在性别确认手术后终身护理患者
Quinn Jackson1, Nicole T Yedlinsky1, Meredith Gray1
1University of Kansas Medical Center, Kansas City, Kansas.
American family physician
|June 21, 2024
概括
家庭医生必须为跨性别者和性别多样性个体提供终身医疗服务. 根据患者的解剖学和外科病史,定制的健康查和维护是必不可少的.
科学领域:
- 家庭医学 家庭医学 家庭医学
- 肯定性别的护理.
- 跨性别者健康问题
背景情况:
- 性别确认手术 (GAS) 的发生率正在增加.
- 家庭医生需要对跨性别和性别多样性 (TGD) 患者的终身护理知识.
- 对于TGD患者来说,手术后的健康维护需要特别考虑.
研究的目的:
- 概述GAS后TGD个体的基本健康维护策略.
- 引导家庭医生为TGD患者提供全面的终身护理.
- 为满足基于外科手术程序的特定查和后续需求.
主要方法:
- 审查当前的医学指南和文献.
- 分析各种GAS程序后的健康维护要求.
- 强调基于患者解剖学和手术史的个性化护理.
主要成果:
- 健康查应基于当前的解剖学;乳腺切除术后不需要进行例行乳腺癌查,但症状需要治疗.
- 在男性化生殖器外科手术后,建议进行终身泌尿科随访.
- 激素治疗在淋巴切除术后至关重要,以预防阴道腺缩和骨质疏松症.
- 根据性病史和外科手术程序,应根据性病史和外科手术程序进行STI测试.
- 使用肠道组织进行阴道造形术后的阴道出血可能表明腺癌或IBD.
结论:
- 家庭医生在TGD个体的长期健康中发挥着至关重要的作用.
- 个性化的健康维护,包括适当的查和随访,在GAS后至关重要.
- 了解特定外科手术程序的含义可以确保最佳的患者结果.
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