RESUMO
A total of 115 children aged 13-17 years (mean age 15.77 +/- 1.89 years, 98 boys and 17 girls) with essential arterial hypertension (EAH) were examined. Of them, 70 children had stable arterial hypertension (SAH), 45 children - labile arterial hypertension (LAH). 24-h monitoring of blood pressure, triplex ultrasound study of the renal vessels were performed in all the patients. The assessment of renal hemodynamics showed that blood flow was more active in SAH patients. The clinostatic test revealed inhibition of circulation at the level of the basic trunk (by 26% in SAH and by 22% in LAH) and segmentary renal arteries (by 28% in SAG), IR ( < 0.52). The above findings confirm the action of arterioveinous bypass blood flow mechanism and provide diagnosis of nephroangiopathy at early stages of EAH.
Assuntos
Hipertensão/diagnóstico por imagem , Hipertensão/fisiopatologia , Nefropatias/diagnóstico por imagem , Nefropatias/fisiopatologia , Rim , Circulação Renal , Adolescente , Ecocardiografia Doppler em Cores/métodos , Feminino , Humanos , Hipertensão/complicações , Rim/irrigação sanguínea , Rim/diagnóstico por imagem , Rim/fisiopatologia , Nefropatias/complicações , MasculinoRESUMO
Efficacy of tadenan was studied in combined treatment of 30 patients suffering from chronic prostatitis complicated by sterility. Positive results were achieved. Tadenan efficacy manifested with attenuation of the symptoms, improvement of spermogram, quality of life, prostatic structure, circulation, increased maximal urine flow rate.
Assuntos
Infertilidade Masculina/tratamento farmacológico , Extratos Vegetais/administração & dosagem , Prostatite/tratamento farmacológico , Adulto , Doença Crônica , Álcoois Graxos/administração & dosagem , Humanos , Infertilidade Masculina/complicações , Infertilidade Masculina/fisiopatologia , Masculino , Pessoa de Meia-Idade , Próstata/irrigação sanguínea , Próstata/fisiopatologia , Prostatite/complicações , Prostatite/fisiopatologia , Micção/efeitos dos fármacosRESUMO
Overall 62 patients coral calculi underwent percutaneous nephrolithotripsy and distant shock-wave lithotripsy (DSWL). Percutaneous nephrolithotripsy as monotherapy was effective at 47 (75.8%) patients. At 15 (24.2%) patients the residual calculi were fragmented with DSWL. Obtained positive results permit to recommend percutaneous nephrolithotripsy both as monotherapy and in combination with DSWL for the treatment of patients with coral nephrolithiasis.
Assuntos
Litotripsia/métodos , Nefrolitíase/terapia , Adulto , Idoso , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Nefrolitíase/diagnóstico por imagem , Tomografia Computadorizada por Raios X , Resultado do TratamentoRESUMO
The diagnosis and treatment of 120 patients with urolithiasis were made. The following examinations were made: the study of immune status and lipid peroxidation, detection of selective proteinuria, leukocyte migration inhibition reaction with autoantigens obtained from the tissues of the renopelvic segment providing additional information about renal parenchyma and immune system. The patients were divided into two groups: 70 patients of the study group received pre-, intra- and postoperative preventive pharmacotherapy, while 50 patients of the control group received standard therapy. It is shown that preventive measures in the patients of the study group aimed at raising resistance of the kidney to the shock wave and prevention of infectious-inflammatory process evidence for necessity of the above measures not only before extracorporeal shock wave lithotripsy, but also in intra- and postoperative periods.
