{"id":9646,"date":"2019-11-26T10:16:00","date_gmt":"2019-11-26T10:16:00","guid":{"rendered":"https:\/\/jurmed.ro\/medici\/?p=9646"},"modified":"2019-11-26T10:16:00","modified_gmt":"2019-11-26T10:16:00","slug":"tromboza-venelor-renale-simptome-consecinte-complicatii","status":"publish","type":"post","link":"https:\/\/jurmed.ro\/medici\/tromboza-venelor-renale-simptome-consecinte-complicatii\/","title":{"rendered":"Tromboza venelor renale: simptome, consecin\u021be, complica\u021bii"},"content":{"rendered":"<p style=\"text-align: justify\">Cele mai frecvente cauze includ sindromul nefrotic, tulbur\u0103rile hemostazei primare cu hipercoagulabilitate, tumori renale maligne, compresia extern\u0103 a prejudiciului venei renale este rar\u0103 boala inflamatorie a intestinului.<\/p>\n<p style=\"text-align: justify\"><strong>D<\/strong>iagnosticul se face prin angiografie CT sau rezonan\u021b\u0103 magnetic\u0103 sau venografie renale. \u00cen prognosticul tratamentului este de obicei favorabil. Tratamentul const\u0103 \u00een anticoagulare, men\u021binerea func\u021biei renale \u0219i tratamentul bolii subiacente. Unii pacien\u021bi pot fi utile pentru trombectomie sau nefrectomie.<\/p>\n<p style=\"text-align: justify\"><strong><u>Cauzele trombozei venoase renale <\/u><\/strong><\/p>\n<p style=\"text-align: justify\">Excesiv\u0103 forma activ\u0103 diurez\u0103 sau administrarea prelungit\u0103 a unor doze mari de corticosteroizi pot juca un rol \u00een dezvoltarea trombozei venelor renale la pacien\u021bii cu aceste boli.<\/p>\n<p style=\"text-align: justify\">Alte cauze includ: respingerea alogrefei, amiloidoza, nefropatia diabetic\u0103, terapia cu estrogeni, sarcin\u0103,\u00a0 tulbur\u0103ri hipercoagulabilitate primare (de exemplu, deficit de antitrombin\u0103 II, proteina C sau S, Leiden Factor V, protromboina 620210A muta\u021bii), vasculita renal\u0103, nefropatia cu siclemie, LES.<\/p>\n<p style=\"text-align: justify\">Cauzele mai rare sunt asociate cu o sc\u0103dere a fluxului sanguin la nivelul venelor renale includ germinare \u0219i tumorile renale maligne (\u00een primul r\u00e2nd de cancer cu celule renale) \u00een vena renal\u0103, compresia renal\u0103 sau extern\u0103 a venei cave inferioare, utilizarea contraceptivelor orale, a prejudiciului, deshidratare \u0219i cocain\u0103.<\/p>\n<p style=\"text-align: justify\"><strong><u>Simptome \u0219i semne de tromboza venei renale <\/u><\/strong><\/p>\n<p style=\"text-align: justify\">De obicei, apari\u021bia disfunc\u021biei renale apare imperceptibil. Cu toate acestea, manifestarea poate fi acut\u0103, determin\u00e2nd infarct renal cu grea\u021b\u0103, v\u0103rs\u0103turi. Atunci c\u00e2nd cauza este o tulburare de hipercoagulabilitate pot prezenta semne de tromboembolism venos. Atunci c\u00e2nd factorul cauzal este cancerul de rinichi poate domina simptomele sale (de exemplu, hematurie, pierdere \u00een greutate).<\/p>\n<p style=\"text-align: justify\"><strong><u>Diagnosticul de tromboza venelor renale<\/u><\/strong><\/p>\n<p style=\"text-align: justify\">\u00a0La pacien\u021bii cu infarct renal, sau orice deteriorare a func\u021biei renale de etiologie necunoscut\u0103, \u00een special la pacien\u021bii cu sindrom nefrotic \u0219i al\u021bi factori de risc ar trebui s\u0103 fie excluse de tromboz\u0103 venoas\u0103 renal\u0103. Metoda de diagnosticare tradi\u021bional\u0103 de alegere \u0219i este metoda standard de aur este kavagrafiya- informativ diagnostician activ, dar poate contribui la separarea trombului. Din cauza riscurilor poten\u021biale ale flebografie tradi\u021bionale sunt din ce \u00een ce flebografie second-hand de rezonan\u021b\u0103 magnetic\u0103 \u0219i Doppler. Magnetic Resonance Imaging venografia poate fi efectuat\u0103, dac\u0103 RFG este mai mare de 30 ml \/ min. Atunci c\u00e2nd Doppler trombozei venei renale, uneori, este determinat\u0103, dar metoda are o frecven\u021b\u0103 mare de r\u0103spunsuri fals negative \u0219i fals pozitive. Angiografia CT ofer\u0103 detalii bune cu sensibilitate \u0219i specificitate mare, este rapid, dar necesit\u0103 introducerea de agen\u021bi de contrast, care pot fi nefrotoxice. Analiza a electroli\u021bilor serici, analiza urinei, care confirm\u0103 deteriorarea func\u021biei renale. Exist\u0103 de multe ori o hematurie microscopic\u0103. Dac\u0103 nu exist\u0103 nici un motiv aparent, este necesar s\u0103 se \u00eenceap\u0103 diagnosticarea st\u0103rilor de hipercoagulabilitate. Biopsia renal\u0103 nu este o valoare de diagnostic, dar poate fi determinat\u0103 boala de rinichi de fond.<\/p>\n<p style=\"text-align: justify\"><strong><u>Tratamentul trombozei venoase renale <\/u><\/strong><\/p>\n<p style=\"text-align: justify\"><strong>Tratamentul bolii de baz\u0103. <\/strong><\/p>\n<p style=\"text-align: justify\"><strong>Terapia anticoagulant\u0103. <\/strong><\/p>\n<p style=\"text-align: justify\">Uneori trombectomia sau tromboliz\u0103, prin intermediul unui cateter introdus percutan.<\/p>\n<p style=\"text-align: justify\">Rezultatul fatal este rar \u0219i este de obicei asociat cu complica\u021bii. Acesta ar trebui s\u0103 produc\u0103 un tratament al bolii de baz\u0103. Op\u021biunile de tratament includ tromboz\u0103 venoas\u0103 renal\u0103 tratament anticoagulant heparin\u0103, tromboliz\u0103 \u0219i thrombectomy percutanata sau deschise. \u00cen cazul \u00een care nu sunt planificate proceduri invazive, ar trebui s\u0103 \u00eenceap\u0103 imediat un tratament anticoagulant pe termen lung cu heparine cu greutate molecular\u0103 mic\u0103 sau warfarina.<\/p>\n<p style=\"text-align: justify\">Anticoagularea reduce riscul de formare a trombilor noi, promoveaz\u0103 recanalizare vascular\u0103 cu trombi existente \u0219i \u00eembun\u0103t\u0103\u021be\u0219te func\u021bia renal\u0103. Terapia anticoagulant\u0103 trebuie continuat timp de cel pu\u021bin 6-12 luni sau pentru via\u021b\u0103, \u00een cazul \u00een care exist\u0103 o tulburare hipercoagulabilitate (de exemplu, sindrom nefrotic permanent).<\/p>\n<p style=\"text-align: justify\">Utilizarea cateterelor pentru trombectomia percutanat\u0103 \u0219i tromboliz\u0103 &#8211; o nou\u0103 metod\u0103 promi\u021b\u0103toare cu o eficien\u021b\u0103 bun\u0103. \u00cendep\u0103rtarea chirurgical\u0103 a form\u0103rii trombusului se efectueaz\u0103 rar, dar poate fi utilizat \u00een cazul \u00een care terapia anticoagulant\u0103 nu este eficace sau este contraindicat\u0103. De asemenea, \u00een aceste cazuri, pute\u021bi utiliza instalarea kavafiltrov ven\u0103 cav\u0103 inferioar\u0103.<\/p>\n<p style=\"text-align: justify\"><strong>Surs\u0103: <\/strong><strong><em>https:\/\/rum.gurushealth.ru\/miscelaneu\/medicin%C4%83\/30315-tromboza-venelor-renale-simptome-consecin%C8%9Be.html<\/em><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Cele mai frecvente cauze includ sindromul nefrotic, tulbur\u0103rile hemostazei primare cu hipercoagulabilitate, tumori renale maligne, compresia extern\u0103 a prejudiciului venei renale este rar\u0103 boala inflamatorie a intestinului. Diagnosticul se face [&hellip;]<\/p>\n","protected":false},"author":9,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[33,661,1],"tags":[],"class_list":["post-9646","post","type-post","status-publish","format-standard","category-articole","category-nefrologie-articole","category-stiri-noutati"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.0 