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I. Human Organization
MECHANICS OF BREATHING
ASST. PROF. NARONGRIT THONGON, PH.D.
Mader: Understanding Human Anatomy & Physiology, Fifth Edition IV. Maintenance of the Body 14. The Respiratory System The McGrawHill Companies, 2004
Figure 1.1
Levels of organization of the human body. Each level is more complex than the previous level.
O2
CO2
Macromolecule Organ Organelle Organism
Body Unicellular
Multi-cellular
Overview
The normal pattern of quiet breathing is termed eupnea. A condition called Cheyne-Stokes respiration is characterized by alternate periods of hyperpnea (deep and labored breathing) and apnea (no breathing or shallow breathing). In this condition, the respiratory center is apparently being controlled largely by chemical input so that the breathing rate rst increases when CO2 and H are high and O2 is low and then decreases when CO2 and H are low and O2 is high. CheyneStokes respiration is associated with abnormal environmental conditions (e.g., high altitude) or physiological disorders (e.g., congestive heart failure). Other factors can also affect respiration. A sudden cold stimulus, such as a plunge into cold water, causes temporary apnea. A sudden, severe pain has the same effect, but prolonged pain triggers the stress syndrome, which causes an increased breathing rate. A rather interesting stimulus is stretching of the anal sphincter muscle, which causes inspiration. Various other patterns of nonrespiratory air movements are of interest. Prior to a cough, the glottis closes. Then the glottis suddenly opens as a blast of air is forced upward from the lower respiratory tract. A sneeze is like a cough except that the blast of air is directed into the nasal passages by a depression of the uvula that closes off the pharynx and mouth. When a person laughs or cries, air is released in a series of short expirations; therefore, it is necessary to study the facial expression to know if a person is crying or laughing. A hiccup occurs when the diaphragm contracts spasmodically while the glottis is closed. Air striking the vocal cords causes the hiccup. Sighing and yawning require a long inspiration followed by a shorter expiration. The sound that accompanies expiration serves as a means of communication. Yawning has the benet of making a person more alert when drowsiness occurs. The neurophysiology of yawning is complex, and knowledge of its mechanisms is incomplete because it is apparently under the control of various neurotransmitters.
Gas exchange and transport are critical to homeostasis. As mentioned previously, respiration ex- in turn join to form macromolecules. For example, mol1.1 The Human Body includes not only the can ecules change of gases in the lungs, but also the exchange of gases in called amino acids join to form a macromolecule Anatomy and physiology is the study of the human body. called protein, which makes up the bulk of our muscles. the tissues. Recall that diffusion is the movement of molecules Macromolecules are found in all cells, the basic units of Anatomy is concerned with the structure of a part. For from the area higher to the area of lower example, the of stomach is concentration a J-shaped, pouchlike organ all living things. Within cells are organelles, tiny structures concentration. The principles of diffusion alone govern (Fig. 1.1). The stomach wall has thick folds, which disappear that perform cellular functions. For example, the organelle as the stomach expands increase its capacity. Physiology is called reproducwhether oxygen (O2) to or carbon dioxide (CO2) enters or the nucleus is especially concerned with cell 2 concerned with the of aand part.in For example, the stomtion; another organelle, called the mitochondrion, supplies leaves the blood infunction the lungs the tissues.
Overview
external respiration
the cell with energy. Tissues are the next level of organization. A tissue is composed of similar types of cells and performs a specic function. An organ is composed of several types of tissues and performs a particular function within an organ system. For example, the stomach is an organ that is a part of the digestive system. It has a specic role in this system, whose overall function is to supply the body with the nutrients needed for growth and repair. The other systems of the body (see page 13) also have specic functions. CO2 CO2 Organization of Body Parts All of the body systems together make up the organism The structure of the body can be studied at different levels of such as, a human being. Human beings are complex animals, organization (Fig. 1.1). First, all substances, includingalveolar body air but this complexity can be broken down and studied at ever parts, are composed of chemicals made up of submicroscopic simpler levels. Each simpler level is organized and constructed O2 particles called atoms. Atoms join to form molecules, which in a particular way. CO2
O2
CO2
O2-poor blood
gas transport
O2 CO2
internal respiration
capillary network
Figure 14.9 External and internal respiration. During external respiration in the lungs, CO2 leaves the blood and O2 enters the blood passively by diffusion. During internal respiration in the tissues, O2 leaves the blood and CO2 enters the blood passively by diffusion.
respiring tissues
Mechanics of Breathing
The mechanism of air ows into and out off the lung during inhalation and exhalation. Air (Gas) is uid that tends to ow and to conform to the outline of its container. Air (Gas) ows down its pressure gradient.
