Sundhedsguiden - Kronisk = Bronkitis

From: Subject: Sundhedsguiden - Kronisk Bronkitis Date: Thu, 27 Nov 2008 19:42:42 +0100 MIME-Version: 1.0 Content-Type: multipart/related; type="text/html"; boundary="----=_NextPart_000_0013_01C950C8.501A9350" X-MimeOLE: Produced By Microsoft MimeOLE V6.00.2900.5579 This is a multi-part message in MIME format. ------=_NextPart_000_0013_01C950C8.501A9350 Content-Type: text/html; charset="utf-8" Content-Transfer-Encoding: quoted-printable Content-Location: http://www.sundhedsguiden.dk/illness.aspx?categoryId=721&article=1522&kat=Forkoelelse_Influenza =EF=BB=BF Sundhedsguiden - Kronisk = Bronkitis

27. November 2008

Om=20 sundhedsguiden | Anno= ncering=20

Lungerne

	Hoste


	KOL=20 (Kronisk Obstruktiv Lungesygdom, Rygerlunger) =


	Akut=20 Bronkitis


	Kronisk=20 Bronkitis


	Astma


	Lungerne=20 og luftvejene


	Lungeemfysem


	Lungebet=C3=A6ndelse=20 (Pneumoni)


	Lungehindebet=C3=A6ndelse=20 (Pleuritis)


	Pneumothorax=20 (Lungekollaps, Punkteret lunge)


	Bronkiektasi=20 (Bronkieudvidelse)


	Lungebyld=20 (Lungeabsces)


	Empyem=20 i lungehulen (Lungehulebet=C3=A6ndelse)


	St=C3=B8vlunger=20 (Pneumokoniose, Asbestose)


	Allergisk=20 alveolitis


	Lungekr=C3=A6ft=20 (Lungecancer)


	Interstitielle=20 lungesygdomme


	Vand=20 i lungerne (Lunge=C3=B8dem)


	ARDS=20 (Adult Respiratory Distress Syndrome)


	Sarkoidose=20 (Morbus Boeck)

	Find=20 Behandler
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Her er du: Forside \ = Sygdomme \ =C3=85ndedr=C3=A6tsorganerne \ Lunge= rne


