2022 Sab saum toj 10 Cov Lus Xaiv Zoo hauv Nephrology
Jan 11, 2023
Nws yog lub sijhawm rau kev tshuaj xyuas txhua xyoo. Lub xyoo dhau los ua li cas rau koj? Kawm qhov tshiab los ntawm kev tshuaj xyuas yav dhau los, peb yuav txuas ntxiv mus faib thiab khaws cov khoom nrov, tshuaj xyuas, rooj plaub, cov lus pom zoo, thiab lwm yam luam tawm xyoo 2022 rau cov neeg nyeem. Cov hauv qab no yog cov khoom nrov:
TOP 1: Academician Liu Zhihong: Rov nkag siab txog Glomerular Filtration Barrier thiab Kab Mob ntsig txog
Thaum Lub Yim Hli 4, 2022, ntawm 2021 Academic Annual Meeting (CSN 2021) ntawm Nephrology ceg ntawm Tuam Tshoj Medical Association, kws kawm Liu Zhihong, tus thawj coj ntawm Eastern Theatre General Tsev Kho Mob thiab National Clinical Research Center for raum Disease, tau nthuav tawm ntawm "rov nkag siab txog glomerular Filtration Barriers thiab Cov Kab Mob Muaj feem xyuam". Academician Liu Zhihong tau taw qhia tias txoj kev tshawb fawb ntawm cov kab mob uas sawv cev los ntawm Alport syndrome yuav tsum pib nrog kev soj ntsuam ntawm cov kab mob gene variation, uas yuav muab txoj hauv kev tshiab kom nkag siab txog cov qauv txawv txav thiab kev cuam tshuam ntawm glomerular filtration barrier, thiab muab txoj hauv kev tshiab. rau tej kab mob. Qhov nyuaj ntawm kev hloov pauv caj ces, ntau hom kev kho mob phenotypes, thiab qhov tseem ceeb ntawm kev kuaj kab mob caj ces tau coj kev nkag siab tshiab, yog li txhim kho nws qhov kev kuaj mob thiab kev kho mob.
Nyem rau cov txiaj ntsig ntawm cistanche rau mob raum
TOP 2: Clinical Essentials: Diagnosis and Treatment of Metabolic Alkalosis
Metabolic alkalosis yog ib qho teeb meem ntawm acid-base tshuav nyiaj li cas hauv kev kho mob. Thaum cov ntshav arterial pH ntau dua lossis sib npaug li 7.55, qhov kev pheej hmoo ntawm kev tuag nce ntau. Lub raum yog ib qho tseem ceeb hauv lub cev los tswj cov kua qaub-puag, yog li metabolic alkalosis feem ntau cuam tshuam nrog raum kab mob. Lub etiology ntawm metabolic alkalosis yog txawv. Cov kws kho mob yuav tsum tau ua tib zoo saib xyuas tus neeg mob cov tsos mob, ua kom tiav qhov kev ntsuam xyuas sai li sai tau, thiab nug txog keeb kwm kev kho mob kom ntxaws, kho cov metabolic alkalosis sai sai thiab kho qhov ua rau tib lub sijhawm, txo qhov kev pheej hmoo ntawm kev rov tshwm sim ntawm cov kab mob. tus neeg mob.
TOP 3: ASN Raum Lub Limtiam 2022 tau ua tiav, thiab "khoov" hauv nephrology pib
Thaum Lub Kaum Ib Hlis 3-6, 2022, Lub Sijhawm Sab Hnub Tuaj Tebchaws Asmeskas, 2022 American Society of Nephrology Lub Rooj Sib Tham Txhua Xyoo - ASN Raum Lub Limtiam, lub ntiaj teb kev kawm raum qib siab tshaj plaws, tau ua tiav hauv Tebchaws Meskas. Lub rooj sib tham tau coj cov kws tshaj lij thiab cov kws tshawb fawb hauv thaj tsam ntawm nephrology los ntawm thoob plaws ntiaj teb, muab lub platform zoo rau cov neeg koom los nthuav qhia thiab sib pauv cov kev kawm tshiab hauv kev kawm. Xib fwb Susan E. Quaggin, Thawj Tswj Hwm ntawm ASN, tau taw qhia ntawm lub rooj sib tham qhib uas piv nrog ua ntej xyoo 2015, kev nce qib hauv kev tswj hwm ntawm nephropathy tau nce siab los ntawm leaps thiab ciam teb, muab cov laj thawj rau cov neeg ntseeg tias nephrology tab tom ntsib " kiv puag ncig"!
