{"id":6550,"date":"2014-10-23T14:00:45","date_gmt":"2014-10-23T13:00:45","guid":{"rendered":"http:\/\/www.rontgen.com\/wp-doctor\/?p=6550"},"modified":"2016-11-17T12:23:48","modified_gmt":"2016-11-17T11:23:48","slug":"kontrast-vid-hypotyreos","status":"publish","type":"post","link":"https:\/\/www.rontgen.com\/wp-doctor\/kontrast-vid-hypotyreos","title":{"rendered":"Kontrast vid hypotyreos"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-81\" style=\"border: 0px; margin: 5px;\" alt=\"Fr\u00e5ga\" src=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2008\/12\/icon_mini_faq.gif\" width=\"12\" height=\"13\" \/>Jag \u00e4r diagnostiserad kronisk Sk\u00f6ldk\u00f6rtelinflammation\/hypotyreos (TPOAK 99). Nu har min l\u00e4kare skickat remiss f\u00f6r CT med kontrast p\u00e5 hals. Eftersom jag inte t\u00e5l jod pga inflammationen undrar jag om det \u00e4r riktigt f\u00f6r mig att genomg\u00e5 CT m kontrast?<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-85\" style=\"border: 0px; margin: 5px;\" alt=\"Svar\" src=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2008\/12\/icon_mini_register.gif\" width=\"12\" height=\"13\" \/>Vid\u00a0p\u00e5visad <em>och<\/em> <em>behandlad\u00a0<\/em>hypotyreos (underproduktion av hormon) finns inga kontraindikationer f\u00f6r att anv\u00e4nda jodkontrastmedel vid en r\u00f6ntgenunders\u00f6kning.<br \/>\nAtt denna hypotyreos beror p\u00e5 inflammation har blodprovet (TPOAk) bef\u00e4st. Jod har ingen p\u00e5verka p\u00e5 den autoimmuna inflammatoriska process som ger din sjukdom.<br \/>\nDe tillf\u00e4llen man ska undvika r\u00f6ntgen med jodkontrast \u00e4r vid utredning av hypertyreos samt inf\u00f6r radiojodbehandlingar. Dvs. vid obehandlad struma.<br \/>\nOftast sker behandlingen\u00a0av denna underfunktion\u00a0p\u00e5 hormoner i sk\u00f6ldk\u00f6rteln p\u00e5 medicinsk v\u00e4g\u00a0med exv. Levaxin. Levaxin ers\u00e4tter sk\u00f6ldk\u00f6rtelhormonet tyroxin \u00a0(T4) som i levern omvandlas (monodejodering) till ett annat sk\u00f6ldk\u00f6rtelhormon som bla. inneh\u00e5ller\u00a0jod.<\/p>\n<p>Jod i kontrast \u00e4r till st\u00f6rsta del bundet i kontrastmolekylen och uts\u00f6ndras s\u00e5ledes ur kroppen komplett. Dock frig\u00f6rs en liten m\u00e4ngd jod fr\u00e5n kontrast som d\u00e5 blir fritt i kroppen. Denna h\u00f6jning av jod i\u00a0kroppen \u00e4r trots den minimala m\u00e4ngden avsev\u00e4rt h\u00f6gre \u00e4n rekommendera dagligt intag (150 \u03bcg\/dag). Det \u00e4r \u00e4ndock\u00a0inte aktuellt att \u00e4ndra p\u00e5, den under l\u00e4ngre tid egna inst\u00e4llda dosen, medicinering\u00a0pga. denna tillf\u00e4lliga h\u00f6jning av fritt \u00a0jod i kroppen.<br \/>\nRisken\u00a0att \u00e4ndra sjukdomsf\u00f6rloppet\u00a0och d\u00e5 ist\u00e4llet utveckla tyreotoxikos som kan ge hypertyreos (\u00f6verproduktion i sk\u00f6ldk\u00f6rteln) anses osannolik.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-83\" style=\"border: 0px; margin: 5px;\" 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>Jag \u00e4r diagnostiserad kronisk Sk\u00f6ldk\u00f6rtelinflammation\/hypotyreos (TPOAK 99). Nu har min l\u00e4kare skickat remiss [&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":[87,38],"class_list":["post-6550","post","type-post","status-publish","format-standard","hentry","category-ct","tag-biverkning","tag-kontrast"],"_links":{"self":[{"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/posts\/6550","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=6550"}],"version-history":[{"count":0,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/posts\/6550\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/media?parent=6550"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/categories?post=6550"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/tags?post=6550"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}