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First Drug**.
Drugs ** The key to pulmonary interstitial pneumonia is that patients with interstitial pneumonia and cough require a combination of hormones and immunosuppressants in the early stages**. Sputum cultures are examined to identify flora, and appropriate antibiotics are used symptomatically, such as penicillins and cephalosporins. Patients with interstitial pneumonia with alveolar and irreversible interstitial lesions require a combination of glucocorticoids and immunosuppressants**, and the dose is tapered after the patient is stable.
Second, eat a healthy diet.
Patients with pulmonary interstitial pneumonia and cough should eat a light and high-protein diet, and should not eat spicy and greasy foods, otherwise it will increase sputum secretion. Eating a high-protein diet can meet the patient's energy needs and restore the disease as soon as possible. People with severe cough drink more warm water to dilute sputum.
Third oxygen**.
Patients with pulmonary interstitial pneumonia and cough will have hypoxemia, and low-flow oxygen can be continuously inhaled to relieve the symptoms of dyspnea and meet the body's oxygen needs. Severe coughing can also cause symptoms of hypoxemia, dyspnea, and cyanosis, which can be relieved by smoking.
Fourth, life care.
Patients should pay attention to oral hygiene in their daily life to prevent recurrent lung infections. Keep the indoor air fresh and provide a good environment for patients to recover. If you have the ability, you can also do a certain amount of exercise to avoid venous thrombosis or pneumonia caused by long-term bed rest.
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The best way is to go to the pulmonary hospital of a famous university in Beijing or Shanghai and find a senior specialist** to see a doctor. The doctor will give a correct and reasonable plan according to the actual situation.
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Interstitial lung disease is a general term for diffuse lung parenchymal disease, including more than 200 diseases, with different types and methods, and different prognosis. **Mainly by preventing or reducing lung inflammation and pulmonary fibrosis, improving the quality of life of patients and prolonging patient survival. In clinical practice, there are three types of interstitial lung disease regimens: medication, oxygen therapy, and surgery.
Drugs**: Interstitial lung disease or idiopathic interstitial pneumonia caused by autoimmune diseases, mainly through glucocorticoids such as methylprednisolone and prednisone, combined with immunosuppressants**. If fibrosis occurs in the lungs, oral antifibrotic drugs are required.
Interstitial pneumonia caused by viral infection or mycoplasma infection requires targeted use of drugs such as zanamivir and azithromycin according to different pathogenic bacteria**.
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In this case, you can only go to a specialized hospital to **reliable.
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Q: What to do if you have pneumonia? It is still recommended to go to a professional hospital for a check-up, and then carry out symptomatic treatment**.
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Patients with interstitial pneumonia may choose to take corticosteroids such as prednisone**, along with immunosuppressants and antifibrotic drugs. In addition, patients can use traditional Chinese medicine syndrome differentiation** for conditioning, and can use water decoction to take traditional Chinese medicine prescriptions such as Yinqiao San, Ma Xing Shi Gantang or Qingying Tang.
Interstitial pneumonia is actually a relatively serious inflammatory disease of the lungs. Once the disease occurs, the patient may have extremely severe symptoms such as cough, wheezing, and difficulty breathing, and may also have a threat to life safety, and is prone to recurrent attacks. Therefore, it must be accepted as soon as possible**.
So what can be done to cure interstitial pneumonia?
1. Western medicine for interstitial pneumonia**.
1.Glucocorticoids: Patients with interstitial pneumonia can generally take prednisone for **, the specific dosage is 30-40 mg daily, and can be taken in 3-4 doses. If the condition is more severe, intravenous methylprednisolone is required.
2.Other symptomatic drugs: patients can take low-dose immunosuppressants to help control symptoms, mainly oral azathioprine, cyclophosphamide, and tripterygium wilfordii polyglycosides. If there are concurrent episodes of pulmonary fibrosis, you will need to take anti-fibrotic medications**.
2. Traditional Chinese medicine for interstitial pneumonia**.
1.If it is found that it is a wind-heat attack lung type, the patient needs to adhere to the principle of evacuating wind and heat and clearing the lungs to relieve the surface.
Commonly used medicines include honeysuckle, forsythia, bamboo leaves, nepeta, peppermint, light bean drum, burdock root, bellflower, reed root, licorice, etc. If there are symptoms of exuberant internal heat, you can add skullcap and Houttuynia cordata.
2.Evil heat and lung type: Evil heat and lung can often lead to the onset of interstitial pneumonia, and it is necessary to clear lung fever and reduce phlegm and reverse as the main principles**.
It is recommended to use Shui Ma Shiming to decoction Ma Xing Shi Gantang and reed stem soup, which requires the use of Chinese herbs such as ephedra, almonds, raw gypsum, licorice, reed root, winter melon kernels, peach kernels, raw coix seeds and skullcap.
3.Heat-toxin invagination type: If the patient is heat-toxin invagination type, he should take a prescription with the effects of clearing the camp and opening the body, detoxifying and dissolving phlegm, and returning to filial piety to regulate, mainly taking Qingying decoction plus or minus.
The Chinese herbs that need to be used at this time mainly include rhino horn, raw land, scutellaria, wheat winter, salvia, coptis chinensis and honeysuckle.
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Appropriate oxygen inhalation and low-concentration oxygen inhalation for patients with interstitial pneumonia can help improve lung nutrition and stabilize the condition. Enhance the patient's confidence in the disease, avoid the spread of pessimism, etc., and also reduce the patient's anxiety, depression, and disease. Anti-inflammatory drugs, hormones, or cough suppressants** may be used, and should have some effect.
In addition, it is also possible to inhale oxygen to slow down and delay the excess**. Usually pay attention to keep warm, do not disturb the cold. Wear a mask to go to an environment where you don't come into contact with dust.
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Interstitial lung disease is a general term for a large group of diseases, with more than 200 possible causes, but the pathogenesis is also a sclerosis disease. The main pathogen: After the fibroblasts in the lungs are damaged, they spit out collagen fibers frantically, and they will wrap around the alveoli, which restricts the expansion of the alveoli and reduces the amount of inhalation, and a small amount of oxygen in the inhaled air can not be well and smoothly ingested into the alveolar blood vessels, resulting in hypoxia and even respiratory failure.
Diagnosis is mainly based on chest CT, especially high-resolution CT, which can clearly show the manifestations of interstitial lung disease; There is also the diagnosis of **, especially in female patients, rheumatic immune diseases cause lung damage that is mainly manifested by interstitial lung disease. However, there are still many interstitial lung diseases that cannot be identified, so it is difficult to prevent them, so they can only improve immunity and try to avoid inhaling toxic and harmful gases, such as cigarettes.
Interstitial lung disease includes many diseases, some of which have a clear cause, and some of which are diseases whose cause is not clear, the former includes occupational environmental factors, drug side effects, rheumatic immune diseases, independent diseases such as sarcoidosis, etc., and the latter includes a class of diseases of unknown cause, including idiopathic interstitial pneumonia, which has a disease called idiopathic pulmonary fibrosis, which used to be considered to have a survival time of about 2-3 years after diagnosis. It is called lung cancer by many people who are not lung cancer, but in fact, this disease is also divided into different groups of patients, some patients do continue to worsen after diagnosis, lung function will decline to failure within two or three years, and some lung function gradually declines, and the survival time is longer, and some people can get the same survival time as normal people if they are well maintained. The main symptom of this disease is a cough, which is mainly dry, with gradual onset of wheezing, and progressive exacerbation. At present, there are only two drugs that are effective, one is pirfenidone and the other is nintedanib, but they can only slow down the rate of decline in lung function and cannot reverse the disease.
Another large group of interstitial lung diseases is interstitial lung disease caused by rheumatic immune diseases, rheumatic immune diseases are a large group of diseases caused by the invasion of own tissues by the autoimmune system, including rheumatoid arthritis, systemic sclerosis, systemic lupus erythematosus, myositis dermatomyositis and Sjogren's syndrome, etc., these diseases usually cause a series of symptoms outside the lungs, including arthritis, rashes, chapped fingers, dry mouth and dry eyes, etc., the lungs are also organs that are often invaded after the autoimmune system is out of control. The typical change is interstitial lung disease, which is similar to idiopathic interstitial pneumonia on chest CT, but there is a certain difference, in addition to hormones**, immunosuppressive drugs can be added to interstitial lung disease caused by rheumatic immune diseases**, usually effective, and most of them can survive for a long time.
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Interstitial pneumonia is inflammation of the interstitial tissue of the lungs, and it is not a disease, but a general term for a complex group of diseases. It is covered by interstitial lung disease. Injuries from interstitial pneumonia are generally gradual, such as progressive dyspnea, predominantly coughing, dry cough, or hemoptysis in some patients.
Interstitial pneumonia is mostly caused by viruses, mainly adenovirus, respiratory syncytial virus, influenza virus, parainfluenza virus, measles virus, etc., among which interstitial pneumonia caused by adenovirus and influenza virus is more common.
There are many causes of interstitial pneumonia, and the common ones are environmental, occupational, physical and chemical factors, such as frequent exposure to asbestos and mineral dust at work, taking chemotherapy drugs, and inhaling harmful gases. Therefore, for this kind of interstitial pneumonia that can be caused by many reasons, if you want to target, you must clarify it.
You may not think that frequent contact with pigeon droppings, animal fur, moldy dead grass, etc., can easily cause exogenous allergic alveolitis, which can lead to interstitial pneumonia. In addition, some rheumatological diseases (systemic lupus erythematosus, dermatomyositis, scleroderma, rheumatoid arthritis, Sjögren's syndrome, etc.) can be accompanied by interstitial pneumonia. There are also some manifestations of interstitial pneumonia of unknown cause called idiopathic interstitial pneumonia, including idiopathic interstitial pneumonia and relatively rare non-specific interstitial pneumonia and cryptogenic organizing pneumonia.
