Accesos vasculares en pacientes con enfermedad renal crónica hemodializados en el Hospital General Liborio Panchana
Fecha
2022
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Medicina
Resumen
La prevalencia de la Enfermedad Renal Crónica (ERC) ha aumentado de forma gradual en los últimos años, siendo un problema de salud pública que genera controversia y necesita intervención temprana para la supervivencia de los pacientes. Definiéndola según las Guías K/DOQI, como: un deterioro renal, establecido por anormalidades estructurales y/o funcionales, ya sean estas patológicas o no del riñón con declive del filtrado glomerular <60ml/min/1.732, por al menos 3 meses consecutivos.
Por lo tanto, se evidencia la necesidad de un tratamiento que sustituya la función renal, es aquí donde toma participación la diálisis o el trasplante renal, dependiendo del grado de gravedad se determinara un método que permita una mejor calidad de vida para estos pacientes. (1)
La realización de accesos vasculares (AV) para la hemodiálisis se ha convertido en un procedimiento de rutina indispensable para el tratamiento de estos pacientes, siendo un término neto que determina el éxito o fracaso de los programas de hemodiálisis
crónica, por lo que, a los AV, se les consideran como indicadores de calidad y bienestar de los pacientes. Una adecuada planificación del AV durante las fases de pre diálisis, así como un cuidado y mantenimiento correcto en la fase de hemodiálisis son aspectos de vital importancia.
The prevalence of Chronic Kidney Disease (CKD) has increased gradually in recent years, being a public health problem that generates controversy and needs early intervention for the survival of patients. Defining it according to the K/DOQI guidelines, as: a renal deterioration, established by structural and/or functional abnormalities, either pathological or not of the kidney with glomerular filtration decline <60ml/min/1.732, for at least 3 consecutive months. Therefore, the need for a treatment that replaces renal function is evident, it is here that dialysis or renal transplantation takes part, depending on the degree of severity a method is determined that allows a better quality of life for these patients. (1) The performance of vascular accesses (VA) for hemodialysis has become an indispensable routine procedure for the treatment of these patients, being a net term that determines the success or failure of chronic hemodialysis programs, so, at AVs, are considered as indicators of patient quality and well-being. Proper VA planning during the dialysis phases, as well as proper care and maintenance in the hemodialysis phase are vitally important.
The prevalence of Chronic Kidney Disease (CKD) has increased gradually in recent years, being a public health problem that generates controversy and needs early intervention for the survival of patients. Defining it according to the K/DOQI guidelines, as: a renal deterioration, established by structural and/or functional abnormalities, either pathological or not of the kidney with glomerular filtration decline <60ml/min/1.732, for at least 3 consecutive months. Therefore, the need for a treatment that replaces renal function is evident, it is here that dialysis or renal transplantation takes part, depending on the degree of severity a method is determined that allows a better quality of life for these patients. (1) The performance of vascular accesses (VA) for hemodialysis has become an indispensable routine procedure for the treatment of these patients, being a net term that determines the success or failure of chronic hemodialysis programs, so, at AVs, are considered as indicators of patient quality and well-being. Proper VA planning during the dialysis phases, as well as proper care and maintenance in the hemodialysis phase are vitally important.
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Insuficiencia renal crónica, Supervivencia, Dialisis, Transplante renal, Hospital General Dr. Liborio Panchana Sotomayor, Cantón Santa Elena, Ecuador