Ignatova M S, Degtiareva E M, Fokeeva V V
Ter Arkh. 1989;61(6):45-50.
The children born to mothers suffering from glomerulonephritis, pyelonephritis and hereditary nephritis were followed up for 4-5 and more years. This allowed a conclusion about a considerable rate of the birth of children with pathology of the urinary system organs (USO) and with diseases of other organs which were diagnosed for the first time at the age of 3-10 years as a result of goal-oriented investigations. The groups of the children born to women with renal diseases were marked by a high perinatal lethality studied by means of retrospective questionnaire. As for the structure of the USO diseases, the children manifested the predominance of the disease patterns associated with dysembryogenesis at the organ (anatomic abnormalities), tissue (dysplasia of the renal tissue) and at the cellular levels (metabolic nephropathies). In children born to women with hereditary nephritis, USO pathology was of the same kind and occurred only in the form of hereditary nephritis, which corresponds to the concepts of monogenously inherited pathology. The demonstration during pregnancy of a considerable rate of the environmental effects capable of exerting a damaging action on the embryonal development of children born to women with glomerulo- and pyelonephritis suggests a concomitant genesis of USO diseases in children born to mothers suffering from renal diseases. The authors discuss measures aimed at the prevention or reduction of the incidence of USO pathology in children as well as at the recognition of pathologies in children born to women with renal diseases at the predisease stage.
对患有肾小球肾炎、肾盂肾炎和遗传性肾炎的母亲所生子女进行了4至5年及更长时间的随访。这使得我们能够得出结论,泌尿系统器官(USO)有病变以及其他器官患有疾病的儿童出生率相当高,这些疾病是通过有针对性的调查在3至10岁时首次诊断出来的。通过回顾性问卷调查研究发现,患有肾脏疾病的女性所生子女组的围产期死亡率很高。至于USO疾病的结构,儿童表现出与器官发育异常(解剖学异常)、组织(肾组织发育异常)和细胞水平(代谢性肾病)相关的疾病模式占主导地位。在患有遗传性肾炎的女性所生子女中,USO病理情况相同,仅以遗传性肾炎的形式出现,这与单基因遗传病理的概念相符。妊娠期显示出相当比例的环境因素会对患有肾小球肾炎和肾盂肾炎的女性所生子女的胚胎发育产生损害作用,这表明患有肾脏疾病的母亲所生子女中USO疾病存在共同发生的情况。作者讨论了旨在预防或降低儿童USO病理发生率以及在疾病前期识别患有肾脏疾病的女性所生子女病理情况的措施。