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Tromboza venelor renale: simptome, consecin\u021be, complica\u021bii<\/title>\n<meta name=\"description\" content=\"Tromboza venelor renale: simptome, consecin\u021be, complica\u021bii\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/jurmed.ro\/medici\/tromboza-venelor-renale-simptome-consecinte-complicatii\/\" \/>\n<meta property=\"og:locale\" content=\"ro_RO\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Tromboza venelor renale: simptome, consecin\u021be, complica\u021bii\" \/>\n<meta property=\"og:description\" content=\"Tromboza venelor renale: simptome, consecin\u021be, complica\u021bii\" \/>\n<meta property=\"og:url\" content=\"https:\/\/jurmed.ro\/medici\/tromboza-venelor-renale-simptome-consecinte-complicatii\/\" \/>\n<meta property=\"og:site_name\" content=\"Jurmed - Medici\" \/>\n<meta property=\"article:published_time\" content=\"2019-11-26T10:16:00+00:00\" \/>\n<meta name=\"author\" content=\"Alina\" \/>\n<meta name=\"twitter:label1\" content=\"Scris de\" \/>\n\t<meta name=\"twitter:data1\" content=\"Alina\" \/>\n\t<meta name=\"twitter:label2\" content=\"Timp estimat pentru citire\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/jurmed.ro\/medici\/tromboza-venelor-renale-simptome-consecinte-complicatii\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/jurmed.ro\/medici\/tromboza-venelor-renale-simptome-consecinte-complicatii\/\"},\"author\":{\"name\":\"Alina\",\"@id\":\"https:\/\/jurmed.ro\/medici\/#\/schema\/person\/1203ddfc75cb6a85fecd32186ee55582\"},\"headline\":\"Tromboza venelor renale: simptome, consecin\u021be, complica\u021bii\",\"datePublished\":\"2019-11-26T10:16:00+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/jurmed.ro\/medici\/tromboza-venelor-renale-simptome-consecinte-complicatii\/\"},\"wordCount\":676,\"commentCount\":0,\"articleSection\":[\"Articole\",\"Nefrologie\",\"Stiri \/ Noutati\"],\"inLanguage\":\"ro-RO\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\/\/jurmed.ro\/medici\/tromboza-venelor-renale-simptome-consecinte-complicatii\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/jurmed.ro\/medici\/tromboza-venelor-renale-simptome-consecinte-complicatii\/\",\"url\":\"https:\/\/jurmed.ro\/medici\/tromboza-venelor-renale-simptome-consecinte-complicatii\/\",\"name\":\"Tromboza venelor renale: simptome, consecin\u021be, complica\u021bii\",\"isPartOf\":{\"@id\":\"https:\/\/jurmed.ro\/medici\/#website\"},\"datePublished\":\"2019-11-26T10:16:00+00:00\",\"author\":{\"@id\":\"https:\/\/jurmed.ro\/medici\/#\/schema\/person\/1203ddfc75cb6a85fecd32186ee55582\"},\"description\":\"Tromboza venelor renale: simptome, consecin\u021be, complica\u021bii\",\"breadcrumb\":{\"@id\":\"https:\/\/jurmed.ro\/medici\/tromboza-venelor-renale-simptome-consecinte-complicatii\/#breadcrumb\"},\"inLanguage\":\"ro-RO\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/jurmed.ro\/medici\/tromboza-venelor-renale-simptome-consecinte-complicatii\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/jurmed.ro\/medici\/tromboza-venelor-renale-simptome-consecinte-complicatii\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/jurmed.ro\/medici\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Tromboza venelor renale: simptome, consecin\u021be, complica\u021bii\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/jurmed.ro\/medici\/#website\",\"url\":\"https:\/\/jurmed.ro\/medici\/\",\"name\":\"Jurmed - Medici\",\"description\":\"JURMED \u2013 Jurnal de Sanatate este o publicatie lunara de informare si preventie medicala. 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