人體的奧秘 - 基本既肺部介紹

一連鳩頂

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一連鳩頂 2018-05-04 00:35:56
基本既心臟介紹
https://lihkg.com/thread/649350/
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上個post開左太多頁 唔方便睇 決定以後新topic開新post 方便你地睇 開始啦
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    We breathe in every moment of a day. You may know that this is related to an organ in our body called the lungs. Why do we need to have the breathing action? Let's find out the meaning behind the breathing action. 

    我地無時無刻都呼吸緊,大家都知道呼吸係關個肺事。咁但係你又知唔知呼吸代表D咩? 又有咩用? 一齊研究下呼吸背後既意義啦。


    The lungs are like ballons, providing an area for blood cells to get oxygen and get rid of carbon dioxide. In the other words, the lungs are the site provided for gaseous exchange. 

    我地個肺好似一個氣球咁,主要係提供一個地方比我地既血同空氣做氣體交換(gaseous exchange)╴攞氧氣同放二氧化碳。

    Before talking about the gaseous exchange, let's get a picture of the basic lung's anatomical structure. 

    係講氣體交換之前,了解左基本既肺部解剖結構先。

We have totally 2 lungs, left and right. 

    我地總共有兩個肺,左肺同右肺。

    A fun fact to know, our left and right lungs are not identical, with only 2 lobes in the left and the 3 lobes in the right. That's simply because of the heart location - in between 2 lungs, with a little bit leftward, causes the asymmetry. The left lung is also known as the smaller lung with cardiac notch.  

    有樣幾得意既野係,我地既左肺都右肺其實唔係一模一樣,如果以葉(lobe) 去計 (「葉」姐係一D比較明顯既器官組成部份,成日講肺葉肺葉,就係講其中一part既肺) ,左邊肺得兩塊肺葉,而右邊肺有三塊肺葉,基本上係因為我地個心臟個位置係o係兩個肺既中間偏左,就係咁令到左肺細D同埋有個心切痕 (cardiac notch),兩邊唔對稱。
一連鳩頂 2018-05-04 00:38:36
    Inside the lungs, it's like an inverted tree, so it is called the bronchial tree. The whole respiratory system, or better be called the gaseous exchange system, consists of two main part, the conducting zone and the repiratory zone. 

    再睇下個肺入面,佢就好似有一棵倒轉左既樹,而依棵樹就叫做支氣管樹 (bronchial tree)。而成個呼吸系統 (respiratory system) 就分左兩大部份,傳導區 (conducting zone) 同埋呼吸區 (repiratory zone)。



Conducting Zone 傳導區

    Tissues that located in the conducting zone are only responsible for conducting air. There is no gaseous exchange carrying out. The conducting zone can be further divided into two parts, outside and inside the lungs. 

    顧名思義,係傳導區入面既組織更係只有傳導空氣既作用,所有既氣體交換都唔會出現,而傳導區又可以再分成兩個部份,肺外同肺內。

   This figure shows the outside structure of conducting zone, including (with sequences) nasal cavity and mouth, pharynx, epiglottis, larynx (or voice box), trachea. (Note that esophagus is the tract for food to pass through) 

    咁張圖就係比你睇番傳導區入面有既肺外組織啦,當中就包括 (順住序既) 鼻腔同口腔、咽部(pharynx)、會厭???或者叫喉頭蓋啦(epiglottis),喉部(larynx),氣管(trachea)。(食道(esophagus)係o係喉部後面)


    Nasal cavity is the inner space of the nose. 

    鼻腔係鼻入面既空間。


    Pharynx is the cavity that behind the mouth and nasal cavity, connecting them together.  

    咽部係鼻腔同口腔後面既空間,將鼻腔同口腔連埋一齊。


    Epiglottis is a flap of cartilage covering the larynx when swallowing. 

    喉頭蓋 (唔想叫佢會厭,感覺好on9..) 係一塊軟骨,當你吞野個時會冚埋個喉部開口。


    Larynx is also called the voice box, forming vocal voice and allowing air passes through.  

    喉部又叫做發聲盒(voice box) ,令你可以發聲講野同比D氣經過。


    Trachea is the main trunk for air passing through, surrounded by the cartilage. 

    氣管都係用黎比氣經過嫁啦,唔同D係佢比D軟骨包住。

    This figure shows the inside stucture of conduction zone, including (with sequences) main bronchus, lobar bronchus, segmental bronchus and conducting bronchiole (The plural form of bronchus is bronchi). 

    依張圖呢就顯示番傳導區入面既肺內組織,包括 (順住序既) 主支氣管 (main bronchus) 、肺葉支氣管 (lobar bronchus) 、小葉支氣管 (segmental bronchus) 同埋傳導細支氣管 (conducting bronchiole)。

    They are named by the diameter of lumen, but to be easy, we can just think of it using branching point, the points of division. For example, the branching point between trachea and main bronchus is branching point 1. 

