Renal Physiology Review: Filtration, Tubules and Calcium | Part 2 | 腎生理 | OET Music

Dr Allison Lu · Pip & Barnaby · Medical English

本頁提供本曲完整英文歌詞與影片搭配的繁中醫學提示。歌詞保留原演唱文字；遇到過度簡化或舊門檻，請搭配下方提示與原始資料閱讀。這是概念學習材料，不替代個別醫療評估。

Lyrics · 完整歌詞

All filtration is a pressure balance: obstruction raises capsular pressure,
and the filtration rate falls at once.
Is phosphate high in renal failure?
Yes, and low calcitriol with low calcium then drives parathyroid hormone upwards.
On dialysis,
KDIGO keeps parathyroid hormone between two and nine times the upper limit
and restricts calcium-based binders.
Lumen-side glucose is reclaimed only in the proximal tubule,
powered by the basolateral sodium-potassium pump.

All filtration is a pressure balance: obstruction raises capsular pressure,
and the filtration rate falls at once.
Is phosphate high in renal failure?
Yes, and low calcitriol with low calcium then drives parathyroid hormone upwards.
On dialysis,
KDIGO keeps parathyroid hormone between two and nine times the upper limit
and restricts calcium-based binders.
Lumen-side glucose is reclaimed only in the proximal tubule,
powered by the basolateral sodium-potassium pump.

Medical Notes · 醫學學習提示

  1. 過濾取決於壓力平衡；阻塞可提高鮑氏囊內壓
  2. 背壓降低有效過濾壓，嚴重度與持續時間也有影響
  3. 晚期腎病常高血磷；早期仍可正常甚至偏低
  4. 活性 D 與鈣下降可促進 PTH；實際數值須綜合判讀
  5. 以下 PTH 建議適用於透析族群
  6. KDIGO 2017 建議約正常上限二至九倍，並觀察趨勢
  7. 成人限制含鈣磷結合劑；依鈣磷、骨與血管狀態選擇
  8. 濾液葡萄糖在近端回收，包含 SGLT2 與 SGLT1
  9. 基底側鈉鉀幫浦建立梯度，間接驅動鈉糖共同運輸

References