Pulmonology the specialty of clinical medicine focused on the disease study, diagnostics and treatment of lungs, pleura and respiratory ways: trachea and bronchi.
- Bronchial asthma;
- allergic bronchopulmonary aspergillosis;
- Respiratory distress (acute and chronic);
- Acute and chronic bronchitis; Pneumonia;
- Chronic cough;
- Pulmonary emphysema;
- Obstructive sleep apnoea;
- Neoplasms in lungs, pleura and respiratory ways; I
- nterstitial pulmonary disease;
- Bronchiectatic disease;
- Respiratory sarcoid;
- Nonspecific pleuritisl;
- Thromboembolism of pulmonary artery;
The process of examination and treatment of the diseases of bronchopulmonary diseases involves the following techniques:
The key methods of radiologic diagnostics: chest X-ray, lung SCT, lung SCT with bolus enhancement - pulmonary artery angiography.
The wide range of functional diagnostic techniques: Spirography the most widespread pulmonary investigation. This method identifies the presence of bronchial obstruction (bronchial spasm) in patient and makes it possible to assess the pattern of air circulation in lungs. In the course of spirometry the doctor, for instance, can check the maximum air volume. You can exhale after deep breath; How fast can you exhale; What is the maximum air volume you can inhale and exhale for a minute. What is the residual air volume in lungs after standard exhale?
Spirography with bronchodilatatory probes – the test with bronchial spasmolytic to determine the reversibility of bronchial spasm, the ability of spasm relief and assistance during seizures with the use of medical agents which exert impact on bronchial smooth muscles.
Body plethysmography is the fuctional test in a certain degree similar to spirometry, though body plethysmography is more informative. Body plethysmography enables the determination of both bronchial patency (bronchial spasm) as in spirometry and to estimate the lung volume, trapped air (due to increased residual volume), which may indicate the presence of pulmonary emphysema.
Somnographic investigations — pulseoxymetry and polysomnography. If the patient suffers from snoring followed by respiratory standstill, day-time drowsiness (having normal sleep duration at night), it is necessary to clear out if the given respiratory standstills are associated with oxygen pull-down in blood, which may result in impaired brain, heart activity, inclusive of the major complications, such as myocardial infarction, stroke.
In the presence of indications there takes place the implementation of ultrasound diagnostic methods — ultrasound investigation of heart, pleural cavities, intermediate glands.
The methods of endoscopic diagnostics — fibrobronchoscopy (FTBS) with the sampling of bronchial washings for microbiological, viral, cytological investigations in pyoinflammatory processes, we also use therapeutic techniques with the use of antiseptic solutions, local antibiotics to accelerate the period of recovery in lingering bronchitis, bronchiectatic disease and other states. In order to reduce negative sensation during the performance of the investigation, the procedure of bronchoscopy can be paired with the medication sleep.
Pulmonologists conduct advisory reception of patients older than 18.