A physician often has to deal with non-specific seals infiltrative lung tissue due to acute pneumonia.Treatment nonspecific infiltrative seals, pulmonary infiltrates should be an early, comprehensive and Etiotropic including a mode, a balanced diet, pharmacotherapy, physical therapies and exercise therapy.It is recommended for the treatment of nonspecific infiltrative seals bed or polupostelny mode during the period of infiltration.The diet should consist of a variety, easily digestible foods containing sufficient amounts of protein, fats, carbohydrates, minerals, vitamins.
nonspecific infiltrative sealing - treatment with drugs
Treatment nonspecific infiltrative seals: antibiotic therapy
In the treatment of non-specific infectious-inflammatory pulmonary infiltrate the main role is played by antibiotic therapy.In most cases, suitable antibiotic monotherapy.Undesirable simultaneous use of antibiotics bactericidal and bacteriostatic action, as well as several broad-spectrum antibiotics or with the
Treatment nonspecific seals antibiotics
Treatment nonspecific infiltrative seals antibiotics must end immediately after the disappearance of infiltrative changes in the lungs.Duration of treatment of nonspecific infiltrative sealing one or a combination of drugs should not exceed 7 - 10 days.The total duration of antibiotic treatment is determined individually.Antibiotic treatment for nonspecific infiltrative seals selected according to the type and properties of the infectious agent, which is sown from the sputum or the contents of the bronchi in pulmonary infiltrate the area, as well as the sensitivity of the pathogen to the use of the drug.
Pneumococcal infiltrates lung tissue respond well to treatment benzylpenicillin.The aqueous solution of the sodium salt of benzylpenicillin intramuscular injection to treat infiltrative seals nonspecific 0.15 - 0.5 g four times a day.Besides it, pneumococci are cephalosporins (up to 2.0 - 6.0 g / day), lincomycin (up to 1 g / day), macrolides (up to 2 g / day), a short-acting sulfonamides (scheme) Biseptol (2Table day), rifampicin (0.6 -. 1.2 g / day).
Streptococcal and staphylococcal pulmonary infiltrates also well treated by benzylpenicillin.In addition, it is recommended to use semi-synthetic penicillins in the treatment of nonspecific infiltrative seals (ampicillin 1.0 - 10.0 g / LPG, oxacillin 3.0 - 8.0 g / day, methicillin 1.0 - 10.0 g / d)cephalosporins, macrolides, chloramphenicol, lincomycin, fuzidin- (1.5 g / day).
pulmonary infiltrates caused klebsiellovymi (enterobacterial) and Pseudomonas aeruginosa (Pseudomonas) Gram-negative rods, are best treated with aminoglycosides (streptomycin, kanamycin, or 1.0 - 2.0 g / day, gentamicin 240 - 320 mg / day) with chloramphenicol and tetracycline,quinoxaline derivative - dioxidine 1% solution intravenously 10 ml aerosols or 5 mg 2 times a day, hinoksidin tablets of 0.25 g three times a day, tsiprobay (ciprofloxacin) 0.25 g twice a day, tarivid (ofloxacin) 0.2 g twice a day.On
mycoplasma pulmonary infiltrates well operates tetracycline (0.1 g, two or three times a day) or erythromycin (0.25 g four times a day).With the participation in the inflammatory infiltrative process of influenza and parainfluenza viruses, adenoviruses, etc.(Viral and bacterial associations) should be prescribed antiviral treatment nonspecific infiltrative seals - influenza gamma globulin, normal immunoglobulin, human leukocyte interferon, rimantadine, 5% solution of aminocaproic acid, DNase, RNase.
Along with this effective use of iodine preparations (iodinol for irrigation of the nasal mucosa and nasopharynx, Lugol's solution for the lubrication of the mucous membrane of the pharynx, 6 drops of iodine tincture in a glass of water - for rinsing the throat, sniffing 5% iodine tincture).Methenamine reduce virus reproduction (40% solution intravenously and tablets), calcium chloride formulations (10% calcium gluconate or chloride solution intravenously), inhalation phytoncids (onion or garlic juice at 1:20, 1:10, 115), the irrigation of the nasal mucosa and pharynx 10 - 20% ethanol solution.
Treatment nonspecific infiltrative seals: antivirals
antiviral agents combined in the treatment of nonspecific infiltrative seals with diuretics (lasix, furosemide, hydrochlorothiazide) and aminophylline that reduces toxic edema of the lung tissue that is affected by the virus.The above-described antibacterial and antiviral therapy should be combined with anti-inflammatory drugs (aspirin 0.5 g three times a day, indomethacin, or indomethacin 0.025 g three times a day, and others.).Intensive antibiotic treatment can cause secondary hypovitaminosis, correction should be assigned to which vitamins, particularly A (100 000 ME per day), C (0.5 g three times daily) and group B (in prophylactic doses).Be aware of the possibility of intestinal dysbiosis in the treatment of nonspecific infiltrative seals and promptly corrected his appointment or levorin Nystatin tablets to 0.5 g three times a day.
pulmonary infiltrate resorption contributes to the restoration of the drainage function of bronchi.For this treatment nonspecific infiltrative seals usually prescribed expectorants and mucolytics (marshmallow, thermopsis, mukaltin, potassium iodide, etc.) And bronchodilators (ephedrine and its analogs).In protracted resolution of pulmonary infiltrate recommended the appointment of agents that stimulate the body's immune system (prodigiozan, levamisole) and nonspecific immunity reaction (0.5 g Methyluracilum three - five times a day, pentoksil 0.2 g three to four times a day), as well asbiogenic stimulators (aloe extract, FiBS, vitreous body, etc..).
Treatment nonspecific infiltrative seals: physical methods
In the treatment of pulmonary infiltrate with nonspecific infiltrative seals the important role played by various physical methods (physical therapy and physiotherapy).Sport physiotherapy in acute infiltration performed in the supine position on the patient side with limited depth of inspiration and aim to increase respiration in healthy lung and peripheral circulation.With the improvement of the general condition of the treatment of nonspecific infiltrative seals (reduction of pain in the chest and coughing) are used breathing exercises with extended exhalation.At the same time manufactured by hand pressing on the chest with a slight vibration massage.On the exhale, the patient coughs, which contributes to a fuller unfolding of the lung.Further intensification of patients with nonspecific infiltrative seals is due to a gradual increase in load, the inclusion into the complex dynamic breathing exercises.
Physiotherapy treatments nonspecific infiltrative seals inappropriate to apply in the period of severe intoxication in severe general condition of the patient.However, 4 - 5 day in improvement can be administered agents having anti-inflammatory action.This is especially the UHF electric field therapy chest (5 - 7 steps), ultraviolet irradiation as "cans" (2 - 3 treatments).
Use also bezapparatnuyu physical therapy for the treatment of nonspecific infiltrative seals - circular banks, mustard, and camphor poluspirtovye hot compress.At the 8th - 14th day of the onset of the disease can go to decimeter (UHF) therapy, which is advantageously combined with electrophoresis calcium and iodine in the seal area of infiltrative lung.You can apply inductothermy.During the period of the residual inflammatory changes in the lung tissue preference should be given light (lamp solljuks) or heat (paraffin-ozocerite applications) effects in combination with heparin electrophoresis, lidazy, iodine, you can rotate them with a massage or ultrasound.