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  • 7/23/2019 Jurnal Hipokalemik Danielbiologi.blogspot.com for Free

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    / Hkdgtkpgtjum Rkpghgcj Ihjnji TQU@ @t.Qkjluh Knskt 'Lkiuhpkq Ie`gipetkn Unj|etqjpkq Dtksjokzk Mkhknc

    HKRGTKN IKQUQ

    FJRGIKHEMJI RETJG@JI RKTKHJQJQ

    Knji Sj okoknpj( Q.M. Kcuqpjnj/

    KDQPTKAP

    K 3-zekt-gh` dgz gl Ok|k gtjcjn( |jqjpe` pfe `gapgt sjpf rtgcteqqj|e sekineqq e|etzpjme fe kpe lgg` agnpkjnjnc Mgngqg`jum Chupkmkp&MQC*. Rtgcteqqj|e sekineqq deckn ltgm fjq hecq kn` qrtek`e` pg pfe ktmq kq sehh &qgmepjmeq khqg pg pfe neai*. Fe aguh` nejpfet skhingt `g knzpfjnc lgt 5< fgutq pfen deckn pg teqgh|e qrgnpkneguqhz.. Se quqreape` pfe `jkcngqjq gl fzrgikhkemja retjg`ja rktkhzqjq urgnpfe fjqpgtz gl erjqg`eq gl lhkaj` rktkhzqjq kn` hgs qetum agnaenptkpjgn gl rgpkqqjum &8 1(5 mmgh'H* `utjnc pfe kppkapq.

    Pfe ahjnjakh evkmjnkpjgn qfgse` pfkp pfjq dgz jq jn cgg` cenetkh kn` nuptjpjgnkh agn`jpjgnq9 eheaptgakt`jgctkm( hkdgtkpgtz dhgg`agunp( utjnkhjqjq( pfztgj`( hj|et( ij`nez lunapjgn( kn` KNK peqp sete ngtmkh kq sehh. Pfe lkmjhz fjqpgtz gl lhkaj` rktkhzqjq skq neckpj|e.Se fk|e rtgmrphz k`mjnjqpete` rgpkqqjum gtkhhz kn` fjq agn`jpjgn skq jmrtg|e` rtgcteqqj|ehz jnahu`jnc heqq ectee gl lhkaj` rktkhzqjq&pfe sekineqq*.

    K cenepja peqpjnc( eheaptgmzgctkrfz &EMC*( muqahe djgrqz kn` kngpfet evkmjnkpjgn fkq ngp retlgtme`.

    Iez sgt`q? Mgngqg`jum Chupkmkp( fzrgikhkemja( lhkaj` rktkhzqjq

    Igteqrgn`enqj &agtteqrgn`enae*? riWtqqkmkhkncBzkfgg.agm

    REN@KFUHUKN

    Fjrgikhemji retjg`ji rktkhjqjq k`khkf iehkjnknzknc `jpkn`kj `enckn ik`kt ikhjum &ikh jum*zknc ten`kf &iutknc `ktj 1.5 mmgh'H* rk`k qkkpqetknckn( jqetpkj tjskzkp erjqg`e iehemkfkn qkmrkjiehumrufkn gpgp qiehepkh. Fjrgikhemjk `krkp petok`j

    iktenk k`knzk lkipgt renaepuq petpenpu( mjqkhnzkmkiknkn `enckn ik`kt iktdgfj`tkp pjnccj( jqpjtkfkpqequ`kf hkpjfkn ljqji( retokhknkn okuf( remdetjkngdkp( gretkqj( menqptukqj( ignqumqj khigfgh `knhkjn-hkjn. Ik`kt jnquhjn ouck `krkp memrencktufjiehkjnkn jnj rk`k dknzki ren`etjpk( iktenk jnquhjnkikn menjncikpikn khjtkn ikhjum ie `khkm qeh. Rk`kqkkp qetknckn kikn petok`j retcetkikn ikhjum `ktjakjtkn eiqptk qehuhkt mkqui ie `khkm qeh( qefjncckrk`k remetjiqkkn ikhjum `ktkf petok`j fjrgikhemjk.Ik`kt ikhjum djkqknzk `khkm dkpkq ngtmkh `jhuktqetknckn. Renaepuq unpui qepjkr jn`j|j`u detde`k(

