Hot
Topic :
CYSTIC
FIBROSIS
By:
Dr. Barb Goodman
Cystic fibrosis is an
inherited disease that is relatively common in the U.S. Cystic fibrosis
affects multiple parts of the body including the pancreas, the sweat glands,
and the lungs. When someone has cystic fibrosis, they often have
lots of lung problems. The cause of their lung problems is directly
related to basic problems with diffusion and osmosis in the large airways
of the lungs.
People without cystic fibrosis have a small layer of salt water in the
large airways of their lungs. This layer of salt water is under the
mucus layer which lines the airways. The mucus layer in the airways
helps to clear dust and other inhaled particles from the lungs.
In people without cystic fibrosis, working
cystic fibrosis proteins allow salt (chloride) to enter the air space and
water follows by osmosis. The mucus layer is dilute and not very
sticky.
In
people with cystic fibrosis, non-working cystic fibrosis proteins mean
no salt (chloride) enters the air space and water doesn't either.
The mucus layer is concentrated and very sticky.
People
with cystic fibrosis have lung problems because:
~Proteins
for diffusion of salt into the airways don't
work. (less diffusion)
~Less
salt in the airways means less water in the
airways. (less osmosis)
~
Less water in the airways means mucus layer is very
sticky (viscous).
~Sticky
mucus cannot be easily moved to clear particles from the
lungs.
~Sticky
mucus traps bacteria and causes more lung
infections.
Therefore,
because of less diffusion of salt and less osmosis of water, people with
cystic fibrosis have too much sticky mucus in the airways of their lungs
and get lots of lung infections. Thus, they are sick a lot.
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It was last
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