Asthmatics breathe on average about twice as much
air as they should. The normal breathing rate is four to six liters of
air per minute, whereas asthmatics breathe at a rate in excess of this
- breathing 10 - 14 liters per minute at rest. This is known as hyperventilation
(HV) which simply means to overbreathe, either by breathing too quickly
or too deeply, usually through the mouth.
This long-term hyperventilation
upsets the vital balance of respiration. It seems logical
that if you breathe more, then you should absorb more oxygen, which the
body needs. In reality you don't absorb more oxygen.
An adequate level of carbon dioxide is vital for oxygenation because
it controls the acid/alkali balance (pH) of the blood. When carbon dioxide
levels start to drop, this leads to a condition known as respiratory
alkalosis. The "stickiness" of hemoglobin for oxygen increases, resulting in less oxygen being released where it is needed.
To counteract the alkalosis, cells begin to produce lactic acid which
leads to tired, aching muscles and exhaustion. If you have had asthma
for 2 or 3 days, you will have sore muscles particularly in your chest,
shoulders and back.
This loss of carbon dioxide from the blood stream also tightens
the smooth muscle wrapped around the airways, giving the "tight chest" feeling
associated with asthma.
Low levels of carbon dioxide cause the mast cells to release
histamine resulting in inflammation which narrows the airways
further.
Hyperventilation cools and dries out the airways making them
sensitive and the mucus glands produce more mucus to moisten
them. This increased mucus and inflammation results in coughing,
wheezing, a blocked or running nose. If hyperventilation continues, the
mucus dries out and becomes sticky, causing you to cough or wheeze even
more.
It is a vicious cycle to break. |