{"id":8625,"date":"2019-08-08T09:59:14","date_gmt":"2019-08-08T07:59:14","guid":{"rendered":"https:\/\/medifactia.com\/?page_id=8625"},"modified":"2021-09-07T13:26:11","modified_gmt":"2021-09-07T12:26:11","slug":"avsedd-anvandning","status":"publish","type":"page","link":"https:\/\/new.medifactia.com\/sv\/avsedd-anvandning\/","title":{"rendered":"Avsedd anv\u00e4ndning"},"content":{"rendered":"<div class=\"flex_column av_three_fourth  flex_column_div av-zero-column-padding first  avia-builder-el-0  el_before_av_one_fourth  avia-builder-el-first  \" style='border-radius:0px; '><p><div  style='padding-bottom:0px; ' class='av-special-heading av-special-heading-h1  blockquote modern-quote  avia-builder-el-1  el_before_av_heading  avia-builder-el-first  '><h1 class='av-special-heading-tag '  itemprop=\"headline\"  >Avsedd anv\u00e4ndning<\/h1><div class='special-heading-border'><div class='special-heading-inner-border' ><\/div><\/div><\/div><br \/>\n<div  style='padding-bottom:0px; ' class='av-special-heading av-special-heading-h2  blockquote modern-quote  avia-builder-el-2  el_after_av_heading  el_before_av_textblock  '><h2 class='av-special-heading-tag '  itemprop=\"headline\"  >M\u00e4tning av kolontransit med r\u00f6ntgent\u00e4ta mark\u00f6rer<\/h2><div class='special-heading-border'><div class='special-heading-inner-border' ><\/div><\/div><\/div><br \/>\n<section class=\"av_textblock_section \"  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock  '   itemprop=\"text\" ><p>Genom att motorikrubbningar ger upphov till sv\u00e5rtolkade symtom och kliniska tillst\u00e5nd som ofta medf\u00f6r h\u00f6ga utredningskostnader, \u00e4r det viktigt att patienten i ett tidigt skede f\u00e5r en v\u00e4lgrundad unders\u00f6kning och bed\u00f6mning. Unders\u00f6kning av kolontransit med r\u00f6ntgent\u00e4ta mark\u00f6rer \u00e4r avg\u00f6rande f\u00f6r att f\u00f6rst\u00e5 patofysiologin vid m\u00e5nga gastrointestinala st\u00f6rningar.<\/p>\n<\/div><\/section><\/p><\/div>\n<div class=\"flex_column av_one_fourth  flex_column_div av-zero-column-padding   avia-builder-el-4  el_after_av_three_fourth  el_before_av_one_full  \" style='border-radius:0px; '><div  class='avia-image-container  av-styling-    avia-builder-el-5  avia-builder-el-no-sibling  avia-align-center '  itemprop=\"image\" itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/ImageObject\"  ><div class='avia-image-container-inner'><div class='avia-image-overlay-wrap'><img class='avia_image' src='https:\/\/new.medifactia.com\/sv\/wp-content\/uploads\/sites\/4\/2021\/08\/Schematic-figure-SWE-transparant.png' alt='' title='Schematic-figure-SWE-transparant' height=\"4288\" width=\"2077\"  itemprop=\"thumbnailUrl\"  \/><\/div><\/div><\/div><\/div>\n<div class=\"flex_column av_one_full  flex_column_div av-zero-column-padding first  avia-builder-el-6  el_after_av_one_fourth  el_before_av_one_full  column-top-margin\" style='border-radius:0px; '><p><div  style='padding-bottom:10px; ' class='av-special-heading av-special-heading-h2  blockquote modern-quote  avia-builder-el-7  el_before_av_textblock  avia-builder-el-first  '><h2 class='av-special-heading-tag '  itemprop=\"headline\"  >M\u00e4tning av kolontransit med r\u00f6ntgent\u00e4ta mark\u00f6rer<\/h2><div class='special-heading-border'><div class='special-heading-inner-border' ><\/div><\/div><\/div><br \/>\n<section class=\"av_textblock_section \"  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock  '   itemprop=\"text\" ><ul>\n<li>Sv\u00e5r f\u00f6rstoppning som inte svarar p\u00e5 konventionell behandling\n<ul>\n<li>F\u00f6rdr\u00f6jd eller normal transit?<\/li>\n<\/ul>\n<\/li>\n<li>Lokalisera var dysfunktionen f\u00f6religger\n<ul>\n<li>Outlet obstruction?<\/li>\n<li>Utbredd dysfunction?<\/li>\n<li>Colonic inertia?