21-羟化酶缺乏所致经典型先天性肾上腺皮质增生症患者的生活:挑战与负担
Life With Classic Congenital Adrenal Hyperplasia Due to 21-Hydroxylase Deficiency: Challenges and Burdens.
作者信息
Witchel Selma Feldman, Miller Tahlyn, McCann Erika, Gupta Anshu
机构信息
Division of Pediatric Endocrinology, UPMC Children's Hospital of Pittsburgh, University of Pittsburgh, Pittsburgh, PA 15224, USA.
Medical Student, Edward Via College of Osteopathic Medicine, Blacksburg, VA 24060, USA.
出版信息
J Clin Endocrinol Metab. 2025 Jan 21;110(Supplement_1):S56-S66. doi: 10.1210/clinem/dgae728.
CONTEXT
Congenital adrenal hyperplasia (CAH) is an autosomal recessive genetic condition requiring daily medication(s) and attention to details. In addition to daily medications and regular visits with healthcare providers, families may live with perpetual angst regarding unpredictable occurrences of acute adrenal insufficiency. Despite numerous barriers and challenges imposed by this chronic condition, caregivers and healthcare professionals can empower our patients to achieve a good quality of life.
EVIDENCE SYNTHESIS
CAH is a global condition for which access to health care widely varies depending on local resources. Major treatment aims include good health, good quality of life, and achievement of personal goals for affected persons. To achieve these aims, patients, caregivers, and healthcare professionals interact to promote health maintenance and encourage positive outcomes for individuals with CAH. This article describes aspects of daily living with CAH through the perspective of 1 family and their healthcare team living in the United States. A young adult patient, nurse educator, and physicians provide their perspectives regarding patient health care, general well-being, and safety emphasizing that patients with CAH can thrive. Nevertheless, remembering and recognizing that many individuals with CAH live in areas with limited resources and enduring sociocultural barriers is essential.
CONCLUSION
With access to knowledgeable healthcare providers, sufficient resources, and psychosocial support, "children with CAH can thrive and live normal lives." The future challenge is securing mechanisms to decrease the financial, sociocultural, and health access barriers in other communities throughout the world.
背景
先天性肾上腺皮质增生症(CAH)是一种常染色体隐性遗传病,需要每日服药并关注细节。除了每日服药和定期就诊外,患者家庭可能长期因急性肾上腺功能不全的不可预测发作而焦虑不安。尽管这种慢性病带来了诸多障碍和挑战,但护理人员和医疗专业人员可以帮助患者实现良好的生活质量。
证据综合
CAH是一种全球性疾病,获得医疗保健的机会因当地资源而异。主要治疗目标包括健康、良好的生活质量以及使患者实现个人目标。为实现这些目标,患者、护理人员和医疗专业人员相互协作,以促进健康维持并鼓励CAH患者取得积极的治疗效果。本文通过一个居住在美国的家庭及其医疗团队的视角,描述了CAH患者的日常生活情况。一名年轻成年患者、护士教育工作者和医生分享了他们对患者医疗保健、总体健康状况和安全的看法,强调CAH患者能够茁壮成长。然而,必须牢记并认识到许多CAH患者生活在资源有限且面临社会文化障碍的地区。
结论
有了知识渊博的医疗服务提供者、充足的资源和心理社会支持,“患有CAH的儿童能够茁壮成长并过上正常生活”。未来的挑战是建立机制,以减少全球其他社区在经济、社会文化以及医疗保健获取方面的障碍。