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TheHumanRespiratorySystem RosalieCrawford-VeronicaRevel FondazioneLiceoLinguisticoCourmayeur Respiration • Inbiology,respirationhastwomeanings: -atthecellularlevel,itreferstothe chemicalreactionsthattakeplaceinthe mitochondria,whichrequireoxygen,and aretheprinciplesourceofenergyfor eukaryoticcells; -atthelevelofthewholeorganism,itrefers totheprocessoftakinginoxygenfromthe environmentandgivingcarbondioxide backtoit. • CellsneedoxygentogenerateATPintheir mitochondria • Ofallorgans,yourliverhasthegreatestneed: 81litresofoxygenaday,whileyourbrain requires76litres. • Atopmarathonerusesabout500litresof oxygeninthecourseofarace. • Themainphysiologicaldifferencebetweena sedentarypersonandarunneristhenumberof mitochondriapercell,whichincreaseswith training Thehumanrespiratorysystem Apairofhumanlungshassome300millionalveoli,wheregasexchange takesplace,providingarespiratorysurfaceofabout70squaremetres. Thehumanrespiratorysystem Airentersthroughthenoseormouthandpasses intothepharynx,pastthelarynx,anddownthe trachea,bronchiandbronchiolestothealveoliin thelungs. Gasexchangetakesplaceinthealveoli.The barrierbetweentheairinanalveolusandthe bloodinitscapillariesisonly0.5micrometre. Oxygenandcarbondioxidediffuseintoandoutof thebloodstreamthroughthecapillaries surroundingthewallsofthealveoli. • Thetrachea,bronchiandbronchioles,which servemainlytotransportairbybulkflow, arelinedwithepithelialcells. • Theseincludebothmucus-secretingand ciliatedcells. • Themucuscoatstheepitheliumofthe respiratorysystemandtrapsforeign particles. • Theciliabeatcontinuously,pushingmucus andforeignparticlestowardthepharynx,to beexpelled. Mechanicsofrespiration • Airflowsintooroutofthelungswhenthe airpressurewithinthealveolidiffersfrom thepressureoftheexternalair (atmosphericpressure). • Thepressureinthelungsisvariedby changesinthevolumeofthethoraciccavity, causedbythecontractionandrelaxationof thediaphragmandofintercostal(“betweenthe-ribs”)muscles. Transportandexchangeofgases • Oxygenisalmostinsolubleinbloodplasma. • Thebloodtransportsoxygenthankstorespiratory pigmentswhich,invertebrates,arecalled hemoglobin.Eachhemoglobinmoleculecanbind fourmoleculesofoxygen. • Inthecapillariesofthealveoli,wherethepartial pressureofoxygenishigh,mostofthehemoglobin iscombinedwithoxygen. • Inthetissues,wherethepartialpressureislower, oxygenisreleasedfromthehemoglobinmolecules intotheplasmaanddiffusesintothetissues. • Carbondioxideismoresolublethanoxygen andsomeofitisdissolvedintheblood. • However,mostCO2reactswithwaterto formcarbonicacid,aweakacidthat dissociatestoformbicarbonate(HCO3-)and hydrogen(H+)ions: • CO2+H2OH2CO3HCO3+H+ CarbonWater dioxide CarbonicBicarbonateHydrogen acidion ion • Thereactioncangoineitherdirection, dependingonthepartialpressureofcarbon dioxideintheblood. ControlofRespiration • Therateanddepthofrespirationarecontrolledby respiratoryneuronsinthebrainstemwhichactivatemotor neuronsinthespinalcordthatcausethediaphragmand intercostalmusclestocontract. • Inaddition,chemoreceptorcells,locatedinthecarotid arteries,signaltherespiratoryneuronswhenthe concentrationofoxygendecreases. • Centresinthebrainandchemoreceptorssimultaneously monitortheconcentrationofdissolvedcarbondioxideand hydrogen. • Thesystemishighlysensitivetotheslightestchangesin thechemicalcompositionoftheblood(particularly hydrogenion,whichreflectstheconcentrationofcarbon dioxide) Cancerofthelungsandbronchi • Italyhasthe4°highestrateofdeathsfromcancer ofthelungsintheworld. • Thedelicatetissuesofthealveoliofthelungsare normallyprotectedfrominfectious microorganismsandharmfulsubstancesbythe actionofciliatedepithelialcellsliningthetrachea andbronchi.Cigarettesmokeparalysesthecilia, allowingforeigninvaderstoenterthecellsand initiateseriousdamageanddisease. Exposuretocigarettesmoke • Inadditiontoimpairingtherespiratorysystem’s naturaldefences,cigarettesmokeexposesthe tissuesofthelungstoatleast43known carcinogens. • Long-termexposurecauses: chronicbronchitis,characterizedbyareductionin thediameterofpassagewaysandexcessivemucus production; emphysema,wherethefragilealveoliwallsbreak downandarereplacedbyinelasticscartissue ManversusMountain Untilrecently,about6,000 metreswasconsideredtobe thelimitforhumansurvival. In1978,ReinholdMessner& PeterHabelerwerethefirst toclimbMt.Everest8,848 withoutoxygen,raisingnew questionsabout physiologicaladaptability. WHATHAPPENSTOOUR BREATHINGATTHAT ALTITUDE?? • Messnerdescribedfeeling “asthoughIwouldburst apart”.Hesaidhefeltthat hismindwasdead.At 8,800m,theycollapsed every10to15feetandlay inthesnow.Atthesummit, hewasquotedassaying, “Iamnothingmorethana singlenarrowgasping lung,floatingoverthe mistsandsummits." TheAmericanMedicalResearch Expedition’sfindings. • Survivalatextremealtitudesdependson hyperventilation–extremelydeepbreathing. • Thepartialpressureofoxygeninthebloodisless thanonethirdthepartialpressureatsealeveland workcapacityisseverelydiminished. • Strikingchangesinmetabolismandbrainfunction. (extremelossofbodyweight) • Verballearningandshort-termmemorydeclined. • http://www.himalayanclub.org/journal/american -medical-research-expedition-to-everest-1981/ Functionsandcommon,everyday,less technicalterms Epiglottis asmallpieceoffleshatthebackof yourtonguethatclosesyourtrachea whenyouswallowfood. Trachea windpipe,thetubeatthebackof yourthroatthatairtravelsdown. partofyourthroatthatleadsfrom yourmouthtoyouroesophagus. Pharynx Oesophagus thetubethatcarriesfoodfromyour mouthtoyourstomach. Larynx voicebox,theorganinyour throatthatcontainsvocalchords, whichproducesound Verbsnecessarytoknowtobeable totalkabouttherespiratorysystem • • • • • • • • • • Toflow Tocoat Togenerate Todiffuse Toprovide Toline Topush Toexpel Todissolve Toallow • • • • • • • • • Tosignal Toreflect Toimpair Tolocate Torequire Toparalyse Totakeplace Todifferfrom Tobreakdown Anomalousplurals • • • • • • • • • • pharynx larynx bronchus medium criterion (hypo)thesis crisis syllabus datum phenomenon • • • • • • • • • • pharynges larynges bronchi media criteria (hypo)theses crises syllabi(butalsosyllabuses data phenomena Somebrainteasers • Ifyouweresufferingfromacold,wouldyoupurchasea newremedythatpromisestosuppressthesecretionof mucusintherespiratorytractandrelievethesymptoms? Why(not)? • Isitpossibletocommitsuicidebydeliberatelyholding yourbreath? • Howwouldyourecognisethesymptomsandwhat assistancewouldyougivetoavictimofcarbonmonoxide poisoning? • Whatwouldyoutellaperson/afamilymemberwho insistsonsmokingwhileinyourcompany? • Whatwouldyoudotohelpafriendwhoyoususpectis sufferingfromalpinesickness? BBCscience:humanbodyandmind http://www.bbc.co.uk/science/humanbody/ http://www.bbc.co.u k/science/humanbo dy/body/index_inter activebody.shtml Play theinteractive games to revisethe position oforgans, musclesandbones. Aggiungeretitoloparagrafo.Modello testoaelencopunti.