{"id":87893,"date":"2021-01-13T13:48:11","date_gmt":"2021-01-13T13:48:11","guid":{"rendered":"https:\/\/barnmedibd.dk\/?p=87893"},"modified":"2022-09-30T08:04:26","modified_gmt":"2022-09-30T08:04:26","slug":"medicinsk-behandling2","status":"publish","type":"post","link":"https:\/\/barnmedibd.dk\/index.php\/2021\/01\/13\/medicinsk-behandling2\/","title":{"rendered":"Medicinsk behandling"},"content":{"rendered":"<div class=\"wpb-content-wrapper\">[vc_row unlock_row_content=&#8221;yes&#8221; row_height_percent=&#8221;50&#8243; override_padding=&#8221;yes&#8221; h_padding=&#8221;0&#8243; top_padding=&#8221;0&#8243; bottom_padding=&#8221;0&#8243; back_color=&#8221;color-xsdn&#8221; overlay_alpha=&#8221;50&#8243; equal_height=&#8221;yes&#8221; gutter_size=&#8221;0&#8243; column_width_percent=&#8221;100&#8243; shift_y=&#8221;0&#8243; z_index=&#8221;0&#8243; row_height_use_pixel=&#8221;&#8221;][vc_column column_width_percent=&#8221;70&#8243; position_vertical=&#8221;middle&#8221; gutter_size=&#8221;3&#8243; override_padding=&#8221;yes&#8221; column_padding=&#8221;2&#8243; overlay_alpha=&#8221;50&#8243; shift_x=&#8221;0&#8243; shift_y=&#8221;0&#8243; shift_y_down=&#8221;0&#8243; z_index=&#8221;0&#8243; medium_width=&#8221;0&#8243; mobile_width=&#8221;0&#8243; zoom_width=&#8221;0&#8243; zoom_height=&#8221;0&#8243; width=&#8221;1\/2&#8243;][vc_custom_heading text_color=&#8221;color-prif&#8221; heading_semantic=&#8221;h5&#8243; text_size=&#8221;h5&#8243;]MEDICINSK BEHANDLING[\/vc_custom_heading][vc_column_text text_lead=&#8221;yes&#8221;]<span class=\"font-762333\">Den medicinske behandling f\u00f8lger som regel en \u201c<strong>behandlingstrappe<\/strong>\u201d. Det betyder at man starter med \u00e9n type medicin, som man l\u00f8bende udskifter med en anden, hvis det bliver n\u00f8dvendigt. Hvis dit barn har meget sv\u00e6r IBD, kan man starte omvendt med en mere aggressiv behandling, som man l\u00f8bende nedtrapper til det n\u00f8dvendige niveau.<\/span>[\/vc_column_text][\/vc_column][vc_column column_width_percent=&#8221;100&#8243; position_vertical=&#8221;middle&#8221; gutter_size=&#8221;3&#8243; override_padding=&#8221;yes&#8221; column_padding=&#8221;0&#8243; back_color=&#8221;color-xsdn&#8221; overlay_alpha=&#8221;0&#8243; shift_x=&#8221;0&#8243; shift_y=&#8221;0&#8243; shift_y_down=&#8221;0&#8243; z_index=&#8221;0&#8243; medium_width=&#8221;0&#8243; mobile_width=&#8221;0&#8243; zoom_width=&#8221;0&#8243; zoom_height=&#8221;0&#8243; width=&#8221;1\/2&#8243; uncode_shortcode_id=&#8221;157311&#8243; back_color_type=&#8221;uncode-palette&#8221;][vc_single_image media=&#8221;88055&#8243; media_width_percent=&#8221;75&#8243; alignment=&#8221;center&#8221; css_animation=&#8221;zoom-in&#8221;][\/vc_column][\/vc_row][vc_row