Chronic Obstructive Pulmonary Disease (COPD) refers to a set of progressive lung diseases that can cause mild to severe breathing problems.
COPD includes the following basic diseases:
Emphysema: This affects the alveoli, which are small sacs found at the end of bronchioles. They are the basic unit of respiration responsible for getting oxygen into our bloodstream and removing carbon dioxide. In emphysema, the alveoli become thinned out, and the walls are damaged. As a consequence, the alveoli can no longer support the bronchial tubes, which collapse and cause an obstruction. Due to this, the air is then trapped in the lungs, making it hard for the old air to move out and new air to move in. Hence, oxygen is harder to get in and carbon dioxide is harder to move out.
Chronic bronchitis: Chronic bronchitis is caused by an inflammation of the bronchial tubes. The inflammation causes the build of mucus, which leads to persistent coughing and difficulty breathing.
Refractory asthma: This type of asthma is different from usual type asthma because medication cannot reverse the tightening of the airways.
The main causes are as follows:
Smoking: This is the single most common, and most influential cause. COPD is known to occur most often in individuals over the age of 40, who have a history of smoking.
Environmental factors: Exposure to specific chemicals such as welding fumes or coal dust as well as long term exposure to secondhand smoke.
Genetic factors: Deficiency of Alpha-1-antitrypsin has been known to cause COPD in certain cases. Additionally, some genetic factors make smokers more prone to getting COPD.
The main symptoms associated with COPD are:
These may be accompanied by blueness of your lips/fingernails or unintended weight loss.
COPD is diagnosed in the following way:
Spirometry: This is a simple test that is often use to diagnose COPD, and its severity. To perform this test, you will be asked to blow out with all your strength into a mouthpiece connected to the spirometer. The machine measures the Forced Expiratory Volume (FEV1) and Forced Vital Capacity (FEV6/FVC) which are measured in the first second, and the the first 6 seconds respectively. Using these units, your doctor can determine what stage of COPD you belong to.
A CT scan/X-ray is done to look at your lungs in more details. This is done to rule out any other causes of your symptoms. Blood tests: To rule out other disease that may cause similar symptoms. A blood test may also be done to check for an alpha-1-antitrypsin deficiency.
COPD is usually treated with medication, the different types including the following:
In smaller cases, surgery may be recommended:
Lung transplant: It is a major operation, and has significant risks and life-long care associated with it. But, it can drastically improve your breathing ability.
Lung volume reduction surgery: In this surgery, the surgeon removed pieces of damaged tissue. This allows the leftover healthy tissue to expand and consequently improve your ability to breathe.
Bullectomy: When alveoli are damaged, large air spaces known as bullae are created in your lungs. During a bullectomy, the surgeon will remove the bullae to improve air flow through your lungs.
Pulmonary rehabilitation: You will work with a team of medical specialities that will design a rehabilitation program which will be a combination of exercises, nutritional advice and education. The aim is to improve your symptoms based on an individualized approach, that will supplement your pharmacological treatment.
Oxygen therapy: You may be offered supplemental oxygen in case you do not have enough oxygen in your blood. This can be done through several devices, many of which are portable.
As the name suggests, COPD is a progressive disease. But, when diagnosed at the right time and with a combination of pharmacological and rehabilitation it can be managed to a large degree. Making a major lifestyle change especially cutting out smoking, eating healthier and having some kind of activity will be a large part of your recovery process. If you are struggling with your mental health, be it following the diagnosis or during the course of the treatment, do not hesitate to get in touch with a counselor or a doctor or speak open to your family and friends. Lastly, feel free to always discuss more options with your doctors, there are always developments in the field of medicine which could be of help to you.
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