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Cystic fibrosis: What Is It and How Do You Live With It?

  • Author by admin
  • Reviewed By admin
  • Last Edited : July 30, 2024
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The prevalence of cystic fibrosis (CF), varies greatly from country to country and region to region. It is a disease that affects around 70,000 people throughout the world. 

Cystic fibrosis (CF) is a disease that gets worse over time and mostly affects the lungs, pancreas, and digestive system. It is also called salt kiss disease or mucoviscidosis. CF is caused by a mutation in a gene called CFTR (cystic fibrosis transmembrane conductance regulator), which causes a change in the protein that regulates the passage of sodium into and out of cells. This alteration causes CF to develop in affected individuals.

As a result of this mutation, the respiratory, digestive, and reproductive systems all create mucus that is viscous and sticky. Additionally, it produces an increase in the amount of salt that is exhaled. The accumulation of such secretions that block tubes, ducts, and channels, in the lungs and pancreas, has been linked to the development of chronic obstructive pulmonary disease, excessive levels of electrolytes in sweat, pancreatic insufficiency with poor digestion and malabsorption, and the subsequent malnutrition. 

Patients with cystic fibrosis may have mucus that is 30 to 60 times thicker than normal. This allows bacteria and germs to build up in the airways and harm the lungs by causing emphysema, inflammation, and infections like pneumonia and bronchitis. Moreover, it can clog the pancreas and the digestive system. 

  • CF causes abnormally salty sweat, aiding early diagnosis.
  • CF is most common in Caucasians of Northern European descent.
  • Thick mucus in CF leads to frequent lung infections.
  • CF patients need high-calorie diets and enzyme supplements.
  • CF treatments have increased life expectancy to 44 years.
  • New CFTR gene therapies improve symptoms significantly.
  • Regular exercise helps CF patients clear lung mucus.

Symptoms of Cystic fibrosis

They usually show up in the first few months of a person’s life, though the symptoms and severity vary from one person to the next. They deteriorate progressively over time and mostly affect the respiratory and digestive systems. 

Its primary symptoms include pancreatic insufficiency, which is characterized by diarrhea, steatorrhea (feces that are extremely smelly and oily), discomfort in the stomach, difficulty gaining weight and height, and malnutrition brought on by an inability to absorb fat and nutrients from food.

Most of the people who get sick or die from this illness do so because of pulmonary symptoms. Symptoms like recurrent wheezing, productive cough, and many lung infections, like recurrent pneumonia and bronchitis, often start to show up in the first few months after birth. Other notable symptoms include:

  • Nasal polyps.
  • Digital clubbing (the stretching and rounding of the fingers)
  • Sweat that is saltier than usual
  • Azoospermia (the complete absence of sperm in the semen)

Risk Factors of Cystic Fibrosis

Knowing about the risk factors associated with a certain disease helps a lot in its management. The main root cause of Cystic Fibrosis results from mutations in the CFTR (cystic fibrosis transmembrane conductance regulator) gene.  CF is hereditarily neutral and follows an autosomal recessive inheritance. This indicates that both parental parents manage one transformed CFTR gene and pass this disorder on to their child. 

Other risk factors are;

Race

CF is most common in whites of Northern European descent, but it can occur and less often in other ethnic groups.

Family history

If a brother or sister, parent or other blood relative has (or had) cystic fibrosis, the possibility of being a carrier for CF is raised.

Carrier for the gene defect that causes CF

Being a carrier means you carry one copy of an abnormal (mutated) version of the gene, but do not have cystic fibrosis.

Consanguinity

This disease has higher risk in communities where consitic marriages are common.

Geography

Some areas may report higher CF rates due to genetics and other environmental influences.

Among the most important things to realize about these risk factors is that they can give a likelihood of cystic fibrosis—to health providers and to individuals—and provide an avenue for some things such as genetic counseling, carrier testing, and early intervention.

Diagnosis of Cystic fibrosis

In pediatric Cystic Fibrosis screenings, the foot test is often used. The first procedure is performed between the third and seventh days of life, which is between three and seven days after delivery. The second procedure is performed between three and thirty days after birth. In order to replicate and verify a positive result, either the sweat test or genetic testing is performed.

