「SHolroydAtWeilCornellMedQatar/Endocrinology/VasopressinADH/ControlToSweating」の版間の差分
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With sweating, the plasma osmolarity {~=increases~decreases}. This is in the {~same direction as~=opposite direction to} the plasma {~osmolarity-increasing~=osmolarity-decreasing} effect of the water reabsorption from the tubule (through the water channels). The negative feedback {~=increases~decreases} the water reabsorption from the tubule (through the water channels). This will {~increase~=decrease} plasma osmolarity (returning to isotonic). 発汗により血漿浸透圧は {=上昇~低下}する。これは、腎臓/尿細管からの（水チャンネルを通じての）水分再吸収の血漿浸透圧{~上昇~=低下}作用と {~同じ~=逆の}方向であり、負のフィードバックは、尿細管の水チャンネルを {=増加~減少}させ、水分再吸収を {=増加~減少}させる。これは血漿浸透圧を(等張へ向けて) {~上昇~=低下}させる。 | With sweating, the plasma osmolarity {~=increases~decreases}. This is in the {~same direction as~=opposite direction to} the plasma {~osmolarity-increasing~=osmolarity-decreasing} effect of the water reabsorption from the tubule (through the water channels). The negative feedback {~=increases~decreases} the water reabsorption from the tubule (through the water channels). This will {~increase~=decrease} plasma osmolarity (returning to isotonic). 発汗により血漿浸透圧は {=上昇~低下}する。これは、腎臓/尿細管からの（水チャンネルを通じての）水分再吸収の血漿浸透圧{~上昇~=低下}作用と {~同じ~=逆の}方向であり、負のフィードバックは、尿細管の水チャンネルを {=増加~減少}させ、水分再吸収を {=増加~減少}させる。これは血漿浸透圧を(等張へ向けて) {~上昇~=低下}させる。 | ||
//LEVEL:4 | //LEVEL:4 | ||
2020年3月30日 (月) 16:34時点における版
| With sweating, the plasma osmolarity increases, and negative feedback increases the synthesis, secretion, and blood concentration of vasopressin (anti-diuretic hormone, ADH). |
Before sweating (at baseline), we will make the assumption that the subject is in homeostasis with adequate strength of the plasma osmolarity-decreasing effect of water reabsorption (through the water channels, which are increased by vasopressin, ADH) as well as normal plasma and urine osmolarities (isotonic) and urine volume.
Step 1: With sweating, water leaves the plasma and osmolarity increases (concentrated, hypertonic).
Step 2: This is in the opposite direction to the plasma osmolarity-decreasing effect of the reabsorption (through the water channels, which are increased by vasopressin, ADH). Thus, although the strength of the plasma osmolarity-decreasing effect of reabsorption (through the water channels, which are increased by vasopressin, ADH) was adequate before sweating (at baseline), this strength is now too weak (blue) to reverse the increased plasma osmolarity (concentrated, hypertonic) produced by sweating. Control by negative feedback is needed.
Step 3: With the strength of the plasma osmolarity-decreasing effect of the water reabsorption (through the water channels, which are increased by vasopressin, ADH) before sweating (at baseline) being too weak (blue), the negative feedback increases (red) (the synthesis, secretion, and blood concentration of) vasopressin (ADH).
Step 4: The water channel-increasing effect of vasopressin (ADH) becomes stronger, which increases the number of water channels. This increases the water reabsorption from the tubule.
Step 5: With the increase in water reabsorption, diluted (hypotonic) solution enters the plasma. This will lead to a reverse in the increased plasma osmolarity (concentrated, hypertonic) produced by sweating, decreasing it towards normal (baseline, isotonic) osmolarity. Because diluted (hypotonic) solution leaves the tubule due to reabsorption, the fluid remaining in the tubule has increased osmolarity (concentrated, hypertonic). Also, with the increase in water reabsorption, there is less water remaining in the tubule. Overall, the urine becomes concentrated and decreases in volume.
Challenge Quiz
With sweating, the plasma osmolarity increases, and negative feedback increases decreases the synthesis, secretion, and blood concentration of vasopressin (anti-diuretic hormone, ADH).
With sweating, the plasma osmolarity increases decreases . This is in the same direction as opposite direction to the plasma osmolarity-increasing osmolarity-decreasing effect of the water reabsorption from the tubule (through the water channels). The negative feedback increases decreases the water reabsorption from the tubule (through the water channels). This will increase decrease plasma osmolarity (returning to isotonic). 発汗により血漿浸透圧は 上昇 低下 する。これは、腎臓/尿細管からの（水チャンネルを通じての）水分再吸収の血漿浸透圧 上昇 低下 作用と 同じ 逆の 方向であり、負のフィードバックは、尿細管の水チャンネルを 増加 減少 させ、水分再吸収を 増加 減少 させる。これは血漿浸透圧を(等張へ向けて) 上昇 低下 させる。
With sweating, water enters leaves the plasma and osmolarity increases decreases .This is in the same direction as opposite direction to the plasma osmolarity-decreasing effect of the water reabsorption (through the water channels, which are increased by vasopressin, ADH). Thus, although the strength of the plasma osmolarity-decreasing effect of water reabsorption (through the water channels, which are increased by vasopressin, ADH) was too weak adequate too strong before sweating (at baseline), this strength is now too strong adequate too weak to reverse the increased decreased plasma osmolarity produced by sweating. The negative feedback increases decreases (the synthesis, secretion, and blood concentration of) vasopressin (ADH). The water channel-increasing effect of vasopressin (ADH) becomes stronger weaker , which increases decreases the number of water channels. With the increase decrease in water reabsorption from the tubule, concentrated diluted solution enters the plasma. This will lead to a reverse in increased decreased plasma osmolarity from sweating, increasing decreasing it towards separate from normal (baseline) osmolarity. Because concentrated diluted solution leaves the tubule due to reabsorption, the fluid remaining in the tubule has an increased a decreased osmolarity. Also, with the increase decrease in water reabsorption, there is more less water remaining in the tubule. Overall, the urine becomes concentrated diluted and increases decreases in volume.