Chronic Obstructive Pulmonary Disease

Chronic Obstructive Pulmonary Disease (COPD)

Chronic obstructive pulmonary disease, commonly referred to as COPD, is a group of progressive lung diseases. The most common of these diseases are emphysema and chronic bronchitis. Many people with COPD have both of these conditions. Emphysema slowly destroys air sacs in your lungs, which interferes with outward air flow. Bronchitis causes inflammation and narrowing of the bronchial tubes, which allows mucus to build up. It’s estimated that about 30 million people in the United States have COPD. As many as half are unaware that they have it. Untreated, COPD can lead to a faster progression of disease, heart problems, and worsening respiratory infections.

What are the symptoms of COPD?

COPD makes it harder to breathe. Symptoms may be mild at first, beginning with intermittent coughing and shortness of breath. As it progresses, symptoms can become more constant to where it can become increasingly difficult to breathe. You may experience wheezing and tightness in the chest or have excess sputum production. Some people with COPD have acute exacerbation's, which are flare-ups of severe symptoms.occasional shortness of breath, especially after exercise mild but recurrent cough needing to clear your throat often, especially first thing in the morning You might start making subtle changes, such as avoiding stairs and skipping physical activities.

What causes COPD?

Most people with COPD are at least 40 years old and have at least some history of smoking. The longer and more tobacco products you smoke, the greater your risk of COPD is. In addition to cigarette smoke, cigar smoke, pipe smoke, and secondhand smoke can cause COPD. Your risk of COPD is even greater if you have asthma and smoke. Other causes You can also develop COPD if you’re exposed to chemicals and fumes in the workplace. Long-term exposure to air pollution and inhaling dust can also cause COPD. In developing countries, along with tobacco smoke, homes are often poorly ventilated, forcing families to breathe fumes from burning fuel used for cooking and heating. There may be a genetic predisposition to developing COPD. Up to an estimated 5 percentTrusted Source of people with COPD have a deficiency in a protein called alpha-1-antitrypsin. This deficiency causes the lungs to deteriorate and also can affect the liver. There may be other associated genetic factors at play as well.

Treatment for COPD

Treatment can ease symptoms, prevent complications, and generally slow disease progression. Your healthcare team may include a lung specialist (pulmonologist) and physical and respiratory therapists. Oxygen therapy If your blood oxygen level is too low, you can receive supplemental oxygen through a mask or nasal cannula to help you breathe better. A portable unit can make it easier to get around. Surgery Surgery is reserved for severe COPD or when other treatments have failed, which is more likely when you have a form of severe emphysema. One type of surgery is called bullectomy. During this procedure, surgeons remove large, abnormal air spaces (bullae) from the lungs. Another is lung volume reduction surgery, which removes damaged upper lung tissue. Lung volume reduction surgery can be effective at improving breathing, but few patients undergo this major, somewhat risky procedure. Lung transplantation is an option in some cases. Lung transplantation can effectively cure COPD, but has its many risks.
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