Big Impact of COVID-19 pa Odwala a Impso Ogwiritsa Ntchito Dialysis

Kuperewera kwa ogwira ntchito komanso kuperewera kwapatsirana kwachititsanso kuti malo a dialysis atsekedwe komanso zotsalira zotsalira pakusuntha odwala pakati pa dialysis, zipatala, ndi Skilled Nursing Facilities (SNFs). Ngakhale kufulumizitsa mwayi wopeza dialysis kunyumba kumathandizira kusamvana komanso kumachepetsa kuchepa kwa antchito, yankho lomwe lingakhalepo silingathetse vuto lalikulu. Kuchitapo kanthu mwachangu kumafunika kuwonetsetsa kuti malo a dialysis ali ndi mwayi wopeza zofunikira ndi antchito.

NKF ndi ASN amalimbikitsa feduro, maboma, ndi maboma:

• Kulowererapo kuti muchepetse vuto la kapezedwe ka zinthu (monga, dialysate concentrates) pazipatala za dialysis chifukwa cha kusowa kwa malo osungiramo katundu ndi ogwira ntchito zamagalimoto.

• Perekani masks amaso apamwamba, ovomerezedwa ndi boma kumalo opangira dialysis.

• Imani kaye malamulo apano a Centers for Medicare and Medicaid Services (CMS) ofuna kugwiritsa ntchito ma syringe a saline odzazidwa kale, omwe sapezeka m'malo ena, mpaka vuto lalikulu litatha.

• Limbikitsani maboma ndi maboma kuti alole kuyanjana kwa anamwino kulola kuti azichita zinthu mopanda malire, mosasamala kanthu kuti dziko lili logwirizana, panthawi yamavuto akulu.

Pali anthu 783,000 ku United States omwe ali ndi vuto la impso, ndipo ochepera 500,000 mwa anthuwa amafuna dialysis yochirikiza moyo yoperekedwa ku dialysis Center katatu pa sabata, maola anayi patsiku. Panthawi ya chithandizo cha dialysis, odwala nthawi zambiri amakhala pafupi ndi odwala ena ndi ogwira ntchito m'malo omwe sakhala ndi mpweya wabwino nthawi zonse. Ambiri mwa odwalawa ndi okalamba, opeza ndalama zochepa, komanso ochokera m'madera ovutika, ndipo ambiri amakhala ndi matenda monga shuga ndi matenda a mtima.

Ngakhale kuyesayesa kochitidwa ndi mabungwe a dialysis, akatswiri a nephrologists, ndi asing'anga ena kuti achedwetse kufalikira, COVID-19 ikupitilizabe kufalikira kudzera m'maofesi a dialysis. Malinga ndi zomwe zidachokera ku US Renal Data System, 15.8% ya odwala onse omwe amamwa dialysis ku United States anali atadwala COVID-19 kumapeto kwa 2020. M'nyengo yozizira ya 2020, kufa kwamlungu ndi mlungu chifukwa cha COVID-19 kudakwera pafupifupi 20. % komanso kufa kwapachaka mu 2020 kunali 18% kuposa mu 2019.1

Ngakhale kuti matendawa ndi okwera kwambiri komanso amafa, odwala dialysis sanakhazikitsidwe patsogolo kuti apeze katemera pamene katemera adapezeka chaka chapitacho ngakhale umboni umasonyeza kuti kuyankha kwa chitetezo chamthupi pa katemera kumasokonekera kwa odwala dialysis. Kuphatikiza apo, ngakhale milingo ya antibody imatsika mwachangu kwambiri mwa odwala dialysis kuposa anthu wamba, odwala dialysis sanayikidwe patsogolo ndi Food and Drug Administration (FDA) kapena Centers for Disease Control and Prevention (CDC) pomwe Mlingo wachitatu wa katemera udavomerezedwa. mu August.2 Kuphatikiza apo, odwala dialysis adachotsedwanso m'magulu oyenerera kulandira mankhwala oletsa antibody omwe akhala akugwira ntchito kwa nthawi yayitali omwe akulunjika ku kachilombo ka SARS-CoV-2. Pomaliza, a National Institutes of Health sanalandire ndalama zothandizira kafukufuku wa COVID-19 kuti athandize anthu omwe ali ndi matenda a impso kapena olephera pamaphukusi aliwonse achaka chatha.

