Txoj Kev Sib Tw Rau Lub Raum Zej Zog Los Ntawm Ib Tug Neeg Tsim Kev Teeb Meem

Tnws ua tsov ua rog rau Ukraine muaj tseeb thoob ntiaj teb kev cuam tshuam thiab cuam tshuam rau peb txhua tus, thiab tshwj xeeb tshaj yog rau cov neeg muaj mob ntev. Kev tawm tsam Lavxias rau Ukraine tau yuam ntau dua 4 lab tus tib neeg musflee rau cov tebchaws nyob sib ze. Qhov kev ua tsov ua rog no tau ua rau muaj kev hem thawjflvim muaj cov khoom siv kho mob thiab cov khoom siv tseem ceeb rau cov neeg mob uas muaj kev phom sij tshaj plaws uas muaj mob ntev, tsis tshua muaj, lossis muaj kab mob uas xav tau kev kho mob tas li. Ntawm cov tsis muaj kev tiv thaiv yog cov neeg nyob nrog mob raum. Hos pitals thiab dialysis units raug kaw. Cov neeg mob uas muaj kab mob raum ntev thiab lub raum tsis ua haujlwm raug cais tawm, uas tsis muaj kev nkag mus rau cov dej huv, hluav taws xob, cua sov, kev tu lub raum, thiab kev xav tau kev noj qab haus huv yooj yim. Tsis tas li ntawd, qhov tshwm sim ntau ntxiv ntawm lub raum raug mob vim muaj kev puas tsuaj los ntawm cov ntshav los ntawm cov phom phom, kev raug mob, lub cev qhuav dej, thiab kev kis kab mob tau ua rau muaj kev cuam tshuam rau kev noj qab haus huv. Kev kho mob ib txwm muaj thiab cov qauv kev kho mob rau cov neeg mob tau raug ncua thaum lub tsev kho mob tau hloov lawv cov peev txheej tsawg los saib xyuas cov neeg raug mob ntau ntawm kev ua tsov ua rog. Raws li Editors ntawmLub raum Inter National, covflagship phau ntawv xov xwm ntawm Interna tional Society of Nephrology, peb xav tias nws yog thiab tsim nyog rau sab nrog cov neeg mob, lawv tsev neeg, cov neeg saib xyuas, thiab cov kws kho mob ntawm ob sab ntawm lub con.flict, thiab tawm tswv yim rau lawv tus kheej ib yam li peb tau ua thaum muaj tus kab mob coronavirus 2019 (COVID-19) kis thoob qhov txhia chaw.1–3 Peb rau txim rau qhov kev tsis raug cai thiab kev ua phem rau tib neeg. Peb qhia txog kev npau taws, kev poob siab, thiab kev cia siab ntawm cov neeg raug cuam tshuam thiab nug cov lus nug,"Vim li cas tsov rog?" Nws yog qhov tsis totaub tias yog vim li cas ib tug tib neeg nyob hauv yuav ua rau muaj kev kub ntxhov thiab ua phem rau lwm tus neeg. Raws li cov kws tshaj lij ntawm kev saib xyuas raum, peb lees paub tias kab mob raum tsis zoo cuam tshuam rau kev lag luam kev lag luam tsis zoo uas yuav, zoo li qhov tseeb, yog tusfi uarst casualties ntawm kev ua tsov ua rog, thiab yog cov nyob rau hauv lub tsawg tshaj plaws kev ruaj ntseg lub xeev kom ciaj sia nyob rau hauv tsov rog thiab nws ua rau muaj coob tus neeg tsiv teb tsaws. Kev txhob txwm ua kev puas tsuaj thiab kev tsom mus rau cov tsev kho mob thiab pej xeem kev tsim kho vaj tse muaj kev cuam tshuam loj tshaj plaws rau cov neeg muaj kev phom sij tshaj plaws. Peb kuj sawv ntsug hauv kev sib koom siab nrog cov kws kho mob siab tawv hauv Ukraine, uas tam sim no pheej pheej hmoo lawv lub neej los saib xyuas cov neeg mob. Kev cuam tshuam ntawm infrastructure los ntawm Lavxias teb sab invading rog profoundly cuam tshuam cov neeg mob. Qhov txiaj ntsig ncaj qha ntawm kev ua tsov rog yuav ua rau kev saib xyuas cov neeg mob raum tsis zoo.

