Rehberg isampuli nomonde unikezela omnye sposobobov eziliqela, iingcebiso kagqirha

Ukuba ukrokrela ukuba ezinye esi sifo ugqirha iingcebiso zokwenza uhlalutyo, ekuthiwa Rehberg isampula. Ngoko ke ukuqinisekisa ukusebenza yokumpompoza kwegazi ngokusebenzisa nezintso.

Ukulungiselela uhlalutyo kucetyiswa ukuba ukwenza imisebenzi yomzimba, kwakunye ukuncama iti, caffeine kunye notywala. Ezi zinto zichaphazela izikhombisi iziphumo, kunye ezilula iya kuqinisekisa umfanekiso wenene lawo lokuhlambulula umthamo nezintso.

Paul Rehberg yaphakanyiswa ukuseka izinga ukuhluza kwi glomeruli of creatinine zangaphandle ngowe-1926. Isampula Rehberg ngoxa ifaniswe neengxaki ezithile. Ubunzima ubuchule kwaba yimfuneko ukuvelisa creatinine zithe zadala yegazi.

Academician Tareev lula inkqubo ngokwenza isindululo ukufumana isantya ngo-1936

amazinga product glomerular of yokusebenzela (zigutyula) creatinine iqala. Ke oosonzululwazi bafumanisa ukuba impahla eyafumaneka inegazi wobungakanani rhoqo. Ngoko ke, lo into ukuze ahlabe yegazi yabonakala usebenze. Ekubeni inkqubo yokumisela izinga of kugqitywe igazi kwi ezintso creatinine iqala ubizwa sample Reberga kunye - isampula Reberga - Tareeva.

Indlela Uhlalutyo yasungulwa lunee ntlobo ezintathu

1. Indlela yokuqala kunokuba ulwazi. Le nkqubo iqala kusasa xa isigulane uyavuka, yena inikwa kusela malunga ezimbini iiglasi zamanzi. Emva kwemizuzu eli-15, aye ukuchama kwi yangasese ngexesha ukuchama sokugqitywa ubhala ixesha ngqo. Isigulane ubuyela kwebhedi kwaye cwaka kulele kanye iyure-1 uze na ochamela kungena isitya. Ekupheleni ukuchama kwakhona ingxelo ixesha ngqo. Zilungisiwe 1 ekhonza uhlalutyo eziphathekayo

Isigulane ilele ebhedini, kwaye kanye-1 iyure ochamela kungena isitya. Ngaloo wafumana 2 inxalenye nomchamo.

Reberga probe iquka isampuli yegazi lwemithambo xa isixa-mali ka-6-8 ml. Igazi elingatsalanga phakathi kwinkqubo ukubeka umchamo.

Elabhoratri, umthamo umchamo lalibalwa empahleni nganye, eli nani ibalwa njengoko ulwelo kwazona yi izintso ukuba ngomzuzu 1, isibonisi umzuzu ebizwa diuresis. Egqitywe isampula nganye kwaye plasma creatinine yoxinaniso igazi ethathwe. Ukuseta imvume yokusetyenziswa creatinine formula kwedijithali

F1 = (U1 / P) V1.

Ngenxa yoko, xi inani creatinine kwi umchamo okhethiweyo isahlulo lokuqala (U1), bahlulwe ngenani ukuzikisa creatine kubonakele ku plasma (P), kwaye isiphumo wahlulwe diuresis ngcaciso imfutshane esithathwe inxenye umchamo lokuqala (V1). Isiphumo ifunyenwe - F1, kuba linani umlinganiselo ukuhluza ukuba inxalenye yokuqala umchamo.

Le equation efanayo ukubala F2, kuba inxenye yesibini:

F2 = (U2 / P) V2.

Amava abonisa ukuba idatha afunyenwe kwisampulu umchamo lokuqala nolwesibini ziya kwahluka phakathi kwabo. Isampula Reberga kwezinye iimeko nzima kukuba nephrotic syndrome kwandisa kukhuthaza creatine kwi tubules proximal. Ngamanye amaxesha Isalathisi pathologically secreted creatinine yangaphakathi tubule epithelium yi-30% ye xi efumaneka umchamo, nto leyo kakhulu idlula amaxabiso eziqhelekileyo. Oku kuthetha ukuba xa izintso yomguli musa ukusebenza kakuhle, phantsi kakhulu umthamo ukuhluza glomerular, uhlalutyo ngezifo ayikwazi ukuboniswa.

2. Sample Reberga ngobuwena yesibini ethathwe umthamo umchamo ngemihla. Isigulane uyavuka, lo Ukuchama lokuqala kwenza yangasese, elo xesha peeing kwi inqanawa enye, inxalenye yokugqibela iwela ngentsasa yosuku olulandelayo. Material igcinwe kwifriji phakathi micturition. Ukuba ucingo oluqhutywa phaya ekhaya, ngoko emva kokuba Ukuchama yokugqibela amanyathelo isigulane ngokuchanileyo umthamo yonke ngumchamo, igcina yoko, umzekelo, diuresis ngemihla 1100 ml, ubunzima (yesigulana) ka-75 kg, ukuphakama (nomonde) 170 cm koko umchamo ethe azanya zanyiswa, inxalenye uphose kulingwa. ingqondo nangobude creatinine, kwaye abanye elahliweyo. Ethetha umchamo kwilabhoratri ngexesha elifanayo ngegazi. Ngokutsho lwalo yesibini kuloo ukuze oko kubulawa Reberga isampula. UNorma kuyahlukana nedlela yobudala kunye nesini.

Ukuba Isalathisi efikelela kwinqanaba ka 140 ml / min, ugqirha uye wakrokrela ezinxulumene ne ekuqaleni kuphuhliso seswekile, nephrotic syndrome, okanye lwegazi. Sehlise excretory sezintso umsebenzi ukuya ku 50-30 ml / min kunye ngezantsi ibonisa ukusilela kwezintso.

3. ATHUNYIWEYO Okwesithathu ucingo impahla Reberga isampuli zabanjwa iinjongo zenzululwazi yaye wahlulwe ngo-2, uze emva koko iinxenye 3 umchamo ngosuku.