Inhalation
Air ows into the lungs Pa < Patm
Exhalation
Air ows out off the lungs Pa > Patm
Mechanics of Breathing;
Resting state;
Patm = 0 cmH2O Pa = 0 cmH2O Ppl = 5 cmH2O Boyles law (P1V1= P2V2)
chest wall recoil outward alveoli recoil inward pleural pressure tend to increase Ppl = 5 cmH2O trans-mural pressure (PaPpl) expand alveoli
Mechanics of Breathing
atelectasis
relating lung volume changes to changes in transpulmonary Compliance pressure. Diagram Note that the relation is373 different for of the Lungs. Figure is a diagram inspiration and lung expiration. curve is recorded by relating volume Each changes to changes in transpulchanging the transpulmonary pressure in small stepsfor monary pressure. Note that the relation is different inspiration and volume expiration. Each curve is recorded and allowing the lung to come to a steady level by
pressure. That is, every time the transpulmonary pressure increases 1 centimeter of water, the lung volume, Compliance Diagram of the Lungs. Figure 373 is a diagram after 10 to 20 seconds, will expand 200 milliliters.
the normal adult human averages about 200 milsure increases 1 centimeter of being water, the lung volume, of air per will centimeter of water transpulmonary after 10 liliters to 20 seconds, expand 200 milliliters.
changing the transpulmonary pressure in small steps and allowing the lung volume to come to a steady level
saline solution and when lled with air.When the saline solutionlled lungs, there is the no lungs air-uid are lled therefore, with air, there an interface between interface; the is surface tension effect the is not alveolar uid and theelastic air in the alveoli. the case in of the presentonly tissue forces are In operative the saline solutionlled lungs, there is no air-uid saline solutionlled lung. interface; therefore, the surface tension effect is not Note that transpleural pressures required to presentonly tissue elastic forces are operative inexpand the air-lled lungs are about saline solutionlled lung.three times as great as those required to expand saline solutionlled lungs. Thus, Note that transpleural pressures required to expand one can conclude the tissue elastic forces tending air-lled lungs are that about three times as great as those to expand solutionlled lungs. Thus, torequired cause collapse ofsaline the air-lled lung represent only one can the tissue elastic forces tending the about oneconclude third of that the total lung elasticity, whereas to cause collapse of the air-lled lung represent only about one third of the total lung elasticity, whereas the
Laplaces law
Lung volume change (liters)
0.50
0.50
P = 2T r
Saline-filled
Lung volume change (liters)
Air-filled
Air-filled
0.50
0.50
Saline-filled
Expiration
Expiration
Expiration
0.25
Expiration
0.25 0.25
0.25
Inspiration Inspiration
Inspiration Inspiration 0
00 0
0 2 4 6 2 4 6 Pleural pressure (cm H2O) 8
0 4
alveolar collapse
Figure 373
Figure 374
Comparison of the compliance diagrams of saline-lled and airlled lungs when the alveolar pressure is maintained at atmos14 airComparison of the compliance diagrams of saline-lled and pheric pressure (0 cm H2O) and pleural pressure is changed.
Figure 373
Figure 374
Compliance diagram in a healthy person. This diagram shows compliance of the lungs alone.
Compliance diagram in a healthy person. This diagram shows compliance of the lungs alone.
lled lungs when the alveolar pressure is maintained at atmospheric pressure (0 cm H2O) and pleural pressure is changed.
canals of Lambert
openings in the walls of terminal bronchioles respiratory bronchioles
16
1
Rtotal
1
R1
1
R2
+...
1
Rn
Poiseuilles law
R=
8l r4
Total airways resistance depend on the larger airways. Smaller airways are the silent zone.