{"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":"2026-08-17T15:13:05","modified_gmt":"2026-08-17T15:13:05","slug":"llr-policy-for-male-breast-reduction","status":"publish","type":"post","link":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/ro\/llr-policy-for-male-breast-reduction\/","title":{"rendered":"Politica LLR pentru reducerea s\u00e2nilor masculini"},"content":{"rendered":"
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\u00a0<\/p>\n\n

Categoria<\/strong><\/p>\n\n

Criterii de prag<\/p>\n\n

Eligibilitate<\/strong><\/p>\n\n

\n\n\n\n
LLR ICB va finan\u021ba aceast\u0103 procedur\u0103 dac\u0103 sunt \u00eendeplinite toate criteriile urm\u0103toare<\/strong>
\u00a0<\/strong>
\u2013 Maturarea sexual\u0103 a fost atins\u0103 \u0219i are v\u00e2rsta de 18 ani sau mai mult

SAU<\/strong>
\u2013 \u00cen cazurile de ginecomastie idiopatic\u0103 la b\u0103rba\u021bii sub 25 de ani, a fost permis\u0103 o perioad\u0103 de cel pu\u021bin 2 ani pentru rezolvarea natural\u0103

\u0218I<\/strong>
\u2013 S-a efectuat screening, \u00eenainte de trimitere, pentru cauze endocrinologice \u0219i legate de medicamente

\u0218I<\/strong>
\u2013 S-au \u00eencercat tratamente nechirurgicale \u0219i nu au avut succes

\u0218I<\/strong>
\u2013 IMC este \u00eentre 18 \u0219i 25 \u0219i se afl\u0103 \u00een acest interval de 1 an

\u0218I<\/strong>
\u2013 Nefum\u0103tor confirmat \u0219i abstinen\u021b\u0103 documentat\u0103 \u00eenainte de procedur\u0103

\u0218I<\/strong>
\u2013 Pacientul are ginecomastie de gradul 3 - m\u0103rire marcat\u0103 cu piele suplimentar\u0103, a\u0219a cum este ilustrat \u00een Anexa 1

\u0218I<\/strong>
\u2013 Dovezi fotografice<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/figure>\n\n
\n\n\n\n
Aceast\u0103 procedur\u0103 necesit\u0103 APROBARE PREALABILA <\/strong>consulta\u021bi \u201eComisarul \u2013 Proceduri cosmetice\/Chirurgie plastic\u0103 CAS\u201d pe ERS. \u0218i trimis la Ofi\u021ber de solicitare pentru chirurgie estetic\u0103 \u2013 <\/strong>lcr.ifr@nhs.net<\/strong><\/a>
\u00a0
- Detalii de stare
\u2013 IMC \u0219i perioada men\u021binute
- Statutul de fumat
\u00a0<\/strong>
Sesizarea ar trebui f\u0103cut\u0103 pe formularul de cerere de cerere de opera\u021bie pentru ginecomastie masculin\u0103.
Ofi\u021berul de solicitare a chirurgiei cosmetice va confirma primirea cererii c\u0103tre medic de familie \u0219i pacient, precum \u0219i rezultatul.

Cerere de fotografii medicale<\/strong>
\u00a0<\/strong>
Pacientului trebuie s\u0103 i se ofere formularul de Cerere pentru fotografii medicale \u0219i s\u0103 i se solicite s\u0103 participe la Medical Illustration la Leicester Royal Infirmary. Ilustra\u021bia medical\u0103 va anun\u021ba ofi\u021berul de solicitare pentru chirurgie estetic\u0103 de \u00eendat\u0103 ce pacientul s-a prezentat pentru fotografii

Dac\u0103 sunt aprobate, informa\u021biile vor fi transmise departamentului de Chirurgie Plastic\u0103 \u0219i se va face o programare de evaluare.

Dac\u0103 nu este aprobat, medicul de familie ar trebui s\u0103 discute cu pacientul rezultatul \u0219i op\u021biunile alternative<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/figure>\n\n
\n\n\n\n
Aprobarea unei evalu\u0103ri nu este o garan\u021bie a interven\u021biei chirurgicale. Pot exista \u0219i al\u021bi factori care ar decide dac\u0103 interven\u021bia chirurgical\u0103 este op\u021biunea potrivit\u0103 pentru un pacient. Acest lucru va fi discutat cu pacientul \u00een etapa de evaluare de c\u0103tre chirurgul plastician<\/strong><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/figure>\n\n

Anexa 1 Clasificare Simon Ginecomastie<\/strong><\/p>\n\n

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

Referin\u0163\u0103: <\/strong>Declara\u021bie sumar\u0103 a Asocia\u021biei de Chirurgie a S\u00e2nilor (iunie 2019). Investigarea \u0219i managementul ginecomastiei \u00een \u00eengrijirea primar\u0103 \u0219i secundar\u0103.<\/p>\n\n

\n\n\n\n
Data revizuirii ARP 69: 2029<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/figure>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"

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