#53 Summary of Smoking
1 Tobacco smoke contains tar, carbon monoxide and nicotine. 2 Tar settles on the epithelium lining the bronchi and bronchioles and stimulates inflammation, an increase in the secretion of mucus and an accumulation of phagocytes from the blood. 3 Damage to the airways and alveoli occurs in chronic obstructive pulmonary disease (COPD). In chronic bronchitis, the airways are obstructed by mucus and infection; in emphysema, alveoli are destroyed, reducing the surface area for gas exchange. 4 Tar contains carcinogens, which cause changes in DNA in bronchial epithelial cells, leading to the development of a bronchial carcinoma. This is lung cancer. 5 Some of the signs and symptoms of COPD are breathlessness, wheezing and constant coughing; two of the symptoms of lung cancer are coughing up blood and chest pains. 6 Carbon monoxide combines irreversibly with haemoglobin, reducing th...