CHRONIC OBSTRUCTIVE LUNG DISEASE
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COPD is one of the fastest-growing
health problems. Nearly 16 million people in the United States, 14
million with chronic bronchitis and 2 million with emphysema, suffer
from COPD. COPD is responsible for more than 96,000 deaths annually,
making it the fourth leading cause of death. Although COPD is more
common in men than women, the increase in incidence of smoking among
women since World War II has produced an increase in deaths from
COPD in women. COPD has a large economic impact on the healthcare
system and a destructive impact on the lives of patients and their
families. Quality of life for a person with COPD decreases as the
disease progresses.
Chronic bronchitis
In chronic bronchitis, chronic inflammation caused by cigarette
smoking results in a narrowing of the openings in the bronchi, the
large air tubes of the respiratory system, and interferes with the
flow of air. Inflammation also causes the glands that line the
bronchi to produce excessive amounts of mucus, further narrowing the
airways and blocking airflow. The result is often a chronic cough
that produces sputum (mainly mucus) and shortness of breath.
Cigarette smoke also damages the cilia, small hair-like projections
that move bacteria and foreign particles out of the lungs,
increasing the risk of infections.
Emphysema
Emphysema is a disease in which cigarette smoke causes an
overproduction of the enzyme elastase, one of the immune system's
infection-fighting biochemicals. This results in irreversible
destruction of a protein in the lung called elastin which is
important for maintaining the structure of the walls of the alveoli,
the terminal small air sacs of the respiratory system. As the walls
of the alveoli rupture, the number of alveoli is reduced and many of
those remaining are enlarged, making the lungs of the patient with
emphysema less elastic and overinflated. Due to the higher pressure
inside the chest that must be developed to force air out of the less
elastic lungs, the bronchioles, small air tubes of the respiratory
system, tend to collapse during exhalation. Stale air gets trapped
in the air sacs and fresh air cannot be brought in. |
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| CHRONIC OBSTRUCTIVE LUNG DISEASE RELATED ITEMS |
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