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<Provider Id="sundheddkcms"> <Item Id="{4ECEA663-060E-437E-81A8-AAD670E0BE78}" Name="mavesaar-foraarsaget-af-nsaid" Type="PHContentPage" ParentProviderId="sundheddkcms" ParentItemId="{B0C6441C-79D3-4F1F-805D-89A8AA1B4D16}" SortOrder="225" PublishDate="2008-10-23T09:20:00" DeleteDate="2999-12-31T00:00:00" PotItemType=""> <Content> <LinkListField Name="Spot2"> <LinkField linktype="internal">{A12FFEB9-7D21-4130-9428-1457C5AB696B}</LinkField> </LinkListField> <HtmlField Name="FactContent"><![CDATA[<h2>Fakta</h2> <ul> <li>NSAID-præparater er smertestillende, betændelsesdæmpende og i nogle tilfælde blodfortyndende medicin. De bruges til at behandle gigtsygdomme samt som smertestillende medicin. Nogle af præparaterne kan købes i håndkøb. Denne type medicin kan give mavesår efter længere tids behandling</li> <li>Symptomerne vil oftest være smerter øverst i maven eller blødning fra mavesækken. Hvis man får disse bivirkninger, skal man stoppe behandlingen med disse og søge læge</li> <li>Mavesåret behandles om muligt med ophør af NSAID og syredæmpende medicin</li> </ul>]]></HtmlField> <HtmlField Name="PageContent"><![CDATA[<h2>Hvad er mavesår?</h2> <img style="float: left; width: 200px; height: 141px;" alt="Mavesår" src="9222C929D6E14914A131DC5472B14D4A-200-141" text="Mavesår" title="Tegning af en mavesæk (ventrikel) og tolvfingertarm (duodenum), med et sår i tolvfingertarmen (ulcus duodeni) og et sår i mavesækken (ulcus ventriculi)." height="141" width="200"> <p> </p> <p>Mavesår er sår i slimhinden i mavesækken eller i tolvfingertarmen (se <a href="~/link.aspx?_id=E223F5F05DF341448963AB4C588FF203&_z=z">tegning</a>), som påvises ved <a href="~/link.aspx?_id=1792C929630F40139E350D28B540FE5F&_z=z">gastroskopi</a> (kikkertundersøgelse). En del af disse sår skyldes infektion med bakterien <a href="~/link.aspx?_id=622419539E674C248379D4205939DAD3&_z=z"><em>Helicobacter pylori</em></a><em>.</em> </p> <p>Ca. en fjerdedel af sårene i mavesækken skyldes imidlertid bivirkninger fra brug af medicin - <a href="~/link.aspx?_id=9598E70BEC694FC292FE9D0C1F701494&_z=z">NSAID</a><a href="~/link.aspx?_id=A12479D37D474C88887C858F1F23CA54&_z=z">.</a> Disse lægemidler virker primært ved at nedsætte mavesækkens beskyttende barriere mod mavesyren, der dannes naturligt i mavesækken, Syrepåvirkningen kan så medføre en betændelsesreaktion i slimhinden og i nogle tilfælde medføre et eller flere sår i mavesækken eller tolvfingertarmen.</p> <p>Man anslår, at et års vedvarende behandling med NSAID medfører 1,5 % risiko for at udvikle kompliceret mavesår med blødning eller hul på mavesækken. </p> <p>Tidligere har man anslået, at behandling med NSAID i Danmark medfører op til 100 dødsfald om året på grund af komplikationer til mavesår udløst af behandlingen.</p> <p><strong>Se animation om mavesår</strong></p> <p>[23VIDEO=https://film.sundhed.dk/v.ihtml/player.html?token=46a6fba2c731b695776c346133e7b72f&source=embed&photo%5fid=76428190|app=false]</p> <h2>Hvad er NSAID?</h2> <p>NSAID er forkortelse for "non-steroid anti-inflammatory drugs". Det er en gruppe af lægemidler, som benyttes til at dæmpe betændelsestilstande i muskler, sener og led samt som smertestillende medicin. </p> <p>Nogle typer NSAID kan købes både i håndkøb og på recept f.eks. ibuprofen. Nogle af præparaterne, f.eks. acetylsalicylsyre, har også en forebyggende effekt på dannelse af blodpropper.</p> <h2>Hvad er symptomerne på NSAID-udløst mavesår?</h2> <p>Det typiske symptom på mavesår er smerter øverst i maven, som lindres ved at indtage syreneutraliserende medicin og i nogle tilfælde i forbindelse med spisning. I nogle tilfælde kan der være symptomer som kvalme, opkastning og vægttab. </p> <p>Enkelte patienter oplever, at det første symptom er blødende mavesår med opkastning af blod, hvis mavesåret har forårsaget hul på en blodåre i mavesækken eller tolvfingertarmen. </p> <p>I nogle tilfælde forårsager mavesåret et hul på mavesækken eller tolvfingertarmen, såkaldt perforeret mavesår, så maveindholdet kommer ud i bughulen og giver akutte, svære mavesmerter. Både blødende mavesår og perforeret mavesår er livstruende tilstande, der kræver akut behandling på hospital.</p> <p>Mange personer med mavesår har dog ikke nogle symptomer, mens mange mennesker med smerter øverst i maven ikke har mavesår. Derfor kan man kun stille diagnosen mavesår i forbindelse med en <a href="~/link.aspx?