<\/li>\n<\/ul>\n<\/li>\n<li>Eventuellt utv\u00e4rdera behandling<\/li>\n<li>Kronisk sv\u00e5rv\u00e4rderad diarr\u00e9\n<ul>\n<li>Normal-transit eller rapid-transit diarr\u00e9?<\/li>\n<\/ul>\n<\/li>\n<li>IBS med sv\u00e5rbehandlad obstipation eller diarr\u00e9<\/li>\n<\/ul>\n<\/div><\/section><\/p><\/div>\n<div class=\"flex_column av_one_full  flex_column_div av-zero-column-padding first  avia-builder-el-9  el_after_av_one_full  el_before_av_one_full  column-top-margin\" style='border-radius:0px; '><p><div  style='padding-bottom:0px; ' class='av-special-heading av-special-heading-h2  blockquote modern-quote  avia-builder-el-10  el_before_av_textblock  avia-builder-el-first  '><h2 class='av-special-heading-tag '  itemprop=\"headline\"  >Instruktioner f\u00f6r transitm\u00e4tning<\/h2><div class='special-heading-border'><div class='special-heading-inner-border' ><\/div><\/div><\/div><br \/>\n<section class=\"av_textblock_section \"  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock  '   itemprop=\"text\" ><p>Patienten sv\u00e4ljer totalt tio (10) r\u00f6ntgent\u00e4ta mark\u00f6rer per dag under sex dagar. Mark\u00f6rerna ligger i vegetariska kapslar, dvs. HPMC-kapslar. Kapslarna uppl\u00f6ses och kommer att frig\u00f6ra mark\u00f6rerna och mark\u00f6rerna kommer att passera ut med avf\u00f6ringen. Under de sex dagarna forts\u00e4tter patienten med sin vanliga diet men ska undvika mediciner som \u00e4r k\u00e4nda f\u00f6r att p\u00e5verka GI-motilitet.<\/p>\n<p>En (1) kapsel sv\u00e4ljs dag ett till dag fem. P\u00e5 dag sex sv\u00e4ljs en (1) kapsel p\u00e5 morgonen*, 24 timmar f\u00f6re r\u00f6ntgen och en (1) kapsel sv\u00e4ljs p\u00e5 kv\u00e4llen**, 12 timmar f\u00f6re r\u00f6ntgen. Se schema f\u00f6r mark\u00f6rintag nedan.<\/p>\n<\/div><\/section><br \/>\n<section class=\"av_textblock_section \"  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock  av_inherit_color '  style='font-size:12px; color:#969696; '  itemprop=\"text\" ><p style=\"text-align: right;\"><em>Principen f\u00f6r utf\u00f6rande av kolontransit med Transit-Pellets\u2122 och Transit-Pelletsmetoden\u2122<\/em><\/p>\n<\/div><\/section><br \/>\n<div  class='avia-image-container  av-styling-    avia-builder-el-13  el_after_av_textblock  el_before_av_textblock  avia-align-center '  itemprop=\"image\" itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/ImageObject\"  ><div class='avia-image-container-inner'><div class='avia-image-overlay-wrap'><img class='avia_image' src='https:\/\/new.medifactia.com\/sv\/wp-content\/uploads\/sites\/4\/2021\/09\/SVENSKA-Stor-Tabell.png' alt='' title='SVENSKA Stor Tabell' height=\"729\" width=\"2000\"  itemprop=\"thumbnailUrl\"  \/><\/div><\/div><\/div><br \/>\n<section class=\"av_textblock_section \"  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock  '  style='font-size:12px; '  itemprop=\"text\" ><p><em> Ovanst\u00e5nde tider \u00e4r endast ett exempel<br \/>\nR\u00f6ntgenunders\u00f6kningen b\u00f6r schemal\u00e4ggas 12 timmar efter kv\u00e4llsdosen dag sex.<\/em><\/p>\n<\/div><\/section><br \/>\n<div  style='height:20px' class='hr hr-invisible   avia-builder-el-15  el_after_av_textblock  el_before_av_button '><span class='hr-inner ' ><span class='hr-inner-style'><\/span><\/span><\/div><br \/>\n<div  class='avia-button-wrap avia-button-left  avia-builder-el-16  el_after_av_hr  avia-builder-el-last ' ><a href='https:\/\/new.medifactia.com\/wp-content\/uploads\/2021\/09\/0042SE10-IFU-Patient.pdf' class='avia-button   avia-icon_select-no avia-color-theme-color avia-size-large avia-position-left ' target=\"_blank\" rel=\"noopener\"><span class='avia_iconbox_title' >Ladda ner Bruksanvisning (Patienter)<\/span><\/a><\/div><\/p><\/div><div class=\"flex_column av_one_full  flex_column_div av-zero-column-padding