TOP 4: Xib Fwb Zhao Minghui: Kev nce qib hauv kev tshawb fawb thiab kev kuaj mob thiab kev kho mob ntxiv thiab kab mob raum
Complement plays lub luag haujlwm tseem ceeb hauv qee cov kab mob raum. Lub hom phiaj ntxiv tuaj yeem txhim kho kev kho mob thiab kev kwv yees ntawm cov kab mob hauv lub raum. Thaum Lub Yim Hli 7, 2022, ntawm 2021 Kev Kawm Txhua Xyoo Lub Rooj Sib Tham (CSN 2021) ntawm Nephrology ceg ntawm Tuam Tshoj Medical Association, xibfwb Zhao Minghui, tus thawj coj ntawm Peking University Thawj Tsev Kho Mob thiab Peking University Institute of Nephrology, tau nthuav tawm ntawm "Tshaj thiab. Cov kab mob hauv lub raum ", thiab xaus lus tias kev ua kom muaj zog ntxiv yog koom nrog hauv pathogenesis ntawm ntau yam kab mob raum, tab sis mus rau qhov sib txawv ntawm txhua tus kab mob raum. Tam sim no, nws tseem tsis tau paub meej tias cov kab mob hauv lub raum ua kom muaj kev tiv thaiv kev kho mob, thiab xav tau kev tshawb fawb ntxiv.
TOP 5: Puas yog proteinuria yuav tsum txhais tau tias mob raum? Cov xwm txheej no xav tau kev saib xyuas tshwj xeeb
Lub xub ntiag ntawm proteinuria tsis txhais tau hais tias muaj teeb meem nrog rau lub raum ua haujlwm, thiab txhua yam los ntawm kev kis mus rau kev tawm dag zog ntau dhau tuaj yeem ua rau muaj proteinuria lossis microalbuminuria. Qhov tseeb, raws li lub ntsiab lus ntawm cov kab mob raum ntev (CKD) hauv KDIGO cov txheej txheem kho mob, cov theem ntawm cov kab mob hauv lub raum kuj yuav tsum tau kwv yees tus glomerular filtration rate (eGFR), uas qhia los ntawm sab uas qhov kev kuaj mob raum tsis yog. tsuas yog proteinuria. qhov ntsuas.
TOP 6: Cov kev tshawb fawb tshiab tshaj tawm tau lees paub tias nce tus naj npawb thiab lub sijhawm ntawm kev lim ntshav hauv ib lub lis piam yuav pab kom rov zoo thiab kev kuaj mob ntawm cov neeg mob lim ntshav!
Nws tau pom tias lub sijhawm ntawm lub sijhawm rov qab lim ntshav (DRT) cuam tshuam nrog kev ua neej zoo ntawm cov neeg mob uas muaj kab mob hauv lub raum kawg (ESRD). Yuav ua li cas lub sij hawm ntawm DRT yuav luv? Cov kev tshawb fawb los ntawm Tebchaws Meskas tau pom tias yog tias cov neeg mob ESRD tau txais hemodialysis 5 zaug hauv ib lub lis piam thiab lub sijhawm lim ntshav sib xyaw yog 14 teev, lub sijhawm ntawm DRT yuav luv luv, uas yuav pab txhawb kev rov zoo thiab kev kuaj mob ntawm cov neeg mob, thiab txo qhov kev pheej hmoo ntawm kev tuag. thiab pw hauv tsev kho mob.
