Treating lung fibrosis, Lung cirrhosis treatment, Pharmacological treatments, Oxygen therapy, Pulmonary rehabilitation, Control of symptoms
Lung cirrhosis treatment
After confirming the diagnosis of lung fibrosis, pulmonary fibrosis, pulmonary fibrosis, or pulmonary fibrosis, the doctor will evaluate the patient’s condition and severity in order to develop a treatment plan and choose the most appropriate treatments for the case. It should be noted that scarring resulting from pulmonary fibrosis is not possible. Returning it to normal, and until now no treatment has been proven to be effective in stopping the progression of fibrosis of the lungs. As for the treatments available for fibrosis of the lungs, some of them contribute to improving symptoms temporarily or slowing the progression of the disease, and others may help improve the quality of life.
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Pharmacological treatments
There are many drugs used to treat different types of pulmonary fibrosis, so you should not discuss treatments with the doctor in order to determine the most appropriate treatment for each case, as the appropriate medicine for a particular patient may not be suitable for another patient, and in general the medicines used to treat pulmonary fibrosis include the following:
- Nintedanib: which is taken orally to treat idiopathic pulmonary fibrosis, as clinical trials have shown that this drug slows down the lung function decline in patients with mild to moderate pulmonary fibrosis.
- Pirfenidone , an oral antibiotic and anti-inflammatory, is used to treat idiopathic pulmonary fibrosis, and clinical trials have shown that pirfenidone slows the progression of mild to moderate pulmonary fibrosis.
- Corticosteroids: , such as prednisone and unlike types of drugs ex, the prednisone is not usually used to treat pulmonary fibrosis idiopathic, but to treat and prevent inflammation associated with other types of pulmonary fibrosis in some cases, based its principle on the weakening device Immunity , so it may increase the chance of recurring infection and increase its severity during the period of using the medicine.
- Almikouwenullac Movital: , and also known as acid Almikouwenolak which is also used to treat infections and prevent them by suppressing the immune system so as to treat various cases of pulmonary fibrosis except pulmonary fibrosis idiopathic, it is worth mentioning that the plan of treatment Patients with pulmonary fibrosis may include a combination of mycophenolate mofetil plus prednisone, or it may be used alone without prednisone. Possible side effects of this drug include infection, diarrhea, and low blood cell counts .
- Azathioprine: and is used to suppress the immune system is similar to the drug Almikouwenullac Movital, may cause some side effects associated with the drug Almikouwenullac Movital; Such as infection and low blood cell counts, and it may also cause liver and pancreatic problems.
- Other anti-inflammatory: used to treat various forms of lung disease interstitial and pulmonary fibrosis, and these drugs: methotrexate and cyclophosphamide and cyclosporine , and Alrabamesan .
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Oxygen therapy
Pulmonary fibrosis causes low oxygen levels In the blood due to the inability of the damaged tissues in the lungs to transport oxygen and carbon dioxide to and from the body, and due to the development of pulmonary fibrosis disease and the low efficiency of lung function, most patients need oxygen at some point during treatment, and it is worth noting that oxygen therapy does not address the cause Primary pulmonary fibrosis directly as it does not stop disease progression, but rather is used to improve symptoms. Such as: Shortness of breath, shallow breathing, sleep disturbances, fatigue, weight loss, in addition to improving the functions of other organs and improving the quality of life, and in general, the oxygen needs of each patient with pulmonary fibrosis differ; It mainly depends on the severity of the disease and the lifestyle, and the extent to which the patient needs additional oxygen is revealed through a simple walking test, as some patients may need oxygen throughout the day, or only at night, or when exercising. The patient should monitor the oxygen levels at home using hand-held pulse oximetry, as the oxygen saturation level in the blood should be kept above 90% throughout the day and night. Complete Oxygen therapy through the steady flow of pure oxygen that increases the oxygen concentration in the lungs and raises the oxygen levels in the bloodstream, through several techniques, which we explain as follows:
- Oxygen tanks: as the person is supplied with oxygen through a thin breathing tube that wraps around the ears and is placed in the nostrils, so that the tube is connected to a tank through which pure oxygen flows to the nostrils where the patient inhales it during breathing, and it is worth saying that the oxygen tanks vary in size depending on the needs of For patients who need oxygen therapy for 15 hours or more, for example, a large tank should be used for patients who require oxygen therapy for 15 hours or more, in addition to the need for a small tank that is used when leaving the house to meet the needs or travel.
