Thursday, July 19, 2018

Chronic Obstructive Pulmonary Disease

Chronic obstructive pulmonary disease (COPD) develops slowly
over many years sometimes before you notice symptoms such as
“feeling short of breath.” Cigarette smoking is the most common
cause of COPD. It can also be caused by breathing in lung
irritants like pollution, dust, or chemicals over a long period
of time.
Lungs diagram detailed
Chronic obstructive pulmonary disease is usually diagnosed in
people 40 years old or older, and is a major cause of death and
illness throughout the world. In the U.S.A., chronic obstructive
pulmonary disease is the 4th leading cause of death. There is no
cure for chronic obstructive pulmonary disease. It is not a
contagious disease.  Damage to airways and lungs cannot be
reversed. There are only things you can do to feel better and
slow the damage to your lungs.

In a healthy person airways of the lungs are clear and open and
the air sacs are small, elastic, and springy. In people
diagnosed with chronic obstructive pulmonary disease, the
airways and air sacs lose their shape and become floppy.

Causes of chronic obstructive pulmonary disease include:

•Cigarette smoking (most common cause)
•Breathing fumes and other pollutants that irritate and damage
the lungs and airways
•Pipe, cigar and other types of tobacco smoking can cause COPD
especially if the smoke is inhaled.
•People with a family history of COPD are more likely to get the
disease if they smoke
•Secondhand smoke plays a role in causing COPD
•Frequent, severe lung infections in childhood may increase the
risk for acquiring COPD later in life

Symptoms of chronic obstructive pulmonary disease start years
before the flow of air in and out of the lungs is reduced and
include:

•Cough with sputum production (most common is a cough that does
not go away and coughing up lots of sputum)
•Shortness of breath especially with exercise
•Wheezing or whistling sound when you breathe
•Tightness in the chest

It is important to note that not everyone who has a cough and
sputum goes on to develop chronic pulmonary obstructive disease.


A doctor looking for chronic pulmonary obstructive disease will
examine you, listen to your lungs and ask you questions about
your medical history. Physician questions will include what kind
of lung irritants you may have been around for long periods of
time and if you smoke.

A breathing test called “spirometry” may be used. It is painless
and used to show how well your lungs work. Based upon this the
spirometry test results, your doctor can determine if you have
chronic pulmonary obstructive disease and just how severe it is.
There are four levels of chronic pulmonary obstructive disease
severity, they are:

•People at risk for COPD
•People with mild COPD
•People with moderate COPD
•People with severe COPD

Goals of treatment of chronic obstructive pulmonary disease
include:

•To relieve symptoms with no or minimal side effects from the
treatments
•To slow progress of chronic obstructive pulmonary disease
•To prevent complications from the disease
•To improve overall health

The exact treatment plan for chronic obstructive pulmonary
disease can be different for each person and is based on whether
symptoms are mild, moderate or severe.

Treatments used for chronic obstructive pulmonary disease
include:

•Medications such as bronchodilators that work by relaxing the
muscles around the airways to open them up and make it easier to
breathe. Bronchodilators are inhaled directly into the lungs via
an inhaler
•Pulmonary or lung rehabilitation
•Oxygen treatment
•Surgery
•Treatments to manage complications or sudden onset of symptoms
•Pneumococcal vaccine may be recommended to prevent pneumonia
•Annual flu shot to avoid breathing complications from the flu

Surgery is usually done for patients with severe symptoms that
do not improve from other types of treatments, and have a hard
time breathing most of the time. The two types of surgery that
are considered in cases of severe chronic obstructive pulmonary
disease are:

•A bullectomy to remove a large air sac that may compress a good
lung
•A lung transplant

Hospitalization may be needed if:

•You have a lot of difficulty catching your breath
•You have a hard time talking
•Your lips or fingernails turn blue or gray

Source: The American Lung Association

Disclaimer: These statements have not been evaluated by the Food
and Drug Administration. The information in this article is not
intended to diagnose, treat, cure or prevent any disease. All
health concerns should be addressed by a qualified health care
professional.

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