Jak zapobiec odległym następstwom choroby nerek z okresu dzieciństwa?

• Authors: Julie R. Ingelfinger , Kamyar Kalantar-Zadeh , Franz Schaefer

Title variants

EN

Averting the legacy of kidney disease – focus on childhood

• Languages of publication: EN PL

Abstracts

EN

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 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 chronic kidney disease 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 chronic kidney disease 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 chronic kidney disease 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.

PL

W 2016 roku obchody Światowego Dnia Nerek koncentrują się na chorobach występujących u dzieci i zdarzeniach nawet z najwcześniejszego dzieciństwa, które mogą stać się podłożem przewlekłego schorzenia u dorosłych. U dzieci choroba nerek przybiera nieco inną formę niż u dorosłych – dużą grupę najmłodszych pacjentów stanowią ci z wadami wrodzonymi i genetycznymi układu moczowego, glomerulopatiami oraz (rzadziej) chorobami nerek na podłożu cukrzycy. U wielu dzieci z ostrym uszkodzeniem nerek pojawiają się następstwa w postaci nadciśnienia tętniczego i przewlekłej choroby nerek w późniejszym dzieciństwie albo wieku dorosłym. Wcześniaki i stosunkowo małe noworodki cechują się podwyższonym ryzykiem wystąpienia przewlekłej choroby nerek w późniejszym życiu. Pacjentów z obciążonym wywiadem okołoporodowym i dotyczącym wczesnego dzieciństwa należy ściśle monitorować w celu rozpoznania pierwszych oznak choroby i wdrożenia efektywnej profilaktyki lub leczenia. Możliwa jest skuteczna terapia przewlekłej choroby nerek u dzieci, które – jak wskazują badania – znacznie lepiej niż dorośli radzą sobie z uciążliwością leczenia nerkozastępczego, w tym programu dializ i przeszczepienia. Ponieważ dostęp do specjalistycznej opieki nefrologicznej nie jest jednolity, należy wdrożyć odpowiednie działania, aby zapewnić skuteczne leczenie wszystkim chorym dzieciom, bez względu na ich miejsce zamieszkania czy status ekonomiczny. Żywimy nadzieję, że Światowy Dzień Nerek pomoże w edukacji opinii publicznej, ustawodawców i pracowników służby zdrowia w zakresie potrzeb związanych z chorobą nerek występującą w dzieciństwie.

Keywords

EN

chronic kidney disease; congenital anomalies of the kidney and urinary tract (CAKUT); developmental origins of health and disease (DoHAD); koncepcja zdrowia i rozwoju chorób; nefrologia dziecięca; paediatric nephrology; paediatrics; pediatria; przewlekła choroba nerek; wady wrodzone nerek i dróg moczowych(CAKUT)

Discipline

• MEDICINE: MEDICINE

• Publisher: Medical Communications
• Journal: Pediatria i Medycyna Rodzinna
• Year: 2016
• Volume: 12
• Issue: 1
• Pages: 10–19

Contributors

author

Julie R. Ingelfinger

• World Kidney Day, International Society of Nephrology, in collaboration with International Federation of Kidney Foundation, Rues de Fabriques 1B, 1000, Brussels, Belgium

author

Kamyar Kalantar-Zadeh

• World Kidney Day, International Society of Nephrology, in collaboration with International Federation of Kidney Foundation, Rues de Fabriques 1B, 1000, Brussels, Belgium

author

Franz Schaefer

• World Kidney Day, International Society of Nephrology, in collaboration with International Federation of Kidney Foundation, Rues de Fabriques 1B, 1000, Brussels, Belgium

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• Document Type: communication