TOP 7: Puas yog cov neeg mob hemodialysis tseem xav tau kev kho mob uric acid txo qis? Cov kev tshawb fawb tshiab qhia tau hais tias tej zaum yuav muaj peev xwm tso tseg cov tshuaj
Hyperuricemia yog ib qho teeb meem tshwm sim hauv cov neeg mob CKD, uas tuaj yeem ua rau mob caj dab thiab ua rau muaj kev pheej hmoo tuag. Ntau tus neeg mob CKD siv cov tshuaj txo qis hauv urate thaum ntxov. Txawm li cas los xij, hemodialysis tuaj yeem txo cov ntshav uric acid. Rau cov neeg mob lim ntshav uas tau nce mus rau ESRD, nws puas yuav tsum tau kho cov tshuaj uric acid txuas ntxiv? Txoj kev tshawb no qhia tau hais tias hemodialysis tuaj yeem tshem tawm cov uric acid ntau dhau, thiab cov neeg mob hemodialysis nrog hyperuricemia yuav tsum tsis txhob siv cov tshuaj urate-lowering.
TOP 8: Cov neeg mob ntshav qab zib muaj kev pheej hmoo siab ntawm vascular calcification, puas muaj vitamin K supplementation pab tau?
Txoj kev tshawb no yog qhov loj tshaj plaws randomized tswj kev sim ntawm cov txiaj ntsig ntawm vitamin K ntawm cov kab mob plawv hauv cov neeg mob hemodialysis. Cov kws tshawb fawb ntseeg tias kev ntxiv cov vitamin K tuaj yeem txhim kho cov cim qhia txog cov neeg mob hemodialysis, tab sis seb nws puas tuaj yeem txo qhov kev pheej hmoo ntawm vascular calcification hauv cov neeg mob hemodialysis tseem xav tau kev tshawb fawb ntxiv. Tsis tas li ntawd, tsis muaj kev tshawb fawb tseem pom tau tias kev ntxiv cov vitamin K txo qis kev pheej hmoo ntawm cov kab mob plawv tsis zoo hauv cov neeg mob hemodialysis nrog cov qhab nia siab ntawm cov hlab ntsha calcium (CAC).
TOP 9: Xib Fwb Wan Jianxin: Ib txwm albuminuria, ntshav qab zib, thiab kab mob raum
Cov ntaub ntawv tshiab tshaj plaws qhia tau hais tias kev tuag thiab kev tsis taus-hloov lub neej xyoo ntawm cov neeg mob ntshav qab zib CKD hauv kuv lub tebchaws tau nce txhua xyoo. Thaum Lub Yim Hli 6, 2022, ntawm 2021 Academic Annual Meeting (CSN 2021) ntawm Nephrology ceg ntawm Tuam Tshoj Medical Association, xibfwb Wan Jianxin los ntawm Thawj Tsev Kho Mob ntawm Fujian Medical University tau koom ua ke "Suav Cov Lus Qhia rau Kev Kho Mob thiab Kev Kho Mob Ntshav Qab Zib. Kab mob raum" thiab kev tshawb fawb nce qib, qhia cov ntsiab lus tseem ceeb ntawm kev kuaj mob thiab kev kho mob ntawm normoalbuminuric ntshav qab zib raum kab mob.
TOP 10: Cov ntsiab lus thiab cov ntsiab lus tawm ntawm kev tswj hwm rau hemodialysis hypotension
Cov neeg mob hemodialysis yog nquag hemodialysis hypotension (IDH), uas tsis yog tsuas yog cuam tshuam rau kev kho mob thiab kev ua neej zoo ntawm cov neeg mob tab sis kuj tseem tuaj yeem ua rau tuag taus. Thaum Lub Ob Hlis 24-27, 2022, 2022 World Congress of Nephrology (WCN) tau ua tiav hauv Kuala Lumpur, lub nroog Malaysia. Cov kws tshaj lij los ntawm ntau lub teb chaws tau piav qhia txog kev tswj hwm thiab cov tswv yim tshiab ntawm IDH thiab tos ntsoov rau kev siv tshuaj kho mob thaum ntxov thiab nthuav dav ntawm cov thev naus laus zis tshiab thiab cov tswv yim tshiab.
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