{"id":86877,"date":"2000-10-10T00:00:00","date_gmt":"2000-10-10T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/reserva-renal-en-ninos-y-jovenes-con-rinon-unico\/"},"modified":"2000-10-10T00:00:00","modified_gmt":"2000-10-10T00:00:00","slug":"reserva-renal-en-ninos-y-jovenes-con-rinon-unico","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/reserva-renal-en-ninos-y-jovenes-con-rinon-unico\/","title":{"rendered":"\u00abreserva renal en ni\u00f1os y jovenes con ri\u00f1on unico\u00bb"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Montserrat Anton Gamero <\/strong><\/h2>\n<p>En el ri\u00f1\u00f3n \u00fanico la funci\u00f3n renal est\u00e1 mantenida por la mitad de la dotaci\u00f3n nefr\u00f3nica gracias a los mecanismos compensadores que se ponen en marcha ante la p\u00e9rdida de masa renal. Estos mecanismos de adaptaci\u00f3n considerados inicialmente beneficiosos pueden resultar perjudiciales si se mantienen durante largo tiempo. La hiperfiltraci\u00f3n mantenida puede condicionar el deterioro de la funci\u00f3n renal con la aparici\u00f3n de proteinuria,hipertensi\u00f3n arterial y fracaso renal cr\u00f3nico. A pesar de los numerosos estudios sobre la funci\u00f3n renal en el ri\u00f1\u00f3n \u00fanico, todav\u00eda contin\u00faa en entredicho su evoluci\u00f3n a largo plazo, especialmente en el ni\u00f1o donde se espera un largo tiempo de evoluci\u00f3n y son variados los factores que pueden influir en el deterioro de la funci\u00f3n renal.  realizamos el estudio de la funci\u00f3n renal basal y reserva renal tras una sobrecarga oral proteica en forma de carne roja cocinada, mediante aclaramiento de creatinina, inulina y paraminohip\u00farico en 30 ni\u00f1os y j\u00f3venes con un solo ri\u00f1\u00f3n funcionante de 12 a\u00f1os de evoluci\u00f3n, y mediante aclaramiento de creatinina en un grupo control de 11 jovenes sanos. Valoramos el crecimiento compensador renal con la ecograf\u00eda doppler color.  los pacientes monorrenos ten\u00edan en su mayor\u00eda una funci\u00f3n renal basal normal, sin proteinuria ni hipertensi\u00f3n arterial. La reserva renal estaba presente y era similar a la de los j\u00f3venes controles, aunque encontramos un grupo de pacientes sometidos a un estado de hiperfiltraci\u00f3n mantenida secundario el hiperaflujo renal que no ten\u00edan reserva renal. La diferente etiolog\u00eda del ri\u00f1\u00f3n \u00fanico no condicion\u00f3 la evoluci\u00f3n de la funci\u00f3n renal. El mayor tiempo de evoluci\u00f3n denotaba un estado de hiperfiltraci\u00f3n que a m\u00e1s largo plazo puediera determinar una disminuci\u00f3n de la funci\u00f3n renal. El aclaramiento de creatinina sobrestim\u00f3 el filtrado glomerular, aunque en conjunto guardaba una aceptable correlaci\u00f3n con el aclaramiento<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>\u00abreserva renal en ni\u00f1os y jovenes con ri\u00f1on unico\u00bb<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 \u00abreserva renal en ni\u00f1os y jovenes con ri\u00f1on unico\u00bb <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Montserrat Anton Gamero <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Oviedo<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 10\/10\/2000<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Seraf\u00edn M\u00e1laga Guerrero<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: manuel Crespo hernandez <\/li>\n<li>Juan Martin govantes (vocal)<\/li>\n<li>armando Romanos lezcanos (vocal)<\/li>\n<li>pedro Riera rovira (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Montserrat Anton Gamero En el ri\u00f1\u00f3n \u00fanico la funci\u00f3n renal est\u00e1 mantenida por la mitad de la [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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