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Обращение главного редактора 主编的讲话
Pub Date : 2021-09-09 DOI: 10.22141/2307-1257.6.2.2017.103872
D. Ivanov
Слоган этого номера: «Слушать — не значит слышать. Учимся…»
这个数字的口号是:“倾听不是倾听。学习……”
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引用次数: 53
Urinary tract infections in adults (selected chapters from Urological Infections 2021) 成人尿路感染(选自《泌尿感染2021》章节)
Pub Date : 2021-07-01 DOI: 10.22141/2307-1257.10.2.2021.234328
G. Bonkat, R. Bartoletti, F. Bruyère, T. Cai, S. Geerlings, B. Köves, S. Schubert, F. Wagenlehner
No abstract
没有抽象的
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引用次数: 0
The revised (KDIGO) Clinical Practice Guideline for Glomerular Diseases (May 13, 2021, based on the ERA-EDTA e-seminars) 修订后的(KDIGO)肾小球疾病临床实践指南(2021年5月13日,基于ERA-EDTA电子研讨会)
Pub Date : 2021-07-01 DOI: 10.22141/2307-1257.10.2.2021.234329
J. Floege
No abstract
没有抽象的
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引用次数: 2
Management of anemia in chronic kidney disease 慢性肾病患者贫血的处理
Pub Date : 2021-07-01 DOI: 10.22141/2307-1257.10.2.2021.234324
S. Kushnirenko
Anemia is the most common complication of chronic kidney disease (CKD) associated with reduced quality of life and increased morbidity and mortality. The purpose of this review was to discuss the management of anemia in CKD. The following topics are considered: prevalence of anemia, symptoms, and impact of anemia in CKD, diagnosis, iron replacement therapy, and erythropoiesis-stimulating agents.
贫血是慢性肾脏疾病(CKD)最常见的并发症,与生活质量下降、发病率和死亡率增加有关。本综述的目的是讨论CKD中贫血的管理。以下主题被考虑:贫血的患病率,症状,以及CKD中贫血的影响,诊断,铁替代治疗和促红细胞生成药物。
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引用次数: 0
Urinary tract infections in children (selected chapters from Pediatric urology, EAU, 2021) 儿童尿路感染(选自儿科泌尿外科,EAU, 2021)
Pub Date : 2021-07-01 DOI: 10.22141/2307-1257.10.2.2021.234326
C. Radmayr (Chair), G. Bogaert, H. Doğan, J.M. Nijman (Vice-chair), Y. Rawashdeh, M. Sılay, R. Stein, S. Tekgül
No abstract
没有抽象的
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引用次数: 0
Uremic toxins. Back to the future 尿毒症毒素。回到未来
Pub Date : 2021-07-01 DOI: 10.22141/2307-1257.10.2.2021.234323
I. Kuchma
In the review, the author returns to the topic of uremia and uremic toxins, their importance for practitioners in the treatment using renal replacement therapies, gives a modern look at their classification, place during the onset and development of pathological processes in the progression of chronic kidney disease. However, current guidelines and studies for the treatment of chro­nic kidney disease indicate a lack of attention to the role and importance of uremic toxins in the predialysis stages of uremia treatment, in particular to the possible damaging effects of substances retained in the body with reduced glomerular filtration, directly to the renal function. The tables with the list of uremic toxins according to their classification are presented. References are made to the results of clinical and laboratory studies of uremic toxins, their impact on the general clinical picture of uremia and ways of their influence on the progression of chronic kidney disease and the further progression of the clinical picture of uremia. Attention is drawn to the fact that substances recognized as uremic toxins are present in healthy individuals without manifestations of their negative effects, and therefore the opinion is expressed about the need to study the physiological significance of these solvents under normal glomerular filtration. The question arises about the consideration of the factors of uremic toxins impact as a point of application in terms of the progression of chronic kidney disease and the use of this knowledge in renoprotective therapy in the predialysis stages of chronic kidney disease.