first  avia-builder-el-17  el_after_av_one_full  el_before_av_one_full  column-top-margin\" style='border-radius:0px; '><p><div  style='padding-bottom:10px; ' class='av-special-heading av-special-heading-h3  blockquote modern-quote  avia-builder-el-18  el_before_av_textblock  avia-builder-el-first  '><h3 class='av-special-heading-tag '  itemprop=\"headline\"  >R\u00f6ntgenunders\u00f6kning dag sju<\/h3><div class='special-heading-border'><div class='special-heading-inner-border' ><\/div><\/div><\/div><br \/>\n<section class=\"av_textblock_section \"  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock  '   itemprop=\"text\" ><p>P\u00e5 dag sju genomf\u00f6rs en buk\u00f6versikt. Intervallet mellan f\u00f6rsta dosen och bildtagningen skall vara sju dygn (ca. 144 timmar), dvs. f\u00f6r att erh\u00e5lla ett representativt v\u00e4rde b\u00f6r r\u00f6ntgenunders\u00f6kningen dag sju schemal\u00e4ggas vid en tidpunkt som \u00f6verensst\u00e4mmer med tiden f\u00f6r de svalda doserna, 12 timmar efter den senast svalda kv\u00e4llsdosen dag sex.<\/p>\n<p>Eftersom kolon st\u00e5r f\u00f6r huvuddelen av passagetiden genom mag- tarmkanalen \u00e4r d\u00e5 passagetiden, den oroanala transittiden (OATT, mun-till anus), lika med det antal dagsdoser mark\u00f6rer som finns kvar inne i tarmen. I kliniska sammanhang \u00e4r det vanligast att titta p\u00e5 totalv\u00e4rdet f\u00f6rst. Om totalv\u00e4rdet \u00e4r h\u00f6gt \u00e4r det n\u00f6dv\u00e4ndigt att titta p\u00e5 varje segment f\u00f6r att f\u00e5 en uppfattning om var i kolon f\u00f6rdr\u00f6jningen ligger.<\/p>\n<ul>\n<li>Totala antalet mark\u00f6rer i tarmen visar om total transittid \u00e4r\u00a0<em>snabb<\/em>,\u00a0<em>normal<\/em>\u00a0eller\u00a0<em>l\u00e5ngsam<\/em><\/li>\n<li>Totala antalet mark\u00f6rer i respektive segment ger information om typen av f\u00f6rdr\u00f6jning, dvs.\u00a0<em>var<\/em>\u00a0i kolon transit \u00e4r abnorm<\/li>\n<\/ul>\n<p>Notera att alla mark\u00f6rer, oavsett form, bidrar till slutv\u00e4rdet.<\/p>\n<p><strong>Stavformade mark\u00f6rer dag sex<\/strong><br \/>\nSyftet med att mark\u00f6rerna har en annan form dag sex \u00e4r f\u00f6r att bl.a. verifiera att kapslarna tagits enligt f\u00f6reskrift s\u00e5 att dessa mark\u00f6rer huvudsakligen ligger proximalt om ringmark\u00f6rerna i lumen. Vid l\u00e5ngsam passage ligger dag sex-mark\u00f6rerna i cekum-ascendens och underl\u00e4ttar avgr\u00e4nsningen av cekum. De stavformade mark\u00f6rerna kan ocks\u00e5 ge viktig information vid t.ex. snabb passagetid eller f\u00f6r att bekr\u00e4fta l\u00e5ngsam passage i proximala kolon som t.ex. vid \u201ccolonic inertia\u201d.<\/p>\n<\/div><\/section><br \/>\n<div  class='avia-image-container  av-styling-    avia-builder-el-20  el_after_av_textblock  el_before_av_textblock  avia-align-center '  itemprop=\"image\" itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/ImageObject\"  ><div class='avia-image-container-inner'><div class='avia-image-overlay-wrap'><img class='avia_image' src='https:\/\/new.medifactia.com\/sv\/wp-content\/uploads\/sites\/4\/2021\/08\/Colonic-transit-time-OATT-reference-values-dagar-SWE.png' alt='' title='Colonic-transit-time-OATT-reference-values-dagar-SWE' height=\"350\" width=\"2381\"  itemprop=\"thumbnailUrl\"  \/><\/div><\/div><\/div><br \/>\n<section class=\"av_textblock_section \"  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock  '  style='font-size:12px; '  itemprop=\"text\" ><p><em>\u00d6vre referensv\u00e4rden i dygn (percentil 95) f\u00f6r segmentel kolontransit hos m\u00e4n och kvinnor unders\u00f6kta med Transit-Pelletsmetoden\u2122 (Abrahamsson et al 1988). Totala OATT-v\u00e4rdet baserat p\u00e5 199 unders\u00f6kta personer (\u226518 \u00e5r).