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Том 20 №1 2018 год - Нефрология и диализ

Что мы знаем и чего не знаем о заболеваниях почек у женщин; вопросы без ответов и ответы на незаданные вопросы: размышления по поводу Всемирного Дня Почки и Международного Женского Дня


Пикколи Джиорджина Б. Альрухами Мона Лиу Жи-Хонг Захарова Елена Левин Адера

DOI: 10.28996/1680-4422-2018-1-9-24

Аннотация: Около 10% взрослого населения планеты страдает Хронической Болезнью Почек, которая входит в список 20-ти основных причин смерти во всем мире и ведет к пагубным последствиям как для самих пациентов, так и для членов их семей. Всемирный День Почки в 2018 году совпадает с Международным Женским Днем, что дает нам повод задуматься об особой важности состояния здоровья женщин, и в особенности о "почечном здоровье", для ныне живущей популяции и для будущих поколений. Нам представляется не только уникальная возможность узнать как можно больше об особенностях заболеваний почек у женщин, но и шире использовать полученные знания. Женщины, девушки и девочки в целом составляют примерно 50% населения мира и вносят огромный вклад в жизнь общества, не говоря уже о важнейшей роли в семейной жизни. Вместе с тем, гендерные различия в доступе к образованию, медицинской помощи и участию в клинических исследованиях все еще существуют практически повсеместно. Беременность, представляющая особую нагрузку на организм женщины, и нередко оказывающаяся поводом для выявления уже существующих заболевания почек, может также приводить к манифестации острых и хронических почечных заболеваний, которые, в свою очередь, могут сказываться на потомстве - в том числе и на состояния почек. Многие аутоиммунные и другие заболевания чаще развиваются у женщин, чем у мужчин, и неблагоприятно сказываются на способности к деторождению и на состоянии плода. Осложнения диализа у женщин отличаются от осложнений у мужчин, и кроме того женщины с большей вероятностью оказываются донорами, нежели чем реципиентами почечного трансплантата. В этой передовой статье мы сконцентрировали внимание на том, что мы знаем и чего мы не знаем о "почечном здоровье" и заболеваниях почек у женщин, и на том, что мы можем и должны узнать в будущем для улучшения исходов заболеваний почек во всем мире.

Весь текст

Ключевые слова: женщины, доступ к медицинской помощи, здоровье почек, острые и хронические заболевания почек, неравноправие, women, access to care, kidney health, acute and chronic kidney disease, inequities

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