row_height_percent=&#8221;0&#8243; override_padding=&#8221;yes&#8221; h_padding=&#8221;2&#8243; top_padding=&#8221;3&#8243; bottom_padding=&#8221;2&#8243; back_color=&#8221;color-lxmt&#8221; overlay_alpha=&#8221;50&#8243; gutter_size=&#8221;0&#8243; column_width_percent=&#8221;100&#8243; shift_y=&#8221;0&#8243; z_index=&#8221;0&#8243; row_height_use_pixel=&#8221;&#8221;][vc_column column_width_use_pixel=&#8221;yes&#8221; gutter_size=&#8221;3&#8243; font_family=&#8221;font-134980&#8243; overlay_alpha=&#8221;50&#8243; shift_x=&#8221;0&#8243; shift_y=&#8221;0&#8243; shift_y_down=&#8221;0&#8243; z_index=&#8221;0&#8243; align_medium=&#8221;align_left_tablet&#8221; medium_width=&#8221;0&#8243; mobile_width=&#8221;0&#8243; zoom_width=&#8221;0&#8243; zoom_height=&#8221;0&#8243; column_width_pixel=&#8221;800&#8243;][vc_row_inner row_inner_height_percent=&#8221;0&#8243; overlay_alpha=&#8221;50&#8243; gutter_size=&#8221;3&#8243; shift_y=&#8221;0&#8243; z_index=&#8221;0&#8243;][vc_column_inner width=&#8221;1\/4&#8243;][vc_button size=&#8221;btn-link&#8221; link=&#8221;url:%23kortikosteroider&#8221;]Kortikosteroider[\/vc_button][\/vc_column_inner][vc_column_inner width=&#8221;1\/4&#8243;][vc_button size=&#8221;btn-link&#8221; link=&#8221;url:%23ASA&#8221;]5-ASA[\/vc_button][\/vc_column_inner][vc_column_inner width=&#8221;1\/4&#8243;][vc_button size=&#8221;btn-link&#8221; link=&#8221;url:%23immundaempende&#8221;]Immund\u00e6mpende[\/vc_button][\/vc_column_inner][vc_column_inner width=&#8221;1\/4&#8243;][vc_button size=&#8221;btn-link&#8221; link=&#8221;url:%23biologiske&#8221;]Biologisk[\/vc_button][\/vc_column_inner][\/vc_row_inner][vc_custom_heading text_color=&#8221;color-133729&#8243; heading_semantic=&#8221;h1&#8243; text_font=&#8221;font-175345&#8243; text_size=&#8221;h1&#8243; text_weight=&#8221;600&#8243; text_uppercase=&#8221;&#8221;]<a id=\"kortikosteroider\"><\/a>Kortikosteroider[\/vc_custom_heading][vc_column_text text_lead=&#8221;yes&#8221; uncode_shortcode_id=&#8221;176841&#8243;]<span class=\"font-762333\"><strong>Hvem kan blive behandlet med kortikosteroider mod IBD?<br \/>\n<\/strong>Kortikosteroider, ogs\u00e5 kaldet binyrebarkhormoner, bliver b\u00e5de brugt ved Crohns sygdom og colitis ulcerosa. De bruges for eksempel, hvis barnet f\u00e5r udbrud, selvom det er i behandling med anden medicin.<\/span><\/p>\n<p><span class=\"font-762333\"><strong>Hvordan virker kortikosteroider mod IBD?<br \/>\n<\/strong>Kortikosteroider virker ved at:<\/span><\/p>\n<ul>\n<li><span class=\"font-762333\">d\u00e6mpe bet\u00e6ndelsen i tarmslimhinden<\/span><\/li>\n<li><span class=\"font-762333\">lindre smerter (som supplement til smertestillende medicin)<\/span><\/li>\n<li><span class=\"font-762333\">lindre kvalme<\/span><\/li>\n<li><span class=\"font-762333\">mindske tr\u00e6thed<\/span><\/li>\n<\/ul>\n<p><span class=\"font-762333\"><strong>Hvilke typer af behandling med kortikosteroider findes der?<br \/>\n<\/strong>Det kan b\u00e5de gives som tabletter, injektionsv\u00e6ske, stikpiller eller i v\u00e6skeform til indh\u00e6ldning i tarmen. Hvilken form, barnet skal bruge, afh\u00e6nger bl.a. af, hvor i tarmen det har bet\u00e6ndelsestilstanden.