Chronic obstructive pulmonary disease Pernille Sunde, Jannike Simonsen and Sara Staubo
About Umbrella term for chronic pulmonary disease Chronic bronchitis and emphysema Develops over many years, usually over 40 years old Constricted air passage Unusual inflammatory response from air borne particles
Symptoms Chronic cough - First to occur - Three months a year for more than two years Shortness of breath - Affects patients the most - Worsens over time Other symptoms Co-existing conditions
Causes Smoking Air pollution Occupational exsposures Genetics Other
Situation in Norway Over is estimated to have COPD (2005) increasing Cause of 2020 deaths in 2009 (lung cancer 2100) WHO 64milion people world wide with COPD Fourth most frequent cause of death High mortality rate Low-, middle- income countries
Diagnostics Spirometry X-ray
Treatment Stop smoking Medications: - Bronchodilators; short acting and long acting - Inhaled steroid; corticosteroid - Phosphodiesterase-4-inhibitors Lung therapies: - Oxygen; supplement - Pulmonary rehabilitiation program Surgery: - Lung volume reduction - Lung transplantation
Sources List_6212&Main_6157=6261:0:25,6176&MainContent_ 6261=6464:0:25,6177&List_6212=6218:0:25,6180:1:0:0:: :0:0 List_6212&Main_6157=6261:0:25,6176&MainContent_ 6261=6464:0:25,6177&List_6212=6218:0:25,6180:1:0:0:: :0:0 kols/Symptomer-og-sykdomsforlop/ kols/Symptomer-og-sykdomsforlop/ OLS---Kronisk-obstruktiv-lungesykdom/Generelt.aspx OLS---Kronisk-obstruktiv-lungesykdom/Generelt.aspx
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