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COPD, or chronic obstructive pulmonary disease, is a lung condition usually caused by smoking. It affects more than 24 million people in the U.S., or 6 percent of the population (COPD Foundation, 2013). It is the third leading cause of death in the U.S. (American Lung Association, 2013).
People with COPD have difficulty breathing. In the early stage of COPD, they may feel breathless during physical activity. Eventually, they have trouble breathing even at rest.
The lungs’ airways are called bronchi, or “branches.” They divide and spread throughout the lung and end in tiny sacs. In someone with normal lungs, these sacs inflate upon the inhale and deflate upon the exhale. In people with COPD, the sacs don't work properly because they are damaged (this condition is also known as emphysema) or the bronchi become inflamed (chronic bronchitis).
Most people with COPD have both emphysema and chronic bronchitis. In cases of chronic bronchitis, large amounts of mucous develop in the lungs, interfering with breathing.
Some forms of asthma are also categorized as COPD.
People who are exposed to chemical or cooking fumes, air pollution, dust (created in manufacturing, for example), and other lung irritants can develop COPD. The risk is greater when exposure occurs over a long time.
In rare cases, a lack of a certain type of protein in the blood can damage the lungs and cause COPD. This condition is genetic. Research is ongoing into other genetic causes.
Smokers are at the greatest risk of developing COPD. Others who may be at risk include:
A persistent cough, breathlessness, and fatigue are the major symptoms of COPD. Wheezing and tightness in the chest also are common, as are frequent respiratory infections.
Spirometry is the most common way to diagnose COPD. A spirometer measures air flow. Patients blow into a tube, and the device measures how quickly the lungs take in and exhale air. Reduced lung function is a primary indicator of COPD.
Chest X-rays or CT scans can help diagnose emphysema. They can also help rule out diseases other than COPD.
Blood tests can measure for a protein that, when lacking, leads to COPD. This is caused by a genetic condition and can be useful when diagnosing someone with a family history of COPD. Blood tests also can measure how well the lungs are processing oxygen and carbon dioxide.
Sputum or blood tests can diagnose a lung infection.
A variety of medications can ease the symptoms of COPD:
Surgery may be performed in severe cases.
In lung volume reduction surgery, a portion of the lung is removed to improve airflow.
In extremely rare instances, a lung transplant may be considered.
If you have been diagnosed with COPD, keep lung irritants such as smoke and aerosols out of your home. On polluted days, stay inside with the windows closed.
Make essential activities such as cooking and cleaning easier by modifying your techniques. Get help if you need it.
Stay in touch with your doctor and be prepared to manage symptoms during flare-ups. Talk to your healthcare providers about exercises you can do to breathe easier.
Oxygen therapy helps some patients breathe easier.
Pulmonary rehabilitation is a multi-pronged approach of education and exercise designed to help patients better manage symptoms. A team of experts will offer coping mechanisms and other suggestions so you can get the most out of life.
The best way to prevent COPD is to never smoke, or to quit immediately if you already do smoke. Smoking causes the vast majority of cases. If you work in an environmentally hazardous job, talk to your supervisor about ways to protect yourself from harmful inhalants. Always get treatment for respiratory infections.
Written by: David Heitz
Medically reviewed by George Krucik, MD, MBA
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