<\/span><\/p>\n<blockquote><p><span class=\"font-762333\"><strong>Bivirkninger ved kortikosteroider mod IBD<br \/>\n<\/strong>Kortikosteroider forebygger ikke udbrud, men kan virke hurtigt og effektivt p\u00e5 akutte sygdomsudbrud. Desv\u00e6rre har behandlingen en lang r\u00e6kke bivirkninger. De mest almindelige er:<\/span><\/p>\n<ul>\n<li><span class=\"font-762333\">V\u00e6skeophobning i kroppen \u2013 typisk v\u00e6ske ved anklerne, man tager generelt p\u00e5, ansigtet kan h\u00e6ve op og blive \u2019m\u00e5ne-agtigt\u2019, maven bliver tyk og man kan f\u00e5 en s\u00e5kaldt \u2019b\u00f8ffelpukkel\u2019 p\u00e5 ryggen<\/span><\/li>\n<li><span class=\"font-762333\">V\u00e6ksth\u00e6mning ved langvarig brug<\/span><\/li>\n<li><span class=\"font-762333\">\u00d8get h\u00e5rv\u00e6kst<\/span><\/li>\n<li><span class=\"font-762333\">Str\u00e6km\u00e6rker i huden (typisk p\u00e5 mave, inderl\u00e5r og bryster)<\/span><\/li>\n<li><span class=\"font-762333\">Hum\u00f8rsvingninger (opstemthed eller depression)<\/span><\/li>\n<li><span class=\"font-762333\">Rastl\u00f8shed<\/span><\/li>\n<li><span class=\"font-762333\">Sult eller manglende m\u00e6thedsfornemmelse<\/span><\/li>\n<li><span class=\"font-762333\">S\u00f8vnforstyrrelser<\/span><\/li>\n<\/ul>\n<p><strong><span class=\"font-762333\">De mere sj\u00e6ldne bivirkninger er:<\/span><\/strong><\/p>\n<ul>\n<li><span class=\"font-762333\">\u00d8get risiko for sukkersyge<\/span><\/li>\n<li><span class=\"font-762333\">Risiko for forh\u00f8jet blodtryk<\/span><\/li>\n<\/ul>\n<p><span class=\"font-762333\">L\u00e6gen vil j\u00e6vnligt vurdere, om gevinsten er st\u00f8rre end bivirkningerne. Hvis ikke behandlingen virker tilstr\u00e6kkeligt, afbryder man og pr\u00f8ver en anden behandling.<\/span><\/p><\/blockquote>\n<p><span class=\"font-762333\"><strong>\u00a0<\/strong><\/span>[\/vc_column_text][\/vc_column][\/vc_row][vc_row row_height_percent=&#8221;0&#8243; override_padding=&#8221;yes&#8221; h_padding=&#8221;2&#8243; top_padding=&#8221;2&#8243; bottom_padding=&#8221;2&#8243; back_color=&#8221;color-xsdn&#8221; overlay_alpha=&#8221;50&#8243; gutter_size=&#8221;0&#8243; column_width_percent=&#8221;100&#8243; shift_y=&#8221;0&#8243; z_index=&#8221;0&#8243; row_height_use_pixel=&#8221;&#8221;][vc_column column_width_use_pixel=&#8221;yes&#8221; gutter_size=&#8221;3&#8243; font_family=&#8221;font-134980&#8243; overlay_alpha=&#8221;50&#8243; shift_x=&#8221;0&#8243; shift_y=&#8221;0&#8243; shift_y_down=&#8221;0&#8243; z_index=&#8221;0&#8243; medium_width=&#8221;0&#8243; mobile_width=&#8221;0&#8243; zoom_width=&#8221;0&#8243; zoom_height=&#8221;0&#8243; column_width_pixel=&#8221;800&#8243;][vc_custom_heading text_color=&#8221;color-440219&#8243; heading_semantic=&#8221;h1&#8243; text_font=&#8221;font-175345&#8243; text_size=&#8221;h1&#8243; text_weight=&#8221;600&#8243; text_uppercase=&#8221;&#8221;]<a id=\"ASA\"><\/a>5-ASA[\/vc_custom_heading][vc_column_text text_lead=&#8221;yes&#8221;]<span class=\"font-762333\"><strong>Hvem kan blive behandlet med<\/strong><strong> 5-aminosalicylsyre?