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Emphysema

Emphysema is a progressive lung disease in which the small air sacs and airways in the lungs become damaged, making breathing a frustrating and painful process.

Symptoms

Symptoms may include:

  • Shortness of breath
  • Chronic cough
  • Limited ability to exercise comfortably
  • Fatigue

Causes

The most common cause of emphysema is smoking, particularly cigarette smoking. Tobacco can paralyze the tiny hairs (called cilia) that line bronchial tubes and usually sweep irritants and germs out of airways.

Other risk factors include:

  • Deficiency in the alpha-1 atritrypsin (AAt) protein, which protects lung structures. Some people carry a single defective AAt gene and some people carry two. Symptoms in either of these two types may begin between 32 and 41 years of age.
  • Exposure to secondhand smoke
  • Age, since emphysema most often develops between the age 50-60
  • Frequent exposure to chemicals, such as car exhaust
  • HIV infection
  • Some rare connective tissue disorders

Diagnosis

One or more of the following tools may be used to diagnose emphysema:

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Treatment

Treatment methods vary based on the unique situation, but the most important treatment typically is quitting smoking. Using a combination of cessation techniques—such as support groups, nicotine patches or replacement drugs, counseling, and relapse prevention—usually brings about the most positive results.

Other treatments include:

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  • Medications
  • Surgery may involve removing small parts of damaged lung tissue or, in the most severe cases, lung transplantation

Pulmonary rehabilitation is often a key part of treatment, too. It includes education, exercise training, and behavioral intervention to help restore a better level of function and comfort.