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Cystic Fibrosis 6 лет назад


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Cystic Fibrosis

Cystic Fibrosis (CF) is a genetic disorder that primarily affects the lungs and digestive system. It is caused by mutations in the CFTR (Cystic Fibrosis Transmembrane Conductance Regulator) gene, which is responsible for producing a protein that controls the flow of salt and fluids in and out of cells. When this protein is faulty or absent due to mutations in the CFTR gene, it leads to the buildup of thick and sticky mucus in various organs, especially the lungs and pancreas. Key features and effects of cystic fibrosis include: 1. Respiratory Issues: The buildup of thick mucus in the airways can lead to frequent lung infections, chronic coughing, wheezing, and difficulty breathing. Over time, repeated infections and inflammation can cause irreversible lung damage, leading to respiratory failure. 2. Digestive Problems: In the digestive system, the mucus can block the pancreatic ducts, preventing digestive enzymes from reaching the small intestine. This can result in difficulty digesting and absorbing nutrients from food, leading to malnutrition and poor growth. People with CF often require enzyme supplements and a high-calorie diet to manage these issues. 3. Sweat Gland Dysfunction: The CFTR protein also plays a role in regulating salt and fluid balance in sweat glands. Individuals with CF have higher salt levels in their sweat, which is used as a diagnostic test for the condition. 4. Other Organ Involvement: CF can also affect other organs, including the liver, reproductive system, and sinuses. Liver disease and infertility are among the possible complications. 5. Diagnosis: CF is usually diagnosed in early childhood through newborn screening or when symptoms become apparent. Genetic testing is the most definitive method to identify CFTR gene mutations. 6. Treatment: While there is no cure for CF, advances in medical care have greatly improved the quality of life and life expectancy for individuals with the condition. Treatment approaches include airway clearance techniques, medications to thin mucus and reduce inflammation, antibiotics to manage infections, and pancreatic enzyme replacement therapy. Lung transplantation may be considered for individuals with severe lung disease. 7. Prognosis: The prognosis for individuals with CF has improved significantly over the years, with many people now living well into adulthood. However, the severity of the disease can vary widely, and managing CF requires a multidisciplinary approach involving healthcare professionals, including pulmonologists, gastroenterologists, nutritionists, and physical therapists. 8. Research and Therapies: Ongoing research aims to develop new therapies that target the underlying genetic and molecular causes of CF. This includes gene therapies and medications that directly address the defective CFTR protein, potentially leading to more effective treatments in the future. It's important to note that this information is based on my knowledge up until September 2021, and there may have been further developments in CF research and treatment since then.

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