- Oxygen cylinders: It is one of the modern methods of oxygen therapy, and it is characterized by its ability to retain a greater amount of oxygen and thus its ability to supply the patient with oxygen for a longer period, due to the fact that these cylinders work by giving oxygen in the form of a pulse dose when the patient breathes only and not all the time. Oxygen cylinders are usually larger than an oxygen tank, but are lightweight and can be carried in a backpack or travel bag.
- Oxygen concentrators: which are another alternative to the large oxygen tanks used at home.
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Pulmonary rehabilitation
Pulmonary rehabilitation is known as a program supervised by health care providers, with the aim of facilitating breathing, controlling symptoms, enhancing the patient's daily performance, and improving the quality of life, and it may be recommended before and after lung transplantation. A pulmonary rehabilitation plan should be designed for each patient based on their needs by their health care providers, and pulmonary rehabilitation programs focus on exercise. To improve endurance, and breathing techniques that may improve lung efficiency, in addition to that its programs also include support, health education about the patient's condition, and counseling, including nutrition, and pulmonary rehabilitation is performed in the hospital or clinics, or the patient may learn breathing exercises to practice it at home The patient can also use activity monitors or smart phone applications that assist with this, and it is rare for pulmonary rehabilitation exercises to cause any problems while they are being performed; The risks associated with it, such as injury to the muscles and bones, are very small, and in general it is appropriate to stop submitting to this program when any damage occurs and consult a doctor in this regard.
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Control of symptoms
Shortness of breath and coughing are the main symptoms experienced by patients with pulmonary fibrosis, and patients may also experience fatigue, anxiety and depression, and it is worth contacting a doctor immediately if the patient suffers from chest tightness, pain, fever, or difficulty breathing. And we will talk about how to control these symptoms in some detail as follows:
- Shortness of breath: Ways to control it may include the following:
- Use oxygen as directed.
- Do breathing exercises.
- Use of drugs that help reduce shortness of breath; Such as sprays or steroids.
- Stay in an active state by enrolling in the pulmonary rehabilitation program.
- Consult your doctor about purchasing pulse oximeters that help monitor oxygen levels at home.
- Cough is described cough associated with lung fibrosis as dry and intermittent cough, coughing and getting worse usually by talking, eating, laughing or exercise, for the treatment of cough associated with pulmonary fibrosis is recommended , including the following:
- Treating the underlying cause of the cough, especially if the patient suffers from other diseases that cause coughing. Such as gastroesophageal reflux disease or post-nasal drip, or asthma.
- Drink plenty of fluids.
- Use of cough drops or medicines.
- Consult your doctor about prescription cough medications.
- Speech therapy to learn how to speak without coughing.
- Fatigue: To overcome the fatigue caused by lung fibrosis, the following are recommended:
- Get plenty of rest and take short naps.
- Stay in an active state by enrolling in the pulmonary rehabilitation program.
- Seeking help from others in performing tasks; Like shopping or cleaning.
- Eat nutritious foods.
- Use oxygen as directed.
- Acid reflux: also known as gastroesophageal reflux disease, as some patients with pulmonary fibrosis suffer from esophageal reflux, which leads to the return of stomach acid to the esophagus, and this condition can be treated as follows:
- Consult your doctor about taking an antacid medication and other ways to control GERD.
- Avoiding acidic foods; Like tomatoes, coffee, and chocolate.
- Digestive problems: Some medicines for idiopathic pulmonary fibrosis can cause gastrointestinal disturbances. Such as nausea, diarrhea, and lack of appetite, and therefore it is recommended to take the drug with a meal on a permanent basis, and it is also possible to consult the doctor regarding reducing the dose if the patient is unable to bear the side effects, with reference to the need to avoid personal efforts and stop the drug or replace it or reduce its dose without doctor consultation,. Methods of treating these digestive disorders can be explained as follows:
Treating anorexia, including:
- Eat several small meals throughout the day rather than large meals.
- Add olive oil, milk or yogurt to the meal to increase the calories and protein in the meal.
- Walk before meals.
- Consult a doctor about medications that help increase appetite.
Treating nausea or vomiting, including:
- Consult a doctor about prescribed medications to relieve nausea.
