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Respiratory Servieces

Service Provider of a wide range of services which include Lung Function Test, Asthma & Allergy Clinic, Copd & Chronic Lung Disorders, Lung Cancer, Bronchoscopy and Tuberculosis & Lung Infections.

Lung Function Test
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Lung Function Test

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Pulmonary Function Test is also called as PFT. It is an objective test which helps in measuring the functional capacity of the lungs. It is conducted for evaluation of cough and breathlessness. Not only does it help in reaching a diagnosis but also helps in measuring the severity of the problem and the likelihood of response to treatment. The analysis is based on a computer generated report. A specialized test, called Diffusion Capacity is conducted in selected patients.

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Asthma & Allergy Clinic
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Asthma & Allergy Clinic

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Asthma is a condition in which the airways (breathing pipes) narrow and swell and produce extra mucus (phlegm). This can make breathing difficult and trigger coughing, wheezing and shortness of breath. Each patient may have one or all of the symptoms. It can sometimes start to interfere with daily activities and may lead to a life-threatening asthma attack. Increasing pollution in the National capital Region in India is causing an exponential rise in the prevalence of Asthma here. Patients here continue to suffer from chronic cough and wheezing for years and are prescribed cough syrups and courses of  by general practioners before reaching the right diagnosis of Asthma.For many asthma sufferers, timing of these symptoms is closely related to physical activity. And, some otherwise healthy people can develop asthma symptoms only when exercising. This is called exercise-induced asthma (EIA). Staying active is an important way to stay healthy, so asthma shouldn't keep you on the sidelines. People with a family history of allergies or asthma are more prone to developing asthma. Many people with asthma also have allergies. This is called allergic asthma. Occupational asthma is caused by inhaling fumes, gases, dust or other potentially harmful substances while on the job. Childhood asthma impacts millions of children and their families. In fact, the majority of children who develop asthma do so before the age of five.

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Copd & Chronic Lung Disorders
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Chronic Obstructive Pulmonary Disease (COPD) is common term used to describe progressive lung diseases and includes emphysema, chronic bronchitis and some forms of bronchiectasis. This disease is characterized by increasing breathlessness, wheezing, coughing and mucus production. Many people mistake their increased breathlessness and coughing as a normal part of aging. In the early stages of the disease, the symptoms may be mild. COPD can develop for years without noticeable shortness of breath.

 

 Most cases of COPD are caused by inhaling pollutants; that includes smoking (cigarettes, bidis etc.), and second-hand smoke. Fumes, chemicals and dust found in many work environments are contributing factors for many individuals who develop COPD. In India cooking on Chullahs has been found to be a very common cause of COPD in females. Genetics can also play a role in an individual’s development of COPD—even if the person has never smoked or has ever been exposed to strong lung irritants in the workplace. Alpha-1 Antitrypsin deficiency is one such established cause.The diagnosis involves clinical history, clinical evaluation and spirometry testing. Some other investigations like blood tests, chest Xray, Echo of heart may sometimes be required A diagnosis of COPD is not the end of the world. For all stages of disease, effective therapy is available which can control symptoms, reduce your risk of complications and exacerbations, and improve your ability to lead an active life.The most essential step in any treatment plan for COPD is to stop all smoking. It's the only way to keep COPD from getting worse — which can eventually reduce your ability to breathe. But quitting smoking isn't easy. And this task may seem particularly daunting if you've tried to quit and have been unsuccessful. Our experts can help out with this. Many types of medications are used to treat COPD mainly inhaled therapies and sometimes some oral drugs. Our experts shall guide you how to manage your COPD and also the exacerbations if and when they happen. For patients with advanced COPD domiciliary Oxygen therapy, Bipap Therapy and comprehensive Pulmonary Rehabilitation therapy is also advised and arranged.

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Lung Cancer
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Lung Cancer

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Lung Cancer is the most common cancer in men. Smoking and consumption in different forms is the most common reason for lung cancer. Whereas smoking rates have plateaued or have started to decline in most of the western countries they are still not plateaued in India and in some of the regions like Haryana where it continues to be part of be part of local culture. Lax enforcement of laws banning smoking in public places in the country has also meant the rates of second hand smoke have also remained high adding to the burden of lung cancer in non- smokers. Lung cancer prevalence is also increasing in non-smokers specially females; the reasons for this is not entirely clear. The alarming increase in in the air pollution levels in most of the major cities in India is further fuelling the problem.The other major challenge in the field is the very late presentation of these patients to specialists where the diagnosis is established. Often these patients continue to be treated for cough with cough syrups or are treated for Tuberculosis losing out on valuable time and delay in diagnosis.

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Bronchoscopy
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Bronchoscopy

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Bronchoscopy is a technique of visualizing the human airways using an endoscope called bronchoscope. It is a thin tubular instrument that can be flexible or rigid (metallic) fixed with a video camera at one end and viewer at the other. Flexible bronchoscope is more common than rigid type as there is no need to give anesthesia and can be performed easily as an outdoor or daycare procedure in the Bronchoscopy suite or even bedside of the patient. videobronchoscope is an advanced equipment which replaces the flexible bronchoscope. It has a charged couple device at its tip which captures images and relays to a video-processor unit which then displays the images on a monitor. The images, thus produced are magnified and much sharper. Multiple images can be examined together, video recordings performed and shared with the patients.

The airways are like hollow tubes starting with one large sized which then divides into multiple smaller ones. The windpipe (trachea) is the main and the largest. It divides into right and left bronchi, each of which then divides into lobar followed by segmental and sub-segmental bronchi. Bronchoscope is introduced through the nose or mouth, passed through the throat (pharynx), vocal cords (larynx) to enter the windpipe (trachea). It is then passed into the right or left bronchi, the lobar bronchi and then the segmental bronchi. Through the bronchoscope the physician is able to visualize the abnormality in the airways such as inflammation, tumors, bleeding and for taking tissue samples or mucus, if any, and perform various procedures which help in making the accurate diagnosis and guide appropriate treatment.

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Tuberculosis, more commonly called TB, is an infectious disease caused by strains of mycobacteria. Although TB can attack any part of the body, most of the times it is found in the lungs. It is one of the most dangerous forms of Lung Infections. When the TB infection affects the lungs, it is known as Pulmonary TB and the cases, where the infection occurs outside the lungs, are diagnosed as Extrapulmonary TB. An interesting thing about TB is that it can lie dormant for years before becoming active and prompting any kind of symptoms. Tuberculosis Treatment will depend on whether it is a Latent TB infection or an Active TB Infection.

 

Latent TB Infection

TB infection has the ability to lie dormant for long periods. A latent TB Infection does not show any symptoms and can be detected only with extensive Lung Tests. The antibiotic,   (INH) is usually used for Latent Tuberculosis Treatment. Regular evaluation, of the affects of the drug, is then done to ensure that there are no major side effects. There also maybe a prescription of vitamin B6 (pyridoxine) to prevent the risks of side-effects, which is high especially in the elderly.

Active TB

Active TB is the stage when the patient is actively showing the symptoms of the disease and is also capable of communicating it to others. Active TB can take life threatening forms and should be treated as soon as possible. A combination of  like  , rifampin,  , or ethambutol is usually prescribed to stop the infection from emerging and multiplying.

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