The global burden of kidney disease is increasing, paralleled by a rising number of natural and man-made crises. During these tumultuous times, accessing vital health care resources becomes challenging, posing significant risks to individuals, particularly those with kidney disease. This review delves into the impact of crises on kidney disease, with a particular focus on acute kidney injury (AKI), kidney failure, and kidney transplant. Patients experiencing crush injuries leading to AKI may encounter delayed diagnosis due to the chaotic nature of disasters and limited availability of resources. In chronic crises such as conflicts, patients with kidney failure are particularly affected, and deviations from dialysis standards are unfortunately common, impacting morbidity and mortality rates. Additionally, crises also disrupt access to kidney transplants, potentially compromising transplant outcomes. This review underscores the critical importance of preparedness measures and proactive management for kidney disease in crisis settings. Collaborative efforts among government bodies, rescue teams, health care providers, humanitarian agencies, and nongovernmental organizations are imperative to ensure equitable and reasonable care for kidney disease patients during times of crises, with the aim of saving lives and improving outcomes.

中文翻译：

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危机时期的肾脏护理：综述


全球肾脏疾病负担正在增加，与此同时，自然和人为危机的数量也在增加。在这些动荡的时期，获得重要的医疗保健资源变得具有挑战性，对个人构成重大风险，尤其是肾病患者。本综述深入探讨了危机对肾脏疾病的影响，特别关注急性肾损伤 （AKI）、肾衰竭和肾移植。由于灾难的混乱性质和资源有限，遭受挤压伤导致 AKI 的患者可能会遇到延迟诊断。在冲突等慢性危机中，肾衰竭患者受到的影响尤其严重，不幸的是，偏离透析标准的情况很常见，从而影响发病率和死亡率。此外，危机还会破坏肾移植的可及性，从而可能影响移植结果。本综述强调了在危机环境中对肾脏疾病的准备措施和主动管理的重要性。政府机构、救援队、医疗保健提供者、人道主义机构和非政府组织之间的合作努力对于确保在危机时期为肾病患者提供公平合理的护理至关重要，目的是挽救生命并改善结果。