What to do with mid term pulmonary fibrosis, trouble to help I ve been checking for a long time and

1. Pulmonary fibrosis can cause patients to have symptoms of dyspnea and respiratory failure, and the use of glucocorticoids can effectively alleviate such symptoms. After taking these drugs for about a week, you should check whether the fibrosis in your lungs has improved, and if necessary, you will need to use these drugs for about three months. If the patient's lung fibrosis is gradually reduced, and the symptoms are gradually reduced, the dosage needs to be appropriately reduced, and then the treatment course of six months to one year can effectively control the pulmonary fibrosis and the physical damage caused to the patient.

2. If the patient's pulmonary fibrosis is more severe, he or she needs to go to the hospital for routine blood lung function tests, as well as CT examinations of both lungs, including kidney function and bone mineral density level tests. The main thing is to prevent the use of hormonal drugs, which will aggravate the patient's condition. Therefore, after the patient has medium-term pulmonary fibrosis, he needs to follow the doctor's advice, adjust the **regimen and change the drugs used** at any time.

3. For advanced pulmonary fibrosis, it is recommended that the patient go to the hospital for hospitalization**, and can fully accept all the doctor's orders** and can be carried out as soon as possible**. At the same time of hospitalization, patients can also have a physical examination at any time, the uncomfortable symptoms caused by advanced pulmonary fibrosis to the patient's body, and can also observe whether the pulmonary fibrosis has been reduced and the symptoms have improved in real time.

After pulmonary fibrosis, attention should be paid to removing predisposing factors, actively **, and enhancing the body's resistance.

There are many types of pulmonary fibrosis, for patients with pulmonary fibrosis caused by occupational physical and chemical factors, it is necessary to pay attention to avoid contact with harmful dust, get rid of the polluted environment, and effectively control the condition of patients with mild pulmonary fibrosis; For pulmonary fibrosis caused by connective tissue disease, effective control of the primary disease can reduce lung damage and delay the progression of lung lesions; For idiopathic interstitial pneumonia, there is currently no effective drug**, and attention should be paid to following the doctor's instructions to delay the progression of the disease and reduce the frequency of acute exacerbations. For sarcoidosis, allergic alveolitis, etc., timely drug intervention and avoiding contact with allergic factors can effectively control the condition.

If pulmonary fibrosis is confirmed, early regulation** is recommended to reduce adverse effects of the disease.

Patients with pulmonary fibrosis can live for up to one or two decades, mainly according to their own conditions, if the pulmonary fibrosis is mild, and get timely **, so that they can survive for a long time, but they must be timely **, to avoid the aggravation of the disease, pulmonary fibrosis is the lung tissue loses its original respiratory function, is replaced by fibrous tissue, and eventually leads to respiratory failure, how long can you live depends on the scope and progress of the lesion.

When the disease progresses to pulmonary fibrosis, it is the terminal stage of the disease, which may be effective for the primary disease, and the current means can partially delay the progression of pulmonary fibrosis.

Acute and critical**.

Acute exacerbations of pulmonary fibrosis and severe pneumonia are causal and can rapidly lead to respiratory failure.

Circulatory failure and other serious diseases, the principle of the two is the same.

Symptomatic support**.

Patients on oxygen therapy usually require appropriate concentrations of oxygen to maintain transcutaneous oxygen saturation.

spo2) above 90. Patients with pulmonary fibrosis often develop hypoxemia when oxygen consumption increases during activity, and patients are advised to self-monitor oxygen saturation, prepare fixed and mobile oxygen devices, and provide long-term oxygen therapy.

Prevent the formation of deep vein thrombosis (VTE).

Patients with hypoxia and bedridden patients are at increased risk of venous thromboembolism, and preventive measures include compression stockings, intermittent use of air pressure pumps in both lower extremities, and use of low molecular weight heparin.

Mechanical ventilation. Invasive mechanical ventilation is not thought to benefit patients with an acute exacerbation of pulmonary fibrosis, but noninvasive positive pressure ventilation is feasible in some patients with respiratory failure.

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.

What about intermediate-stage pulmonary fibrosis?

In the case of intermediate or advanced disease, hospitalization is recommended**.

Some of the causes of pulmonary fibrosis may be caused by localized fibrosis, which may be due to the fact that after the inflammation and healing of the patient's lungs, some cases will not be completely absorbed, which will lead to fibrous tissue cell proliferation, and when it cannot replace the formation of normal lung tissue, it will cause an illusion of pneumonia healing and cause pulmonary fibrosis. The other is secondary fibrosis, which causes this kind of condition, mainly due to the patient being invaded by harmful substances, primary diseases, or secondary pulmonary fibrosis caused by some drugs that damage the body.

1.Drugs**.

1) Pirfenidone:

Pirfenidone is one of the two drugs recommended for use 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 Association in 2015, and it is also the first drug approved for idiopathic pulmonary fibrosis (i.e., unknown pulmonary fibrosis, abbreviated IPF in English). Continuous administration of 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.

A few suggestions. 1. Ensure that patients get enough rest.

Second, pay attention to keeping warm.

3. When the seasons change, it is necessary to prevent all kinds of infections.

Fourth, pay attention to the patient's diet.

1. Eat more fruits and vegetables and drink more water.

2. Try not to eat spicy, sour, numb, spicy, fried foods and eggs, fish, shrimp and other foods that are easy to induce asthma.

