Physiology: The Science of the BodyMartin, Ernest G.
Science
Physiology: The Science of the Body
Martin, Ernest G.
Physiology
All the other materials that are in the blood are held back by the
filter, so that nothing escapes from it in these places except water and
salts. Further along each of the tiny tubes is a section which is
surrounded by a network of fine blood vessels where two things take
place; the first of these is the taking out from the blood of the
various kinds of waste products; the second is the absorbing back into
the blood of part of the water which filtered out through the knot at
the tip of the tube. Beyond the point where these things happen the tube
does nothing except to convey the finished kidney secretion, or urine,
down to the outlet where opens a very large tube, the _ureter_, by which
the kidney secretion is carried down to the bladder. The formation of
urine is made up then of three stages; first the filtration of water and
salts out of the blood, second the escape from the blood into the kidney
tube of the various waste products of cell activity, and third, the
reabsorption into the blood of part of the water. It is estimated that
about four times as much water filters out from the thousands of tiny
filters at the tips of the kidney tubes as comes out at their ends to be
carried down to the bladder. We do not understand exactly why this
should happen; one result of it is to make the urine contain about four
times as much salt as the blood; the water that filters out at the
beginning of the kidney tube carries with it just the amount of salt
that is dissolved; after the water is reabsorbed the salt is left behind
in the kidney tube, so that all the salt that filters out stays in the
urine, but only about a quarter of the water. The discharge of waste
products is easier to understand than the way in which the water is
handled; all organic substances which happen to be in the blood and
which do not belong there pass out from the blood during its passage
through the fine network surrounding the kidney tubes. Of course we do
not know just how this is carried on; there must be some special
features about the protoplasm in this part of the kidney to cause these
substances to pass out from the blood here and nowhere else. Not only
waste products of cellular activity, but also all or nearly all the
organic accessories of the diet and all drugs taken as medicine leave
the blood in this region.
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