knoglebetaendelse-osteomyelit (PH Indholdsside)

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    <li>Knoglebet&aelig;ndelse (osteomyelit) er en infektion med bakterier i knoglerne</li>
    <li>Symptomerne er smerter i omr&aring;det, hvor der er knogleinfektion, og eventuelt&nbsp;r&oslash;dme og h&aelig;velse i huden</li>
    <li>Personen kan desuden f&aring; feber og kulderystelser</li>
    <li>Knoglebet&aelig;ndelse ses hyppigere hos helt sm&aring; b&oslash;rn og unge</li>
    <li>Hos &aelig;ldre mennesker er &aring;rsagen hyppigst tidligere operationer, hvor de har f&aring;et indsat ledproteser eller efter operation for knoglebrud, hvor der er indsat metalimplantater </li>
    <li>Behandlingen er typisk langvarig antibiotikabehandling for voksne, kortere for b&oslash;rn</li>
    <li>Inden behandling s&aelig;ttes i gang, skal der v&aelig;re unders&oslash;gt for bakterier fra omr&aring;det. P&aring; den m&aring;de kan l&aelig;gen bestemme bakterietypen og give den korrekte antibiotikabehandling</li>
    <li>Hvis det ikke er muligt at stoppe infektionen med antibiotika alene, kan det blive n&oslash;dvendigt at fjerne inficeret knogle ved operation</li>
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      <HtmlField Name="PageContent"><![CDATA[<h2>Hvad er osteomyelit? </h2>
<p>Osteomyelit er en infektion med bakterier (bet&aelig;ndelse) i knoglerne.</p>
<p><img src="089C84E06EBF484799BADAEE2F92A17B-233-311" alt="knogle, osteomyelitis, røntgen." style="height: 311px; width: 233px;" height="311" width="233"></p>
<p>Hos b&oslash;rn kan sygdommen komme pludseligt. Barnet f&oslash;ler sig sygt, har feber, kulderystelser, smerter i omr&aring;det, hvor knoglen er inficeret og i visse tilf&aelig;lde &oslash;mhed i de knogleomr&aring;der, som er ramt. </p>
<p>Sm&aring; b&oslash;rn kan have mere uklare symptomer. Hvis barnet ikke kan bev&aelig;ge en arm eller et ben, og der ikke er nogen forudg&aring;ende skade, kan det skyldes osteomyelit. Ogs&aring; voksne kan have et mere snigende sygdomsbillede uden s&aelig;rlige typiske symptomer, men have feber og f&oslash;le sig syge.</p>
<p>Osteomyelit inddeles i en <strong>akut form,</strong> som opst&aring;r inden for to uger efter smitten, en <strong>subakut form,</strong> som opst&aring;r inden for en til flere m&aring;neder og en <strong>kronisk form,</strong> som opst&aring;r efter flere m&aring;neder. </p>
<p>Der kan komme knoglebet&aelig;ndelse i alle kroppens knogler, b&aring;de de lange r&oslash;rknogler i armene og benene, knogler i h&aelig;nderne og ryghvirvlerne.</p>
<h2>Hvad er symptomerne p&aring; osteomyelit?</h2>
<p>Der er is&aelig;r i starten ikke v&aelig;rre symptomer eller diskrete symptomer med generel sygdomsf&oslash;lelse og/eller feber. Symptomerne er&nbsp;lokale smerter, &oslash;get varme og sj&aelig;ldent kan der ogs&aring; v&aelig;re r&oslash;dme. Der kan ogs&aring; komme feber og&nbsp;kulderystelser.</p>
<h2>Hvordan stilles diagnosen?</h2>
