Treatment FAQ

what is someone with cf daily treatment

by Harmony Kunze Published 3 years ago Updated 2 years ago
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My daily treatment consists of physiotherapy, physical exercise, rest, and medication. I take bronchodilator drugs, to open the airways of the lungs, every morning and evening, and also just before a physiotherapy session. I take antibiotics every day to control persistent lung infection, both orally and by nebuliser.

Medication

Treatment plans can include:

  • Regular visits to CF care center
  • Airway clearance techniques
  • Medications
  • Avoiding infection
  • Treating infections
  • Lung transplant
  • Nutrition plans
  • Fitness plans

Procedures

What is gene therapy for cystic fibrosis (CF)? ANSWER Cystic fibrosis is caused by a defect on a gene known as CFTR. New medicines called “CFTR modulators” can fix this gene so it works like it should. This treatment isn’t for everyone. Many different gene mutations (changes) cause CF.

Therapy

  • get regular exercise
  • use an inhaler or nebulizer
  • do breathing exercises and cough on purpose
  • wear a therapy vest that shakes the chest
  • have chest physical therapy (banging gently on the chest or back)

Nutrition

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How is CF treated?

What is CF therapy?

How does someone get CF?

How to treat CF?

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Do people with cystic fibrosis need constant care?

Cystic Fibrosis Care Most people with CF have to work hard to stay healthy. Their daily care and treatments can take a lot of time. The treatment of CF varies with most children; but many will need to clear the thick secretions from their lungs. This is called airway clearance.

What are 3 treatments for cystic fibrosis?

Treatment for Cystic FibrosisChest physical therapy. This helps loosen and clear lung secretions. ... Exercise. This helps loosen mucus, stimulate coughing, and improve overall physical condition.Medicines, such as bronchodilators and anti-inflammatories. ... Antibiotics.

How is a person's daily life affected by cystic fibrosis?

CF causes thick mucus that clogs certain organs, such as the lungs, pancreas, and intestines. This may cause malnutrition, poor growth, frequent respiratory infections, breathing problems, and chronic lung disease. There is no cure for CF.

How can fibrosis be treated?

Treatments for PF include:Medicine. Depending on the type of pulmonary fibrosis you have, there may be medications to slow progression of the disease and others that will help relieve your symptoms. ... Oxygen Therapy. ... Pulmonary Rehabilitation. ... Lung Transplant. ... Clinical Trials. ... Healthy Lifestyle.

How to diagnose cystic fibrosis?

Diagnosis. To diagnose cystic fibrosis, doctors typically do a physical exam, review your symptoms and conduct several tests.

What tests are done for cystic fibrosis?

Doctors may also recommend genetic tests for specific defects on the gene responsible for cystic fibrosis. Genetic tests may be used in addition to checking the IRT levels to confirm the diagnosis.

What is CTFR modulator?

For those with cystic fibrosis who have certain gene mutations, doctors may recommend cystic fibrosis transmembrane conductance regulator (CTFR) modulators. These newer medications help improve the function of the faulty CFTR protein. They may improve lung function and weight, and reduce the amount of salt in sweat.

How to clear mucus in the airways?

These techniques loosen the thick mucus in the lungs, making it easier to cough up. Airway clearing techniques are usually done several times a day.

Why is CF malnourishment bad?

Cystic fibrosis can cause malnourishment because the enzymes needed for digestion can't reach your small intestine, preventing food from being absorbed. People with CF may need a much higher number of calories daily than do people without the condition.

Is there a cure for cystic fibrosis?

There is no cure for cystic fibrosis, but treatment can ease symptoms, reduce complications and improve quality of life. Close monitoring and early, aggressive intervention is recommended to slow the progression of CF, which can lead to a longer life.

Is second hand smoke bad for cystic fibrosis?

Don't smoke, and don't allow other people to smoke around you or your child. Secondhand smoke is harmful for everyone, but especially for people with cystic fibrosis, as is air pollution.

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.

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 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.

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 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

How is cystic fibrosis treated?

There have been many advances in CF treatment. Patients can take medications to help thin and clear the thick mucus from the airways, enzymes to help absorb fat and nutrients, and antibiotics to treat infections. There are also new treatments that target fixing the CFTR protein.

What is the best medicine for ACT?

A nebulizer or inhaler is often used before performing ACT. Commonly used medications are albuterol that relaxes the airway and helps clear and thin mucus so you can cough it up more easily.

How to clear airway secretions?

This can be done using manual chest physical therapy or a device worn over the chest that helps clear airway secretions by shaking the mucus in the airways, enabling you to cough it up.

Do you need regular check ups for CF?

Managing Cystic Fibrosis. Regular check-ups with your doctor are needed as patients with CF will require constant monitoring and health management to control symptoms and prevent complications. Your doctor may request that you receive some other tests depending on your condition.

Associated Data

Please note: supplementary material is not edited by the Editorial Office, and is uploaded as it has been supplied by the author.

Short abstract

Jessica Maetz, who was born in 1983 and now lives in Paris, talks about her experiences of life with cystic fibrosis (CF) and how treatment is central to many aspects of her life. Jessica has also produced a short film that gives a day in the life view of her treatments (see the supplementary material ).

Supplementary material

Please note: supplementary material is not edited by the Editorial Office, and is uploaded as it has been supplied by the author.

