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Glomerulonephritis nach Operation einer Totalendoprothese von Hüfte oder Knie by Albittar, Mohammed

Glomerulonephritis nach Operation einer Totalendoprothese von Hüfte oder Knie

by Mohammed Albittar
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Book cover type: Paperback
  • ISBN13: 9783668389304
  • Binding: Paperback
  • Subject: N/A
  • Publisher: Grin Verlag
  • Publisher Imprint: Grin Verlag
  • Publication Date:
  • Pages: 68
  • Original Price: USD 42.5
  • Language: German
  • Edition: N/A
  • Item Weight: 100 grams
  • BISAC Subject(s): Clinical Medicine

Doktorarbeit / Dissertation aus dem Jahr 2015 im Fachbereich Medizin - Chirurgie, Unfallmedizin, Universit�t Ulm, Sprache: Deutsch, Abstract: Kann eine Glomerulonephritis nach einer Operation einer Totalendoprothese der H�fte oder des Knies entstehen? Operationen von H�ft- und Knieersatzprothesen nehmen fast jedes Jahr in Deutschland zu. Unter einer Totalendoprothese(TEP) wird ein k�nstlicher Gelenkersatz (Gelenkendoprothese) verstanden, wobei das komplette Gelenk ersetzt wird. Laut dem Endoprotheseregister in Deutschland 2014 werden j�hrlich etwa 390000 k�nstliche H�ftprothesen und Knieprothesen implantiert, gleichzeitig sind jedoch j�hrlich zirka 37000 Wechseloperationen erforderlich. �ber die Gr�nde ist bisher wenig bekannt. Die Komplikationen nach einem H�ft- oder Knieersatz wie zum Beispiel Prothesenlockerung, Prothesenabrieb oder Infektionen sind selten, stellen aber dennoch ein Risiko nach jedem gelenkersetzenden Eingriff dar. Andererseits ist die Glomerulonephritis die zweith�ufigste Ursache f�r ein Nierenversagen. In Deutschland f�hren 15 % der Glomerulonephritis nach einem Nierenversagen zu einer Dialysepflicht oder Nierentransplantation. Die Ursache ist von dem Immunsystem abh�ngig. Es entstehen Antigen-vermittle T-Zellen Antik�per oder Autoantik�rper, die sich wie bei anderen Autoimmunerkrankungen gegen K�rpereigene Strukturen richten. Dadurch werden die Glomeruli beider Nieren entz�ndet. Dies entwickelt sich jedoch so schnell, dass ohne eine rechtzeitige Behandlung eine Sch�digung beider Nieren zustande kommt (Gehring 2014), (Korn 2015), (Siegenthaler et al. 2013). Folgende Zusammenh�nge bez�glich Nierenerkrankungen sowie Autoimmunerkrankungen und Totalendoprothesen sind in der Literatur bereits beschrieben worden: [...] Bis jetzt wurde ein Zusammenhang zwischen Glomerulonephritis nach Operation einer Totalendoprothese von H�fte oder Knie noch nicht beschrieben. Hierzu ist keine Literatur bekannt.

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