Добавил:
Upload Опубликованный материал нарушает ваши авторские права? Сообщите нам.
Вуз: Предмет: Файл:
medical lectures.doc
Скачиваний:
2
Добавлен:
01.07.2025
Размер:
706 Кб
Скачать
☆

Lecture 20. Respiration regulation.

Respiration regulation is performed by means of reflectory reactions occuring as a result of excitement of specific receptors located in lung tissue, vascular reflexogenic zones and other regions. Respiration regulation central apparatus are the structures of:

  • spine;

  • medulla oblongata;

  • hypothalamus;

  • brain hemispheres.

Main function of respiration management is performed by stem repiratory neurons which transmit rhythmic sygnals into spine to respiratory muscles motoneurons.

Respiratory nervous center – is central nervous system neurons integrity providing respiratory muscles co-ordinated rhythmical activity and external respiration constant adaptation to changing conditions inside organism and in environment. Main (working) part of respiratory nervous center is located in medulla oblongata. One can differentiate 2 parts in it: inspiratory (inspiration center) and expiratory (expiration center). Medulla oblongata respiratory neurons dorsal group primarily consists of inspiratory neurons. They give particularly the stream of descendant ways getting the contact with diaphragmal nerve motoneurons. Respiratory neurons ventral group sends primarily descendant fibres to intercostal muscles motoneurons. One can see region in pons anterior part called as pneumotaxic center. This center deals with activity both of inspiratory and expiratory center parts providing the change of inspiration and expiration. Respiratory center important part is neurons group of spine cervical part (III-IV cervical segments), where diaphragmal nerves nuclei are situated.

Respiratory center excitement mechanisms are the following.

  • One of the most important ways of its excitement is automatism. There is not one point of view to automatism nature but there exist data about secondary depolarization occurence in respiratory neurons (like diastolic depolarization in myocardium) which reaching its critical level gives new impuls.

  • But one of main ways of respiratory center excitement is its irritation by carbonic acid. As it was mentionned above, there remains much carbonic acid in blood leaving lungs. It performs the function of medulla oblongata neurons main irritator. It is mediated through special structures – chemoreceptors, located directly in medulla oblongata structures (“central chemoreceptors”). Thus, the second way – through blood.

  • They are very sensitive to carbonic dioxide tension and acid-alkaline state of intercellular liquor washing them.

  • Carbonic acid can easily diffund from brain vessels in liquor and stimulates medulla oblongata chemoreceptors.

  • Reflectory way - there are 2 reflexes groups (like for cardio-vascular system): proper and conjugated.

I. Proper reflexes – the reflexes originated from respiratory system organs and finished in it.

1) Reflex from lung mechanoreceptors. According to localization and type of percepted irritations, reflectory answer to irritation one can differentiate 3 types of such receptors: receptors of stretching, irritant receptors and lung juxtacapillary receptors.

  • Lung stretching receptors – are primarily located in air ways (trachea, bronchi) smooth muscles. There are approximately 1000 receptors in every lung and they are connected with respiratory center by large mielinized afferent fibres of vagus with very high conductance velocity. Direct irritator – internal tension in air ways walls tissues. Such impulses freaquency is increased at lung stretching in course of inspiration. Lung swelling causes inspiration reflectory inhibition and transition to expiration. These reactions are stopped at vagus cutting and respiration becomes retarded and deep. Mentionned reactions are called Gering-Breyer’s reflex. This reflex is reproduced in adult person when his respiratory volume is more than 1 l (at physical training for instance). It is of essential importance in new-borns. Their adaptation is slow.

  • Irritant receptors or slowly adaptating air ways mechanoreceptors, trachea and bronchi mucosa receptors. They answer to lung volume significant changes, chemical or mechanical irritators (mucus, tobacco, dust particles and so on) action to mucosa. Their adaptation is fast. At side bodies coming into respiratory ways there occurs cough reflex after irritant receptors activation. Reflectory arch of cough reflex – receptors – superio-laryngeal, glosso-pharyngeal, trygeminal nerves – expiratory part of respiratory center. Result - strong expiration – cough. At isolated irritation of nasal respiratory ways receptors second immediate expiration occurs – sneezing.

  • Juxtacapillary receptors are located near alveolar and respiratory bronchi capillaries. Irritators: pressure increasing in circulation small circle and intersticial liquid volume increasing in lungs. Such situation is observed at blood stagnation in small circulation circle, lung oedema, lung tissue injury (at pneumonia et al.). Impulses from these receptors are directed to respiratory center through vagus causing freaquent surface breathing occurence. There may be not only freaquent breathing (tachypnoe) but also reflectory bronchoconstriction.