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Opieka zdrowotna po przeszczepieniu nerki

Opieka zdrowotna po przeszczepieniu nerki

Vivek Thakur

65,55 €
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Editorial:
KS OmniScriptum Publishing
Año de edición:
2025
Materia
Empresa y gestión
ISBN:
9786209030475
65,55 €
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Sobre IBD

OPIEKA ZDROWOTNA PO PRZESZCZEPPIENIU nerki Obecnie powszechnie wiadomo, że wczesne przeszczepienie nerki wiąże się z optymalnymi wynikami w zakresie przeżycia pacjenta i przeszczepu. W przypadku pacjentów z przewlekłą chorobą nerek (CKD) w stadium V przeszczepienie nerki uważa się za leczenie z wyboru, ponieważ zarówno przeżycie, jak i jakość życia są często lepsze niż u osób leczonych dializami. Po przeszczepieniu nerki pacjenci otrzymują kombinację leków immunosupresyjnych, aby zapobiec odrzuceniu przeszczepionej nerki. Nowsze schematy leczenia immunosupresyjnego przyczyniły się do poprawy wyników przeszczepów nerek w ciągu ostatnich dwóch dekad. Schematy te zwykle obejmują inhibitor kalcyneuryny (takrolimus lub cyklosporyna), steroidy oraz środek antyproliferacyjny mykofenolan mofetylu (MMF). Wprowadzenie azatiopryny jako skutecznego doustnego leku immunosupresyjnego pod koniec lat pięćdziesiątych XX wieku zaowocowało pierwszymi długoterminowymi pacjentami, którzy przeżyli przeszczepy między genetycznie nieidentycznymi osobnikami (allprzeszczepy). Lek ten działa poprzez hamowanie syntezy puryn.

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