Treatment FAQ

cystic fibrosis what medical treatment

by Kaleigh Tillman Published 2 years ago Updated 1 year ago
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Treatments for cystic fibrosis
antibiotics to prevent and treat chest infections. medicines to make the mucus in the lungs thinner and easier to cough up. medicines to widen the airways and reduce inflammation. special techniques and devices to help clear mucus from the lungs.
Oct 28, 2021

Who is the longest living person with cystic fibrosis?

The oldest person with cystic fibrosis was 82 years of age, and an American citizen. He or she was still alive in 2014 at the time of a published article in which they are mentioned. Though it’s not likely that they are still alive seven years later, this person is the oldest known cystic fibrosis patient to have achieved the average person’s life expectancy (and then some)!

What is routine care of patients with cystic fibrosis include?

Nutritional support is a vital component of care for patients with cystic fibrosis. These recommendations cover caloric intake, dosing for pancreatic enzyme replacement therapy, and monitoring growth in childhood and weight status in patients of all ages.

Is cystic fibrosis caused by a dominant or recessive allele?

It is caused by a recessive allele. In a genetic diagram: Someone who is homozygous (ff) for the recessive allele will develop cystic fibrosis. Someone who is heterozygous (Ff) or homozygous (FF) for the dominant allele will not develop cystic fibrosis.

Is cystic fibrosis a Th17 disease?

Cystic fibrosis (CF) is a genetic disease leading to chronic bacterial airway infection and inflammation. T helper 17 (Th17) cells are identified by their production of interleukin (IL)-17A, which recruit neutrophils to the site of airway infection. IL-23 is an important inducer of IL-17 and IL-22 production.

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How to help cystic fibrosis patients?

That’s why it’s important to find ways to manage stress. Yoga, meditation, exercise, hanging out with friends, and hobbies are all popular and effective ways to manage stress, anxiety, ...

How to help CF?

Exercise. Among its many benefits for people with CF, exercise builds lung capacity, helps with airway clearance, builds strong bones, and strengthens the heart and breathing muscles. Dedication to daily exercise keeps people with CF healthier, longer.

How far away should you be from someone with cystic fibrosis?

The 6-foot rule. People with cystic fibrosis are especially vulnerable to lung infections carried by other people with CF. That is why it’s important for people with CF to keep a distance of 6 feet from others with CF from a different household.

What are the best ways to help someone with CF?

Medications, vaccinations, enzymes, and airway clearance techniques only play one part in keeping someone with CF as healthy as possible. Lifestyle also matters, with nutrition, exercise, sleep habits, stress management, and organizational ability all playing equally important roles.

How much time do you spend on CF?

It varies by individual, but the average amount of time an adult with CF spends on their treatments (medications, enzymes, and airway clearance) is 108 minutes per day, regardless of the severity of their disease. Caregivers of children with CF report 74 minutes ...

How to maintain health in CF?

To maintain health, chunks of time also should be set aside daily for exercise, nutritious meals and snacks, and adequate sleep. These activities must be built into a day filled with school, work, hobbies, taking care of family, and at least quarterly visits to the CF care center. 1,2.

Why do people with CF need extra calories?

But these can’t just be empty calories. Due to their gastrointestinal system not digesting food properly, a condition called malabsorption, people with CF need extra nutrition to prevent malnutrition and failure to thrive as children. 3

What to do if you have CF?

These might include: Sinus surgery: Many people with CF have inflamed or infected sinuses. Your doctor may need to remove nasal polyps (growths inside your nasal passages). They can also do a procedure called an “ endoscopy and lavage” that suctions mucus from your airways. This will make it easier for you to breathe.

What to take for CF?

Vitamins: Your doctor may advise you to take vitamins -- especially A, D, E, and K. People with CF have a hard time absorbing enough of them from food. Laxatives: If constipation is a problem, your doctor can prescribe a gentle laxative or stool softener that’s safe to take for a long period of time.

