MUBODILAI OBU NAMAK

MUBODILAI OBU NAMAK, majmui ravandhoi istifodai obu namak (elektrolit)-ho, jabbish, taqsimot va az organizm khorij shudani onho. Talaboti shaboruzii odam ba ob taqr. 2,2 l ast, ki 1 l onro u ba tavassuti gizo megirad. Dar yak shaboruz gurdaho 1 – 1,2 l va rudaho taqr. 0,2 l ob khorij mekunand; odam bo araq va bugi pust taqr. 0,5 l, bo nafas taqr. 0,4 l obro talaf medihad.
M. baroi dar yak saviyai zaruri nigoh doshtani unsurhoi tarkibi moehoi dokhil va khoriji hujayraho musoidat mekunad. Dar plazmai khuni odam konsentratsiyai ionhoi elektrolitho doimi va ba surati zayl ast (ba hisobi mmol/l): natriy – 140, kaliy – 4,2, kalsiy – 2,5 (az jumla kalsiye, ki bo safedaho payvast nest), magniy – 0,9, khlor – 103, ioni bikarbonati HCO3- – 26, ioni sulfati SO42- – 0,6. Sababi tafovuti tarkibi namakhoi plazmai khun va moei bayni hujayraho sust budani nefuzpazirii devorai muragho baroi safedaho ast.
Ikhtiloli M. dar jam omadan yo baraks, norasoii moeho dar organizm, paydoishi varam, baland yo past shudani fishori osmosii khun, ikhtiloli muvozanati konsentratsiyai ionho va tagyir yoftani nishondodi gidrogenii khun (atsidoz va alkaloz) zuhur meyobad. Donistani vazi patologie, ki hangomi on tarkibi ionii plazmai khun yo konsentratsiyai ionhoi judogona tagyir meyobad, baroi tashkhisi tafriqii bemorihoi gunogun mufid ast (nig. Mubodilai mineralho).
Talaboti shaboruzii kudakoni to yaksola ba ob 100 – 165 ml/kg ast, ki nisbat ba kalonsolon 2 – 3 marotiba ziyod meboshad. Kudaki 1-moha dar yak shaboruz 100 – 350 ml, 6-moha – 250 – 500 ml, 1-sola – 300 – 600 ml, 10-sola – 1000 – 1300 ml peshob meronad. Buzurgii nisbii diurezi shaboruzii kudakon dar soli avvali hayot nisbat ba kalonsolon 2 – 3 marotiba ziyod meboshad. Tarkibi namakhoi moei khoriji hujayra va plazmai khun dar kudakon va kalonsolon chandon farqiyat nadorad. Dar kudakon ikhtiloli nisbatan vaznini M. hangomi bemorihoi rohi medayu rudaho, gadudhoi boloi gurda, nefropatiya va illati khungardish ba vuqu mepayvandad.

F. A. SHukurov.