在青少年和年轻成年人中难以治疗的喘的管理
Adel H Mansur1,2, Nagakumar Prasad3,2
1Department of Respiratory Medicine, Heartlands Hospital, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
Breathe (Sheffield, England)
|June 28, 2023
概括
患有难以治疗的喘 (DTA) 的青少年和年轻人 (AYA) 需要多学科的方法. 有效的管理包括确认诊断,评估严重程度,并确保遵守最佳喘控制.
科学领域:
- 肺部病理学 肺部病理学
- 青少年医学 青少年医学
- 喘研究 喘研究
背景情况:
- 青春期和年轻成年期 (AYA),年龄为11-25岁,在喘管理方面存在独特的挑战.
- 冒险和寻求隐私等行为模式可能会阻碍青少年喘护理.
- 在此期间,喘患病率从男性占主导地位转变为女性占主导地位,约10%的人患有难以治疗的喘 (DTA).
研究的目的:
- 概述一种系统的方法来管理青少年和年轻成年人 (AYA) 难以治疗的喘 (DTA).
- 强调多学科团队的重要性以及对AYA的DTA的全面评估.
- 强调需要将严重喘与其他症状驱动因素区分开来,并确保适当的护理过渡.
主要方法:
- 在AYA中对DTA的系统评估,重点是诊断确认,严重程度,表型和并发症.
- 评估潜在的喘模仿和不坚持作为不良喘控制的驱动因素.
- 现型化严重喘以确定可治疗的特征,并指导生物治疗的考虑.
主要成果:
- 在AYA中,难以治疗的喘 (DTA) 需要将喘与诸如诱导性喉阻塞等其他疾病区分开来.
- 严重的喘是DTA的一个子集,在诊断,严重程度评估和遵守验证后得到确认.
- 在AYA人群中,表型是管理可治疗性状的严重,异质喘的关键.
结论:
- 在AYA中管理DTA需要一个全面的,多学科的战略.
- 从儿科到成人服务的有效喘护理过渡对AYA至关重要.
- 个性化喘过渡途径对于AYA的成功长期管理至关重要.
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