Purulent bronchitis is an inflammation of the bronchial tree without involvement of the lung tissue in the process, in which the patient is worried about a cough, accompanied by the separation of purulent or purulent-mucous sputum, as reported by the Internet publication for girls and women from 14 to 35 years old Pannochka. net The disease can be both acute and chronic. In the first case, it lasts an average of 10-12 days.. After recovery, the symptoms disappear quickly enough, respiratory discomfort is eliminated, the patient does not present complaints. In the chronic course of bronchitis, cough with sputum bothers the patient for at least 3 months a year, while the disease lasts at least 2 years. Exacerbations alternate with periods of well-being (remission). Their frequency is individual and depends on the severity of the process: from 2-3 times a year to continuous recurrence. In this case, the symptoms of the disease can persist even without exacerbations..

When bronchitis is accompanied by the discharge of purulent sputum, it is called purulent Bronchitis with purulent sputum can occur with obstruction symptoms, then it is called obstructive, or without - simple bronchitis. An obstructive process involves a violation of the patency of the bronchi. This is due to swelling of the mucous membrane, a violation of the formation of bronchial secretions, which becomes abundant, viscous and viscous, and the development of bronchospasm. At the same time, respiratory failure gradually appears: the efficiency of breathing is significantly reduced, oxygen starvation of organs and tissues occurs.

Children are characterized by a high activity of the inflammatory process and the rapid development of complications, so antibiotic therapy should be started as early as possible..

Several external and internal circumstances are responsible for the formation of the disease: infection with pathogenic bacteria or viruses, decreased local immune defense, systematic exposure to risk factors, the presence of chronic diseases of other organs and systems, genetic predisposition, etc..

The activity of the ciliated epithelium of the bronchi decreases. Normally, cilia sweep mucus with dust particles, allergens, bacteria adhered to it. With the development of the disease, the mechanism for removing bronchial secretions becomes untenable.. Mucus stagnates, becomes thick and difficult to separate. Pus in sputum appears as a result of the attachment of a secondary bacterial infection.

The most significant risk factors:.

chronic infections of the throat, nose and sinuses, ear;

active or passive smoking;

alcohol abuse;

frequent pharyngitis, laryngitis, tracheitis;

hereditary predisposition (failure of local immunity, features of the anatomical structure of the bronchi, etc..

living in regions with aggressive climatic conditions (high air humidity combined with low temperatures, an extremely dry climate with a high ambient temperature) or unfavorable environmental conditions;

industrial hazards (contact with varnishes and paints, gasoline vapors, agricultural chemicals, industrial poisons, work at mining and processing plants, in mines, hot shops).

Bronchitis with purulent sputum can form as a complication or be an independent disease. In any case, for the appearance of pus in the bronchial mucus, the attachment of pathogenic microorganisms must occur, therefore, antibacterial drugs must be included in the therapy of the disease.

Acute bronchitis lasts an average of 10-12 days. After recovery, the symptoms disappear quickly enough, respiratory discomfort is eliminated, the patient does not present complaints.

Symptoms of purulent bronchitis The symptoms of the disease are formed from the main manifestations that are characteristic of bronchitis of any form, and from additional, which are caused by the influence of pathogenic bacteria.

Cough with phlegm are the main manifestations of the disease, have different characteristics depending on the type of bronchitis..

If the disease is of a simple acute nature and is not accompanied by bronchial obstruction, the cough will initially be drier, gradually transforming into a moist one.. In this case, the patient coughs up greenish-yellow sputum, often with an unpleasant odor.. Its amount is different - from a few milliliters to 200-250 ml with active inflammation. As you recover, the intensity of the cough decreases, although the residual effects in the form of periodic coughing may bother you for several more weeks..

With obstructive bronchitis, the cough is more painful, hacking, paroxysmal. The patient has difficulty passing sputum: it is not possible to clear his throat for a long time, sometimes up to an hour. The amount of sputum is less than in the usual process, it is thick, viscous, yellow-green, sometimes brownish-green. Breathing becomes hard, wheezing, dry wheezing is heard.

Purulent inflammation of the bronchi is caused by pathogenic bacteria In the chronic course of bronchitis, purulent sputum appears during an exacerbation of the inflammatory process or outside exacerbations, when exposed to aggressive external or internal factors (respiratory infectious diseases, acute stress or chronic psycho-emotional overstrain, seasonal decrease in immune activity, hypothermia, etc.).

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