Written by: Xiao Yunrui
2019-11-20 08:00Last updated date: 2019-11-20 08:00
Today (20th) is the world's chronic obstructive pulmonary disease day, the seventh most deadly disease in Hong Kong. According to the figures of the Hospital Authority, about 50,000 patients with chronic obstructive pulmonary disease were treated in public hospitals in 2014.
The 73-year-old Mr. Yan has been smoked for more than 50 years. He was diagnosed with chronic obstructive pulmonary disease about 10 years ago. He improved his body after quitting smoking and starting exercise. Some doctors pointed out that exercise can effectively slow down the lung function of patients, and it is recommended that patients can exercise moderately, exercise muscles and heart.
Patients with chronic obstructive pulmonary disease (邝1) and Mr. Li (second from left) share their experiences.
Old smokers exercise, lung function rises to 30%
In patients with chronic obstructive pulmonary disease, the trachea becomes narrow and causes difficulty in breathing. The cause of 90% is smoking.
The 73-year-old Mr. Qi started smoking from the age of 20 and smoked three packs of cigarettes a day at the peak. He had danced, but he was unable to continue dancing because of the severe asthma. About a decade ago, he went to the hospital for medical treatment, and he was diagnosed with chronic obstructive pulmonary disease. The remaining lung function was 20%. He wants to use the ventilator to relieve the condition, but he still feels hard when he is lying on his back and hurried, even if he does five minutes of exercise and feels asthma. Mr. Qi started to exercise regularly a few years ago. He said that his physical condition has improved and his recent lung function has returned from 30% to 30%.
Dr. Li Wenbao, president of the American College of Thoracic and Lung (Hong Kong and Macao), pointed out that patients with chronic obstructive pulmonary disease mistakenly believe that they have risk of exercising and exercising, so they do not exercise, resulting in a decline in physical and muscle strength, resulting in a vicious circle. Dr. Lin Zhiliang, president of the Hong Kong Thoracic Lung Society, added that patients with insufficient exercise will increase the risk of comorbidities in the long run, including heart disease, osteoporosis and cancer, raising the risk of death. In recent years, the mortality rate of patients admitted to hospital in Hong Kong for chronic obstructive pulmonary disease is about 16%. The mortality rate in the two years after discharge is close to 30%. Doctors believe that the situation can be improved.
30 minutes of exercise per day, the patient can adjust the exercise time
Lin Zhiliang said that the patient's initial asthma is normal. Lin suggested that you can exercise for 30 minutes a day, 3 to 5 times a week. You can walk or ride a stationary bicycle. The key is to exercise to improve the patient's cough. And breathing difficulties. Patients can also make appropriate modifications, such as adjusting the daily exercise time, according to the condition and under the guidance of the doctor and rehabilitation therapist.
In recent years, the medical profession has actively promoted the "Breast and Lung Rehabilitation Programme". A team of professionals has developed appropriate treatment plans for patients with chronic obstructive pulmonary disease. There will also be exercise exercises to teach patients how to deal with asthma, such as lip breathing and exercise. Use a tracheal dilator or the like before.
The patient can do moderate stretching exercises and exercise muscle strength. (Photo by Xiao Yunrui)
The patient can assist in balancing with the chair and exercise the hip abductor muscles of the lower extremities. (Photo by Xiao Yunrui)
Patients with weaker lower limbs or poor balance can try to ride a stationary bicycle. (Photo by Xiao Yunrui)
Patients with better physical strength can do pedal exercise, and physiotherapists recommend a limit of five minutes. (Photo by Xiao Yunrui)
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