对活着的肝脏捐赠者进行评估,认定他们是跨性别者或性别多元者
Tzu-Hao Lee1,2, Thanh Nguyen3, Rita S Lee4,5
1Section of Gastroenterology and Hepatology, Department of Medicine, Baylor College of Medicine, Houston, Texas.
概括
跨性别和性别多元的人需要为肝脏移植提供量身定制的护理. 这次审查涉及独特的医疗和心理社会因素, 以公平地评估活体捐赠者和包容性护理.
科学领域:
- 移植手术
- 肝病学
- 医疗公平
背景情况:
- 跨性别和性别多样性 (TGD) 个体遇到严重的医疗服务障碍.
- 公平的医疗保健需要在医疗程序中解决边缘化群体的特殊需求.
- 标准化活体供体评估需要包容性的风险分层.
研究的目的:
- 对接受肝移植评估的TGD个体进行独特的心理和医疗考虑.
- 突出性别确认激素治疗和TGD肝移植患者的外科治疗的重要性.
- 倡导在肝移植护理中创造一个包容的环境.
主要方法:
- 对TGD医疗保健障碍的现有研究进行文献审查.
- 对肝移植资格相关的社会心理因素的分析.
- 检查医疗因素,包括激素治疗和手术治疗.
主要成果:
- 对于TGD个体,需要超出标准标准的特定风险分层.
- 性别确定的荷尔蒙疗法需要仔细的外科治疗.
- 心理社会评估必须对TGD经验敏感.
结论:
- 肝移植计划必须调整活体供体评估以包括TGD个体.
- 解决独特的医疗和心理社会需求对于公平的结果至关重要.
- 制定包容性协议可以为这些服务不足的人群提供更好的护理.
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