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Glomerulonefritis Postestreptococica Tratamiento Pdf Downlo

 
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MessagePosté le: Jeu 1 Sep - 17:59 (2016)    Sujet du message: Glomerulonefritis Postestreptococica Tratamiento Pdf Downlo Répondre en citant




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Las,,diferentes,,enfermedades,,glomerulares,,pueden,,compartir,,las,,manifestaciones,,clnicas,,lo,,que,,dificulta,,el,,diagnostico,,y,,explica,,el,,papel,,decisivo,,que,,desempea,,la,,biopsia.,,Patrones,,,de,,,respuesta,,,de,,,la,,,glomerulonefritis,,,de,,,cambios,,,mnimos,,,al,,,tratamiento,,,con,,,esteroides,,,Imgenes,,,Figura,,,1.,,,J,,,,Am,,,,Soc,,,,Nephrol,,,,2010;,,,,21:1628-1636..,,,,La,,inmunidad,,desempea,,un,,papel,,fundamental,,en,,el,,desencadenamiento,,de,,muchos,,tipos,,de,,lesiones,,glomerulares.,,Para,,,,confirmar,,,,la,,,,etiologa,,,,postestreptoccica,,,,es,,,,preciso,,,,que,,,,se,,,,cumplan,,,,al,,,,menos,,,,2,,,,de,,,,los,,,,siguientes,,,,hallazgos:,,,,aislar,,,,el,,,,germen,,,,en,,,,la,,,,faringe,,,,o,,,,piel;,,,,demostrar,,,,elevacin,,,,transitoria,,,,de,,,,anticuerpos,,,,antiestreptolisina,,,,O,,,,(puede,,,,ser,,,,negativo,,,,en,,,,el,,,,imptigo,,,,debido,,,,a,,,,que,,,,el,,,,antgeno,,,,liposoluble,,,,puede,,,,quedar,,,,atrapado,,,,en,,,,piel),,,,,antidesoxirribonucleasa,,,,B,,,,(que,,,,es,,,,positiva,,,,cuando,,,,el,,,,foco,,,,es,,,,cutneo),,,,,antihialuronidasa,,,,o,,,,antiestreptocinasa.,,,,GN,,membranosa,,o,,extramembranosa.,,Tratamiento,,,,Se,,,,basa,,,,en,,,,3,,,,pilares:,,,,Medidas,,,,generales,,,,(restriccin,,,,hdrica,,,,y,,,,de,,,,sal,,,,,dieta,,,,,etc.),,,,y,,,,control,,,,de,,,,la,,,,presin,,,,arterial,,,,,el,,,,peso,,,,y,,,,la,,,,diuresis.,,,,

Clin,,,,J,,,,Am,,,,Soc,,,,Nephrol,,,,2007;,,,,2:1054-1061.,,,,La,,,alteracin,,,en,,,la,,,permeabilidad,,,de,,,la,,,membrana,,,basal,,,glomerular,,,ocasiona,,,hematuria,,,y,,,proteinuria.,,,Cattran,,,DC,,,,Coppo,,,R,.,,,Enlaces,,de,,Inters,,KDIGO,,Clinical,,Practice,,Guideline,,for,,Glomerulonephritis.,,1).,,,,Datos,,2010.,,Tipo,,III:,,ausencia,,o,,escasez,,de,,tincin,,glomerular,,para,,Ig.,,Sospecharemos,,,casos,,,potencialmente,,,graves,,,ante,,,creatinina,,,elevada,,,de,,,forma,,,persistente,,,(pensar,,,en,,,glomerulonefritis,,,rpidamente,,,progresivas),,,,un,,,complemento,,,disminuido,,,durante,,,ms,,,de,,,8,,,semanas,,,(indicara,,,probablemente,,,una,,,glomerulonefritis,,,membranoproliferativa),,,o,,,una,,,proteinuria,,,persistente,,,durante,,,ms,,,de,,,6-8,,,semanas,,,(podra,,,indicar,,,la,,,evolucin,,,a,,,formas,,,crnicas).,,,

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