简要内容:专家指出,鉴于吸烟对呼吸系统的伤害,烟民患COPD的几率是其他人群的十几倍,慢性咳嗽是他们患病的早期症状,因此长期吸烟和被动吸烟者一旦一年中出现慢性咳嗽三个月以上,应主动到医院做肺功能检查,以早期发现COPD并早期接受正规治疗,能有效延缓疾病发展,大大提高老年后的生活质量和健康水平。 |
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COPD治疗的关键在于早发现早接受正规治疗。但由于该病进程缓慢,容易被忽视。肺功能检查是确诊COPD的金标准。只需要受检者在医生指导下对着肺功能仪吹几口气,其结果能够客观评价气道阻塞程度。
随着社会对慢性阻塞性肺疾病(简称COPD)的认识不断深入,每年各医院都会在感冒患者中发现不少早期COPD患者,这些患者90%以上是45岁左右的中年烟民。他们往往没有明显的胸闷憋气,而是有多年的慢性咳嗽,只是因感冒后出现了较为严重的咳喘才在就医中被确诊为COPD。
专家指出,鉴于吸烟对呼吸系统的伤害,烟民患COPD的几率是其他人群的十几倍,慢性咳嗽是他们患病的早期症状,因此长期吸烟和被动吸烟者一旦一年中出现慢性咳嗽三个月以上,应主动到医院做肺功能检查,以早期发现COPD并早期接受正规治疗,能有效延缓疾病发展,大大提高老年后的生活质量和健康水平。
COPD具有高致死率
与艾滋病并列第四
据专家介绍,COPD是一种具有呼吸气流受限特征的疾病,会逐渐削弱患者的呼吸功能。其典型症状为慢性咳嗽、咳痰、胸闷气短、呼吸困难等,它包括常见的慢性支气管炎、哮喘和肺气肿等病,约有85%的病最终发展为肺心病、呼吸衰竭以至危及生命,估计全国每年因COPD死亡的人达到100万。世界卫生组织的最新数据也显示COPD在全球疾病死亡原因当中,仅次于心脏病、脑血管病和急性肺部感染,与艾滋病一起并列第四位,且有逐年上升之势。COPD的高致死率正受到世界医学界的普遍重视。目前对此病的治疗已出现了“里程碑式”的变化,即可以采用吸入糖皮质激素加上长效b受体激动剂,以及使用支气管扩张剂,减少其急性发作次数,缓解呼吸困难。
只需吹几口气就确诊
四类人有症状早检查
专家说,COPD治疗的关键在于早发现早接受正规治疗。但由于该病进程缓慢,大部分COPD早期患者只有慢性咳嗽、咳痰,甚至没有任何明显症状,所以容易被忽视。肺功能检查可以有效诊断慢阻肺,其方法也很简单,只需要受检者在医生指导下对着肺功能仪吹几口气,其结果能够客观评价气道阻塞程度。
专家指出以下四类人群:长期吸烟的人、反复有呼吸道感染的人、长期生活在污染环境(如农村烧柴禾,有烟雾)中的人、从事的职业有粉尘环境的人是COPD的高危人群。这些人如有下述情况中的任一症状,并有吸烟史,到医院检查一下肺功能是有必要的:每年至少有3个月每天出现咳嗽、咳痰,这种情况已有多年;较一般人易患流感及感冒,且随后咳嗽频繁、迁延不愈,一般药物治疗不佳;先前能正常进行的日常活动,现在会有上楼气短、走路呼吸困难等进行性气促;夜间或锻炼后喘鸣发作。
戒烟降低八成患病率
患病后要做功能锻炼
专家说,吸烟与环境污染、呼吸道感染、气候突变和过敏是导致COPD的重要原因,因此预防COPD也需从这几方面入手。首先是戒烟。吸烟是慢阻肺最重要的病因,长期吸烟或吸二手烟有可能导致支气管的阻塞和肺结构的破坏。如果能够及时戒烟,COPD的发生率可以减少80%至90%。其次提高机体抵抗力,减少感冒及其他疾病感染次数。
一旦患病应进行功能性锻炼,学会咳嗽和呼吸。咳嗽是清除呼吸道分泌物的最佳途径。有效地咳嗽是将两手臂屈曲放在两侧胸壁下部内收加压,同时腹肌用力收缩,躯干略向前倾,深吸气后屏气片刻,再用力咳嗽,这样很容易将痰液排除口外。在练咳嗽的同时,还应该练习腹式呼吸。呼吸时,全身放松,气沉丹田,长呼深吸。用鼻吸气,吸气时鼓肚子。呼气时嘴作吹口哨形,呼气时瘪肚子。细呼深吸,呼比吸长。病人可每天进行练习,每次做5至15分钟,每次练习5至7次为宜,逐渐养成平稳而缓慢的腹式呼吸习惯。需要注意的是,呼吸要深长而缓慢,尽量用鼻而不用口。
Life Home Health Guide: middle-aged smokers into the reserve army of chronic obstructive pulmonary disease
2010-2-5 17:27:36 brief content: experts pointed out that, in view of the harm of smoking on the respiratory system, smokers more likely to suffer from COPD, other groups 10 times, chronic cough, early symptoms of their illness, so long-term smokers and passive smokers with chronic cough appear once a year more than three months, should take the initiative to the hospital for pulmonary function tests, early detection of COPD and early regular treatment, can effectively delay the progression of the disease greatly improved after the elderly quality of life and health.
