Treatment of the lungs. COPD. Emphysema.

Spirometry is a mandatory diagnostic method that determines the forced expiratory volume in 1 second (FEV1) and total lung capacity.
2. CT or chest X-ray to assess lung tissue condition and rule out other diseases such as lung cancer or tuberculosis.
3. Blood gas analysis, especially in patients with severe COPD, to assess oxygen and carbon dioxide levels in the blood.
4. ECG and echocardiography help rule out heart diseases that may accompany COPD, such as pulmonary hypertension.
5. Test for alpha-1-antitrypsin deficiency, especially in young patients with pronounced COPD symptoms.
6. Sputum examination to identify pathogenic bacteria or viruses causing disease exacerbations.

NUTRITION:

1. Increased intake of antioxidants: fresh vegetables and fruits, especially citrus, berries (blueberries, raspberries), green leafy vegetables (spinach, kale).
2. Include omega-3 fatty acids in the diet, which have anti-inflammatory effects (salmon, sardines, flaxseed oil).
3. The specialized "Budwig Diet" is suitable; the exact recipe can be found here.
4. Magnesium and potassium may be beneficial for improving respiratory system function (nuts, bananas, avocados).
5. Avoid foods with preservatives and chemical additives that may worsen lung condition.
6. It is recommended to include fatty homemade butter and honey in the diet.

WATER:

1. Maintain adequate water intake — 1. 5-2 liters per day to prevent thickening of mucus and facilitate its expectoration.
2. It is recommended to drink water with low mineralization and a pH of at least 7. 2, which helps reduce acidity in the body.

GENERAL TREATMENT:

1. Bronchodilators (inhalers) are the cornerstone of COPD treatment. Short- and long-acting beta-agonists and anticholinergic drugs are used. Latest generation drugs are often used - "Anoro Ellipta" (Belgium), "Spiolto Respimat" (Belgium).
2. Inhaled corticosteroids (beclomethasone, budesonide) are prescribed for frequent exacerbations to reduce inflammation. Typically used in short courses as inhalers.
3. Mucolytics — to thin mucus and facilitate its removal. Drugs used include "Fluimucil 600 mg" (Italy), "ACC" (Germany), and "Mucitus" (India).
4. Antibiotics — for infectious exacerbations of COPD, the original "Zithromax" (USA) is most suitable.
5. Phosphodiesterase-4 inhibitors (roflumilast) — to reduce inflammation and prevent exacerbations. Only after consultation with a pulmonologist.

ADDITIONAL MEDICATIONS AND VITAMINS:

1. Vitamin D — many COPD patients suffer from vitamin D deficiency, which helps strengthen the immune system and reduce infection risk. The dose is selected by a doctor, available in injectable form - "Dibaze 300,000 UI" (Italy) for rapid deficiency replenishment and transition to oral forms.
2. Vitamin C and vitamin E — have antioxidant effects, which may reduce lung inflammation and protect them from damage. We offer vitamin C in doses from 200 mg from Bayer (Germany), vitamin E in the preparation "Aevit" (Ukraine).
3. N-acetylcysteine (NAC) — a mucolytic that also has antioxidant properties and may help reduce airway inflammation. The most popular forms are "Fluimucil 600 mg" (Italy), "ACC" (Germany), or NAC+ (Italy).
4. Coenzyme Q10 — improves respiratory system function, especially in patients with severe COPD.
5. Magnesium — important for maintaining normal lung function and reducing bronchospasms. In the clinic, exclusively Italian-made drugs with good tolerance are used - "AxiMagnesio 450", "Magnesio 450", "UltraMag", "MagCombo".
6. Omega-3 fatty acids — their anti-inflammatory properties may be beneficial for reducing chronic lung inflammation. We recommend the Omega-3 form derived from krill (small crustaceans) - "KriLife" (Italy).
7. Turmeric with propolis (France) — helps reduce lung inflammation and decrease the need for inhalers.

LOCAL TREATMENT:

1. Steam inhalations using essential oils (eucalyptus, tea tree) that help soften mucus and ease breathing.
2. Breathing exercises (Buteyko method, pranayama) to improve lung ventilation and increase breathing volume.

PERSONAL HYGIENE AND LIFESTYLE:

1. Complete smoking cessation is the most important factor in preventing COPD progression.
2. Regular moderate physical activity, such as breathing exercises, outdoor walks, and swimming.
3. Avoid contact with irritants such as polluted air, chemical fumes, dust, and allergenic substances.