3. Eat more high-quality protein, multivitamins and a carbohydrate diet with a high proportion of base hands (except carbonated drinks). For example: eggs, brown rice, cornmeal, soba noodles, fruits and vegetables, etc.

4. Patients with severe pulmonary fibrosis eat more soft food or semi-liquid food.

5. Patients should keep their spirits happy.

6. Keep away from exogenous allergens.

Pulmonary fibrosis is a refractory disease, and there is currently no specific drug**. In most cases, patients have a poor prognosis with persistent and progressive progression.

When it is early it should be actively reasonable**, look for ** that may lead to pulmonary fibrosis**, and target **. In addition, for patients with pulmonary fibrosis without obvious **, corresponding anti-fibrotic drugs and antioxidants can be given symptomatic treatment in the early stage. Some patients may be treated symptomatically with low-dose glucocorticoids plus immunosuppressants**.

The rate of progression and the degree of pulmonary fibrosis can be slowed down by the above**.

Patients should also quit smoking and drinking, strengthen their physical fitness, and prevent and treat respiratory tract infections. Strengthen symptomatic treatment, such as oxygen therapy, cough suppressants, expectorant drugs**, when severe pulmonary fibrosis can occur, hypotension and respiratory failure can occur, at this time can also be given a ventilator to assist breathing. Through the above treatment, the clinical symptoms of patients can be improved as much as possible, their quality of life can be improved, and their survival can be prolonged.

Pulmonary fibrosis should first clarify the type and type of pulmonary fibrosis. If it is caused by physical factors such as smoking, drugs, or radiation, the patient's condition can be improved by removing these triggers. Pulmonary fibrosis caused by infection should be targeted at specific **, such as antiviral**, etc.; If it is caused by connective tissue diseases, such as systemic sclerosis, Sjögren's syndrome, etc., it needs to be carried out for specific diseases**, such as the use of hormones or immunosuppressants**, etc., which can be relieved to a certain extent; If it is idiopathic pulmonary fibrosis, it is not clear and cannot be taken under the guidance of a doctor, and anti-fibrotic drugs such as pirfenidone, nintedanib, etc. can be taken.

Other non-pharmacological drugs include lung training, long-term oxygen therapy, and lung transplantation in some patients.

Pulmonary fibrosis is a very serious disease, and it must be taken seriously, because it will develop very quickly in the later stages. I can't give you more advice here, only to remind you to hurry up and find a doctor**, and don't take it lightly.

Carrots not only contain more vitamin B and vitamin C, but also contain carotene, carotene in the human body through the action of the small intestinal mucosa can be converted into vitamin A, improve the nutritional value of carrots, vitamin A is mainly found in the liver of animals, people in the supplement of vitamin A, because of the taboo cholesterol intake excessive, eating the liver is more cautious, therefore, eating plant foods such as carrots to supplement vitamin A, is a good choice. Moreover, carotene also avoids the potential danger of toxicity caused by excessive intake of vitamin A.

I was found out at the end of last year, hospitalized for more than a month, and now I am eating interstitial, quality, health, recovery, soup, and the re-examination is very good after a month, and now I am at work, but the Chinese medicine is bitter.

But in order to get good absorption of carotene, it must be combined with oil, because vitamin A is a fat-soluble vitamin, and it can be enzymatically hydrolyzed when combined with lipids. Someone once experimented: three parts of the same amount of carrots.

Group A raw food; Group B cooked food after cooking with a trace amount of fat; Group C is allocated with a sufficient amount of oil, cooked food, and the digestion and absorption rate of carotene in groups A, B, and C is divided into %. It can be seen that the digestion and absorption rate of carotene in the body is directly proportional to the amount of oil, and carrots cooked with cooking oil have higher nutritional value than raw food.

Therefore, the scientific way to eat carrots should be: cut carrots into pieces with condiments and cooking oil, or stew them with meat (pork, beef, lamb), and try not to eat carrots raw. So, when you chew carrots and crunch raw in your mouth, don't think it's so good.

Intermediate, Quality, Kang, Fu, Tang Pupu: 3 grams of bird's nest, soak in warm water until soft, drain and tear strips; 30 grams of rock sugar, dissolved in boiling water, and the sugar solution is filtered. Mix the bird's nest with the sugar solution and bring it to a simmer.

Bird's nest is flat and sweet, nourishes and nourishes qi, nourishes yin and moistens dryness. This soup can enhance the ability of the lungs to resist diseases, and the focus of the advanced stage of pulmonary fibrosis is to strengthen the support for symptomatic treatment and alleviate or improve clinical symptoms.

For patients with advanced pulmonary fibrosis, oral anti-pulmonary fibrosis drugs such as pirfenidone are often ineffective, and patients are often accompanied by varying degrees of hypoxemia, and patients often need oxygen**, and some may also need to be oxygenated by masks. If respiratory failure is comorbid, a ventilator is required to assist breathing**.

For those who have cough and sputum, appropriate cough and expectorant should be given according to the situation, and corresponding complications should be prevented. If a secondary lung infection occurs, sensitive anti-infective drugs need to be chosen** and nutritional support is also required. Acetylcysteine effervescent tablets can also be taken orally to play the role of expectorant and antioxidant.

The overall effect of advanced pulmonary fibrosis is not good, but it still needs to be active to improve quality of life and prolong survival.