Location via proxy:   [ UP ]  
[Report a bug]   [Manage cookies]                

The Nose

Download as pptx, pdf, or txt
Download as pptx, pdf, or txt
You are on page 1of 60

RESPIRATORY SYSTEM

ptb
INTRODUCTION
• The cells of the body derive energy for
metabolic activities from chemical reactions
which take place in the presence of oxygen,
and the waste product is carbon dioxide.
• The respiratory system provides the route by
which oxygen enters the body and carbon
dioxide is excreted and blood is the transport
means for these gases.
Objectives
• By the end of this lesson students should be
able to
• Define the key terms used in the respiratory
system
• List and draw the organs of respiration
• Describe the anatomy of the respiratory
organs
DEFINITION OF TERMS
INSPIRATION
• Breathing in/ drawing in breathe
EXPIRATION
• Breathing out
BREATHING
• The act of inspiration and expiration
ORGANS OF THE RESPIRATORY SYSTEM

• These consist of the following


• The nose
• Pharynx
• Larynx
• Trachea
• Two bronchi (bronchus)
• Bronchioles ,Alveoli
• Two lungs
RESP ORGANS CONT
• The pleura
• Intercostal muscles
• The diaphragm
THE NOSE
DEFINITION
• The nose is the main route of air entry which
consists of two irregular cavities which are
divided by a septum.
STRUCTURE
• The nose is lined with very vascular ciliated
columnar epithelium which contain mucous
secreting goblets.
OPENINGS INTO THE NASAL CAVITY
• The anterior nares or nostrils are the
openings from outside into the nasal
cavity.
• It has nasal hairs with sticky mucus.
• The posterior nares are the openings from the
nasal cavity into the pharynx.
• Paranasal sinuses are cavities in the bones of
the face and the cranium that contain air.
MAIN SINUSES
• The main sinuses are
• Maxillary sinuses found in the lateral walls
• Frontal and Sphenoidal sinuses on the roof
• Ethmoid sinuses found in the upper part of the
lateral wall.
• The sinuses lighten the skull. The nasolacrimal
ducts extend from the walls of the nose to the
conjuctival sacs of the eyes and they drain tears
from the eyes.
FUNCTIONS OF THE NOSE
• It is the first organ of respiration through
which inspired air passes and the last organ
through which expired air passes.
• It warms, moistens and filters air. (the
immense vascularity warms the air).
• The nose is also the organ of smell the nerve
endings that detect smell are located in the
roof of the nose.
THE PHARYNX
DEFINITION
• The pharynx is a tube 12-14 cm long which
extends from the base of the skull to the level of
the 6th cervical vertebrae

ORGANS ASSOCIATED
• Superiorly- base of the skull
• Inferiorly- Oesophagus
• Anteriorly-openings into the nose and larynx
THE PHARYNX
• POSTERIORLY-Bodies of the cervical vertebrae
STRUCTURE
• The pharynx is divided into three parts, i.e. the
nasopharynx, the oropharynx and the
laryngopharynx
THE NASO PHARYNX
• The part that lies behind the nose and on the
lateral walls are the opening of the auditory
tubes.
THE OROPHARYNX
• The oral part of the pharynx which lies behind
the mouth. During swallowing the nasal and
oral parts are separated by the soft palate and
the Uvula
THE LARYNGOPHARYNX
• Extends as the oropharynx above and
continues as the oesophagus.
LINING OF THE PHARYNX
MUCOUS MEMBRANE LINING
• Differs with the regions
• In the nasopharynx it consists of ciliated column
epithelium
• In the oropharynx and laryngopharynx consists
of tougher stratified squamous epithelium which
protects underlying tissues abrasive action of
foodstuffs passing through it during swallowing.
• SMOOTH MUSCLE
• The pharyngeal muscle keeps the pharynx
permanently open to prevent interference
with breathing.
• Sometimes in sleep the tone of these muscles
is reduced and the opening through the
pharynx is partially or total obstructed causing
snoring.
• The constrictor muscles constrict the pharynx
during swallowing pushing food into the
oesophagus.
SUBMUCOSA
• The layer of tissue below the epithelium which
is rich in mucosa- associated lymphoid tissue
which is for protection against infection.
BLOOD AND NERVE SUPPLY
BLOOD SUPPLY
• Branches of the facial artery
VENOUS RETURN
• Into the facial and internal jugular veins
NERVE SUPPLY
Pharyngeal plexus formed by parasympathetic
and sympathetic nerves
FUNCTIONS
• Warming and humidifying air
• Passage for air and food, air passes through
the nasal and oral section and food through
the oral and laryngeal sections.
• Taste olfactory nerve endings are in the mouth
and pharyngeal parts
• Hearing auditory tube extends from the
nasopharynx to each middle ear
• Protection- pharyngeal and laryngeal tonsils
produces antibodies.
• Speech- pharynx acts as a resonating chamber
for ascending sound from the larynx which
gives the characteristics of voice.
THE LARYNX
• The larynx or voice box extends from the root of
the tongue and the hyoid bone to the trachea
ASSOCIATED STRUCTURES
• Superiorly-The hyoid bone and root of the
tongue
• INFERIORLY-Trachea
• ANTERIORLY-Muscles of the neck and hyoid
bone
• Posteriorly-Laryngopharynx 3rd and 6th cervical
vertebrae
• Laterally-Lobes of the thyroid gland

