[Dysfunction of the peripheral and autonomic nervous systems in patients on long-term hemodialysis program].
Haemodialysis discloses complex mechanisms leading to the syndrome of biological equilibrium derangement, including dysfunctions of the autonomic, peripheral and central nervous systems. Neurological problems can appear in the patients undergoing haemodialysis treatment as its complications or as a consequence of metabolic disturbances. The degree of involvement of the peripheral nervous system is connected with the duration of dialysis treatment and with certain blood biochemical parameters. Systematic haemodialysis treatment leads to normalization of the changed electrophysiological parameters. Prolonged treatment with repeated haemodialyses increases the activity of the sympathetic nervous system, which manifests itself as increased sensitivity of baroreceptors. An evidence of changes in the vagal nerve system during prolonged haemodialysis treatment is decreased response to atropine. Dysfunction of the autonomic nervous system is rather labile, while peripheral nervous system disturbances are relatively stable and often refractory to therapy with haemodialyses.
Oddziału Neurologii Wojewódzkiego Szpitala Zespolonego, Radomiu.
K
K
Nadgrodkiewicz
D001341:Autonomic Nervous System / Q000503:physiopathology*; D006801:Humans; D017933:Peripheral Nervous System / Q000503:physiopathology*; D006435:Renal Dialysis / Q000009:adverse effects*; D051437:Renal Insufficiency / Q000503:physiopathology / Q000534:rehabilitation*; D014630:Vagus Nerve / Q000503:physiopathology
Zaburzenia funkcjonowania obwodowego i autonomicznego układu nerwowego u chorych przewlekle hemodializowanych.