Lungs
04 DECEMBER 2010
D AV E JOHNSON
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LUNGS
single layer of There is movement of the internal medium, e.g. blood - to maintain a diffusion gradient.
endothelial cells”
Tuberculosis
Tuberculosis is an infectious remains as a major problem in upper regions of the lungs,
disease, commonly called TB, poorer countries. where there is plenty of oxy-
caused in humans by the bacte- gen. This forms small lumps
This Infection is passed from
rium Mycobacterium Tubercu- called tubercles. The body’s
person to person in flying
losis. Although it can infect any immune system and white
droplets (produced by cough-
part of the body, tuberculosis blood cells gather at the site of
ing or sneezing). Basically tiny
usually infects the lungs. Tu- infection to ingest the bacteria.
droplets of mucus carrying
berculosis was once common Thus in a high proportion of
bacteria are sprayed out and
worldwide and was a major cases, the body’s immune sys-
may enter the lungs of other
killer in childhood and early tem then stops the bacteria
people when they breathe in.
adult life. Its rate of TB has reproducing and healing oc-
The bacteria breathed into
PAGE 2 fallen and continues to fall in curs, leaving a scar.
lungs then multiply within the
developed countries, but it still
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AS’ BIOLOGY
Asthma
Asthma is a condition in which airways and limits the amount use a reliever inhaler when
the flow of air into the gas of air that can reach the alve- required, if the symptoms flare
exchange surface of the lungs oli. Symptoms that are caused up. Symptoms of asthma may
is restricted. Cells in the lin- by asthma are wheezing, dry be made worse, in certain
ing of the bronchi become unpleasant cough, chest tight- situations. Such as infections;
sensitive to substances such as ness and shortness of breath. particularly cold cough and
smoke, pollen or other atmos- Asthma cannot be ‘cured’. chest infections, pollens and
pheric pollutants. Further However, about half of the moulds, certain drugs, smok-
expose to these substances children who develop asthma ing cigarette fumes and may
brings about an immune re- ‘grow out of it’ by the time possibly due to stress, emo-
sponse which triggers an asth- they are adults, but treatment tional upset or even laughter.
matic attach. To smooth mus- usually works as well to ease
cle in the walls of the bronchi and prevent symptoms. Treat-
that has contracts these sub- ment is usually with inhalers.
stances. This results in produc- A person with asthma may
ing large amounts of mucus. take a preventer inhaler every-
This leads to narrowing of the day to prevent symptoms, or
Emphysema
Emphysema is a lung disease in chitis, a disease in lung the dition often only takes place
which the walls of the alveoli gradually develops. Severe gradually.
or air sacs break down. This emphysema results in breath-
results in the alveoli to swell lessness and to treat a patient
up. As a result of alveoli’s may be providing oxygen,
enlarging, the total area of thin through oxygen masks to ease
walls is much less and gas ex- the symptoms. As well as
change becomes less efficient. other steroids, mucus thinning
It is not understood how em- medicines etc. The most im-
physema occurs, however portant treatment is to stop
smoking is the cause in vast smoking. Usually it is long
majority of cases. It is also lasting and changes in the con- PAGE 3
associated with chronic bron-
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DAVE JOHNSON
Pulmonary ventilation =
tidal volume + ventilation rate Lung volumes and capacities
The air in the lungs can be di- Residual volume (RV) - Primary indicators of lung
vided into volumes. Lung ca- Volume of air remaining in functions
pacities are combination of the lungs at the end of a
volumes Forced expiratory volume
maximum expiration.
in 1 second (FEV1) The
Description of volume Description of capacity volume of air that is maxi-
mally exhaled in the first
Tidal volume (TV) - vol- Inspiratory capacity (IC) = second of exhalation.
ume of air breathed in and TV + IRV - Volume
out in a single breath breathed in by a maximum Forced vital capacity (FVC)
inspiration at the end of a - The total volume of air
Inspiratory reserve volume
normal expiration. that can be forcibly exhaled
(IRV) - volume breathed in
after a maximum inspira-
by a maximum inspiration Vital capacity (VC) = IRV tion
at the end of a normal inspi- + TC + ERV - volume that
ration can be exhaled after a maxi-
mum inspiration.
Expiratory reserve volume
(EVR) - volume breathed Total lung capacity (TLC)
out by a maximum effort at = VC +RC - The total
PAGE 4 the end of a normal expira- volume of the lungs. Only a
tion. fraction of TLC is used in
normal breathing.
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