STRUCTURE
• It is composed of several irregularly shaped
cartilages attached to each other by ligaments
and membranes
• The cartilages that make up the larynx are
• 1 thyroid cartilage
• 1 cricoid cartilage
• 2arytenoid cartilages
• 1 epiglottis
• The thyroid cartilage /Adams apple
• Consists of two fused plates that form anterior
wall of the larynx.
FUCTIONS
• Production of sound that is the pitch, volume
and resonance
• Speech this occurs during expiration
• Protection of the lower respiratory tract
• Passage way for air
• Humidifying, filtering and warming of air
THE TRACHEA
THE TRACHEA
DEFINITION
• The trachea or wind pipe is a continuation of
the larynx and extends downwards to the level
of the fifth thoracic vertebra were it bifurcates
into the right and left bronchi.

ASSOCIATED STRUCTURES
• Superiorly-the larynx
ASSOCIATED STRUCTURES CONT
• Inferiorly -the bronchi
• Anteriorly - Lower part of the arch of the
aorta, the sternum, isthmus of the
thyroid gland.
• Posteriorly -oesophagus
• Laterally-the lungs and the lobes of thyroid
gland
STRUCTURE
• Composed of 3 layers of tissue and held open by
16-20 incomplete (c-shaped) rings of hyaline
cartilage.
• These rings are incomplete posteriorly and are
made of involuntary muscle.

3 LAYERS OF TISSUE
• Outer layer consists of fibrous and elastic tissue
and encloses the cartilages.
STRUCTURE CONT
• Middle layer consists of cartilages and bands
of smooth muscle that wind round the trachea
• The inner lining consists of ciliated columnar
epithelium containing mucus-secreting
goblets.

BLOOD SUPPLY
• By the inferior thyroid and bronchial arteries.
VENOUS DRAINAGE
• By the inferior thyroid veins that drain into the
brachiocephalc veins.

NERVE SUPPLY
• Recurrent laryngeal nerves for
parasympathetic nerves
• Sympathetic nerve supply is by nerves from
the sympathetic ganglia.
FUNCTIONS
SUPPORT AND PATENCY
• Arrangement of cartilage and elastic tissue
prevents kinking and obstruction of the airway
as the head and neck move.
• Absence of cartilage at the back allows the
trachea to dilate and constrict
FUNCTIONS CONT
MUCOCILLARY ESCALATOR
• Beating of the cilia of the mucous membrane
lining that wafts mucus with adherent particles
upwards for swallowing or coughing up.
COUGH REFLEX
• Nerve endings in the larynx, trachea and bronchi
are sensitive to irritation, which generates nerve
impulses to the respiratory centre in the brain
stem.
FUNCTIONS CONT
WARMING HUMIDIFYING AND FILTERING
• The trachea continues to warm ,humidify and
filter air
THE LUNGS

DEFINATION
• 2 Cone –shaped organs of respiration one
lying on each side of the midline in the
thoracic cavity.
STRUCTURE
• The lungs are made up of the apex, a base,
costal surface and medial surface.
THE LUNGS CONT
THE APEX
• Rounded part that rises to the root of the neck
and lies close to the first rib

THE BASE
• Semilunar and concave shaped part
LUNGS CONT
• THE COSTAL SURFACE
• Convex part and lies against the costal
cartilages, the ribs and the intercostal muscles.

