{UTF-8} ******************************************************** .eisen ********************************************************~ Simulation: Peter Bützer | freisetzen= kf*mg Speicher ~ mg/Day ~ | Aufnahme Faktor= IF THEN ELSE("Serum-Ferritin"/(mg Plasma+0.15)>4, 4, "Serum-Ferritin"/(mg Plasma+0.15\ ) ) ~ Dmnl [0,4] ~ Unterhalb 0.03 mg/L Fe im Blut wird das Eisen besser aufgenommen | ausscheiden= kr*(1-Bioverfügbarkeit*Aufnahme Faktor)*mg Verdauungstrakt ~ mg/Day [0,?] ~ Ausscheidung: Reaktion 1. Ordnung | ku= ln(2)/HWZu ~ 1/Day [0,?] ~ | mg Blut= INTEG ( +resorbieren-eliminieren-speichern-umwandeln+freisetzen, 0) ~ mg [0,?] ~ | mg Plasma= INTEG ( -umwandeln, 0) ~ mg ~ | kf= 0.23 ~ 1/Day [0.1,0.4] ~ Die Freisetzung von Fe aus der Leber hat eine HWZ von ca. 72 Std. \ (=ln(2)/3) | mg Verdauungstrakt= INTEG ( aufnehmen-ausscheiden-resorbieren, 0) ~ mg ~ | HWZu= 0.0694 ~ Day [0,0.1] ~ HWZ von Plasma Fe wurde zu 100 Minuten bestimmt (Lang, S.63) --> 100/(24 x \ 60) = 0.0694 Tage | "Serum-Ferritin"= 0.235*5 ~ mg [0,235] ~ Serum-Ferritin normal 30 - 235 Mikrogramm pro Liter, Annahme: 5 Liter \ Blut: Faktor 5 | speichern= ks*mg Blut ~ mg/Day ~ Das Depoteisen macht ca. 20% aus. | umwandeln= ku*mg Plasma-0.00143*ku*mg Blut ~ mg/Day [0,?] ~ Im Plasma hat es ca. 4 mg Fe, im Blut ca 2800 mg(4/2800=0.0014286) | mg Speicher= INTEG ( +speichern-freisetzen, 0) ~ mg ~ | resorbieren= kr*(Bioverfügbarkeit*Aufnahme Faktor)*mg Verdauungstrakt ~ mg/Day [0,?] ~ Aufnahme:: Reaktion 1. Ordnung | aufnehmen= ka*Dosis ~ mg/Day [0,?] ~ mg Aufnahme pro Tag | Bioverfügbarkeit= 0.1 ~ Dmnl [0,0.4] ~ Mittlere Eisenaufnahme im Darm: 10% (=0.1); maximal 40% (=0.4) | Dosis= 25 ~ mg [0,100] ~ | eliminieren= ke*mg Blut ~ mg/Day [0,?] ~ | HWZe= 568 ~ Day [0,600] ~ Konrad Lang, S.65 (mit Fe-59 bestimmt) | ka= 4 ~ 1/Day [0,10] ~ Aufnahmegeschwindigkeit pro Tag | ke= ln(2)/HWZe ~ 1/Day [0,?] ~ | kr= 6 ~ 1/Day [4,8] ~ Aufnahme HWZ ca. 2 - 4 Stunden = 2/24 bis 4/24 Tage --> kr=ln(2)/HWZ | ks= 0.03 ~ 1/Day [0.01,0.05] ~ Der Speicher braucht bei 100 mg Fe-Zufuhr/Tag ca. 90 Tage, bis er vom Blut \ aufgefüllt ist, nachdem das Blut Normalwerte erreicht hat. Das wird mit \ ks= 0.03 (=ln(2)/23) etwa erreicht. Der Speicher hat dann mit derselben \ Zufuhr ca. 1/5 der Eisenmenge vom Blut. | ******************************************************** .Control ********************************************************~ Simulation Control Parameters | FINAL TIME = 360 ~ Day ~ The final time for the simulation. | INITIAL TIME = 0 ~ Day ~ The initial time for the simulation. | SAVEPER = TIME STEP ~ Day [0,?] ~ The frequency with which output is stored. | TIME STEP = 1 ~ Day [0,?] ~ The time step for the simulation. | \\\---/// Sketch information - do not modify anything except names V300 Do not put anything below this section - it will be ignored *View 1 $192-192-192,0,Times New Roman|12||0-0-0|0-0-0|0-0-255|-1--1--1|-1--1--1|96,96,100,0 10,1,mg Verdauungstrakt,200,185,58,24,3,131,0,36,0,0,0,0,0-0-0,255-192-128,Helvetica|12||0-0-0 10,2,mg Blut,394,184,36,22,3,131,0,36,0,0,0,0,0-0-0,255-0-0,Helvetica|12||0-0-0 10,3,mg Speicher,397,72,37,23,3,131,0,36,0,0,0,0,0-0-0,255-128-192,Helvetica|12||0-0-0 12,4,48,25,178,10,8,0,3,0,32,-1,0,0,0,0-0-0,0-0-0,Helvetica|12||0-0-0 1,5,7,1,4,0,0,22,0,0,0,-1--1--1,,1|(117,178)| 1,6,7,4,100,0,0,22,0,0,0,-1--1--1,,1|(58,178)| 11,7,48,87,178,5,6,34,3,0,0,1,0,0,0 10,8,aufnehmen,87,195,40,10,40,3,0,32,-1,0,0,0,0-0-0,0-0-0,Helvetica|12||0-0-0 1,9,11,2,4,0,0,22,0,0,0,-1--1--1,,1|(333,184)| 1,10,11,1,100,0,0,22,0,0,0,-1--1--1,,1|(278,184)| 11,11,508,304,184,5,6,34,3,0,0,1,0,0,0 10,12,resorbieren,304,201,42,10,40,3,0,32,-1,0,0,0,0-0-0,0-0-0,Helvetica|12||0-0-0 12,13,48,564,182,10,8,0,3,0,32,-1,0,0,0,0-0-0,0-0-0,Helvetica|12||0-0-0 1,14,16,13,4,0,0,22,0,0,0,-1--1--1,,1|(526,182)| 1,15,16,2,100,0,0,22,0,0,0,-1--1--1,,1|(459,182)| 11,16,48,493,182,5,6,34,3,0,0,1,0,0,0 10,17,eliminieren,493,199,38,10,40,3,0,32,-1,0,0,0,0-0-0,0-0-0,Helvetica|12||0-0-0 1,18,20,3,4,0,0,22,2,0,0,-1--1--1,|12||0-0-0,1|(374,111)| 1,19,20,2,100,0,0,22,2,0,0,-1--1--1,|12||0-0-0,1|(374,149)| 11,20,460,374,132,6,5,33,3,0,0,2,0,0,0 10,21,speichern,332,132,35,10,40,3,0,32,-1,0,0,0,0-0-0,0-0-0,Helvetica|12||0-0-0 12,22,48,196,289,10,8,0,3,0,32,-1,0,0,0,0-0-0,0-0-0,Helvetica|12||0-0-0 1,23,25,22,4,0,0,22,0,0,0,-1--1--1,,1|(196,265)| 1,24,25,1,100,0,0,22,0,0,0,-1--1--1,,1|(196,224)| 11,25,48,196,245,6,5,33,3,0,0,4,0,0,0 10,26,ausscheiden,247,245,45,10,40,3,0,32,-1,0,0,0,0-0-0,0-0-0,Helvetica|12||0-0-0 10,27,ka,53,122,10,10,8,3,0,32,0,0,0,0,0-0-0,0-0-0,Helvetica|12||0-0-0 10,28,kr,245,119,9,10,8,3,0,32,0,0,0,0,0-0-0,0-0-0,Helvetica|12||0-0-0 10,29,ke,514,120,10,10,8,3,0,32,0,0,0,0,0-0-0,0-0-0,Helvetica|12||0-0-0 10,30,ks,296,93,10,10,8,3,0,32,0,0,0,0,0-0-0,0-0-0,Helvetica|12||0-0-0 1,31,27,7,1,0,0,0,0,64,0,-1--1--1,,1|(86,150)| 1,32,1,11,1,0,0,0,0,64,0,-1--1--1,,1|(262,150)| 