肺移植后关于怀孕和育儿的实践模式和态度
Nicole S Gaffney1,2, Greg Snell1,2, Bronwyn Levvey1,2
1Department of Respiratory Medicine, Alfred Health, Melbourne, Australia.
Transplantation direct
|January 29, 2025
概括
肺移植 (LuTx) 后的育儿不常见,许多中心缺乏明确的政策. 虽然提供者支持LuTx后的育儿,但缺乏证据和指导阻碍了安全的计划生育.
科学领域:
- 医学研究 医学研究
- 移植医学 移植医学
- 生殖健康 生殖健康
背景情况:
- 肺移植 (LuTx) 后的育儿不常见.
- 关于心脏移植后怀孕的数据有限,对LuTx接受者没有关于更广泛的父母身份的具体数据. 这项研究解决了这一差距.
研究的目的:
- 调查医疗保健提供者当前的实践模式和对肺移植接受者的父母身份的态度.
- 识别肺移植患者计划生育的障碍和促进因素.
主要方法:
- 一项匿名在线调查于2021年10月至12月进行.
- 该调查在国际范围内分发给肺移植单位和提供者.
- 分析了来自肺病学家,护士和移植协调员的103个反应.
主要成果:
- 大多数受访者与接受者讨论生育问题,但大多数中心对男性和女性生育/育儿缺乏明确的政策.
- 人们对辅助生殖,生育保护和怀孕政策的认识很低.
- 提供者表达了伦理方面的担忧,但普遍支持女性接收者的代孕,并没有看到男性接收者的禁忌.
结论:
- 医疗保健提供者通常支持父母的肺移植后移植.
- 缺乏同行评审的证据,专家共识和既定政策,对LuTx接受者来说,安全和成功的育儿构成了重大障碍.
更多相关视频
07:28Donor Posterior Atrial Flap Rotation for Left Atrial Cuff Reconstruction in Lung Transplantation
Published on: October 11, 2024
307
09:54Lung Rapid Recovery Procurement Combined with Abdominal Normothermic Regional Perfusion in Controlled Donation after Circulatory Death
Published on: August 15, 2022
1.7K
相关概念视频
Pneumothorax-II
118
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Clinical Manifestations:
118
Pulmonary Function Tests
292
Pulmonary Function Tests (PFTs)
Pulmonary Function Tests are crucial diagnostic tools for assessing respiratory function, particularly in patients with chronic respiratory disorders. They comprehensively evaluate lung volumes, ventilatory function, breathing mechanics, diffusion, and gas exchange. These tests help diagnose pulmonary diseases and play a significant role in monitoring disease progression, evaluating disability, and assessing response to therapy.
PFTs involve using a spirometer, a...
Pulmonary Function Tests are crucial diagnostic tools for assessing respiratory function, particularly in patients with chronic respiratory disorders. They comprehensively evaluate lung volumes, ventilatory function, breathing mechanics, diffusion, and gas exchange. These tests help diagnose pulmonary diseases and play a significant role in monitoring disease progression, evaluating disability, and assessing response to therapy.
PFTs involve using a spirometer, a...
292
Pneumonia V: Nursing management and Prevention
1.8K
Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
1.8K
Pneumonia I: Introduction
205
Pneumonia is an acute respiratory infection that targets the lungs, specifically the alveoli. These tiny air sacs, essential for oxygen exchange, become engorged with pus and fluid, severely hindering breathing, decreasing oxygen absorption, and causing significant pain and discomfort during respiration.
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
205
Pulmonary Cycle: Exhalation
1.3K
In terms of human respiration, the act of expelling air, known as exhalation (or expiration), operates on the principle of pressure gradients. During expiration, the pressure within the lungs exceeds that of the surrounding atmosphere. Under normal conditions, quiet breathing involves passive exhalation and is free of muscular contractions. This is because the exhalation process is driven by the natural elastic recoil of the lungs and chest wall, both of which have an inherent tendency to...
1.3K
Pulmonary Tuberculosis V
170
Medical management of tuberculosis (TB) patients involves a comprehensive approach that includes diagnosis, treatment, and monitoring. The specific strategies can vary depending on the type of tuberculosis (latent or active), the patient's overall health status, and other considerations.
Latent tuberculosis infection occurs when TB bacteria are present in a person's body, but are not causing illness or symptoms. It is not contagious, and preventive treatment is crucial to avoid the...
Latent tuberculosis infection occurs when TB bacteria are present in a person's body, but are not causing illness or symptoms. It is not contagious, and preventive treatment is crucial to avoid the...
170
