{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T10:10:17Z","timestamp":1760955017532},"reference-count":15,"publisher":"Akademiai Kiado Zrt.","issue":"45","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2007,11,1]]},"abstract":"<jats:p>A t\u00fcd\u0151transzplant\u00e1ci\u00f3 sz\u00e9les k\u00f6rben elfogadott kezel\u00e9si lehet\u0151s\u00e9g v\u00e9gst\u00e1dium\u00fa t\u00fcd\u0151betegek sz\u00e1m\u00e1ra, akiknek a funkcion\u00e1lis st\u00e1tusza maxim\u00e1lis kezel\u00e9s mellett romlik. A szerz\u0151k egy fiatal beteg\u00fck eset\u00e9t ismertetik, aki v\u00e9gst\u00e1dium\u00fa idiopathi\u00e1s t\u00fcd\u0151fibrosis miatt B\u00e9csben t\u00fcd\u0151transzplant\u00e1ci\u00f3n esett \u00e1t. Az elh\u00faz\u00f3d\u00f3, sz\u00f6v\u0151dm\u00e9nyes posztoperat\u00edv szakban akut veseel\u00e9gtelens\u00e9g alakult ki, emiatt a beteg hemodial\u00edzisre szorult. Pulmonol\u00f3giai szempontb\u00f3l teljes rehabilit\u00e1ci\u00f3ja val\u00f3sult meg, \u00e9s a rendszeres m\u0171vesekezel\u00e9s az opportunista fert\u0151z\u00e9sek kialakul\u00e1s\u00e1nak a kock\u00e1zat\u00e1t jelent\u0151s m\u00e9rt\u00e9kben megn\u00f6velte, a beteg \u00e9letmin\u0151s\u00e9g\u00e9t is jelent\u0151sen rontotta, ez\u00e9rt n\u00e9gy \u00e9vvel a t\u00fcd\u0151transzplant\u00e1ci\u00f3 ut\u00e1n vesetranszplant\u00e1ci\u00f3ra ker\u00fclt sor Debrecenben. Ez az els\u0151 magyar t\u00fcd\u0151transzplant\u00e1lt beteg, aki Magyarorsz\u00e1gon vese\u00e1t\u00fcltet\u00e9sen is \u00e1tesett. T\u00f6bb mint k\u00e9t \u00e9vvel a vesetranszplant\u00e1ci\u00f3 ut\u00e1n a beteg kompenz\u00e1ltan, rehabilit\u00e1ltan \u00e9l, l\u00e9gz\u00e9sfunkci\u00f3s \u00e9rt\u00e9kei tov\u00e1bb javultak, \u00e9s vesefunkci\u00f3s param\u00e9terei is kiel\u00e9g\u00edt\u0151ek. Az elm\u00falt \u00e9vek sor\u00e1n szignifik\u00e1nsan megn\u00f6vekedett a k\u00fcl\u00f6nb\u00f6z\u0151 szervtranszplant\u00e1ci\u00f3n \u00e1tes\u0151 betegek sz\u00e1ma vil\u00e1gszerte \u00e9s haz\u00e1nkban is. Ezekn\u00e9l a betegekn\u00e9l els\u0151sorban az immunszuppressz\u00edv szerek, calcineurininhibitorok hat\u00e1s\u00e1ra sz\u00e1mtalan sz\u00f6v\u0151dm\u00e9nnyel kell sz\u00e1molni. Kiemelend\u0151 a szekunder veseel\u00e9gtelens\u00e9g, amely mind akut, mind kr\u00f3nikus form\u00e1ban jelentkezhet, \u00e9s ak\u00e1r vesetranszplant\u00e1ci\u00f3 indik\u00e1ci\u00f3j\u00e1t is k\u00e9pezheti. A vese\u00e1t\u00fcltet\u00e9s kiv\u00e1l\u00f3 kezel\u00e9si lehet\u0151s\u00e9g olyan v\u00e9gst\u00e1dium\u00fa vesebetegek sz\u00e1m\u00e1ra, akik kor\u00e1bban m\u00e1s szervtranszplant\u00e1ci\u00f3n estek \u00e1t. A vese\u00e1t\u00fcltet\u00e9s jav\u00edtja az \u00e9letmin\u0151s\u00e9get, \u00e9s a v\u00e1rhat\u00f3 t\u00fal\u00e9l\u00e9st is n\u00f6veli.<\/jats:p>","DOI":"10.1556\/oh.2007.28129","type":"journal-article","created":{"date-parts":[[2007,11,6]],"date-time":"2007-11-06T14:43:58Z","timestamp":1194360238000},"page":"2147-2151","source":"Crossref","is-referenced-by-count":4,"title":["Successful renal transplantation following lung transplantation: a survey of the first Hungarian case"],"prefix":"10.1556","volume":"148","author":[{"given":"Eszter","family":"Cs\u00e1nky","sequence":"first","affiliation":[{"name":"1 Debreceni Egyetem, Orvos- \u00e9s Eg\u00e9szs\u00e9gtudom\u00e1nyi Centrum T\u00fcd\u0151gy\u00f3gy\u00e1szati Klinika Debrecen Nagyerdei krt. 98. 4032"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L\u00e1szl\u00f3","family":"Asztalos","sequence":"additional","affiliation":[{"name":"2 Debreceni Egyetem, Orvos- \u00e9s Eg\u00e9szs\u00e9gtudom\u00e1nyi Centrum Seb\u00e9szeti Int\u00e9zet, I. 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