在移植患者的认知障碍
Jolanta Malyszko1, Aleksandra Golenia2, Michele Farisco3,4
1Department of Nephrology, Dialysis and Internal Medicine, Warsaw Medical University, Warsaw, Poland.
概括
认知障碍在移植患者中很常见,影响记忆,注意力和执行功能. 早期查和管理对于更好的患者结果和解决道德问题的关键.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 神经学 神经学
- 移植医学 移植医学
背景情况:
- 慢性病影响多个器官,越来越关注脏与中枢神经系统的连接.
- 包括移植在内的置换疗法与较高的认知障碍和神经问题相关.
- 神经学并发症包括脑血管和运动障碍,以及抑郁症.
研究的目的:
- 审查有关移植患者认知障碍的关键问题.
- 检查这一群体认知障碍的机制,模式和评估.
- 讨论对患者护理,干预和伦理方面的影响.
主要方法:
- 对移植患者认知障碍现有文献的综述.
- 专注于机制,模式和风险因素.
- 探索移植前和移植后评估策略.
主要成果:
- 认知障碍,影响记忆,注意力和执行功能,在移植接受者中很普遍.
- 早期诊断和风险因素的评估对于有效管理至关重要.
- 移植后认知功能的部分恢复是可能的,但需要注意.
结论:
- 接受移植患者的认知障碍是未被认可的,但在临床上是显著的.
- 建议在移植前和移植后进行认知功能的常规查.
- 在移植护理中,解决心理和伦理问题是必不可少的.
相关概念视频
Factors Affecting Renal Clearance: Renal Impairment
46
Renal dysfunction significantly impairs the renal clearance of drugs, leading to potential complications in drug therapy. Renal failure, which can be caused by various factors, poses a significant challenge in the elimination of drugs from the body.
One condition associated with renal failure is uremia. Uremia is characterized by impaired glomerular filtration and fluid accumulation in the body. This condition hinders the renal clearance of drugs, resulting in drug accumulation and potential...
One condition associated with renal failure is uremia. Uremia is characterized by impaired glomerular filtration and fluid accumulation in the body. This condition hinders the renal clearance of drugs, resulting in drug accumulation and potential...
46
Renal Failure: Dose Adjustments
52
In patients with renal impairment, drugs undergo significant changes in their pharmacokinetics, which require dosage adjustments to ensure safe and effective therapy.
Reduced renal clearance and elimination rate are common outcomes of renal impairment. These alterations lead to a prolonged elimination half-life and an altered apparent volume of distribution for drugs. As a result, dosage adjustments are typically necessary to maintain optimal drug levels in the body.
However, dosage adjustments...
Reduced renal clearance and elimination rate are common outcomes of renal impairment. These alterations lead to a prolonged elimination half-life and an altered apparent volume of distribution for drugs. As a result, dosage adjustments are typically necessary to maintain optimal drug levels in the body.
However, dosage adjustments...
52
Renal Corpuscle
1.5K
The glomerulus and Bowman's capsule are two essential components of the nephron, which is the functional unit of the kidney. These microscopic structures play a critical role in the process of blood filtration to produce urine.
Glomerulus: Structure and Function
The glomerulus is a tiny, intricate network of capillaries located at the beginning of the nephron. It's enveloped by the Bowman's capsule and receives its blood supply from an afferent arteriole, which divides into numerous...
Glomerulus: Structure and Function
The glomerulus is a tiny, intricate network of capillaries located at the beginning of the nephron. It's enveloped by the Bowman's capsule and receives its blood supply from an afferent arteriole, which divides into numerous...
1.5K
Nephrons
1.9K
The kidneys are intricate organs with millions of working units known as nephrons. Each nephron features two major structures: the renal corpuscle, which facilitates blood plasma filtration, and the renal tubule, which handles the glomerular filtrate. Blood supply is directly linked to the nephrons. The renal corpuscle consists of the glomerulus, a capillary network, and the Bowman's capsule, a double-walled epithelial structure that encases the glomerulus. The filtering of blood plasma...
1.9K
Kidney Structure
68.4K
The kidneys are two large bean-shaped organs located in the upper abdomen. They filter the blood several times a day to remove toxins and rebalance water and electrolytes of the circulatory system via the renal veins. The kidneys receive blood directly from the heart via the renal arteries. These arteries enter the kidney at the hilum, the concave surface of the bean, where they branch and divide into smaller vessels and capillaries.
68.4K