<\/em><\/p>\n<\/div><\/section><\/p><\/div><\/p>\n<div class=\"flex_column av_one_full  flex_column_div av-zero-column-padding first  avia-builder-el-22  el_after_av_one_full  el_before_av_one_full  column-top-margin\" style='border-radius:0px; '><p><div  style='padding-bottom:10px; ' class='av-special-heading av-special-heading-h3  blockquote modern-quote  avia-builder-el-23  el_before_av_textblock  avia-builder-el-first  '><h3 class='av-special-heading-tag '  itemprop=\"headline\"  >Till\u00e4mpningar av resultatet<\/h3><div class='special-heading-border'><div class='special-heading-inner-border' ><\/div><\/div><\/div><br \/>\n<section class=\"av_textblock_section \"  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock  '   itemprop=\"text\" ><ul>\n<li>Informera patienten!<\/li>\n<li>F\u00f6rdr\u00f6jd transit \u2192 Intensifierad obstipationsbehandling<\/li>\n<li>L\u00e5ngsam transit i rektum-sigmoideum \u2192 Utredning eventuellt Outlet obstruction<\/li>\n<li>K\u00e4nsla av sv\u00e5r f\u00f6rstoppning men normal transit \u2192 Irritable Bowel Syndrome (IBS)?<\/li>\n<li>Kronisk diarr\u00e9 och snabb transit i distala kolon \u2192 Gallsyradiarr\u00e9?<\/li>\n<\/ul>\n<\/div><\/section><\/p><\/div>\n<div class=\"flex_column av_one_full  flex_column_div av-zero-column-padding first  avia-builder-el-25  el_after_av_one_full  avia-builder-el-last  column-top-margin\" style='border-radius:0px; '><p><section class=\"av_textblock_section \"  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock  '   itemprop=\"text\" ><p>F\u00f6r mer information, var god se <a href=\"https:\/\/new.medifactia.com\/sv\/wp-content\/uploads\/sites\/4\/2021\/09\/0099SE1-Clinical-Instruction-for-Use.pdf\" target=\"_blank\" rel=\"noopener\">Clinical Instruction for Use<\/a>.<\/p>\n<\/div><\/section><br \/>\n<div   class='hr hr-default   avia-builder-el-27  el_after_av_textblock  el_before_av_button '><span class='hr-inner ' ><span class='hr-inner-style'><\/span><\/span><\/div><br \/>\n<div  class='avia-button-wrap avia-button-left  avia-builder-el-28  el_after_av_hr  el_before_av_button ' ><a href='https:\/\/new.medifactia.com\/sv\/remittera-patienten\/'  class='avia-button   avia-icon_select-yes-left-icon avia-color-theme-color avia-size-large avia-position-left '   ><span class='avia_button_icon avia_button_icon_left ' aria-hidden='true' data-av_icon='\ue87c' data-av_iconfont='entypo-fontello'><\/span><span class='avia_iconbox_title' > Remittera patienten<\/span><\/a><\/div><br \/>\n<div  class='avia-button-wrap avia-button-right  avia-builder-el-29  el_after_av_button  avia-builder-el-last ' ><a href='https:\/\/new.medifactia.com\/sv\/pa-rontgen\/'  class='avia-button   avia-icon_select-yes-right-icon avia-color-theme-color avia-size-large avia-position-right '   ><span class='avia_iconbox_title' >P\u00e5 r\u00f6ntgen<\/span><span class='avia_button_icon avia_button_icon_right' aria-hidden='true' data-av_icon='\ue87d' data-av_iconfont='entypo-fontello'><\/span><\/a><\/div><\/p><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/new.medifactia.com\/sv\/wp-json\/wp\/v2\/pages\/8625"}],"collection":[{"href":"https:\/\/new.medifactia.com\/sv\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/new.medifactia.com\/sv\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/new.medifactia.com\/sv\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/new.medifactia.com\/sv\/wp-json\/wp\/v2\/comments?post=8625"}],"version-history":[{"count":7,"href":"https:\/\/new.medifactia.com\/sv\/wp-json\/wp\/v2\/pages\/8625\/revisions"}],"predecessor-version":[{"id":14487,"href":"https:\/\/new.medifactia.com\/sv\/wp-json\/wp\/v2\/pages\/8625\/revisions\/14487"}],"wp:attachment":[{"href":"https:\/\/new.medifactia.com\/sv\/wp-json\/wp\/v2\/media?parent=8625"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}