Hoch Deborah Ann, Bulman Maya, McMahon Dorn W
Maine Medical Center Division of Nephrology and Transplantation, Portland, ME, USA
Maine Medical Center Department of Psychiatry, Portland, ME, USA.
Prog Transplant. 2016 Mar;26(1):13-20. doi: 10.1177/1526924816632132.
Transgender patients with end-stage renal disease (ESRD) present with specific challenges during the transplant evaluation, perioperative management, and postoperative phase of care. Demographic information, health-care records, chosen name, and gender identity along with documentation of specific health-care needs can become a challenge when gender assigned at birth is incongruent with the patients gender identity. Medical care involves addressing the end-organ disease as well as addressing those aspects of care specific to the transgender patient. This review article provides information on defining transgender, the impact of ESRD, and transgender in the transplant process and considerations in the throughout phases of care. Current recommendations for management of this unique population are provided.
患有终末期肾病（ESRD）的跨性别患者在移植评估、围手术期管理及术后护理阶段面临着特殊挑战。当出生时被指定的性别与患者的性别认同不一致时，人口统计学信息、医疗记录、所选名字、性别认同以及特定医疗需求的记录都可能成为难题。医疗护理既要解决终末器官疾病，也要关注跨性别患者特有的护理问题。这篇综述文章提供了关于跨性别的定义、ESRD的影响、跨性别者在移植过程中的情况以及整个护理阶段的注意事项等信息。文中还给出了针对这一特殊人群的当前管理建议。
