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 Wysłany: Wto 20:41, 08 Mar 2011 Temat postu: tory burch shoes tfm auh nfzr deh |
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Zhibai Dihuang Wan immunosuppressant therapy after kidney transplantation toxicity in 2 cases
Low serum concentrations of cyclosporine, should increase the amount, so the above toxicity. , Judging from the clinical deficiency is more typical of the card, the irritability, mouth pain, dry throat, thin pulse string, it seems from Liver. Although the drug, but also damage to liver function, and since many patients with liver protection drugs taken, it is rarely obvious clinical manifestations of liver damage and there were. In this case is no flank pain, dizziness, red eyes embolism, it should be from kidney treatment, as drug toxicity Hao Shang yin syndrome, inflammation virtual fire. Poison Yam because of drug fever medication for long-term wear and tear caused by the gradual, if converting make the hasty work, in this case to fire Zhibai Dihuang Wan Yin Qing Xia pure heart pill combining two slow kidney yin, clearing heat and toxicity, efficacy quite good. Example 2: Yan Moumou, male, aged 31, April 2006 renal transplantation, patients with tacrolimus, mycophenolate mofetil, prednisone triple anti-rejection therapy. The headache due to nasal congestion, abdominal pain, diarrhea 7d hospital. Diarrhea about 5 times a day, watery stools, no fever, cough, expectoration embolism, poor appetite and sleep, urine output decreased slightly. Check blood, stool and fecal bacterial culture, smears and other tests to find fungi were no exception. Considered after admission for acute gastroenteritis caused by diarrhea, levofloxacin, berberine Lactasin infection and fluconazole adjust the intestinal flora, anti-fungal therapy, 303 Hospital of PLA ① abdominal organ transplant center (Nanning 530021, China ) ② in the First Affiliated Hospital of Guangxi (Nanning 53oo23) diarrhea stopped, but again after 1d diarrhea, or even up to 10 times a day,[link widoczny dla zalogowanych], and sometimes nausea and vomiting. Charles tacrolimus blood concentration of up to 26.4ng/ml, renal creatinine rose to 351pa'nol / L, Widal o, H Widal was positive (1:160). Diagnosis of paratyphoid fever, then reduce the dosage of tacrolimus, to Cefoperazone Sodium and Sulbactam Sodium protection against gastrointestinal infection and treatment to prevent perforation. 2d after the diarrhea has stopped, but patients v. dry mouth and throat,[link widoczny dla zalogowanych], insomnia, retching, short yellow urine, red tongue, yellow coating less-chun, rapid pulse. Charles tacrolimus blood concentration 18.6ng/ml, renal function increased to 590t ~ nol / L. Then continued substantial reduction of tacrolimus and oral Zhibai Dihuang Wan, 3d tacrolimus concentration after the review of 9.3ng/ml, still higher than the upper limit of therapeutic window, but the disease has markedly improved, completely disappeared after 1 week. Patients with diarrhea course of time, Yin-chun, wear and tear. Combined with tacrolimus have kidney damage, neurotoxicity, caused by high blood sugar, hypertension, infection, side effects, manifested as decreased urine output, upper limb tremor, dizziness, headache, thirst, dry throat,[link widoczny dla zalogowanych], fever embolism, as in the example described, and cyclosporine similar, the taste partial heat Shangyin, because of combination with fluconazole and other drugs may increase its plasma concentration, heat-toxin accumulation, Shangyin Yishen Erzhi Zhu Zheng occur. The Zhibai Dihuang Wan Liu Wei Di Huang Wan plus the Anemarrhena, Cork composition, attending Yin Huo-wang, hot flashes, night sweats Gu Zheng of the disease, is the Yin and purging fire of the represented party. Line side card,[link widoczny dla zalogowanych], so Zhu Zheng Jie-Ping. Discussed since the 20th century, 80 years, clinical studies have prompted a large sample of Integrative Medicine in renal transplant recipients of various complications such as acute and chronic rejection, infection, drug toxicity, etc. with good clinical efficacy, complications can be accelerated recovery of long-term survival of the transplanted kidney may play an important role in ... 1. Currently the field of renal transplantation application and research of Chinese medicine focus on synergistic immunosuppression attenuated, after various types of rejection,[link widoczny dla zalogowanych], chronic allograft nephropathy and the prevention of complications such as infection, reduce renal ischemia-reperfusion injury, surgery Chinese medicine preparations before the infusion of donor and so on. Chinese herbal medicines for some of them already have more in-depth experimental research and extensive clinical application, the mechanism of action have a certain understanding on the 【cited, such as Cordyceps sinensis, triptolide anti-rejection, Salvia has been recognized to reduce cyclosporine toxicity. However, a certain sense, of course, Chinese medicine with modern technology should be actively to develop their own, but only a taste of Chinese medicines based on Extraction and pharmacological studies to the drug alone and can not be said the use of Chinese medicine, can only modern medicine is the development and utilization of traditional Chinese medicine, Chinese medicine because it is out of the speculative Treating the whole system. The overall level of postoperative patients from conditioning, to promote the body to create a new state is the relative advantages of Chinese medicine, may further improve the success rate of kidney transplantation and patient quality of life.
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