RESUMEN
The authors evaluated data of expertise of the quality of observations on 1056 pregnant women with renal diseases (primary nephropathy, chronic glomerulonephritis, acute and chronic pyelonephritis, acute and chronic pyelonephritis, associated nephropathies) as well as data on the dynamic observation of 300 patients carried out according to special methods. On the basis of these findings the authors worked out the strategy, tactics and individual program of dispensarization with consideration of regularities of evolution of renal diseases, risk factors in the course of onset and progression of the disease. An organizational model was worked out of graded dispensarization with the participation of obstetricians, nephrologists, therapists, urologists.
Asunto(s)
Atención Ambulatoria/organización & administración , Enfermedades Renales/diagnóstico , Complicaciones del Embarazo/diagnóstico , Adulto , Femenino , Humanos , Enfermedades Renales/epidemiología , Enfermedades Renales/terapia , Modelos Teóricos , Embarazo , Complicaciones del Embarazo/epidemiología , Complicaciones del Embarazo/terapia , Calidad de la Atención de Salud , Factores de Riesgo , Ucrania/epidemiologíaRESUMEN
Causes of the numerous changes found in kidney biopsy specimens and the absence of their commonly accepted classification are revealed. Principles of clinical morphology underlying nephrology have been formulated which emphasize the need to study the qualitative and quantitative characteristics of all renal structures, maintenance of the nosological independence of primary glomerulonephritis whose diagnosis must be supplemented by the morphological characteristics of kidney biopsy specimens. Kidney affection in different diseases should be designated by the term "nephropathy" specifying the causative factor and the character of affection of renal structures.
