nefrНефрологияNephrology (Saint-Petersburg)1561-62742541-9439Pavlov First Saint-Petersburg State Medical Universitynefr-162Research ArticleВСЕМИРНЫЙ ДЕНЬ ПОЧКИ 2016WORLD KIDNEY DAY 2016Сосредоточим внимание на периоде детства, предотвратим последствия заболеваний почекAverting the legacy of kidney disease-focus on childhoodИнгелфингерДжулияIngelfingerJulie R.noemail@neicon.ruКалантар-ЗадеКамьярKalantar-ZadehKamyarnoemail@neicon.ruШеферФранцSchaeferFranznoemail@neicon.ru2016010320162021017Copyright © Ингелфингер Д.R., Калантар-Заде К., Шефер Ф., 20162016Ингелфингер Д., Калантар-Заде К., Шефер Ф.Ingelfinger J.R., Kalantar-Zadeh K., Schaefer F.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://journal.nephrolog.ru/jour/article/view/162

Всемирный День почки 2016 посвящен заболеваниям почек детского возраста и болезням почек у взрослых, начинающимся в раннем детстве. Спектр хронических заболеваний почек в детском возрасте, в отличие от взрослых, характеризуется преобладанием группы врожденных аномалий и наследственных заболеваний, в то время как гломерулопатии и поражения почек, обусловленные сахарным диабетом, встречаются относительно редко. Кроме того, у многих детей с острым повреждение почек (ОПП) последствия ОПП в конечном итоге могут привести к артериальной гипертензии и хронической болезни почек (ХБП), развивающимся в позднем детском возрасте или во взрослой жизни. У детей, рожденных преждевременно или с малой массой тела для гестационного возраста, повышен относительный риск развития ХБП в будущем. Лица с высоким риском развития ХБП с рождения или с детства требуют тщательного наблюдения с целью своевременного выявления ранних признаков заболеваний почек и проведения эффективной профилактики или лечения. Успешное лечение возможно даже у детей с далеко зашедшей ХБП; убедительно показано, что у детей, по сравнению с взрослыми пациентами, результаты заместительной почечной терапии (ЗПТ), включая диализ и трансплантацию почки, лучше, при том, что лишь меньшинство детей нуждаются в этих видах терапии. Поскольку имеются различия в доступности медицинской помощи, необходимы совместные усилия по обеспечению эффективной терапии всем детям с заболеваниями почек, независимо от места их проживания, географических и экономических условий. Мы надеемся, что Всемирный День почки даст общественности, политикам и всем, кто обеспечивает уход за детьми, необходимую информацию о потребностях и возможностях, связанных с лечением заболеваний почек в детском возрасте.

World Kidney Day 2016 focuses on kidney disease in childhood and the antecedents of adult kidney disease that can begin in earliest childhood. Chronic kidney disease (CKD) in childhood differs from that in adults, as the largest diagnostic group among children includes congenital anomalies and inherited disorders, with glomerulopathies and kidney disease in the setting of diabetes being relatively uncommon. In addition, many children with acute kidney injury will ultimately develop sequelae that may lead to hypertension and CKD in later childhood or in adult life. Children born early or who are small-for date newborns have relatively increased risk for the development of CKD later in life. Persons with a high-risk birth and early childhood history should be watched closely in order to help detect early signs of kidney disease in time to provide effective prevention or treatment. Successful therapy is feasible for advanced CKD in childhood; there is evidence that children fare better than adults, if they receive kidney replacement therapy including dialysis and transplantation, while only a minority of children may require this ultimate intervention Because there are disparities in access to care, effort is needed so that those children with kidney disease, wherever they live, may be treated effectively, irrespective of their geographic or economic circumstances. Our hope is that World Kidney Day will inform the general public, policy makers and caregivers about the needs and possibilities surrounding kidney disease in childhood.

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The authors declare that there are no conflicts of interest present.