①T iao mise Fi 2GD
sink ia
sinkch - / A
:
Tloe can than S
-
-
GT TIT & bai tiet
theo this i t
·
Mang Loc can than long mas mach vai baw
Bowman :
Lop B no : mo mas mach can than
↑ -
:
the hi "caso" 160A .
-
lop many day collagen &-
proteoglycan
:
,
khe loc 110A
g
I bin no bao Bowman
bamman deale
(ingan cha
-
khe hi 70
Mang loc ngan pri c AK>7O*# protein co M =
70000 .
·
Tink tham cochon loc wa -
- mig loc can than phy thre 2 yo'
L
:
kich this & wapte
tring hig : Albumin myoglobin
-
, ....
·
I
- Tick tich dien ac pr : albumin (GO-rich dienam)
I
· Thank phan
dichlo#hugitrg :
+
Kost man .
0 , 032
+ 19 protein = huyet
thing .
-
Nice in It (C- , HC037 huyettrong 5% (Can bang
Donnan :
Butricho pro(- ) ·
.
Ngotiion (1) <hugit+; 54
+
· Coche'lo qua mig loc can than w
⑦ As High via MM can than (PH) 60mmHy (HA maomach)
:
~
↳
Stay
& AS keo MM can than
-
(P) :
32
mmHg
↳
gi
~) it
As
thing Mong law Bowman (PB) :
18 mmHg
↳ day
④ As loccan than : Pc =
PH -
(Pk +
PB)
= 60 -(32 18
18mmHg
+
=
①T loc chi say P >
blei
sa :
,
=) PH > Pi +
PB
·
Mic loccan than (GFR)
L
ca'2 than
trong Ip"
8 eaceans than
Long dich lo. two a
-
Trong Ip 1200mLmai quacan than ~ (2than)
#650m) huyet trong
125 m huyit thing did loc I I
(Dich (oc)
=>
Miloc et bth =
125m)/phit
Tylilo =
5 =
198
Trong 24h d dich
I
loc
↳ 992 tai
hap the
L1 52 miss tiew
,
-
P
asytahlenGFR
· e
② He solo K400lan so vo. MMI
Lamoto can than #As lo= 1 mmHg
-
S / .
kq = 125mL /
phil/10mmHg
= 12
5m)/pluit/1mmHg
,
Alg khang loca mach can than mas
-
.
phi these dien Tich mach.
yto'
I
-
Bi & mar
tham
tuch
-
~ -
DTD,
TIA-mglocdaylen
S
-> itubtham->4 Ke
③ As loc caithan (PL) W
:
GRF pla this whic vio PL
) GRF ple = PH , PK : PB
PH /hwhier : PHY - GFRT
& b alhbor
: : HAAM 80-178 Thi than con kharig
60mmHg
I dici
Sco dan
ho (P+#60)
Toi AM was
I
- Mais den than -> Hi AN var co lai
Tri
·
Strin
AMcang ra
·
Khich TG2
+ Mais din than - Hi AN vo dan ra
S
·
It lathich cation
backing than-cat
i
Sfeed
I
a
- Manden than - feedback ong than
ine than
·
Nei AMracolan- Tight dining
MMlai -
locwhit+tng doproht
-> TASbeo-blo
Feedbackingthan- canthan L
W
dich
L locchay chain get W
Engthan- L
MT Nat +
tacting "vitdac" ong luanoca-
dan Hi AM vo
E
=>
Fit renin - he RAA+ co mach (TiAMra) ->
↑ PH
P ASkeoY + ↓GFR
32 Iit thay dor'- ko /h whin
triso thap it thay do ah
B ,
-
it
t r
do soi , do ↑PB-
nghen ong than u GFR
+
...
&
· Tha ihn sabainit :
--
Eng than L
1 NG LIN GAN THI BT
Nat 653 Ht
Glucose htoar NH3
AA
.