<br \/>\n<\/strong>De fleste med let eller moderat colitis ulcerosa bliver i f\u00f8rste omgang behandlet med 5-ASA-pr\u00e6parater (5-aminosalisylsyre eller aminosalicylater). Man kan t\u00e5le behandling med 5-ASA i lang tid, og faktisk lige s\u00e5 l\u00e6nge den virker mod bet\u00e6ndelsen, og b\u00e5de l\u00e6gen og du sammen med dit barn vurderer, at det giver mening af forts\u00e6tte.<\/span><\/p>\n<p><span class=\"font-762333\"><strong>Hvordan virker<\/strong><strong> 5-aminosalicylsyre?<br \/>\n<\/strong>Behandlingen virker lokalt i tarmens bet\u00e6ndte slimhinde.5-ASA kan gives p\u00e5 forskellige m\u00e5der for eksempel som tabletter, pulver, mikstur, klysma (rektalv\u00e6ske), stikpiller &#8211; afh\u00e6ngigt af, hvor i tarmen bet\u00e6ndelsen sidder.<\/span><\/p>\n<blockquote><p><span class=\"font-762333\"><strong>Bivirkninger ved<\/strong><strong> 5-aminosalicylsyre<\/strong><\/span><\/p>\n<p><span class=\"font-762333\">Der kan v\u00e6re bivirkninger ved 5-aminosalisylsyre, som is\u00e6r optr\u00e6der i starten af behandlingen. men de er relativt sj\u00e6ldne:<\/span><\/p>\n<ul>\n<li><span class=\"font-762333\">Kvalme og d\u00e5rlig appetit<\/span><\/li>\n<li><span class=\"font-762333\">Opkastninger<\/span><\/li>\n<li><span class=\"font-762333\">Hovedpine<\/span><\/li>\n<li><span class=\"font-762333\">Hududsl\u00e6t og h\u00e5rtab<\/span><\/li>\n<li><span class=\"font-762333\">Br\u00e6ndende fornemmelse i brystet<\/span><\/li>\n<li><span class=\"font-762333\">P\u00e5virkning af leverfunktionen<\/span><\/li>\n<li><span class=\"font-762333\">Diarr\u00e9, som dog er sj\u00e6ldent<\/span><\/li>\n<\/ul>\n<\/blockquote>\n<p><span class=\"font-762333\"><strong>N\u00e6ste skridt i behandlingen af<\/strong><strong> Colitis Ulcerosa<br \/>\n<\/strong>Hvis barnet slet ikke kan t\u00e5le behandling med 5-ASA og har mange bivirkninger, eller det ikke virker tilstr\u00e6kkeligt, kan det v\u00e6re n\u00f8dvendigt at skifte behandling. Afh\u00e6ngigt af\u00a0 sygdommens sv\u00e6rhedsgrad, vil n\u00e6ste skridt i behandlingsforl\u00f8bet v\u00e6re behandling med immunmodulerende l\u00e6gemidler.<\/span>[\/vc_column_text][\/vc_column][\/vc_row][vc_row row_height_percent=&#8221;0&#8243; override_padding=&#8221;yes&#8221; h_padding=&#8221;2&#8243; top_padding=&#8221;2&#8243; bottom_padding=&#8221;2&#8243; back_color=&#8221;color-lxmt&#8221; overlay_alpha=&#8221;50&#8243; gutter_size=&#8221;0&#8243; column_width_percent=&#8221;100&#8243; shift_y=&#8221;0&#8243; z_index=&#8221;0&#8243; row_height_use_pixel=&#8221;&#8221;][vc_column