    ouck pj`ki k`k igtehkqj knpktk deqktnzk renutunknik`kt ik`kt ikhjum qetum `enckn detkpnzkrktkhjqjq &iehemkfkn* gpgp qiehepkh. Ren`etjpk `krkpmenckhkmj qetknckn fknzk qeikhj( pepkrj `krkp ouckqetknckn detikhj-ikhj &detuhknc* `enckn jnpet|khskipu qetknckn ouck det|ktjkqj. Iehemkfkn djkqknzkpetok`j rk`k gpgp ikij `kn pknckn( pepkrj ik`knc-ik`knc `krkp mencenkj gpgp mkpk( gpgp retnklkqkn`kn gpgp unpui menehkn( `j mknk ie`uk iek`kknpetkifjt jnj `krkp detkijdkp lkpkh. Kncik ieok`jknk`khkf qeijpkt ; `jknpktk ;22.222 gtknc( rtjk hedjf

    qetjnc `ktj sknjpk `kn djkqknzk hedjf detkp. Uqjkpetok`jnzk qetknckn retpkmk det|ktjkqj `ktj ;42pkfun( lteiuenqj qetknckn petdknzki `j uqjk ;515pkfun `kn iemu`jkn menutun `enckn renjncikpknuqjk. Fjrgikhemji retjg`ji rktkhjqjq djkqknzk petok`jiktenk iehkjnkn cenepji gpgqgmkh `gmjnkn. Fkh hkjnzknc `krkp menzedkdikn petok`jnzk fjrgikhemjiretjg`ji rktkhjqjq k`khkf pjtgpgiqjigqjq &pfztgpgvjaretjg`ja rktkhzqjq*( fjretjnquhjn.;(;2

    Rk`k hkrgtkn ikquq jnj kikn `jdkfkq penpkncren`etjpk fjrgikhemji retjg`ji rktkhjqjq rk`k knkiuqjk 3 pkfun( `j mknk `jkcngqk rkqpj pj`ki `krkp`jpeckiikn iktenk remetjiqkkn cenepji pj`ki `krkp`jhkiqknkikn jqedkdikn dedetkrk khkqkn ngn me`jq.@uckkn @jkcngqk fknzk `j`kqktikn rk`k tjskzkprenzkijp( remetjiqkkn ihjnji( `kn hkdgtkpgtjum qkok.

    IKQUQ

    Qegtknc knki hkij-hkij quiu Oksk detuqjk 3 pkfun(`jignquhikn unpui remetjiqkkn hkdgtkpgtjum iktenkiehufkn dk`knnzk hemkq djhk mkikn mkiknkn zkncmenckn`unc |epqjn &mgng qg`jum chupkmkp = MQC*.Qepjkr mkikn mkiknkn zknc menck`unc MQC kiknpetok`j iehemkfkn dk`kn( ik`knc qkmrkj pj`ki djqkdet`jtj. Iehemkfkn jnj kikn fjhknc `enckn qen`jtjnzkqequ`kf 5< okm( `j mknk ojik qu`kf ruhjf ren`etjpkcetkiknnzk iemdkhj ngtmkh. Iehemkfkn `jmuhkj`ktj ikij nkji ie kpkq( ik`knc-ik`knc qkmrkj ie

  • 7/23/2019 Jurnal Hipokalemik Danielbiologi.blogspot.com for Free

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    42 Jn`gneqjkn Ogutnkh gl Ahjnjakh Rkpfghgcz kn` Me jakh Hkdgtkpgtz( \gh. ;4( Ng. ;( Ng| 4225? ;:44

    hefet( dkfikn qkmrkj pj`ki `krkp detkipjljpkq qkmkqeikhj( pepkrj ik`knc ouck fknzk tjnckn `j mknkokhknnzk pj`ki qpkdjh. Ceokhk jnj qu`kf petok`j qeokidedetkrk pkfun( iemuncijnkn qeoki uqjk qeighkf(qetknckn petok`j detikhj-ikhj `kn ren`etjpk qu`kfiehjhjnc `ktj qkpu `gipet rjn`kf ie `gipet hkjn.Qkhkf qegtknc `gipet men`jkcngqk qedkckj afjnkqlgg` qzn`tgme( iemu`jkn rk`k qetknckn petkifjtren`etjpk ie `gipet hkjn hkcj `kn `jignquhikn unpuiremetjiqkkn hkdgtkpgtjum( `enckn puoukn menaktjrenzedkd iehkjnkn jnj.

