{"id":1627,"date":"2012-10-18T21:00:10","date_gmt":"2012-10-18T20:00:10","guid":{"rendered":"http:\/\/www.rontgen.com\/metod\/?p=1627"},"modified":"2015-08-21T08:14:46","modified_gmt":"2015-08-21T07:14:46","slug":"om-punktionsnalar","status":"publish","type":"post","link":"https:\/\/www.rontgen.com\/metod\/om-punktionsnalar\/","title":{"rendered":"Om punktionsn\u00e5lar"},"content":{"rendered":"<p><strong><img loading=\"lazy\" decoding=\"async\" class=\"alignright size-full wp-image-1640\" title=\"textbild_punknel_1\" src=\"https:\/\/www.rontgen.com\/metod\/wp-content\/uploads\/2012\/10\/textbild_punknel_1.jpg\" alt=\"\" width=\"200\" height=\"200\" srcset=\"https:\/\/www.rontgen.com\/metod\/wp-content\/uploads\/2012\/10\/textbild_punknel_1.jpg 200w, https:\/\/www.rontgen.com\/metod\/wp-content\/uploads\/2012\/10\/textbild_punknel_1-100x100.jpg 100w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/strong><\/p>\n<p><strong>Ut\u00f6varens vana avg\u00f6r ofta n\u00e5lval oavsett typ av punktion.<\/strong><\/p>\n<p>Tjocklek, l\u00e4ngd, slipning, med eller utan <em>mandrin,<\/em> avg\u00f6r n\u00e5lens t\u00e4nkta funktion. Flertalet n\u00e5lar kan dock anv\u00e4ndas till annat \u00e4n vad tillverkare t\u00e4nkt sig samt rekommenderar. L\u00e4ngden samt &#8221;synlighet&#8221; p\u00e5 ultraljudsbilden avg\u00f6r ofta om en viss n\u00e5l anv\u00e4nds vid en unders\u00f6kning&#8230; inte slipningen.<\/p>\n<p>En huvudregel kan dock vara att anv\u00e4nda<em>\u00a0sk\u00e4rande n\u00e5lspetsar<\/em> till organ med kapsel, hinna, membran, v\u00e4ggstrukturer, etc.\u00a0medan mer<em> tr\u00f6ga n\u00e5lar\u00a0<\/em>(snedslipade spetsar, exv. Chiba) anv\u00e4nds till mjuka punktioner eller strukturer d\u00e4r man inte vill riskera att n\u00e5lspetsen far fram\u00e5t av &#8221;bara farten&#8221; in i annat omgivande \u00f6mt\u00e5ligt organ.<\/p>\n<p><span style=\"color: #ff0000;\">Det \u00e4r viktigt att planera sin punktion s\u00e5 att inte n\u00e5lens\u00a0storlek, slipning, mm. f\u00f6rorsakar eller \u00f6ka obehaget f\u00f6r patienten eller \u00f6ka riskerna f\u00f6r att \u00e5samka organskada i samband ev. flertalet punktionsf\u00f6rs\u00f6k.<\/span><\/p>\n<p>Det finns oftast <span style=\"color: #ff0000;\">[<\/span> <a title=\"N\u00e5lsortiment 2012\" href=\"https:\/\/www.rontgen.com\/metod\/wp-content\/uploads\/2012\/10\/needle_sortiment_rtg_700.jpg\">flertalet n\u00e5lar<\/a> <span style=\"color: #ff0000;\">]<\/span> att v\u00e4lja mellan f\u00f6r en punktion.<\/p>\n<p>Om punktionsn\u00e5len har en<em> mandrin<\/em> eller inte har mindre betydelse. F\u00f6rdelen med mandrinen \u00e4r att man inte f\u00e5r ett &#8221;biopsiprov&#8221; i n\u00e5lens lumen vid punktionen. Likas\u00e5 minimerar man den lilla risk att en ledare inte l\u00f6per igenom pga. ev. organiskt material innuti n\u00e5lens lumen.<\/p>\n<p>De flesta injektionsn\u00e5lar \u00e4r <em>silikonbehandlade<\/em> f\u00f6r att l\u00e4ttare glida igenom hud och organ.<br \/>\nVissa n\u00e5lar har \u00e4ven en <em>eko-behandlad<\/em> (skrovlig) <em>yta<\/em> vid spetsen f\u00f6r att synas b\u00e4ttre med <em>ultraljud<\/em>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ut\u00f6varens vana avg\u00f6r ofta n\u00e5lval oavsett typ av punktion. Tjocklek, l\u00e4ngd, slipning, med eller utan mandrin, avg\u00f6r n\u00e5lens t\u00e4nkta funktion. Flertalet n\u00e5lar kan dock anv\u00e4ndas<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[188],"tags":[],"class_list":["post-1627","post","type-post","status-publish","format-standard","hentry","category-punktionsnalar"],"_links":{"self":[{"href":"https:\/\/www.rontgen.com\/metod\/wp-json\/wp\/v2\/posts\/1627","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.rontgen.com\/metod\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.rontgen.com\/metod\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.rontgen.com\/metod\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.rontgen.com\/metod\/wp-json\/wp\/v2\/comments?post=1627"}],"version-history":[{"count":0,"href":"https:\/\/www.rontgen.com\/metod\/wp-json\/wp\/v2\/posts\/1627\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.rontgen.com\/metod\/wp-json\/wp\/v2\/media?parent=1627"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.rontgen.com\/metod\/wp-json\/wp\/v2\/categories?post=1627"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.rontgen.com\/metod\/wp-json\/wp\/v2\/tags?post=1627"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}