anatomy of respiratory system 23.12.16 dr alpa dalal

DR. ALPA DALAL

Anatomy of respiratory tract

Physiology and functions of respiratory tract

Assessment of respiratory function

Mechanism of breathlessness and asthama

Are we breathing right ?

Yogic correlation.

Upper respiratory tract

Nose – nostril

nasal septum

nasopharynx

Paranasal sinuses

Pharynx – common passage for food and air

epiglottis

Larynx – sound box

Function of upper respiratory tract

Filtering & protection of lower respiratory tract

Humidification

Maintaining the temperature of inhaled air

Producing sound (layrnx)

Resonance to sand (paranasal sinuses)

Conduction of air from atmosphere to lower respiratory tract.

Lower respiratory tract

Trachea – wind pipe 12cm length C shaped

cartilages

Bronchi

Bronchioles

alveoli

Functions of lower respiratory tract

Conduction of air – from upper respiratory tract

to alveoli

Oxygenation of blood

Elimination of toxins carbondioxide

Muscle of respiration

Muscles of inspiration

Diaphragm – 75%

External intercostals – 25%

Muscles of expiration

Passive process

Control of Breathing

Assessment of respiratory function

Peak Flow Meter

Spirometry

Are we breathing right ?

Breathing is the first thing we do when we are born and last thing we do when we die

Dr. Andrew Weil

“ If I had to limit my advice on healthier living to just one tip, it would be simply to learn how to breath correctly”

Shallow chest breathing

– we breath using our chest which expands only upper

and middle part of the lungs

- muscle become tense

- respiratory rate increases

Belly breathing (diaphragm breathing) - slow and deep - expansion of lower lung where oxygen

exchange is better - heart rate reduces - blood pressure reduces - muscle relax - stress and anxiety reduces - mind calms

The Healing Power of Christ,

the Magnetism of Mohammed,

the Miraculous Power of Moses,

the Charm of Krishna, and

the inspiration of the Buddha

all these were attained by

breath

Four aspects of breath

1) Exhalation

2) Inhalation

3) Transition between exhalation and inhalation

4) Transition between inhalation and exhalation

(Energy Intake – Energy Expenditure)

Energy Reservoir

Earn – Save – Invest – Enjoy

Ashtang Yoga & Respiratory System

yoga

The word yoga is originated from the Sanskrit word ‘Yuj’ which means ‘to integrate’ ‘to unite’It is about integrating your energy's to create a cohesive unit to bring about a balance in all dimensions of your life and sustaining that state with right attitudes and perceptions about yourself and your life

yoga

Yoga is NOT about renunciation and escaping your responsibilities

Rishi Patanjali’s Raj Yoga

Rishi Patanjali’s Raj Yoga

Shudhikriyas

Breathing Techniques

Chair breathingPerson is supposed to pull the

chair and relax his hand and side of the face on the chair. Due to this position spine gets convex arch and that ultimately relaxes the chest and respiratory muscles. After this, while moving backward, one can inhale as deeply and slowly as possible and exhale while moving forward.

Hand Stretch Breathing:

In standing position one has to coordinate breathing with hand movements. Move the arms backwards and much as possible while inhaling fully and bring the arms back to forward position while exhaling fully.

Tiger Breathing After taking position of Marjarasana,

bend ahead inwards flexing spine up (spine convex) while exhaling slowly through the nose. Slowly arch the spine down (spine concave) while inhaling fully also raise the head up as you inhales slowly.

Patients with chronic respiratory disability can learn and practice these techniques not only in stable state but also during exacerbation or when hospitalized. Even patients with severe disability requiring home oxygen therapy can be taught to practice some of these techniques.

Asanas

In the final position the person has to focus his mind on the process of breathing,

taking slow deep breaths allowing efficient expansion of different parts of the

lungs and he should be focused and be aware of his body, breath, and mind.

Thus in the ideal position of an asana the body should be steady and comfortable,

breath should be rhythmic, slow and deep, mind should be stable and clam and

there is integration and awareness of body, breath, mind and the infinite

existence.

With regular practice the patient gets into the habit of remaining aware of his

breathing, his actions, and his thoughts through out the day. This can be one of the

most efficient and effective energy conservation training.

This is the beauty of the technology of yoga ‘minimum energy input to get

maximum output at multiple levels’.

Pranayama

Balancing breathing techniques Anuloma – Viloma - Pranayam

Getting balanced & centered – mental & subtle energies in the body get out of alignment and cause disturbances in the body and mind

Anuloma – Viloma balances flow of energy in Ida and Pingala

Balancing the autonomic nervous system

Smooth transition between Idu & Pingala thought day

Preparing for mediation and inner journey

Learning to breath right

1) Strengthen your respiratory & immune system

2) Reduces stress

3) Promotes healing at physical, emotional and psychological levels

4) Control, stability, alertness and peace of mind

5) Helps in turning the awareness inside

6) Allows you to remain in present movement

Recommendation for incorporating yoga in PR programme Asanas , Pranayam ,and Meditation  can be incorporated in the

sessions conducted at Pulmonary Rehabilitation Centre in following sequence

- Breathing practices & warm up exercises- 5 to 6 asanas after initial warm up- Aerobic  and strengthening exercise- Pranayam for 5 to 10 minutes- Session should end with meditation for 10 to 15 minutes.- On the remaining days of the week 30 to 40 minutes of yoga &

meditation session to be practiced at home

Antarang Sadhana

Rishi Patanjali’s Raj Yoga

Kriya yoga is an art and science of living, it involves different types of breathing processes to increase your pranic energy levels and make use of these individual energy levels to go into Meditation and get connected to universal energy field.

Technology of TRANSFORMATIO

N

Fast-track ~ Effective ~ Practical ~ Scientific ~ Joyful

Rishi Patanjali’s Raj Yoga

Stages of Meditation

Translating Research into PracticePatients attending yoga and meditation classes fromOctober 2012 at Jupiter Hospital Prayer room.

Asthama & COPD – 8 DM – 6HT – 8Diabetic neuropathy – 2Trigeminal Neuralgia – 1Post TB fibrosis – 6CNS TB – 1 IBS – 2Hypothyroidism – 2Cancer – 4Depression - 2Anxiety disorder - 2

Translating Research into Practice

Know the science

Know the application

Know the limitations

AWARENESS