{"id":1314,"date":"2009-11-24T14:24:49","date_gmt":"2009-11-24T13:24:49","guid":{"rendered":"http:\/\/www.rontgen.com\/wp-doctor\/?p=1314"},"modified":"2009-11-24T14:34:41","modified_gmt":"2009-11-24T13:34:41","slug":"reaktion-pa-kontrast","status":"publish","type":"post","link":"https:\/\/www.rontgen.com\/wp-doctor\/reaktion-pa-kontrast","title":{"rendered":"Reaktion p\u00e5 kontrast"},"content":{"rendered":"<p><a href=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2008\/12\/icon_mini_faq.gif\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-81\" title=\"Fr\u00e5ga\" src=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2008\/12\/icon_mini_faq.gif\" alt=\"Fr\u00e5ga\" width=\"12\" height=\"13\" \/><\/a>\u00a0Skall i dagarna g\u00f6ra en CT br\u00f6stkorg p\u00e5 grund av misstanke om f\u00f6rtr\u00e4ngning i kransk\u00e4rlen. Har vid en tidigare r\u00f6ntgenunders\u00f6kning reagerat allergiskt p\u00e5 kontrasten. \u00c4r nu j\u00e4tteorolig f\u00f6r reaktion fast jag premedicineras 1 dygn f\u00f6re, med Betapred och Tavegyl. Kan jag \u00e4nd\u00e5 f\u00e5 en reaktion? Kan man bli manisk\/psykotisk av Betapred?<\/p>\n<p><a href=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2008\/12\/icon_mini_register.gif\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-85\" title=\"Svar\" src=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2008\/12\/icon_mini_register.gif\" alt=\"Svar\" width=\"12\" height=\"13\" \/><\/a>\u00a0Beroende p\u00e5 hur din tidigare reaktion av kontrastmedlet varit har man olika grader av beredskap inf\u00f6r ev. kommande unders\u00f6kningar.<br \/>\nVid tidigare l\u00e4ttare reaktioner, s\u00e5 som mindre utslag (urtikaria) och illam\u00e5ende, brukar den premedicinering man ger innan unders\u00f6kningen normalt r\u00e4cka. Detta g\u00e4ller i dom flesta fallen. Dock kan trots allt l\u00e4ttare reaktioner uppkomma, av olika genes, trots premedicineringen. Dessa brukar (ska) dock inte bli av sv\u00e5rare karakt\u00e4r. Vid de enstaka fallen d\u00e4r reaktion uppkommit, trots premedicinering, har detta oftast d\u00e5 varit i form av l\u00e4tt illam\u00e5ende,\u00a0mindre hudutslag&#8230;.<br \/>\nVid de fall d\u00e4r patienten har haft tidigare sv\u00e5rare reaktioner p\u00e5 kontrasten har vi alltid starkt h\u00f6jd beredskap. Likas\u00e5 finns m\u00f6jlighet f\u00f6r sjukhusbunden \u00f6vervakning efter unders\u00f6kningen. Om det finns alternativ likv\u00e4rdig \u00a0unders\u00f6kningsmetod v\u00e4ljs\u00a0denna f\u00f6rst f\u00f6r att p\u00e5 s\u00e5 s\u00e4tt undg\u00e5 bruket av kontrastmedel.<\/p>\n<p>Liksom alla l\u00e4kemedel kan \u00e4ven Betapred ha biverkningar. Dessa \u00e4r dock beskedliga vid det enstaka tillf\u00e4llet denna medicin anv\u00e4ndes inf\u00f6r r\u00f6ntgen med kontrastmedel. Ev. biverkningar\u00a0av detta kortisonpreparat \u00e4r fr\u00e4mst beh\u00e4ngt vid l\u00e5ngvarigt bruk (enl. FASS).<\/p>\n<p>Vi kan aldrig l\u00e4mna\u00a0garantier f\u00f6r\u00a0att man inte f\u00e5r n\u00e5gon reaktion p\u00e5 kontrastmedlet. Oavsett tidigare h\u00e4ndelser eller inte. Detta \u00e4r individuellt och kan intr\u00e4ffa&#8230; fast \u00e4n det sker mycket s\u00e4llan om man inte har n\u00e5gra &#8221;starkare&#8221; riskfaktorer.<\/p>\n<p><a href=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2008\/12\/icon_mini_profile.gif\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-83\" title=\"Svarat av\" src=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2008\/12\/icon_mini_profile.gif\" alt=\"Svarat av\" width=\"12\" height=\"13\" \/><\/a>\u00a0K.T. rtgssk<br \/>\nR\u00f6ntgenavdelningen Helsingborgs lasarett<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00a0Skall i dagarna g\u00f6ra en CT br\u00f6stkorg p\u00e5 grund av misstanke om f\u00f6rtr\u00e4ngning [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[87,142,38,89],"class_list":["post-1314","post","type-post","status-publish","format-standard","hentry","category-annat","tag-biverkning","tag-ct","tag-kontrast","tag-premedicinering"],"_links":{"self":[{"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/posts\/1314","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/comments?post=1314"}],"version-history":[{"count":0,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/posts\/1314\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/media?parent=1314"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/categories?post=1314"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/tags?post=1314"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}