Emphysema
Introduction:
Emphysema is a condition of the lungs that involves the over-inflation of the air sacs, otherwise known as the alveoli. Normal functioning of the alveoli helps breathing in normal respiration. Unlike other lung diseases this one can be inherited. This is a disease that can affect people of all ages and genders. In 1994, the number of males with emphysema outnumbered the females by fifty four percent. However, in the two years that followed the difference between males and females decreased by ten percent.
Classification:
Emphysema is a lung disease that is classified as a COPD. (Chronic obstructive pulmonary disease)
Natural History (Symptoms):
A person may notice various signs that will lead them to believe they may have emphysema. The most common symptom that people begin to feel is shortness of breath. Usually, this begins while exercising or taking part in some sort of physical activity. Eventually, they will even begin to feel like they are not getting enough oxygen even when they are just sitting and relaxing. Some other symptoms that could be related are chronic coughing which could worsen in the morning upon waking up, wheezing, and chronic mucus production, which may result in a constant need to clear the throat. Some may notice that they feel fatigued very easily as well. There can also be many health complications that may occur which include recurrent respiratory tract infections and respiratory failure. This is caused by the lung’s loss of ability to function properly. There are many physical changes that may occur as well, leading some to believe they may have emphysema. The most common physical change may be in their chest, which takes on a barrel-like appearance. ...
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...c which is very easily accessible. We enjoyed researching this topic because it allowed use to educate ourselves on emphysema and made us more aware of the kind of lifestyle we would need to live in order to live a longer and happier life.
Bibliography:
References:
Adams, F. (1998). The Breathing Disorders Sourcebook.Lincolnwood, IL, Lowell House.
Berland, T. (1972). Living With Your Chronic Bronchitis and Emphysema. NY, Saint Martin’s Press.
Haas, F. (1990). The Chronic Bronchitis and Emphysema Handbook. NY, John Wiley and Sons.
Shayevitz, M. (1985). Living Well With Emphysema and Bronchitis. NY, DoubleDay & Company.
American Lung Association (2001). Emphysema facts. http://www.lungusa.org/diseases/lungemphysema.html.
-Yahoo Health (2001). Emphysema. http://health.yahoo.com/health/Diseases_and_Conditions/Disease_Feed_/Data/Emphysema/
Additionally, some of the general diagnostic and pulmonary function tests are distinct in emphysema in comparison to chronic bronchitis. In the case of R.S. the arterial blood gas (ABG) values are the following: pH=7.32, PaCO2= 60mm Hg, PaO2= 50 mm Hg, HCO3- = 80mEq/L. R.S.’s laboratory findings are indicative of chronic bronchitis, where the pH and PaO2 are decreased, whereas PaCO2 and HCO3- are increased, when compare to normal indices. Based on the arterial blood gas evaluation, the physician can deduce that the increased carbon dioxide is due to the airway obstruction displayed by the hypoventilation. Furthermore the excessive mucus production in chronic bronchitis hinders proper oxygenation leading to the hypoxia. On the other hand, in emphysema the arterial blood gas values would include a low to normal PaCO2 and only a slight decrease in PaO2 which tend to occur in the later disease stages.
Having emphysema and bronchitis together is known as chronic obstructive pulmonary disease. Symptoms will include:
Chronic obstructive pulmonary disease or COPD is a group of progressive lung diseases that block airflow and make it hard to breathe. Emphysema and chronic bronchitis are the most common types of COPD (Ignatavicius & Workman, 2016, p 557). Primary symptoms include coughing, mucus, chest pain, shortness of breath, and wheezing (Ignatavicius & Workman, 2016, p.557). COPD develops slowly and worsens over time if not treated during early stages. The disease has no cure, but medication and disease management can slow its progress and make one feel better (NIH, 2013)
The simple act of breathing is often taken for granted. As an automated function sustaining life, most of us do not have to think about the act of breathing. However, for many others, respiratory diseases make this simple act thought consuming. Emphysema is one such disease taking away the ease, but instead inflicting labored breathing and a hope for a cure.
The functioning of the chronic obstructive pulmonary diseases (COPD) is that it has a permanent decrease in the ability to force air out of the lungs. Consequently, it causes emphysema to become a more advanced disease with no cure. Emphysema is known for their permanent enlargement of the alveoli, which are accompanied by the destruction of the alveolar walls. The lungs lose their elasticity, so it loses its ability to recoil passively during expiration. People who have emphysema becomes exhausted fast because they need about fifteen to twenty percent of their body energy to breath which is more than what a healthy person needs. Smoking inhibits and destroys cilia in the conducting zone structures, which is the line of defense for the respiratory system.
