在三级护理医院的β-血病主要患者内分泌疾病
Suleman Elahi Malik1, Shaista Kanwal2, Javeria Javed3
1Dr. Suleman Elahi Malik, MBBS, FCPS Medicine, FCPS Endocrinology. Endocrinology Division, Department of Medical Specialties, MTI Khyber Teaching Hospital, Peshawar, Pakistan.
Pakistan journal of medical sciences
|May 30, 2023
概括
大型β - thalassemia (BTM) 患者经常出现内分泌系统疾病,包括身高矮,糖尿病,甲状腺功能障碍,甲状腺功能下降和青春期延迟. 这些并发症与疾病持续时间和化疗法的坚持有关.
科学领域:
- 内分泌学 在内分泌学.
- 血液学 血液学 血液学
- 儿科 儿科 儿科
背景情况:
- 大型β-thalassemia (BTM) 是一种遗传性血液疾病,需要终身输血.
- 内分泌并发症在BTM患者中很常见,原因是铁过载和慢性疾病.
- 早期发现和治疗内分泌系统疾病对于改善患者的治疗结果至关重要.
研究的目的:
- 为了确定内分泌系统疾病的频率,在贝塔-Thalassemia 主要患者.
- 评估内分泌并发症与疾病特征之间的关联.
主要方法:
- 对135名BTM患者进行了一项描述性研究,这些患者提交了内分泌评估.
- 收集的数据包括人体测量测量,坦纳分期和荷尔蒙配置文件.
- 内分泌评估的重点是生长,糖尿病,甲状腺功能,副甲状腺功能和青春期发育.
主要成果:
- 观察到内分泌并发症的高患病率:74.1%的人身高矮,11.1%的人患有糖尿病,27.6%的人患有甲状腺功能障碍,46.2%的人患有甲状腺功能下降,67.03%的人推迟了青春期.
- 平均年龄为14.8岁,平均输血持续时间为13.6年,化疗为6.1年.
- 内分泌器官干扰的严重程度与疾病持续时间和化疗法的遵守相关.
结论:
- 内分泌疾病在Beta-Thalassemia Major患者中非常普遍.
- 疾病持续时间和化疗法的坚持显著影响内分泌并发症的严重程度和多重性.
- 定期内分泌查和管理对于BTM患者至关重要.
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