COPD also known as chronic obstructive pulmonary disorders is a group of lung diseases that blocks airflow and makes it difficult to breathe. The most common of these diseases are emphysema and chronic bronchitis. Many people with COPD have both of these conditions. Emphysema slowly destroys air sacs in your lungs, which interferes with outward airflow. Bronchitis causes inflammation of the bronchi. COPD is a condition in which the disease worsens over time and it makes it difficult even to breathe. Asthma or Bronchitis is a very dangerous condition during pregnancy which causes fatigue, resulting in energy being diverted from the growing foetus.
Asthma can be hard to diagnose. To find out if you have asthma, your doctor takes your health history, does a physical exam and listens to your breathing.. You also may get a lung function test called spirometry. This is a test that checks how well your lungs work. During the test, you take a deep breath and exhale (blow) into a machine called a spirometer. This machine measures the amount of air you breathe in and out. It also measures how fast you can breathe. When you're pregnant, normal changes in your body can make you short of breath. This test can help your doctor know if shortness of breath is a common complication of pregnancy or if it's caused by asthma.
Treatment: Breathing Exercises with COPD
Pursed lip breathing
Pursed Lip Breathing
Pursed lip breathing has a range of benefits:
It's been shown to reduce how hard you have to work to breathe.
It helps release the air trapped in the lungs.
It promotes relaxation.
It reduces shortness of breath.
Practising this technique 4 to 5 times daily can help. Here's how to practice pursed-lip breathing:
While keeping your mouth closed, take a deep breath in through your nose, count to 2. Follow this pattern by repeating in your head "inhale, 1, 2." The breath doesn't have to be deep. A typical inhale will do. Put your lips together as if you're starting to whistle or blow out candles on a birthday cake. This is known as "pursing" your lips. While continuing to keep your lips pursed, slowly breathe out by counting to 4. Don't try to force the air out, but instead breathe out slowly through your mouth.
Tip: Pursed lip breathing is best for performing strenuous activities, such as climbing stairs.
Feeling short of breath can cause anxiety that makes you hold your breath. To prevent this from occurring, you can practice coordinated breathing using these two steps:
Inhale through your nose before beginning an exercise.
While pursuing your lips, breathe out through your mouth during the most strenuous part of the exercise. An example could be when curling upward on a bicep curl.
Tip: Coordinated breathing can be performed when you're exercising or feeling anxious.
Deep breathing prevents air from getting trapped in your lungs, which can cause you to feel short of breath. As a result, you can breathe in the more fresh air.
Here's how to practice deep breathing:
Sit or stand with your elbows slightly back. This allows your chest to expand more fully.
Inhale deeply through your nose.
Hold your breath as you count to 5.
Release the air via a slow, deep exhale, through your nose, until you feel your inhaled air has been released.
Exercise tip: It's best to do this exercise with other daily breathing exercises that can be performed for 10 minutes at a time, 3 to 4 times per day.
When you have COPD, mucus can build up more easily in your lungs. The huffing is a breathing exercise designed to help you cough up mucus effectively without making you feel too tired.
Here's how to practice the huffing:
Place yourself in a comfortable seated position. Inhale through your mouth, slightly deeper than you would when taking a normal breath.
Activate your stomach muscles to blow the air out in three even breaths while making the sounds "ha, ha, ha." Imagine you're blowing onto a mirror to cause it to steam.
Exercise tip: A huff should be less tiring than a traditional cough, and it can keep you from feeling worn out when coughing up mucus.
The diaphragm is an important muscle involved in the work of breathing.
People with COPD tend to rely more on the accessory muscles of the neck, shoulders, and back to breathe, rather than on the diaphragm. Diaphragmatic or abdominal breathing helps to retrain this muscle to work more effectively. Here's how to do it:
While sitting or lying down with your shoulders relaxed, put a hand on your chest and place the other hand on your stomach.
Take a breath in through your nose for 2 seconds, feeling your stomach move outward. You're doing the activity correctly if your stomach moves more than your chest.
