What's the deal with lung cleansing? Is it health care or medical?

Lung cleaning? It sounds horrible, but it is the only means to prevent and control pneumoconiosis, which brings new hope to countless pneumoconiotics.

It is understood that lung cleaning is an emerging medical tool pioneered by Nanjing Chest Hospital, and more than ten hospitals in China have carried out this treatment program, relieving pain for many patients. Lung cleaning not only can the dust out of the lungs, but also to treat serious respiratory infections, alveolar protein deposits, and even make the "old smoker" lungs, "white" up.

It is worth noting that lung cleaning requires general anesthesia. The patient's breathing and heartbeat are monitored by the anesthesiologist during the lung wash, so that the situation can be dealt with in a timely manner. In addition, in order to protect the patient's breathing, lung lavage is not carried out on both sides of the lungs at the same time, but first irrigate one side, and then irrigate the other side after a short pause. Generally speaking, one lavage is thorough and does not need to be performed frequently. Many patients describe the feeling after lung lavage as, "The two big mountains in my lungs have been removed."

And, for smokers to wash their lungs, the water washed out black, identified as containing a large number of charcoal dust and aluminum silicate.

Experts believe that as a medical treatment against pneumoconiosis, lung washing is effective, but it is not suitable for healthy people as a form of health care on a regular basis, even for smokers. Because general anesthesia is not 100 percent safe, and once an infection occurs during the operation, it's not worth the cost.

Lung cleaning? It sounds scary, but it is the only means of preventing and treating pneumoconiosis, and has brought hope to countless pneumoconiotics. In addition, lung cleaning can also treat serious respiratory infections, alveolar protein deposits and other diseases, and can even make the "old smoke cavity" lung "white" up.

In October last year, the reporter went to Nanjing to participate in the eleventh national book market, in the crowded booth accidentally met a local counterparts, 'he told us an important information Nanjing Chest Hospital, the first lung wash business achievements, this is really an unexpected gain! That afternoon, we went to the Chest Hospital.

We found the old president of the former Chest Hospital, but also one of the first creators of this therapy, Prof. Tan Guangxin. Professor Tan said not to rush the interview first, but took us to the anesthesiology department. While we were wondering, the director of the Department of Anesthesiology, Huang Fenzhen, came out of the operating room. Professor Tan gave us a mutual introduction, said: "You must be wondering why I have to pull the director of Huang, in fact, from the professional point of view of lung cleaning is the respiratory department, but the cleaning process must be carried out under general anesthesia." So it is!

For the diagnosis and treatment of respiratory occupational diseases such as pneumoconiosis, Prof. Tan can be regarded as a "senior" figure. Since 1958, he began to go into the first line of dust operations, such as metallurgy, mining, railway, machinery, ceramics, glass and other industries, found that China's pneumoconiosis patients more than the rest of the world's total, of which silicosis accounted for the majority. As a respiratory physician, Prof. Tan is well aware of the danger of pneumoconiosis - extensive fibrosis of alveoli and finally loss of respiratory function. This is an irreversible change, no medicine can make the dust inhaled into the lungs out, only to allow it to circulate in the lungs "mess". Can we find a way to wash out the dust?

Prof. Tan looked up a lot of literature at home and abroad for this purpose, and a piece of information attracted him: some people in foreign countries have used unilateral lung small volume irrigation method to treat alveolar protein deposition disease. The first step in the process is to make sure that you are able to get the best out of it! So, with the full support of the Department of Anesthesiology, after thorough research and repeated improvements, a new large-volume whole-lung lavage was born, which marked the hope of many patients! At present, more than a dozen hospitals in China have carried out this treatment, relieving the pain for more than 4000 patients. However, Professor Tan emphasized that the earlier the treatment, the better, because once the alveolar fibrosis, it is difficult to show results.

"How does the patient feel after lung washing?" The reporter raised his most concerned question. Here 'Prof. Tan paraphrased the words of the patient to describe' is "two big mountains in the lungs were moved". Some patients live on the 5th floor, the original up the stairs are difficult, now carry a gas canister up are not breathless. Professor Tan said that "in addition to silicosis, lung cleaning can also treat other types of pneumoconiosis, alveolar protein deposition, severe respiratory infections, purulent bronchodilatation and refractory asthma, and even we also accidentally fell into the cement pool, mud puddle of people who have washed their lungs. All of these diseases have a *** same characteristic, that is, there is a foreign body in the lungs that cannot be expelled." Speaking of which, Prof. Tan also introduced the windfall of washing lungs - washing lungs for smokers, and the water that comes out of the wash is said to be black with a lot of charcoal dust and aluminum silicate, and I believe that anyone who sees this kind of lung-washing water won't go back to smoking!

Finally, we mentioned general anesthesia." I expected that you would ask this question," Director Huang knowingly said open, "many patients are afraid when they hear that they have to go on general anesthesia, in fact, general anesthesia is very safe. During lung cleaning, the patient's breathing and heartbeat are under the supervision of anesthesiologists, and any situation can be handled in time. Some patients wake up and are able to speak in the operating room, knowing nothing about the procedure. ""So, how does a patient breathe during whole-lung lavage?"" This was obviously our biggest doubt. Director Huang smiled and said "It is said to be whole-lung lavage, not both sides of the lungs at the same time, but first lavage of one side, and then the other side after a short pause."

Of course, for anesthesiologists, general anesthesia is naturally a trivial matter, but the patient's heart is always inevitably a little "that". The good thing is that "the average patient is thoroughly irrigated once," said Dr. Huang, for countless patients to solve the problem.

"Lung cleaning"

Lung cleaning? A very common word, but for the medical profession is the result of a number of years. It is currently the only means to combat pneumoconiosis and has brought hope of life to countless pneumoconiotics.

In metallurgy, mining, railway, machinery, ceramics, glass and other industries, it is found that the number of pneumoconiotics in China exceeds that of the rest of the world combined, of which silicosis accounts for the majority. The harm of pneumoconiosis is to make the alveoli extensive fibrosis, and finally lose the respiratory function. Lung cleaning" is an effective treatment for silicosis. In addition to silicosis, "lung wash" can also treat other types of pneumoconiosis. Such as: alveolar protein deposition, severe respiratory infections, purulent bronchial dilatation and refractory asthma, but also for the inadvertent fall into the cement pool, mud puddle of people to wash their lungs, and even make the "old smoker" lungs "white" up.

At present, more than a dozen hospitals in China have carried out this treatment for more than 4,000 patients to relieve the pain. However, the sooner the treatment, the better, because once the alveolar fibrosis, it is difficult to show results.