{"id":4000,"date":"2011-06-01T18:18:26","date_gmt":"2011-06-01T17:18:26","guid":{"rendered":"http:\/\/www.rontgen.com\/wp-doctor\/?p=4000"},"modified":"2011-06-08T10:25:43","modified_gmt":"2011-06-08T09:25:43","slug":"echinocock-cystor","status":"publish","type":"post","link":"https:\/\/www.rontgen.com\/wp-doctor\/echinocock-cystor","title":{"rendered":"Echinocock-cystor"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft\" style=\"border: 0pt none;\" title=\"Fr\u00e5ga\" src=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2008\/12\/icon_mini_faq.gif\" alt=\"\" width=\"12\" height=\"13\" \/> Jag fick v\u00e4ldigt konstig stramande  k\u00e4nsla p\u00e5 h\u00f6 sidan nedanf\u00f6r revben och svullnad om buken (gallbl\u00e5san  bortop 15 \u00e5r sedan).<br \/>\nUltraljud visade cystor i levern. Levern m\u00e5ttligt f\u00f6rstorad. Gjorde \u00e4ven Ct och det visade detsamma  sm\u00e5 multipla cystor. Nu undrar jag bara kan det vara Echinococc som orsakat detta.?<br \/>\nVarit en del utomlands Brasilien och i Thailand. Nu b\u00f6rjade besv\u00e4ren efter  min senaste resa till Thailand i \u00e5r i Februari.<br \/>\nVilket blodprov ska man ta f\u00f6r att konstatera om man har Echinococcer? Vad heter blodprovet? Kan  alkoholhaltiga dryck f\u00f6rs\u00e4mra tillst\u00e5ndet? D\u00e5 menar jag  ett glas r\u00f6tt vin? Varf\u00f6r f\u00e5r man cystor? Hur stor risk \u00e4r det att cystorna blir maligna?<\/p>\n<div id=\"attachment_4009\" style=\"width: 100px\" class=\"wp-caption alignright\"><a href=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2011\/06\/ulj_eccinocockcysta_1.jpg\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-4009\" class=\"size-thumbnail wp-image-4009 \" title=\"Ultraljud\" src=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2011\/06\/ulj_eccinocockcysta_1-150x150.jpg\" alt=\"echinocock-cysta\" width=\"90\" height=\"90\" \/><\/a><p id=\"caption-attachment-4009\" class=\"wp-caption-text\">Ultraljud lever<\/p><\/div>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft\" style=\"border: 0pt none;\" title=\"Svar\" src=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2008\/12\/icon_mini_register.gif\" alt=\"\" width=\"12\" height=\"13\" \/> Cystor kan man ofta klassificera med ultraljud.<br \/>\n&#8221;Normala&#8221; cystor har oftast en skarp &#8221;kant&#8221; och utg\u00f6rs av mer eller mindre flytande v\u00e4tskeinneh\u00e5ll.<br \/>\nEkinokock-cystor (echinocock) uppkommer av <em>bl\u00e5smasken<\/em> som f\u00f6rekommer hos bla. hundar, f\u00e5r och getter men kan \u00f6verf\u00f6ras till m\u00e4nniskor. M\u00e4nniskan smittas huvudsakligen via f\u00f6dan.<\/p>\n<p>Ekinokock-cystor utvecklas normalt l\u00e5ngsamt. Det kan dr\u00f6ja flera \u00e5r innan symtomen visar sig. Dessa larver bildar cystor som kan finnas p\u00e5 flera st\u00e4llen i kroppen men f\u00f6rh\u00e5llningvis vanligast i levern.<br \/>\nEn ekinokock-cysta har, i motsatts till &#8221;normala&#8221; cystor, en tjock oregelbunden v\u00e4gg som &#8221;laddar upp&#8221; med kontrastmedel d\u00e5 detta tillf\u00f6rs blodet. Flera av dessa cystor bildar karakteristiska grupper p\u00e5 lokalisationsst\u00e4llet. V\u00e5r v\u00e4ldigt skickliga sonograf eller annan l\u00e4kare kan \u00e4ven med ultraljudet ibland se ekinokock-cystornas inneh\u00e5ll. Dvs. larven som d\u00e5 r\u00f6r sig.<br \/>\nUltraljudsfyndet ska komplettera de kliniska blodproverna d\u00e4ri man d\u00e5 finner antikroppar mot masken.<\/p>\n<p>CT visar \u00e4ven cystor men man har sv\u00e5rt att mer dynamiskt f\u00f6lja hur ev. uppladning av cysta, inneh\u00e5ll och dess kanter sker med kontrastmedel d\u00e5 CT-bilderna \u00e4r statiska. CT&#8217;n tar &#8221;\u00f6gonblicksbilder&#8221; s\u00e5 att s\u00e4ga men ger en v\u00e4ldigt bra \u00f6versiktsbild&#8230;.<br \/>\nVilka kliniska prover som \u00e4r aktuella f\u00f6r dig samt livsf\u00f6ring \u00e4r en fr\u00e5ga f\u00f6r din egen doktor.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft\" style=\"border: 0pt none;\" title=\"Svar\" src=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2008\/12\/icon_mini_register.gif\" alt=\"\" width=\"12\" height=\"13\" \/> K.T. rtgssk<br \/>\nR\u00f6ntgenavdelningen Helsingborgs lasarett<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Jag fick v\u00e4ldigt konstig stramande k\u00e4nsla p\u00e5 h\u00f6 sidan nedanf\u00f6r revben och svullnad [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[8],"tags":[36,144],"class_list":["post-4000","post","type-post","status-publish","format-standard","hentry","category-ultraljud","tag-cysta","tag-ultraljud"],"_links":{"self":[{"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/posts\/4000","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=4000"}],"version-history":[{"count":0,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/posts\/4000\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/media?parent=4000"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/categories?post=4000"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/tags?post=4000"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}