Inflammation of the bronchioles, the smallest ramifications of the respiratory tree.
They transport the air from the greater bronchial conduits to the microscopic air bags where the gas interchange takes place in the lungs.
It is an affection of small children (smaller of six years).
The bronquiolitis can be confused with objects inhaled lodged in a lung of the boy.
Prognosis
With treatment, usually it is cured in 7 days.
The investigations indicate that the children with more than 2 episodes of bronquiolitis before the 2 years are more prone to develop to allergies and asthma.
Complications
Permanent pulmonary damage that produces a chronic bronchitis;
the collapse of a small part of the lung (atelectasia),
bronquiectasis,
pulmonías recurrent and,
rarely, pulmonary disease obstructiva chronicle.
Diagnosis and treatment
Diagnosis
File and physical examination by a doctor.
Analysis of blood.
X-rayses of the lungs.
General measures
Maintain the humidity in the room of the possible highest boy by means of a vaporizer.
If it does not have a vaporizer, it lets run cold water or it warms up in the bath with the closed windows to produce the necessary humidity.
Maintain to the boy in the cockpit 20 minutes several times to the day, specially before laying down it.
If during the night the boy awakes jadeando or with problems to breathe, the process repeats.
It will help him to breathe something of fresh air.
Medication
The doctor can prescribe antibiotic to fight the infection by bacteria.
In other cases with mucolíticos and expectorantes it can be sufficient.
Activity
The boy must rest up to 48 hours after they have sent the symptoms.
Later, it can return gradually to its normal activities.
Diet
Give the liquid boy frequently:
Water, tea, carbonic drinks, clear lemonade, broths, juice of fruits diluted or gelatin.
It does not give milk him, could thicken mucous secretions.
Warn its doctor if:
To the 4 hours they do not improve the symptoms in spite of the treatment.
The temperature (rectal) raises 38º more or.
They increase the difficulties respiratory.
There is cough with flemas colored.
The skin, lips or nails become from dark blue color.
The boy becomes sleepy itself.
Prevention
Use a fresh water vaporizer in the room of the boy all the nights during and after a respiratory infection in the cases of children prone to the bronquiolitis.
Avoid by means of monitoring any activity that could cause the attacks of the boy, like the physical games in fresh time.
Reduce the exhibition of the boy to groups of people, specially other children, to avoid the resfriados ones.
Factors of risk
Disease that reduces the resistance, mainly the respiratory infections.
Familiar antecedents of allergies.
Infantile obesity.
Signs and symptoms
Sudden respiratory difficulty, preceded generally by a slight common cold with cough, and is characterized by:
Sibilancias (pitidos).
Superficial and fast breathing (60 to 80 times per minute).
Retraction of the chest and the abdomen when breathing.
Fever (occasionally).
Dehydration.
Bluish skin, nails or lips (in serious cases).
Causes
Infection by virus or bacteria, or a combination of both.
Some children present/display this affection after each cold.
The bronquiolitis is contagious and it is made epidémica frequently.