وظائف الغدة الدرقية وبروتين C التفاعلي لدى مرضى العجز الكلوي المزمن المستمرين على الديلزة الدموية ومرضى الزرع الكلوي == Thyroid Functions And C - Reactive Protein In Chronic Renal Failure Patients On Hemodialysis And Kidney Transplantation
Author name:
احمد جاسم محمد المشهداني
Supervisor name:
نبيل خالد محمد علي
General topic:
Biology
Specific topic:
Zoology - Physiology
Degree:
Master
University:
University of Diyala - College Of Education For Pure Sciences - Department Of Biology
Language:
Arabic
University location:
Diyala
First pages:
24T2863 - p.pdf
Abstract:
يعاني مرضى الغسيل الدموي من امراض مزمنة يعتقد بانها لاتطال الغدة الدرقية, ولتقييم ذلك من خلال كل من الاداء الوظيفي الكلوي والدرقي لدى مرضى الفشل الكلوي المزمن والزرع الكلوي تم : - 1) قياس مستويات اليوريا والكرياتنين والفسفور وبروتين C التفاعلي, الكالسيوم | Patients on regular hemodialysis suffer from a chronic illness that is believed not to involve the thyroid gland. In this study, we evaluated the thyroid and kidney functions in Patients with end - stage renal disease and transplantation from : - 1) measurment levels of urea, creatinine, phosphorus, and C - reactive protein, calcium and albumin in patients and compared control. 2) measurment levels of thyroid hormones fT4, fT3 addition to thyroid stimulating - hormone TSH in the blood serum of patients and compared control. This study was conducted in Baquba teaching Hospital /Department of dialysis, the period from November.1st. 2013 to April.1st. 2014, from which to collect 80 blood samples, 40 samples hemodialysis Patients including (26 males, 14 females), 40 person Renal or kidney transplant Patients (32 males, 8 females) do not suffer from thyroid disease, compared with 40 blood samples for healthy people(control) (32 males, 8 females), within the age range of (20 - 70 years).. The Results of the study revealed a significant increase of probability (p<0.001) in levels of urea, creatinine and phosphorus in hemodialysis patients compared to control (21.932 ±1.072, 4.766 ± 0.122 mmol/L) (413.400 ±29.109, 62.375± 1.142 umol/L) (5.397 ±0.370, 3.875 ± 0.127 mg/dl) respectively. the results also indicate revealed a rise in the concentration of acute phase protein (C - reactive protein) by (50%) in hemodialysis patients, which reflected negatively increase the mortality rate in these patients, and low in glomerular filtration rate in hemodialysis patients compared to control (16.152±1.395, 126.325 ±2.020 ml/min) respectively. while still this significant difference in these levels with the exception of urea and glomerular filtration rate, which continued at the same level in renal transplant patients. The results indicated the presence of a significant decrease of probability (p<0.001) in the levels of calcium and albumin in hemodialysis patients compared to the control (7.857± 0.266, 9.058 ± 0.063 mg/dl) (3.333±0.156, 4.146 ± 0.108 g/dl) respectively. This decrease to become less significant in renal transplantation patients (P<0.01). The Thyroid hormone levels were the results of the statistical analysis show a significant decrease of probability (P <0.001) in Thyroid hormone levels Free triiodothyronine in hemodialysis and kidney transplant patients as compared to the control (3.233±0.151, 4.519 ± 0.100, 5.191 ± 0.137 pmol/l) respectively. While Free Thyroxine levels did not show a significant difference at the hemodialysis group compared to control , while the renal transplant group the results indicated the presence of a significant increase of probability (P <0.01) in hormone levels as compared to control amounted to (16.400 ± 0.778, 14.671± 0.401 pmol/l ) respectively. did not significant affected variations of the thyroid - stimulating hormone among the two groups of patients compared to the control. Notes from the above results presence decrease in thyroid hormone levels Free triiodothyronine fT3 in patients with hemodialysis and kidney transplant.