Kronisk=20 Bronkitis
BA.=20 med. Rasmus Broby Johansen

Artiklen er oprettet = p=C3=A5=20 Sundhedsguiden d. 12.03.07
Definition og = =C3=A5rsager Kronisk = bronkitis=20 betyder, at der er en permanent = bet=C3=A6ndelsestilstand i=20 slimhinden i bronkierne. Bronkierne er = forts=C3=A6ttelsen af=20 luftr=C3=B8ret. Deres funktion er at lede luften fra = luftr=C3=B8ret ud=20 til de to lunger og de mindre luftveje (bronkiolerne). Disse=20 ender i alveolerne eller lungebl=C3=A6rerne, = hvor=20 udvekslingen af kuldioxid og ilt mellem blod og luft = finder=20 sted (se Lungerne).=20 Kronisk bronkitis giver hoste og opspyt, som skal have = st=C3=A5et=20 p=C3=A5 i mindst tre m=C3=A5neder af et =C3=A5r i = minimum to =C3=A5r i tr=C3=A6k, f=C3=B8r=20 diagnosen kan stilles. Kronisk bronkitis er en = af de=20 hyppigste lungesygdomme i Danmark. Den ses = sj=C3=A6ldent inden=20 60-=C3=A5rs alderen og ses typisk hos rygere. = Forurening eller=20 mange =C3=A5rs arbejde i st=C3=B8vfyldte omgivelser = kan ligeledes=20 medf=C3=B8re kronisk bronkitis. Sygdommen er langt = mere almindelig=20 i storbyer end p=C3=A5 landet.=20 Slimhinden i bronkierne er karakteriseret ved = dels at=20 have mange slimproducerende celler, dels ved at have = mange=20 celler med fimreh=C3=A5r. Fimreh=C3=A5rene er = bev=C3=A6gelige og s=C3=B8rger for=20 at transportere slim med u=C3=B8nskede partikler op i = sv=C3=A6lget, hvor=20 det enten sluges eller kan spyttes ud. = Bet=C3=A6ndelsen i=20 slimhinden medf=C3=B8rer =C3=B8get dannelse af = slimproducerende celler=20 samt nedbrydning af celler med fimreh=C3=A5r, hvilket = betyder=20 nedsat mulighed for at fjerne slim og u=C3=B8nskede = partikler.=20 Dette giver anledning til at bakterier har lettere ved = at=20 inficere slimhinden samt lettere ved at fastholde = infektionen.=20 Sygdommen starter typisk med flere mindre = anfald af akut=20 bronkitis med hoste og opspyt af = slim. Disse=20 anfald skader slimhinden, og under ophelingen dannes = arv=C3=A6v.=20 Dette bevirker, at de sm=C3=A5 luftveje = forsn=C3=A6vres, samt at=20 slimhinden bliver mere udsat ved yderligere anfald. = En=20 obstruktiv lungelidelse defineres som en = lidelse i=20 lungerne, hvor luftskiftet er nedsat. Kronisk = bronkitis er til=20 at begynde med ikke en obstruktiv lungelidelse, men = med tiden=20 skades bronkierne s=C3=A5 meget at luftskiftet = neds=C3=A6ttes, og man=20 udvikler KOL=20 (kronisk obstruktiv lungesygdom). Ved KOL = optr=C3=A6der=20 kronisk bronkitis oftest sammen med emfysem.=20 KOL kaldes ogs=C3=A5 for rygerlunger. Symptomer p=C3=A5 kronisk = bronkitis De=20 hyppigste symptomer er: Hoste. Opspyt af slim. =C3=85nden=C3=B8d (dyspn=C3=B8) samt pibende=20 vejrtr=C3=A6kning. Bl=C3=A5farvning (cyanose) af hud og = l=C3=A6ber. Dette er en=20 f=C3=B8lge af iltmangel og ses f=C3=B8rst sent i = forl=C3=B8bet som et tegn=20 p=C3=A5 fremskreden = sygdom. Forholdsregler og = diagnose Da=20 kronisk bronkitis hyppigst skyldes rygning, er det = vigtigt=20 straks at stoppe=20 med at ryge, hvis man m=C3=A6rker = ovenst=C3=A5ende symptomer.=20 Det er almindeligt at rygere oplever morgenhoste, = tobakshoste,=20 men hvis denne forv=C3=A6rres eller = vejrtr=C3=A6kningsbesv=C3=A6r st=C3=B8der til,=20 skal man tage det alvorligt og kontakte l=C3=A6ge. = Desuden skal man=20 undg=C3=A5 passiv rygning samt meget forurenede eller = st=C3=B8vfyldte=20 omgivelser. Diagnosen stilles p=C3=A5 symptomerne samt = sygehistorien,=20 der oftest vil afsl=C3=B8re mange=C3=A5rig rygning = eller arbejde i=20 st=C3=B8vfyldte omgivelser. Desuden tages et r=C3=B8ntgenbillede af = lungerne.=20 Behandling af kronisk=20 bronkitis Behandlingen af kronisk bronkitis = retter sig=20 hovedsageligt mod symptomerne. N=C3=A5r der f=C3=B8rst = er dannet arv=C3=A6v,=20 kan skaden ikke genoprettes. Hvis folk stadig ryger, = kan der=20 tilbydes hj=C3=A6lp til = afv=C3=A6nning.