Footnotes

Supplementary material: This article has supplementary material available from breathe.ersjournals.com

How to help someone with CF?

If you are finding it a challenge to do everything yourself, or would like to involve others in your CF routine, here are a few ways they can help: Acting as a reminder or back-up support to help ensure you follow your treatment routine. Help you prepare your treatments. Help you with percussion and other physiotherapy.

How to make CF treatment routine a normal part of everyday life?

It can be helpful to: Check the required storage conditions of each medicine. Keep all, or at least a majority, of your medicines in one place. Save time by organising your cupboard with all of your medicines made up for a month at a time.

How to get CF?

Start early in the morning. Getting up early in the morning to fit in your CF routine (medications, physiotherapy, and nebulisers) before other activities in your day demand your attention will help to ensure that your routine has a minimal impact on your daily life. 3. Be organised.

How to set up a daily routine for CF?

Tips for establishing a daily CF treatment routine: 1. Organise a routine that works for the whole household. Involve everyone! Set up a daily routine that works for you and ideally all the other people you live with, such as your parents, brothers and sisters, grandparents, a partner or housemates.

What are the changes that can disrupt CF?

Big life changes, such as relationships, moving home, starting a new school or university, getting a new job, or even transitioning from paediatric to adult CF care, can disrupt your CF treatment routine. Although these things can make it a challenge to keep to your routine, it’s important you do so for your wellbeing.

Why is it important to establish a routine for cystic fibrosis?

Establishing a routine is important 1. Fitting in a cystic fibrosis (CF) treatment routine and keeping on top of it can be complex and time-consuming, especially if you like to lead a busy life. It is therefore very important to establish a daily routine that makes it as easy as possible for you to follow your CF treatment ...

Is it important to take CF treatment every day?

Nevertheless, it is important that you continue to take your CF treatments correctly, as prescribed by your doctor, each and every day .

How to be your own advocate for CF?

You must be your own best advocate by communicating with your CF care team if a particular drug or equipment isn’t working for your lifestyle and personal preferences. There may be other drugs you can try, or they may be able to suggest modifications and workarounds to help you overcome your barriers to self-care.

Why is it important to adhere to treatment for cystic fibrosis?

Why Adherence to Treatment Is Important for Cystic Fibrosis Patients. Thanks to advances in medicine, people with cystic fibrosis (CF) are living longer. However, much of the care that improves health and quality of life is also self-directed and performed at home .

What is non-adherence in CF?

Non-adherence is the medical term for partially following or not following all treatments as prescribed. In fact, studies estimate that between 30-70% of people with CF are non-adherent in at least some portion of their treatment plan. Most people with CF take their enzymes consistently (65%-95%) but perform breathing treatments only 40-60% ...

How to support someone who is skipping treatment?

Education and encouragement are among the best ways to support someone who is skipping treatments. Teens and young adults with CF, like all people their age, tend to feel invincible. However, if they haven’t experienced an exacerbation yet, they are especially vulnerable to non-adherence. 1

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Diagnosis

Treatment

Clinical Trials

Coping and Support

Medically reviewed by
Dr. Karthikeya T M
Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Cystic fibrosis cannot be cured. Several treatment options are available to help manage symptoms and reduce complications. Though incurable, medications can help in managing symptoms.
Medication

Antibiotics: Given in the form of inhaled therapy to improve lung function by impeding growth of bacteria.

Tobramycin . Colistin . Aztreonam


Anti-inflammatory drugs: To prevent inflammation in the airway passage.

Ibuprofen


Mucus thinners: To help patients cough up mucus and improve lung function.

Acetylcysteine


Brochiodialators: To open up and relax muscles around the brochia (lungs).

Albuterol . Salmeterol

Procedures

Bronchoscopy and lavage: Mucus is suctioned from obstructed airways.

Bowel surgery: Blockage in the bowel requires surgery for removal.

Lung transplantation: Diseased lungs are replaced with a healthy lung from a donor.

Therapy

Breathing exercises:Techniques to help loosen mucus and improve breathing.

Chest physical therapy:To help loosen mucus. A common technique is clapping with cupped hands on the front and back of the chest.

Enzyme replacement therapy:Oral pancreatic enzymes such as lipase, protease, amylase to help in the absorption of nutrients in the digestive tract.

Oxygen therapy:If the blood oxygen level declines, doctor recommends breathing in pure oxygen to prevent high blood pressure in the lungs.

Nutrition

Foods to eat:

  • Protein: High Protein food like chicken, beef, eggs, fish and soy to prevent muscle loss
  • Zinc containing food like kidney beans, beef, spinach, liver, eggs and seafood for staving off infections
  • Salt: People with CF have saltier sweat. Salty snacks, pickles, and sports drinks can help replace the lost salt
  • Calcium: CF patients are at risk of osteoporosis and Calcium rich foods like dairy products must be taken
  • Iron: Iron rich foods like liver, tuna, lamb, seafood, eggs, beef, and turkey
  • Antioxidants: Fruits and vegetables
  • Fiber: High-Fiber foods such as breakfast cereal to help reduce the risk of intestinal blockages

Foods to eat avoid:

  • NA

Specialist to consult

Pulmonologist
Specializes in diagnosing and treating conditions that affect the respiratory system.
Gastroenterologist
Specializes in the digestive system and its disorders.
Pediatrician
Specializes in the health of children, including physical, behavioral, and mental health issues

Preparing For Your Appointment

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