Lungen: Aufbau, Funktion und häufige Krankheiten

The lungs are organs that facilitate the exchange of gases within our bodies. Located within the chest cavity, they are spongy, pinkish-gray organs that allow us to breathe and maintain bodily function. This continuous process of drawing in air and expelling waste gases is essential for survival.

The Structure of the Lungs

The lungs are housed within the rib cage, separated by the mediastinum, which contains the heart and other structures. Air enters the body through the nose or mouth and travels down the trachea, also called the windpipe. This tube is supported by C-shaped cartilaginous rings that prevent it from collapsing. The trachea then divides into two main bronchi, one leading to each lung.

Inside the lungs, these primary bronchi further branch into smaller secondary and tertiary bronchi, resembling an inverted tree. These progressively smaller tubes continue to divide, eventually becoming tiny airways called bronchioles, less than 1 millimeter in diameter. The smallest bronchioles terminate in clusters of microscopic air sacs known as alveoli. These 300 to 500 million alveoli, with their thin, single-celled walls, are where the exchange of gases occurs.

The Mechanics of Breathing

Breathing, also known as pulmonary ventilation, involves two main phases: inspiration (breathing in) and expiration (breathing out). Inspiration is an active process initiated by the contraction of the diaphragm, a dome-shaped muscle located below the lungs. As the diaphragm contracts, it moves downward, increasing the vertical dimension of the chest cavity. Simultaneously, the external intercostal muscles between the ribs contract, pulling the rib cage upward and outward, expanding the chest volume.

This expansion of the thoracic cavity causes the lungs to expand due to negative pressure in the pleural cavity, which adheres the lungs to the chest wall. As lung volume increases, air pressure inside the lungs decreases, becoming lower than atmospheric pressure outside the body. This pressure difference draws air into the lungs through the airways. During expiration, the diaphragm and intercostal muscles relax, reducing the chest cavity’s size and causing the lungs to recoil and deflate, expelling carbon dioxide-rich air. Gas exchange occurs across the thin walls of the alveoli.

Understanding Common Lung Ailments

Several conditions can affect lung function. Asthma is a chronic condition characterized by inflammation and narrowing of the airways, which can lead to symptoms such as wheezing, shortness of breath, chest tightness, and coughing. Triggers like allergens, exercise, or irritants can cause these airways to become hypersensitive and constrict.

Chronic Obstructive Pulmonary Disease (COPD) is a collective term for progressive lung diseases that hinder airflow and make breathing difficult. It commonly includes emphysema and chronic bronchitis. Emphysema damages the alveoli, causing their walls to weaken and rupture, which reduces the surface area available for gas exchange and can lead to shortness of breath, even at rest. Chronic bronchitis involves persistent inflammation of the bronchial tubes, leading to excessive mucus production and a persistent cough. This mucus and swelling can narrow the airways, obstructing airflow.

Pneumonia is an infection that inflames the air sacs in one or both lungs, which may fill with fluid or pus. This infection can be caused by bacteria, viruses, or fungi, leading to symptoms like cough, fever, chills, and difficulty breathing.

Strategies for Healthy Lungs

Maintaining lung health involves several practical measures that can reduce the risk of respiratory illnesses. Avoiding smoking and exposure to secondhand smoke is among the most impactful actions, as tobacco smoke is a primary cause of lung diseases like COPD and lung cancer. Quitting smoking allows the lungs to begin healing, and the longer one abstains, the lower the risk of developing related conditions.

Reducing exposure to air pollution, both indoors and outdoors, also protects the lungs. This can involve using air purifiers, ensuring good ventilation in indoor spaces, and checking local air quality reports to avoid outdoor activities on days with high pollution levels. Wearing protective gear like masks in environments with dust, chemicals, or fumes can also mitigate exposure.

Regular physical activity strengthens the lungs and heart, improving their efficiency. Exercise increases lung capacity and helps the body utilize oxygen more effectively while expelling carbon dioxide. Practicing good hygiene, such as frequent handwashing, helps prevent respiratory infections like colds and the flu, which can negatively impact lung health. Staying up-to-date on vaccinations for illnesses like influenza and pneumonia further reduces the risk of severe lung complications.

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