Nose breathing

Breathing (or ventilation) is the process of moving air into and out of the lungs to facilitate gas exchange with the internal environment, mostly by bringing in oxygen and flushing out carbon dioxide.The lungs are not capable of inflating themselves, and will expand only when there is an increase in the volume of the thoracic cavity. In humans, as in the other mammals, this is achieved primarily through the contraction of the diaphragm, but also by the contraction of the intercostal muscles which pull the rib cage upwards and outwards as shown in the diagrams on the left. During forceful inhalation (Figure on the right) the accessory muscles of inhalation, which connect the ribs and sternum to the cervical vertebrae and base of the skull, in many cases through an intermediary attachment to the clavicles, exaggerate the pump handle and bucket handle movements (see illustrations on the left), bringing about a greater change in the volume of the chest cavity. During exhalation (breathing out), at rest, all the muscles of inhalation relax, returning the chest and abdomen to a position called the “resting position”, which is determined by their anatomical elasticity. At this point the lungs contain the functional residual capacity of air, which, in the adult human, has a volume of about 2.5–3.0 liters.Usually, air is breathed in and out through the nose. The nasal cavities (between the nostrils and the pharynx) are quite narrow, firstly by being divided in two by the nasal septum, and secondly by lateral walls that have several longitudinal folds, or shelves, callednasal conchae, thus exposing a large area of nasal mucous membrane to the air as it is inhaled (and exhaled). This causes the inhaled air to take up moisture from the wet mucus, and warmth from the underlying blood vessels, so that the air is very nearly saturated with water vapor and is at almost body temperature by the time it reaches the larynx. Part of this moisture and heat is recaptured as the exhaled air moves out over the partially dried-out, cooled mucus in the nasal passages, during breathing out. The sticky mucus also traps much of the particulate matter that is breathed in, preventing it from reaching the lungs.The primary purpose of breathing is to bring atmospheric air (in small doses) into the alveoli where gas exchange with the gases in the blood takes place. The equilibration of the partial pressures of the gases in the alveolar blood and the alveolar air occurs by diffusion. At the end of each exhalation, the adult human lungs still contain 2,500–3,000 mL of air, their functional residual capacity or FRC. With each breath (inhalation) only as little as about 350 mL of warm, moistened atmospherically is added, and well mixed, with the FRC. Consequently, the gas composition of the FRC changes very little during the breathing cycle. Since the pulmonary capillary blood equilibrates with this virtually unchanging mixture of air in the lungs (which has a substantially different composition from that of the ambient air), the partial pressures of the arterial blood gases also do not change with each breath. The tissues are therefore not exposed to swings in oxygen and carbon dioxide tensions in the blood during the breathing cycle, and the peripheral and central chemoreceptors do not need to 'choose' the point in the breathing cycle at which the blood gases need to be measured, and responded to. Thus the homeostatic control of the breathing rate simply depends on the partial pressures of oxygen and carbon dioxide in the arterial blood. This then also maintains the constancy of the pH of the blood.The rate and depth of breathing is automatically controlled by the respiratory centers that receive information from the peripheral and central chemoreceptors. These chemoreceptors continuously monitor the partial pressures of carbon dioxide and oxygen in the arterial blood. The sensors are, firstly, the central chemoreceptors on the surface of the medulla oblongata of the brain stem which are particularly sensitive to pH as well as the partial pressure of carbon dioxide in the blood and cerebrospinal fluid. The second group of sensors measure the partial pressure of oxygen in the arterial blood. Together the latter is known as the peripheral chemoreceptors which are situated in the aortic and carotid bodies. Information from all of these chemoreceptors is conveyed to the respiratory centers in the pons and medulla oblongata, which responds to deviations in the partial pressures of carbon dioxide and oxygen in the arterial blood from normal by adjusting the rate and depth of breathing, in such a way as to restore partial pressure of carbon dioxide back to 5.3 kPa (40 mm Hg), the pH to 7.4 and, to a lesser extent, the partial pressure of oxygen to 13 kPa (100 mm Hg). For instance, exercise increases the production of carbon dioxide by the active muscles. This carbon dioxide diffuses into the venous blood and ultimately raises the partial pressure of carbon dioxide in the arterial blood. This is immediately sensed by the carbon dioxide chemoreceptors on the brain stem. The respiratory centers respond to this information by causing the rate and depth of breathing to increase to such an extent that the partial pressures of carbon dioxide and oxygen in the arterial blood return almost immediately to the same levels as at rest. The respiratory centers communicate with the muscles of breathing via motor nerves, of which the phrenic nerves, which innervate the diaphragm, are probably the most important.Inhaled air is by volume 78.08% nitrogen, 20.95% oxygen and small amounts include argon, carbon dioxide, neon, helium, and hydrogen.Atmospheric pressure decreases with the height above sea level (altitude) and since the alveoli are open to the outside air through the open airways, the pressure in the lungs also decreases at the same rate with altitude. At altitude, a pressure differential is still required to drive air into and out of the lungs as it is at sea level. The mechanism for breathing at altitude is essentially identical to breathing at sea level but with the following differences:Abnormal breathing patterns include Kussmaul breathing, Biot's respiration and Cheyne–Stokes respiration.The word 'spirit' comes from the Latin spiritus, meaning breath. Historically, breath has often been considered in terms of the concept of life force. The Hebrew Bible refers to God breathing the breath of life into clay to make Adam a living soul (nephesh). It also refers to the breath as returning to God when a mortal dies. The terms spirit, prana, the Polynesian mana, the Hebrew ruach and the psyche in psychology are related to the concept of breath.