THE RESPIRATORY SYSTEM The respiratory system is the breathing system. In the respiratory system air is inhaled (breathed in) and exhaled (breathed out). Oxygen is absorbed into the blood stream and carbon dioxide is taken out. Activity 1 Place your hands on your diaphragm, just below your ribs. Take slow, deep breaths in and out. Follow the feeling of the air flowing in through your nostrils and down into your throat. Feel your lungs expanding and contracting under your hands. Place your hand gently on the front of your neck and hum. Feeling the voice box or larynx vibrating as the air passes through your vocal cords. There are two major parts of the respiratory tract 1. The upper respiratory tract, which includes the: nose pharynx (throat) larynx (voice box) trachea (windpipe) bronchi and bronchioles (the air tubes in the lungs) 2. The lower respiratory system, which includes the lungs alveoli (the air sacs in the lungs where gas exchange takes place) pleura (the membrane surrounding the lungs) diaphragm (the muscle under the lungs that assists with breathing) Nose Air passes through the nostrils, into the nasal cavity and then into nasopharynx (where the nose joins the throat). The nose is divided by the nasal septum. Inhaled air is filtered by the hairs in the nasal cavity and is moistened and warmed. Organ Root Combining form Example Meaning Nose Rhin Rhin/o Rhinoplasty Surgical repair of the nose Nose Nas Nas/o Nasal Relating to the nose Respiratory System 2010 1 Activity 2 What do the following words mean? Word Meaning 1 Rhinopathy 2 Nasogastric 3 Rhinitis Pharynx The pharynx or the throat has three major parts 1. The nasopharynx (where the nasal cavity joins the throat) 2. The oropharynx (where the mouth - the oral cavity - joins the throat) 3. The laryngopharnyx (where the pharynx joins the larynx or voice box) Organ Root Combining form Example Meaning Pharynx (Throat) Pharyng Pharyng/o Pharyngeal Relating to the throat or pharynx Pharyngitis Inflammation of the throat or pharynx Activity 3 Using the appropriate word parts, construct a word that means Meaning 1 Relating to the throat and nose (use nas/o) 2 Inflammation to the throat and nose (use nas/o) 3 Surgical incision into the throat Word Respiratory System 2010 2 Larynx The larynx or the voice box sits below the pharynx. It contains the vocal chords and the epiglottis, a lid-like piece of cartilage that prevents food from entering the trachea. Organ Root Combining form Example Meaning Larynx (voice box) laryng laryng/o laryngeal Relating to the larynx or voice box laryngectomy Excision of the larynx New suffix Meaning -spasm Example A sudden involuntary Laryngospasm – spasm of contraction of smooth muscle the larynx (a spasm) Activity 4 Give the meaning of the following words Word Meaning 1 Laryngalgia 2 laryngopharyngitis Trachea The trachea, or windpipe, is a smooth, muscular, tube that carries air to the lungs. Rings of cartilage stop this tube from collapsing. Organ Root Combining form Example Meaning Trachea trache Trache/o tracheal Relating to the trachea tracheostomy Opening from the trachea to the body surface Respiratory System 2010 3 Activity 5 Write the meanings of the following words Word Meaning 1 Tracheolaryngeal 2 Tracheotomy Bronchial tree The trachea divides into two main braches called right and left bronchi (singular = bronchus). These bronchi enter the right and left lungs. This forms a structure like an upside down tree, where the trachea is the trunk and the bronchi form the main braches. These bronchi divide and subdivide into smaller bronchial tubes and eventually into the smallest tubes called the bronchioles. Each bronchiole ends with the alveoli (air sacs) where the gas exchange takes place with oxygen entering the blood stream and carbon dioxide leaving the blood stream to be exhaled. Organ Root Combining form Example Meaning Bronchi bronch bronch/o bronchoplasty Surgical repair of the bronchi bronch/i bronchial Relating to the bronchi Activity 6 Create a word to mean Meaning (use bronch/o) 1 Study of the bronchi 2 A spasm of the bronchi Word Lungs The lungs are the main organs of