1,33,2,16,1,0,0,0,0,64,0,-1--1--1,,1|(449,158)| 1,34,28,11,1,0,0,0,0,64,0,-1--1--1,,1|(278,133)| 1,35,2,20,1,0,0,0,0,64,0,-1--1--1,,1|(342,147)| 1,36,29,16,1,0,0,0,0,64,0,-1--1--1,,1|(521,158)| 10,37,Bioverfügbarkeit,307,281,38,22,8,131,0,32,0,0,0,0,0-0-0,0-0-0,Helvetica|12||0-0-0 1,38,37,25,1,0,0,0,0,64,0,-1--1--1,,1|(232,268)| 1,39,37,11,1,0,0,0,0,64,0,-1--1--1,,1|(317,238)| 1,40,28,25,1,0,0,0,0,64,0,-1--1--1,,1|(263,215)| 10,41,HWZe,564,118,24,10,8,3,0,32,0,0,0,0,0-0-0,0-0-0,Helvetica|12||0-0-0 1,42,41,29,1,0,0,0,0,64,0,-1--1--1,,1|(536,115)| 10,43,Dosis,37,233,22,10,8,3,0,32,0,0,0,0,0-0-0,0-0-0,Helvetica|12||0-0-0 1,44,43,7,1,0,0,0,0,64,0,-1--1--1,,1|(81,215)| 1,45,1,25,1,0,0,0,0,64,0,-1--1--1,,1|(224,221)| 1,46,30,20,1,0,0,0,0,64,0,-1--1--1,,1|(331,100)| 10,47,mg Plasma,398,294,33,21,3,131,0,36,0,0,0,0,0-0-0,255-255-128,Helvetica|12||0-0-0 1,48,50,2,4,0,0,22,0,0,0,-1--1--1,,1|(397,217)| 1,49,50,47,68,0,0,22,2,0,0,-1--1--1,|12||0-0-0,1|(397,256)| 11,50,188,397,234,6,5,33,3,0,0,4,0,0,0 10,51,umwandeln,444,234,41,10,40,3,0,32,-1,0,0,0,0-0-0,0-0-0,Helvetica|12||0-0-0 1,52,2,50,1,0,0,0,0,64,0,-1--1--1,,1|(358,222)| 1,53,47,50,1,0,0,0,0,64,0,-1--1--1,,1|(448,276)| 10,54,HWZu,499,300,23,10,8,131,0,32,0,0,0,0,0-0-0,0-0-0,Helvetica|12||0-0-0 10,55,ku,504,246,10,10,8,3,0,32,0,0,0,0,0-0-0,0-0-0,Helvetica|12||0-0-0 1,56,55,50,1,0,0,0,0,64,0,-1--1--1,,1|(466,219)| 1,57,54,55,1,0,0,0,0,64,0,-1--1--1,,1|(538,266)| 10,58,"Serum-Ferritin",333,359,30,19,8,131,0,32,0,0,0,0,0-0-0,0-0-0,Helvetica|12||0-0-0 10,59,Aufnahme Faktor,214,335,37,18,8,3,0,32,0,0,0,0,0-0-0,0-0-0,Helvetica|12||0-0-0 1,60,58,59,1,0,0,0,0,64,0,-1--1--1,,1|(266,361)| 1,61,47,59,1,0,0,0,0,64,0,-1--1--1,,1|(336,334)| 1,62,59,25,1,0,0,0,0,64,0,-1--1--1,,1|(163,290)| 1,63,59,11,1,0,0,0,0,64,0,-1--1--1,,1|(338,239)| 10,64,kf,469,76,8,10,8,3,0,32,0,0,0,0,0-0-0,0-0-0,Helvetica|12||0-0-0 1,65,67,2,4,0,0,22,0,0,0,-1--1--1,,1|(414,147)| 1,66,67,3,100,0,0,22,0,0,0,-1--1--1,,1|(414,109)| 11,67,252,414,128,6,5,33,3,0,0,4,0,0,0 10,68,freisetzen,457,128,36,10,40,3,0,32,-1,0,0,0,0-0-0,0-0-0,Helvetica|12||0-0-0 1,69,3,67,1,0,0,0,0,64,0,-1--1--1,,1|(441,104)| 1,71,64,67,1,0,0,0,0,64,0,-1--1--1,,1|(467,98)| 12,72,0,919,313,298,192,3,188,0,0,1,0,0,0 Metabolismus ///---\\\ :GRAPH Metabolismus :X-AXIS Time :SCALE :VAR mg Speicher :LINE-WIDTH 2 :VAR mg Blut :LINE-WIDTH 3 :L<%^E!@ 1:Current.vdf 9:Current 23:0 15:0,0,0,1,0,0 19:100,0 27:2, 34:0, 4:Time 5:mg Plasma 24:0 25:360 26:360