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NICE

NICE

Hable con la persona sobre los beneficios y riesgos de tomar medicamentos para prevenir los brotes de gota al iniciar o ajustar la ULT. Para las personas que eligen recibir un tratamiento para prevenir los brotes de gota al comenzar o ajustar la ULT, ofrezca colchicina mientras se alcanza el nivel objetivo de urato sérico. Si la colchicina está contraindicada, no se tolera o es ineficaz, considere un AINE en dosis bajas o un corticosteroide oral en dosis bajas. Considere agregar un inhibidor ...

NICE

NICE

There are no specific medicines for treating tricuspid regurgitation itself, but symptoms of heart failure are managed with diuretics and other medicines. People with severe symptoms may have surgery to repair or replace the tricuspid valve. Evidence on transcatheter tricuspid valve leaflet repair safety shows there are serious but well-recognised complications. Therefore, for these people, this procedure should only be used with special arrangements for clinical governance, consent, and audit ...

NICE

NICE

It includes those with a mental health problem, a neurodevelopmental disorder, or a learning disability. Self-injury is defined as intentional self-poisoning or injury, regardless of apparent purpose. Provide information and support for people who have self-harmed. Share information with family members or carers (as appropriate). At the earliest opportunity after an episode of self-harm, a mental health professional should carry out a psychosocial assessment. Do not use risk assessment tools ...

NICE

NICE

Damage to the trigeminal nerve can result in a decrease or loss of corneal sensation. People with neurotrophic keratitis typically have corneal epithelium defects, poor corneal healing, and can develop sight loss. They are also prone to corneal infections. Evidence of nerve graft for corneal denervation is limited. Therefore, this procedure should only be used with special arrangements for clinical governance, consent, and audit or research. Clinicians wanting to do nerve graft for corneal ...

NICE

NICE

Tricuspid regurgitation is when blood flows backwards through the tricuspid valve because it doesn't close properly during systole. Treatment may not be needed if symptoms are mild or absent. There are no specific medications to treat tricuspid regurgitation itself, but the symptoms of heart failure are controlled with diuretics and other medications. People with severe symptoms may have surgery to repair or replace the tricuspid valve. The safety of transcatheter tricuspid valve annuloplasty ...