Purse your lips and breathe out slowly through your mouth, pressing lightly on your stomach. This will enhance your diaphragm's ability to release air.
Repeat the exercise as you are able to.
Protect Your Lungs during Pregnancy
Since you're essentially breathing for two, take these steps to protect your lung health and your infant's health:
Tell Your Doctor About Any Shortness of Breath- There can be many reasons for shortness of breath in pregnancy. Pregnant women are no strangers to shortness of breath. Early pregnancy hormone surges and, later, the weight and bulk of your expanding womb restrict your breathing. If you're feeling short of breath, and you're worried about it for any reason, let your doctor know.
Ask for A Lung Function Test- While the parameters for the test might change as your pregnancy progresses, the simple, noninvasive lung test called spirometry can help your doctor check on your breathing.
Manage Asthma- Uncontrolled asthma during pregnancy puts both babies and you at risk. If you've been lax about your asthma medications, it's time to update your routine for pregnancy and then stick to it.
Avoid Cigarette Smoke- Don't smoke, ban smoking at home, and avoid all environments where you are exposed to cigarette smoke.(Suryalakshmi Paleri, Executive Physiotherapist, Cloudnine Group Of Hospitals, Bengaluru (Malleshwaram))
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Hyderabad- People suffering from arthritis should maintain an active lifestyle as physical exercise reduces inflammation by reducing fat and increasing the production and release of anti-inflammatory molecules, say doctors on World Arthritis Day.
Each year, October 12 is commemorated as World Arthritis Day, and this year, doctors recommend people to take a pledge to enhance awareness about arthritis, its related problems, to stay fit and active, and strive towards reducing the overall arthritis case burden in the country.
Arthritis is an autoimmune condition or a degenerative joint disorder, both causing inflammation in the joints, and these are chronic-cum debilitating problems. At present, there is no specified cure for this ailment, except to live with the problem and manage it from time to time, using steroids. Arthritis can cause severe pain, reduces the quality of life, and decrease people's ability to function.
Doctors warn that more Indians could become victims of arthritis-linked problems due to overweight and obesity. The prevalence of overweight and obesity in India is increasing faster than the world average.
The prevalence of overweight increased from 8.4 percent to 15.5 percent among women between 1998 and 2020, and the prevalence of obesity increased from 2.2 percent to 5.1 percent over the same period. Men are not behind in this problem, and together they are adding to the rising burden of arthritis cases in the country.
"Overweight or obesity along with problems like diabetes, suffering from a traumatic injury to joints, congenital joint deformities, could lead to arthritis problems. While there is a slight difference in osteoarthritis and rheumatoid arthritis, both cause severe damage to human functions. And people who are obese are likely to suffer more than lighter peers after they cross a certain age threshold," said Jagan Mohan Reddy, Consultant Orthopedic Surgeon, SLG Hospitals.
According to K. Saketh, Consultant Orthopedic Surgeon (Sports Surgery & Regenerative Orthopedics), Gleneagles Global Hospital, severe pain in the joints deter arthritis patients from taking up any physical activity due to fear that it could worsen their condition.
"But it is important that individuals suffering from arthritis maintain an active lifestyle. Otherwise, a sedentary lifestyle will further debilitate their ability to do any physical activity, and this could have a severe psychological bearing on the mind. Hence, it is important arthritis patients do not stay immobile and instead motivate themselves to walk or exercise regularly."
Satyanarayana V V, Consultant Orthopedic Surgeon, Aware Gleneagles Global Hospital, pointed out that physical exercise reduces inflammation by reducing fat and increasing the production and release of anti-inflammatory molecules from human muscles.
"Given that inflammation is a primary cause of joint pain in arthritis, exercising will help improve symptoms and will play a crucial role in managing the problem," he said.
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If there is anything that the past one year has taught us, it is that the health of one's body and the mind are of paramount importance, and need more attention than we usually give. Getting some type of exercise for both has become vital, and one of the easiest ways to do both at once is to practice Yoga.
