10个接受COPD的提示

这American Lung Association estimates大约有900万人在美国的成年人有COPD，但这并不意味着每个病症的人都具有相同的症状，治疗过程和触发器。这就是为什么了解它是如何专门影响你的重要性，玛格丽塔诺克斯，M.D.纽约市Lenox Hill医院的肺病学家。她建议的一种策略正在研究你的病情和症状，并写下这一点的任何问题。然后询问您的医生，专家和医疗保健团队的其他成员。

If you don't have a regular exercise routine already, it's never too late to start. Although you may be nervous about making symptoms worse, the opposite is true.研究发表于期刊呼吸noted that exercise training is the cornerstone of a comprehensive pulmonary rehab program for those with COPD — not only for improved lung function, but also for improved body weight and higher muscle mass. A great starting point is taking a walk daily, suggests Kate Ayoub, D.P.T., a Washington D.C.-based doctor of physical therapy who often counsels people with chronic conditions.

来自与COPD患者合作到肺部康复专家的物理治疗师，您的医疗保健提供者将有专业人员，他们可以帮助您将维护计划放在一起，Ayoub说。您的团队还可包括护士，药剂师，营养师，社会工作者和其他专家。由于COPD可能与糖尿病或心血管问题等其他条件一起出现，因为拥有强大的健康团队对于确保您的护理没有间隙，这是重要的。请务必将每个团队成员的信息作为健康记录的一部分，因此您可以轻松找到这些专业人士。

虽然对COPD的有效管理可能似乎足够的目标，但它确实有助于将特定的里程碑放在适当的地方。“作为医生，我们需要了解对你来说重要的，以及什么对你来说是一个有意义的目标，”约翰霍普金斯大学医学院的内科专家Michelle Ogunwole，M.D。这可能正在与您的孙子一起玩，在没有努力的情况下在您家中楼梯，或减少使用补充氧气。Ogunwole博士说，有的目标为您提供和您的医疗保健团队以增量方式努力。

Putting some deep breathing and relaxation time into your routine can help in many ways, says Thomas Yadegar, M.D., pulmonologist and medical director of the ICU at Providence Cedars-Sinai Tarzana Medical Center in Los Angeles. Not only can it help you wind down for sleep, but it may keep energy levels regulated throughout the day since you're not struggling as much to breathe. Try this to start: Sit quietly and breathe in and out as deeply as you can for 5 to 15 minutes. Set certain times, like right before meals, to do this short routine.

Ogunwole博士说，让您的家人和朋友了解您所需要的是重要的。在许多方面，他们可以是您的健康团队的延伸。例如，您可能会将家庭成员带到医生预约作为您的录取器，因此您可以解除该任务。或者，朋友可以加入你每天走路，以便让您保持动力和追踪。当你拥有COPD时，很容易被孤立，所以值得与他人联系并让他们参与您的护理。

在COPD方面，生活方式的变化可能是显着的，特别是如果您在同一时间发生了其他情况，Ogunwole博士说。专注的领域包括降低压力，享受质量睡眠，吃更多的水果和蔬菜，保持水分，不吸烟，抚养酒精摄入，并在你所做的事情中找到一种目的感。这些都对您的健康视为管理COPD的医疗策略同样重要。不要忘记你也不必独自接受这一点。您的医疗保健团队可以为所有这些可以帮助您茁壮成长的所有这些策略。

COPD often comes with poor sleep quality, in part because oxygen levels are lower while you're sleeping and being on your back can be challenging. That's why focusing on良好的睡眠习惯is key, says Dr. Oks. Create better conditions for sleep by putting together an effective bedtime routine that might involve gentle stretching instead of vigorous exercise, taking a warm bath, drinking non-caffeinated herbal tea, and avoiding screens like a smartphone and TV for at least a half hour before bed. Try deep breathing exercises and generally wind down from the day.

即使您的加剧症状似乎很细，值得与您的医生一起检查，因为COPD耀斑更容易在早期阶段治疗。“知道你是一个加重的钥匙是否是你遇到的东西比平常更糟糕，”yadegar博士说。例如，您可能比往常或吞咽唾液更常见，另一个常见的标志。您的痰可能更厚，更易于咳痰，或者您可以随着日常活动而迅速呼吸。如果发生这种情况，请与您的医生交谈下一步。

Medication errors and omissions are among the main reasons chronic illnesses are not always successfully controlled. Making sure your medications are the right fit for you is crucial, says Dr. Ogunwole, especially if you have multiple conditions or you're starting a new medication. Talk with your doctor or pharmacist, and ask for a medication review. She suggests bringing in all your bottles of meds, which has information on dosage, rather than just a list of what you're taking. That's part of managing your health and your condition.