Cystic fibrosis is sometimes found in childhood, adolescence, or adulthood, even though it wasn’t known at birth. This has happened in many cases. People may not understand the disease, the symptoms may change and become severe. These symptoms of cystic fibrosis may be mistaken for those of other diseases like asthma and bronchitis. The diagnosis is pushed back as a direct result of all of these factors.

Living with Cystic Fibrosis

Cystic fibrosis can’t be cured, but with the right care, a patient’s symptoms may get better, complications can be lessened, and their quality of life can be improved. Cystic fibrosis treatment and follow-up should be done through the CF referral center, depending on the type of therapy a person needs. Careful monitoring and early, active treatments are advised to delay the course of this disease, which may result in a longer life. The sooner Cystic Fibrosis is detected, the better it is for the patient.

Lifestyle Modifications for Cystic Fibrosis Patient

While CF is treated medically, there are many other ways to enhance quality of life and overall well-being. The following represents key considerations:

Nutritional Support

CF causes lowered body absorption of nutrients; hence, patients find it challenging to be optimally nourished. Adequate nutrition must include a well-balanced diet and, at times, additional calories and fat in order to support growth and overall health. Some may need pancreatic enzyme supplements to help in digestion and absorption of nutrients.

Exercises and Physical Activity

Regular physical activity in people with CF improves lung function, endurance, and overall fitness. The exercise routines need to be tailored to each individual according to a person’s ability and preference and must include exercises for airway clearance and those promoting cardiovascular fitness.

Psychological Support

One can understand from basic psychology that chronically living with CF can be emotionally draining. Therefore, services offering psychological support through counseling or support groups should be provided to enable patients to overcome stressors, anxiety, and depression related to the illness. Strong support from family, friends, and peers in a support network can be priceless too when it comes to emotional support.

Social interaction and engagement

Keeping social contacts alive and taking part in activities within the community are very relevant to mental health. Isolation and a lack of a sense of belonging can be prevented if CF care teams encourage social engagement.

Educational and Vocational Support

Due to health needs, there may be special problems in performing well in an educational or professional setting among people suffering from CF. In this view, educational accommodations and vocational support services could support the person’s goals with regard to education and work while keeping their health in good condition.

Monitoring and Care

Continuous follow-up care with the multidisciplinary CF care team to monitor the natural history of disease progression, allow readjustments in the treatment plan or institution of new treatments when indicated, and make an early recognition of newly developing complications. Complete CF care should include routine check-ups, pulmonary function tests, and assessments of nutritional status.

Such considerations of quality of life, when factored into care for cystic fibrosis, will facilitate an individual living with the disease to optimize health outcomes, maintain independence, and enhance the overall quality of life in the face of this chronic illness.

Treatment Options for Cystic Fibrosis

The main goals of therapy are to get the mucus out of the lungs, keep the intestines from getting blocked, stop pulmonary infections, and give the person enough food. The following pharmacological treatments are available:

  • Medications that counteract the effects of genetic mutations
  • Antibiotics for the treatment and prevention of lung infections
  • Medications that decrease emphysema in the airways of the lungs, such as anti-inflammatory drugs
  • Mucolytics, like hypertonic saline, help get rid of mucus and may improve lung function.
  • Inhaled bronchodilators work to keep the airways open by relaxing the muscles around the bronchi.
  • Supplements of pancreatic enzymes are taken by mouth to help the digestive system absorb nutrients and keep the nutritional status stable.
  • Laxatives with an emollient component that helps reduce constipation and intestinal blockage
  • Vitamins

Other ways to treat COPD are nutritional counseling, respiratory physiotherapy, physical activity, and breathing techniques. A multidisciplinary team made up of a physiotherapist, a nutritionist, a pulmonologist, a gastroenterologist, a psychologist, and others can make sure to check on the patient often. Other ways to treat the disease include surgical treatments like lung transplantation. In short, it is possible for people with cystic fibrosis to get a handle on their condition and improve their quality of life, as long as they take the right medicine.

Takeaway

Cystic fibrosis is not a new disease, but it has been misdiagnosed for years as pneumonia, starvation, or asthma. Unfortunately, incidents of this kind are still happening in today’s world. So, it is essential to be informed, particularly if you have had any of the symptoms discussed in this article. Visit your primary care physician, discuss the matter with them, and inquire whether it is necessary to carry out the tests. Acquiring knowledge is the most effective technique for looking after one’s health.

Cystic fibrosis: What Is It and How Do You Live With It?

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