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A bronchus (/ ˈ b r ɒ ŋ k ə s / BRONG-kəs; pl.: bronchi, / ˈ b r ɒ ŋ k aɪ / BRONG-ky) is a passage or airway in the lower respiratory tract that conducts air into the lungs.The first or primary bronchi to branch from the trachea at the carina are the right main bronchus and the left main bronchus.
The bronchioles (/ ˈ b r ɑː ŋ k i oʊ l s / BRONG-kee-ohls) are the smaller branches of the bronchial airways in the lower respiratory tract. They include the terminal bronchioles, and finally the respiratory bronchioles that mark the start of the respiratory zone delivering air to the gas exchanging units of the alveoli.
The lower respiratory tract or lower airway is derived from the developing foregut and consists of the trachea, bronchi (primary, secondary and tertiary), bronchioles (including terminal and respiratory), and lungs (including alveoli). [7] It also sometimes includes the larynx.
A primary pulmonary lobule is the part of the lung distal to the respiratory bronchiole. [29] Thus, it includes the alveolar ducts, sacs, and alveoli but not the respiratory bronchioles. [30] The unit described as the secondary pulmonary lobule is the lobule most referred to as the pulmonary lobule or respiratory lobule.
The differences between the atmospheric and intrapulmonary pressures, driving air in and out of the lungs during the breathing cycle, are in the region of only 2–3 kPa. [18] [19] A doubling or more of these small pressure differences could be achieved only by very major changes in the breathing effort at high altitudes.
It helps to divide the trachea into two primary bronchi. The right bronchus makes an angle of 25°, while the left one makes an angle of 45°. The carina is a sensitive area. When the patient is made to lie on their left side, secretions from the right bronchial tree flow toward the Carina due to the effect of gravity.
In DPB, the nodules are more restricted to the respiratory bronchioles, while in OB they are often found in the membranous bronchioles (the initial non-cartilaginous section of the bronchiole, that divides from the tertiary bronchus) up to the secondary bronchus. OB is a bronchiolar disease with worldwide prevalence, while DPB has more ...
The cells in the respiratory epithelium are of five main types: a) ciliated cells, b) goblet cells, c) brush cells, d) airway basal cells, and e) small granule cells (NDES) [6] Goblet cells become increasingly fewer further down the respiratory tree until they are absent in the terminal bronchioles; club cells take over their role to some extent here. [7]