Most Common Respiratory Disorders and Treatments
The most
common respiratory disorders include;
- Asthma
- COPD &
- Lung Cancer
Asthma
Asthma is a chronic respiratory disease that affects
about 12 million people in the US. Children in
particular are easily affected by asthma, while
there is a greater prevalence for asthma in African-American
people.
Asthma when occurs the airways of the lungs narrow
and constrict, making it harder to breathe. This
causes wheezing and tightness in the chest as
well. Allergens, environmental agents and infections
are all asthma triggers. Passive smoking, maternal
smoking during pregnancy, genetics and exposure
to animal dander, pollen and air pollution also
put a person or child at risk for asthma.
Although asthma can occur at any age, many people
first develop it as children. There is no cure
for asthma, although sometimes young children
tend to outgrow this disease. Management of asthma
symptoms is the key to living a healthy life.
Treatment
Long-term medications are very important as they
reduce inflammation in asthmatic people. Short-term
drugs or rescue drugs, as they are known, only
help to provide and reduce symptoms of an asthma
attack. The easiest way to prevent an asthma attack
is to avoid exposure to known asthma triggers.
Treatment of asthma typically consists of medication
taken by an inhaler or nebulizer. Medications
used to treat asthma include; beta2-agonists,
anticholinergic agents and corticosteroids.
There different types of asthma: allergic, non-allergic,
occupational, drug induced, exercise included,
and cough variant asthma. Non-allergic asthma
occurs after the age of 40 and is generally due
to exposure to irritants such as smoke, pollution,
fresh paint, or household cleaning products. Allergic
asthma is common in children and is often caused
by allergies to house dust mites, animal dander,
mold, and pollens. Occupational asthma is due
to exposure to other industrial chemicals, while
rigorous exercise can also cause an asthma attack.
Chronic Obstructive Pulmonary Disease (COPD)
COPD is defined as generally irreversible and
progressive chronic airflow obstruction. It is
the 4th leading cause of death in the US. COPD
is the name given to two similar diseases that
obstruct breathing, namely chronic bronchitis
and emphysema. Some 14 million people in the US
have been diagnosed with either of these two diseases.
Sometimes however, both these disease can occur
together.
Risk factors for COPD include; smoking and exposure
to second hand smoke, occupational pollutants,
family history, recurrent respiratory infections,
and protease deficiencies. However, smoking is
responsible for 80-90% of COPD cases.
Chronic Bronchitis
Chronic bronchitis is characterized by an irritating
cough, mucus overproduction, and inflammation
of the bronchial tubes lasting 3 months or more,
in a period of 2 consecutive years. Patients are
usually diagnosed with chronic bronchitis in their
30's and 40's. A history of smoking is a major
factor in chronic bronchitis.
Emphysema
Emphysema is a condition in which the walls between
the alveoli or air sacs within the lungs lose
their ability to stretch and recoil, they then
weaken and break. Elasticity of the lung diminishes
causing air to be trapped in the air sacs and
impairing the exchange of oxygen and carbon dioxide.
Symptoms of emphysema include shortness of breath,
cough and a limited exercise tolerance. Smoking
is also the main cause of emphysema.
Treatments
The treatment objectives for COPD are to slow
the decline in lung function, relieve symptoms,
improving daily lung function and improve the
overall quality of life for a person with this
disease. The most important step in treating COPD
is to quit smoking, as smoking further increases
loss of lung function. By quitting smoking loss
of lung functioning is slowed down.
Medications relieve symptoms such as shortness
of breath, and treats respiratory tract infections
that can worsen COPD. Currently bronchodilators
and corticosteroids are used in COPD treatment.
However, no medications have been found to cure
the disease or reverse the loss of lung function
caused by smoking.
Lung Cancer
According to the American Lung Association, more
than 169,500 new cases of lung cancer were treated
in 2001, with most being caused by cigarette smoking.
More people die from lung cancer than from any
other type of cancer. This cancer usually starts
in the lining of the bronchi, but can also begin
in other areas of the respiratory system, including
the trachea, bronchioles, or alveoli. Lung cancers
are generally divided into two types:
- Non-small cell lung cancer
- And small cell lung cancer
Non-small cell lung cancer is more common than
small cell lung cancer. There are three main kinds
of non-small cell lung cancer and they are named
for the type of cells in the tumor:
- Squamous cell carcinoma
- Adenocarcinoma &
- Large cell carcinomas
Small cell lung cancer grows rapidly and quickly
spreads to other organs. This type of lung cancer
is extremely fatal and often requires lung removal
or lung transplantation.
It is important to find out what kind of lung
cancer one has, as they are all treated differently.
Though lung cancer usually does not cause any
symptoms when it first develops, however after
a tumor begins to grow, a persistent cough is
the most common symptom. Other symptoms include:
constant chest pain, shortness of breath, wheezing,
recurring lung infections, bloody sputum and hoarseness.
There are several risk factors that make a person
more likely to develop lung cancer, and smoking
ranks number one. More than 90 percent of lung
cancers are thought to be a result of smoking.
Additional risk factors include: secondhand smoke,
smoking marijuana, recurring lung inflammation,
asbestos exposure, exposure to hazardous chemical
products and radiation.
Treatment
Treatment for lung cancer is determined based
on, a person’s age, overall health, and
medical history, the extent of the disease and
tolerance to medications and/or therapies. Surgery,
radiation therapy, and chemotherapy are often
used to treat lung cancer.
There are three types of surgery that are most
often used in lung cancer treatment. The choice
depends on the size and location of the tumor,
the extent of the cancer, and the general health
of the patient. Radiation therapy involves the
use of high-energy rays to damage cancer cells
and stops them from growing and dividing, while
chemotherapy involves the use of drugs to kill
the cacogenics cells. |