RESUMEN
Chronic obstructive pulmonary disease (COPD), also known as pulmonary disease, is a long-term lung disease condition characterized by inflammation that leads to restricted airflow from the lungs. People with COPD may experience symptoms like coughing, mucus production, wheezing, feeling tightness in the chest, being tired or losing weight unintentionally, and experiencing swelling. COPD can also lead to episodes of worsened symptoms called exacerbations that require attention. The severity of COPD is categorized into four stages ranging from mild to severe based on how it limits airflow in the lungs. COPD management requires a comprehensive and personalized approach that considers various factors that influence the condition. In this review, we searched the existing body of research regarding how exercise interventions can help manage COPD. These interventions include rehabilitation, aerobic exercise, resistance exercise, and inspiratory muscle training. The goal of these interventions is to enhance exercise capacity, alleviate breathlessness, improve fitness, boost muscle strength, and enhance functionality and quality of life for individuals living with COPD. The paper also discusses the pharmacological therapy and dietary support that are essential for COPD management. The review states that COPD is an advancing illness that necessitates detection and efficient intervention methods, in order to reduce its advancement and enhance its results. The paper emphasizes the significance of integrating exercise interventions into COPD treatment as a means to encourage activity and overall wellness among patients with COPD.
RESUMEN
Chronic obstructive pulmonary disease (COPD) is a lung condition marked by restricted lung airflow. It is a globally prevalent condition affecting almost 300 million individuals. COPD is linked to a significant burden of morbidity and mortality thus necessitating early diagnosis and management. Rising COPD treatment options complicate care and necessitate a review of clinical data to guide treatment choices. Corticosteroids and bronchodilators are the mainstay of treatment for COPD due to their safety and efficacy. Compared to inhaled corticosteroids or long-acting ?-agonist therapy alone, inhaled corticosteroids plus long-acting ?-agonist lower the risk of exacerbations and enhance lung function and health status in patients with COPD. Patients who experience frequent exacerbations despite taking long-acting bronchodilators and those who have evidence of eosinophilic bronchial inflammation, as shown by high blood eosinophil levels and/or a history of asthma or asthma-COPD overlap, may both benefit greatly from inhaled corticosteroids therapy. Although not widespread, inhaled corticosteroid use is linked to an elevated risk of pneumonia and may vary depending on the particular corticosteroid utilized. Recent research on combination therapy of inhaled corticosteroids and long-acting ?-agonist has shown significant advantages and supports its widespread use in COPD patients who experience frequent exacerbations however some clinical studies and trials have also demonstrated quite conflicting outcomes to this therefore necessitating the need for further clinical trials to exhibit conclusive results. The purpose of this research is to review the available information about the effectiveness and safety of bronchodilators and inhaled corticosteroids in the management of COPD.