What should I do if I have pulmonary fibrosis? Who has a good move?

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Pulmonary fibrosis is called interstitial lung disease in medical terms. Interstitial lung disease is divided into four main categories:

1. The cause is known; Clause.

Second, it is special, that is, it cannot find the cause; Clause.

3. Granulomatous; Clause.

Fourth, other types, relatively rare. This is a classification of interstitial lung disease. Professionally, pulmonary fibrosis refers specifically to idiopathic pulmonary fibrosis, that is, pulmonary fibrosis for which no cause cannot be found.

This fibrosis is not possible and tends to have a very poor prognosis, with a median survival of about 3-5 years. Now there are drugs that can**, but they can only delay the progression of the course of the disease, not **, these two drugs are pirfenidone and nintedanib. Other interstitial lung diseases, such as those with known causes, such as drug-induced interstitial lung disease, can be treated with hormones**, can**.

There are also types such as hypersensitivity pneumonitis, which is granulomatous interstitial lung disease, which can also be treated with hormones**. Then there are other connective tissue diseases like rheumatism, rheumatoid, and other connective tissue diseases, such as lupus-related interstitial lung disease, which can also be treated with hormones and immunosuppressants**. There are also ** of this kind, and there are also those who have survived with illness for a long time, which also depends on the situation.

1.Drugs**.

1) Pirfenidone:

Pirfenidone is one of the two drugs recommended for ** in the "Clinical ** Recommended Guidelines for Idiopathic Pulmonary Fibrosis" jointly issued by the American Thoracic Society, the European Respiratory Association, the Japanese Thoracic Society and the Latin American Thoracic Society in 2015, and it is also the first ** drug approved for idiopathic pulmonary fibrosis (i.e., **unknown pulmonary fibrosis, abbreviated as IPF in English). Pirfenidone** for 52 weeks in patients with IPF slows the decline of lung function markers such as FVC and DLCO, prolongs progression-free survival (PFS), and reduces the risk of death.

2) Nintedanib: Nintedanib is one of the two drugs with the highest recommendation level (conditional recommendation) in the "Clinical ** Recommendation Guidelines for Idiopathic Pulmonary Fibrosis" jointly issued by the American Thoracic Society, the European Respiratory Association, the Japanese Thoracic Society and the Latin American Thoracic Society in 2015.

2.Non-pharmacological**.

oxygen therapy; mechanical ventilation; Lungs**; Lung transplant.

Patients with pulmonary fibrosis first need to pay attention to receiving oxygen** to avoid hypoxia, which can lead to serious damage to body functions. If the patient's condition is mild, it is recommended to take hormonal drugs under the guidance of a doctor**; If the final condition is severe, a lung transplant may be considered.

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1. Secondary pulmonary fibrosis.

Patients with more severe pulmonary fibrosis may have some adverse symptoms such as chest tightness and wheezing, as well as coughing up mucus and thick sputum, and at the same time, there may also be weight loss and fatigue, as well as anorexia and limb joint pain and other systemic adverse symptoms, which usually need to be carried out with the help of hormones and immunosuppressants**, it is recommended that it is best to go to the hospital as soon as possible to receive regular**.

2. Idiopathic pulmonary fibrosis.

However, in the case of idiopathic pulmonary fibrosis, the situation is much more complicated. The reason for this is idiopathic pulmonary fibrosis, which is still a world-class problem at present, and it is a very difficult disease. The reason is that this adverse symptom usually appears in the alveoli and pulmonary interstitium, and the adverse symptoms of inflammatory alveolitis are generally taken as the main adverse manifestation, because at present, ** is still unclear, so ** aspect is undoubtedly very tricky.

For idiopathic **, the current method of anti-fibrosis with the help of glucocorticoids and immunosuppressants is usually the main method. At the same time, it is necessary to prevent and avoid infection, and if necessary, appropriate oxygen**. If the patient's condition is severe, a lung transplant may need to be considered.

If you have pulmonary fibrosis, you must listen to the doctor, quit smoking, stop drinking, follow the doctor's instructions, and eat and live scientifically, which will help the condition.

**Policy.

The disease is mainly integrated with smoking cessation, oxygen therapy, mechanical ventilation, lung**, and surgery**.

Drugs**. Medications** include glucocorticoids, immunosuppressants or cytotoxic drugs, antioxidants, antifibrotic drugs, receptor inhibitors, immunomodulators, other drugs, genetic** methods.

Surgery**. Lung Transplantation Evolving lung transplantation techniques have become the mainstay of various end-stage lung diseases. Lung transplantation in patients with IPF can improve survival and quality of life, with a 5-year survival rate of 50% to 56%.

In the current medical field, pulmonary fibrosis is an irreversible chronic disease, that is to say, there is no specific drug that can reverse the state of pulmonary fibrosis, the best way is lung transplantation, the medical cost of lung transplantation is relatively high, if we suffer from pulmonary fibrosis, then if you want to end this disease through lung transplantation, you should first consider your own economic problems, whether the economy can afford this medical treatment is the main factor, And I recommend that you try to go to some regular large medical institutions for this surgery, because this surgery is not easy, and lung transplantation is one of the most difficult surgeries among many surgeries. In addition, after suffering from pulmonary fibrosis, we need to pay attention to the following points in our daily life:

1. Stay away from air pollution.

Although the main cause of pulmonary fibrosis is still medically unknown, that is to say, there is no scientific research showing what causes pulmonary fibrosis, but many experts agree that air pollution is one of the main causes of pulmonary fibrosis, so we should stay away from air pollution in our daily life, even if we need to contact the air polluted environment in many necessary situations, we should try to use some means of transportation to avoid it.

2. Protect your respiratory tract.

In addition, when going out, we should try to protect our respiratory tract, for example, before going out, bring some masks or scarves and other protective equipment, which can greatly reduce the damage of air to our respiratory tract, and can also indirectly protect our lungs from being affected, which can effectively delay the chance of disease becoming serious.

3. Try not to do strenuous exercise.

We all know that strenuous exercise requires a lot of oxygen consumption, so as to maintain the balance of our body, so for patients with pulmonary fibrosis, strenuous exercise is not only not beneficial to the body, but harmful to the body, so in daily life, we only do a moderate amount of exercise, try not to do strenuous exercise.

General pulmonary fibrosis refers to a chronic disease on the lungs, which is the first type of disease to diagnose, and then further. This type of disease requires a visit to the hospital, and a clinician needs to make a clear diagnosis and give corresponding **. There is also a type of fibrous streak on the lungs that may be left by some tuberculosis or infection, and there is no need to intervene for those like this one.

One is conscious control. When the anger is about to explode, use your consciousness to control yourself, remind yourself to be rational, and also self-suggest: "Don't get angry, getting angry will hurt your body." People with self-cultivation are generally able to control.

The second is self-encouragement. Comfort yourself with certain philosophies or certain quotes, and encourage yourself to fight against pain and adversity. Entertaining yourself will make your mood better.

The third is language regulation. Language is a powerful tool for influencing emotions. If you are sad, reciting funny phrases can take away the sadness. Using self-reminders, self-commands, and self-suggestion such as "anger control", "forbearance", and "calmness" can also regulate one's emotions.

Pulmonary fibrosis is a very serious disease, and in mild forms of pulmonary fibrosis, dyspnea often occurs during strenuous activity, and when pulmonary fibrosis progresses, it also occurs at rest.

Guidance: It is recommended that you should actively cooperate with the doctor, exercise more often, and exercise scientifically and appropriately, which can effectively control the development of the disease.