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Prevention of Bronchiectasis in the Elderly
Prevention of Bronchiectasis in the Elderly
China has taken a series of public health measures to prevent diseases and promote health. The following preventive measures should be taken against this disease.
First of all, carry out health education, improve the immune level of the population, prevent diseases and carry out vaccination in an organized way. Eliminate inducing factors; Improve health, improve disease resistance, pay attention to reasonable nutrition and diet; Regular physical exercise to cultivate good behavior and lifestyle; Maintain a good attitude and social adaptability. Environmental protection: Take protective measures for the atmosphere, water sources, soil and food, formulate environmental protection laws and regulations and hygiene standards, create and maintain a natural and social environment beneficial to physical and mental health, and reduce pathogenic factors. After 1992, China formulated "China Agenda 21", which ensured the implementation of sustainable development strategy in China and made people gradually realize the importance of the relationship between human survival and environmental protection.
Secondly, we should do a good job in preclinical prevention, that is, do a good job in early detection, early diagnosis and early treatment in the early stage of the disease, so as to control the development and deterioration of the disease, prevent the recurrence or chronic disease, and carry out regular health examination, early detection and diagnosis. Such as measles, whooping cough, BCG vaccine vaccination. Tuberculosis patients should be isolated and treated early, and antibiotics should be used rationally under the guidance of doctors. To treat chronic paranasal sinusitis and tonsillitis, pay attention to prevent foreign bodies from inhaling into trachea, and take them out immediately through fiberoptic bronchoscope once they are found.
Prevention and treatment of bronchitis. For sick patients, we should prevent or reduce the occurrence of respiratory tract infection, keep respiratory tract unobstructed and sputum drainage, and use antibiotics reasonably. Patients with limited lesion location and poor medical treatment effect of repeated hemoptysis should be treated by surgical resection.
Risk factors and intervention measures: In terms of physiological function, with the increase of age, the organ function of the elderly gradually decreases, and the role of the body's regulatory mechanism decreases. Respiratory physiology is manifested in weakened defense reflex, Such as cough reflex, Cell-mediated immunity decline, The movement of bronchial cilia is weakened, Thereby increasing the chance of respiratory tract infection, Weakened elasticity of lung and thorax leads to weak reduction of elastic gyrus of thorax and lung, collapse of alveoli around lung, increase of anatomical shunt, imbalance of ventilation and blood flow ratio, increase of airway resistance, uneven distribution of gas, fibrosis of lung tissue in the elderly, decrease of capillary bed and diffusion volume, all of which lead to decline of respiratory function, hypoxia and defense function. Psychologically, due to the changes of family and social environment in old age, there will be behavioral disorders of different natures, such as loneliness, paranoia, inferiority complex, depression, emotional instability and so on.
The establishment of care and security organizations in the whole society and the implementation of all-round care are not limited to diseases, but should take into account the influence of material, spiritual, social and natural environment and other factors, including the whole happy life of the whole elderly, including organizing the elderly to carry out various cultural and sports activities beneficial to their physical and mental health, mutual assistance and mutual aid activities, etc.
Community intervention: First of all, establish and improve the health records and system management of the elderly, According to the differences in health status and quality of life of the elderly in the community and the different service contents required, To investigate it, And scientifically analyze and evaluate the data obtained from the investigation, On this basis, establish health records for the elderly, At the same time, through the registration and health examination of the elderly in the community, different medical care monitoring are given to their self-care ability and different age and illness conditions, and a series of continuous health care measures are provided from health education, psychological consultation to hospitalization and outpatient treatment, daily life care and so on. At the same time, establish and improve the social health care network for the elderly. Community elderly system management needs the support and cooperation of all social departments, community doctors should bear the main responsibility, and need to cooperate with health and non-health departments in the community to establish and improve the community health care network for the elderly. In addition to the Ministry of Health, governments at all levels, from the central to local, have set up offices for the elderly to coordinate and support the elderly health care work.
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