    Rk`k remetjiqkkn ljqji `j`krkpikn iek`kkn umumnkmrki hemkq( ieqk`ktkn igmrgq menpjq( penqj;;2'62 mmFc( nk`j 3

  • 7/23/2019 Jurnal Hipokalemik Danielbiologi.blogspot.com for Free

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    4;Fjrgikhemji Retjg`ji Rktkhjqjq - Sj`okoknpj , Kcuqpjnj

    retnklkqkn.0 Rk`k rkqjen jnj mutnj lhkaaj` rktkhzqjq`enckn fjrgikhemjk `kn kikn qemduf kpku temjqjqen`jtj 5< okm iemu`jkn( `enckn remdetjknikhjum ret gtkh qetknckn menok`j hedjf tjnckn. Pj`kipet`krkp iehkjnkn rk`k gpgp retnklkqkn.

    Ojik pet`krkp iehkjnkn cenepji mkik rk`k knkhjqk`j`krkpikn iehkjnkn knpktk hkjn k`khkf kupgqgmkh`gmjnkn jnfetjpknae zkjpu mupkqj rk`k itgmgqgqmAKANK;Q &32%* `jqedup fjrgikhemji retjg`jirktkhjqjq pjre ;( mupkqj hgiuq rk`k itgmgqgmQAN0K &;2%* jqedup fjrgikhemji retjg`ji rktkhjqjqpjre 4. Mupkqj QAN0K `krkp ouck menzedkdiknFjretikhemji retjg`ji rktkhjqjq pjre ;&FzretRR;*(Rktkmzgpgnjk agncenjpk &RA*( Rgpkqqjum kcctk|kpe`mzgpgnjkq &RKM* kn` tehkpe` `jqgt`etq( mkhjcnkpfzretpfetmjk quqaerpjdjhjpz( Agncenjpkh mzkqpfenjaqzn`tgmeq. FzretRR; menzedkdikn iehemkfkn gpgpzknc `krkp mehjdkpikn gpgp mkpk( penccgtgikn `kndk`kn9 fjretikhemjk qehkmk qetknckn `krkp qkmrkj

    > 5 mmgh'H kpku renjncikpkn ik`kt ikhjum qetum;(5 mmgh'H. Rk`k iek`kkn jnj remdetjkn qurhemenikhjum `krkp menzedkdikn retdutuikn iek`kknren`etjpk. Iehkjnkn-iehkjnkn `j kpkq qetjnc qedkckjiehkjnkn lkmjhjkh.0(;; Rk`k ren`etjpk jnj qkzkncnzkremetjiqkkn EMC( djgrqj gpgp `kn knkhjqk cenepjipj`ki djqk `jhkiqknkikn( qefjncck ikmj pj`ki `krkpmen`jkcngqk qeaktk rkqpj( fknzk retijtkkn jkcngqk(ouck pj`ki `krkp mehkiuikn `jkcngqk dkn`jnc.

    Ijpk qedkckj `gipet `krkp menautjckj k`knnzkfjrgikhemji retjg`ji rktkhjqjq ojik pet`krkp ceokhkiehemkfkn gpgp( ik`kt ikhjumnzk ten`kf qeskipu

    qetknckn( `kn pj`ki `joumrkj iehkjnkn hkjn zknc `krkpmenzedkdikn fjrgikhemj( qetjnc ouck `jqetpkj k`knzktjskzkp iehuktck. Rk`k ren`etjpk jnj pj`ki `j`krkpikntjskzkp iehuktck( `kn pj`ki `jpemuikn renzkijphkjn zknc `krkp menzedkdikn fjrgikhemjk. Qehkmkqetknckn telheiq gpgp `krkp menutun kpku ngtmkh(gpgp menok`j hemkf `kn quhjp det`jtj. Ren`etjpk jnjouck menckhkmj iehemkfkn gpgp skipu qetknckn`kn qedkckj renaepuqnzk k`khkf MQC. Remetjiqkknhkdgtkpgtjum qeretpj `ktkf `kn utjne tupjn( lkkhfkpj( cjnokh( pjtgj`( cuhk `ktkf `kn KNK peqp ngtmkh.@gipet `krkp mehkiuikn peq `enckn memdetjiknqunpjikn jnquhjn `jqetpkj remdetjkn chuigqk qefjncck

    meturkikn renaepuq unpui petok`jnzk renutunknik`kt ikhjum `ktkf `kn `krkp menjmduhiknqetknckn5. Qkzkncnzk rk`k ren`etjpk ouck pj`ki`krkp `jhkiuikn peq jnj( iktenk ren`etjpk menghki `jtkskp `j tumkf qkijp `kn fknzk mku detgdkp okhkn.Fkh jnj iemuncijnkn `jqedkdikn iktenk djkqknzkiehufknnzk kikn fjhknc `enckn qen`jtjnzk `khkm 5