The main symptom of the disease is shortness of breath, which gets worse as the disease progresses. In severe cases, the patient may develop cor pulmonale, which is an enlargement and strain on the right side of the heart caused by chronic lung disease. Eventually, this may cause right-sided heart failure. Some patients develop emphysema as a complication of black lung disease. Others develop a severe type of black lung disease in which damage continues to the upper part of the lungs even after exposure to the dust has ended called progressive massive fibrosis.
Smoking is the most preventable cause of death in our society. During 1995, approximately 2.1 million people in developed countries died as a result of smoking. One tobacco use is responsible for nearly one in five deaths in the United States. Lung Cancer mortality are about 23 times higher for current male smokers and 13 times higher for current female smokers compared to a lifelong never-smoker.
B. “It causes the deaths of over 16,000 people in America every year, an average of
Cancer of the lung was nearly nonexistent in the early 1900’s. By the middle of the 20th century an epidemic became apparent throughout the United States and the rest of the world. It is primarily correlated with the widespread abundance of cigarette smoking in the world. The tobacco industry has multiplied its production immediately prior to World War I. There was a typical 20 to 30 year lagging period between the initiation of cigarette smoking and the actual tumor formation in the lungs. Lung cancer is the cancer that originates in the tissues of the lungs. It occurs when cells in the lung start to grow rapidly in an uncontrolled manner. Lung cancer can start anywhere in the lungs and affect any part of the respiratory system. Most of all lung cancer cases start in the lining of the bronchi (health-cares.net, 2005). It is the leading cause of all cancer deaths in the world. During this time the tobacco companies would continue to say that cigarette smoking was not addictive and did not cause any type of cancer. Even with all evidence in the world today about tobacco causing cancer, Tobacco companies still remain the most profitable business in the world. Lung cancer is very common in both women and men. Women account for about 40 percent of the lung cancer cases in the world. Women who smoke are more than twice as likely to develop lung cancer as those of men who smoke (Tavor, 2005).
Chronic Obstructive Pulmonary Disease (COPD) is a lung disease that affects breathing. This disease is one that blocks or obstructs air flow which then affects the way that one breathes. It diminishes the capability of airflow in and out of the lungs. COPD is the term used for a group of different diseases that affect the lungs. The two most common types of COPD are emphysema and chronic bronchitis. Emphysema is a destruction of the small bronchioles in the lungs and chronic bronchitis is an inflammation of the lining of the bronchial tubes. Both emphysema and chronic bronchitis are obstructive diseases that impact breathing in a negative manner. (COPD, 2014)
Most of you may not think of asthma as a killer disease, yet more that 5,000 Americans die of asthma each year. According to the Mayo Clinic web page, asthma also accounts for more that 400,000 hospital discharges annually. As the number of people with asthma increases, the more likely you are to come in contact with a person who has the disease. As far as I can remember, I have had asthma my whole life. My mother and one of my sisters also have asthma, so I have a first hand experience with it. This morning, I will discuss some interesting facts about asthma, I will specifically focus on what it is, warning signs, symptoms, causes, and the treatments that are used.
Chronic obstructive pulmonary disease (COPD) is preventable disease that has a detrimental effects on both the airway and lung parenchyma (Nazir & Erbland, 2009). COPD categorises emphysema and chronic bronchitis, both of which are characterised by a reduced maximum expiratory flow and slow but forced emptying of the lungs (Jeffery 1998). The disease has the one of the highest number of fatalities in the developed world due to the ever increasing amount of tobacco smokers and is associated with significant morbidity and mortality (Marx, Hockberger & Walls, 2014). Signs and symptoms that indicate the presence of the disease include a productive cough, wheezing, dyspnoea and predisposing risk factors (Edelman et al., 1992). The diagnosis of COPD is predominantly based on the results of a lung function assessment (Larsson, 2007). Chronic bronchitis is differentiated from emphysema by it's presentation of a productive cough present for a minimum of three months in two consecutive years that cannot be attributed to other pulmonary or cardiac causes (Marx, Hockberger & Walls, 2014) (Viegi et al., 2007). Whereas emphysema is defined pathologically as as the irreversible destruction without obvious fibrosis of the lung alveoli (Marx, Hockberger & Walls, 2014) (Veigi et al., 2007).It is common for emphysema and chronic bronchitis to be diagnosed concurrently owing to the similarities between the diseases (Marx, Hockberger & Walls, 2014).
Parker, Steve. "Chronic Pulmonary Diseases." The Human Body Book. New ed. New York: DK Pub., 2007.
The clinical manifestation one may see in patients with chronic bronchitis are chronic cough, weight loss, excessive sputum, and dyspnea. Chronic cough is from the body trying to expel the excessive mucus build up to return breathing back to normal. Dyspnea is from the thickening of the bronchial walls causing constriction, thereby altering the breathing pattern. This causes the body to use other surrounding muscles to help with breathing which can be exhausting. These patients ca...
VI. It is estimated that 85% of us will need a transfusion at some point in our life.