Manejo Clínico Estomatológico en Pacientes con Insuficiencia Renal Crónica
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Fecha
2016-05
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Universidad de Guayaquil. Facultad Piloto de Odontología
Resumen
La Insuficiencia Renal Crónica (IRC), es la pérdida progresiva e irreversible de la
capacidad de los riñones para eliminar el exceso de líquidos y electrolitos, cuyo
grado de afección se determina con un filtrado glomerular <60 ml/min/1.73 m2.
Los riñones son “órganos diana” de muchas enfermedades y de hecho se puede
llegar a diagnosticar enfermedades que han podido pasar desapercibidas hasta
entonces, a partir de profundizar en la causa de una Insuficiencia Renal. Las
causas que destacan como más frecuentes desencadenantes de IRC son la HTA
y la Diabetes Mellitus, de forma que, si no se controlan adecuadamente, pueden
lesionar los riñones. Si por algo se caracteriza la Insuficiencia Renal Crónica
(IRC), es por su falta de síntomas hasta que las alteraciones llegan a estadios
muy avanzados, donde las acciones que se pueden llevar a cabo para retrasar lo
máximo posible su avance, se ven mucho más limitadas que si se realizara un
diagnóstico precoz de la enfermedad. También puede ser identificada cuando
conduce a una de sus reconocidas complicaciones, como las enfermedades
cardiovasculares, anemia o pericarditis. Este trabajo de investigación se realizó en
base a encuestas a docentes de la Facultad Piloto de Odontología de la
Universidad de Guayaquil, se entrevistó aleatoriamente a 30 docentes de varias
especialidades, con la finalidad de saber si realizan un manejo clínico a pacientes
con Insuficiencia Renal. En la cual mencionamos si sabe identificar mediante
Signos y Síntomas a un paciente con Insuficiencia Renal a que corresponde
Siempre 33% (10), Con frecuencia 20% (6), A veces 33% (10), Nunca 13% (4). Si
realizan un protocolo específico de atención a que corresponde Siempre 13% (4),
Con frecuencia 20% (6), A veces 43% (13), Nunca 24% (7).
Chronic Renal Failure (CRF) is a progressive and irreversible loss of the ability of the kidneys to remove excess fluid and electrolytes, the degree of involvement is determined with a glomerular filtration rate <60 ml / min / 1.73 m2. The kidneys are "target organs" of many diseases and can actually diagnose diseases that may have passed unnoticed until then, from delving into the cause of renal failure. The causes that stand out as most common triggers of IRC are hypertension and diabetes mellitus, so that, if not properly controlled, can damage the kidneys. If anything characterizes chronic renal failure (CRF) is their lack of symptoms until the changes come at very advanced stages, where actions that can be done to delay as much as possible their advance, are much more limited if an early diagnosis of the disease was made. It can also be identified when it leads to one of its recognized complications, such as cardiovascular disease, anemia or pericarditis. This research was conducted based on surveys of teachers in the Pilot School of Dentistry at the University of Guayaquil, 30 professors of various specializations were interviewed randomly in order to know if they perform clinical management of patients with renal failure, in which it is mentioned if he/she knows how to identify by signs and symptoms of a patient with renal failure that corresponds always 33% (10), often 20% (6), sometimes 33% (10), never 13% (4). If they perform a specific protocol corresponding care always 13% (4), often 20% (6), sometimes 43% (13), never 24% (7).
Chronic Renal Failure (CRF) is a progressive and irreversible loss of the ability of the kidneys to remove excess fluid and electrolytes, the degree of involvement is determined with a glomerular filtration rate <60 ml / min / 1.73 m2. The kidneys are "target organs" of many diseases and can actually diagnose diseases that may have passed unnoticed until then, from delving into the cause of renal failure. The causes that stand out as most common triggers of IRC are hypertension and diabetes mellitus, so that, if not properly controlled, can damage the kidneys. If anything characterizes chronic renal failure (CRF) is their lack of symptoms until the changes come at very advanced stages, where actions that can be done to delay as much as possible their advance, are much more limited if an early diagnosis of the disease was made. It can also be identified when it leads to one of its recognized complications, such as cardiovascular disease, anemia or pericarditis. This research was conducted based on surveys of teachers in the Pilot School of Dentistry at the University of Guayaquil, 30 professors of various specializations were interviewed randomly in order to know if they perform clinical management of patients with renal failure, in which it is mentioned if he/she knows how to identify by signs and symptoms of a patient with renal failure that corresponds always 33% (10), often 20% (6), sometimes 33% (10), never 13% (4). If they perform a specific protocol corresponding care always 13% (4), often 20% (6), sometimes 43% (13), never 24% (7).
Descripción
Palabras clave
FILTRADO GLOMERULAR, INSUFICIENCIA RENAL, DIABETES MELLITUS