The Body at Work: A Treatise on the Principles of PhysiologyHill, Alex
Science
The Body at Work: A Treatise on the Principles of Physiology
Hill, Alex
Physiology
Such a tubule, viewed as a hydrostatic mechanism, presents three
portions, evidently fitted for different functions: (1) The glomerulus
is an apparatus which allows of the rapid exudation of water from
blood. (2) The contorted portions of the tubule present the appearance
of a secreting mechanism. The large soft, cloudy cells which line them
are eminently fitted to take from the blood, or rather from the lymph
which fills the tissue-spaces which intervene between the walls of the
capillary bloodvessels and tubules, the various substances which they
excrete. (3) The loop of Henle is a remarkable piece of apparatus, the
purpose of which has been a subject of much controversy. Looking at it
from the point of view of hydrostatics, it seems safe to conclude, from
its extremely narrow bore, that it raises the pressure of the fluid
in the glomerulus and first contorted portion; but it may have other
functions also.
A consideration of the arrangement of the bloodvessels of the kidney
bears out the conclusion that the secreting apparatus is divisible into
at least two separate portions, possibly into three. The glomeruli
are supplied by short and relatively wide arterioles. Each arteriole
breaks up, as soon as it enters the capsule, into a bunch of capillary
vessels, which, in the same abrupt manner, reunite to form a venule.
On leaving the capsule, this little vein behaves in a fashion for
which the only parallel is to be found in the portal system of the
liver. Instead of uniting with a larger vein, it again breaks up
into capillary vessels, which supply the contorted tubules and loops
of Henle. The medulla of the kidney is supplied by long arterial
capillaries of the usual type. The short arterioles of the glomeruli
are controlled by nerves which, constricting them, or allowing them
to dilate—possibly by actively causing them to dilate—rapidly
diminish or increase the amount of blood passing through their tufts
of capillary vessels. Here, therefore, is a mechanism by which the
glomeruli can be suddenly flushed with blood—a condition favourable
to exudation into the urinary tubules. The interposition of a second
set of capillaries prevents this sudden flushing from unduly disturbing
the pressure in the vascular system as a whole. In the renal-portal
capillaries of the kidney the blood-pressure is fairly constant and,
presumably, low. The use of the term “renal-portal” is justifiable, not
only on the ground that the vessels of the kidney behave like those of
the portal system of the liver, but also owing to the very significant
fact that in fishes and amphibia the kidney actually has a double
blood-supply. In such an animal as the frog the glomeruli are supplied
with arterial, the tubules with venous, blood. The glomeruli receive
branches from the renal artery, the tubules from a portal system
derived from veins of the abdomen and hind-legs.
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