В порядке ли ваши почки? Раннее выявление – залог здоровья почек

Раннее выявление заболеваний почек может обеспечить защиту их здоровья, предотвратить прогрессирование заболевания и связанные с ним осложнения, уменьшить риск сердечно-сосудистых заболеваний и снизить летальность. Мы должны спросить: «В порядке ли ваши почки?», и использовать уровень креатинина в сыворотке крови для оценки функции почек и альбумина в моче для оценки повреждения почек и эндотелия. Выявление причин и факторов риска хронической болезни почек (ХБП) включает в себя тестирование на сахарный диабет и измерение артериального давления и индекса массы тела. Сегодня, отмечая Всемирный день почки, мы утверждаем, что выявление случаев заболевания в группах высокого риска или даже общепопуляционный скрининг могут снизить бремя заболеваний почек во всем мире. Ранние стадии ХБП протекают бессимптомно, но существуют простые тесты для их диагностики, а новые, меняющие парадигму лечения ХБП методы, такие как использование ингибиторов натрий-глюкозного ко-транспортера-2, значительно улучшают результаты, что, тем самым, при анализе затрат и пользы служит основанием для проведения скрининга и реализации программ выявления случаев заболевания. Однако существуют многочисленные препятствия, такие как распределение ресурсов, финансирование и инфраструктура здравоохранения, а также проблема осведомленности медицинских работников и населения о заболеваниях почек. Скоординированные усилия крупнейших неправительственных организаций, занимающихся проблемами почек, по приоритизации вопросов охраны здоровья почек в повестке дня правительств и согласование усилий по раннему выявлению болезней почек с другими текущими программами позволят добиться максимальной эффективности.

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