Vuto lina ndikusowa kwa chithandizo choyenera kwa anthu omwe ali ndi vuto la impso. Ngakhale zithandizo zomwe zimachepetsa chiwopsezo cha COVID-19 zikutuluka, zisonyezo zaposachedwa zimapatula anthu omwe ali ndi vuto la impso chifukwa anthuwa nthawi zambiri amachotsedwa m'mayesero azachipatala. Mchitidwewu ndi wosavomerezeka. NKF ndi ASN akupempha opanga kuti awonetsetse kuti mankhwalawa akuphatikiza kumwa kwa odwala omwe ali ndi vuto la impso. Kuphatikiza apo, tikulimbikitsa a FDA kuti azindikire kuchepa kwa chitetezo chamthupi mwa anthu omwe ali ndi katemera wolephera impso ndikuwonetsetsa kuti chithandizo chamankhwala chikuvomerezedwa kudzera mu Emergency Use Authorization (EUA) kwa odwala omwe alibe chitetezo chamthupi.

Pamene Biden Administration ikugula njira zochizira za COVID-19 kuti zigawidwe ku United States, ndikofunikira kuti odwala dialysis ndi ogwira ntchito aziyikidwa patsogolo kuti apezeke. Kulephera kuyika patsogolo odwala omwe ali ndi dialysis kuti alandire katemera kumayambiriro kwa mliriwu kunali ndi zotsatira zambiri pakugonekedwa m'chipatala ndi imfa. Sitiyenera kulola kuti cholakwika chomwechi chichitikenso.

Pomaliza, COVID-19 imalumikizidwa ndi chiwopsezo chachikulu cha kuvulala kwaimpso (AKI), ngakhale mwa anthu omwe ali ndi vuto la impso, zomwe zimayambitsa matenda akulu komanso imfa, ndipo nthawi zambiri zimafunikira dialysis ndi njira zina zochizira impso. Mobwerezabwereza panthawi ya mliri, komanso, panthawi ya opaleshoni yamakono ya Omicron, zipatala zambiri zakhala zikuvutika kuti zipereke chithandizo chopulumutsa moyo kwa odwala chifukwa cha kuchepa kwa ogwira ntchito ophunzitsidwa bwino komanso zothandizira.

Ndikofunikira kuti United States ichite chilichonse chotheka kuti ikonzekere maopaleshoni amtsogolo pamilandu ya COVID-19 ndikuletsa kufa kosafunikira pakati pa anthu athu omwe ali pachiwopsezo kwambiri. NKF ndi ASN ali okonzeka kuyanjana ndi opanga mfundo ndikupanga kuti akwaniritse cholinga ichi.

Zowona za Matenda a Impso

Ku United States, akuluakulu 37 miliyoni akuti ali ndi matenda a impso, omwe amadziwikanso kuti matenda a impso (CKD) -ndipo pafupifupi 90 peresenti sakudziwa kuti ali nawo. 1 mwa 3 wamkulu ku US ali pachiwopsezo cha matenda a impso. Zomwe zimayambitsa matenda a impso zimaphatikizapo: matenda a shuga, kuthamanga kwa magazi, matenda a mtima, kunenepa kwambiri, ndi mbiri ya banja. Anthu a Black/African American, Hispanic/Latino, American Indian/Alaska Native, Asian American, kapena Native Hawaiian/Other Pacific Islander ali pachiopsezo chowonjezereka cha kudwala matendawa. Anthu akuda/aku America aku America ali ndi mwayi wochuluka kuwirikiza katatu kuposa kuti azungu adwale impso. Hispanics / Latinos ndi 3 nthawi zambiri kuposa omwe sanali Hispanics kukhala ndi vuto la impso.

Pafupifupi anthu 785,000 aku America ali ndi vuto la impso kosasinthika ndipo amafunikira dialysis kapena kumuika impso kuti apulumuke. Oposa 555,000 mwa odwalawa amalandira dialysis kuti alowe m'malo mwa impso ndipo 230,000 amakhala ndi kuika. Pafupifupi anthu aku America 100,000 ali pamndandanda wodikirira kuti amuike impso pakali pano. Kutengera komwe wodwala akukhala, nthawi yodikirira kuti amuike impso imatha kupitilira zaka zitatu mpaka zisanu ndi ziwiri.