{"id":7523,"date":"2021-06-03T15:52:54","date_gmt":"2021-06-03T14:52:54","guid":{"rendered":"https:\/\/www.rontgen.com\/wp-doctor\/?p=7523"},"modified":"2024-02-26T00:46:27","modified_gmt":"2024-02-25T23:46:27","slug":"alternativ-till-jodkontrast","status":"publish","type":"post","link":"https:\/\/www.rontgen.com\/wp-doctor\/alternativ-till-jodkontrast","title":{"rendered":"Alternativ till jodkontrast"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-81\" src=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2008\/12\/icon_mini_faq.gif\" alt=\"\" width=\"12\" height=\"13\" \/>Finns det inget annat kontrastmedel som inte belastar njurarna vid k\u00e4rlr\u00f6ntgen? Mitt kreatininv\u00e4rde \u00e4r ca 300.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-85\" src=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2008\/12\/icon_mini_register.gif\" alt=\"\" width=\"12\" height=\"13\" \/>Jod\u00e5 man kan anv\u00e4nda medicinsk koldioxid-gas vid angiografier <span style=\"font-size: 10pt;\">(r\u00f6ntgen av blodk\u00e4rl)<\/span>.<br \/>\nDenna l\u00e4ttflyktiga gas injiceras d\u00e5 i blodk\u00e4rlen vilket bildm\u00e4ssigt avtecknar sig fl\u00f6desm\u00e4ssigt som vid anv\u00e4ndandet av jodkontrast. Denna gas elimineras fr\u00e5n blodbanorna n\u00e4stan omg\u00e5ende till lungorna och d\u00e4refter v\u00e4dras ut med andningen. Det blir s\u00e5ledes ingen belastning p\u00e5 njurarna.<br \/>\nDenna gas kan vid vissa f\u00f6rh\u00e5llande ge n\u00e5got s\u00e4mre bilder \u00e4n konventionell jodkontrast. Det kan var vid unders\u00f6kning av tex. bukk\u00e4rl p\u00e5 mer fetlagda patienter. Denna gas kan \u00e4ven ge mer sm\u00e4rta vid injiceringen lokalt i mindre blodk\u00e4rl \u00e4n vanlig jodkontrast.<br \/>\nNackdelen med denna metod \u00e4r den \u00e4r komplicerad och kr\u00e4ver mer av dig och sjukv\u00e5rden d\u00e5 det \u00e4r ett invasivt ingrepp.<\/p>\n<p>D\u00e5 datortomografi <span style=\"font-size: 10pt;\">(CT-angio)<\/span> troligen \u00e4r utesluten kan man ev. g\u00f6ra en MR-angio <span style=\"font-size: 10pt;\">(magnetkamera)<\/span> d\u00e4r det ocks\u00e5 beh\u00f6vs kontrast men i mycket mindre volym \u00e4n CT-angio. Ska du f\u00e5 kontrast b\u00f6r du &#8221;v\u00e4tskas upp&#8221; inf\u00f6r unders\u00f6kningen.<br \/>\nDet finns \u00e4ven ett alternativ men som anv\u00e4nds mycket s\u00e4llan d\u00e5 den \u00e4r sv\u00e5rare att utf\u00f6ra s\u00e5v\u00e4l logistiskt som f\u00f6r patienten vilket g\u00e5r ut p\u00e5 att patienten f\u00e5r eng\u00e5ngs-dialys direkt efter unders\u00f6kningen.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-83\" src=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2008\/12\/icon_mini_profile.gif\" alt=\"\" width=\"12\" height=\"13\" \/>K. T. rtgssk<br \/>\nR\u00f6ntgen Helsingborg<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Finns det inget annat kontrastmedel som inte belastar njurarna vid k\u00e4rlr\u00f6ntgen? Mitt kreatininv\u00e4rde [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[12],"tags":[40,38,96,24],"class_list":["post-7523","post","type-post","status-publish","format-standard","hentry","category-kaerlrontgen","tag-angiografi","tag-kontrast","tag-njure","tag-undersokning"],"_links":{"self":[{"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/posts\/7523","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=7523"}],"version-history":[{"count":0,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/posts\/7523\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/media?parent=7523"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/categories?post=7523"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/tags?post=7523"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}