{"id":16524,"date":"2024-04-16T10:32:22","date_gmt":"2024-04-16T10:32:22","guid":{"rendered":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/?p=16524"},"modified":"2024-12-11T13:58:19","modified_gmt":"2024-12-11T13:58:19","slug":"llr-policy-for-male-breast-reduction","status":"publish","type":"post","link":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/pl\/llr-policy-for-male-breast-reduction\/","title":{"rendered":"Polityka LLR dotycz\u0105ca zmniejszania piersi u m\u0119\u017cczyzn"},"content":{"rendered":"

<\/p>\n\n\n\n

Kategoria<\/strong><\/p>\n\n\n\n

Kryteria progowe<\/p>\n\n\n\n

Uprawnienia<\/strong><\/p>\n\n\n\n

LLR ICB sfinansuje t\u0119 procedur\u0119, je\u015bli spe\u0142nione zostan\u0105 wszystkie poni\u017csze kryteria<\/strong>
\u00a0<\/strong>
\u2013 Osi\u0105gni\u0119to dojrza\u0142o\u015b\u0107 p\u0142ciow\u0105 i uko\u0144czono 18 rok \u017cycia

LUB<\/strong>
\u2013 W przypadku ginekomastii idiopatycznej u m\u0119\u017cczyzn w wieku poni\u017cej 25 lat, na naturalne ust\u0105pienie nale\u017cy poczeka\u0107 co najmniej 2 lata

I<\/strong>
\u2013 Przed skierowaniem przeprowadzono badania przesiewowe pod k\u0105tem przyczyn endokrynologicznych i zwi\u0105zanych z narkotykami

I<\/strong>
\u2013 Pr\u00f3bowano metod niechirurgicznych, ale nie przynios\u0142y one skutku

I<\/strong>
\u2013 BMI mie\u015bci si\u0119 w przedziale 18\u201325 i utrzymuje si\u0119 w tym przedziale od roku

I<\/strong>
\u2013 Osoba niepal\u0105ca i udokumentowana abstynencja przed zabiegiem

I<\/strong>
\u2013 U pacjenta wyst\u0119puje ginekomastia III stopnia \u2013 znaczne powi\u0119kszenie z nadmiarem sk\u00f3ry, jak pokazano w za\u0142\u0105czniku 1

I<\/strong>
\u2013 Dow\u00f3d fotograficzny<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n
Ta procedura wymaga WCZE\u015aNIEJSZA ZATWIERDZENIE <\/strong>patrz \u201eKomisarz \u2013 Zabiegi kosmetyczne\/Chirurgia plastyczna CAS\u201d w witrynie ERS. I wys\u0142ane do Osoba zajmuj\u0105ca si\u0119 chirurgi\u0105 plastyczn\u0105 \u2013 <\/strong>lcr.ifr@nhs.net<\/strong><\/a> <\/strong>
 
\u2013 Szczeg\u00f3\u0142y stanu
\u2013 BMI i okres utrzymane
\u2013 Stan palenia
 <\/strong>
Skierowanie nale\u017cy zg\u0142osi\u0107 na formularzu wniosku o operacj\u0119 ginekomastii m\u0119skiej.
Osoba odpowiedzialna za chirurgi\u0119 plastyczn\u0105 potwierdzi lekarzowi rodzinnemu i pacjentowi otrzymanie wniosku, a tak\u017ce wynik.

Pro\u015bba o zdj\u0119cia medyczne<\/strong>
 <\/strong>
Pacjent powinien otrzyma\u0107 formularz wniosku o zdj\u0119cia medyczne i zosta\u0107 poproszony o stawienie si\u0119 na ilustracj\u0119 medyczn\u0105 w szpitalu Leicester Royal Infirmary. Ilustracja medyczna powiadomi specjalist\u0119 ds. chirurgii plastycznej, gdy tylko pacjent zg\u0142osi si\u0119 na sesj\u0119 zdj\u0119ciow\u0105

Po zatwierdzeniu informacja zostanie przekazana do oddzia\u0142u chirurgii plastycznej i wyznaczona zostanie wizyta oceniaj\u0105ca.

Je\u017celi leczenie nie zostanie zatwierdzone, lekarz rodzinny powinien om\u00f3wi\u0107 wynik z pacjentem i alternatywne opcje<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n
Zgoda na ocen\u0119 nie jest gwarancj\u0105 operacji. Mog\u0105 istnie\u0107 inne czynniki, kt\u00f3re zadecyduj\u0105 o tym, czy operacja jest odpowiedni\u0105 opcj\u0105 dla pacjenta. Zostanie to om\u00f3wione z pacjentem na etapie oceny przez Chirurga Plastycznego<\/strong><\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n

Za\u0142\u0105cznik 1 Klasyfikacja Simona Ginekomastia<\/strong><\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

Odniesienie: <\/strong>Podsumowanie o\u015bwiadczenia Association of Breast Surgery (czerwiec 2019). Badanie i leczenie ginekomastii w opiece podstawowej i wt\u00f3rnej.<\/p>\n\n\n\n

Data przegl\u0105du ARP 69: 2027 r<\/td><\/tr><\/tbody><\/table><\/figure>","protected":false},"excerpt":{"rendered":"

Category Threshold Criteria Eligibility LLR ICB will fund this procedure is all of the following criteria is met\u00a0 – Sexual maturation has been reached and is aged 18 years of […]<\/p>\n","protected":false},"author":542,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_eb_attr":"","_jetpack_memberships_contains_paid_content":false,"footnotes":"[]"},"categories":[57],"tags":[73,83],"class_list":["post-16524","post","type-post","status-publish","format-standard","hentry","category-policies","tag-plastics","tag-threshold"],"yoast_head":"\nLLR Policy for Male Breast Reduction - LLR ICB<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/pl\/llr-policy-for-male-breast-reduction\/\" \/>\n<meta property=\"og:locale\" content=\"pl_PL\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"LLR Policy for Male Breast Reduction - 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