在替代疗法中对副作用的管理
Basheer Basheer1, Vishal Ila2, Rodrigo Barros3
1Jumeirah American Clinic, Dubai, UAE.
概括
管理替代疗法 (TRT) 的不良影响至关重要. 本综述详细介绍了与TRT相关的妇科,心血管,血液,前列腺和肝脏风险的治疗方法.
科学领域:
- 内分泌学 在内分泌学.
- 男人的健康 男人的健康
- 药理学 药理学是指药理学的学科.
背景情况:
- 替代疗法 (TRT) 广泛用于治疗低性.
- 了解和管理TRT的不良影响对于患者的安全和治疗疗效至关重要.
研究的目的:
- 审查当前关于管理TRT不良影响的知识.
- 为了承担风险,包括妇产不全,心血管,血液,前列腺和肝脏问题.
主要方法:
- 广泛的文献审查.
- 纳入美国泌尿病学会和内分泌学会的指导方针.
- 确定常见的不良影响及其管理策略.
主要成果:
- TRT可以改善生活质量,性功能和情绪.
- 妇产不良症是通过芳酶抑制剂或塔莫西芬来管理的.
- 心血管风险 (高血压,红细胞瘤) 需要监测;如果血红素值>52%,则需要进行瘤切除.
- 随着监测,没有观察到明显的前列腺癌风险;在活跃的未经治疗的前列腺癌中禁忌.
- 透皮,较新的口服或注射型TRT形式是肝脏健康的首选.
结论:
- 对TRT不良影响的监测和管理至关重要.
- 目前正在进行的研究将完善基于证据的TRT安全实践.
- 患者教育和咨询提高了合规性和结果.
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