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Showing posts with label Kidney. Show all posts
Showing posts with label Kidney. Show all posts

Function of kidney homeostasis

Posted by All Info Wednesday, April 08, 2009 0 comments

Kidney arranges hydrogen ion exponent, concentration of mineral ion, and composition of water in blood. Kidney maintains blood plasma hydrogen ion exponent to the range of 7,4 through ion exchange hidronium and hydroxyl. As a result, urine yielded able to have the character of acid at hydrogen ion exponent 5 or alkalis at hydrogen ion exponent 8. Sodium ion rate is controlled through a homeostasis process entangling aldosterone increasing to absorb of sodium ion at konvulation tubulus.


Increase or pressure drop of osmotic blood because excess or lacking of water would soon detected by hypothalamus which will give signal at pituitary gland with negative feedback. secretion pituitary gland of Hormone anti diuretic (vasopressin, to depress secretion of water) so that happened change of level of imbibition of water at kidney tubulus. As a result concentration of dilution of network will return to to become 98%.

In general, one can lived is normal with only one kidneys. If(when both kidneys doesn't function normal, hence someone need to get a Kidney Substitution Therapy ( TPG). this TPG can be done either tentative of time and also continuous. TPG consisted of three, that is: Haemodialysis (Haemodialysis), Peritoneal Dialisis (Cleans Stomach Cavity) and Cangkok Ginjal (transplantation). Elementary principle from Hemodialisis is by cleaning blood by using imitation kidney. While Peritoneal dialysis applies Selaput stomach cavity (peritoneum) as filter between bloods and dilution Dianial.


Transplantation of Fair to middling present kidney of public. transplantation of Kidney can be done in " cadaveric" (from someone who has died) or from donor that is above the ground (usually member of family). There are some advantage for transplantation from donor that is above the ground, including nicer conformity, donor can be test accross the board before the transplantation and kidney tends to has longer life span.

Explain About Kidney

Posted by All Info Friday, April 03, 2009 0 comments


Kidney is excretion organ in vertebrata which is in the form of looking like bean. As part of urine system, functioning kidney filters dirt (especially urea) from blood and throws away it together with water in the form of urine. Branch from medical studying kidney and the disease called as nefrologi.

Man has a couple of kidney which located in stomach back or abdomen. This kidney located in right and left of backbone, under liver and spleen. On the top (superior) kidney there is adrenal gland (also is called as gland suprarenal).

Kidney haves the character of retroperitoneal, is meaning located in peritoneum back arranging in layers abdomen cavity. Both kidneys located in around finite T12 vertebra of L3. Right kidney usually located a little below left kidney to give place for liver. Some of kidney top protected by eleventh pleural rib and twelve. Both kidneys wrapped by two fatty tissues (fat perirenal and fat pararenal) what assists damps convulsion.

At adult, every kidney has footage around 11 cm and thickness of 5 cm weighing around 150 grams. Kidney has form like bean with hollowing facing into. In every kidney there is aperture so-called hilus connecting renal artery, renal vein, and uretra.

Kidney arranges hydrogen ion exponent, concentration of mineral ion, and composition of water in blood.

Kidney maintains blood plasma hydrogen ion exponent to the range of 7,4 through ion exchange hidronium and hydroxyl. As a result, urine yielded able to have the character of acid at hydrogen ion exponent 5 or alkalis at hydrogen ion exponent 8. Sodium ion rate is controlled through a homeostasis process entangling aldosterone to increase absorbtion of sodium ion at convulation tubulus.

Increase or pressure drop of osmotic blood because excess or lacking of water would soon detected by hypothalamus which will give signal at pituitary gland with negative feedback. secretion pituitary gland of Hormone anti diuretic (vasopressin, to depress secretion of water) so that happened change of level of the absorbs of water at kidney tubulus. As a result concentration of dilution of network will return to to become 98%.