& pro Creatinin
&
Nice Ko THT de BT 1 it
652
In door
,
140 lan
↑
d'652 & urea50
HC05/CO2
acetracetat , ic
k 655
+
Bolongong Bmang day (43b mo-dich()
-
(long +
iBbmo) .
L
Tich ai
Khurch tain the
cong nguyen phat
·
Nat 1 .
theoning do & dienrich
~ L
Nat-k+-ATPase
Tich aic thes phat St !
Dich ke
!
2 .
S
g L
protein mang Nat-glucose 3 Nat
Na-K-ATPase
at
Nat- a a .
⑧
2k+ < 2kt
4
Nat-Ca2t ------
than wai lau
Nat-Mg2 =>
2 htg:
Nlat -
Phosphat 1
.
Nat/TBbmo< NaY or
2 .
Athe'/TBbm<AT/oT
(- 70)
Glucose THThtoan p .
dai OLG ↳Khurch tan hotre
Tich aic
~
thisphat (protein mang)
(Nat-glucose)
Inquoc
~bac
thy
·
m
W
do
ng v
Acid amin i glucose
A A
.
Ting
>
Protein
Protein mbo a .
amin Khrich tan hitro
(bb chal .
Nice Tham than >
( Khi Nat , glucose THT)
--Noted realotange in
Urea
d--Khich tan the dong
I
L
chinhlichathe" (Nat
~
ve the
phat (Nat)
-
Urea Khuchtan thu cong
L
Dien hod
DA DAY
Cohoc
Tiet dich
① Dich i
-
pH = 1, 5 -
3
Senzymchink pepsin chimosine , lipase
- :
-
Drior Het sa bi :
- Nhom
Tryin da day : Hel , pepsinogen chat
whay , .
gastein peprirogen char whaij
~
Nho'n
tayen mon vi
- :
,
, .
Thank phanmen dich wi :
+ Hel be
hip pepsinogen chai wha ma
i
:
-
, ,
(Chi ye
sat him cai In sai , E coli
tring
:
L
, .
tap mo
~
mar vi
ngam voi or
Pepsin pHhoat 1 , 6-2 , 4
M
+
tong
: :
HCl
Pepsinogen Peprin
chink)
/
(i (they' phan prozv
↳
pepringen bofaipepsin thank albumose
[
pepton
Chimosine (Presure)
+
pHhoatcong 5-6
:
Daday tem
dang be /Cat/ding tu sia-casein ko ho a tan
+
Lipase pHhoating 4-5
:
Tim how mo Hat eat who bes glycerol
,tanhution g how ,
a .
,
Misa (48) long do ting , .
+
Yen to norte :
Hap thu B12
~ glucoprotein
+ Chai
whaty :
Bes
tuyen it'
/Lip mong 1mm
Glycoprotein (Mucopolysacaride)
H20, Mic Hel &
->
minim
mac DD L pepsin .
*↳ Trak zitieu
② Co che dii hoa bai Het dich vi
Dich or thay cor-GD ba an
-
I
/ngoi bra
I ⑭P it's an
this
Vi An an
trong ong it
⑪ 2 yeu to cici la :
↳) Than kinh
sam
Pho
giao Tang tit dich : (pepsinogen cha what
- :
, ,
Hel ,
gastim)
-
Acetylcholin
Day X (chink)
·
:
4 Hdl do trit die & eding DD
1 B thank -
Tuictip He
I
:
.
Gian tep
·
Hang oi (gastrin)
:
Lam B vin man cam vo gastin
>
/Gastin
- 3
zing lam Brin man cam vo
Aduia day x)
2 .
chink (peplinogen la di ye)
3 .
Beotuyen co'tryen (nim dich)
,
4 .
Xung ding cobop DD
-
Gao cam :
" che hit ret DD .
i wan
L
mach.
-
Cat be hi
lin lac binngri ,
van tiet dich dis do dain ro
-
S
M nor Zai Anerbach & Meissner (D : cang DD bich thich damn ro
qua day X) .