RESUMO
In Mexico, approximately between 200 to 250 patients received a renal transplantation each year. Immediately after the surgical procedure it is important to evaluate the function of the transplanted kidney. Because some complications may arise mainly with unspecific symptoms which often produce oliguria, high levels of serum creatinine, fever and pain at the site of the graft. In this paper we report the nuclear medicine methodology, which we use in the diagnostic evaluation of this patients. These methods are highly specific and provide useful quantitative and qualitative information about these morphology and the function of the transplanted kidney.
Assuntos
Transplante de Rim/diagnóstico por imagem , Coloides , Rejeição de Enxerto/diagnóstico por imagem , Humanos , Radioisótopos de Índio , Pentetato de Tecnécio Tc 99m , Tomografia Computadorizada de Emissão/métodosRESUMO
The ambulatory treatment of hemophilic arthropathy decreased the amount of replacement therapy with factor VIII from 3,220,000 U in 1984 to 2,217,700 U (32%) in 1988. Radioactive synovectomy diminished the number of hemarthroses in 97 per cent. Intraarticular dexamethasone reduced bleeding episodes and improved joint function in 48 per cent. These procedures for hemophilic arthropathy allowed to integrate the patient into society and diminished transfusion risks.
Assuntos
Hemartrose/terapia , Hemofilia A/terapia , Corticosteroides/administração & dosagem , Assistência Ambulatorial/métodos , Bancos de Sangue , Terapia Combinada , Fator VIII/uso terapêutico , Hospitalização , Humanos , Injeções Intra-Articulares , México , Membrana Sinovial/efeitos da radiaçãoRESUMO
Six uremic dhildren in periodic hemodialysis with protein-calorie malnutrition were studied. Three of them were given diet supplementation with a compound constituted by carbohydrates and essential amino acids. Evaluation at ,3 and 6 months with somatometry, rutine laboratory analysis, intravenous glucose tolerance test and plasma amino acid determinations, showed that patients with diet supplementation had a slight increase in height and body weight, improved glucose in tolerance, that was initialy detected, and an abnormal pattern of plasma amino acids not modified during the study. Patients without diet supplementation showed no changes in height, body weight, glucose tolerance and plasma amino acids. These results suggest that diet supplementation with carbohydrates and amino acids is useful to improve nutrition in uremic children on hemodialysis, but it is neccesary to study more patients.
Assuntos
Injúria Renal Aguda/terapia , Aminoácidos Essenciais/uso terapêutico , Carboidratos da Dieta/uso terapêutico , Desnutrição Proteico-Calórica/dietoterapia , Adolescente , Estatura , Peso Corporal , Estudos de Avaliação como Assunto , Teste de Tolerância a Glucose , Humanos , Diálise RenalRESUMO
In three hypertensive uremic children in whom hypertension was not controlled by sodium-free diet, ultrafiltration and hypotensive drugs, a total of twenty low sodium concentration hemodialyses were carried out. In all patients there was insignificant sodium excretion in urine and diastolic blood pressure diminished 10 to 20 mm Hg; two patients showed also reduction of systolic blood pressure. No important changes were seen in the serum concentrations of sodium, calcium and glucose. In one patient improvement of his retin lesions, as well as radiological reduction of heart size were observed. In other two cases, cardio-respiratory symptoms associated with hypertension disappeared. In all but two of them hypotensive drugs were withdrawn; in the other one dose was reduced. With low sodium concentration hemodialysis, sodium extraction was higher than that obtained when using the conventional dialysis solution. Interchangeable sodium decreased in all patients.