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ХАЛҚАРО-ҲАМКОРЛИК-ВА-ИННОВАЦИЯЛАР-ТИББИЙ-ТАЪЛИМ-ИСЛОҲОТЛАРИНИНГ-АСОСИДИР
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- Results and its discussion.
Purpose of the study. evaluation of the cellular immunity in children with
chronic glomerulonephritis. Materials and methods. We observed 25 children aged 3 to 7 years old suffering from the nephrotic form of chronic glomerulonephritis (CGN). The control group consisted of 25 healthy children of the same age. Clinical diagnosis was based on history, clinical, laboratory and functional methods of research. We studied the cellular immunity and the concentration of circulating immune complexes (CIC). Indicators of cellular immunity was determined by the method of Garib F.Y. et al [7]. The phagocytic activity of neutrophils (PhAN) is determined by nitroblue tetrazolium test using latex particles [8], the circulate immune complex (CIC) precipitation method [9]. The material for the study of venous blood were taken in the morning on an empty stomach. Digital data is treated by variational statistics with the calculation of the reliability of the numerical differences. Results and its discussion. The results of the study revealed that the patients of the observed sex, girls accounted for 45,0%, 55,0% boys. According to the study of partial kidney function in patients with children revealed a decrease in the daily urine output, relative density of urine (P <0,001), increasing red blood cell and leukocyturia daily (P <0,01). There was a statistically significant increase in daily proteinuria, urea and serum creatinine (P <0,001). The results of immunological studies have shown that compared with the control group of children suffering from the nephrotic form of CGN in acute (before treatment) showed a statistically significant decrease in the percentage of T - lymphocytes (CD3), T - suppressor (CD8) T - helper cells (CD4 ), natural killer (LNK16), phagocyte active neutrophils (PhAN) (P <0.001), a significant increase 157 in the number of B-lymphocytes (CD19), (P <0,01) as well as the concentration of the CIC (P <0.001) (Table ). Identified immunopathological shifts due to the fact that in CGN types of immune response associated with one embodiment of lymphocyte activation involving preferential Th-lymphocyte clones first helper (Th1) or second (Th2) such as stimulating the development and immune response of cellular type. A chronic imbalance in the activation of T helper clones leads to the development of immunopathological reactions[4,5]. Download 3.4 Mb. Do'stlaringiz bilan baham: |
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