Chronic bronchitis is a prolonged problem occurring as a result of
swelling of bronchi, which leads to increased production of mucous
hindering the airflow into the respiratory system. To be classified
chronic bronchitis certain fixed criteria have to be adhered to
these are:
-For two years consecutively cough with expectoration for at least
of a period exceeding three months.
-Different lung pathologies must have been carefully examined.
The most common problem that a person is affected with is the
shortness of breath so much so that it affects activities of daily
living.
One of the major factors leading to chronic bronchitis is smoking,
and smokers have a high incidence of the same. In the early stages
of the disease, the patient suffers from morning cough, but as the
pathology of the disease manifests chronic is afflicted with
prolonged bouts of cough with expectoration of mucus. This
occurrence commonly] is known as smokers cough.
In the initial stages of the disease the larger bronchi are
affected, but in time even the smaller bronchi are affected. As the
chronic bronchitis reaches this stage the patient's VP ratio
(ventilation perfusion ratio) balance is disturbed i.e the ratio
between inspiration and air breathed out. The results of this
abnormal VP ratio lead to various conditions like insufficient
concentration of mixed oxygen in blood or hypoxemia leading to
further complications like heavy breathing which if not corrected
eventually leads to cor pulmonale.
When compared to acute bronchitis chronic bronchitis as the name
suggests is a grave condition, the patients suffering from acute
bronchitis cured by antihistamines and antibiotics but the same
cannot be said chronic bronchitis because of enhanced
susceptibility of reoccurring bacterial and fungal infections.
Hence the patients suffering from chronic bronchitis are advised to
take care of themselves and inform about the minutest of
difficulties and get admitted into the intensive care units of
hospitals till the condition improves.
As the disease progresses there is decreased ciliary motility
therefore the difficulty in coughing out the mucous, this coupled
with swelling of bronchi leads to decreased protection against air
borne and droplet germs.
Chronic bronchitis is a complex disease often occurring in tandem
with other respiratory ailments like emphysema and asthma. And in
advanced stages of chronic bronchitis coupled with emphysema there
is an overall reduction in the dead space volume and the condition
may lead to blue bloaters in which the overall skin has a bluish
tinge or cyanosis for want of oxygen.
Chronic bronchitis as a respiratory condition grows slowly but
unfortunately it has no cure and the only treatments are directed
in direction of relieving of presenting symptoms.
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The Definition of Chronic Bronchitis, please
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Date Published: Feb 11, 2009 - 3:07 pm