The quality of life in yoga is measured through the transformation of a well-maintained body with absence of illness and pain, tranquillity of mind, cultivation of energy and ultimately reaching higher levels of autonomy in your practice. Yoga has a very precise, direct and practical approach towards every instance of life and towards yoga practice. But Yoga is not just what you do on the mat, its guiding principles permeate within the very essence of being.
If you're really keen on starting, here are some easy, do-able tips that can get you started on a journey you will not regret taking. Suggestions by Sarvesh Shashi, Founder, SARVA:
1. Set a specific time, separate space and focus on the yoga practice preferable at a time when your body has good energy after a restful period. It may be in the morning or evening, this time differs according to everyone's schedule.
2. Practice on an empty stomach. Set the time for practice after 2 hours of any meal consumption. Small amounts of liquid can be consumed in these 2 hours.
3. Always practice yoga on a mat or blanket to avoid contact with the floor while practicing yoga for your own comfort. It aids in ease of practise, it is easier on the joints and avoids energy transference on an otherwise cool floor.
4. Distractions are unavoidable, but setting up the practise in such a way that it's easier to focus on yoga for the whole duration is definitely possible. For example, maybe you can't put your phone on silent, but you can leave it in the adjoining room. Or maybe complete privacy may not be possible, but you can definitely invest in a good pair of noise cancelling headphones which will transport you into a space of focus while taking an online class.
5. Start the session with a good warm up to create good blood circulation all over the body before practicing asana for better results. Sun salutations are an excellent warm up before asana practice.
6. Pay attention to your breathing pattern for specific asana for an effective practice. Inhalation and exhalation patterns matter in each and every aspect of your practice. The wrong breathing patterns will cause cramps or pain or simply the inability to reach your true potential in the asana.
7. Be mindful of your injuries. If you've had a serious injury, severe pain or are recovering from a surgery, you may want to consult a doctor and of course inform your trainer of these injuries as well.
8. Practice yoga under the guidance of a Yoga Teacher. Whether you are practising in person or online with a group of friends, finding the right teacher is the best motivation you can get to continue your journey.
9. End the session with a proper cool down, relaxation and meditation for a refreshed finishing. Yoga is a psychophysiological art for the training of the mind which is just as essential as the body.
10. Lastly, be present every moment of the class. Thinking of cooking tonight's dinner or about the presentation that is due next morning will mar the experience of your Yoga workout. It's not easy, but that is why it is worth it.
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Berlin, Aug 17 (IANS) The second mRNA Covid-19 Vaccine developed by German biopharmaceutical company CureVac and its British partner GlaxoSmithKline (GSK) has demonstrated improved immune response and protection than its first vaccine, according to a new study.The animal-based study, yet to be peer-reviewed and posted on pre-print server bioRxiv, shows that CV2CoV has higher neutralising capacity against a range of variants, including the Beta, Delta and Lambda variant and the original virus strain, the company said in a statement on Monday.CureVac's first mRNA-based Covid vaccine CVnCoV, showed efficacy of just 47 per cent, the lowest reported so far from any Covid-19 vaccine maker.The new study assessed cynomolgus macaques vaccinated with 12 microgram of either the first or second-generation vaccine candidate.Better activation of innate and adaptive immune responses was achieved with CV2CoV, resulting in faster response onset, higher titers of antibodies, and stronger memory B and T cell activation as compared to the first-generation candidate, CVnCoV.When tested against the original SARS-CoV-2 virus, the animals vaccinated with CV2CoV were found to be better protected based on highly effective clearance of the virus in the lungs and nasal passages, the company said."In this animal model, CV2CoV is shown to induce broad antibody and cellular immune responses very similar to the breadth of the immune responses observed after infection with SARS-CoV-2," said Dr. Igor Splawski, Chief Scientific Officer of CureVac.The companies aim to roll out CV2CoV's Phase 1 clinical trial in Q4 2021.The mRNA technology was a "strategic priority", said Rino Rappuoli, head of vaccines research and development at GSK"The strong immune response and protection in pre-clinical testing of this second-generation mRNA backbone are very encouraging and represent an important milestone," he added.Meanwhile, CureVac faced heavy losses in the second quarter. Its operating loss was 147.8m euros for the three months ending June 30, compared with a loss of 3.2m euros in the second quarter of 2020.Revenue was 22.4m euros, down 35 per cent from a year ago.--IANSrvt/dpb
