Chronic Obstructive Pulmonary Disease (COPD)

As an umbrella name for a wide variety of lung conditions that affect breathing, Chronic Obstructive Pulmonary Disease (CODP) highlights conditions of the lungs and airways that are usually chronic, progressive and most of the time, irreversible. The most common conditions highlighted in this term are Emphysema and Chronic Bronchitis. 

Because COPDs tend to cause damage to the airways that carry air to the lungs, the airways often become swollen and narrowed therefore obstructing the flow of air in and out of the lungs. Certain types of COPD can also scar the lungs, further increasing resistance in the airway. Other forms may cause the lungs and airways to secrete excessive phlegm that becomes difficult to clear. 

Causes
Certain risk factors can increase the chances of COPD such as:

Air pollution including biomass fuel used for cooking, or pollutants in the workplace such as dusts and chemicals, may also lead to the progression of the disease.
Smoking is the main risk factor in the majority of COPD cases and leads to the damage and inflammation of the lining of the lung airways.
Those who lack a specific protein (alpha-1 antitrypsin), whose role is to protect the lung, have a greater risk of developing emphysema.
Those who suffered from regular respiratory infections during childhood are more prone to developing Chronic Obstructive Pulmonary Disease.
Symptoms
COPD has a whole host of symptoms and these include:

Blue tinge to the skin due to reduced oxygen supply
Chronic coughing
Coughing up phlegm
Dizziness
Fatigue
Shortness of breath at rest in severe cases
Shortness of breath with exertion
Stiffness in chest
Swelling of feet, ankles and legs
Unintended weight loss
Wheezing
Treatment
Lung damage due to COPD is usually irreversible. However, medical advancements in available treatment options can help alleviate symptoms and reduce if not prevent further damage. Gleneagles Hospitals specialists will evaluate your condition and provide more suitable paths of treatment and recovery. These might include: 

Cessation of smoking – The most important measure needed to slow the progression of the disease and increase the rate of survival
Home oxygen therapy – For severe copd as blood oxygen can be constantly low. Oxygen is supplied by using an oxygen concentrator or oxygen tanks
Lung transplantation – For extreme COPD cases
Lung volume reduction surgery to remove the diseased part of the lung – For certain patients (i.e. Those that suffer from emphysema)
Medication – Including inhalers and tablets to help open the airways, and antibiotics and steroids to manage inflammation of the airways
Pulmonary rehabilitation – For those with severe COPD. This involves exercise training, patient education, dietary guidance and psychological counselling
Yearly influenza vaccines as well as vaccination against pneumococcus (most common cause of pneumonia)
Complications and Diseases
If left untreated, COPD can lead to further complications and other diseases such as these listed below:

Cardiac arrhythmias (heart beat irregularities)
Frequent respiratory infections including pneumonia
Heart failure
Sleep disorders

Our Specialists

Dr. Raj Kumar Notaney
Specialty
Internal Medicine
Location
Gleneagles Hospital Kota Kinabalu

If you have any question, do send us an enquiry

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