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<Provider Id="sundheddkcms"> <Item Id="{4B43780C-6B26-42BC-92E7-E9BBEE9ABD17}" Name="hvad-er-akupunktur" Type="PHContentPage" ParentProviderId="sundheddkcms" ParentItemId="{4C6E4D0C-454D-4E25-AB3A-93E4CE1B52CC}" SortOrder="300" PublishDate="2014-08-25T15:21:00" 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>Akupunktur kan lindre muskel- og ledsmerter samt hovedpine</li> <li>Akupunktur virker bedst ved en serie på 6-15 behandlinger</li> <li>Det er generelt en sikker og bivirkningsfri behandling </li> </ul>]]></HtmlField> <HtmlField Name="PageContent"><![CDATA[<h2></h2> <p>Akupunktur har historisk sine rødder i kinesisk og taoistisk naturfilosofi, og er her forklaret ud fra principperne om yin og yang. </p> <p>Ved at stimulere akupunkturpunkter forskellige steder på kroppen kan man ud fra denne teori finde frem til og genoprette energiubalancer i livsenergien Qi. Klassisk akupunktur anses af mange som en behandling, som kan helbrede en lang række symptomer og sygdomme.</p> <p>Videnskabelige undersøgelser har dog medført et nyt syn på, hvornår akupunktur kan anvendes til at behandle lidelser og sygdomme. Behandling med akupunktur er derfor i dag baseret på en lægeundersøgelse, samt viden om sygdomme, symptomer og smerter. Dette forudsætter samtidigt en mere kritisk tilgang til de sygdomme og tilstande, der kan behandles med akupunktur. </p> <h2>Hvordan virker akupunktur?</h2> <p>Behandlingen foregår ved, at man stikker tynde nåle ind i hud og muskler. Her stimulerer nålene nerverne. Dette kan resultere i lokal øget blodgennemstrømning, og at der udskilles smertedæmpende hormoner. Endelig kan nålebehandlingen påvirke den mentale oplevelse af symptomer og smerter positivt. </p> <p>Virkningen er langsomt indsættende og efter 5-6 behandlinger, vil man kunne opleve en begyndende effekt. Optimalt behandles der 6-15 gange ved behandling af langvarige smertetilstande. </p> <p><img width="215" height="320" alt="Foto af akupunktur" src="6D9524F988A04B8CB0E70B93FB5A958B-0-0"></p> <h2>Hvilke tilstande kan behandles med akupunktur?</h2> <div>Man anvender primært akupunktur til at behandle veldefinerede smertetilstande i muskler og led samt migræne og spændingshovedpine. Ud over smertelindring anvendes akupunktur også til at afhjælpe symptomer, som er relateret til andre sygdomme, herunder gener forårsaget af kræft og kræftbehandling, såsom kvalme og træthed.</div> <div> </div> <div>Om akupunktur er en relevant behandling for dig, vil din læge kunne vurdere ud fra en samlet vurdering af dine symptomer og øvrige behandlingsbehov.</div> <h3>Hvordan foregår behandlingen med akupunktur?</h3> <p>Akupunkturpunkter eller trykfølsomme punkter, som er relateret til de symptomgivende områder, behandles med tynde nåle. Nålene stikkes enten få millimeter ind i huden, eller op til nogle centimeter ind i musklerne. Den føles normalt som en let ømhed, trykkende eller sovende fornemmelse. </p> <p>Man anvender som regel 5-15 nåle, og behandlingen varer ca. 10-25 minutter. Efter 2-3 uger, svarende til 6 behandlinger, kan de positive effekter vise sig; symptomerne lindres, bevægelighed og nattesøvn bedres, og man har færre smerter.</p> <h2>Hvilke risici er der ved behandling med akupunktur?</h2> <p>Der kan være bivirkninger ved behandling med akupunktur. Eksempelvis mindre blødninger ved indstiksstedet, svimmelhed, træthed, forværring af smerter og andre symptomer. </p> <p>I sjældne tilfælde kan man kortvarigt besvime og der kan ske uheld, hvor eksempelvis lungerne punkteres.</p> <p> </p> <div> <h3>Akupunktur bør undgås, eller anvendes med forsigtighed i følgende situationer</h3> <ul> <li><span></span>Hvis man har angst for nåle (nålefobi)</li> <li>Hvis man har indopereret <a href="~/link.aspx?_id=DCCC26084DCE4FB29E4514EBB2AD59B9&_z=z">pacemaker</a> eller rygmarvsstimulator</li> <li>Ved kronisk hævelse efter operation eller strålebehandling (lymfødem)</li> <li>Ved blødersygdom eller brug af blodfortyndende medicin</li> <li>Ved infektion eller inflammation efter operation</li> <li>Ved øget eller manglende smertefølsomhed i forbindelse med nerveskader</li> <li>Ved uklar eller manglende viden om årsagen til smerter eller symptomer </li> <li>Hvis behandleren ikke er autoriseret og kvalificeret til at behandle med nåle</li> </ul> </div> <ul> </ul> <ul> </ul> <h2>Vil du vide mere?</h2> <ul> <li><a href="~/link.aspx?_id=0B6CC8BAA1704A27B781341F289E53B3&_z=z">Smertelindring under fødslen</a></li> <li><a href="~/link.aspx?_id=583A9082971E4694AD767140BB264B2D&_z=z">Akupunktur i almen praksis</a> - for sundhedsfaglige</li> </ul>]]></HtmlField> <TextField Name="DoctorsHandbookID">25101</TextField> <TextField Name="PageTitle">Hvad er akupunktur?</TextField> <TextField Name="NavigationTitle">Hvad er akupunktur?</TextField> <CheckBoxField Name="ShowInMenu">true</CheckBoxField> <CheckBoxField Name="ShowInContentField">true</CheckBoxField> <DateTimeField Name="RevisedDate">2024-11-04T14:46:00</DateTimeField> <LinkListField Name="Authors"> <LinkField linktype="internal">{ED72E6B7-6F40-4FAF-B3BE-AE31AC229B66}</LinkField> <LinkField linktype="internal">{D71FC9B8-8D14-48C6-920F-BE9256067C0B}</LinkField> </LinkListField> <LinkListField Name="Organization"> <LinkField 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]]></Media> 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