{"id":5076,"date":"2012-02-03T13:35:38","date_gmt":"2012-02-03T12:35:38","guid":{"rendered":"http:\/\/www.rontgen.com\/wp-doctor\/?p=5076"},"modified":"2012-02-03T13:35:38","modified_gmt":"2012-02-03T12:35:38","slug":"att-se-liten-stroke-pa-rontgen","status":"publish","type":"post","link":"https:\/\/www.rontgen.com\/wp-doctor\/att-se-liten-stroke-pa-rontgen","title":{"rendered":"Att se liten stroke p\u00e5 r\u00f6ntgen"},"content":{"rendered":"

\"\" Kan man ha haft en liten stroke som aldrig kommer synas p\u00e5 n\u00e5n r\u00f6ntgen. Jag har haft troligtvis en liten, jag \u00e4r n\u00e4stan helt \u00e5terst\u00e4lld lite svagare p\u00e5 h\u00f6gra sidan \u00e4n. Men dom ser inget p\u00e5 r\u00f6ntgen.<\/p>\n

\"CT-skalle<\/a>

CT-skalle ny<\/p><\/div>\n

\"\" Stroke<\/em> kommer fr\u00e5n engelskan och betydelsen p\u00e5 svenska blir ”slaganfall” eller ”hj\u00e4rnkatastrof”. Detta innefattar blodpropp (infarkt) i n\u00e5gon av hj\u00e4rnan blodf\u00f6rs\u00f6rjande k\u00e4rl eller en bl\u00f6dning kring eller i hj\u00e4rnans mjukdelar eller h\u00e5lrum. Infarkterna svarar f\u00f6r ca. 85% av alla stroke-tillbud.<\/p>\n

Sm\u00e5 eller nyligen intr\u00e4ffade sm\u00e5 infarkter kan vara sv\u00e5ra att urskilja p\u00e5 en unders\u00f6kning med datortomografi (CT). Bl\u00f6dning i hj\u00e4rnan, \u00e4ven mindre s\u00e5dana, ses d\u00e5 b\u00e4ttre med CT.<\/p>\n

\"CT-skalle<\/a>

CT-skalle 4 dagar<\/p><\/div>\n

D\u00e5 man ev. snabbt vill s\u00e4tta in proppl\u00f6sande l\u00e4kemedel (trombolys) efter symtomdebuten m\u00e5ste man f\u00f6rst utesluta att det inte r\u00f6r sig om en bl\u00f6dning i skallen. Blodf\u00f6rtunnande l\u00e4kemedel f\u00f6rv\u00e4rrar i s\u00e5 fall skadan.<\/p>\n

Mindre symtomgivande infarkter kan ev. ses b\u00e4ttre efter en tid d\u00e5 skadan i den hj\u00e4rnv\u00e4vnad som skulle f\u00f6rs\u00f6rjts med blod av det igenproppade k\u00e4rlet ev. \u00f6kat i b\u00e5de omf\u00e5ng som sk. attenueringskillnad (kontrastskillnaden) i CT-bilden.<\/p>\n

Magnetkameran (MR) \u00e4r b\u00e4ttre p\u00e5\u00a0 avbilda \u00e4rr eller mjukdelsf\u00f6r\u00e4ndringar inom hj\u00e4rnan efter infarkter och bl\u00f6dningar. Denna unders\u00f6kning tar dock l\u00e4ngre tid vilket inte g\u00f6r den till f\u00f6rstahandsvalet vid urakut unders\u00f6kning av hj\u00e4rnan (sk. trombolyslarm<\/em>).<\/p>\n

\"\" K.T rtgssk
\nR\u00f6ntgen Helsingborg<\/p>\n","protected":false},"excerpt":{"rendered":"

Kan man ha haft en liten stroke som aldrig kommer synas p\u00e5 n\u00e5n […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[6],"tags":[142,60,125],"class_list":["post-5076","post","type-post","status-publish","format-standard","hentry","category-ct","tag-ct","tag-skalle","tag-stroke"],"_links":{"self":[{"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/posts\/5076","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=5076"}],"version-history":[{"count":0,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/posts\/5076\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/media?parent=5076"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/categories?post=5076"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/tags?post=5076"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}