NEW HERBS RAUQHOV CHAW UA HAUJ LWM THIAB KIDNEY Failure

Tawm tsam qhov keeb kwm ntawm kev ua tsov rog no tawm tsam tib neeg yog kev sib ntaus sib tua nrog tus mob coronavirus. Ua ntej ua tsov ua rog no, Ukraine twb tau ntsib ntau yam teeb meem kev noj qab haus huv rau pej xeem. Thaum Lub Ob Hlis 2022, Ukraine tau nyuam qhuav tawm ntawm nws qhov loj tshaj plaws COVID-19 surge, nrog cov ntaub ntawv nruab nrab txhua hnub ntawm 38,000 mob tshiab thiab tshaj 115,000kev tuag txij thaum pib muaj kev sib kis thoob plaws hauv2020. Kev txhaj tshuaj tiv thaiv tus kab mob COVID-19Tus kab mob tseem tsawg, nrog tsawg dua 40% ntawmtag nrho Ukrainian pejxeem muaj 2koob tshuaj tiv thaiv COVID-19. Tam sim no, tag nrhopej xeem kev noj qab haus huv thiab kev tiv thaiv kev tiv thaivtus kab mob tuag tes tuag taw tau los nres. HauvLub raumThoob ntiaj teb, peb tau hais txog qhov cuam tshuam ntawmtus kab mob COVID-19 kis rau cov neeg muaj menyuamney kab mob thiab lim ntshav thiab hloov cov neeg mob,thiab qhov cuam tshuam txog kev saib xyuas kev noj qab haus huv tsis sib xws,tshwj xeeb tshaj yog rau cov neeg marginalized thiabcov uas nyob hauv cov nyiaj tau los nruab nrab thiab qis dualub teb chaws. Cov neeg coob coob thiab hnyav heevhuab cua nyob rau hauv lub nroog besieged, xws li Mariupol,qhov twg zaub mov thiab dej tshiab tau dhau los lawmnce scarce, yuav inevitably nce lubkev cuam tshuam ntawm txhua tus kab mob, suav nrog COVID-19kab mob. Social distancing thiab tus kheej procov khoom siv tective yuav ua tsis tautau, cia ib leeg cov khoom siv tshuaj tiv thaiv lossismonoclonal antibodies uas peb noj rau granted.4 Ntxiv mus, qhov kev tsov rog no yuav inevitably ua raukev mob hlwb thiab kev puas siab puas ntsws dav davlub nra dhau lub sijhawm. Lwm yam kev cia siabquences yuav tsis muaj zaub mov tsis ruaj khov thiab apoob ntawm qhov muaj cov khoom muag, xws liroj, roj, thiab hluav taws xob, uas twb muaj lawmadversely cuam tshuam los ntawm cov mov saw disruptcov lus uas tau coj los ntawm COVID-19 kis thoob qhov txhia chaw.Tag nrho cov no twb qaug zog ntau heevkab mob kev noj qab haus huv thoob plaws ntiaj teb.

Kev tiv thaiv ntawm qhov yooj yim tshaj plaws yog qhov tseem ceeb hauv qhov kev tsis sib haum xeeb no. Raws li ib feem tseem ceeb ntawm lub zej zog nephrology, peb thov kom txhua tus ua raws li qhov teebmeem kev noj qab haus huv no. Kev pab cuam, kev txawj ntse nephrologic, thiab kev txhawb nqa rau cov txiv neej laus txoj kev noj qab haus huv ntawm cov neeg tawg rog Ukrainian khiav mus rau lwm lub tebchaws nyob sab Europe yog qhov tsim nyog ua thawj kauj ruam. Sib nrug los ntawm kev txhawb nqa nyiaj txiag, kev sib koom ua ke los ntawm cov zej zog kev noj qab haus huv thoob ntiaj teb txhawm rau xa cov pab pawg kho mob xwm txheej ceev, kev pab kho mob thiab cov khoom siv, cov khoom siv lim ntshav, thiab cov tshuaj tseem ceeb yuav pab cov neeg mob ntau heev uas xav tau kev saib xyuas raum uas tam sim no raug tshem tawm los ntawm Ukraine. Kev coj noj coj ua los ntawm thoob ntiaj teb nephrology yog li cov nroog, suav nrog International Society of Nephrology, American Society of Nephrology, thiab European Renal Associa tion, twb tau tshaj tawm cov lus sib koom hu kom xaus tam sim no rau qhov tsis raug cai tawm tsam rau cov pej xeem ntawm Ukraine thiab qhia txog kev txhawj xeeb. rau kev noj qab haus huv thiab kev nyab xeeb ntawm txhua tus neeg, suav nrog cov kab mob hauv lub raum, lub raum tsis ua haujlwm, thiab hloov lub raum hauv Ukraine thiab txhua lub tebchaws raug tsov rog.5 Tab sis ntawm no, raws li cov neeg kho, peb nug cov ntaub ntawv los ntawm cov neeg tshawb nrhiav, cov kws kho mob, thiab peb cov neeg nyeem kom nkag siab zoo dua cov kev xav tau kev noj qab haus huv ntawm cov pej xeem hauv kev kub ntxhov, yog los ntawm tib neeg kev tsis sib haum xeeb lossis los ntawm ntuj tsim. Ib lub luag haujlwm tseem ceeb ntawm Lub Rau Hli International yog muab cov neeg nyeem cov ntawv tshiab tshaj plaws thiab muaj feem cuam tshuam hauv kev tsim nyob rau hauv cov chaw deb tshaj plaws ntawm lub ntiaj teb no, suav nrog cov uas raug cuam tshuam los ntawm cov xwm txheej txaus ntshai no. Qhov teeb meem tam sim no Ukrainian tseem yog ib qho kev ceeb toom raws sij hawm ntawm qhov tsis muaj qhov tsis txaus ntseeg ntawm tib neeg kev kub ntxhov uas tam sim no tshwm sim hauv lwm qhov hauv ntiaj teb: Afghanistan, Democratic Republic of the Congo, Ethiopia, Nigeria, Somalia, South Sudan, Syrian Arab Republic, thiab Yemen, 9 lub teb chaws, suav nrog Ukraine, tau txheeb xyuas tias muaj kev xav tau kev pab tib neeg siab tshaj plaws.6 Kev sib koom ua ke ntawm peb txhua tus, uas yog cov kws kho mob hauv lub raum, ua lub luag haujlwm rau kev hloov pauv thiab tawm tswv yim rau cov neeg xav tau tshaj plaws thiab mob siab rau kev saib xyuas. Peb kuj tawm tswv yim rau kev muab cov ntaub ntawv rov qab rau peb cov neeg mob ntawm txhua qib: kev noj qab haus huv, kev tshawb fawb, kev kawm, kev lag luam, thiab kev sib raug zoo.

