Tanchev S, Tanchev I, Maleeva A, Visheva N
Vutr Boles. 1981;20(5):65-70.
The plasma level of FSH, LH, P and E of 24 women with CRI, aged from 16-61, on a programmed hemodialysis was determined, 13 of them with Balkan endemic nephropathy, 8--chronic pyelonephritis and one patient with chronic glomerulonephritis, polycystosis of kidneys and lupus nephritis. The patients were grouped into three groups according to age and genital cycle: with genital cycle--10, secondary amenorrhea--7, and in menopause--7. The patients with genital cycle were grouped as follows: 4 with eumenorrea, 4--opsomenorrhea and I with hyper- and I with hypomenorrhea. Plasma hormone level prior to and post hemodialysis was determined by radioimmunologic methods. The results obtained showed that FSH levels, as compared with the control group of healthy women, was unchanged, LH and P--was elevated and E was elevated only in the patients with genital cycle. No significant discrepancy was found in the levels of the hormones studied, in the three groups of females with CRI on programmed hemodialysis (with genital cycle, secondary amenorrhea and menopause), except for E in the women with cycle. The studies of the authors showed that plasma levels of FSH, LH, P and E prior to and post hemodialysis, are insignificantly changed. That provided grounds to admit that the hormones are nondialysable. The authors admit that the programmed hemodialysis is a treatment method by which the genital cycle in some CRI patients with secondary amenorrhea could be restored.
对24例年龄在16至61岁之间、接受定期血液透析的慢性肾功能不全(CRI)女性患者的促卵泡生成素(FSH)、促黄体生成素(LH)、孕酮(P)和雌二醇(E)血浆水平进行了测定。其中13例患有巴尔干地方性肾病,8例患有慢性肾盂肾炎,1例患有慢性肾小球肾炎、多囊肾和狼疮性肾炎。根据年龄和生殖周期将患者分为三组:有生殖周期的10例,继发性闭经的7例,绝经的7例。有生殖周期的患者又分为以下几类:月经正常的4例,月经稀发的4例,月经过多的1例和月经过少的1例。采用放射免疫法测定血液透析前后的血浆激素水平。结果显示,与健康女性对照组相比,FSH水平未变,LH和P升高,仅在有生殖周期的患者中E升高。在接受定期血液透析的三组CRI女性患者(有生殖周期、继发性闭经和绝经)中,除有生殖周期女性的E外,所研究激素水平未发现明显差异。作者的研究表明,血液透析前后FSH、LH、P和E的血浆水平变化不明显。这为认为这些激素不可透析提供了依据。作者承认,定期血液透析是一种可使一些继发性闭经的CRI患者恢复生殖周期的治疗方法。