This is the maintenance if a constant internal body
environment. It usually involves a negative feedback
mechanism.
Osmoregulation
The kidneys
Urea is carried in the blood to the kidneys. It is here that unwanted substances
in the blood are removed.
There are two kidneys, one on each side of the body on the back side of the
abdomen. Each kidney receives blood from a renal artery that branches odd from
the aorta. In the kidney there are many renal tubules called nephrons in which the
blood is filtered and cleaned. The blood then leaves the kidney in a renal vein.
The waste, such as urea, and extra urine, not passes down a ureter to
the bladder. When it is full, the bladder wall contracts and the urine
passes to the outside through the urethra.
Each kidney is divided into an outer cortex and an inner medulla. When
blood enters the kindey, tiny blood vessels carry it it to the nephron. Each
nephron begins in the cortex with a Bowman's Capsule. When the urine has
been formed, it enters a collecting duct that carries it through the medulla to
the kidney pelvis. Here is drains into a ureter to be carried to the bladder.
The Nephron
The afferent arterole is wider than the efferent one so the
pressure in the glomerulus goes up. All the blood, except for
plasma, protein and cells is forced into the Bowman's
Capsule. This is FILTRATION. In the first coiled tube all the
glucose and 80% of the salt and water is reabsorbed into the
blood. The loop of Henle concentrated salt in the medulla.
The second coiled tube reabsorbs some more salt and then
drains into a collecting duct. This passes through the medulla
to the pelvis. AS it does so, 19% of the remaining 20% of
water is reabsorbed by osmosis.
Control of Kidney Functions
When the blood is too salty, the Hypothalamus increases the pituitary release of
Anti-Diuretic hormone (ADH). This causes more water to be reabsorbed in the kidney,
which results in less urine.
When the blood is too watery, the Hypothalamus decreases
the pituitary release of Anti-Diuretic hormone (ADH). This
means less water is reabsorbed and more urine is produced.
Dialysis
In kidney failure there is no filtration of blood into
the Bowman's Capsule. Therefore no urine is made
and the waste products build up to dangerous levels
in the blood.
To clean the blood a sufferer will have to go on a
dialysis machine for 4 to 5 hours, 2 to 3 times a week.
The blood is taken out from the body and
passed through a pump (to increase blood
pressure and to keep the blood flowing)
before entering the machine. The machine
has dialysis fluid separated from the bloody
by a thin membrane. The clean blood from
the machine passes through a bubble trap (to
stop air embolisms from occurring) before
being returned to the body.
The dialysis fluid contains the same substances that
the blood wants to keep. The dialysis fluid does not
contain the substances that the blood wants to lose.
Therefore the unwanted substances pass from the
blood into the fluid to be removed while the useful
substances do not.
Kidney Transplants
Each person has 2 kidneys but can survive with 1. Therefore a large number of kidney transplants
come from close relatives of the sufferer. The kidney is attached to the circulation in a different
part of the body. It is not without risk because it is a full surgical operation, which puts the body
under strain. This is not bad for the donor, but the recipient must not already be too weak due to
the diseased kidneys. There is also a possibility that the kidney could be rejected.
Our immune system is geared up to recoginse the foreign
cells or pathogens. However, it will respond in the same
way to any foreign cells in the body. Foreign antigens on
the cells may be recognised as such and cause the
lympohcytes to produce atnibodies against the
transplanted organ. The kidney will be rejected.
There are certain antigens that causes the most severe
immune system response. It is vital that as many of these
antigens on the recipient's cell match those on the
donor's cells. This match is called TISSUE TYPING.
Even when the match is very close the patient will have to take
immunosuppressant drugs for the rest of his or her life. This
means that the immune system is dampened down and the
patient is at risk of catching other pathogens.
Water and salt control
Thermoregulation
Temperate control
Ectotherms are 'cold blooded' animals. They depend in the
environment and behaviour to control body temperature.
Endotherms are 'warm blooded' animals. They generate their own heat
energy to maintain a constant core body temperature, 37C in a human.
Temperature Perception
Thermorecepter cells in the skin respond to
changes in environmental temperature and send
impulses, via nerves, to the thermoregulation
centre in the Hypothalamus. However the more
important trigger is the temperature of the blood
flowing close the the Hypothalamus because it is a
direct effect of body temperature.
Responses to Changes in Temperature
If the core body temperature exceeds 37C, the thermoregulation centre
sends out nerve impulses that have the following effects
Sweat Glands- secrete sweat onto the skin surface. This leads to
heat loss and cooling of the skin by evaporation.
Erector Muscles- in the skin relax and the
hairs lie flat. This increases the affect of air
movements for heat lose by convection and
radiation.
The Arterioles- leading to capilleries in the skin vasodilate
(get wider) to allow much more warm blood through the
adipose (fat) layer to get close to the skin surface.
If the core body temperature
falls below 37C
Sweat Production- is stopped
Erector Muscles- contract and hairs stand up to trap an
insulating layer of air next to the skin.
The Arterioles- to the skin vasoconstrict (get
narrower) and most blood stays within the body,
separated from the skin surface by the insulating
adipose (fat) layer.
The Thyroid Glands- gets more active, the body's metabolic rate
increases and more heat energy is released.
Voluntary Skeletal Muscles- start to contract
and relax involuntarily. This shivering releases
more metabolic heat and generates heat from
friction.
Glucoregulation
Blood glucose control
Starch is digested into glucose and
absorbed into the blood. There is more
than the body needs so the excess must
be stored for later. The glucose level in
the blood stimulates hormones from the
Isles of Langhhans in the pancreas.
If the blood glucose levels are too high,
the pancreas is stimulated and insulin is
released. The liver then absorbs glucose
and forms GLYCOGEN and the blood
glucose levels decrease.
If the blood glucose levels are too low,
the pancreas is stimulated and glycogon
is released. The liver converts this into
glucose and this enters the blood. This
causes the blood glucose levels to return
to normal.
Diabetes
If there is little or no insulin, the excess glucose is
not stored in the liver; it stays in the blood to
produce a sugary filtrate. The sugar in it makes it
hold onto the water by osmosis. A large volume of
sugary urine is formed.
Symptoms- thirst, lack of
energy, kidney damage,
damage to blood vessels
in the eyes, coma, death
Treatment
Injection of insulin directly into the blood. It
cannot be taken in tablet form because insulin
is a protein and would be digested.
The insulin used in human insulin from genetically
modified bacteria. It is a mixture of insulin for an
immediate effect and proinsulin for a longer lasting
effect. Some patients have an insulin pump under the
skin to provide a more regular dose than injections.
Multiple Insulin Injections
Advantages- discreet:
injection syringe or pen
can be carried around
in a bag and used in
privacy, equipment is
cheap
Disadvantages- greater chance of
extreme high or low blood glucose
concentration, uses more insulin
each day
Insulin Pump
Advantages- Better control of blood
glucose concentration, uses less
insulin per day
Disadvantages- must be warn almost all the
time, equipment more expensive
Diagnosis
The Glucose Tolerent Test
Type 1 diabetes is an
autoimmune responses against
the pancreas cells that make the
insulin.