COPD PATIENTS SHOULD ALSO BE TREATED WITH NON-DRUG METHODS

Chronic lung diseases are among the most common diseases. COPD, or chronic obstructive pulmonary disease (chronic bronchitis, emphysema, asthma), colloquially known as "chronic bronchitis" or "chronic bronchitis", is a chronic disease that causes airflow to be restricted during breathing due to narrowing of the bronchi in the lungs. Chronic Chronic obstructive pulmonary disease (COPD) ranks fifth among the causes of death and second among the causes of long-term disability. In particular, smoking is one of the most important causes of COPD. Cystic fibrosis disease is a congenital disorder. The thin and fluid fluid of the glands, which keeps the lungs clean since birth, becomes more concentrated in this disease and its fluidity decreases. This disorder, which makes it difficult to cough up phlegm, causes blockage of the small airways. This causes diseases such as breathing difficulty, cough, wheezing, pneumonia, and bronchitis.

These patients use long-term drug treatments and the effects of these drugs are limited. In recent years, new treatments have been developed in addition to drug treatments for these patients and emphasis has begun to be placed on respiratory rehabilitation (pulmonary rehabilitation).

Pulmonary (respiratory) rehabilitation to maximize functional capacity in people with chronic lung disease. It includes all non-drug treatments applied to remove it. In these patients, airway restriction leads to respiratory distress, anxiety, fear, and chronic fatigue. The effort to get enough oxygen overloads the respiratory muscles, leaving the person sluggish and weak. Long-term respiratory distress reduces the patient's daily activity, reduces exercise capacity, and creates dependency in daily life. Pulmonary rehabilitation is extremely useful in such cases where the effects of the drugs used are insufficient.

Pulmonary rehabilitation program is most frequently included in patients with chronic obstructive pulmonary disease (COPD), as well as those with asthma, bronchiectasis, cystic fibrosis, and other diseases that cause respiratory distress. Many chronic lung diseases can be included in this program.

With pulmonary rehabilitation practices, patients with chronic respiratory distress can be treated. The aim is to increase the mobility levels of trainees in their daily lives, to teach effective breathing and coughing with active breathing techniques and breathing exercises, and to reduce respiratory failure attacks and the frequency of hospitalization.

 

How to do it. ?

The patient, who is evaluated by a pulmonologist and given an indication for pulmonary rehabilitation due to chronic respiratory distress, first undergoes a respiratory function test and an aerobic exercise test. Various physical therapy methods (bronchial hygiene, active breathing techniques, effective coughing, bronchial drainage, postural drainage) are applied to the patient by the respiratory physiotherapist and breathing techniques and relaxation techniques are taught. In addition, an exercise program is drawn up for the patient's respiratory muscles and general body condition, according to the patient's respiratory function level. Patients are applied a program that will last 2 months in total with 30 sessions every other day. The patient is kept under control at every stage of this program and the exercises are performed with special exercise devices developed for this purpose and which control the patient's vital data such as heart, blood oxygen level and blood pressure.

 

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