Some diseases are misdiagnosed as interstitial pneumonia, and the initial diagnosis of interstitial pneumonia is through chest x-ray and lung CT, in fact, pulmonary interstitial changes on chest x-ray or CT film are not necessarily pulmonary interstitial fibrosis or pulmonary interstitial disease, many lung diseases can lead to pulmonary interstitial changes, such as pulmonary tuberculosis or pneumonia will be left after recovery.
In addition, chronic cardiac insufficiency, chronic obstructive pulmonary disease, bronchiectasis, pulmonary small vessel vasculitis, etc., can cause similar interstitial lung changes, which are sometimes misdiagnosed as interstitial pneumonia. Therefore, although the chest x-ray can be preliminarily seen, it is not necessarily interstitial pneumonia.
Some patients with interstitial pneumonia are caused by environmental factors, and the condition can be relatively stable for a long time after being detached from the corresponding environment. There are also some types of interstitial lung diseases (such as sarcoidosis, etc.), which can be significantly improved or even cured after **. It can be seen that for interstitial pneumonia and pulmonary interstitial disease, it is very important to be targeted and clear.
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Interstitial pneumonia is a large category of interstitial lung diseases, which is a disease that mainly damages the interstitial lung (alveolar septum), mainly caused by inflammation and fibrosis of the lung interstitium, so it is also often called pulmonary fibrosis or pulmonary interstitial fibrosis. The interstitium is a loose mesh of tissue that is found throughout the lungs and provides space for the alveoli. There are tiny blood vessels that cross the interstitium to allow for the exchange of gases between the blood and the lungs.
In layman's terms, interstitial pneumonia or pulmonary fibrosis is the replacement of normal lung interstitial tissue by scar tissue after injury, just like scar tissue is replaced by scar tissue after injury, once fibrotic scar is formed, it is usually irreversible.
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There are many types of interstitial pneumonia, most of which are caused by inflammation, and it is possible to take medications. If the patient is due to idiopathic pulmonary interstitial fibrosis, it is more difficult to get up, and the doctor should be diagnosed at the time, and the type of interstitial pneumonia is then symptomatic, but some patients are caused by viruses, which are also infectious, and the use of antiviral drugs can control the condition. Interstitial pneumonia can be removed**, medications**, symptomatic**, lung transplantation**.
Interstitial pneumonia should be active, relatively complex, and the specific methods are as follows.
1. Removal, for known amalgamation, try to remove it, mainly to get rid of the relevant dust occupational environment, stop drugs that can cause pulmonary fibrosis such as amiodarone, bleomycin, etc., to avoid radiation damage, connective tissue diseases, etc.
2. Drugs**, will have an effect on interstitial pneumonia with alveolitis-based lesions, can improve symptoms and improve lung function, and has basically no effect on cases of extensive interstitial fibrosis, and can use large doses of hormone shock in the acute stage**, all of which are methylprednisolone, and gradually changed to oral after intravenous application, with a total course of not less than one year, and immunosuppressants, such as azathioprine, cyclophosphamide, etc., The antifibrotic drug than fenidone can slow the deterioration of lung function or reduce the frequency of exacerbations to some extent.
3. For symptomatic **, it is recommended to use antibiotics for secondary infection**, expectorant for those with more phlegm**, oxygen inhalation, assisted ventilation, and ventilator for respiratory failure**, the effect is not necessarily ideal.
4. Lung transplantation**, diffuse lesions of both lungs, drugs**, its**ineffective, consider lung transplantation**.
Interstitial pneumonia (LID) is a general term for a group of heterogeneous non-neoplastic and non-infectious lung diseases with varying forms and degrees of inflammation and fibrosis in the lung interstitium, alveolar wall, and alveolar cavity as the main pathological changes. The main symptoms are dyspnea, cough, and a few have hemoptysis, chest pain, stridor, and pneumothorax, and it is recommended to go to the hospital for relevant examinations.
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There are no special dietary requirements for interstitial pneumonia, and it is recommended that patients with poor nutritional status be actively given supplemental nutrients, including fat, protein, carbohydrates, and sugars. If the patient with chronic cor pulmonale, the patient will have gastrointestinal congestion, it is recommended to use some nutritious and easy-to-digest food, you can eat some liquid or semi-liquid diet in moderation, such as eggs, milk, yogurt, chicken soup, fish soup and other high-protein, and contain a variety of vitamins and trace elements of the food to supplement the needs of the human body, patients also need to eat more fresh vegetables and fruits to supplement sufficient vitamins and dietary fiber to moisten the intestines. In addition, if there is diabetes or heart, liver and kidney insufficiency, patients should strictly follow the doctor's instructions to pay attention to their diet and avoid aggravating the underlying diseases with improper diet.
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It is recommended that you take traditional Chinese medicine**, which is to use medicine according to symptoms and treat dialectically. Patients with different diseases need to take different Chinese medicines, so the variety and quantity of Chinese medicines should have their own characteristics. The main role of traditional Chinese medicine is to clean up the garbage in the lungs and regulate the function of the lungs, which has a certain effect, but it can only alleviate certain symptoms, and cannot be fundamental. >>>More