How to help a lung infection?

They may also help reduce the number of lung infections you get. For instance, clapping or pounding on your chest and back helps loosen mucus so you can cough more of it out. You can do different types of ACTs at home with the help of a family member or friend. Or, you might prefer to use a medical device.

What to do if you have CF and poop?

Bowel surgery: Some people with CF have very thick, sticky poop. This can lead to a blockage or cause the bowel to fold in on itself. In both cases, surgery may be necessary. Lung transplant: If you have severe lung problems and medicine isn’t helping, you may need to consider a lung transplant.

Is there a cure for cystic fibrosis?

There’s no cure for cystic fibrosis (CF). But many treatments can reduce your symptoms and improve your quality of life. Here’s an overview of the most common.

What are the symptoms of cystic fibrosis?

People who are not diagnosed until adulthood usually have milder disease and are more likely to have atypical symptoms, such as recurring bouts of an inflamed pancreas (pancreatitis), infertility and recurring pneumonia. People with cystic fibrosis have a higher than normal level of salt in their sweat.

When can cystic fibrosis be diagnosed?

In the U.S., because of newborn screening, cystic fibrosis can be diagnosed within the first month of life, before symptoms develop. But people born before newborn screening became available may not be diagnosed until the signs and symptoms of CF show up.

Why do cystic fibrosis patients have dehydration?

Electrolyte imbalances and dehydration. Because people with cystic fibrosis have saltier sweat, the balance of minerals in their blood may be upset. This makes them prone to dehydration, especially with exercise or in hot weather.

Why are men with cystic fibrosis infertile?

Almost all men with cystic fibrosis are infertile because the tube that connects the testes and prostate gland (vas deferens) is either blocked with mucus or missing entirely. Certain fertility treatments and surgical procedures sometimes make it possible for men with CF to become biological fathers.

How many copies of a gene do you need to have cystic fibrosis?

The type of gene mutation is associated with the severity of the condition. Children need to inherit one copy of the gene from each parent in order to have the disease. If children inherit only one copy, they won't develop cystic fibrosis. However, they will be carriers and could pass the gene to their own children.

Can cystic fibrosis cause bronchitis?

People with cystic fibrosis may often have sinus infections, bronchitis or pneumonia. Infection with bacteria that is resistant to antibiotics and difficult to treat is common. Growths in the nose (nasal polyps). Because the lining inside the nose is inflamed and swollen, it can develop soft, fleshy growths (polyps).

Is cystic fibrosis inherited?

Because cystic fibrosis is an inherited disorder, it runs in families, so family history is a risk factor. Although CF occurs in all races, it's most common in white people of Northern European ancestry.

What is the best medicine for cystic fibrosis?

Medications used to treat cystic fibrosis. The CF Foundation recommends the following order of inhaled medications: Bronchodilator. Hypertonic saline. Dornase alfa. Aerosolized antibiotic. These drugs are used in combination with airway clearance techniques in a specific order designed to move mucus out of the lungs.

What medications do people with CF take?

Other medications that people with CF often take include oral and IV antibiotics, CFTR modulators, and ibuprofen, in addition to nutritional supplements such as pancreatic enzymes and vitamins.

What is CFTR modulator?

CFTR modulators. A class of drugs for CF called CFTR modulators target specific defects in the CFTR protein so that the protein can work properly. CFTR modulators do not fully restore chloride flow, but they do improve the flow enough to relieve CF symptoms.

How do bronchodilators help with CF?

The person with CF breathes through a device that delivers air-borne medicine directly into their airways. Albuterol and levabuterol are common drugs delivered through a nebulizer or inhaler.

What is IV antibiotic?

Intravenous (IV) antibiotics are used during exacerbations. Controlling the organisms that cause lung infections helps improve lung function, making it easier to breathe, and helps reduce the chances of an exacerbation.

What organs does CF affect?

