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Larutan osmotik/
Mediator inflamasi Iritan kimia Rendah Cl-
Mekanik
(Adapted from Fuller RW. Cough. In Crystal RG, West JB, Barnes PJ et al (eds).
The lung. Scientific Foundation. New York, Raven Press, 1991, with permission)
Cough receptor to be located in file
epithelium
• Pharynx
• Larynx
• Trachea
• Bifurcation of major bronchi
IMMUNE RESPONSE DEVELOPMENT
TH1 : TH2 BALANCE
Environment
• Poor sanitation • “Better” hygiene
• Crowding • “Better” homes
• Larger families ventilation
Indoor allergens
• Smaller families
TH1 • Pollution
e.g. diesel particulates
environmental tobacco smoke
Infections TH2
INTRAUTERINE
• ISS-ODN • ISS-ODN
ENVIRONMENT
e.g. TB e.g. GIT bacteria
• Viruses ? antibiotic
e.g. measles • Viruses
e.g. RSV, PIV3
• Parasites
Genetic predisposition provides a large heritable component to atop and asthma. With the intrauterine
environment predisposing infants to a TH2-like phenotype the impact of the external environment
Mekanisme pertahanan
saluran napas
• Sistem “Air conditioning”
• Sistem “Prossesing”
• Sistem “Transporting”
• Sistem Imunologik
In the nose In the
Temp. in º C lung
60
50
40
30
20
10
- 10
1-1 2-1 3-1 3E
Water vapour content In the nose In the
Of the air g/m3 lung
40
30
Relative hygrometry
of surrounding air
%
97.1
20
%
73.4
%
36.4
10 %
23.3
%
13.1
5
0
Proses humidifikasi
Rongga hidung Saluran napas bawah
33º – 34º C37º C
Jenuh Jenuh
Primary bronchus
SMOG FOG
POLLEN &
FUNGAL SPORES
TOBACCO SMOKE
0.60 VIRUS
BACTERIA
TO
TA
L
PU
0.40 LM FUMES DUSTS
ON
AR
Y
0.20 TRA
CH
EO
BR
ON
CH
IAL
0
0.05 0.1 0.2 0.5 1.0 2.0 5.0 10.0 20.0 50.0
5
Watery
Infection
Patofisiologi
Patologi