    其實呢D支氣管命名就係根據佢既內腔 (lumen) 既大細,但係為左易明D,我地用分枝點黎定義。咩係分支點呢,以1號分支點黎講,佢就係氣管同主支氣管既分支點。
科學 2018-05-04 00:40:09
醫生咁撚好賺唔係無原因
一連鳩頂 2018-05-04 00:41:29
    Main bronchus, also called primary bronchus, is the duct between branching points 1 and 2, divided into 2 ducts from trachea as we have 2 lungs. 

    主支氣管係1號分支點同2號分支點之間既管,我地有兩條主支氣管因為我地有兩個肺。


    Lobar bronchus, also called secondary bronchus, is the duct between branching points 2 and 3, divided into 2 ducts at the left lung and 3 ducts at the right lung from main bronchi as we have 2 lobes at left lung and 3 lobes at right lung. 

    肺葉支氣管係2號分支點同3號分支點之間既管,我地有五條肺葉支氣管因為我地總共有五塊肺葉。


    Segmental bronchus, also called teritary bronchus, is the duct between branching points 3 and 4, divided into several ducts from lobar bronchi. 

    小葉支氣管係3號分支點同4號分支點之間既管,由肺葉支氣管分好多條出黎。


    Conducting bronchiole is the duct approximately between branching points 4 and 20, the last conducting bronchioles of each branches are also called the terminal bronchiole. 

    傳導細支氣管大概係4號分支點同20號分支點之間既管,每一抽野既最後一條傳導細支氣管又叫做末端細支氣管 (terminal bronchiole)。



Respiratory Zone 呼吸區 (I personally think gaseous exchange zone is a better name) 

    Tissues that located in the respiratory zone are mainly responsible for gaseous exchange. 

    呼吸區入面既組織主要係負責氣體交換。

    This figure shows the respiratory zone structure, including (with sequences) respiratory bronchiole, alveolar duct and alveolus (The plural form of alveolus is alveoli). 

    張圖顯示番呼吸區入面既結構,包括 (順次序既) 呼吸細支氣管 (respiratory bronchiole) 、肺泡管 (alveolar duct) 同埋肺泡 (alveolus)。


    Respiratory bronchiole is the duct approximately between branching points 16 and 25, divided from terminal bronchioles. 

    呼吸細支氣管大概係16號分支點同25號分支點之間既管,由末端細支氣管分支而成。


    Alveolar duct is the duct divided from respiratory bronchioles, attached to alveolar sac. 

    肺泡管由呼吸細支氣管分支而成,黐住成個肺泡囊 (alveolar sac) 。


    Alveolus is the actual site for gaseus exchange taking place in, with 1 cell thick membrane and vessels surrounded. 

    肺泡就真係做氣體交換既地方啦,每個肺泡比一個細胞厚度既膜同埋微絲血管包住。


    This whole structure provides a massive surface area for gaseous exchange to carry out. In fact, the normal lungs have around 75 square metres total surface area provided. It's nearly half of a volleyball court. 

    成個結構提供左一個好撚大既面積地方比我地做氣體交換,個面積差唔多有半個排球場咁大。

    During breathing, we need to move a little bit, meaning that muscles are getting involved in the breathing process. There are two muscles involved in normal breathing, the external intercostal muscles and the diaphragm. 

    呼吸既時候,我地總會有小小郁動,代表左呼吸都有肌肉既參與先成事。張圖就比左兩舊正常人正常咁呼吸一定會用到既肌肉:肋間外肌同埋橫隔膜。


    Diaphragm is a layer of dome-shaped muscle located between throacic cavity and abdominal cavity. 

    橫隔膜係一層放鬆既時候向上既圓頂形既肌肉,位於胸腔 (throacic cavity) 同腹腔 (abdominal cavity) 既中間,分開胸腔同腹腔。


    External intercostal muscle is subunit of intercostal muscle, responsible for the mechenism of normal breathing, located in between the ribs (Note that another subunit of intercostal muscle called internal intercostal muscle is responsible for forced breathing). 

    肋間外肌係其中一種肋間肌,主要負責正常呼吸,位於D肋骨之間。(有另外一種肋間肌叫肋間內肌 (internal intercostal muscle) 係o係你要額外呼吸既時候用既)



  During ventilation (meaning breathing), air is going in and out of our body. But where's the force coming from? Our body makes the force by a basic physiological mechanism. 

    呼吸時,空氣中出你既身體。但D力係從邊到黎既呢?空氣又冇腳。


    Ventilation can be devided into inhalation (breathe in) and exhalation (breathe out). The whole mechanism runs based on a law of physics - gases moves from high pressured area to low pressured area. 

