Chronic Bronchitis
Također poznato kao: Canine chronic bronchitis, Feline bronchitis (idiopathic), Idiopathic chronic bronchitis
Ukratko
Chronic bronchitis is a long-term inflammatory disease of the lower airways in dogs and cats that causes a persistent cough lasting for months. While it cannot be cured, conscientious medical care can control symptoms and provide your pet with an excellent quality of life.

TL;DR. Trajna, neizlječiva upala donjih dišnih putova s dnevnim kašljem ≥2 mjeseca; dobro se upravlja lijekovima i kontrolom okoliša.
Pogađa uglavnom bronhe duboko u plućima.
Što je to?
Dugotrajna upala bronha s oticanjem, prekomjernom sluzi i poremećajem cilija. Dijagnoza isključivanja: kašalj većinu dana ≥2 mjeseca nakon isključivanja drugih uzroka.
Uzroci i čimbenici rizika
Idiopatski; iritansi (dim, aerosoli, prašina), alergeni, prethodne infekcije. Refluks moguć, slabo dokumentiran.
"Gastroesophageal reflux is a common cause of chronic cough in people. Documentation in dogs and cats is limited."
Srednje/starije životinje; preklapanje s mačjom astmom.
Znakovi
- Kašalj (kardinalni): glasan, hrapav, često s gaganjem
- Česti: krepitacije, intolerancija napora, pojačani disajni šumovi
- Povremeni: zviždanje, dispneja (hitno), endekspiratorni klikovi
"Dogs with chronic bronchitis are evaluated because of loud, harsh cough. Mucus hypersecretion is a component of the disease, but the cough may sound productive or nonproductive. The cough has usually progressed slowly ov"

Istezanje vrata pri hrapavim napadajima kašlja je tipično.
Dijagnoza
Rtg toraksa (bronhijalni uzorak), ehokardiografija, test dirofilarioze, feces, ponekad bronhoskopija i ispiranje/kultura.

Rtg često pokazuje zadebljane bronhijalne stijenke.
Liječenje
Glucocorticoids (oralno ili inhalacijski) kao osnova. Antibiotici pri sekundarnoj infekciji: Doxycycline, Orbifloxacin. Bronhodilatatori: Theophylline. Antitusici (Hydrocodone) oprezno kod suhog kašlja. Sedacija (Acepromazine) kod paničnog kašlja. Hidracija, para/nebulizacija.
"Doxycycline is often recommended because Mycoplasma and many Bordetella isolates are susceptible to this drug. It may confer an additional benefit of mild antiinflammatory properties."
Prognoza
Doživotno, ali dobra kvaliteta života uz dosljedno upravljanje.
"The prognosis for the control of signs and for a satisfactory quality of life in animals is good if owners are conscientious about performing the medical management aspects of care and are willing to adjust treatment over time and treat secondary problems as they occur."
Prevencija
Bez dima, malo aerosola, malo prašnjav pijesak, prsluk umjesto ovratnika, težina, cjepiva.
Kada zvati veterinara
Hitno: cijanoza; disanje na usta (mačka); trbušno disanje; ispružen vrat/laktovi rašireni; kolaps.
Izvori
- Internal Medicine, 5th Edition, pages 334, 335, 336, 338.
My highlights & notes
Znakovi i simptomi
Kako se dijagnosticira
- Bronchoscopy
- Echocardiography
- Fecal examination
- Heartworm testing
- Thoracic radiography
- Tracheal wash or BAL culture
Pristupi liječenju
Liječenje mora propisati licencirani veterinar. Specifične doze namjerno nisu prikazane.
Česta pitanja
What is Chronic Bronchitis?
Chronic bronchitis is a long-term inflammatory disease of the lower airways in dogs and cats that causes a persistent cough lasting for months. While it cannot be cured, conscientious medical care can control symptoms and provide your pet with an excellent quality of life.
What are the symptoms of Chronic Bronchitis?
Cough、Crackles、Tiring easily during activity、increased breath sounds、Difficulty breathing、Wheezes、end-expiratory clicks
How is Chronic Bronchitis diagnosed?
Bronchoscopy、Echocardiography、Fecal examination、Heartworm testing、Thoracic radiography、Tracheal wash or BAL culture
How is Chronic Bronchitis treated?
Liječenje mora propisati licencirani veterinar. Specifične doze namjerno nisu prikazane.
Izvori
- Internal Medicine 5th · p. 338
- Internal Medicine 5th · p. 338
- Internal Medicine 5th · p. 335
- Internal Medicine 5th · p. 336
- Internal Medicine 5th · p. 334
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