RESUMO
In the treatment of pyelonephritis which continues to cause problems in practical uronephrology, the main efforts of the clinicians are now directed at enhancement of the patients resistance, improvement of renal blood flow and urodynamics. Acupuncture (AP) is thought capable to meet the above requirements. It was used in combined treatment of 102 pyelonephritis cases (51 with acute and 51 with chronic manifestations) showing intact renal function. According to radionuclide renography, a positive trend in the secretion and urodynamics of the upper urinary tract was demonstrable in 50% of the patients. Dynamic nephroscintigraphy reported a positive response in 60% of cases versus 25% in those treated without AP. AP promotion of earlier recovery or remission, reduction of the scope of chemotherapy, good short- and long-term response permit this modality to be recommended for application in urological and nephrological practice.
Assuntos
Terapia por Acupuntura , Pielonefrite/terapia , Pontos de Acupuntura , Doença Aguda , Adolescente , Adulto , Doença Crônica , Terapia Combinada , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Gravidez , Complicações na Gravidez/diagnóstico por imagem , Complicações na Gravidez/epidemiologia , Complicações na Gravidez/imunologia , Complicações na Gravidez/terapia , Pielonefrite/diagnóstico por imagem , Pielonefrite/epidemiologia , Pielonefrite/imunologia , Renografia por RadioisótopoRESUMO
A device for determining red cell deformability is described. The studies have demonstrated that in normal subjects the red cell deformability is sufficiently high and the cells penetrate through a filter with pore diameter of 5 microns, whereas in the patients with chronic renal insufficiency this parameter is reduced (p less than 0.001).
Assuntos
Equipamentos e Provisões , Deformação Eritrocítica , Humanos , Falência Renal Crônica/sangue , Valores de ReferênciaRESUMO
A study of 24 patients with chronic renal failure and varying degrees of uremia and clinical symptoms was carried out in order to assess the mechanisms of anemia developing in patients on systematic hemodialysis for chronic renal failure. Blood clinical and biochemical parameters were evaluated. Sternal bone marrow puncture was performed to assess erythron status. Proliferative activity of bone marrow erythroid cells was assessed by autoradiography. Ineffective erythropoiesis was studied using MacManus' PAS test. The results of the study suggest that proliferative activity of bone-marrow erythroid cells is reduced while ineffective erythropoiesis is increased in patients with terminal chronic renal failure, treated by systematic hemodialysis, and largely explain the mechanism of anemia in these patients.