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Saturday, June 4, 2016

Management of chronic obstructive pulmonary disease beyond the lungs (Lancet 2016 article)

Chronic obstructive pulmonary disease (COPD) is an umbrella term that covers many clinical subtypes with clearly different pulmonary and extra-pulmonary characteristics, but with persistent airflow limitation in common. This insight has led to the development of a more personalised approach in bronchodilator therapy, prevention of exacerbations, and advanced treatments (such as non-invasive ventilation and lung volume reduction techniques). However, systemic manifestations and comorbidities of COPD also contribute to different clinical phenotypes and warrant an individualised approach as part of integrated disease management. Alterations in bodyweight and composition, from cachexia to obesity, demand specific management. Psychological symptoms are highly prevalent, and thorough diagnosis and treatment are necessary. Moreover, prevention of exacerbations requires interventions beyond the lungs, including treatment of gastro-oesophageal reflux disease, reduction of cardiovascular risks, and management of dyspnoea and anxiety. In this Review, we discuss the management of COPD beyond the respiratory system and propose treatment strategies on the basis of the latest research and best practices.
http://www.thelancet.com/journals/lanres/article/PIIS2213-2600%2816%2900097-7/abstract
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5 comments:

  1. I'm 59 years old and female. I was diagnosed a couple of years ago with COPD and I was beyond scared! My lung function test indicated 49% capacity. After having had flu a year ago, the shortness of breath, coughing and chest pains continued even after being treated with antibiotics. I've been smoking two packs a day for 36 years. Being born without a sternum caused my ribs to be curled in just one inch away from my spine, resulting to underdeveloped lungs. At age 34 I had surgery and it was fixed. Unfortunately my smoking just caused more damage to my already under developed lungs. The problem was having is that I enjoy smoking and don't want to give up! Have tried twice before and nearly went crazy and don't want to go through that again. I saw the fear in my husband and children's eyes when I told them about my condition then they start to find solution on their own to help my condition.I am an 59 now who was diagnose COPD emphysema which I know was from my years of smoking. I started smoking in school when smoking was socially acceptable. I remember when smoking was permitted in hospitals. It was not known then how dangerous cigarettes were for us, and it seemed everybody smoked but i was able to get rid of my COPD lung condition through the help of total cure herbal foundation my husband bought, totalcureherbsfoundation . com has the right herbal formula to help you get rid and repair any lung conditions and cure you totally with their natural organic herbs,it class products at affordable prices because how awful it is with this lung dictions . I wish anybody who starts smoking at a young age would realize what will eventually happen to their bodies if they continue that vile habit throughout their life, certainly total cure herbs is the formula to get over Chronic Obstructive Pulmonary Disease.

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  2. “I was walking and my husband was telling me to slow down because he couldn’t keep up with me.”
    Denise F. lived with COPD and chronic asthma for many years. When her quality of life continued to decline, Denise decided to try something different.While being with her horses brought her peace and joy, not being able to breathe made spending time with them challenging. When her grandchildren would visit, she couldn’t even participate in their activities.
    After the herbal recommendation at the multivitamincare .org, Denise my best friend no longer needs oxygen or a walker and has seen many improvements. She can walk, clean her house, go shopping, enjoy a vacation, ride her horses, lift hay bales and do anything she wants to do.
    Now, when her grandchildren visit, they can ride horses together and make wonderful memories. And, Denise wants to lead the way, “I was walking and my husband was telling me to slow down because he couldn’t keep up with me.”
    If you or someone you love has COPD, emphysema, pulmonary fibrosis or another chronic lung disease and would like to see results like Denise’s, contact them at +1 (956) 758-7882 or their website to learn more about your lung disease treatment options.

    ReplyDelete
  3. “I was walking and my husband was telling me to slow down because he couldn’t keep up with me.”
    Denise F. lived with COPD and chronic asthma for many years. When her quality of life continued to decline, Denise decided to try something different.While being with her horses brought her peace and joy, not being able to breathe made spending time with them challenging. When her grandchildren would visit, she couldn’t even participate in their activities.
    After the herbal recommendation at the multivitamincare .org, Denise my best friend no longer needs oxygen or a walker and has seen many improvements. She can walk, clean her house, go shopping, enjoy a vacation, ride her horses, lift hay bales and do anything she wants to do.
    Now, when her grandchildren visit, they can ride horses together and make wonderful memories. And, Denise wants to lead the way, “I was walking and my husband was telling me to slow down because he couldn’t keep up with me.”
    If you or someone you love has COPD, emphysema, pulmonary fibrosis or another chronic lung disease and would like to see results like Denise’s, contact them at +1 (956) 758-7882 or their website to learn more about your lung disease treatment options.

    ReplyDelete
  4. HOW ME AND MY FAMILY WAS TOTALLY CURED FROM COPD,CHRONIC PANCREATITIS,IDIOPHATIC PULMONARY FIBROSIS,

    I was diagnosed of COPD disease in January 2014,then my mom, diagnosis of IDIOPATHIC PULMONARY FIBROSIS(IPF) and my father was diagnosed of CHRONIC PANCREATITIS.. Me and my family were so frustrated till one day my father came across a forum where so many people were writing about Dr Ovie, a herbal Dr, who sell herbal medicines to cure all kinds of diseases, We contacted this herbal doctor via his email ovie.miraclemedicine1@gmail.com and bought herbal medicine from him. He sent it to me through courier service and I received it within 2days. i used it as instructed and i and my family was totally cured of those disease within 30days of usage, all thanks to Dr Ovie.is three months now we are living free and happy, please viewers this testimony is real …call or whats app Dr Ovie on +2349056393169

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  5. I was diagnosed with severe COPD and emphysema at 48. I had LVRS (lung volume reduction surgery) a year later, which I am forever grateful for because it actually led me to www .multivitamincare .org . I have read some of their stories online before using their natural herbal formula. I had a very hard time breathing then, and even more so at night, it was so bad I couldn't sleep. I get up with a tight chest that feels blocked and can’t breathe well at all,I was excused from normal life responsibilities but natural herbs from multivitamincare org really helped a but sometimes I think is God prodigy that I was able to treat my Chronic obstructive pulmonary disease but multivitamin care herbal formula has a big impact on my recovery because my heart condition has been fully reversed . They do things for me, and were too happy to comply with their service. This is an equitable way to get off your COPD emphysema .

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