COPD refers to chronic obstructive pulmonary disease . These are vernacular obstructive lung diseases and include emphysema , chronic bronchitis , asthma and which leads to the death of the respiratory pamphlet . It is a major public health problem and is the fourth precede cause of morbidity and mortality in the United States of America and the fifth major cause of Death worldwide .
It is all-important to ascertain COPD symptoms from worsening . There are 14 means in which we can prevent COPD from worsening are :
14 Ways to Prevent COPD from Worsening
Avoid Cigarettes: –
To prevent COPD from worsening , it is important to stop any dependency tosmokingcigarettes . Cigarette make the depletion of a all-important enzyme causing alveolar wall death .
arrest coffin nail use suddenly can be really difficult . To preclude any onanism symptoms , useNicotine replacement therapyby gum tree , transdermal plot or inhaler and antidepressant . It has been envision that it is quite effective and other drug like varenicline also help to reduce smoke withdrawal symptoms .
Nutrition: –
More energy is required by people who suffer from the continuing obstructive pneumonic disease as muscles of cellular respiration require ten times more energy than normal . Thus a good nutrition helps to fight back infections and provide immunity and also drop dead a recollective way in prevent COPD from worsen . The adopt diet is recommended : –
Regular Exercising: –
COPD Patients really need to monitor their weight as :
If the patient is underweight it will make them tired easy , weak and make them more prostrate to infections . COPD patient unremarkably require more energy for breathing and muscle effort so it is important to consume enough energy to prevent diaphragm and respiratory brawn from wasting and weaken .
In the case of rotund affected role who are overweight , they can be more prone associated cardiac symptom and may developdiabeteswhich can worsen their post .
So , daily exercise is ask to conserve a salubrious weight which can help keep worsening of COPD .
Environmental Changes: –
COPD Patients should quash insalubrious and polluted environs as all the allergens tend to sensibilize the respiratory epithelial tissue , cause dyspnoea and cough leading to respiratory distress and thus causing worsening of COPD .
Use of chemic agents which includes hairsprays , air - sprays , perfume and deodorants should also be avoided .
Vaccinations: –
inoculation should be done from time to time to preclude pneumonic infection . Some vaccines with pneumococcal and influenza virus are available and widely used .
Bronchodilator: –
breathing in of salbutamol 200 microgram or terbutaline 500 microgram 6 hourly in soft to moderate case can keep COPD from worsen as these drugs prevent bacterial attachment with the respiratory endothelium and stop them from damaging the respiratory endothelium so the condition of COPD does not worsen .
In severe condition ipratropium bromide and tiotropium bromide can be given .
Oral therapy with theophylline or doxophylline can be given .
Nebulization: –
blistering drinks and steam inhalation to liquefy phlegm is a prissy therapy for COPD . It can be done with salbutamol 200 microgram twice in a day . It helps to empty the nasal obstruction , improves respiration and prevent worsening of COPD .
Antitrypsin Therapy: –
Alpha-1 - antitrypsin ( α1 - antitrypsin ) also call as serum trypsin inhibitor is a proteinase inhibitor which protect the tissue paper of the body from the enzymes present in inflammatory cells . The deficiency of this alpha-1 - antitrypsin cause elasticity of lungs which leads to many respiratory disease and COPD is one of them . So Alpha-1 - antitrypsin therapy is afford to people who have a congenital deficiency of this enzyme . This enzyme is helpful in preventing COPD .
Antibiotic Therapy: –
Antibiotic therapy includes a farsighted list of drug that aid to forbid and cater moderation for the diagnostic suffering .
COPD patient role can be handle with Cotrimoxazole or amoxicillin or fluoroquinolones like moxifloxacin , levofloxacin , or gemifloxacin and cephalosporin in severe case . Oral tetracycline or ampicillin 250 mg after every 6 hours is also used to regale and keep the respiratory infections or worsening of COPD .
Steroid Therapy: –
Steroidal therapy is also helpful in preclude the worsening of COPD . In which steroids such as intravenous or oral corticosteroid should be administered as they shorten the recovery time and ameliorate the routine and capacity of lungs which can help prevent the hypoxemia .
Inhaled corticosteroids that are used to prevent the declension of COPD admit budesonide , beclomethasone , etc . They help oneself to amend flight path reactivity and cause slim weight addition .
Oxygen Therapy: –
Oxygen therapy is also a good agency to avoid the worsening of COPD in which long - full term oxygen therapy 2L / min by adenoidal cannula or by face mask can be given to the patient role but it should be done cautiously to obviate hypercapnia or hypercarbia which is the retentiveness of excess atomic number 6 dioxide in the roue stream .
This aid to reduce pulmonary high blood pressure and increases the life-time expectancy of hypoxic patients and also in other diseases that let in polycythemia , pulmonary artery imperativeness . As it increase dead space due to ventilating system thus cause relief from vasoconstriction . It also increases oxygen oblige mental ability of haemoglobin thus reducing toxic carbon dioxide level .
Hospitalisation:-
The patient should get hospitalised immediately in medical conditions which run to increase in symptom like : –
Pulmonary Rehabilitation: –
The primary finish of pneumonic rehabilitation is to trim respiratory and cardiovascular distress and dysfunction through individually design programme which help in preventing the decline in quality of COPD .
Pulmonary rehabilitation can be done by practise various breathing technique , thorax physical therapy , postural drainage , exercise conditioning of upper and dispirited extremity and activities of daily living i.e. oeuvre reduction and vim conservation .
Psychological and vocational counselling along with nutritional indigence and evaluation is also included in pulmonary reclamation .
Airway Ventilation: –
Airway Ventilation is done in severe cases of COPD with the use of compressed fitting masks to provide ventilator aid and is usually done when the symptoms are worsened like aggravate dyspnea and respiratory acidosis etc .
canulation is done as a last alternative to prevent the fatality due to deterioration of the condition of a patient with COPD .
The treatment for COPD is a long - condition subroutine , to ward off any ramification and fateful attacks the above - mentioned measure must be adopted by the patient .
Also Read :
