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    Bronchiectasis, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Bronchiectasis, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Bronchiectasis, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Ebook108 pages1 hour

    Bronchiectasis, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions

    By Kenneth Kee

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    About this ebook

    Bronchiectasis is a not common respiratory illness which results in non reversible dilation of the bronchi.
    This usually results from chronic infection.
    Bronchiectasis is the result of damage and enlarging of the proximal and medium-sized airways.
    Congenital bronchiectasis is the condition when it is present at birth.
    Acquired bronchiectasis occurs later in life.
    Bronchiectasis happens as a result of an infection or other condition that damages the walls of the airways or prevents the airways from clearing mucus.
    The airways produce a slimy substance called mucus which help to remove inhaled bacteria, dust, and other small particles.
    The air tubes slowly lose their ability to remove the mucus in bronchiectasis.
    Mucus builds up and produces an environment in which bacteria can grow.
    This results in repeated, serious lung infections.
    Bronchiectasis results in serious health problems, such as atelectasis, respiratory failure, and heart failure.
    Bronchiectasis can be unilateral or may affect many lobes of both lungs.
    Symptoms often form gradually, and may happen months or years after the event that results in the bronchiectasis
    a. Shortness of breath that gets worse with exercise
    b Chronic cough with large amounts of foul-smelling sputum
    c. Wheezing
    Diagnosis
    Using a stethoscope, the doctor may hear wheezing, rattling, small clicking, bubbling, or other sounds, often in the lower lobes of the lungs.
    Visual inspection of sputum shows 3 layers of froth, clear fluid and pus. When the froth disappear there are left 2 layers: upper watery saline liquid and lower heavier pus cells and micro-organisms.
    Chest x-ray showed raised bronchial fluid levels
    Sputum culture may show evidence of tuberculosis or aspergillus
    Bronchoscopy to define location and extent of disease
    The aim of treatment is controlling infections and bronchial secretions, relieving airway obstruction, and preventing complications
    Regular, daily postural drainage to clear pus and necrotic material and remove bronchial secretions is a routine part of treatment.
    The bed is often tilted to help the postural drainage.
    A physiotherapist can show the patient coughing exercises that will help reduce the mucous.
    Antibiotics are the main treatment for infections; bronchodilators and expectorants for cough.
    Surgery to resect localized disease of the lung may be needed if medicine does not work
    With treatment of antibiotics and pulmonary toilet, most people can lead normal lives without major disability.
    TABLE OF CONTENT
    Introduction
    Chapter 1 Bronchiectasis
    Chapter 2 Causes of Bronchiectasis
    Chapter 3 Symptoms of Bronchiectasis
    Chapter 4 Diagnosis of Bronchiectasis
    Chapter 5 Treatment of Bronchiectasis
    Chapter 6 Prognosis of Bronchiectasis
    Chapter 7 Chronic Obstructive Lung Disease
    Chapter 8 Pneumonia
    Epilogue

    LanguageEnglish
    PublisherKenneth Kee
    Release dateSep 27, 2016
    ISBN9781370745807
    Bronchiectasis, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
    Author

    Kenneth Kee

    Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"

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      Book preview

      Bronchiectasis, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions - Kenneth Kee

      Bronchiectasis,

      A

      Simple

      Guide

      To

      The Condition,

      Diagnosis,

      Treatment

      And

      Related Conditions

      By

      Dr Kenneth Kee

      M.B.,B.S. (Singapore)

      Ph.D (Healthcare Administration)

      Copyright Kenneth Kee 2014 Smashwords Edition

      Published by Kenneth Kee at Smashwords.com

      Dedication

      This book is dedicated

      To my wife Dorothy

      And my children

      Carolyn, Grace

      And Kelvin

      This book describes the Bronchiectasis, Diagnosis, Treatment and Associated Diseases or in vernacular terms

      (What You Need to Treat and Cope with Bronchiectasis)

      This eBook is licensed for the personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.

      If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.

      Thank you for respecting the hard work of this author.

      Introduction

      Ode To Bronchiectasis

      Bronchiectasis is a not common pulmonary disease

      This results in non reversible dilation of the bronchi

      Bronchiectasis is the result of a chronic infection and inflammation

      The infective process results in the medium-sized bronchi distension

      The bronchi become edematous and fill with excessive mucus secretions

      The elastic muscles of the bronchial wall are weakened resulting in dilatation

      Mucus accumulates and results in repeated, serious lung infections.

      More damage occurs to the air tubes resulting in air obstruction.

      Less oxygen is prevented from reaching the vital organs of the body

      This may cause breathlessness, cough with sputum and heart disease

      Chest x-ray showed raised bronchial fluid levels and tuberculosis

      A chest CT scan enhanced the signs and confirm the bronchiectasis

      Early diagnosis and treatment of bronchiectasis can prevent lung damage.

      The best treatment is antibiotics for infections and postural drainage

      Good hydration also helps keep airway mucus moist and slippery

      Removal of airway mucus occurs once it is less thick and sticky.

      -An original poem by Kenneth Kee

      Interesting Tips about the Bronchiolitis

      A Healthy Lifestyle

      1. Take a well Balanced Diet

      2. The goals of treatment are to:

      a. Treat any underlying conditions and lung infections.

      b. Remove mucus (a slimy substance) from the lungs.

      c. Maintaining good hydration helps with mucus removal.

      d. Prevent complications.

      Early diagnosis and treatment of the underlying cause of bronchiectasis may help prevent further lung damage.

      In addition, any disease associated with the bronchiectasis, such as cystic fibrosis or immunodeficiency, also should be treated.

      The doctor may prescribe antibiotics, bronchodilators, expectorants, or mucus-thinning medicines to treat bronchiectasis.

      Regular, daily postural drainage to clear pus and necrotic material and remove bronchial secretions is a routine part of treatment.

      The bed is often tilted to help the postural drainage.

      Surgery to resect localized disease of the lung may be needed if medicine does not work or if the patient has massive bleeding.

      3. Keep bones and body strong

      Bone marrow produces our blood

      Eat foods rich in calcium like yogurt, cheese, milk, and dark green vegetables.

      Eat foods rich in Vitamin D, like eggs, fatty fish, cereal, and fortified milk.

      Eat food rich in Vitamins B and C such as green vegetables and fruits

      Zinc and other minerals are important to the body

      4. Get enough rest and Sleep

      Avoid stress and tension

      5. Exercise and stay active.

      It is best to do weight-bearing exercise such as walking, jogging, stair climbing, dancing, or lifting weights for 2½ hours a week.

      One way to do this is to be active 30 minutes a day at least 5 days a week.

      Begin slowly especially if a person has not been active.

      6. Do not drink more than 2 alcohol drinks a day for a man or 1 alcohol drink a day for a woman.

      Alcohol use also increases the chance of falling and breaking a bone.

      Alcohol can affect the neurons and brain cells.

      7. Stop or do not begin smoking.

      It also interferes with blood supply and healing.

      Chapter 1

      Bronchiectasis

      What is Bronchiectasis?

      Bronchiectasis is a not common respiratory illness which results in non reversible dilation of the bronchi.

      This usually results from chronic infection.

      Bronchiectasis is the result of damage and enlarging of the proximal and medium-sized airways.

      Congenital bronchiectasis is the condition when it is present at birth.

      Acquired bronchiectasis occurs later in life.

      Pathophysiology of Bronchiectasis:

      Bronchiectasis occurs when the damage to the airways causes them to widen and become weak and scarred.

      The bronchi are air tubes that bring the air in and out of the lungs.

      Bronchiectasis happens as a result of an infection or other condition that damages the walls of the airways

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