在回顾中,作者回到尿毒症和尿毒症毒素的主题,他们的重要性的从业者在治疗中使用肾脏替代疗法,给出了一个现代看他们的分类,在慢性肾脏疾病的发病和病理过程的发展中的位置。然而,目前慢性肾病治疗的指南和研究表明,缺乏对尿毒症毒素在尿毒症治疗透析前阶段的作用和重要性的关注,特别是对肾小球滤过减少的物质保留在体内可能直接对肾功能造成的破坏性影响的关注。按分类列出了尿毒症毒素的表。参考了尿毒症毒素的临床和实验室研究结果,它们对尿毒症的一般临床表现的影响,以及它们对慢性肾病的进展和尿毒症临床表现的进一步进展的影响方式。值得注意的是,被认为是尿毒症毒素的物质存在于健康个体中,而没有表现出其负面影响,因此,有必要研究这些溶剂在正常肾小球滤过下的生理意义。问题是考虑尿毒症毒素影响的因素作为慢性肾脏疾病进展的一个应用点,以及在慢性肾脏疾病透析前阶段的肾保护治疗中使用这些知识。
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引用次数: 0
Clinical and morphological characteristic of kidney damage in HIV/HCV co-infected patients who did not receive antiretroviral therapy 未接受抗逆转录病毒治疗的HIV/HCV合并感染患者肾损害的临床和形态学特征
Pub Date : 2021-07-01 DOI: 10.22141/2307-1257.10.2.2021.234320
A. I. Gorodetska, O. Dyadyk, M. Ivanova
In the era of antiretroviral therapy (ART), the development of chronic kidney disease in HIV-infected patients is a significant complication not directly related to acquired immunodeficiency syndrome (AIDS), the risk of which is increased with co-infection with hepatitis C virus (HCV). The pathogenetic pathways of the development of kidney tissue damage and the formation of a morphological substrate for each of the viruses are different, but the immune-mediated mechanisms are a common link for the development of immune complex diseases. We studied renal necropsy samples in 20 patients with HIV/HCV co-infection who did not receive ART, and the dependence of the identified morphological substrate on the level of CD4+ in the blood, to assess and predict their morphogenesis. We observed predominantly segmental mesangial proliferation with an expansion of the mesangial matrix and glomerular involvement ≥ 50 % in 15 (75 %) cases and glomerular involvement < 50 % in 3 (15 %) cases. Endocapillary proliferation (E), infiltration of glomeruli with monocytes, neutrophil leukocytes, segmental macrophages were found in 2 (10 %) cases with the involvement of ≥ 50 % of glomeruli, which was regarded as an exudative component of the inflammatory response. In all cases, sclerosis of capillary loops was verified, which was mainly accompanied by their collapse, thickening of the capillary walls, namely the basement membranes of capillaries and segmental sclerosis of capillary loops of the glo­meruli of varying severity. Initial interstitial stromal fibrosis was found in 5 (25 %) cases, degenerative changes in the convoluted tubules — in 9 (45 %), mainly with the T0–T1 level. Positive expression of IgA, IgM, IgG, and C3 complement fractions in the form of linear and granular deposits along the capillary endothelium was detected with an intensity of “+” to “++”. We compared the verified morphological pattern and the level of CD4+ in the blood and found that patients with deeper immunosuppression show fewer changes, mainly characterized as sclerotic. Moreover, with an increase in the level of CD4+, the morphological substrate is enriched with a proliferative component. Expression of immunoglobulins and components of the complement system in immonohistochemical assay, in particular in areas of sclerotic changes, verifies the presence of prolonged immune complex associated lesions. To determine the detailed morphogenesis, it is advisable to perform a further correlation analysis of the data obtained with the control.