_id=1792C929630F40139E350D28B540FE5F&_z=z">kikkertundersøgelse af mavesækken og tolvfingertarmen</a>. </p> <h3>Hvilke symptomer skal du være særligt opmærksom på?</h3> <p>Hvis du kaster blod op eller får pludselige svære smerter i maven, skal du straks søge læge.</p> <h2>Hvordan stilles diagnosen NSAID-udløst mavesår?</h2> <p>Diagnosen stilles ved en <a href="~/link.aspx?_id=1792C929630F40139E350D28B540FE5F&_z=z">gastroskopi</a>, hvor lægen kan undersøge mavesækken og tolvfingertarmen ved en kikkertundersøgelse, og hvor man kan se såret. </p> <p>Lægen tager altid en prøve fra slimhinden for at se, om der er infektion med bakterien <a href="~/link.aspx?_id=622419539E674C248379D4205939DAD3&_z=z">Helicobacter pylori</a>, da det har betydning for den videre behandling.</p> <h2>Behandling af NSAID-udløste mavesår</h2> <p>Behandlingen indebærer, at man skal holde op med at bruge NSAID. Derudover giver man medicin mod mavesåret, som hæmmer produktionen af mavesyre. Det varer som regel 4-6 uger, før såret er helet. </p> <p>Nogle har også infektion med bakterien <em>Helicobacter pylori</em>. Her kan det være vanskeligt at afgøre, om såret skyldes infektionen eller bivirkninger af NSAID. I de tilfælde vælger man også at behandle infektionen med en såkaldt eradikationsbehandling, som består af syredæmpende medicin og antibiotika.</p> <p>Hvis det bløder fra mavesåret, behandles det under gastroskopien ved anvendelse af forskellige teknikker med indsprøjtning af medicin, varmebehandling eller påsættelse af metalclips på såret. </p> <p>I nogle tilfælde kan man ikke standse blødningen under kikkertundersøgelsen. Så kan man via et plastikkateter, ført ind via en blodåre i benet, finde den frem til den blødende blodåre og standse blødningen ved at tilstoppe blodåren med små metalringe, en såkaldt coiling. </p> <p>Ved livstruende blødning, eller hvis der er gået hul på mavesækken, opererer man altid og standser blødningen eller lukker hullet.</p> <h2>Forebyggelse af NSAID-udløste mavesår</h2> <p>Personer, som skal bruge NSAID, bør blive informeret om, at medicinen kan forårsage mavegener, herunder mavesår. </p> <p>Du skal stoppe behandlingen og tage kontakt til din læge, hvis du får mavesmerter. Som regel er risikoen for at få mavesår lille ved kortvarig behandling på 1-2 uger. Jo længere tid behandlingen varer, og jo højere dosis man tager, jo større er risikoen for mavesår.</p> <p>Personer med gigtsygdomme vil nogle gange være afhængige af at tage NSAID dagligt som behandling for sygdommen. Hvis man får mavesår under behandlingen, må lægen afgøre, om man stadig har brug for medicinen - eller om den kan erstattes med anden medicin. Hvis dette ikke er tilfældet, er det nødvendigt at få samtidig syredæmpende medicin, syrepumpehæmmere, for at forebygge nye mavesår under behandlingen med NSAID.</p> <h2>Vil du vide mere?</h2> <ul> <li><a href="~/link.aspx?_id=C2A8922BD21D40F6BF0A084D2F4A341F&_z=z">Om mavesår</a> </li> <li><a href="~/link.aspx?_id=1792C929630F40139E350D28B540FE5F&_z=z">Gastroskopi</a> </li> <li><a href="~/link.aspx?_id=622419539E674C248379D4205939DAD3&_z=z">Helicobacter pylori</a> </li> </ul>]]></HtmlField> <TextField Name="DoctorsHandbookID">4933</TextField> <TextField Name="PageTitle">Mavesår forårsaget af NSAID</TextField> <TextField Name="NavigationTitle">Mavesår forårsaget af NSAID</TextField> <CheckBoxField Name="ShowInMenu">true</CheckBoxField> <CheckBoxField Name="ShowInContentField">true</CheckBoxField> <DateTimeField Name="RevisedDate">2022-12-19T13:42:00</DateTimeField> <LinkListField Name="Authors"> <LinkField linktype="internal">{528AE6CA-5620-492D-8749-F051C04404B5}</LinkField> <LinkField linktype="internal">{38A2EF96-CA6D-4047-AB47-529CC80F5EA6}</LinkField> </LinkListField> <LinkListField Name="Organization"> <LinkField linktype="internal">{DBBC5F07-FEB9-4FAC-8DCA-1C8C28C4F5B5}</LinkField> </LinkListField> <LinkListField Name="SearchAreaID"> <LinkField linktype="internal">9</LinkField> </LinkListField> <TextField Name="Description">NSAID-præparater og salicylater er medicin, der især bruges til gigtpatienter og som smertestillende medicin. 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]]></Media> 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