{"id":5926,"date":"2013-10-08T12:31:32","date_gmt":"2013-10-08T11:31:32","guid":{"rendered":"http:\/\/www.rontgen.com\/wp-doctor\/?p=5926"},"modified":"2013-10-08T12:32:38","modified_gmt":"2013-10-08T11:32:38","slug":"vad-ar-bihaleinflammation-pa-rontgen","status":"publish","type":"post","link":"https:\/\/www.rontgen.com\/wp-doctor\/vad-ar-bihaleinflammation-pa-rontgen","title":{"rendered":"Vad \u00e4r bih\u00e5lor p\u00e5 r\u00f6ntgen"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-81 alignleft\" style=\"border: 0pt none;\" alt=\"Fr\u00e5ga\" src=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2008\/12\/icon_mini_faq.gif\" width=\"12\" height=\"13\" \/>Har varit p\u00e5 3 st CT senaste \u00e5ret f\u00f6r problem med bih\u00e5lorna.<br \/>\nEnligt r\u00f6ntgenutl\u00e5tandena har jag f\u00f6rt\u00e4ttade\/igensatta ethmoidalceller.<br \/>\nTr\u00e5ngt osteometatala komplexet p\u00e5 v\u00e4nster sida och ockluderad osteomeatala komplex p\u00e5 h\u00f6ger sida. Samt slemmhinne svullnad p\u00e5 b\u00e5da sidorna av Sinus maxillaris och i sinussphenoidalis p\u00e5 h\u00f6ger sida samt i sinus frontalis p\u00e5 v\u00e4nster sida. Ingen av CT \u00e4r gjorda i samband med akut bih\u00e5leinflammation. Och alla har visat samma fynd. Men jag har st\u00e4ndig v\u00e4rk runt framf\u00f6r allt h\u00f6ger \u00f6ga, n\u00e4srot och ut mot tinningen. \u00c4ven haft ont och svullen k\u00e4nsla i h\u00f6ger \u00f6ra senaste \u00e5ret. Bih\u00e5leproblem i 2 \u00e5r. N\u00e4st\u00e4ppa, feber (dock l\u00e5g) sv\u00e5r tr\u00f6tthet och \u00e5terkommande akuta bih\u00e5leinflammationer som behandlats med atibiotika.<\/p>\n<p>Vad betyder dessa fynd i r\u00f6ntgen utl\u00e5tandet? Vid l\u00e4karbes\u00f6ken har l\u00e4karna aldrig pratat om r\u00f6ntgenl\u00e4karens utl\u00e5tande utan bara bl\u00e4ddrat igenom CT bilderna och s\u00e4ger att jag inte har Bih\u00e5leproblem.<\/p>\n<div id=\"attachment_5991\" style=\"width: 100px\" class=\"wp-caption alignright\"><a href=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2013\/10\/ct_sinus_cor_1.jpg\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-5991\" class=\"size-thumbnail wp-image-5991\" alt=\"CT sinus\" src=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2013\/10\/ct_sinus_cor_1-90x90.jpg\" width=\"90\" height=\"90\" srcset=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2013\/10\/ct_sinus_cor_1-90x90.jpg 90w, https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2013\/10\/ct_sinus_cor_1-300x300.jpg 300w, https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2013\/10\/ct_sinus_cor_1.jpg 550w\" sizes=\"auto, (max-width: 90px) 100vw, 90px\" \/><\/a><p id=\"caption-attachment-5991\" class=\"wp-caption-text\">CT Sinus<\/p><\/div>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-85\" style=\"border: 0pt none;\" alt=\"Svar\" src=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2008\/12\/icon_mini_register.gif\" width=\"12\" height=\"13\" \/>Detta som har setts p\u00e5 CT samt symtom f\u00f6rekommer vid bla. kronisk sinuit.<br \/>\nBen\u00e4mningen kronisk sinuit (recidivsinuit) \u00e4r ben\u00e4mningen f\u00f6r ih\u00e5llande och \u00e5terkommande bih\u00e5leinflammationer \u00f6ver en l\u00e5ng tid (&gt;12veckor). Siniut i k\u00e4kbih\u00e5lorna ger symtom i kind och under \u00f6gat. Sinuit i ethmoidale ger v\u00e4rk vid n\u00e4sroten och ut mot tinningarna. L\u00e5ngvariga sinuiter ger tr\u00f6tthet precis som du anger.<\/p>\n<p>Vid ih\u00e5llande snuva kan infektionen sprida sig till mellan\u00f6rat via \u00f6rontrumpetg\u00e5ngen som har f\u00f6rbindelse med n\u00e4smusslorna n\u00e4ra svalget. En kraftig infektion i mellan\u00f6rat kan \u00e4ven sprida sig till ansiktsnerven som l\u00f6per strax ovan\/framf\u00f6r \u00f6rat som d\u00e5 kan ge tillf\u00e4llig k\u00e4nselneds\u00e4ttning i ena ansiktshalvan (mungipa, \u00f6gonlock, mimik, mm).<br \/>\nF\u00e5r man besv\u00e4r med \u00f6gonr\u00f6relser, dubbelseende, synsk\u00e4rpan, \u00f6dem (svullnad) kring \u00f6gonen, mm. ska man snarast upps\u00f6ka l\u00e4kare.<\/p>\n<p>Datortomografi (CT) \u00e4r den metod som b\u00e4st visar p\u00e5 slemhinnef\u00f6r\u00e4ndringar i samtliga bih\u00e5lor. Unders\u00f6kningen \u00e4r mycket enkel och g\u00e5r snabbt att genomf\u00f6ra.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-83\" style=\"border: 0pt none;\" alt=\"Svarat av\" 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 varit p\u00e5 3 st CT senaste \u00e5ret f\u00f6r problem med bih\u00e5lorna. Enligt [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[6],"tags":[22,142,39],"class_list":["post-5926","post","type-post","status-publish","format-standard","hentry","category-ct","tag-bihalor","tag-ct","tag-svaret"],"_links":{"self":[{"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/posts\/5926","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=5926"}],"version-history":[{"count":0,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/posts\/5926\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/media?parent=5926"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/categories?post=5926"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/tags?post=5926"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}