Kidney arranges hydrogen ion exponent, concentration of mineral ion, and composition of water in blood. Kidney maintains blood plasma hydrogen ion exponent to the range of 7,4 through ion exchange hidronium and hydroxyl. As a result, urine yielded able to have the character of acid at hydrogen ion exponent 5 or alkalis at hydrogen ion exponent 8. Sodium ion rate is controlled through a homeostasis process entangling aldosterone increasing to absorb of sodium ion at konvulation tubulus.

Increase or pressure drop of osmotic blood because excess or lacking of water would soon detected by hypothalamus which will give signal at pituitary gland with negative feedback. secretion pituitary gland of Hormone anti diuretic (vasopressin, to depress secretion of water) so that happened change of level of imbibition of water at kidney tubulus. As a result concentration of dilution of network will return to to become 98%.

In general, one can lived is normal with only one kidneys. If(when both kidneys doesn't function normal, hence someone need to get a Kidney Substitution Therapy ( TPG). this TPG can be done either tentative of time and also continuous. TPG consisted of three, that is: Haemodialysis (Haemodialysis), Peritoneal Dialisis (Cleans Stomach Cavity) and Cangkok Ginjal (transplantation). Elementary principle from Hemodialisis is by cleaning blood by using imitation kidney. While Peritoneal dialysis applies Selaput stomach cavity (peritoneum) as filter between bloods and dilution Dianial.

Transplantation of Fair to middling present kidney of public. transplantation of Kidney can be done in " cadaveric" (from someone who has died) or from donor that is above the ground (usually member of family). There are some advantage for transplantation from donor that is above the ground, including nicer conformity, donor can be test accross the board before the transplantation and kidney tends to has longer life span.

Introducing of Kidney

Posted by All Info 0 comments


Kidney is excretion organ becoming part of urine system. Functioning kidney filters dirt from blood and throws away it together with water in the form of urine. At man has a couple of kidney which located in stomach back or abdomen. This kidney located in right and left of backbone, under liver and spleen. On the top (superior) kidney there is adrenal gland (also is called as gland suprarenal). Kidney haves the character of retroperitoneal, is meaning located in peritoneum back arranging in layers abdomen cavity. Right kidney usually located a little below left kidney to give place for liver. Both kidneys wrapped by two fatty tissues (fat perirenal and fat pararenal) what assists damps convulsion.

At adult, kidney has footage around 11 cm and thickness of 5 cm weighing around 150 grams. Kidney has form like bean with hollowing facing inside.

In the External part from kidney called as cortex, deeper part again is called as medulla. Innermost part called as pelvis. Kidney wrapped by diffuse tie network layer so-called kapsula.

Elementary functional unit from kidney is nephron which can amount to multiple million fruits in one normal kidneys of adult man. Functioning nephron as water regulator and solute (especially electrolyte) in body selective blood, then mereabsorpsi dilution and molecule which still be required body. Molecule and rest of other dilution will thrown. Reabsorpsi and disposal is done to applies mechanism of countercurrent exchange and kotranspor. End result that is then is excretion called as urine.

a nephron consisted of a buffer component so-called corpuscle (Malphigi body) what continued by channels (tubulus). Every corpuscle contains blood capillary roll so-called glomerulus staying in kapsula Bowman. Every glomerulus gets blood stream from afferent artery. Capillary wall from glomerulus has pore for filtration or screening. Blood can be filtered through thin epithelium wall having pore from glomerulus and kapsula Bowman because of existence of pressure from blood pushing blood plasma. Filtrate yielded will step into dalan kidney tubulus. Blood which has been filtered will leave kidney through?via artery eferen.

Among blood in glomerulus and room contains dilution in kapsula Bowman there are three layers, they is:
1. capillary as endothelial cell at glomerulus.
2. rich layer of protein as elementary membrane.
3. as cell epitel arranges in layers wall kapsula Bowman (podocyte).

