Rehberg ndidi sample atọgbọ otu n'ime ọtụtụ sposobobov, na ihe dọkịta gwara

Ọ bụrụ na ị na-enyo na ụfọdụ n'ime ndị ọrịa na dọkịta ga-nye ndụmọdụ na-eme analysis, nke a na-akpọ Rehberg sample. Ya mere chọpụta arụmọrụ nke ọbara site na akụrụ ya.

Na nkwadebe maka analysis na-atụ aro bụghị ịrụ anụ ahụ na-eme, nakwa dị ka na-enye elu tii, caffeine na mmanya. A ihe-emetụta ya pụta na-egosi, na mfe anya ga-hụ a n'ezie na foto nke ọcha ike nke akụrụ.

Paul Rehberg mbụ chọrọ ka ọnụego nke filtration na glomeruli nke exogenous creatinine ke 1926. Ịlele Rehberg mgbe ekwekọghị na ụfọdụ ihe isi ike. Ike Usoro dị mkpa ịme exogenous creatinine intravenously.

Academician Tareev mfe usoro site proposing chọta ọsọ na 1936

glomerular filtration udu nke nwechapụ (excrete) endogenous creatinine. Mgbe ndị ọkà mmụta sayensị chọpụtara na umi dị na ọbara a mgbe nile ibu. Ya mere, umi ịma intravenously pụtara impractical. Ebe ọ bụ na usoro nke na-ekpebi na ọnụego ọbara nwechapụ na akụrụ nke endogenous creatinine a na-akpọ ka sample Reberga na - ịlele Reberga - Tareeva.

The usoro nke analysis e mepụtara na atọ variants

1. Mbụ usoro bụ kama ihe ọmụma. The usoro na-amalite ụtụtụ mgbe onye ọrịa kpọtere elu, ọ na-nyere na-aṅụ ihe abụọ iko mmiri. Mgbe minit 15, ọ na-aga ka urinate na ụlọ mposi n'oge urination ẹkụre dere kpọmkwem oge. Onye ọrịa na-alaghachikwuru bed na-eji nwayọọ na-kpọmkwem 1 hour na mgbe nwoke n'ime arịa. Ná ngwụsị nke urination ọzọ dere kpọmkwem oge. N'ihi ya kwadebere 1 na-eje ozi maka ihe onwunwe analysis

Onye ọrịa idu ke bed, na kpọmkwem 1 hour nwoke n'ime arịa. N'ihi ya nwetara 2 òkè nke mmamịrị.

Reberga nyocha mejupụtara nlele nke venous ọbara ke ichekwa 6-8 ml. Ọbara na-adọrọ mmasị na n'etiti usoro nke-etinye mmamịrị.

Na laabu, mmamịrị olu e tụrụ na onye ọ bụla arịa, nọmba a na gbakọọ ka mmiri mmiri anyụpụ site akụrụ maka 1 nkeji, nkeji egosi akpọ diuresis. Kpebisiri ike na onye ọ bụla sample na plasma creatinine ịta nke ọbara e. Iji tọọ nwechapụ nke endogenous creatinine ojiji usoro

F1 = (U1 / P) bọmbụ V1.

N'ihi ya, ọnụ ọgụgụ ịta nke creatinine na mmamịrị họrọ mbụ òkè (U1), kewara ekewa site na ọnụ ọgụgụ nke creatine ịta ahụrụ na plasma (P), na n'ihi na-kewara ekewa site nkeji diuresis e site mbụ mmamịrị òkè (bọmbụ V1). N'ihi na enwetara - F1, ọ bụ na ọnụ ọgụgụ nke filtration ọnụego nke mbụ òkè nke mmamịrị.

Otu akụkụ gbakọọ F2, n'ihi na nke abụọ òkè:

F2 = (U2 / P) V2 n'ụlọ ọrụ.

Ahụmahụ na-egosi na data nwetara na mbụ na nke abụọ mmamịrị sample ga-iche n'etiti onwe ha. Ịlele Reberga na ụfọdụ mgbagwoju anya site na eziokwu na nephrotic syndrome enwekwu excretion nke creatine na proximal tubules. Mgbe ụfọdụ egosi pathologically secreted creatinine n'ime tubule epithelium bụ 30% nke ịta hụrụ na mmamịrị, bụ nke karịrị nnọọ nkịtị ụkpụrụ. Nke a pụtara na ọ bụrụ na onye ọrịa ahụ akụrụ na-arụ ọrụ nke ọma, kwa ala glomerular filtration ikike, na analysis daa ọrịa ike na-egosipụta.

2. Sample Reberga abụọ n'onwe-e ke kwa mmamịrị olu. Onye ọrịa kpọtere elu, mbụ urination na-eme ka ụlọ mposi, izu ike nke oge peeing ke otu arịa, nke ikpeazụ òkè dara na ụtụtụ nke na-esote ụbọchị. Ihe wee na-na a friji n'etiti micturition. Ọ bụrụ na nsu a rụrụ n'ụlọ, mgbe ahụ, mgbe ikpeazụ urination ndidi jikoro n'ụzọ ziri ezi olu nke dum incontinence, na-echekwa na N'ihi ya, n'ihi na ihe atụ, kwa ụbọchị diuresis 1100 ml, arọ (onye ọrịa) nke 75 n'arọ, elu (ndidi) 170 cm Mgbe ahụ mmamịrị e kpaliri, akụkụ nkedo nnwale na. tụrụ ịta nke creatinine, na ndi fọduru tụfuo. N'izo mmamịrị na laabu n'otu oge inye onyinye ọbara. Dị ka nke abụọ n'onwe na iji ya na-gburu Reberga sample. Norma dịgasị dabere na afọ na okike.

Ọ bụrụ na ndị na-egosi esịmde a larịị nke 140 ml / min, dọkịta nwere a enyo metụtara na mmalite nke mmepe nke-arịa ọrịa shuga, nephrotic syndrome, ma ọ bụ ọbara mgbali. Ime nke excretory gbasara akụrụ ọrụ ruo 50-30 ml / min na n'okpuru egosi gbasara akụrụ odida.

3. Third n'onwe ngere ihe Reberga sample ẹkenịmde na nkà mmụta sayensị na nzube na ekewa site 2, na mgbe 3 akụkụ ụfọdụ nke mmamịrị kwa ụbọchị.