S?

1
S?µas?a t?? ?ate???aµ????, t?? a??e??te?s????
II, t?? a?d?ste????? ?a? t?? ???p????
?at??????t???? pept?d??? (ANP) st? ???µ?s? t??
????? t?? e????tt????? ?????
Dr. ???st?? ?pa?t?? ?pe?????? ?ef?????????
tµ?µat?? ??????????? Tessa???????
2
???µ?s? e????tt????? ????? ?????
???µ?s? e????tt????? ????? ?????
p??sa???? s????? tase??p?d??e??
?a?d?a??? ???p??
a??ste?? ?????a
p?e?µ????? ?????f???a
a??t??? t???, ?a??t?d???? ß??ß??
pa?aspe??aµast??? s?s?e??
?e?t???? ?e????? s?st?µa
?pat??? ?????f???a
3
???µ?s? e????tt????? ????? ?????
???µ?s? e????tt????? ????? ?????
apa???? s?????
RAAS
s?µpa??t??? ?e????? s?st?µa
???
a?t?d?????t??? ??µ???
p??sta??ad??e?
e?d???????
4
?ate???aµ??e?
ad?e?a????
???ad?e?a????
?t?paµ???
5
ad?e?a????, ???ad?e?a????
?e????
epa?a???f?s? ?a
epa?a???f?s? ?a
6
ad?e?a????, ???ad?e?a????
a????
d??µes?? ?????
3Na
Na
2K
H
Na
Na
G??????, P, aµ?????a
HCO3-
Na Cl-
7
ad?e?a????, ???ad?e?a????
a????
d??µes?? ?????
Na
3Na
?
2K
2Cl-
?
Cl-
Na
H
8
?t?paµ???
a?d?ste????
epa?a???f?s? ?a
9
?t?paµ???
a????
d??µes?? ?????
3Na
Na
2K
H
Na
Na
G??????, P, aµ?????a
HCO3-
Na Cl-
10
RAAS
???ad?e?a????
?ata???t?s? ?at????
ACE
a?d?ste????
a??e??te?s???????
a??e??te?s??? ?
a??e??te?s??? ??
?e????
e????tt????? ?????
a??e??s?spas?
ADH
?ata???t?s? ?dat??
11
?????s? ?e?????
ad?e?e?????? ?p?d??e??
a??e??te?s??? ??
? t?s? st? t????µa p??sa?????
???
? d??d?? ?at???? st?? p???? ????da
12
a??e??te?s??? ??
s?spas? µesa??e???
epa?a???f?s? ?a
a?d?ste????
13
a??e??te?s??? ??
GFR
?e???e?µ??? a?t????s?spas?
? a?t???a?? p?es?
? RBF
s?spas? apa????? gt p??sa?????
? e?d?spe??aµat??? p?es?
? Kf
s?spas? µesa??e???
?
14
a??e??te?s??? ??
d??µes?? ?????
a????
3Na
Na
2K
H
Na
Na
G??????, P, aµ?????a
HCO3-
Na Cl-
15
?????s? a?d?ste?????
?p??a??a?µ?a
a??e??te?s??? ??
???
16
a?d?ste????
17
a?d?ste????
a????st???
d??µes?? ?????
a????
3Na
2K
Na
K
?
Cl-
18
a?d?ste????
?p? espe??aµ???
d??µes?? ?????
a????
3Na
2K
Na
Cl-
Cl-
19
???p??? ?at??????t??? pept?d??
d??a
?e????
d?ape?at?t?ta t????e?d??
epa?a???f?s? ?a
????t???t?ta f?eß??
epa?a???f?s? ?a
a?d?ste????
20
???p??? ?at??????t??? pept?d??
a????
d??µes?? ?????
3Na
Na
2K
H
Na
Na
G??????, P, aµ?????a
HCO3-
Na Cl-
21
S?µp??asµata
?µ???stas? e????tt????? ????? ? ?µ???stas?
?at????
???
RAAS
?t?paµ???
(???-)ad?e?a????