By using pressure, dilution in blood is pushed to exit from glomerulus, pass third of layer and comes into room in kapsula Bowman in the form of filtrate glomerular. Blood plasma filtrate doesn't contain corpuscle and or big protein molecule. Protein in the form of detectable small molecule in this filtrate. Man blood pass kidney 350 times every day with speed of 1,2 litres per minute, yields 125 cc filtrate glomerular per the minute. Screening speed of this glomerular applied for test diagnosa kidney function.

Kidney tubulus is continuation from kapsula Bowman. Part of this flowing filtrate glomerular from kapsula Bowman called as konvulation tubulus proksimal. Part hereinafter is arching Henle having estuary at distal konvulation tubulus. Curve Henle called based on the inventor is Friedrich Gustav Jakob Henle in the beginning of year 1860-an. Curve Henle takes care of gradient osmotic in transfer against the stream applied for filtration. Cell arranging in layers tubulus to have many mitochondria yielding ATP and enables the happening of active transport to reabsorb glucose, amino acid, and various mineral ions. Most of water (977%) in filtrate comes into convullation tubulus and tubulus colectivus through osmosis.

Dilution flows from distal konvulation tubulus into compiler system consisted of:
* link tubulus
* tubulus kolektivus kortikal
* tubulus kloektivus medularis

Place of curve Henle contact with afferent artery called as apparatus juxtaglomerular, contains macula densa and cell juxtaglomerular. Cell juxtaglomerular is place the happening of synthesis and secretion of renin. Dilution becomes more and more viscid alongside tubulus and channel to form urine, which then is brought to urinary bladder to pass ureter.

Acute Renal Colic Diet

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Purpose of diet at acute renal colic patient is to give food sufficiently without weighing against kidney job. Reduces rate urein in blood. Balances dilution and electrolyte at patient. Improve and maintains nutrition optimal status at patient and quickens healing.

Condition of Diet
Diet conditions passed to acute renal colic patient is:
1. Giving of enough energy to prevent Catabolism namely 25 - 35 kkal/kg BB.
2. Requirement of protein adapted for Catabolism of protein that is 0, 6 - 1, 5 kg/kg BB.
3. Medium fat that is 20 - 30% from requirement of total energy.
4. Carbohydrate counted rest of requirement of energy after lessened number of energies obtained from protein and fat. Limited usage of simple carbohydrate or pure sugar if patient suffers hypertrigiseridmia.
5. If it is followed anuria, limits giving of sodium and potassium.
6. Requirement of dilution is added 500mL in the place of secretory dilution passed vomit, diarrhoea and urine.
7. Gives food in the form of parenteral or enteral formula if ability of patient to eat low.

Diet Type and Indication
Diet type passed to acute renal failure patient there are 2 type, that is soft acute renal failure diet and liquid acute renal failure diet. Diet type given to patient adapted for condition and condition of protein Catabolism. At light Catabolism or at drug intoxication case, can be given food per oral air mechanism in the form of slack food. At medium catabolic or at infection case and peritonitis and heavy catabolic at singe case and sepsis, patient is given parenteral and enteral formula food.

Acute Renal Colic

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This disease happened because lowering of kidney function on the spur of the moment which seen at degradation of glonerule filtration rate (GFR) or test cliron creatinin (TKK) and annoyed it ability of kidney to release metabolism pickings product. This disease accompanied oligluria (urine less than 500mL/hari) until anuria. This disease cause all kinds, like lacking of body fluids redundantly as result of diarhoea and vomit, super haemorahage or trauma at kidney as result of accident, drug intoxication and singe. At acute renal failure happened Catabolism of abundant protein (hypercatabolism) what influenced by: condition of disease, kidney function trouble, nutrition status at patient and therapy given.

Giving of diet adapted for to be fourth of the thing. This disease symptoms can be accompanied anorexia, nauvea, fatigue easy to, itchy, sleepy, confused and asphyxia. In condition of medium catabolism and weight, patient requires dialysis. If factors cause of upper able to be overcome, disease at this remediable kidney meaning kidney function to regain normal.

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