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Pulmonary [PULL-mon-air-ee] emphysema [em-fuh-SEE-muh] is when the small airways in the lungs become damaged, making it harder for you to push air out and breathe fresh air in. It is a type of COPD (chronic obstructive pulmonary disorder). With emphysema, the small airways (bronchioles [BRONG-kee-ohlz]) and air sacs (alveoli [al-VEE-oh-ly]) are damaged and lose their normal elasticity. Like worn-out balloons, the alveoli become over-expanded. They don’t contract to push air out as easily when you breathe out. Inhaled air tends to stay trapped inside, and fresh air has a hard time getting in. This limits the amount of oxygen going into your bloodstream, and keeps carbon dioxide from leaving. These problems are made worse because the blood vessels around the alveoli are also damaged.
People with emphysema often have chronic bronchitis. Chronic bronchitis is another type of COPD. The airways in your lungs become swollen and inflamed, and produce too much mucus. The swelling and mucus narrow the airways and make it hard to breathe.
The lung damage that happens with emphysema can’t be fixed, and the disease can’t be cured. But you can do a lot to reduce your symptoms and improve your life.
See a doctor anytime you have shortness of breath or any other symptoms similar to emphysema. It is important to confirm or rule out a diagnosis right away. If you have emphysema, the sooner you get treatment and avoid is the things that irritate your lungs, the less damage you will have.
Most people get emphysema after many years of breathing in a something that damages the lungs and airways:
Before diagnosing emphysema, your healthcare provider will assess your lungs and overall health by:
Treatment for emphysema depends on the severity of your disease, your daily habits, and your overall health. Generally, treatment includes:
If you smoke or have regular contact with a lung irritant (such as airborne gases or dust, fumes, or smoke) then you’re at risk for COPD. To prevent COPD, you must:
Complete avoidance — quitting, not just cutting back — is the only way to prevent irreversible lung damage.
Breathing Better: A handbook for people with COPD and other chronic lung conditions:
https://intermountainhealthcare.org/ext/Dcmnt?ncid=520714671
Emphysema takes many years to develop, and in its early stages you may not notice symptoms. These are the symptoms you will notice first:
As it worsens, you may also have these symptoms:
COPD symptoms tend to sneak up on people. Without being aware of it, people with COPD gradually do less and less, limiting their daily activity so they can avoid becoming out of breath. Most people only seek medical help later in life, at age 50 or older, when their breathing problems are hard to ignore.