column_width_use_pixel=&#8221;yes&#8221; gutter_size=&#8221;3&#8243; font_family=&#8221;font-134980&#8243; overlay_alpha=&#8221;50&#8243; shift_x=&#8221;0&#8243; shift_y=&#8221;0&#8243; shift_y_down=&#8221;0&#8243; z_index=&#8221;0&#8243; medium_width=&#8221;0&#8243; mobile_width=&#8221;0&#8243; zoom_width=&#8221;0&#8243; zoom_height=&#8221;0&#8243; column_width_pixel=&#8221;800&#8243;][vc_custom_heading text_color=&#8221;color-252307&#8243; heading_semantic=&#8221;h1&#8243; text_font=&#8221;font-175345&#8243; text_size=&#8221;h1&#8243; text_weight=&#8221;600&#8243; text_uppercase=&#8221;&#8221;]<a id=\"immundaempende\"><\/a>Immund\u00e6mpende behandling[\/vc_custom_heading][vc_column_text text_lead=&#8221;yes&#8221;]<span class=\"font-762333\"><strong>Hvem kan f\u00e5 immund\u00e6mpende<\/strong><strong> behandling af IBD?<br \/>\n<\/strong><\/span><span class=\"font-762333\">Hvis sygdommen blusser op igen og igen, kort efter at barnet holder op med at tage kortikosteroider, eller imens barnet er ved at nedtrappe behandlingen, kan barnet f\u00e5 tilbudt et immunmodulerende l\u00e6gemiddel som langtidsbehandling.<br \/>\n<\/span><span class=\"font-762333\">Behandlingen holder bet\u00e6ndelsen i ro, s\u00e5 risikoen for nye udbrud bliver mindre.<\/span><\/p>\n<p><span class=\"font-762333\"><strong>Hvordan virker immund\u00e6mpende behandling<\/strong><strong> af IBD?<br \/>\n<\/strong><\/span><span class=\"font-762333\">Immunmodulerende l\u00e6gemidler virker kort sagt ved at d\u00e6mpe eller h\u00e6mme immunsystemet, s\u00e5 det ikke reagerer s\u00e5 aggressivt mod sig selv \u2013 og dermed ikke skaber bet\u00e6ndelse i tarmen.<br \/>\n<\/span><span class=\"font-762333\">De virker f\u00f8rst efter omkring tre m\u00e5neder.<\/span><\/p>\n<p><span class=\"font-762333\"><strong>Hvilke midler bruger man til<\/strong><strong> immund\u00e6mpende behandling<\/strong><strong> af IBD?<br \/>\n<\/strong><\/span><span class=\"font-762333\">I Danmark bruger man typisk l\u00e6gemidlerne azathioprin (tablet) og 6-mercaptopurin (tablet eller mikstur). Hvis barnet ikke kan t\u00e5le nogen af de to behandlinger, kan barnet som alternativ blive tilbudt behandling med l\u00e6gemidlet methotrexat. <\/span><span class=\"font-762333\">Methotrexat gives som injektion eller tabletter en gang om ugen. Det virker ogs\u00e5 ved at d\u00e6mpe bet\u00e6ndelsen i tarmslimhinden. <\/span><span class=\"font-762333\">Behandling med azathioprin \u00f8ger risikoen for infektioner. Barnet b\u00f8r derfor passe p\u00e5 med at omg\u00e5s personer, der har en infektion. Desuden \u00f8ger behandling med azathioprin risikoen for kr\u00e6ftsygdomme som leuk\u00e6mi og hudkr\u00e6ft.