respiration. They are made of light, spongy, elastic tissue. They inflate with the inhalation or inspiration of air and deflate with exhalation or expiration. The right lung has 3 lobes and the left lung has 2 lobes, leaving room for the heart. Each lobe is divided into smaller segments. Respiratory System 2010 4 Organ Root Combining form Example Meaning Lung/s pneumon Pneumon/o pneumonopathy Disease of the lungs pulmon Pulmon/o pulmonary Relating to the lung Activity 7 Give the meanings of the following words Word Meaning 1 Pneumonectomy 2 Pneumonia Pleura The pleura is a double layered membrane, a bit like a plastic bag, which protectively covers each lung. It helps prevent the lungs from rubbing against the ribs. Organ Root Combining form Example Meaning Pleura Pleur Pleur/o pleural Relating to the pleura pneumonopathy Disease of the lungs New suffix Meaning -centesis Example A surgical puncture, usually to Amniocentesis (puncture of removal fluid the amnionic sac surrounding the foetus, to remove amniotic fluid for analysis) Respiratory System 2010 5 Activity 8 Build a word to fit the following meanings Meaning Word 1 Surgical puncture of the pleura to remove fluid 2 Inflammation of the bronchi and pleura Diaphragm The diaphragm is called the muscle of respiration. It sits under the lungs and assists in the process of breathing. By contracting and relaxing it causes the lungs and chest to move up and down. Organ Root Combining Example form Meaning Diaphragm Phren phren/o phrenic Relating to the diaphragm phrenologist Person who specialises in the study of the diaphragm Activity 9 Create a word to mean Meaning Word 1 An instrument used to record the movements of the diaphragm 2 Pain in the diaphragm New Word Roots Meaning Pneum/o air Py/o Pus Hydr/o Water Thorac/o, -thorax Chest cavity Haem/o blood Respiratory System 2010 6 Activity 10 Read the following paragraph and rewrite it using lay terms. Dear Dr Hibbard, Mrs Robinson saw me last week complaining of a two-week history of pharyngalgia and rhinorrhoea. I performed a nasopharyngoscopy and observed she was suffering from acute nasopharyngolaryngitis. I prescribed her antibiotics and asked her to return in one week. On examination today, Mrs Robinson has moderate dyspnoea, wheezing and severe pain on inspiration. I have made a diagnosis of pneumonia and am sending her to you for admission to hospital and IV antibiotic therapy. Yours sincerely Dr White ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ _______________________ Diseases and disorders of the respiratory tract There are many types of respiratory diseases that feature symptoms of inflammation. Inflammation in the respiratory system occurs in the mucous membranes that line the airways – the trachea and the bronchi. Disease or disorder Apnoea Definition Temporary cessation (stopping) of breathing Asthma Airways disease involving inflammation, muscle spasm and increased mucous production Bronchitis Inflammation of the lining of the trachea and bronchial tubes Chronic obstructive When the lungs become scarred and lose pulmonary disease their elasticity due to smoking Respiratory System 2010 7 Cystic fibrosis Dyspnoea Emphysema Epistaxis Laryngitis Pharyngitis Pleuritis Pneumonia Pneumothorax Rales Tonsillitis Tuberculosis Wheeze An hereditary disease which causes increased mucous production Difficult or painful breathing Loss of elasticity of the lung tissue and decreased gas exchange due to the alveoli being enlarged or damaged. Nosebleed Inflammation of the larynx Inflammation of the throat Inflammation of the pleura Infection of the lung Air in the thoracic cavity Abnormal lung sounds Inflammation of the tonsils An infectious disease of the lung Whistling sound that is heard when the bronchi become inflamed and constricted Activity 11 1. Apnoea means a b c d 2 not sleeping deflation of the lungs not breathing cot death Bronchitis is? a b c d inflammation of the lung severe coughing asthma inflammation of the bronchial tubes 3 What is the name of the instrument used to view the bronchi? 4 The process of measuring someone’s breathing is called what? Respiratory System 2010 8