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Author Spotlight: Integrating Ultrasound Imaging with Biochemical Markers for Thyroid Disease Diagnosis
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在医学上还没有解释过甲状腺功能低下症的症状.

Laszlo Hegedüs1, Christina M Van Der Feltz-Cornelis2, Enrico Papini3

  • 1Department of Endocrinology, Odense University Hospital, Odense, Denmark. Laszlo.hegedus@rsyd.dk.

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概括

持续的症状,称为医学上尚未解释的症状 (MNYES),在甲状腺功能低下症中很常见. 认识MNYES可以导致更好的患者护理,而不是过度调查或过度治疗.

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科学领域:

  • 内分泌学 在内分泌学.
  • 内部医学 内部医学
  • 精神病体医学是一种精神病体医学.

背景情况:

  • 持续性症状在一般人群中普遍存在,并且在甲状腺功能低下症患者中明显更为常见.
  • 医学上尚未解释的症状 (MNYES) 是患者,护理人员和专家经常遇到和喜欢的,而不是其他描述符.
  • 内分泌学家可能会忽视MNYES或错误地将其归因于甲状腺功能低下症,导致患者管理不足最佳.

研究的目的:

  • 强调在出现不明原因症状的患者中识别医学上尚未解释的症状 (MNYES) 的重要性.
  • 倡导从潜在有害的过度调查和过度治疗甲状腺功能低下症转向有效的MNYES管理.
  • 确定内分泌学家在承认和管理MNYES方面的关键作用.

主要方法:

  • 在内分泌学中对医学上尚未解释的症状 (MNYES) 的文献综述和专家意见的综合.
  • 对低甲状腺患者无法解释的症状的当前诊断和治疗范式的分析.
  • 在管理MNYES时,制定一个"双轨方法"的框架,考虑身体和心理社会因素.

主要成果:

  • 与目前的做法相比,对MNYES的认识可以促进更有效和更少有害的干预措施.
  • 有效的内分泌学家参与包括承认MNYES,明确的沟通,以及对身体和心理社会贡献者的平衡方法.
  • 根据症状恶化风险对患者进行分类有助于量身定制治疗策略.

结论:

  • 内分泌学家必须认识到并承认医学上尚未解释的症状 (MNYES) 作为患者表现的潜在潜在原因.
  • 为了管理MNYES,必须采用"双轨方法",将身体和心理社会方面结合起来,并进行有效的沟通.
  • 优化MNYES的管理需要专门的时间,专业培训,临床专业知识和足够的医疗资源.