接近患者:导航身体质量指数的性别确认手术的要求
John Michael Taormina1,2, Michelle Cordoba Kissee3, Lisa M Brownstone4
1Department of Family Medicine, University of Colorado School of Medicine, Aurora, CO 80045, USA.
The Journal of clinical endocrinology and metabolism
|April 8, 2024
概括
对性别确认手术的体重指数要求可能会阻碍跨性别和性别多样性个体. 这篇文章为临床医生提供了多学科策略,以帮助患者管理体重和获得护理.
科学领域:
- 内分泌学 在内分泌学.
- 减肥医学 减肥医学
- 确认性别的护理
背景情况:
- 肥胖对寻求性别确认手术 (GAS) 的跨性别和性别多样性 (TGD) 个体提出了独特的挑战.
- 许多TGD患者需要支持来满足GAS的身体质量指数 (BMI) 切断值.
- 现有的体重管理策略可能无法充分满足TGD群体的特定需求和偏好.
研究的目的:
- 为管理肥胖TGD患者的临床医生提供全面的,多学科的方法.
- 在TGD个体中概述解决BMI对GAS要求的策略.
- 将性别肯定原则纳入TGD患者的体重管理.
主要方法:
- 这篇文章综合了来自内分泌学,体重管理,心理健康,妇科和整形外科的专业知识.
- 它回顾了对肥胖TGD患者的当前文献和临床最佳实践.
- 它提出了一个以患者为中心,多学科的管理框架.
主要成果:
- 临床医生需要量身定制的方法,考虑到TGD特定的障碍和体重管理偏好.
- 多学科合作对于优化患者的治疗结果和外科手术的准入至关重要.
- 个性化性别肯定支持可以帮助TGD患者实现GAS的BMI目标.
结论:
- 解决GAS的BMI要求需要对TGD患者采取专业的,多学科的方法.
- 整合体重管理与性别肯定护理对于改善获得GAS至关重要.
- 需要进行进一步的研究,以制定基于证据的指导方针,用于在GAS.的背景下对TGD的体重管理.
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