New Delhi, Aug 13 (IANS) Delhi government is planning to implement a world-class Health Information Management System by the next year. The health department has completed the vendor selection and bidding process and is working to streamline the project and place before the cabinet.Chief Minister Arvind Kejriwal said that the Health Information Management System will be a monumental step towards getting the people of Delhi freedom from their problems. The project will bring about a revolution in the healthcare infrastructure of Delhi. As part of the project, Health Cards will be assigned to each citizen, which will be a repository of medical information. Doctors will be able to see patient's medical history using the card and the patients will be able to take appointments from home.Kejriwal held a meeting to review the progress of the Health Information Management System along with the Health Helpline and the eHealth Card which are two crucial landmarks the project aims to achieve. Reviewing the project with Delhi Health Minister Satyendar Jain, Kejriwal instructed the officers to expedite the timelines. He said that the Delhi government is committed to providing the best and most modern healthcare facilities to the people of Delhi. Delhi will be the first state to have such a world-class system after the implementation.The first phase of the preparation will be completed by the end of this year and can be implemented in the beginning of the next year. Once the project is implemented, people can get an appointment with the doctor they wish to see by accessing an online portal from the comfort of their homes. The eHealth Card will be distributed through a door-to-door campaign which will have the entire medical history of the cardholder and will be able to get treatment at any hospital on the HIMS system.Delhi government is trying to implement HIMS in all government hospitals in the capital. The private hospitals of the city will also be connected in a phased manner with the system.---IANSavr/rs
London, Aug 11 (IANS) Even as the UK government is planning to give a third Covid vaccine shot to everyone above 50 years of age from next month, scientists confirm that the autumn booster dose will be an effective way to protect people from existing, and potentially future, variants of concern.The team of experts at the University of Nottingham found that neutralising antibodies generated by a single dose of the Pfizer vaccine were less effective at neutralising key variants of concern, for example the beta (first identified in South Africa) variant.However, the second dose, especially in those volunteers who had previously been infected with SARS-CoV-2, dramatically increased virus variant neutralising antibody responses (and therefore potential protection) to a level comparable to those seen for the original strain of SARS-CoV-2.This suggests that an additional boost, even using vaccines containing the original strain of coronavirus, will increase protection against variants of concern, revealed the findings published in the journal Science Translational Medicine."We showed that the individuals with past infection produced more antibodies following each dose of vaccine than those who hadn't been exposed. We also showed that this increased antibody response was more effective against some of the variants of concern, such as the Beta and Gamma variants," said Professor Jonathan Ball from the School of Life Sciences at the University."In essence, natural infection has mimicked the effects of an additional vaccine dose, and our data clearly shows that this additional antigenic exposure produces an extra boost to the overall virus-killing antibody response that is more effective against variants of concern. Our results support the UK Government's plan to provide a booster jab in the autumn as an effective strategy in protecting people against these variants," he added.UK Health Secretary Sajid Javid had said the government is awaiting advice from the Joint Committee on Vaccination and Immunisation (JCVI) on the roll out of the booster dose, which will be administered along with flu a jab, the Evening Standard reported on Wednesday.The booster dose will be prioritised for people who received the Covid shots when the vaccination programmes were first rolled out last December, Javid said.Meanwhile, the UK government on Tuesday also announced that 75 per cent of adults in the country have received both doses of a Covid-19 jab, while about 47 million people have received their first dose, the Financial Times reported. However, nearly 6 million adults -- roughly one in 10 of the over-18 population -- remain completely unvaccinated, official statistics showed.--IANSrvt/in