A healthy body is that each of us a better life, work and learning, and is the most important prerequisite for doing anything. Health needs are optimistic and cheerful attitude towards life, while health is good from our everyday habits. Life at home Xiaobian for you a selection of some health health knowledge, health tips to help you better and more scientifically conditioning your body, healthy and happy to spend every day!
COPD treatment is the key to early detection and regular treatment. However, as the disease progresses slowly and easily be ignored. COPD, pulmonary function tests are the gold standard for diagnosis. Only subjects under the guidance of a doctor facing the wind instrument of lung function a few tones, and the results can be objectively evaluate the degree of airway obstruction.
With the community's chronic obstructive pulmonary disease (referred to as COPD) continued to deepen understanding of each of the hospitals will be found in the cold a lot of patients with early stage COPD patients, more than 90% of these patients is 45-year-old middle-aged smokers. They are often no obvious chest tightness hold your breath, but a chronic cough for many years, but due to cold after a more severe cough and asthma was diagnosed only in the medical treatment as COPD.
Experts point out that in view of the harm of smoking on the respiratory system, smokers more likely to suffer from COPD, other groups 10 times, chronic cough, early symptoms of their illness, so the long-term smokers and passive smokers appears once a year chronic cough for more than three months, should take the initiative to the hospital for pulmonary function tests, early detection of COPD and early regular treatment, can effectively delay the progression of the disease, greatly improve the quality of life in old age and health.
COPD has a high mortality rate
Tied for fourth with AIDS
According to experts, COPD is a respiratory disease characterized by airflow limitation will gradually weaken the patient's respiratory function. Typical symptoms include chronic cough, sputum, chest tightness, shortness of breath, difficulty breathing, which includes common chronic bronchitis, asthma and emphysema and other diseases, about 85% of the disease will eventually develop into pulmonary heart disease, respiratory failure and even life-threatening is estimated that every year people die because of COPD to reach 1 million. World Health Organization's latest data also shows that COPD in the global burden of disease among causes of death, behind heart disease, cerebrovascular disease and acute lung infection, and AIDS tied for fourth place together, and there is increasing year by year trend. The high mortality rate of COPD in the world of the medical profession are being universal attention. At present the treatment of the disease has emerged a "landmark" change, that can be used inhaled corticosteroids plus long-acting b-agonist, and the use of bronchodilators to reduce its number of acute attack to ease breathing difficulties.
Just blow a few tones on the diagnosis
Four categories of people have symptoms of early inspection
Experts say, COPD treatment is the key to early detection and regular treatment. However, as the disease progresses slowly and most of the COPD patients with early stage only a chronic cough, sputum, even without any obvious symptoms, so easy to be ignored. Pulmonary function tests can effectively diagnose chronic obstructive pulmonary disease, its methodology is very simple, just need to subjects under the guidance of a doctor facing the wind instrument of lung function a few tones, and the results can be objectively evaluate the degree of airway obstruction.
Experts point out the following four groups: long-term smokers, repeated respiratory infections, chronic living in the contaminated environment (such as burning firewood in rural areas, there is smoke) in people who have engaged in professional dust environment are COPD, high-risk groups. These people, if any of the following situations symptoms and smoking history, to the hospital to check lung function is necessary: Every year there are at least 3 months daily cough, sputum, this situation has for many years ; more people susceptible to influenza and colds, and cough followed by frequent, persistent unhealed, general drug treatment poorly; prior to resume normal daily activities carried out, and now there will be upstairs shortness of breath, difficulty breathing walking sexual shortness of breath; night or wheezing after the onset of exercise.
To reduce the prevalence of smoking Bacheng
To do functional exercise after illness
Experts say smoking and environmental pollution, respiratory infections, abrupt climate change, and allergies are an important reason leading to COPD, and therefore also need to prevent COPD from several aspects. The first is to quit. Smoking is the most important cause of COPD, long-term smoking or passive smoking may lead to bronchial obstruction and lung structure damage. If you can quit smoking in time, COPD incidence can be reduced by 80% to 90%. Second, enhance the body resistance, reducing the number of flu infections and other diseases.
Once the disease should be carried out functional exercise, learn to cough and breathing. Coughing is the best way to clear the respiratory secretions. Effective cough is the two arm flexion on both sides of the chest wall, the lower pressure within the closed, while abdominal contraction force, the trunk to lean forward slightly, deep inspiratory breath-hold after a moment, then forced cough, sputum and that is very easy to exclude extra-oral . In practice, while coughing should also practice abdominal breathing. Breathing, body relaxation, gas, Shen Dan Tian, long inspiratory call. Nose breathing, inspiratory drum belly. Expiratory mouth to whistling shape, when deflated belly breath. Fine call a deep, respiratory longer than smoking. Patients can practice daily, every 5-15 minutes to do each exercise 5 to 7 times is appropriate, and gradually develop a stable, slow abdominal breathing habits. Note that, breathe deep, and slow to as much as possible with the nose rather than mouth.