COPD
(Chronic Obstructive Pulmonary Disease)
Chronic obstructive pulmonary
disease is characterized by shortness of breath; labored respirations
on exertion and when lying flat; fatigue; sleep apnea; often dependence
on oxygen sometimes 24 hours a day; marked limitations of activities
even very short distances in walking; susceptibility to recurrent bronchitis
and pneumonia. Patients are monitored by spirometry, pulmonary function
tests and pulse ox tests.
Medical treatment consists
of inhaled bronchodilators atrovent such as albuterol(or Xopenex), Pulmocort
for short term use for severe shortness of breath and Spireva and Advair
for long term control, and steroids. Patients during the day may use
hand inhalers during the day time and nebulizer at night.
Additional treatment are
the use of special inhalers that deliver medications move deeply into
the lung tissues; breathing exercises, chest tapping to loosen mucus
plugs in the bronchi and bronchioles and postural drainage.
The disease is slowly progressive
and limits the activities and quality of life of the patient. The long
term effects of COPD result in right sided enlargement of the heart.
In recent times treatments
with stem cells have been used in attempts to greatly improve lung function.
Originally autologous adult stem cells have been used with modest success.
Currently treatment now has been with the use of stem cells derived
from umbilical cord blood. These cells are then grown in culture with
special nutrients and growth factors to program them to become pulmonary
stem cells. This culture method usually requires about three weeks in
time. Patients are given progenitor cells, pulmonary stem cells and
human stem cell growth factors intravenously over a one hour plus period.
In addition pulmonary stem cells and retinoic acid is given by nebulizer.
Post stem therapy program
medications are then given to the patient to be taken for six months.
Patients who travel a distance whether by plane or automobile to receive
this treatment should have received a pneumovax and flu vaccine within
the last three years. In severe cases of emphysema and COPD the use
of short term inhalers and prophylactic antibiotics may be advisable
to prevent secondary infections because of fatigue of traveling; exposure
to secondary infections; and decreased immune system. Eat lots of broccoli
and apples that are rich in anti-oxidants. An intake of Retinoic acid
of 100 mg. and alpha- tocopherol 1200 mg. per day is recommended.
Treatment consists of the
following: