Home » Health » Do not breathe without moving, be careful of lung obstruction to entangle you-Health-HiNet生活志

Do not breathe without moving, be careful of lung obstruction to entangle you-Health-HiNet生活志

Good Doctor News reporter Zeng Meiqing/Reported by Changhua

Picture: Changhua Christian Hospital COPD Care Team / Provided by Changji.

On the 6th, the Changji Medical Center held the “Brave Pulmonary Patients Caring Group” activity. Patients and their families of “chronic obstructive pulmonary disease” (COPD) will learn more about the disease through medical lectures by the chief physician of the Department of Thoracic Medicine, Lin Junwei, and make the disease better Good control; patients and their families share and support each other, relieve physical and mental stress, and have a better quality of life.

Dr. Lin Shenghao, director of the Department of Thoracic Medicine in Changji, said that “chronic obstructive pulmonary disease” comorbidities include depression, lung cancer, bronchiectasis, hypertension, diabetes, sleep anaesthesia, cardiovascular disease, muscle weakness, gastroesophageal reflux, osteoporosis, etc. Seriously affect the quality of life.

The Changji COPD disease group was established on November 14, 1998. The name of the group is “Brave Pulmonary Patient Care Group”. It is currently a channel for patients and their families to have support and learning. More importantly, it hopes through regular gatherings. , Can care for each other, share and support each other, share experience, and spend the process of disease treatment together. Due to the epidemic this year, some patients have interrupted drug treatment for some reason. Recently, due to changes in temperature, the lung obstruction has worsened. Therefore, through this meeting, I hope to call on patients not to interrupt drug treatment. Zhang Ji will also Use the power of the team to strengthen disease health education and enhance care skills guidance, thereby helping patients adapt to and coexist with diseases.

Lin Junwei said that the cause of lung obstruction is the inhalation of toxic substances, smoking is the first place, and the other factors are indoor air pollution, occupational dust and outdoor air pollution. In the diagnosis of lung obstruction, patients older than 40 years old have symptoms + risk factor exposure history + lung function and other conditions; its common symptoms include “chronic cough”-it may be intermittent cough, not necessarily sputum. “Chronic expectoration”-any form of chronic expectoration is possible. “Dyspnea”-Progressive, more dramatic and persistent during activities.

“While not moving ≠ no problem”, how to evaluate “breathing”? Lin Junwei pointed out that the modified British Medical Research Council (mMRC) can be used to assess the severity of symptoms of “asthma” or the COPD Assessment Test (CAT).

mMRC is divided into 0-4 levels, 0. It is difficult to breathe when strenuous exercise; 1. Walking on flat ground or walking on a small slope will cause shortness of breath; 2. Walking on flat ground is slower than the same age or needs to stop and rest because of panting; 3 .Walk about 100 meters to stop and catch your breath; 4. Unable to go out, life is difficult. CAT has eight questions, namely, cough (coughing), sputum (sputum volume), nausea (chest tightness), wheezing (when climbing a hill or climbing a flight of stairs), restriction (whether home activities are restricted), out ( Do you have the confidence to go out), sleep (do you sleep soundly), live (do you have vigor), 0-5 points for each question.

Lin Junwei continued that the definition of acute exacerbation of lung obstruction is an acute exacerbation of the patient’s respiratory symptoms and the need for additional drug treatment. Common causes include the most common respiratory tract infections (virus or bacteria), pollution, temperature changes, and another third of them are unknown; The treatment of acute exacerbation is mild: short-acting bronchodilator.

Moderate: use of antibiotics or oral steroids; severe: require hospitalization or emergency treatment. The goal of lung obstruction treatment is to “reduce symptoms”-relieve symptoms, improve exercise tolerance, and improve health; second, “reduce risk”-prevent disease progression, prevent and treat acute exacerbations, and reduce mortality.

Non-drug treatments for lung obstruction include influenza, pneumonia vaccination, and lung rehabilitation. Drug therapy can alleviate the symptoms of COPD, reduce the frequency and severity of acute exacerbations, improve health and exercise tolerance, but cannot improve the decline in lung function in patients with COPD.

According to the WHO’s announcement that the mortality rate of “chronic obstructive pulmonary disease” patients is as high as 10%, not only the mortality and prevalence rate are high, the patients also have to face repeated hospitalizations and difficult breathing, which is not only a financial loss for the patients and their families. , It puts great pressure on the physical and mental load. Therefore, how to improve the survival rate of patients and improve their quality of life is an important task for thoracic medical staff.

The cross-team cooperation members of the Changji Yongjian Pulmonary Patients Group include: thoracic physicians, nurses, pharmacists, dietitians, lung rehabilitation therapists, case managers, smoking cessation managers, social workers, carers and other members; provided on weekdays Places and opportunities for patients to share experiences and learn from each other and support each other are beneficial to the body, mind, and spirit reconstruction during treatment; allow patients to breathe freely, strengthen independent execution of daily activities, and enjoy a happy and confident life, and get out of the valley of illness. Create a beautiful life.

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