- Eat light foods such as toast or rice.
- Drink peppermint tea, ginger tea, or ginger ale.
Treating diarrhea, including:
- Avoid high-fiber foods that are difficult to digest; Like beans or raw vegetables.
- Eat light foods such as toast or rice.
- Eat small meals and drink plenty of water between meals.
- Consult a doctor about medications to help relieve diarrhea.
Supportive treatment
Supportive treatment is known as a treatment that focuses on relieving symptoms only rather than treating the cause of the disease. In general, palliative care aims to control symptoms, such as shortness of breath, fatigue, and anxiety , in addition to its role in stopping treatments that do not work. Or cause intolerable side effects to the patient, all with the aim of improving the quality of life for the patient and his family. Once a patient is diagnosed with pulmonary fibrosis, he or she should speak with a health care provider or palliative care consultant about ways to reduce symptoms and support mental health. Supportive treatment is designed to help the patient at times. Different during the disease from the stage of diagnosis to the final stages of pulmonary fibrosis.
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Lungs transplant
Lung transplantation may be one of the treatment options for people with pulmonary fibrosis, as the lung transplantation process can improve the patient’s quality of life, allowing him to live a longer life, and the stay of the patient undergoing a lung transplant in the hospital ranges from 10 days to 14 days after undergoing the operation Lung transplantation, and the patient is asked to take many medications, which usually amount to approximately 15 different drugs, and the patient must adhere to the medications and doses prescribed to him by the doctor in order to prevent the body from rejecting the new lung that was transplanted, and the patient is followed up frequently during The first three months after discharge from the hospital, and it should be said that many centers perform bronchoscopy Bronchoscopy frequently after a patient undergoes a lung transplant, and about the side effects that may involve a lung transplant, it is infection or rejection of the body to the transplanted lung.
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Advice and advice for patients with lung fibrosis
Patients with pulmonary fibrosis are advised for a set of guidelines that enable them to stay in good health, including the following:
- Quit smoking: A person diagnosed with pulmonary fibrosis or other lung diseases should stop smoking, as well as passive smoking that may be harmful to the lungs, and the patient is advised to discuss with the doctor about the available smoking cessation options. Including smoking cessation programs, which use a variety of techniques proven to help you quit smoking.
- Eat healthy and balanced food: People with lung disease may lose weight as a result of feeling uncomfortable with eating in addition to their need for more energy required by breathing in these patients, and therefore it is necessary to follow a diet rich in nutrients and containing sufficient calories, as mentioned earlier. Patients with pulmonary fibrosis are advised to eat small and frequent meals during the day, and eat a variety of fruits and vegetables, whole grains , low-fat or lean dairy products, and lean meats, and they are also advised to avoid trans fats, saturated fats, large amounts of salt, and added sugars.
- Doing physical activities: Regular exercise can help maintain lung function and control the stress caused by low oxygen levels associated with pulmonary fibrosis, and recommended exercises include: walking or cycling, and patients are advised to talk to their doctor about activities that are appropriate for them, accordingly. Due to the severity of the disease and its progression, and techniques that aid mobility may be used; Such as the use of a wheelchair, and in this case it is recommended to practice activities or hobbies that do not require walking and contribute to the patient remaining physically active.
- Take adequate rest: The patient should take adequate rest to regenerate energy and be able to deal with the tension and pressures resulting from pulmonary fibrosis and its accompanying symptoms.
- Follow the methods of prevention of infection: can the respiratory tract infection lead to a worsening of symptoms of pulmonary fibrosis, and so should the patient 's pulmonary fibrosis avoid crowds and crowded places persons during influenza seasons, as patients with pulmonary fibrosis receiving is recommended vaccine pulmonary staphylococcus and influenza vaccine annual, and in fact, vaccination is not limited to the patient, but family members should be vaccinated as well, in addition to receiving vaccinations to reduce the chance of developing a respiratory infection.
- Follow the patient’s treatment plan: Pulmonary fibrosis patients need continuous treatment and visit the doctor periodically. Therefore, patients are advised to take medicines as directed by the doctor, adhere to all doctor’s appointments, and adjust the diet and exercise as needed.
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Lung fibrosis symptoms video
The symptoms of lung fibrosis are similar to the symptoms of many other diseases, so what are these symptoms and how can they be distinguished from the symptoms of other diseases? :
