Features of patients with comorbid pathology treatment in internal medicine
DOI:
https://doi.org/10.14739/2310-1210.2015.5.53736Keywords:
Comorbidity, Hypertension, Chronic Kidney Disease, Osteoarthritis, Anemia, Patient Care ManagementAbstract
Aim. Nowadays more attention is paid to the comorbid pathologies in the internal medicine as they have important social and medical value. Different combinations of the arterial hypertension, chronic kidney disease, osteoartrosis and anemia influences are now studied. The article underlines the main features of the therapeutic tactics in these patients.
Methods and results. The paper presents a case of a patient with mentioned pathology, sets out the main guidelines for the management of patients with such comorbid conditions.
Conclusion. Treatment tactics should include: minimum interoperability path of excretion, metabolic neutrality, good tolerability and a positive impact on the affected organ, all of which may contribute not only to improve health and improve the quality of life of patients, but also its extension.
References
(2009). Serdechno-sosudistaya zabolevaemostʹ i smertnostʹ – statistika po evropeоskim stranam (2008) [Cardiovascular morbidity and mortality - statistics on European countries (2008)]. Medicine review, 1(06), 6–12. [in Ukrainian].
Gorbasʹ, M. (2008). Eʹpidemiologiya osnovnykh faktoriv ryzyku sercevo-sudynnykh zakhvoryuvanʹ [Epidemiology of major risk factors for cardiovascular diseas]. Arterialʹnaya gipertenziya, 2, 13–18. [in Russian].
Sirenko, Yu. M. (2009) Hipertonichna khvoroba: dovidkove vydannia [Hypertension: reference book]. Kyiv : Zdorovia. [in Ukrainian].
Rekomendatsii Ukrainskoi Asotsiatsii kardiolohiv z profilaktyky ta likuvannia arterialnoi hipertenzii [Recommendations of Ukrainian Association of Cardiology on prevention and treatment of hypertension.]. Kyiv : PP VMB. [in Ukrainian].
Netiazhenko, V. Z., Matiukha, L. F., Nagorna, O. O., et al. (2014). Pro pidkhody do likuvannia arterialnoi hipertenzii ta zdiisnennia nahliadu za bezpekoiu ta efektyvnistiu antyhipertenzyvnykh likarskykh zasobiv: (za rezultatamy selektornoi narady MOZ Ukrainy, shcho vidbulasia 14.02.2014 r.) [On the approaches to the treatment of hypertension and oversee the safety and efficacy of antihypertensive drugs: the results conference call the Ministry of Health of Ukraine, which was held 14/02/2014]. Novosti mediciny i farmacii, 6(495), 3–4. [in Ukrainian].
Rtishchev, O. V., & Kalev, O. F. (2011). Osobennosti strukturnogo remodelirovaniya miokarda u bolʹnykh arterialʹnoyu gipertenzieyu, nakhodyashchikhsya na gemodializie [Features of structural remodeling in hypertensive patients on hemodialysis]. Klinicheskaya nefrologiya, 2, 35–39. [in Russian].
Nechesova, T. A., Livenceva, M. M., Korobko, I. Yu., & Kalinina, T. V. (2008). Vliyanie kombinirovannoj antigipertenzivnoj terapii preparatom ekvator na sostoyanie organov-mishenej [Effect of combination antihypertensive therapy with Equator to the state organs – targets]. Arterialʹnaya gipertenziya, 2, 32–36. [in Russian].
Orlova, H. M. (2013) [Medical and social aspects of chronic kidney disease in the Baikal area]. Aktual'nye voprosy terapii. Proceedings of the Scientific and Practical Conference, (p. 20–23). Irkutsk. [in Russian].
Guidelines for the Management of Arterial Hypertension (2007). J. of Hypertension, 25, 1105–1187.
Kolesnik, N. A. (2011). Specializirovannaya medicinskaya pomoshch bolʹnym nefrologicheskogo profilya v mire i v Ukraine: ocenka situacii i prognozy [Specialized medical care to patients Nephrology profile in the world and in Ukraine: assessment of the situation and forecasts]. Therapia. Ukrainskij medychnyj visnyk, 1(54), 6–8. [in Ukrainian].
Verhave, J. C., Hillege, H. Z., Burgerhof, J. G., Gansevoort, R. T., de Zeeuw, D., de Jong, P. E. (2005). The association between atherosclerosis risk factors and renal function in the general population. Kindey Int., 67, 1967–1973.
Shutov, A. M. (2014). Hronicheskaya boleznʹ pochek – globalʹnaya problema XXІ veka [Chronic kidney disease – a global problem of the twenty-first century]. Klinicheskaya medicina, 5, 5–10. [in Russian].
Himmelfarb, J., Henrich, W., & DuBose, T. (2007). Anemia of Kidney Disease and Clinical Practice Guidelines: Quo Vadis? Clin J Am Soc Nephrol, 2, 213–214. doi: 10.2215/CJN.04401206.
Povorozniuk, V. V. (2004) Osteoartroz [Osteoarthritis]. Zhurnal suchasnoho lіkaria. Mystetstvo lіkuvannia, 3, 18–23. [in Ukrainian].
Mendel, O. I., Naumov, A. V., Vertkin, A. L., Shamuilova, A. L., & Alekseeva, L. I. (2010). Osteoartroz kak faktor riska kardiovaskulyarnykh katastrof. [Osteoarthritis as a risk factor for cardiovascular accidents]. Novosti medycyny i farmacii v mire, 17(340), 7–8. [in Russian].
Bereznyakov, I. G., & Korzh, I. V. (2012). Osteoartroz, arterialʹnaya gipertenziya i ozhirenie: problema komorbidnosti [Osteoarthritis, hypertension and obesity: the problem of comorbidity]. Mezhdunarodnyj medicinskij zhurnal, 4, 78–81. [in Ukrainian].
Kalantarenko, Yu. V., Tomin, E. V., & Sokolova, L. K. (2015). Dializnaya terapiya. Preimushchestva peritonealʹnogo dializa v terapii khronicheskoj i ostroj pochechnoj nedostatochnosti [Dialysis. Benefits paritonealnog dialysis treatment of chronic and acute renal failure]. Pochki, 1(11), 72–75. [in Ukrainian].
Downloads
How to Cite
Issue
Section
License
Authors who publish with this journal agree to the following terms:- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access)
