Koko - ka mea, o ke kumu nui o ke kinowai kino o na 'ia, akā, no ka mea, he nui kona hiʻona: naehana hanu,'aiaola, halihali, a he nui na mea e ae. No kā lākou mau hana ana, ua mea he incredibly luna '' ole. Kēia mea,ʻaʻole wale nō hoʻokino hehee wale, akā, i ka ai iiiaanoaa o ka lawe nā polokina (albumin, haptoglobin, transferrin), clotting aʻe (FI-FXIII), e like me ka hoʻokō'ōnaehana, aooa? Nenoai o ke kino, etc. I ka lako pono ai i nā mea a pau a kona eiiiiiaiou hiki ke hoʻolauna i ka manawa like me ka ālai ia 'aʻe i kekahi i kekahi, a me ka malama i ko lakou ano hoopono a me ka aayoaeuiinoe, i kēia lole i ka huapalapala o ia a eia i i kākoʻo ka mea, i loko o ka wai a me ka moku'āina. Ke'ōlelo mai, no ka paʻa oncotic puʻe pono ikaika dala o ke kumuʻiʻo, e malama i kaʻakika-kumu equilibrium - aooa? Koko'ōnaehana, osmotic waiwai - electrolyte kaulike kekahi mau Ion - paʻakai, potasiuma, chlorine, makanekiuma a me ka kalipuna. He hoi loa nui i ka lākiō o ka coagulation a me ka anticoagulation nenoai, keia clotting kumumea me ka e ia i loko o ka AEeOEXAaI pae. Ana wela e loli ai i ka moku'āina o nā polokina, a me ka hapa puʻe o kinoea (oxygen a me ke kalapona'okikene lua) hōʻike i ka degere o naehana kuleana pili i.
'ole
Aooa? Nenoai wai koko - i ka papa kuhikuhiE iho, e malama i pH, no ka mea, mea ma kona ho'ākāka nā hoailona e kahe ai iiiaanoaa o Nine Inch reactions. E kōkua iā lākou, he mea ka e auaaeaiea o ke kalapona'okikene lua a me ka malamalama metabolites - nā puʻupaʻa.
Akā, ka mea, o ke koko aooa?'ōnaehana - he ai-i kapaia mua laina o ka pale ma ka loli iki ana ia i loko o nā nā hoailona o ka permanence. Ka mea, he poe elua like eiiiiiaiou - mau pou a me ka proton acceptor, hoomaikai ana i ka pilina o ka hana a ka mea, e hiki nā alkalify a me ka oxidizing 'ia. Ma kānaka, he 4 aooa koko'ōnaehana: bicarbonate (acceptor Na / KHCO3 + H2CO3 mau pou), posapahate (mau pou H2PO4 + acceptor i loko o ka palapala o kona paʻakai 'ole potasiuma paakai), hemoglobin (mau pou - iho hemoglobin / ia o ka o oxygen-kinona, oiai ka acceptor - pili a me ka pilina ia - gemoglobinat / oksigemoglobinat). A no hoi lolilua waiwai i wai koko nā polokina a e like malama i ka waihona ipu, a me kaʻakika. Pela, ke buffering nenoaiu o ke koko pH ua mālama i loko o ka meakino huahelu o 7.35 (i loko o na aa koko) a me 7.40 (i loko o na arteries).
ka pH
I ka wā i kekahi mai ia lŘlŘ ka pioloke o metabolic keʻano o ka hanaʻana i loko o ke kino, hoikeia ma ka hooulu ana o ke koko alkalosis (predominance kona'ākilikai meakino) ole acidosis (ʻakika). Kēia e loli ai i ka ho okumu i hehee wale, kā lākou destabilizing halepaahao membranes a me nā polokina hihia hoʻi i kā lākou 'ole. Ke'ōlelo mai, Nine Inch reactionsʻoluʻolu o ka maʻamau a me pathological holo: loa i ke koko clotting, ho'ā hope o ka'ōnaehana paleʻea muli o ke alo o kona mau keena, a, ma ka hana, o ka hopena maikaʻi 'ole ma o ka Central ko mākou hopohopo'ōnaehana (mea, lalau mai encephalopathy). Ua hiki aku i ke kūpono 'ana o complications a me ka worsening o ka maʻi papa, a me ka noho pilikia loa, hiki ke holo maomeka nahae o ka ike paka i o ka hoʻomanawanui a hiki i ka ulu ana o coma.