• THE MEDIAL SURFACE


• Concave surface with a roughly triangular
shaped area called the hilium where some
structures enter and leave the lungs
LUNGS
ORGANISATION OF THE LUNGS
• The right lung is divided into 3 lobes i.e.
superior, middle and inferior lobe.
• The left lung is smaller because the heart also
occupies some space.
• It is divided into two lobes, the superior, and
the inferior lobes.
The pleura
• The pleura is the serous membrane lining
the thorax and it encloses and protects
each lung.
• It is made up of two layers , the parietal
and visceral pleura
• The outer layer is attached to the wall of the
thoracic cavity and the inside of the chest wall
it is called the PARIETAL PLEURA
• The inner layer which is called the visceral
pleura covers the lobes of the lungs
themselves
THE PLEURAL CAVITY
• This is a potential space and the two layers are
separated by a thin film of serous fluid that
prevents friction between them.
• The two layers glide over each other like two
pieces of glass separated by a thin film of
water
• If one layer is punctured the under lying lung
collapses
THE INTERIOR OF THE LUNGS
• Lungs are composed of the bronchi smaller air
passages alveoli connective tissue blood vessels
lymph vessels and nerves all in elastic connective
tissue

PULMONARY BLOOD SUPPLY


• The pulmonary trunk divides into the right and
left pulmonary arteries which transport
deoxygenated blood
PULMONARY BLOOD SUPPLY
• In the lungs each pulmonary artery divides
into many branches that end up into a dense
capillary network of the alveoli.
• The alveoli and the capillaries each consist of
one layer of flattened epithelial cell.
• The exchange of gases take place across these
two membranes.
• .
• The pulmonary capillaries join up to form two
pulmonary veins in each lung which now carry
oxygenated blood to the left atrium of the
heart
BRONCHI AND BRONCHIOLES
• The bronchi are formed when the trachea
divides.
• THE RIGHT BRONCHUS
• This is wider, shorter and more vertical than the
left bronchus and is more likely to be obstructed
by foreign bodies.
• It is approximately 2.5cm long. At the hilum it
divides into three branches one to each lobe of
the lungs
BRONCHI
• Each branch further divides into many small
branches.

THE LEFT BRONCHUS


• About 5cm long and narrower than the right
• At the hilum it divides into two branches and
the branches further divide into small tubules
BRONCHI
• Each branch further divides into many small
branches.

THE LEFT BRONCHUS


• About 5cm long and narrower than the right
• At the hilum it divides into two branches and
the branches further divide into small tubules
STRUCTURE
• Composed of the same tissue as the trachea
lined with columnar epithelium
• Bronchi subdivides into bronchioles, terminal
bronchioles respiratory bronchioles ,alveoli
ducts and the alveoli.
• In the distal bronchioles the ciliated columnar
mucous membrane changes to non ciliated
cuboidal shaped cells.
BRONCHI CONT
BLOOD SUPPLY
• This is by the branches of the right and left
bronchial arteries

VENOUS DRAINAGE
• Mainly through the bronchial veins. The right
side empties into the azygos vein and the left
into the superior intercostal veins
BRONCHI CONT
NERVE SUPPLY
• Vagus nerves-parasympathetic that stimulate
bronchoconstriction.
• Sympathetic stimulation that causes broncho
dilation
FUNCTIONS

• Warming and humidifying air


• Support and patency
• Removal of particulate matter
• Cough reflex
• Control of air entry by contraction or
relaxation of the smooth muscles
RESPIRATORY BRONCHIOLES AND ALVEOLI

• In the lungs further division is done by fine sheets of


connective tissue into lobules.
• The lobules are supplied with air by terminal bronchiole
and further subdivided into respiratory bronchioles,
alveolar ducts and large numbers of alveoli(air sac)
• Gas exchange occurs in these structures
• Distal respiratory passages are supported by a loose
network of elastic connective tissue were macrophages
fibroblasts, nerves, blood and lymph vessels embed.
ALVEOLI CONT
• The alveoli are surrounded by a dense
network of capillaries.
• Exchange of gases takes place across two
membranes called the respiratory membrane
(alveoli and capillary membrane)
• Blood supply
FUNCTIONS
• For exchange of gases
• external respiration-exchange of gases
between the blood and the lungs.
• Internal respiration-exchange in the tissues
• Warming and humidifying air.
• Defense against microbes relies on protective
cells within the lung tissue which are
lymphocytes and plasma cells

You might also like