在抗逆转录病毒治疗(ART)时代,艾滋病毒感染者的慢性肾脏疾病的发展是与获得性免疫缺陷综合征(艾滋病)没有直接关系的重要并发症,其风险随着丙型肝炎病毒(HCV)的合并感染而增加。肾组织损伤的发病途径和形态底物的形成对每一种病毒都是不同的,但免疫介导的机制是免疫复杂疾病发展的共同环节。我们研究了20例未接受抗逆转录病毒治疗的HIV/HCV合并感染患者的肾尸检样本,以及鉴定的形态底物对血液中CD4+水平的依赖性,以评估和预测其形态发生。我们主要观察到段性系膜增生伴系膜基质扩张,15例(75%)患者肾小球受累≥50%,3例(15%)患者肾小球受累< 50%。2例(10%)患者可见毛细血管内增生(E)、肾小球单核细胞浸润、中性粒细胞浸润、节段性巨噬细胞浸润,肾小球浸润≥50%,可视为炎症反应的渗出成分。所有病例均证实毛细血管袢硬化,主要伴有毛细血管壁塌陷,即毛细血管基底膜增厚,以及不同程度的黄斑痣毛细血管袢节段性硬化。5例(25%)发生间质间质纤维化,9例(45%)发生曲小管退行性改变,主要表现为T0-T1水平。IgA、IgM、IgG和C3补体部分沿毛细血管内皮呈线状和粒状沉积,阳性表达强度为“+”~“++”。我们比较了已验证的形态学模式和血液中CD4+水平,发现免疫抑制较深的患者变化较少,主要表现为硬化。此外,随着CD4+水平的增加,形态底物富含增殖成分。免疫组织化学分析中免疫球蛋白和补体系统成分的表达,特别是在硬化改变的区域,证实了长期免疫复合物相关病变的存在。为了确定详细的形态发生,建议对获得的数据与对照进行进一步的相关性分析。
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引用次数: 0
Improving treatment of distal tubular renal acidosis: guidance from ERKNet/ESPN 改进远端肾小管性酸中毒的治疗:ERKNet/ESPN的指导
Pub Date : 2021-07-01 DOI: 10.22141/2307-1257.10.2.2021.234325
No Authors
No abstract
没有抽象的
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引用次数: 0
Methods of anti-A/B antibodies elimination in preparation for ABО incompatible kidney transplantation 抗a /B抗体消除方法在ABО不相容肾移植准备中的应用
Pub Date : 2021-07-01 DOI: 10.22141/2307-1257.10.2.2021.234333
R. Zograbian, V. Zakordonetz, A. Malyk, N.M. Polonchuk
Kidney transplantation is considered the gold standard in the treatment of end-stage renal disease and can be performed if cadaveric or living related donor organ is available. AB0 incompatible kidney transplantation can lead to antibody-mediated rejection. There are a number of methods in the world for the elimination of anti-A/B antibodies to prepare for AB0 incompa­tible kidney transplantation, each of which has its advantages and disadvantages. Therefore, further researches are needed in this direction to determine the optimal method in each case. Particular attention is paid to modern methods of anti-A/B antibodies elimination, protocols for managing such patients, and their comparison. The possibilities of using these methods in Ukraine are analyzed.
肾移植被认为是治疗终末期肾病的金标准,如果有尸体或活体供体器官,可以进行肾移植。AB0不相容肾移植可导致抗体介导的排斥反应。目前世界上有多种消除抗a /B抗体的方法为AB0不相容肾移植做准备,每种方法都有其优点和缺点。因此,需要在这一方向上进一步研究,以确定每种情况下的最优方法。特别关注抗a /B抗体消除的现代方法,管理这类患者的方案,以及它们的比较。分析了在乌克兰使用这些方法的可能性。
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引用次数: 0
World Kidney Day 2021: “Living well with kidney disease” 2021年世界肾脏日:“与肾病好好相处”
Pub Date : 2021-07-01 DOI: 10.22141/2307-1257.10.2.2021.234330
No Authors
No abstract
没有抽象的
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引用次数: 0
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