Rehberg haƙuri samfurin mĩka daya daga dama sposobobov, a kan likita shawara

Idan ka zargin cewa wasu daga cikin cutar da likita zai shawara yi bincike, wanda aka kira Rehberg samfurin. Saboda haka sanin yadda ya dace da jini ya kwarara ta hanyar da kodan.

A cikin shiri domin analysis shi bada shawarar kada su yi ta jiki ayyuka, kazalika da ba up shayi, maganin kafeyin da barasa. Wadannan dalilai shafar sakamako Manuniya, da kuma sauki sauna zai tabbatar da wani real hoto na tsarkakewa damar kodan.

Paul Rehberg farko samarwa tsayar da kudi na tacewa a cikin glomeruli na exogenous creatinine a 1926. Samfurin Rehberg yayin da ya dace tare da wasu matsaloli. Wahala dabara ya zama dole don gabatar exogenous creatinine intravenously.

Academician Tareev Sauki da hanya ta hanyar fito da samun gudun a 1936

glomerular tacewa rates na yarda (excrete) na ciki creatinine. Sa'an nan da masana kimiyya ya gano cewa da abu samu a cikin jini a cikin akai yawa. Saboda haka, abu to prick intravenously bayyana impractical. Tun da hanya na kayyade kudi na jini yarda a koda na na ciki creatinine aka kira a matsayin samfurin Reberga kuma - samfurin Reberga - Tareeva.

Hanyar bincike da aka ɓullo da a uku bambance-bambancen karatu

1. Na farko hanya ne wajen m. A hanya zai fara a cikin safe a lokacin da haƙuri tana farkawa a, ya aka bai sha game da biyu da tabarau na ruwa. Bayan minti 15, sai ya shige zuwa urinate a bayan gida a lokacin urination kammala rubuta ainihin lokaci. A haƙuri kõma, zuwa ga gado da kuma zare jiki ya ta'allaka ne daidai da 1 hour sa'an nan urinates a cikin jirgin ruwa. A karshen urination sake rubuta ainihin lokaci. Kamar wancan shirya 1 hidima ga kayan bincike

A haƙuri ta'allaka a gado, kuma daidai da 1 hour yana yin fitsari a cikin jirgin ruwa. Kamar wancan samu 2 rabo daga fitsari.

Reberga bincike qunshi daukan samfur na venous jini a cikin wani adadin 6-8 ml. Jini ne kõma a tsakiyar aiwatar da tunzura fitsari.

A cikin dakin gwaje-gwaje, fitsari girma da aka auna a kowane jirgin ruwa, wannan adadin da aka lasafta kamar ruwa excreted da kodan for 1 minti daya, minti nuna alama kira diuresis. M, a kowane samfurin da jini creatinine taro na jini dauka. Don saita yarda da na ciki creatinine amfani dabara

F1 = (U1 / P) ayata1.

Saboda haka, yawan maida hankali creatinine a cikin fitsari zaba farko rabo (U1), raba da adadin na creatine taro gano a cikin jini (P), da kuma sakamakon da aka raba da minti diuresis dauka da farko fitsari rabo (ayata1). Result an samu - F1, shi ne yawan tacewa kudi da farko yanki na fitsari.

A wannan lissafi lissafi F2, domin na biyu rabo:

F2 = (U2 / P) v2.

Experience ya nuna cewa data samu a cikin ta farko da na biyu da fitsari samfurin zai bambanta a tsakãninsu. Samfurin Reberga a wasu lokuta wuya da cewa nephrotic ciwo qara tukar tumbi da creatine a cikin proximal tubules. Wani lokaci nuna alama pathologically secreted creatinine ciki tubule epithelium ne 30% na taro samu a fitsari, wanda ƙwarai wuce al'ada dabi'u. Wannan yana nufin cewa idan haƙuri da kodan ba ya aiki sosai, kuma low glomerular tacewa iya aiki, da bincike Pathology ba za a iya nuna.

2. Samfurin Reberga biyu embodiment dauka a kullum fitsari girma. A haƙuri tana farkawa a, da farko urination sa bayan gida, Sauran lokacin peeing a cikin wannan jirgin ruwa, da na karshe rabo dama a kan safe na kashegari. Material sa a cikin wani firiji tsakanin micturition. Idan da shinge ne da za'ayi a gida, sa'an nan bayan da na karshe urination haƙuri matakan daidai da girma daga cikin dukan incontinence, Stores sakamakon, misali, kullum diuresis 1100 ml, da nauyi (na haƙuri) na 75 kg, tsawo (haƙuri) 170 cm Sa'an nan da fitsari da aka zuga, kashi simintin kima to. auna taro na creatinine, da kuma sauran jefar. Magana fitsari da dakin gwaje-gwaje a lokaci guda taimakawa da jini. Kamar yadda na biyu embodiment a cewa domin shi ne hukuncin kisa Reberga samfurin. Norma dabam dangane da shekaru da kuma jinsi.

Idan nuna alama ya kai wani matakin na 140 ml / min, likita yana tuhuma da dangantaka da fara na cin gaban ciwon sukari, nephrotic ciwo, ko hauhawar jini. Slowing da excretory koda aiki har zuwa 50-30 ml / min da kasa ya nuna koda gazawar.

3. Na uku rungumi shinge abu Reberga samfurin da aka gudanar kimiyya dalilai da aka raba da 2, sa'an nan 3 rabo na fitsari a kowace rana.