=20 Infektioner i de =C3=B8vre luftveje (som fork=C3=B8lelse og influenza=20 med flere) kan forv=C3=A6rre sygdommen yderligere. = Derfor er det=20 vigtigt at fors=C3=B8ge at undg=C3=A5 personer, der = nyser og hoster, i=20 det omfang det er muligt. F=C3=A5r man en infektion i = de =C3=B8vre=20 luftveje, skal den behandles med det samme, s=C3=A5 = risikoen for=20 spredning til bronkier minimeres. Behandlingen = af=20 symptomer kan ske p=C3=A5 flere m=C3=A5der. Dels kan = der gives medicin,=20 der udvider bronkierne (afslapper muskulaturen i = bronkierne),=20 og derved tillader mere luft at n=C3=A5 ned i = lungerne. Desuden=20 gives antibiotisk behandling i forbindelse med = bakterielle=20 infektioner. Nogle gange gives ogs=C3=A5 antibiotisk = behandling i=20 tilf=C3=A6lde af virusinfektioner, selvom dette ikke = umiddelbart=20 hj=C3=A6lper. Dette h=C3=A6nger sammen med, at under = en virusinfektion=20 er immunforsvaret sv=C3=A6kket, og risikoen for = udvikling af=20 infektion med bakterier er st=C3=B8rre end ellers. = Undertiden gives=20 ogs=C3=A5 forebyggende antibiotisk behandling, hvis = det sk=C3=B8nnes, at=20 der af en eller anden grund er stor risiko for = udvikling af=20 infektion med bakterier. Det er vigtigt at = fors=C3=B8ge at=20 opretholde en god =C3=A5ndedr=C3=A6tsfunktion. Dette = kan g=C3=B8res dels ved=20 at lave forskellige =C3=A5ndedr=C3=A6ts=C3=B8velser = (lungefysioterapi), dels=20 ved at dyrke motion i det omfang det er = muligt. Ved=20 fremskreden sygdom, og deraf f=C3=B8lgende permanent = iltmangel,=20 tilbydes iltbehandling, og mange med kronisk bronkitis = har ilt=20 i hjemmet. Dette tilbydes dog kun til folk, der er = stoppet med=20 at ryge, da det kan v=C3=A6re farligt at ryge i = n=C3=A6rheden af en=20 iltbeholder. Man m=C3=A5 aldrig indtage = hostestillende=20 medicin, da dette medf=C3=B8rer, at slimen bliver = sejere, hvilket=20 kan forv=C3=A6rre sygdommen yderligere. Forl=C3=B8b og = komplikationer Som=20 n=C3=A6vnt begynder sygdommen ofte med flere anfald af = kortere=20 varighed. Efterh=C3=A5nden bliver symptomerne mere = permanente. Ofte=20 vil der dannes arv=C3=A6v og de sm=C3=A5 luftveje = forsn=C3=A6vres=20 (obstrueres) permanent. I s=C3=A5danne tilf=C3=A6lde = har personen=20 udviklet s=C3=A5kaldt kronisk=20 obstruktiv lungesygdom (KOL), ogs=C3=A5 = kaldet=20 rygerlunger. Dette er alvorligt og bevirker, at = gradvist mindre luft efterh=C3=A5nden n=C3=A5r = lungerne. Personer med=20 KOL udvikler derfor med tiden sv=C3=A6r = =C3=A5nden=C3=B8d og bl=C3=A5farvning af=20 hud og l=C3=A6ber (cyanose) pga. en udtalt iltmangel, = som til sidst=20 kan v=C3=A6re d=C3=B8delig. Kronisk bronkitis = kompliceres ofte af=20 gentagne bakterielle infektioner i bronkierne (akut=20 bronkitis). Under disse sker der en akut = forv=C3=A6rring af=20 den obstruktive lungesygdom. Der er ogs=C3=A5 stor = risiko for at=20 disse infektioner spreder sig til lungev=C3=A6vet og = giver lungebet=C3=A6ndelse= .=20 Lungebet=C3=A6ndelse kan medf=C3=B8re = =C3=B8del=C3=A6ggelse af lungev=C3=A6v og dermed=20 dannelse af arv=C3=A6v. Dette bevirker, at = gennemstr=C3=B8mningen af=20 blod i lungerne kompromitteres og p=C3=A5 l=C3=A6ngere = sigt, at blodtrykket=20 i lungekredsl=C3=B8bet stiger, hvilket videre = kan medf=C3=B8re=20 h=C3=B8jresidig=20 hjertesvigt. =C3=98del=C3=A6ggelsen af = lungev=C3=A6v kan ogs=C3=A5 medf=C3=B8re=20 lungeemfysem.=20 Desuden er kronisk bronkitis associeret til =C3=B8get = forekomst af=20 lungekr=C3=A6ft.=20 Dette er formodentlig et udtryk for mange =C3=A5rs = rygning, snarere=20 end en egentlig sammenh=C3=A6ng mellem kronisk = bronkitis og=20 lungekr=C3=A6ft. Is=C3=A6r ved meget nedsat = lungefunktion (og=20 KOL) er kronisk bronkitis s=C3=A5ledes forbundet med = en =C3=B8get=20 d=C3=B8delighed. Udviklingen kan dog bremses ved rygestop.=20 Hvis man stopper med at ryge, og sygdommen ikke er alt = for=20 fremskreden, kan man s=C3=A5ledes leve mange =C3=A5r = med kronisk=20 bronkitis og have god livskvalitet uden mange=20 begr=C3=A6nsninger. Se relaterede = artikler: Kronisk=20 Obstruktiv Lungesygdom (KOL) Lungeemfysem <= /U>Rygning=20 og rygestop Forebyggelse=20 af KOL Forebyg=20 KOL med rygestop Forebyg=20 KOL med motion og = v=C3=A6gttab Denne=20 artikel er oprettet p=C3=A5 Sundhedsguiden d. = 12.03.07 Symptomguiden Test=20 dig selv Naturl=C3=A6gemidler =20 Find=20 behandler

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Kronisk=20 Bronkitis

Definition og = =C3=A5rsager

Symptomer p=C3=A5 kronisk = bronkitis

Forholdsregler og = diagnose

Behandling af kronisk=20 bronkitis

Forl=C3=B8b og = komplikationer

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