Cystic fibrosis (CF) affects the lungs the most, but also impacts the digestive system, including the pancreas, liver, intestines, and kidneys. CF may also impact the ears, nose and sinuses, sex organs, and the bones and joints. Because CF attacks so many organs in the body and causes persistent lung infections, ...

Can you take mucus thinners with CF?

Most people with CF inhale their mucus thinners, but the drugs also come in tablet form for people without CF. Commonly prescribed mucus thinners for CF include hypertonic saline, and dornase alfa (Pulmozyme). 1,2.

What is the goal of gene therapy for CF?

Over time, gene therapy research may cure, prevent, or slow the disease's progress. Goals of treatment are to ease severity of symptoms and slow the progress of the disease. Treatment may include:

What is CFTR modulator?

Treatment may include: CFTR modulator therapies. CFTR (cystic fibrosis transmembrane regulator) is the protein that is not formed correctly in people with CF. There are new CFTR modulator therapies that are designed to correct the function of the defective protein made by the CF gene. These proteins are only appropriate for certain people ...

Is there a cure for cystic fibrosis?

It will also depend on how severe the condition is. There is no cure for CF. But research in gene therapy is being done. The gene that causes CF has been found.

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Diagnosis

  • To diagnose cystic fibrosis, doctors typically do a physical exam, review your symptoms and conduct several tests.
See more on mayoclinic.org

Clinical Trials

  • Explore Mayo Clinic studiestesting new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition.
See more on mayoclinic.org

Coping and Support

  • If you or someone you love has cystic fibrosis, you may experience strong emotions such as depression, anxiety, anger or fear. These issues may be especially common in teens. These tips may help. 1. Find support. Talking openly about how you feel can help. It also may help to talk with others who are dealing with the same issues. That might mean joining a support group for yours…
See more on mayoclinic.org

Preparing For Your Appointment

  • Make an appointment with your doctor if you or your child has signs or symptoms common to cystic fibrosis. After the initial evaluation, you may be referred to a doctor trained in evaluating and treating CF. Here's some information to help you prepare for your appointment, as well as what to expect from your doctor.
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Overview

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Cystic fibrosis (CF) is an inherited disorder that causes severe damage to the lungs, digestive system and other organs in the body. Cystic fibrosis affects the cells that produce mucus, sweat and digestive juices. These secreted fluids are normally thin and slippery. But in people with CF, a defective gene causes the secr…
See more on mayoclinic.org

Symptoms

  • In the U.S., because of newborn screening, cystic fibrosis can be diagnosed within the first month of life, before symptoms develop. But people born before newborn screening became available may not be diagnosed until the signs and symptoms of CFshow up. Cystic fibrosis signs and symptoms vary, depending on the severity of the disease. Even in the same person, symptoms …
See more on mayoclinic.org

Causes

  • In cystic fibrosis, a defect (mutation) in a gene — the cystic fibrosis transmembrane conductance regulator (CFTR) gene — changes a protein that regulates the movement of salt in and out of cells. The result is thick, sticky mucus in the respiratory, digestive and reproductive systems, as well as increased salt in sweat. Many different defects can occur in the gene. The type of gene …
See more on mayoclinic.org

Risk Factors

  • Because cystic fibrosis is an inherited disorder, it runs in families, so family history is a risk factor. Although CFoccurs in all races, it's most common in white people of Northern European ancestry.
See more on mayoclinic.org

Complications

  • Complications of cystic fibrosis can affect the respiratory, digestive and reproductive systems, as well as other organs.
See more on mayoclinic.org

Prevention

  • If you or your partner has close relatives with cystic fibrosis, you both may choose to have genetic testing before having children. The test, which is performed in a lab on a sample of blood, can help determine your risk of having a child with CF. If you're already pregnant and the genetic test shows that your baby may be at risk of cystic fibrosis, your doctor can conduct additional tests …
See more on mayoclinic.org

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