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 healthcare 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 (KF), and kidney transplant (KT). 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 KF 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, healthcare 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：回顾


肾脏疾病的全球负担正在增加，同时自然和人为危机的数量也在不断增加。在这些动荡的时期，获得重要的医疗资源变得充满挑战，给个人，特别是患有肾病的人带来重大风险。这篇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（KF）和肾移植（KT）。由于灾难的混乱性质和可用资源有限，遭受挤压伤导致 AKI 的患者可能会遇到延迟诊断的情况。在冲突等慢性危机中，卡氏骨折患者尤其受到影响，不幸的是，偏离透析标准的情况很常见，影响了发病率和死亡率。此外，危机还扰乱了肾移植的机会，可能会影响移植结果。本次审查强调了危机环境下肾脏疾病的准备措施和主动管理的至关重要性。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必须共同努力，确保在危机时期为肾病患者提供公平合理的护理，以挽救生命并改善结果。