<p>Mistanke om denne sygdom opst&aring;r, n&aring;r en person har smerter og &oslash;mhed i et knogleomr&aring;de, og der samtidig er feber. Svar p&aring; blodpr&oslash;ver vil kunne bestyrke mistanken om osteomyelit. Der er ofte forh&oslash;jet CRP og forh&oslash;jet antal hvide blodlegemer i blodet. </p>
<p>Et almindeligt r&oslash;ntgenbillede viser som regel ikke forandringer f&oslash;r efter 1-2 uger. <a href="~/link.aspx?_id=5E33262689E64F42B2BB1455DCBD2D49&amp;_z=z">Skintigrafi</a> og <a href="~/link.aspx?_id=1E3028D2ED1145508B681DA68305498F&amp;_z=z">MR-skanning</a>&nbsp;kan imidlertid vise forandringer forholdsvis tidligt. </p>
<p>Det kan v&aelig;re relevant at tage v&aelig;vspr&oslash;ver ud fra det bet&aelig;ndte knoglev&aelig;v for at finde ud af, hvilken bakterie der er &aring;rsag til infektionen. Det g&oslash;res ved at tage en pr&oslash;ve i det bet&aelig;ndte v&aelig;v, ofte under vejledning af CT-skanning, MR-skanning eller r&oslash;ntgen-unders&oslash;gelser. I visse tilf&aelig;lde findes bakterien ved hj&aelig;lp af blodpr&oslash;verne.</p>
<p>N&aring;r bakterierne, der er &aring;rsag til infektionen, er identificerede, kan der behandles med antibiotika, som er specifikt rettet mod netop disse bakterier.</p>
<h2>Hvorfor f&aring;r man osteomyelit?</h2>
<p>I 75 % af tilf&aelig;ldene skyldes sygdommen bakterier af typen stafylokokker. Den n&aelig;sthyppigste &aring;rsag er en gruppe bakterier, som kaldes gruppe A h&aelig;molytiske streptokokker.</p>
<p>Bakterierne kan sprede sig til knoglerne p&aring; forskellig vis. Hos b&oslash;rn, som f&aring;r sygdommen, kommer bakterierne ofte til knoglerne via blodbanen. Infektionen kan ogs&aring; opst&aring; efter fx kirurgiske indgreb p&aring; knogler eller skader med &aring;bent s&aring;r ind til knoglerne.</p>
<p>Det er heller ikke us&aelig;dvanligt, at bet&aelig;ndelsen spreder sig fra tandbet&aelig;ndelser,&nbsp;<a href="~/link.aspx?_id=78A3D25ECE64422ABC7DDBC50C6A7784&amp;_z=z">ligges&aring;r</a>&nbsp;og lignende. Dette sker overvejende hos voksne. Infektioner kan ogs&aring; opst&aring; hos personer med indopererede implantater, fx et kunstigt hofteled.</p>
<h3>Smitter osteomyelit</h3>
<p>I princippet smitter infekti&oslash;se sygdomme, og hos raske skal almindelige personlige hygiejne-regler f&oslash;lges.</p>
<h3>Er osteomyelit arveligt?</h3>
<p>Nej, det er ikke arveligt, men der findes arvelige sj&aelig;ldne tilstande med nedsat immunforsvar eller sygdomme som diabetiske fods&aring;r, som kan give &oslash;get risiko for osteomyelit.&nbsp;</p>
<h2>Hvordan behandler man osteomyelit?</h2>
<p>M&aring;let med behandlingen er at stoppe infektionen ved at udrydde bakterierne og hindre komplikationer. Hovedbehandlingen er antibiotika, som er medicin, der bek&aelig;mper bakterier. Behandlingen varer ofte 6 uger. De f&oslash;rste uger skal du have antibiotika i drop direkte i blodet. N&aring;r tilstanden bedres (efter 3-4 uger), skiftes over til tabletter.&nbsp;&nbsp;En vigtig del af behandlingen er ogs&aring; at s&oslash;rge for ro og aflastning.</p>
<p>Hvis det ikke er muligt at stoppe infektionen med antibiotika alene, kan det blive n&oslash;dvendigt at operere, s&aring; pus og andet d&oslash;dt v&aelig;v kan fjernes fra knogleomr&aring;det. </p>
