Abstract

GUTIERREZ MENDEZ, José et al. INCIDENCIA DE LA NEFROPATIA COMO CAUSA DE INSUFICIENCIA RENAL CRONICA TERMINAL. Gac Med Bol [online]. 2005, vol.28, n.2, pp.25-30. ISSN 1012-2966.

The Diabétic Nefropatía (ND) is a complication feared in the evolution of Diabetes Mellitus, for the elevated morbi - mortality and costs of his maintenance, in addition the progressive retinopathy, peripheal Neuropatía, micro and macroangiopatica vasculopathy discapacitante, gastrointestinal disautonomia and the elevated risk of infectious complications. The present paper is descriptive, retrospective and analytical, the study was done in the Hospitals Hemodiálisis's and Diálisis P Titoneal's units of the Viedma and Cuschieri, of Cochabamba. Our objective is to determine the importance of early detection of the ND for the prevention of the terminal renal insufficiency (IRCT) and the social, economic and human impact that this one bears. The universe was 188 patients's, 60 diabetic patient were taken into account, and they were finded themselves in dialytic treatment. The 98 % of they had diabetes type II and 2 % with diabetes type I, the 100 % of they were with renal chronic Insuficiencia (IRC) stage III - IV. A 52 % they did not have medical treatment until the development of uremia and they entered to dialytic treatment of urgency. Of patients's under consideration the total 22 (37 %) they remain in Pre - dialytic control, 38 (63 %) come within the program of dialysis of them as 29 (76 %) were in peritoneal dialysis and 9 (24 %) in Hemodiálysis. In as much as the treatment for lack of economic resources, a 37 % were referred to his social security Hospital and a 39 % continue treatment.

Keywords : Diabetic neropathy; chronic renal insufficiency; mellitus diabetes.

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