{"id":1333,"date":"2018-07-02T08:49:36","date_gmt":"2018-07-02T07:49:36","guid":{"rendered":"http:\/\/mmcup.se\/?page_id=1333"},"modified":"2025-06-26T12:27:30","modified_gmt":"2025-06-26T11:27:30","slug":"kliniska-riktlinjer-vuxen","status":"publish","type":"page","link":"https:\/\/mmcup.se\/?page_id=1333","title":{"rendered":"Kliniska riktlinjer f\u00f6r uppf\u00f6ljning av vuxna med ryggm\u00e4rgsbr\u00e5ck"},"content":{"rendered":"\n

Vuxna med ryggm\u00e4rgsbr\u00e5ck \u00e4r en liten patientgrupp med stora och komplexa v\u00e5rdbehov. De \u00e4r fortfarande relativt ok\u00e4nda inom vuxensjukv\u00e5rden eftersom de, innan inf\u00f6randet hydrocefalus-shuntar och av ren intermittent kateterisering (RIK) p\u00e5 1960-70-talen s\u00e4llan \u00f6verlevde till vuxen \u00e5lder.<\/p>\n\n\n\n

Vi vill med dessa riktlinjer g\u00f6ra kunskapen om ryggm\u00e4rgsbr\u00e5ck mer tillg\u00e4nglig f\u00f6r vuxensjukv\u00e5rden, f\u00f6rb\u00e4ttra uppf\u00f6ljningen och minska on\u00f6diga f\u00f6ljdsjukdomar och f\u00f6r tidig d\u00f6d hos de vuxna med ryggm\u00e4rgsbr\u00e5ck.
Riktlinjerna \u00e4r utformade enligt vetenskaplig evidens s\u00e5 l\u00e5ngt det \u00e4r m\u00f6jligt, och annars enligt bepr\u00f6vad erfarenhet.
M\u00e5lgruppen \u00e4r i f\u00f6rsta hand l\u00e4kare med olika specialiteter, men texten ska kunna l\u00e4sas av andra intresserade, s\u00e5 som andra yrkeskategorier inom sjukv\u00e5rd och habilitering, ber\u00f6rda personer och n\u00e4rst\u00e5ende.<\/p>\n\n\n\n

Inneh\u00e5llsf\u00f6rteckning<\/strong><\/p>\n\n\n\n

    \n
  1. Om ryggm\u00e4rgsbr\u00e5ck till sjukv\u00e5rdspersonal <\/a>– kom ih\u00e5g vid akutbes\u00f6k<\/li>\n\n\n\n
  2. Samordnad v\u00e5rd – checklista vid uppf\u00f6ljningsbes\u00f6k<\/a><\/li>\n\n\n\n
  3. Livskvalitet och \u00f6verlevnad<\/a><\/li>\n\n\n\n
  4. Neurokirurgi – hydrocephalus, fj\u00e4ttrad ryggm\u00e4rgssyndrom<\/em>*<\/li>\n\n\n\n
  5. Kognition<\/a><\/li>\n\n\n\n
  6. \u00d6gon<\/em>*<\/li>\n\n\n\n
  7. Sm\u00e4rta<\/a><\/li>\n\n\n\n
  8. Hypertoni, \u00f6vervikt och inaktivitet<\/a><\/li>\n\n\n\n
  9. Andning, s\u00f6mnapn\u00e9<\/em>*<\/li>\n\n\n\n
  10. Tarm<\/em>*<\/li>\n\n\n\n
  11. Urologi<\/a><\/li>\n\n\n\n
  12. Uroterapeut<\/a><\/li>\n\n\n\n
  13. Sexualitet<\/a><\/li>\n\n\n\n
  14. Graviditet och f\u00f6rlossning<\/a><\/li>\n\n\n\n
  15. Ortopedi<\/em>*<\/li>\n\n\n\n
  16. Ryggdeformitet<\/a><\/li>\n\n\n\n
  17. S\u00e5r<\/a><\/li>\n\n\n\n
  18. Latexallergi<\/a><\/li>\n<\/ol>\n\n\n\n

    * Kapitel planeras men finns \u00e4nnu inte publicerade<\/em><\/p>\n\n\n\n

    Medverkande i arbetsgruppen<\/strong><\/p>\n\n\n\n

    Ann Alriksson-Schmidt, doktor i utvecklingspsykologi, Region Sk\u00e5ne och Lunds Universitet, Lund
    Ulrica Jonsson, \u00f6verl\u00e4kare Vuxenhabiliteringen, Habilitering och H\u00e4lsa, V\u00e4stra G\u00f6talandsreg
    Lena Lindbo, uroterapeut, operativ chef, Spinaliskliniken, Rehabstation Stockholm
    Monica von Heijne, pensionerad vuxenhabiliteringsl\u00e4kare DSAB, Stockholm
    Patrik Ugge, \u00f6verl\u00e4kare, Neuro- och Rehabiliteringsmedicinska kliniken, Universitetssjukhuset \u00d6rebro<\/p>\n\n\n\n

    Vid synpunkter p\u00e5 riktlinjerna, skicka g\u00e4rna f\u00f6rb\u00e4ttringsf\u00f6rslag till ulrica.jonsson@vgregion.se<\/a> inf\u00f6r kommande revideringar.<\/p>\n\n\n\n

    <\/p>\n\n\n\n

    <\/p>\n

    \"image_print\"Skriv ut sida<\/span><\/a><\/div>","protected":false},"excerpt":{"rendered":"

    Vuxna med ryggm\u00e4rgsbr\u00e5ck \u00e4r en liten patientgrupp med stora och komplexa v\u00e5rdbehov. De \u00e4r fortfarande relativt ok\u00e4nda inom vuxensjukv\u00e5rden eftersom de, innan inf\u00f6randet hydrocefalus-shuntar och av ren intermittent kateterisering (RIK) p\u00e5 1960-70-talen s\u00e4llan \u00f6verlevde till vuxen \u00e5lder. Vi vill med dessa riktlinjer g\u00f6ra kunskapen om ryggm\u00e4rgsbr\u00e5ck mer tillg\u00e4nglig f\u00f6r vuxensjukv\u00e5rden, f\u00f6rb\u00e4ttra uppf\u00f6ljningen och minska on\u00f6diga […]<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"site-sidebar-layout":"default","site-content-layout":"default","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"class_list":["post-1333","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"post_mailing_queue_ids":[],"_links":{"self":[{"href":"https:\/\/mmcup.se\/index.php?rest_route=\/wp\/v2\/pages\/1333","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/mmcup.se\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/mmcup.se\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/mmcup.se\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/mmcup.se\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1333"}],"version-history":[{"count":26,"href":"https:\/\/mmcup.se\/index.php?rest_route=\/wp\/v2\/pages\/1333\/revisions"}],"predecessor-version":[{"id":4331,"href":"https:\/\/mmcup.se\/index.php?rest_route=\/wp\/v2\/pages\/1333\/revisions\/4331"}],"wp:attachment":[{"href":"https:\/\/mmcup.se\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1333"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}