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Class notes

Samenvatting van de MOOC transplantatie van MOD1

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Aantekeningen van alle verplichte en aanbevolen filmpjes van de MOOC transplantatie van Mechanisms of Disease 1. Deze stof wordt niet in de colleges behandeld, maar is wel verplicht voor het tentamen.

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Uploaded on
October 11, 2022
Number of pages
7
Written in
2022/2023
Type
Class notes
Professor(s)
L. j. wammes en d. cohen
Contains
All classes

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MOOC : Introduction TO immune
System




defends
immune
System AGAINST pathogeen



cells
INNATE →
macrophages ,
neutrophils ,
Nk
,
complement , cytokines

Adaptive →
lymfocyt es ,
Anti bodies




MHC Presents pepiides TO
lymfocyt es → ATTACK +
Memory Formation




→ Shor t pepiides

↳ hp TO 25 Animo Acids




MOOC :
The humoral immune
System




B- cell receptor = Aniibodies



VD
] have multiple ( variable par t)
-




Segment options



CAN wiihoui MHC
-




Recognize epitope


has multiple ( IgM IgG IgA IGD )
IgG
-



CONSTANT PART isotypes , , , ,




Memory response is quicker And
langer



MOOC :

histocompatibility


HLA = MOST important Target of immune System in donor
Organ
↑ A. B. DR Are Tested



is but hard ( is Optimal )

Matching important 0 0 0
- -


,




→ mismatch is possible ,
if previous exposure has not happened ( blood TRANS fusion
, Pregnancy ,
TRANSPIANT )




MOOC
immunogenetics
:




TRANSPIANTATION needs immunosupressive drugs ( except if donor is
monozygotic Twin )




human leukocyten HLA
Antigen
=




Serological Typing TERAZAGI If lysis of
lymphocyies
-


Tray , positive


Molecular Identity The HLA DNA
-

→ in
Typing Type

-

Short Ar m Chromosomen 6


-

Class 1 → A B C
, ,




-

Class 11 → DR DQ DP
, ,




HLA
in family → 25 % chance of identiek Type


in
general population → much lower

,MOOC : The
Kidney in health And disease

netron

glomerulus proxima /
Renint EPO Thbnll
f)
inaciive → Active UITD
[
uit ☐



funciions : excretion HOMEOSTASIS ,
Production Conversion
, ,




disial
Tubnle


Sympioms Kidney disease
colleciing
Tube
-
ACCUMUIATION Of WASTE Products

-

Fluid Overload And electro/ disiurbances
yie

-


↑ blood pressure

-

Anemia ' ◦OP ◦t Henk
cor tex
meduy ,

-

bone disease




Renat function other
Measurement
diagnosiics
men : 60 -
110 mmol / L


Serum creatinine →
wonnen 50 100 µmol / L urine Analysis
- -
:
-




GFR >
60 mL / min / 1.73 m2 ( ulirasound)
Imaging
-
→ -




CIEARANCE
creatinine → 70 110 mL / min / 1.73 m2 RENAI
biopsy
-
- -




Causes of Renat failure

-


prerenal → 10W blood pressure , heari failure


Renat glomerulonephritis
-





POSTREUAI → Obstruction of TRACT
urinary
-




Chronic
Kidney disease Kidney GFR 60 for >
3 months
damage
<
=
or




has 5
Stages
-




diabetes And
hypertension Main Causes
-

Are




MOOC :
options if hiidneys fail




ESRD TREATMENT




Conservative →
Antihypertensive mediation
-




dialysis disn-dvantn-g.es dialysis
-




hemodialyse's lower quality of life
-
-




-



periìoneal dialysis
-

it can t
'

fully Replace Kidney function


Renal Transplantaties high morbidity / /
ity
- -


MORTA



-

decertsed donor DISADUANTAGES Transplantaties

-

donation After brain death ( DBD )
-




Surgical COMPIICATIONS

-

donation Aften
CIRCUIATORY de Ath ( DCD ) -

Risk of AIIOGRAFT Rejeciion

-




living donor
-




Iitelong need for medications


-
Related -

side effects immunosuppressanis


of
Related Risk
AIIOGRAFT disfunciion
-



un
-




-

Altruisiic


of
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-
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