Pulmonary Rehabilitation
Pulmonary Rehabilitation ; Chronic obstructive pulmonary disease (COPD)’nın sıklığı giderek artmakta (geçen 10 yılda %13.5 artmış) ve önümüzdeki yıllarda tüm dünya da hastalıklar arasında en sık 3. ölüm nedeni olacaktır.
COPD It is at the forefront with respiratory symptoms such as progressive shortness of breath, sputum and cough complaints due to the destruction of the lungs due to smoking.
COPD Although it is known as a disease limited to the lung, it is considered a systemic disease because it affects all organs and structures except the lung.
What Causes COPD?
COPD in patients anemia Symptoms such as (anemia), weight loss, muscle wasting, inactivity, decrease in blood fluidity, depression, nutritional deficiency and heart failure can be seen according to the condition and stages of the disease.
in COPD Although there is progress in the development of pharmacological drugs, these patients still have complaints such as shortness of breath, cough, sputum, muscle wasting, depression and inactivity, the progression of the disease cannot be stopped and the frequency of hospitalization in health institutions such as hospitals and emergency services continues to be high.
In these patients, the negative effects of immobility and bed dependence cause an increase in the death rate in patients, together with the above-mentioned other organ effects.
Lung Rehabilitation
However, with scientific studies, it is aimed to change the lifestyle of the patient in COPD or other chronic lung diseases, such as nutrition, psychology, mobility, cessation of smoking, regular intake of medications. LUNG REHABILITATION It has been shown that it increases exercise capacity (mobility) and quality of life in these patients, and reduces the death rate with hospitalization or emergency room admission.
Pulmonary Rehabilitation (PR) It is undoubtedly an important non-drug method in the treatment of chronic respiratory diseases with distressing and persistent exercise-related symptoms and exercise intolerance.
The prevalence and gradual increase of chronic lung diseases are emphasized by scientists that pulmonary rehabilitation should be evaluated individually and rehabilitation should be individualized.
Since the severity of each patient is different, adopting an integrative, individualized approach according to the patient's needs seems to be the ideal strategy.
An intensive, multidisciplinary, in-hospital program is recommended for care-dependent patients, especially in the recovery phase of chronic lung diseases with acute respiratory failure.
Due to the developments in intensive care treatments, more and more patients are freed from severe acute respiratory failure compared to previous years, and noninvasive mechanical ventilation is increasingly recommended for those with stable chronic lung disease, and the need for special lung rehabilitation for these people is increasing.
Lung Rehabilitation Retrieval Criteria
For this reason, the importance of clinics and institutions that specialize in these subjects and have special pulmonary rehabilitation programs is increasing. of patients lung rehabilitation among the admission criteria shortness of breath, tiredness and inability to moveIt is based on bed addiction.
Lung rehabilitation Most of the patients participating in the programs have chronic obstructive pulmonary disease (COPD), but increasingly, pulmonary rehabilitation applications are increasing for other chronic lung patients as well.
The benefit of pulmonary rehabilitation for other lung diseases (interstitial lung disease, pulmonary hypertension, bronchiectasis and lung cancer) is increasing.
Purpose of Lung Rehabilitation Programs
The aim of all pulmonary rehabilitation programs is to ensure continuous participation in daily physical activity in patients with permanent physiological disorders.
The aim here is to ensure that the gains obtained are transformed into physical activity that has become an increasing and continuous habit.
In recent years, scientific studies have shown that pulmonary rehabilitation reduces the frequency and severity of COPD attacks, and therefore, reducing the frequency of hospitalization has also become a target.
However, the challenges of enrolling patients in the early post-exacerbation phase are enormous, and this service is often limited (for logistical and economic reasons) to a few specialist centres.
In pulmonary rehabilitation The most important point is the treatment of resistant dyspnea, which is the most important symptom of chronic lung diseases. Pulmonary rehabilitation for chronic shortness of breath is arguably the most effective treatment.
In this context, in selected patients, rehabilitation Delaying the occurrence of shortness of breath in the patient will cause an increase in the exercise capacity of the patients.
In pulmonary rehabilitation uygulanacak yöntemlerden birkaçı direnç eğitimi, nöromüsküler elektriksel stimülasyon, sıralı ‘tek bacak’ egzersiz eğitimi, inspiratuar kas eğitimi, non-invaziv ventilasyon ve nazal yüksek akımlı oksijendir.
Elimination of panic attacks and shortness of breath crisis in patients with advanced lung disease who are sent to pulmonary rehabilitation is one of the most important goals of the personnel.
İstanbul Anadolu Yakası Ataşehir’de bulunan Eksen Sağlık inpatient physical therapy merkezinde yatarak tedavi gören hastalarımıza Pulmoner rehabilitasyon hizmeti Prof. Dr. Kursat Uzun is given by
