RESPIRATORY PROBLEMS THE RESPIRATORY SYSTEM THE RESPIRATORY SYSTEM This system comprises the mouth, nose, windpipe (trachea), lungs and pulmonary blood vessels {the blood vessels of the lungs). Respiration involves the process of breathing and the exchange of gases (oxygen and carbon dioxide) both in the lungs and in cells throughout the body. We breathe in air to take oxygen into the lungs, and we breathe out to expel the waste gas, carbon dioxide, a by-product of respiration. Structure of the respiratory system The lungs form the central part of the respiratory system. Together with the circulatory system, they perform the vital function of gas exchange in order to distribute oxygen around the body and remove carbon dioxide. Ribs surround and protect the chest cavity j Intercostal muscles span spaces between ribs tungs are two spongy organs that occupy a large part of the chest cavity When we breathe, air is drawn through the nose and mouth into the airway and the lungs. In the lungs, oxygen is taken from air sacs (alveoli) into the pulmonary capillaries. At the same time, carbon dioxide is released from the capillaries into the alveoli. The carbon dioxide is then expelled as we breathe out. An average man's lungs can hold approximately 6 litres (10 pints) of air; a woman's lungs can hold about 4 litres (7 pints) of air. Epiglottis Windpipe (trachea) extends from the larynx to two rnain bronchi Windpipe divides into two main bronchi (sing, bronchus), one to each ung, further subdivide into smaller bronchi, then bronchioles Bronchioles are small air passages that branch from bronchi and eventually open into air sacs (alveoli) within the lungs Alveolus Diaphragm is a sheet of muscle that sepa rates chest and abdominal cavities Pleural membrane, which has two layers separated by a lubricating fluid, surrounds and protects each of the lungs Pulmonary capillary Gas exchange in air sacs A network of tiny blood vessels (capillaries) surrounds each air sac (alveolus). The thin walls of both structures allow oxygen to diffuse into HOW BREATHING WORKS The breathing process consists of the actions of breathing in (inspiration) and breathing out (expiration), followed by a pause. Pressure differences between the lungs and the air outside the body determine whether air is drawn in or expelled. When the air pressure Intercostal muscles between ribs contract Oiaphragm contracts and moves down in the lungs is lower than outside, air is drawn in; when pressure is higher, air is expelled. The pressure within the lungs is altered by the movements of the two main sets of muscles involved in breathing: the intercostal muscles and the diaphragm. Ribs rise and Diaphragm returns to swing outwards domed position Ribs move down and inwards Breathing in The intercostal muscles (the muscles between the ribs) and the diaphragm conlract, causing the ribs to move up and out, the chest cavity to expand, and the lungs to expand to fill the space. As a result, the pressure inside the lungs is reduced, and air is drawn into the lungs. Breathing out The intercostal muscles relax, and the ribcage returns to its resting position, while the diaphragm relaxes and resumes its domed shape. As a result, the chest cavity becomes smaller, and pressure inside the lungs increases. Air flows out of the lungs to be exhaled. HOW BREATHING IS CONTROLLED Breathing is regulated by a group of nerve cells in the brain called the respiratory centre. This centre responds to changes in the level of carbon dioxide in the blood. When the carbon dioxide level in the body rises, the respiratory muscles and the diaphragm to contract, and a breath occurs. Our breathing rate can be altered consciously under normal conditions or in response to abnormal levels of carbon dioxide, low levels of oxveen. or with stress, exercise.