{"id":5610,"date":"2013-01-15T16:00:04","date_gmt":"2013-01-15T15:00:04","guid":{"rendered":"http:\/\/www.rontgen.com\/wp-doctor\/?p=5610"},"modified":"2013-01-15T16:11:19","modified_gmt":"2013-01-15T15:11:19","slug":"hur-gora-med-oklar-diagnos-pa-ljumskbrack","status":"publish","type":"post","link":"https:\/\/www.rontgen.com\/wp-doctor\/hur-gora-med-oklar-diagnos-pa-ljumskbrack","title":{"rendered":"Hur g\u00f6ra med oklar diagnos p\u00e5 ljumskbr\u00e5ck"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft\" style=\"border: 0px none;\" title=\"Fr\u00e5ga\" alt=\"\" src=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2008\/12\/icon_mini_faq.gif\" width=\"12\" height=\"13\" \/>Har f\u00e5tt en svullnad (mjuk som k\u00e4nns mest i st\u00e5ende)i v\u00e4 ljumske, varit hos 3 l\u00e4kare med diagnos som &#8221;tror inte det \u00e4r cancer&#8221;, &#8221;det \u00e4r ingenting&#8221;, &#8221;troligen ljumskbr\u00e5ck&#8221;.<br \/>\nSkulle vilja veta vad det \u00e4r och vilken r\u00f6ntgen som \u00e4r b\u00e4st att g\u00f6ra? Vill inte till l\u00e4kare som inte vet n\u00e5got.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft\" style=\"border: 0px none;\" title=\"Svar\" alt=\"\" src=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2008\/12\/icon_mini_register.gif\" width=\"12\" height=\"13\" \/>Ljumskbr\u00e5ck kan i m\u00e5nga fall st\u00e4llas genom enbart kliniska symtom och palpering.<br \/>\nEtt ljumskbr\u00e5ck utg\u00f6rs av bukhinnan med en tarmslynga genom en f\u00f6rsvagning i ljumskligamentet (inguinal ligamentet) kan puta ut\/ner i ljumsken vid anstr\u00e4ngning. Detta br\u00e5ck kan man d\u00e5 ofta &#8221;putta tillbaka&#8221; upp i bukh\u00e5lan d\u00e4r tarmdelarna ju h\u00f6r hemma.<\/p>\n<p>\u00c4r man os\u00e4ker p\u00e5 diagnos kan ett enkelt ultraljud vara den initiala metod man unders\u00f6ker ljumsken med.<br \/>\nVid fortsatt utredning \u00e4r en datoromografi (CT) en bra metod f\u00f6r diagnostisera en stor m\u00e4ngd tillst\u00e5nd i buken bla. oklara ljumskbr\u00e5ck.<br \/>\nVid de flesta bukunders\u00f6kningar med CT&#8217;n dricker patienten en kontrastblandning f\u00f6re unders\u00f6kningen. Detta f\u00f6r att bla. urskilja tarmar fr\u00e5n andra strukturer i buken.<br \/>\nDenna kontrast i tarmen g\u00f6r \u00e4ven att man oftast &#8221;enkelt&#8221; kan urskilja ev. tarmbr\u00e5ck ner i ljumsken.<br \/>\nD\u00e5 tarmen ibland putar ner i ljumsken n\u00e4r patienten sp\u00e4nner bukmusklerna kan detta \u00e4ven g\u00f6ras i samband med bildtagningen vid en CT-unders\u00f6kning.<\/p>\n<div id=\"attachment_5681\" style=\"width: 100px\" class=\"wp-caption alignright\"><a href=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2013\/01\/herniografi_fr_brock1.jpg\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-5681\" class=\" wp-image-5681\" style=\"border: 0px none;\" title=\"Herniografi\" alt=\"Herniografi\" src=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2013\/01\/herniografi_fr_brock1-150x150.jpg\" width=\"90\" height=\"90\" \/><\/a><p id=\"caption-attachment-5681\" class=\"wp-caption-text\">Herniografi<\/p><\/div>\n<p>Vet inte om sk. <em>herniografi<\/em> (se &#8217;<a title=\"Till R\u00f6ntgen Helsingborg p\u00e5 Internet\" href=\"http:\/\/www.rontgen.com\" target=\"_blank\">www.rontgen.com<\/a>&#8217; &#8217;unders\u00f6kningar\/buk&#8217;) fortfarande genomf\u00f6rs som rutin p\u00e5 n\u00e5gra r\u00f6ntgenkliniker i Sverige. Denna metod som g\u00e5r ut p\u00e5 att spruta in kontrastmedel, via en n\u00e5lpunktion, in i buh\u00e5lan var standard f\u00f6r ljumskbr\u00e5ck tidigare men har idag ersatts av CT.<\/p>\n<p>Men som med all r\u00f6ntgen inneb\u00e4r detta en bestr\u00e5lning av patienten. Klara kliniska diagnoser ska man d\u00e4rf\u00f6r inte \u00f6verdiagnostisera med hj\u00e4lp av r\u00f6ntgen.<br \/>\nOm man \u00e4r o\u00f6verens med den diagnos eller behandling den egna l\u00e4karen st\u00e4ller kan man ev. byta doktor eller g\u00e5 till mag-tarm-specialist genom sk. &#8221;egenremiss&#8221;. Men du f\u00e5r vara beredd p\u00e5 att det kan vara l\u00e5nga v\u00e4ntetider. Titta p\u00e5 internet om ditt n\u00e4rmaste sjukhus&#8230;<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft\" style=\"border: 0px none;\" title=\"Svarat av\" alt=\"\" src=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2008\/12\/icon_mini_profile.gif\" width=\"12\" height=\"13\" \/>K.T. rtgssk.<br \/>\nR\u00f6ntgen Helsingborg<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Har f\u00e5tt en svullnad (mjuk som k\u00e4nns mest i st\u00e5ende)i v\u00e4 ljumske, varit [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[24],"class_list":["post-5610","post","type-post","status-publish","format-standard","hentry","category-annat","tag-undersokning"],"_links":{"self":[{"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/posts\/5610","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=5610"}],"version-history":[{"count":0,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/posts\/5610\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/media?parent=5610"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/categories?post=5610"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/tags?post=5610"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}