优化儿科移植患者的生长:最新情况
Manoji Gamage1,2, Randula Ranawaka3,4
1Nutrition Division, Ministry of Health, Colombo 0094, Sri Lanka.
World journal of transplantation
|December 19, 2024
概括
增长迟缓是儿科移植患者的一个主要问题,影响了他们的最终身高和生活质量. 用生长激素及减少类固醇使用的早期干预是改善生长结果的关键.
科学领域:
- 儿科脏病学 儿科脏病学
- 移植医学 移植医学
- 增长和发展 增长和发展
背景情况:
- 增长迟缓是儿科移植接受者的重要并发症.
- 多因素的原因包括移植前的情况,透析和移植后的因素,如皮质类固醇的使用.
- 增长迟缓会对生活质量,教育和就业结果产生负面影响.
研究的目的:
- 提供关于儿科移植患者生长迟缓的全面概述.
- 突出增长障碍的多因素病因和长期后果.
- 强调早期和有针对性的干预的重要性.
主要方法:
- 对影响儿科移植患者生长的因素的文献综述.
- 对移植前,移植相关和移植后变量的分析.
- 综合目前管理增长迟缓的策略.
主要成果:
- 延迟成年人身高的关键风险因素包括移植时的年轻年龄,先前存在的矮身和类固醇使用.
- 重组人体生长激素和最小化的类固醇协议显示了追赶增长的前景.
- 尽管移植的存活率有所提高,但生长仍然是一个重大的临床挑战.
结论:
- 增长迟缓是儿科移植患者的复杂问题,具有持久的影响.
- 早期干预,包括生长激素治疗和降低类固醇摄入量至关重要.
- 解决成长问题对于这些儿童的长期福祉和发展至关重要.
相关概念视频
Renal Failure: Dose Adjustments
63
In patients with renal impairment, drugs undergo significant changes in their pharmacokinetics, which require dosage adjustments to ensure safe and effective therapy.
Reduced renal clearance and elimination rate are common outcomes of renal impairment. These alterations lead to a prolonged elimination half-life and an altered apparent volume of distribution for drugs. As a result, dosage adjustments are typically necessary to maintain optimal drug levels in the body.
However, dosage adjustments...
Reduced renal clearance and elimination rate are common outcomes of renal impairment. These alterations lead to a prolonged elimination half-life and an altered apparent volume of distribution for drugs. As a result, dosage adjustments are typically necessary to maintain optimal drug levels in the body.
However, dosage adjustments...
63
Bone Marrow Sampling and Transplants
282
Bone marrow transplant is a potential cure for several diseases, including cancer and specific genetic disorders. Notably, this procedure is applicable for patients suffering from aplastic anemia, certain types of leukemia, severe combined immunodeficiency disease (SCID), Hodgkin's disease, non-Hodgkin's lymphoma, multiple myeloma, thalassemia, sickle-cell disease, and certain cancers.
The transplant begins with high doses of chemotherapy and radiation treatment, which aim to destroy...
The transplant begins with high doses of chemotherapy and radiation treatment, which aim to destroy...
282
Factors Affecting Renal Clearance: Renal Impairment
53
Renal dysfunction significantly impairs the renal clearance of drugs, leading to potential complications in drug therapy. Renal failure, which can be caused by various factors, poses a significant challenge in the elimination of drugs from the body.
One condition associated with renal failure is uremia. Uremia is characterized by impaired glomerular filtration and fluid accumulation in the body. This condition hinders the renal clearance of drugs, resulting in drug accumulation and potential...
One condition associated with renal failure is uremia. Uremia is characterized by impaired glomerular filtration and fluid accumulation in the body. This condition hinders the renal clearance of drugs, resulting in drug accumulation and potential...
53


