22/12/14

Chronic Obstructive Pulmonary Disease

Chronic Obstructive Pulmonary Disease (COPD English acronym) is very common in Vietnam and worldwide. COPD is a chronic inflammation of the airways caused by exposure to harmful elements from the environment led by tobacco, dust, smoke and pollution.

Chronic inflammation has been swollen airways, then fibrosis, excessive salivation and bronchial smooth muscle contraction as airway obstruction, the walls of the alveoli are destroyed as the alveoli stretch unusual cause gas accumulation in the lungs.
Typical symptoms of COPD are coughing up phlegm lasting white mucus in the morning, dyspnea on exertion, disease progression over time with the severe acute cough, purulent phlegm, dyspnea increased. The test helps diagnose COPD is signed Respiratory do bronchodilator test. COPD progression of chronic progressive growing up, can not be completely cured, but treatment can relieve symptoms, prevent progression of the disease, improve exercise capacity, improve quality of life, reduce exacerbations and mortality. Go see a doctor soon to be doctor, Respiratory Measurement signed, participating combination therapy include prevention of COPD risk factors including smoking cessation, flu shots, pneumonia shots, using use bronchodilators, inhaled anti-inflammatory drugs, respiratory rehabilitation, using oxygen therapy at home and surgical intervention can reduce lung capacity when specifying the path properly treat COPD.

The common symptoms of COPD when?

The first symptom of COPD patients is prolonged cough sputum in the morning. Patients often do not notice and that this is a normal symptom of tobacco as patients do not seek medical subjective. However, some patients do not have symptoms of COPD sputum cough lasts.
The next symptom is shortness of breath on exertion. Shortness of breath on exertion first appeared when patients go up the stairs, going fast on road, then go slower than people of the same age. Patients with COPD often unconsciously change to prevent movement and work for their cause shortness of breath. Even when patients appear dyspnea on exertion they can not visit doctor because I thought it was normal due to old age. And when patients visit the usual BS respiratory function has diminished substantially.
The next symptom is the time to exacerbation of COPD patients breathe more difficult, more sputum, opaque color. This acute attacks increasingly more, closer, longer time.
Systemic symptoms appear gradually as more severe COPD.
+         Weight loss, weight loss, cachexia due mainly to lose lean body mass.
+         Atrophy of skeletal muscle due to the phenomenon of self-destruction of cells and by the estate, as contributing to aggravate the patient's dyspnea.
+         Osteoporosis inflammatory processes in the body, caused by prolonged use of corticosteroids.
+         Depression.
+         Anemia small class identity, class inflammatory cells.
+         Increased risk of cardiovascular diseases such as myocardial ischemia, myocardial infarction.
Clinical symptoms of COPD is very diverse and progresses silently, patients often have to visit to the doctor when sick severe respiratory function should have lost a lot of GOLD (COPD management organizations globally) gave the symptoms suggestive of COPD and advised people to have these symptoms, they must have a doctor for examination and respiration signed definitive diagnosis of COPD:
+         Is or ever smokers.
+         Age> 40.
+         Cough.
+         Sputum lasts.
+         Shortness of breath than people of the same age.
Respiration is up standard test for diagnosing COPD.
+         Case, respiratory sign indicates airway obstruction is not fully restored after bronchodilator test methods.
Waste close up can help diagnose COPD and assess the status of alveolar gas retention, however, due to high costs should not be used regularly.
X-rays can be seen in COPD emphysema images, in addition to eliminate other diagnostic symptoms such as asthma, tuberculosis, lung cancer.
Testing of arterial blood gases can see the status hypoxemia, increased carbon dioxide in severe cases.
 

   

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