Causes = lens is the wrongshape so refractslighttoomuch,eyeball is toolong
Solutions = concave lens (rays divergeoutwards)
Treatments for vision defects - laser eye surgery
Laser is used to vaporise tissue and changes the shape of the cornea
Light will now be refracted differently by the cornea
+ Completely corrects vision - surgeon can precisely take off tissue
— Risk of infection
— Eye reaction could worsen vision
Treatment for vision defects - replacement lens surgery
Treats long-sightedness
Natural lens is removed, replaced with an artificial lens
+ Corrects long sightedness
— Possible retinal damage
— Loss of sight
Treatment for vision defects - contact lenses
Lenses that sit on the surface of the eye - compensates for the fault in focusing
2 types - hard and soft
+ Lightweight
+ More convenient than glasses
+ Almost invisible
— Soft lenses = risk of eye infections
Osmoregulation = control of water levels and mineral salts in the blood
Osmoregulation
Protects cells by stopping too much water from entering or leaving them (keeps a balance)
If body cells gain or lose too much water by osmosis, they don’t function properly
Osmoregulation - high water conc in blood and low conc in cell
Cellsswell and burst
Watermovesinto the cell by osmosis
Osmoregulation - low water conc in blood and high water conc in cell
Cells shrivel up
Water moves out of the cell and into the blood by osmosis
The kidneys
Act as a filter to clean the blood
Stage 1 (Filtration) - unwanted substances (excess water or ions) and waste products (urea) are filtered out of the blood as it passes through the kidneys
Stage 2 (selective reabsorption) - Useful substances like glucose, ions and the right amount of water are absorbed back into the blood
Filtration in the kidneys
Blood passes through the nephron in the kidneys (blood under high pressure which forces small molecules out of the blood, pass into the tubule)
Large molecules like blood proteins stay in the blood (too big to fit through capillary wall)
Selective reabsorption in the kidneys
Kidneys selectively reabsorb molecules which are needed
All glucose
As much water as needed (to keep water levels constant in blood plasma)
As many ions needed (to keep mineral ions balanced in blood plasma)
Formation of urine after selective reabsorption
Molecules that aren’t selectively reabsorbed continuealongtubule as urine which passes to the bladder
Substances = urea,excesswater and ions)
Formation of urea
Proteins are broken down by protease in stomach and SI into amino acids - some stay as excess
Excess amino acids are sent to the liver to be deaminated - amino group is removed and forms ammonia
Ammonia is toxic - converted into urea to make it safer
Urea and water are released from liver and travel to kidneys where blood is filtered
Urea is filtered out of blood, exits body as urine
Hormones in the kidneys
ADH - Anti-diuretic hormone
ADH is made in the pituitary gland
ADH controls the concentration of urine
Dialysis
The usual treatment for someone with kidney failure
Patients are connected to dialysis machine - acts as an artificial kidney
Removes urea and helps to maintain water and salt levels of the blood
Blood and dialysis fluid move in opposite directions to maintain a conc gradient for diffusion
Dialysis fluid
Healthy levels of water and ions - to restore normal levels
Healthy levels of glucose
No urea - low conc in fluid to make sure all urea leaves blood during diffusion
Advantages of dialysis
Prolongs the life of someone with kidney failure
Allows time to find a donor
Temporarily low risk and effective - reduces levels of urea with no need to change glucose, ions or water unless needed
Disadvantages of dialysis
Risk of infection due to needles reentering regularly
Not a cure for kidney failure - temporary treatment until transplant is available
Time-consuming - patient must go 3 times a week for hours
Negatively impacts QOL and finance
Risk of blood clots
Uncomfortable process
Costly to NHS
Advantages of kidney transplant
More permanent treatment
Less time-consuming - dont have to spend hours at the dialysis machine
Cheaper in the long term - dialysis is costly especially if done regularly
Disadvantages of kidney transplants
Recovery can be hard as its major surgery
Risk of infection
Risk of anaesthetic reaction
Risk of rejection - to prevent this, patients must take immunosupressant drugs which increases risk of disease
Long waiting list for suitable donors
Basic concept of dialysis
Unwanted substances will diffuse into the fluid due to a conc gradient
Wanted substances will stay in the blood and be returned to the patient
Tropism = turning and growth in response to a stimulus