What are the causes of chronic bronchitis and emphysema?

Patient's question:

My dear friend has been suffering from chronic bronchitis and emphysema for many years. Despite receiving treatment for a long time, it hasn't healed on its own. What are the causes of chronic bronchitis and emphysema?

Doctor's answer:

Chronic bronchitis and emphysema refer to a pathological state where the elasticity of the airways distal to the terminal bronchioles (respiratory bronchioles, alveolar ducts, alveolar sacs, and alveoli) is reduced, while the airway walls are destroyed due to excessive inflation, over-inflation, and increased lung volume. Factors include hereditary predisposition, pulmonary dysplasia, smoking, environmental pollution, and respiratory infections. It is recommended to prevent colds, avoid cold and fatigue, drink more hot water, and eat more fruits and vegetables.
Emphysema is a chronic disease primarily caused by long-term smoking. Its main inflammation involves the obstruction of many terminal bronchioles and the rupture of alveoli, leading to a significant increase in the total surface area of the respiratory membrane. Patients often experience insufficient oxygen supply and frequently suffer from shortness of breath. The goal of chronic emphysema treatment is to reduce symptoms, prevent the progression of the disease, and alleviate or halt the decline in lung function.

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