在古典血液学中的心理毒性
Michael A Pfeffer1, Kylee Martens1, Thomas Kartika1
1Division of Hematology and Medical Oncology, School of Medicine, Knight Cancer Institute, Oregon Health and Science University, Portland, Oregon, USA.
European journal of haematology
|July 17, 2023
概括
良性血细胞计数异常会导致患者显著的焦虑和财务压力. 本综述确定了常见的良性血液学发现,并提供了减轻测试导致的心理痛苦的策略.
科学领域:
- 血液学 血液学 血液学
- 心理医学 心理医学
- 医学诊断 医学诊断 医学诊断
背景情况:
- 轻微的血细胞计数异常和遗传因素,虽然往往是良性的,但可以引起患者的严重痛苦.
- 患有非癌症血液病的患者报告的焦虑程度与恶性瘤患者相比较.
- 转诊血液学可能是恐吓,因为诊断的不确定性和与癌症的关联.
研究的目的:
- 审查有关血液病状的心理影响的文献.
- 为了确定异常血液学实验室值的良性原因.
- 为减少与血液学检测相关的心理痛苦提供建议.
主要方法:
- 关于血液病状的心理影响的文献综述.
- 识别血液细胞计数值常见的良性变异.
- 在血液学转诊中分析导致患者焦虑的因素.
主要成果:
- 良性血液学发现可能会导致严重的心理和财务负担.
- 缺乏标准化的参考范围和适当的分类加剧了患者的焦虑.
- 患者的痛苦往往与良性疾病的实际临床风险不成比例.
结论:
- 血液检测需要仔细考虑潜在的心理影响.
- 需要更明确的指导方针和患者教育,以减少与良性发现相关的焦虑.
- 减轻心理毒性的策略对于管理患有血液变异的患者至关重要.
相关概念视频
Toxic Reactions: Overview
1.0K
When toxic substances penetrate the human body, they disseminate to various tissues, undergoing metabolic changes. This process yields reactive metabolites that may covalently bind with specific target molecules, resulting in toxicity.
Toxicity falls into two primary categories: local and systemic.
Local toxicity appears at the exposure site, such as protein denaturation caused by caustic substances.
In contrast, systemic toxicity requires the toxic agent's absorption and distribution,...
Toxicity falls into two primary categories: local and systemic.
Local toxicity appears at the exposure site, such as protein denaturation caused by caustic substances.
In contrast, systemic toxicity requires the toxic agent's absorption and distribution,...
1.0K
The Periodic Table and Organismal Elements
180.1K
Overview
180.1K
Types of Toxins
1.8K
Humans continually engage with an environment rich in potentially harmful chemicals. These are introduced to our bodies through inhalation, ingestion, or skin contact. These chemicals exist in various forms, such as air and environmental pollutants, agricultural chemicals, organic solvents, and heavy metals.
Air pollutants, primarily gases, pose significant threats to respiratory health, leading to conditions like hypoxia, lung cancer, and in extreme cases, death.
Environmental pollutants like...
Air pollutants, primarily gases, pose significant threats to respiratory health, leading to conditions like hypoxia, lung cancer, and in extreme cases, death.
Environmental pollutants like...
1.8K
Disorders of Erythrocytes
997
Disorders of erythrocytes, or red blood cells (RBCs), include a range of conditions affecting their number, shape, or function.
Erythrocyte disorders can be broadly categorized into two main types: anemic and polycythemic conditions.
A low oxygen-carrying capacity of the blood due to the loss, lower production, or destruction of erythrocytes is termed anemia. Hemorrhagic anemia, for example, occurs when bleeding from an external wound or internal ulcer reduces erythrocyte counts.
On the other...
Erythrocyte disorders can be broadly categorized into two main types: anemic and polycythemic conditions.
A low oxygen-carrying capacity of the blood due to the loss, lower production, or destruction of erythrocytes is termed anemia. Hemorrhagic anemia, for example, occurs when bleeding from an external wound or internal ulcer reduces erythrocyte counts.
On the other...
997
Psychoneuroimmunology: Cardiovascular Disease
54
Psychoneuroimmunology (PNI) is a multidisciplinary field that examines how psychological factors, particularly stress, interact with the immune system and impact physical health. Research in PNI has shown that chronic or traumatic stress can disrupt both the hypothalamic-pituitary-adrenal axis and the sympathetic nervous system. These disruptions contribute to serious health conditions, including cardiovascular diseases.
A key area of focus in PNI is the relationship between stress and coronary...
A key area of focus in PNI is the relationship between stress and coronary...
54
Antidotes
697
Antidotes are medicinal substances used to counteract the harmful effects of toxins or drugs in the body. They function in various ways, each uniquely designed to combat specific toxic compounds.
Specific antidotes operate by inhibiting the enzymes that control biochemical pathways, reducing the production of harmful metabolites.
An example of an antidote is atropine, which counteracts the detrimental effects of cholinesterase inhibitors. It achieves this by deactivating muscarinic receptors,...
Specific antidotes operate by inhibiting the enzymes that control biochemical pathways, reducing the production of harmful metabolites.
An example of an antidote is atropine, which counteracts the detrimental effects of cholinesterase inhibitors. It achieves this by deactivating muscarinic receptors,...
697


