આ MCQ મોડ્યુલ આના પર આધારિત છે: Transport Regulation Disorders
Transport Regulation Disorders
આ મૂલ્યાંકન આના પર આધારિત હશે: Transport Regulation Disorders
મૂલ્યાંકન બનાવવામાં તેમની સામગ્રી સામેલ કરવા ચિત્રો, PDF અથવા Word દસ્તાવેજ અપલોડ કરો.
Transport of Gases, Regulation of Respiration and Disorders
The gases have crossed the diffusion membrane. But dissolved gas alone could never meet the body's needs — plasma can hold far too little. This part follows the carriers that solve that problem, the brain centres that set the rhythm, and what goes wrong when the system fails.
14.4 Transport of Gases
Blood is the medium of transport for O₂ and CO₂. The division of labour is worth memorising as a set of figures, because examiners ask for them directly.
| Gas | Mode of transport | Share |
|---|---|---|
| O₂ | Transported by RBCs (as oxyhaemoglobin) | About 97 per cent |
| Carried in a dissolved state through the plasma | The remaining 3 per cent | |
| CO₂ | Transported by RBCs (as carbamino-haemoglobin) | Nearly 20–25 per cent |
| Carried as bicarbonate | 70 per cent | |
| Carried in a dissolved state through plasma | About 7 per cent |
14.4.1 Transport of Oxygen
Binding of oxygen with haemoglobin is primarily related to the partial pressure of O₂. Partial pressure of CO₂, hydrogen ion concentration and temperature are the other factors which can interfere with this binding.
The four conditions, compared at the two sites
| Condition | In the alveoli | In the tissues |
|---|---|---|
| pO₂ | High | Low |
| pCO₂ | Low | High |
| H⁺ concentration | Lesser | High |
| Temperature | Lower | Higher |
| Net result | All factors favourable for the formation of oxyhaemoglobin | Conditions favourable for dissociation of oxygen from oxyhaemoglobin |
This clearly indicates that O₂ gets bound to haemoglobin in the lung surface and gets dissociated at the tissues. Every 100 mL of oxygenated blood can deliver around 5 mL of O₂ to the tissues under normal physiological conditions.
14.4.2 Transport of Carbon dioxide
Mode 1 — carbamino-haemoglobin (20–25%)
CO₂ is carried by haemoglobin as carbamino-haemoglobin (about 20–25 per cent). This binding is related to the partial pressure of CO₂. pO₂ is a major factor which could affect this binding.
- When pCO₂ is high and pO₂ is low, as in the tissues, more binding of carbon dioxide occurs.
- When the pCO₂ is low and pO₂ is high, as in the alveoli, dissociation of CO₂ from carbamino-haemoglobin takes place — i.e., CO₂ which is bound to haemoglobin from the tissues is delivered at the alveoli.
Mode 2 — bicarbonate (70%)
RBCs contain a very high concentration of the enzyme carbonic anhydrase, and minute quantities of the same is present in the plasma too. This enzyme facilitates the following reaction in both directions.
- At the tissue site, where partial pressure of CO₂ is high due to catabolism, CO₂ diffuses into blood (RBCs and plasma) and forms HCO₃⁻ and H⁺.
- At the alveolar site, where pCO₂ is low, the reaction proceeds in the opposite direction, leading to the formation of CO₂ and H₂O.
Thus CO₂ trapped as bicarbonate at the tissue level and transported to the alveoli is released out as CO₂. Every 100 mL of deoxygenated blood delivers approximately 4 mL of CO₂ to the alveoli.
Mode 3 — dissolved in plasma (7%)
The remaining about 7 per cent of CO₂ is carried in a dissolved state through plasma — possible only because CO₂ is so much more soluble than O₂, which manages only 3 per cent this way.
14.5 Regulation of Respiration
Human beings have a significant ability to maintain and moderate the respiratory rhythm to suit the demands of the body tissues. This is done by the neural system.
| Structure | Location | Role |
|---|---|---|
| Respiratory rhythm centre | Medulla region of the brain | Primarily responsible for this regulation |
| Pneumotaxic centre | Pons region of the brain | Can moderate the functions of the respiratory rhythm centre. Its neural signal can reduce the duration of inspiration and thereby alter the respiratory rate |
| Chemosensitive area | Adjacent to the rhythm centre | Highly sensitive to CO₂ and hydrogen ions. Increase in these can activate this centre, which signals the rhythm centre to make necessary adjustments by which these substances can be eliminated |
| Receptors of the aortic arch and carotid artery | Great vessels | Can recognise changes in CO₂ and H⁺ concentration and send necessary signals to the rhythm centre for remedial actions |
14.6 Disorders of Respiratory System
What to do. Draw the axes for Figure 14.5 on graph paper: pO₂ from 0 to 100 mm Hg on the x-axis, percentage saturation of haemoglobin from 0 to 100 on the y-axis. Sketch the sigmoid curve. Now mark two points on it: A at the alveolar pO₂ of 104, and T at the tissue pO₂ of 40. Read off the approximate saturation at each, and calculate the difference.
