{"id":88637,"date":"2018-03-10T00:13:38","date_gmt":"2018-03-10T00:13:38","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/evaluacion-del-dano-renal-postlitotricia-extracorporea-mediante-el-estudio-de-la-actividad-urinaria-de-n-acetil-beta-glucosaminidasa\/"},"modified":"2018-03-10T00:13:38","modified_gmt":"2018-03-10T00:13:38","slug":"evaluacion-del-dano-renal-postlitotricia-extracorporea-mediante-el-estudio-de-la-actividad-urinaria-de-n-acetil-beta-glucosaminidasa","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/evaluacion-del-dano-renal-postlitotricia-extracorporea-mediante-el-estudio-de-la-actividad-urinaria-de-n-acetil-beta-glucosaminidasa\/","title":{"rendered":"Evaluaci\u00f3n del da\u00f1o renal postlitotricia extracorp\u00f3rea mediante el estudio de la actividad urinaria de n-acetil beta-glucosaminidasa"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Carolina Ocete Mart\u00edn <\/strong><\/h2>\n<p>La litotricia extracorp\u00f3rea por ondas del choque(leoc) consigue la fragmentaci\u00f3n del c\u00e1lculo gracias a la aplicaci\u00f3n de energ\u00eda generada externamente al organismo. Los fragmentos calculosos ser\u00e1n eliminados por la v\u00eda urinaria normal. Pero esta t\u00e9cnica no est\u00e1 exenta de complicaciones, y as\u00ed vemos complicaciones, que en caso del ri\u00f1\u00f3n produce alteraciones morfol\u00f3gicas como hemoragias parenquimatosas, que dar\u00e1n lugar a fibrosis, alteraciones glomerulares, obstrucciones tubulares y alteraciones en los vasos renales. se producen alteraciones en el hemograma,bioqu\u00edmica y alteraciones en la orina con aumento de b2-microglobulinas, de la proteinuria, ggt y nag.  el nag es un enzima lisos\u00f3mico tubular proximal, con un peso molecular entre 130000+140000 daltons. Se encarga de la degradaci\u00f3n de mucopolisac\u00e1ridos y prote\u00ednas. Se ha se\u00f1alado como un buen marcador de da\u00f1o renal, y como tal se eleva en las patolog\u00edas renales, y entre ellas en la litiasis renal.  sabiendo que la leoc es el tratamiento de elecci\u00f3nde la litiasis urinaria y no est\u00e1 exento de riestos, y la nag es uno de los mejores marcadores de da\u00f1o renal, nos planteamos la hip\u00f3tesis de esta tesis al ver que en la bibliografia no existe ning\u00fan trabajo que relacione el efecto nocivo de las ondas de choque, en liti\u00e1sicos renales a los que previamente se les hab\u00eda medido su funci\u00f3n renal, por medio de un marcador tan fino como lo es la nag. As\u00ed que nos planteamos los siguientes objetivos:  tras el estudio estad\u00edstico y a la vista de los resultados del mismo, hemos llegado a las siguientes conclusiones:  1. La litiasis renal predispone a un cierto grado de nefropat\u00eda obstructiva que se puede valorar determinando la actividad urinaria de n-actil-b-glucosaminidasa.  2. La leoc no est\u00e1 exenta de efectos adversos y produce lesi\u00f3n renal que es cuantificable con el estudio de nag urinario. Inmediatamente despu\u00e9s de la leoc hay un ascenso significativo en la ac<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Evaluaci\u00f3n del da\u00f1o renal postlitotricia extracorp\u00f3rea mediante el estudio de la actividad urinaria de n-acetil beta-glucosaminidasa<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Evaluaci\u00f3n del da\u00f1o renal postlitotricia extracorp\u00f3rea mediante el estudio de la actividad urinaria de n-acetil beta-glucosaminidasa <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Carolina Ocete Mart\u00edn <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Granada<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 29\/01\/2001<\/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>Miguel Arrabal Mart\u00edn<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Antonio Rodr\u00edguez cuartero <\/li>\n<li>Jos\u00e9 Vicente rull (vocal)<\/li>\n<li>Francisco Palao yago (vocal)<\/li>\n<li>  (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Carolina Ocete Mart\u00edn La litotricia extracorp\u00f3rea por ondas del choque(leoc) consigue la fragmentaci\u00f3n del c\u00e1lculo gracias a [&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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