At this point, we lose the wave action of the cilia, and the sluggish goblet cells take over the swamp. In addition, goblet cells from the lower layers can break through to the upper layer, overpowering the ciliated epithelial cells. In response, the goblet cells start overproducing mucus to help fight whatever irritant or foreign invader may be present. Just like the ecosystem of a swamp, any alien intruder or other irritant can throw this well-coordinated system out of balance. This process automatically takes place every second of every day, whether we have a pulmonary condition or not. In addition, to swallowing or expectorating, some smaller particles of mucus are expelled as vapor when we exhale. If it is swallowed, the stomach acids destroy any organisms that may be living in the mucus. This wave-like motion pushes the mucus up through the airways, millimeter by millimeter to the throat, where it is either swallowed or expectorated (coughed out). Under all of that, we have clear, crisp water in which our cilia (swamp plants) move back and forth in a wave-like motion. That’s the stuff that traps debris which I like to picture as bugs in the swamp that are stuck to the top scummy layer. The cilia float in a thin mucous fluid that is slightly thicker than water and a thick layer of mucus that rests on top of the cilia. This is where I start to draw a picture in my mind of a swamp. Scattered throughout the epithelial cells are mucus-producing goblet cells. These cells are loosely square-shaped and have thousands of cilia. The airways leading into the lungs are lined with epithelial cells that protect the airways and lungs. This filtration system is called the “ mucociliary escalator,” or “ mucociliary transport system.” Our airways and lungs perform a similar filtration process as air passes through them. There are also tiny hair-like structures called cilia that help move the air and mucus through the sinus cavity to prepare it for its journey into the lungs, the GI tract or to be expectorated. The mucous (different than mucus) tissues or membranes that line the nasal cavity have a sticky surface that helps trap debris, like flypaper. If you are a mouth breather, the respiratory tissues will have to handle the job on their own, further down the respiratory tract. When we breathe in through the nose, the air goes through its first warming, filtering, and humidifying process. Congratulations! You have just inhaled a small sample of the many thousands of tiny organisms and a varied array of particulate matter that we breathe in each and every day.
#ACAPELLA FLUTTER VALVE HOW TO#
In fact, if Lady Macbeth were a chest physiotherapist, she may well have been known for another quote: “Out, damned snot!” Before we discuss how to minimize and mobilize the secretions (mucus) that may accumulate in your airways as a result of your disease, it will be helpful for you to have a basic knowledge of what mucus actually is and what mucus actually does. It is one of the many defense mechanisms in our body’s arsenal that protect us against infection and other un-pleasantries. Inspect your acapella / aerobika to ensure proper function.Written with gratitude to my Co-Author, Marion Mackles, BS, PT, LMTĮveryone has mucus.Aerobikas can be sterilized by boiling for five minutes, dishwasher, bottle sterilizer, or alcohol bath for five minutes. The Cystic Fibrosis Foundation recommends disinfecting your acapella by using an alcohol bath for 5 minutes or placing on top rack of the dishwasher.Disassemble and clean with liquid dish soap, followed with a sterile water rinse.Allow the acapella / aerobika to air dry on a clean paper towel.Repeat the entire process for 6 cycles or a maximum of 30 minutes. Keep the mouthpiece in for all 15 breaths. Breathe out through the device longer and a little faster than normal.Hold his or her breath for two to three seconds.Breathe in slowly, taking a larger than normal breath.Make sure there is a tight seal around the mouthpiece. Put the mouthpiece lightly in his or her mouth.Take slightly deeper breaths than normal for one to two minutes.What Are The Instructions to Use an Acapella / Aerobika? This allows the airflow to move the mucus up to the large airways where it can be huffed or coughed out. PEP also helps to “splint” the airways open. Positive expiratory pressure, or PEP, helps air to get around and behind trapped mucus. Vibrations help to loosen and dislodge mucus.
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