<p>Varigheden af behandlingen er kortere hos b&oslash;rn - der gives en kortere behandling med antibiotika direkte i blodet efterfulgt af antibiotika givet som mikstur eller tabletter.</p>
<h3>Hvad kan jeg selv g&oslash;re?</h3>
<p>Almindelige personlige hygiejne-regler b&oslash;r f&oslash;lges.</p>
<h3>Hvordan undg&aring;r jeg at f&aring; eller forv&aelig;rre osteomyelit?</h3>
<p>Det er sv&aelig;rt at forebygge&nbsp;bakteriel bet&aelig;ndelse i knoglerne. Du b&oslash;r v&aelig;re opm&aelig;rksom p&aring; tilstanden, hvis du f&aring;r smerter i omr&aring;der, hvor du har f&aring;et foretaget operation p&aring; knogler og indsat&nbsp;implantater i led og ved knoglebrud, samtidig med at du har feber, kulderystelser og er p&aring;virket alment.</p>
<p>Behandlingen er overvejende antibiotika. Det er derfor&nbsp;vigtigt at f&oslash;lge den langvarige medicinske behandling korrekt for at fjerne de bakterier, som er &aring;rsag til bet&aelig;ndelsen. Du b&oslash;r s&oslash;ge l&aelig;ge hurtigt, hvis du f&aring;r mistanke om, at du har knoglebet&aelig;ndelse.</p>
<h3>Hvorn&aring;r skal jeg s&oslash;ge hj&aelig;lp?&nbsp;</h3>
<p>Ved tegn p&aring; infekti&oslash;s sygdom med feber, almen p&aring;virkning og smerter og &oslash;mhed lokaliseret til knogle.</p>
<h2>Hvordan udvikler sygdommen sig?</h2>
<p>De fleste bliver raske efter behandlingen, is&aelig;r b&oslash;rn og unge har gode udsigter til at blive raske igen.</p>
<p>Komplikationer kan v&aelig;re kroniske, langvarige infektioner som det er vanskeligt at f&aring; bugt med. Spredning af infektionen til n&aelig;rliggende knogler og led forekommer ogs&aring;. I nogle f&aring; tilf&aelig;lde bliver der problemer med gentagne tilbagefald af knoglebet&aelig;ndelsen.</p>
<h3>Er osteomyelit farligt?</h3>
<p>Nej, hvis det behandles i tide, s&aring; er den rette antibiotiske behandling effektiv. Behandlingen b&oslash;r dog inds&aelig;ttes s&aring; tidligt som muligt.</p>
<h3>Hvor hyppig er osteomyelit?</h3>
<p>Akut osteomyelit forekommer hyppigst hos b&oslash;rn og unge voksne. Af de personer under 20 &aring;r, som f&aring;r osteomyelit, er halvdelen under fem &aring;r og en tredjedel under to &aring;r.</p>
<p>Det er beregnet, at sygdommen i gennemsnit hvert &aring;r forekommer hos 10 b&oslash;rn pr 100.000 b&oslash;rn. Drenge bliver ramt lidt hyppigere af sygdommen end piger.</p>
<h3>Kan jeg f&aring; osteomyelit mere end &eacute;n gang?</h3>
<p>Ja, det er muligt at f&aring; det mere end &eacute;n gang - b&aring;de det samme sted eller i en anden kropsdel.&nbsp;</p>
<h2>Vil du vide mere?</h2>
<ul>
    <li><a href="~/link.aspx?_id=5E33262689E64F42B2BB1455DCBD2D49&amp;_z=z">Skintigrafi</a> </li>
    <li><a href="~/link.aspx?_id=1E3028D2ED1145508B681DA68305498F&amp;_z=z">MR</a> </li>
    <li><a href="~/link.aspx?_id=B3A398199D0146ED8B5184C8BC3A21F9&amp;_z=z">Osteomyelit - for sundhedsfaglige</a></li>
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]]></Media>
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