Rehberg isampula nesineke unikela omunye sposobobov eziningana, ku iseluleko udokotela

Uma usola ukuthi ezinye isifo udokotela uyokwazisa ukwenza ukuhlaziywa, okuthiwa Rehberg isampula. Ngakho ukucacisa kahle kwegazi ukugeleza ngokusebenzisa nezinso.

Ekulungiseleleni ukuhlaziywa kunconywa ukuba enze imisebenzi ebonakalayo, kanye give up itiye, i-caffeine nophuzo. Lezi izici ezithonya izinkomba umphumela, futhi izindlela ezilula kuzoqinisekisa isithombe wangempela amandla zokuhlambuluka nezinso.

Paul Rehberg wokuqala ohlongozwayo ukusungula izinga filtration ku glomeruli ka creatinine exogenous ngo-1926. YeSampuli Rehberg ngenkathi ifaniswe nobunzima ezithile. Ubunzima amasu kwakudingekile ukwethula creatinine exogenous ngemithambo yegazi.

Academician Tareev lula inqubo by uhlongoza ukuthola isivinini ngo-1936

glomerular filtration amazinga imvume (unekhemikhali) creatinine endogenous. Khona-ke ososayensi bathola ukuthi ketshezi atholakala igazi e eliningi njalo. Ngakho-ke, into okumele kwabathinta ngemithambo yegazi uvele engeke asebenze. Njengoba inqubo ekunqumeni izinga legazi imvume ku ezinso creatinine endogenous ibizwa ngokuthi njengoba isampula Reberga futhi - sampula Reberga - Tareeva.

Indlela ukuhlaziywa yasungulwa ezahlukeneyo ezintathu

1. Indlela yokuqala kunalokho ulwazi. Inqubo iqala ekuseni lapho isiguli evuka, kunikezwa baphuze mayelana ezimbili izingilazi zamanzi. Ngemuva kwemizuzu engu-15, uya ukuchamela encane ngesikhathi ukuchama ekupheleni uloba isikhathi esiqondile. Isiguli uphindela embhedeni futhi buthule amanga ncamashi 1 ihora bese abachamela ku isitsha. Ekupheleni ukuchama futhi ilandisa isikhathi esiqondile. uzilungiselele Ngakho 1 ekhonza ukuze ukuhlaziywa impahla

Isiguli elele khona embhedeni, futhi ncamashi 1 ihora uchama ku isitsha. etholwe Ngakho 2 ingxenye umchamo.

Reberga Uphenyo yakhiwa zalokho igazi emithambo yegazi e isamba 6-8 ml. Igazi idwetshwa phakathi inqubo ngokubeka umchamo.

Ngo-laboratory, ivolumu umchamo sasibalwa umkhumbi ngamunye, le nombolo ibalwa njengoba uketshezi excreted ngu izinso iminithi elingu-1, inkomba ngomzuzu ngokuthi diuresis. Ezinqunywe isampula ngalinye kanye plasma creatinine lokuhlushwa egazi losana. Ukuze usethe imvume endogenous creatinine ukusetshenziswa ifomula

F1 = (U1 / P) V1.

Ngakho, emakamu inani creatinine umchamo akhethiwe ingxenye yokuqala (U1), ihlukaniswe ngenani creatine lokuhlushwa zitholiwe plasma (P), futhi umphumela lihlukaniswe by ngomzuzu diuresis ezithathwe ingxenye umchamo lokuqala (V1). Umphumela etholwe - F1, kuba inani filtration isilinganiso ngengxenye yokuqala umchamo.

I kwesibalo efanayo ukubala F2, ngengxenye yesibili:

F2 = (U2 / P) V2.

Okuhlangenwe nakho kubonisa ukuthi idatha etholwe lokuqala nelesibili umchamo isampula iyokwehluka bodwa. YeSampuli Reberga kwezinye izimo nzima yokuthi nephrotic syndrome kwandisa excretion of creatine ku tubules proximal. Ngezinye izikhathi Inkomba pathologically ethakwa creatinine kwangaphakathi tubule epithelium ingu-30% we lokuhlushwa ezitholakala umchamo, okuyinto kuzidlula amagugu evamile. Lokhu kusho ukuthi uma izinso lesiguli azisebenzi kahle, liphansi kakhulu glomerular filtration likhono, zokugula ukuhlaziywa alikwazi ukuboniswa.

2. Sample Reberga samuntu yesibili ethathwe nsuku zonke ivolumu umchamo. Isiguli evuka, le ukuchama kuqala kwenza ethoyilethi, lonke isikhathi peeing e isitsha esifanayo, engxenyeni lokugcina luwela ekuseni ngosuku olulandelayo. Material igcinwe esiqandisini phakathi micturition. Uma kocingo Kwenziwa ekhaya, khona-ke ngemva ukuchama zokugcina nesineke izinyathelo ngokunembile ivolumu yonke incontinence, lugcine yalokho, isibonelo, diuresis nsuku 1100 ml, isisindo (isiguli) ka 75 kg, ukuphakama (isiguli) 170 cm ke umchamo kwakudalwa, ingxenye yabalingisi Assay ukuba. okuhlushwa esithile creatinine, kanti bonke abanye kulahliwe. Ebhekisela umchamo laboratory ngesikhathi esifanayo ngegazi. Ngokwe-samuntu yesibili kulowo myalelo ke uyabulawa Reberga isampula. Norma iyahlukahluka kuye ngeminyaka nobulili babantu.

Uma inkomba esefike ezingeni 140 ml / imiz, udokotela ine izinsolo elihlobene ne ekuqaleni ukuthuthukiswa sikashukela, nephrotic syndrome, noma umfutho wegazi ophakeme. Ekunqandeni excretory kwezinso umsebenzi kuze kube 50-30 ml / iminithi futhi ngezansi kubonisa ukwehluleka kwezinso.

3. Okwesithathu samuntu kocingo impahla Reberga isampula labetibambile nezobuchwepheshe kanye lihlukaniswe by 2, bese 3 izingxenye umchamo ngosuku.