许多使我们能够优化脏护理的策略也可能是地球友好的
Giorgina Barbara Piccoli1, Guillermo Garcia-Garcia2, Mario Salomone3
1Néphrologie et Dialyse, Centre Hospitalier Le Mans, Le Mans, France.
Kidney international
|January 25, 2025
概括
通过预防和改变生活方式,可以减少透析,这是影响环境的主要医疗治疗. 这种方法既有利于患者的健康,也有利于地球的福祉.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 环境健康 环境健康
- 预防医学 预防医学
背景情况:
- 置换疗法 (KRT) 耗费大量能量,并产生大量的医疗废物.
- 由于KRT对环境造成的负担,因此需要在科中探索可持续的替代方案.
研究的目的:
- 审查预防策略,饮食修改和非药物干预措施的潜力,以减轻慢性病 (CKD) 和KRT对环境的影响.
- 倡导向更可持续的护理模式转变.
主要方法:
- 文献综述侧重于预防,生活方式干预和CKD管理中的患者教育.
- 讨论当前科实践对环境的影响.
主要成果:
- 预防措施和生活方式干预提供了一条可行的途径,以减少对透析的依赖.
- 整合这些方法可以减少CKD护理的环境足迹.
结论:
- 从"药物处方"到"时间处方"模式的范式转变对于可持续的脏病学至关重要.
- 优先考虑预防,饮食和非药物方法,既有利于患者的治疗结果,也有利于环境健康.
相关概念视频
Dialysis
255
Renal failure occurs when the kidneys lose their ability to filter waste products from the blood effectively. It can be classified into two types: acute renal failure (ARF) and chronic renal failure (CRF).
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
255
Renal Drug Excretion: Overview
100
As primary excretory organs, the kidneys maintain homeostasis by removing waste substances from the bloodstream. They comprise over a million units called nephrons, which serve as the kidney's functional units.
A nephron consists of two primary structures: the renal corpuscle and the renal tubule. The renal corpuscle contains the glomerulus, a network of capillaries where the first step of renal excretion, glomerular filtration, occurs. Blood pressure forces water, ions, and small molecules...
A nephron consists of two primary structures: the renal corpuscle and the renal tubule. The renal corpuscle contains the glomerulus, a network of capillaries where the first step of renal excretion, glomerular filtration, occurs. Blood pressure forces water, ions, and small molecules...
100
Factors Affecting Renal Clearance: Renal Impairment
48
Renal dysfunction significantly impairs the renal clearance of drugs, leading to potential complications in drug therapy. Renal failure, which can be caused by various factors, poses a significant challenge in the elimination of drugs from the body.
One condition associated with renal failure is uremia. Uremia is characterized by impaired glomerular filtration and fluid accumulation in the body. This condition hinders the renal clearance of drugs, resulting in drug accumulation and potential...
One condition associated with renal failure is uremia. Uremia is characterized by impaired glomerular filtration and fluid accumulation in the body. This condition hinders the renal clearance of drugs, resulting in drug accumulation and potential...
48
Heart Failure Drugs: Diuretics
338
Heart failure and kidney perfusion are interconnected in a complex way. Reduced renal perfusion and venous congestion are two significant factors that contribute to renal dysfunction in heart failure. The kidneys, primarily responsible for fluid balance in the body, are adversely affected due to compromised cardiac output and increased venous pressure. In response to reduced renal perfusion, the kidneys activate neurohumoral mechanisms to restore balance. However, these mechanisms can be...
338
Enhanced Elimination of Poison
470
Poison can be effectively removed from the gastrointestinal (GI) tract through various decontamination procedures.
Antidotes serve a crucial role in counteracting the effects of poison by inhibiting enzymes responsible for producing harmful drug metabolites. In some cases, these toxic metabolites can be neutralized by endogenous cosubstrates, which are maintained at specific concentrations to prevent interaction with cellular macromolecules and subsequent cell death.
Renal excretion is the...
Antidotes serve a crucial role in counteracting the effects of poison by inhibiting enzymes responsible for producing harmful drug metabolites. In some cases, these toxic metabolites can be neutralized by endogenous cosubstrates, which are maintained at specific concentrations to prevent interaction with cellular macromolecules and subsequent cell death.
Renal excretion is the...
470
Drug Elimination by Renal Route: Glomerular Filtration
5.4K
The kidney serves as the primary organ responsible for eliminating drugs and their metabolites from the body. This process, known as renal elimination, starts with glomerular filtration and results in urine formation. Each kidney houses millions of functional units called nephrons, where urine production takes place. A nephron has two main components: a renal corpuscle and a renal tubule. Drugs gain access to the kidney via the renal artery, which progressively branches off into afferent...
5.4K


