poor environmental situation, air pollution with harmful emissions.

The diagnosis is made by a specialist on the basis of fluoroscopy data, blood tests and other studies. The main treatment is mucolytic and antibacterial drugs.

Chronic obstructive bronchitis ICD code 10

Obstructive bronchitis is accompanied by a narrowing of the lumen of the bronchi and their spasms. All this leads to excess production of phlegm and blockage of the bronchi with mucus. The process is accompanied by inflammation of the mucous membranes of the bronchial tree, cough, changes in the structure of the bronchial epithelium.

The pathological process affects both small and large bronchi. Chronic obstructive bronchitis, ICB code 10 is designated as J 40 or J 44... Breathing with such bronchitis becomes difficult, wheezing. One of the main symptoms of this type of bronchitis, which can be abbreviated as OB, is shortness of breath. Respiratory failure may develop against its background.

The diagnosis is made based on the results of fluoroscopy, laboratory tests and additional studies. This form is more common in adult patients. In young children, OB is observed in the acute course of the disease.

In the treatment of OB, drugs are used that relieve spasms, expectorants, antibiotics. In addition to drug treatment, inhalation therapy is used. The patient is shown rest, drinking plenty of fluids and staying in a room with humidified air. With proper and adequate treatment, the progressive course of the disease slows down, and the number of relapses decreases.

Chronic bronchitis of a smoker, ICD code 10

Tobacco smoking is the most common cause of bronchial inflammation. This pathology can occur both in active tobacco smokers and in passive ones. Chronic bronchitis of a smoker, ICB code 10 is most often designated as J 44.

Treatment of bronchitis in smokers will be successful only if the patient gets rid of the addiction. However, in life, not all patients with bronchitis of a smoker succeed in this. As a result, doctors treat this bronchitis without eliminating its root cause. In this situation, smokers who have not abandoned their habit are forced to be treated for bronchitis all their lives.

Treatment involves taking the following groups of drugs:

• bronchodilators;
• mucolytics;
• antibiotics;
• adaptagens.

In addition to taking medications inside, various procedures are shown:

• inhalation;
• electropharesis with various drugs;
• UHF - currents.

A good result in treatment is the use of breathing exercises. However, the patient should know that if he does not quit smoking, he will never be completely cured of bronchitis.

Chronic bronchitis, exacerbation of the ICD code 10

As with any disease, in chronic bronchitis, periods of remission are followed by periods of exacerbation. Chronic bronchitis, exacerbation, microbial code 10 can be designated as follows:

1. Chronic bronchitis, mucopurulent J1.
2. Mixed, mucopurulent or simple bronchitis J8.
3. Chronic nonspecific bronchitis J

The cause of an exacerbation is most often:

• errors in treatment;
• colds and viral diseases;
• weakened immunity;
• bad habits and wrong lifestyle.

For the treatment of exacerbated bronchitis, the following medications and procedures are prescribed:

• taking drugs that dilate the bronchi;
• taking antibiotics;
• taking steroid drugs, including through long-term inhalation;
• oxygen therapy with a significant deterioration in the condition;
• flu shots.

A patient with any form of chronic bronchitis should know that the disease may not give him a chance for a full long life. Such a bad habit as smoking greatly reduces its duration by 10 - 15 years. Mortality readings are also on the rise due to regular air pollution.

Chronic bronchitis, microbial code 10, in children and adults, although it is indicated by different combinations, requires equally serious treatment. You can read reviews on this topic or write your opinion on the forum.