Then, on the same axes, sketch a second curve shifted to the right, as it would be under tissue conditions of high pCO₂, high H⁺ concentration and higher temperature, and read off the saturation at pO₂ 40 again.
Readings. At point A (pO₂ 104) haemoglobin is about 97 per cent saturated. At point T (pO₂ 40) it is still roughly 75 per cent saturated. The difference of about 22 per cent is the oxygen actually handed over — which matches the chapter's figure that every 100 mL of oxygenated blood can deliver around 5 mL of O₂ to the tissues under normal physiological conditions.
The surprise. Haemoglobin is not emptied at the tissues. It leaves with three-quarters of its oxygen still bound. That reserve is what a muscle draws on when it starts to work hard — a small extra fall in tissue pO₂ then releases a great deal more oxygen, because pO₂ 40 sits on the steep part of the curve.
The rightward shift helps the tissues. Under tissue conditions — low pO₂, high pCO₂, high H⁺ concentration and higher temperature — the conditions are favourable for dissociation of oxygen from the oxyhaemoglobin. On the shifted curve, saturation at pO₂ 40 falls well below 75 per cent, so more oxygen is released at the same pO₂. The beauty of it: an active tissue generates exactly those four conditions by working, so it summons its own extra oxygen supply automatically.
Why the plateau matters too. The flat top means that even if alveolar pO₂ drops appreciably — at altitude, or in mild lung disease — haemoglobin still loads to near-full saturation. The curve's shape gives safety in loading and sensitivity in unloading, which a straight line could not do.
🎯 Interactive: Change a condition, predict the effect
Effect on O₂–haemoglobin binding: Favours formation of oxyhaemoglobin
Binding of oxygen with haemoglobin is primarily related to the partial pressure of O2. In the alveoli, where pO2 is high, pCO2 low, H+ concentration lesser and temperature lower, all the factors are favourable for the formation of oxyhaemoglobin.
🎯 Competency-Based Questions
Q1. Explain, using all four factors, why the sprinter's muscles receive far more oxygen than at rest. L4 Analyse
Q2. Predict the effect of inhibiting carbonic anhydrase on CO₂ transport. L3 Apply
Q3. Fill in the blanks: About ______ per cent of O₂ is transported by RBCs and ______ per cent dissolved in plasma. Of CO₂, ______ per cent travels as bicarbonate, ______ per cent bound to haemoglobin and ______ per cent dissolved in plasma. L1 Remember
Q4. The third patient, breathing CO₂-rich gas, begins to breathe deeply and rapidly although his blood oxygen is normal. Explain the mechanism. L4 Analyse
Q5. “We breathe because our body detects that it is running short of oxygen.” Evaluate this common belief. L5 Evaluate
What actually drives breathing. Every regulating structure the chapter names monitors CO₂ and hydrogen ions: the chemosensitive area adjacent to the rhythm centre is highly sensitive to CO₂ and hydrogen ions, and the receptors associated with the aortic arch and carotid artery also recognise changes in CO₂ and H⁺ concentration. The respiratory rhythm centre in the medulla then adjusts respiration so that these substances can be eliminated. Not one of them is described as primarily an oxygen sensor.
Why this design makes sense. CO₂ is the better signal on three counts. It is produced in proportion to metabolic rate, so it reports demand directly. It is 20–25 times more soluble than O₂ and converts to H⁺, so a small change is easy to detect chemically. And because of the flat upper plateau of the oxygen dissociation curve, haemoglobin stays about 97 per cent saturated even when alveolar pO₂ falls appreciably — so oxygen saturation is a late and insensitive warning, whereas CO₂ changes early.
The grain of truth. Oxygen is not entirely without influence — it becomes a significant stimulus in severe hypoxia, and at high altitude the fall in atmospheric pO₂ does eventually drive increased ventilation. So the honest verdict: breathing is normally regulated by carbon dioxide and hydrogen ions, with oxygen serving only as an emergency backup. The common belief mistakes the ultimate purpose of breathing for its actual control signal.
🧠 Assertion–Reason Questions
For each pair choose: (A) Both A and R are true and R is the correct explanation of A. (B) Both A and R are true but R is not the correct explanation of A. (C) A is true but R is false. (D) A is false but R is true.
Assertion (A): Oxygen is released from oxyhaemoglobin at the tissues.
Reason (R): In the tissues, low pO₂, high pCO₂, high H⁺ concentration and higher temperature all favour dissociation of oxygen from oxyhaemoglobin.
Assertion (A): Respiratory rhythm is primarily regulated by the partial pressure of oxygen in the blood.
Reason (R): A chemosensitive area adjacent to the rhythm centre is highly sensitive to CO₂ and hydrogen ions.
Assertion (A): Most of the carbon dioxide in blood travels as bicarbonate rather than as a gas.
Reason (R): RBCs contain a very high concentration of carbonic anhydrase, which facilitates the interconversion of CO₂ and water with carbonic acid and bicarbonate in both directions.