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Chapter 29

The Urinary System

Введение в мочевыделительную систему
Введение в мочевыделительную систему
The urinary system, or renal system, has four main components — the kidneys, ureters, urinary bladder, and urethra. The kidneys are a pair of ...
Наружная анатомия почки
Наружная анатомия почки
The kidneys are located at the T12 to L3 vertebrae and partly protected by the eleventh and twelfth ribs. A kidney typically measures about 10 to 12 cm in ...
Внутренняя анатомия почки
Внутренняя анатомия почки
In the frontal section, the kidney shows the renal cortex, renal medulla, and renal pelvis. The outermost layer — the renal cortex — is ...
Кровоснабжение и нервное снабжение почек
Кровоснабжение и нервное снабжение почек
The segmental arteries branch out, supplying different kidney regions. These segmental arteries branch off and pass through the renal columns as ...
Нефроны
Нефроны
A nephron is the functional unit of the kidney. It comprises two main parts — the renal corpuscle and renal tubule. The renal corpuscle, where blood ...
Почечные тельца
Почечные тельца
The renal corpuscle comprises a cluster of capillaries known as the glomerulus and the glomerular or Bowman's capsule that encloses the glomerulus. ...
Почечные канальцы и собирательные протоки
Почечные канальцы и собирательные протоки
The nephron measures approximately 3 cm and consists of the proximal convoluted tubule, loop of Henle, and distal convoluted tubule. The proximal ...
Физиология образования мочи
Физиология образования мочи
The formation of urine involves three steps —  glomerular filtration, tubular reabsorption, and tubular secretion. Glomerular filtration occurs ...
Клубочковая фильтрация
Клубочковая фильтрация
During glomerular filtration, blood plasma is pushed through the pores of a filtration membrane. The glomerular capillaries and podocytes together form ...
Клубочковая фильтрация: чистое давление фильтрации
Клубочковая фильтрация: чистое давление фильтрации
Glomerular filtration depends on three main pressures: glomerular blood hydrostatic pressure or GBHP, capsular hydrostatic pressure or CHP, and blood ...
Скорость клубочковой фильтрации и ее регулирование
Скорость клубочковой фильтрации и ее регулирование
The glomerular filtration rate or GFR is the volume of filtrate formed per minute by the glomeruli. Any changes in the local blood pressure and flow can ...
Канальцевая реабсорбция и секреция
Канальцевая реабсорбция и секреция
Tubular reabsorption occurs along the length of the renal tubules and collecting ducts. This process returns water and solutes from the filtrate to the ...
Реабсорбция и секреция при ПКТ
Реабсорбция и секреция при ПКТ
The proximal convoluted tubules, or PCTs, reabsorb most filtered water, ions, glucose, and amino acids. Sodium ion transport is a critical process in the ...
Реабсорбция и секреция в петле Генле
Реабсорбция и секреция в петле Генле
The thick ascending limb of the nephron loop has Na+–K+–2Cl− symporters in the apical membranes of its cells. These symporters ...
Реабсорбция и секреция в ДКТ и собирательном протоке
Реабсорбция и секреция в ДКТ и собирательном протоке
The early part of the distal convoluted tube, or DCT, reabsorbs around 10 to 15% of the filtered water and 5% of the filtered sodium and chloride ions. ...
Моча: физические и химические свойства
Моча: физические и химические свойства
Urine is mostly water, which makes up around 95% of its volume. The remaining 5% consists of different solutes. Urea, a byproduct of amino acid breakdown, ...
Образование разбавленной мочи
Образование разбавленной мочи
The kidney's juxtamedullary nephrons produce dilute urine when the fluid intake is high. In the renal cortex, the osmolarity of the interstitial fluid ...
Образование концентрированной мочи
Образование концентрированной мочи
There is a medullary osmotic gradient of solutes in the interstitial fluid from the renal cortex through the medulla. This gradient is established and ...
Почечный клиренс
Почечный клиренс
The glomerular filtration rate is an effective metric for assessing kidney function. One way of measuring GFR is by calculating renal clearance. Renal ...
Мочеточников
Мочеточников
Ureters are retroperitoneal tubes on either side of the vertebral column that transport urine from each kidney to the urinary bladder. They have thick ...
Мочевой пузырь
Мочевой пузырь
The urinary bladder is a hollow, muscular sac that temporarily stores about 600 mL of urine before micturition.  It is retroperitoneally situated on ...
Рефлекс мочеиспускания
Рефлекс мочеиспускания
Micturition or urination primarily involves coordination between the bladder detrusor muscle and two sphincters to control bladder emptying. It is ...
Уретра
Уретра
The urethra is a tube-like structure extending from the lower end of the urinary bladder to the external opening for releasing urine out of the body. In ...
Диализ
Диализ
Renal failure is classified as acute when the glomerular filtration rate or GFR suddenly drops below 15 mL/min or ceases entirely. In contrast, a gradual ...
Нарушения со стороны мочевыделительной системы
Нарушения со стороны мочевыделительной системы
Urinary system disorders can arise from infections, stress, age, congenital abnormalities, and lifestyle. Urinary tract infections are typically caused by ...
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