    呼吸細分就係吸入 (inhalation) 同呼氣 (exhalation) 。成個呼吸過程推D空氣既力係源自一條物理定律╴氣體由氣壓高既地方走去氣壓低既地方。


    Keep in mind that normally, the intrapulmonary pressure is the same as atmospheric pressure. 

    記得一樣野,如果你咩都唔做,肺內氣壓 (intrapulmonary pressure) 同大氣壓力會係一樣。
一連鳩頂 2018-05-04 00:42:14
   During inhalation, the external intercostal muscles contract, leading to the upward and outward moves of rib cage. Moreover, the diaphragm contracts causing flattening. These movements increases the volume of throacic cavity and decreases the intrapulmonary pressure. Air flows in from the month or nasal cavity of conducting zone to the alveoli of the respiratory zone. 

    吸入空氣時,肋間外肌收縮,令到成個肋骨架向上同外延展,加上橫隔膜收縮,令到成塊橫隔膜變平,依D郁動令到個胸腔容量變大,間接導致肺內氣壓變細,咁空氣就可以由傳導區再入呼吸區去到肺泡。


    Gaseous exchange carries out in the alveoli. As there are differences in concentration of oxygen and carbon dioxide in nearby blood, the oxygen diffuses into the blood in nearby capillary and carbon dioxide diffuses back to the alveoli. 

    氣體交換發生係肺泡入面,因為血同肺泡既氧氣同二氧化碳濃度唔同,附近既微絲血管裡面D血可以透過擴散作用 (diffusion) 係肺泡到攞氧氣同放二氧化碳去肺泡到。


    During exhalation, the external intercostal muscles relax, leading to the downward and inward moves of rib cage. Also, the diaphragm relaxes and recoiled to dome-shape. These movements decrease the volume of throacic cavity and increase the intrapulmonary pressure. Air flows out from the alveoli of the respiratory zone to the conducting zone and exhale from month or nasal cavity. 

    呼出空氣時,肋間外肌放鬆,令到成個肋骨架向下同內回到原位,橫隔膜都放鬆,成塊橫隔膜變番向上既圓頂形,依D郁動令到個胸腔容量變番原本咁樣,間接導致肺內氣壓變大,咁空氣就可以由肺泡去到呼吸區再入傳導區,再由口腔或者鼻腔出去。


    You finally get a successful gaseous exchange. 

    終於完成左一次成功既氣體交換。

一連鳩頂 2018-05-04 00:49:48
asthma個係hypersensitivity type 1 有排先講到 不過以後會講到既

簡單既一條mechanism係
allergen -> igE antibody produced and attach to mast cell -> 再遇allergen -> mast cell release histamine interleukin..之類既inflammatory mediator -> severe muscle contraction -> GG
存在、知、悟 2018-05-04 00:51:31
介紹下骨盤相關肌肉 神經分佈 同頸部肌肉 之類

人體最重要兩部分
奶腳趾罅 2018-05-04 00:54:13
Bio撚留名
被父母閃盲 2018-05-04 00:57:17
醫療撚表示講十世都唔會講得完
堅持不簡單 2018-05-04 01:01:05
唔洗咁複雜啦
Antigen->autoimmune response ->好多mucus+swelling+narrowing
一連鳩頂 2018-05-04 01:01:19
西醫冇咩熱氣既概念

硬要講既咪mucosa冇左甚至係ulcer
簡單d講就係有細傷口係口腔或者咽喉到
感覺唔舒服 咪叫熱氣lo 通常熱氣野都係硬既 係西醫就係咁解
存在、知、悟 2018-05-04 01:02:20
呢個真 世界太奇妙
一連鳩頂 2018-05-04 01:04:05
唔係嫁 asthma唔可以當係autoimmune disease 佢個病因唔係攻擊自己既細胞 hypersensitivity 同 autoimmunity 既mechanism好唔同嫁
一連鳩頂 2018-05-04 01:05:55
岩啊 人體真係一個奇蹟黎 好撚正 講到reproduction 唔知會唔會bam 但我會努力嫁
山區學徒 2018-05-04 01:19:34
That is only the acute phase!!! Eosinophils are essential in the pathogenesis o asthma too
FORG1VENGRE 2018-05-04 14:52:12
新post留名學嘢
霹靂豬西遊記 2018-05-04 15:09:15
呢位同學pathophysio應該拎F
堅持不簡單 2018-05-04 16:50:44
已Staff左 patho都成6年前讀
馬丁露乜鳩 2018-05-04 17:01:47
啱啱爆肺做完痴肺手術lm
clopidogrel 2018-05-04 22:57:15
京都民宿夜 2018-05-04 22:59:42
戒煙d煙痰要幾耐先可以咳晒出黎,戒左1個月左右開始咳,咳左1個月,d痰係同平時果d好唔同好痴一舊舊咁,好似d焦油咁
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