Lub raum International yuav txuas ntxiv ua lub luag haujlwm tseem ceeb hauv kev tshaj tawm cov kev tshawb fawb zoo thiab cov ntaub ntawv kho mob hauv thaj chaw nephrology rau cov kws tshawb fawb thiab cov kws kho mob kom nkag mus thoob ntiaj teb, thaum kawg pab cov neeg mob xav tau kev saib xyuas tseem ceeb. Peb yuav txuas ntxiv ua lub suab tawm tsam cov ntaub ntawv tsis tseeb txog kev ua tsov ua rog thiab tiv thaiv Ukrainian thiab Lavxias cov kws tshawb fawb uas tau hais tawm rau kev thaj yeeb nyab xeeb. Tsis muaj dab tsi yog qhov tseeb, tab sis ua ke, raws li lub ntiaj teb nephrology zej zog, peb muaj lub sijhawm thiab cov txuj ci tsim nyog los ua kom muaj txiaj ntsig hloov pauv. Raws li John Donne, sau nyob rau hauv lub xyoo pua 17th, hais tias, "Txhua tus txiv neej txoj kev tuag txo kuv, vim kuv koom nrog noob neej."

APPENDIX

Cov tswv cuab ntawm Tag Nrho Cov Kws Tshaj Lij Tshaj Lij thiab Kev Tswj Xyuas Pab Pawg Pierre Ronco, Brad Rovin, P. Toby Coates, Olivier Devuyst, Tilman B. Drueke, Iain Drummond, Jurgen Floege, Agnes B. Fogo, T. Alp Ikizler, Krzysztof Kiryluk, Masaomi Nangaku, Jaishi , Germaine Wong, Christina Wyatt, thiab Jun Xia, rau Pab Pawg Editorial; Pat Morrissey, Susan Small, thiab Christine Burgos-Clavel, rau Pab Pawg Tswj Xyuas. DISCLOSURE Txhua tus kws sau ntawv tshaj tawm tsis muaj kev sib tw txaus siab.

REFERENCES

1. Coates PT, Wong G. Qhov tsis nco qab poob: qhov tseeb ntawm kev mob kis thoob qhov txhia chaw. Raum Int. 2020; 98:251–252.

2. Kliger AS, Cozzolino M, Jha V, et al. Tswj tus kab mob COVID-19 kis thoob ntiaj teb: kev sib piv thoob ntiaj teb hauv cov neeg mob lim ntshav. Raum Int. 2020; 98:12–16.

3. Martin DE, Parsons JA, Caskey FJ, et al. Kev coj ncaj ncees ntawm kev saib xyuas raum hauv lub sijhawm ntawm COVID-19. Raum Int. Xyoo 2020; 98:1424–1433.

4. Stepanova N. Tsov rog nyob rau hauv Ukraine: tus nqi ntawm dialysis cov neeg mob ciaj sia. J Nephrol. Tshaj tawm hauv online Lub Peb Hlis 17, 2022.https://doi.org/10.1007/s40620-022-01308

5. American Society of Nephrology, European Renal Association, thiab International Society of Nephrology. Cov Lus Qhia Sib Koom los ntawm ASN, ERA, thiab ISN: Cov koom haum raum thoob ntiaj teb thov rau kev noj qab haus huv raum rau txhua tus neeg raug tsim txom ua tsov ua rog. Lub Peb Hlis 10, 2022. Nkag mus rau Lub Peb Hlis 29, 2022. https://www. theisn.org/blog/2022/03/10/joint-statement-from-asn era-and-isn-global-kidney-organizations-appeal-for raum-health-for-all-war-victims/

6. Lub Koom Haum Ntiaj Teb Kev Noj Qab Haus Huv. WHO thoob ntiaj teb kev thov rov hais dua txog kev noj qab haus huv thoob ntiaj teb, 2022. Tshaj tawm Lub Peb Hlis 7, 2022. Nkag mus rau Lub Peb Hlis 29, 2022. https://www.who.int/ publications/m/item/who-global-health-emergency appeal-2022