Treatment FAQ

which technique is used in the routine treatment of cystic fibrosis?

by Enos West Published 2 years ago Updated 2 years ago
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With chest physical therapy (CPT), the person gets in different positions to use gravity to drain mucus. In CF, the mucus is often thick and sticky. (postural drainage) from the five lobes of the lungs. Each position is designed so that a major part of the lung is facing downward.

Medication

Complentary treatment methods for cystic fibrosis 1 Nutrition. People with CF need extra nutrition to grow as children and maintain a healthy weight as adults. ... 2 Exercise. ... 3 Vaccinations. ... 4 The 6-foot rule. ... 5 Stress management. ... 6 Lung transplant. ... 7 Complementary and alternative medicine. ...

Procedures

Your doctor may suggest genetic and sweat tests for cystic fibrosis if you have recurring bouts of inflamed pancreas (pancreatitis), nasal polyps, chronic sinus or lung infections, bronchiectasis, or male infertility.

Therapy

Many people with CF will take inhaled medications as part of their treatment. This may be to loosen the mucus, hydrate the airways, open up the airways, reduce inflammation (swelling) of the airways, and/or to get antibiotics into the lungs to treat infections. These medications may come in nebulised (inhaling a mist) or dry powder form.

Nutrition

The families of babies with CF will be taught how to do airway clearance with their child. As you grow older with CF, your physiotherapist will aim to find a technique that you can carry out independently, so that you do not have to rely on someone else to help. Breathing exercises can be introduced from the age of two to three as a game.

See more

What is the best treatment for cystic fibrosis?

What tests are used to diagnose cystic fibrosis?

How are inhaled medications used to treat cystic fibrosis?

How is airway clearance taught to people with cystic fibrosis?

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What treatment is used for cystic fibrosis?

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.

What is the best airway clearance technique in cystic fibrosis?

Coughing and Huffing Coughing is the most basic airway clearance technique (ACT). It can be an involuntary reflex or it can be controlled as a healthy, natural way for the lungs to get rid of mucus. In CF, the mucus is often thick and sticky. .

What machine is used for cystic fibrosis?

High-frequency chest wall oscillation involves an inflatable vest that is attached to a machine. The machine mechanically performs chest physical therapy by vibrating at a high frequency. The vest vibrates the chest to loosen and thin mucus. In CF, the mucus is often thick and sticky. .

What is airway clearance technique?

0:004:24Airway Clearance Techniques (ACTs) - YouTubeYouTubeStart of suggested clipEnd of suggested clipA CT stands for airway clearance. Technique. You can perform one or more of these techniques as partMoreA CT stands for airway clearance. Technique. You can perform one or more of these techniques as part of your daily. Care. A CTS are performed to loosen. And move the stick sticky mucus out of your

What is the huffing technique?

0:071:01Huffing - YouTubeYouTubeStart of suggested clipEnd of suggested clipTake a small breath. In open your mouth wide and exhale squeezing the air out making a huffing soundMoreTake a small breath. In open your mouth wide and exhale squeezing the air out making a huffing sound now take a rest it may seem difficult but try imagining fogging up a mirror when you breathe.

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.

What does CPT vest stand for?

Share. Chest Physiotherapy (CPT) is an airway clearance technique that involves manually percussing the chest wall to help clear the lungs of mucus build up.

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, ...

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.

What is airway clearance?

Airway clearance helps loosen the thick, sticky mucus that tends to clog the lungs of people with CF. The type of airway clearance technique (ACT) used varies by age and which method the person with CF prefers. Parents must perform ACTs for infants and toddlers, while older children and adults perform their own.

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 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.

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.

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.

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.

Why is IRT high in newborns?

A newborn's IRT levels may be high because of premature birth or a stressful delivery. For that reason, other tests may be needed to confirm a diagnosis of cystic fibrosis. To evaluate if an infant has cystic fibrosis, doctors may also conduct a sweat test once the infant is at least 2 weeks old.

What is the IRT test?

In one screening test, a blood sample is checked for higher than normal levels of a chemical called immunoreactive trypsinogen (IRT), which is released by the pancreas. A newborn's IRT levels may be high because of premature birth or a stressful delivery.

What are the treatment plans for CF?

Treatment plans are highly individual, but almost all include some combination of the following: Daily airway clearance techniques. Daily medicines and enzymes. Nutrition. Exercise. Quarterly visits to the CF care center. Occasional hospital stays.

How long does it take to clear the airway?

Time for airway clearance. In children with CF, airway clearance techniques generally take 15 to 30 minutes, twice a day. Airway clearance may need to happen up to four times a day if the child gets sick. 2 Adults with CF average 41 minutes per day on nebulizer therapy, 29 minutes per day for airway clearance, and 29 minutes per day for exercise. 3.

How long does a person with cystic fibrosis spend on treatment?

The average person with CF spends 2 to 3 hours each day going through their regimen of treatments when you include all treatments plus time for nutritious meals and fitness.

How to treat CF?

This may be to loosen the mucus, hydrate the airways, open up the airways, reduce inflammation (swelling) of the airways, and/or to get antibiotics into the lungs to treat infections. These medications may come in nebulised (inhaling a mist) or dry powder form. The timing of these inhaled medications with airway clearance and exercise is important to make sure the treatments work as best as possible. Please ask your physiotherapist for advice.

Why is physiotherapy important?

Physiotherapy is a vitally important part of treatment and can be started as a baby, depending on their symptoms. It covers many things, including airway clearance to help loosen and remove the mucus that builds up in the lungs, exercises, and techniques for good posture and to avoid back problems that can have a negative impact on lung function.

How to get rid of CF?

Physical exercise is also often used as part of an airway clearance regime. Exercise can help loosen mucus in the lungs and make airway clearance techniques quicker and easier.

What is the best treatment for cystic fibrosis?

Physiotherapy is a crucial part of the daily treatment regime required to keep people with cystic fibrosis (CF) fit and healthy. It can be used for airway clearance, sinus management, back and continence problems, staying fit and much more.

How old do you have to be to exercise with CF?

Breathing exercises can be introduced from the age of two to three as a game.

Is airway clearance included in CF?

It is also important to know that airway clearance devices are included in the funding that CF centres get, and if your CF physiotherapist has recommended that you try a particular device, then this should be provided for you.

Can CF cause back pain?

As you get older it is easy to adopt poor postures, which can lead to back pain and impact upon lung function. It is therefore important for people with CF to maintain good posture. Your physiotherapist will be able to offer advice and help to assess and treat any joint or back problems you may have.

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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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