<\/span><\/p>\n<blockquote><p><span class=\"font-762333\"><strong>Bivirkninger ved<\/strong><strong> immund\u00e6mpende behandling<\/strong><strong> af IB<\/strong><strong>D<br \/>\n<\/strong><\/span><span class=\"font-762333\">Behandling med azathioprin og 6-mercaptopurin kan give bivirkninger i form af:<\/span><\/p>\n<ul>\n<li><span class=\"font-762333\">kvalme<\/span><\/li>\n<li><span class=\"font-762333\">opkastninger<\/span><\/li>\n<li><span class=\"font-762333\">diarr\u00e9<\/span><\/li>\n<li><span class=\"font-762333\">\u00f8get risiko for infektioner<\/span><\/li>\n<li><span class=\"font-762333\">huden bliver mere f\u00f8lsom for sollys<\/span><\/li>\n<li><span class=\"font-762333\">Hvis barnet f\u00e5r symptomer p\u00e5 lungebet\u00e6ndelse, halsbet\u00e6ndelse eller feber, b\u00f8r du kontakte jeres l\u00e6ge straks.<\/span><\/li>\n<\/ul>\n<p><span class=\"font-762333\">Nogle f\u00e5 oplever desuden alvorligere bivirkninger ved azathioprin og 6-mercaptopurin som:<\/span><\/p>\n<ul>\n<li><span class=\"font-762333\">akut bet\u00e6ndelse i bugspytkirtlen med mavesmerter, kvalme, opkastning og feber<\/span><\/li>\n<li><span class=\"font-762333\">leverp\u00e5virkning<\/span><\/li>\n<li><span class=\"font-762333\">gulsot<\/span><\/li>\n<\/ul>\n<p><span class=\"font-762333\">N\u00e5r barnet bliver behandlet med methotrexat, kan det opleve bivirkninger som:<\/span><\/p>\n<ul>\n<li><span class=\"font-762333\">mavesmerter (man kan supplere med et tilskud folinsyre for at reducere denne bivirkning)<\/span><\/li>\n<li><span class=\"font-762333\">kvalme<\/span><\/li>\n<li><span class=\"font-762333\">opkast<\/span><\/li>\n<li><span class=\"font-762333\">nedsat appetit<\/span><\/li>\n<\/ul>\n<p><span class=\"font-762333\">Nogle f\u00e5 oplever desuden alvorligere bivirkninger som:<\/span><\/p>\n<ul>\n<li><span class=\"font-762333\">bl\u00e5 m\u00e6rker<\/span><\/li>\n<li><span class=\"font-762333\">bl\u00e6rer i munden<\/span><\/li>\n<li><span class=\"font-762333\">hovedpine<\/span><\/li>\n<li><span class=\"font-762333\">hum\u00f8rsvingninger (depression)<\/span><\/li>\n<li><span class=\"font-762333\">lever- og nyrep\u00e5virkning<\/span><\/li>\n<li><span class=\"font-762333\">lungep\u00e5virkning med hoste (meget sj\u00e6ldent)<\/span><\/li>\n<\/ul>\n<\/blockquote>\n[\/vc_column_text][\/vc_column][\/vc_row][vc_row row_height_percent=&#8221;0&#8243; override_padding=&#8221;yes&#8221; h_padding=&#8221;2&#8243; top_padding=&#8221;2&#8243; bottom_padding=&#8221;2&#8243; back_color=&#8221;color-xsdn&#8221; overlay_alpha=&#8221;50&#8243; gutter_size=&#8221;0&#8243; column_width_percent=&#8221;100&#8243; shift_y=&#8221;0&#8243; z_index=&#8221;0&#8243; row_height_use_pixel=&#8221;&#8221;][vc_column column_width_use_pixel=&#8221;yes&#8221; gutter_size=&#8221;3&#8243; font_family=&#8221;font-134980&#8243; overlay_alpha=&#8221;50&#8243; shift_x=&#8221;0&#8243; shift_y=&#8221;0&#8243; shift_y_down=&#8221;0&#8243; z_index=&#8221;0&#8243; medium_width=&#8221;0&#8243; mobile_width=&#8221;0&#8243; zoom_width=&#8221;0&#8243; zoom_height=&#8221;0&#8243; column_width_pixel=&#8221;800&#8243;][vc_custom_heading text_color=&#8221;color-101293&#8243; heading_semantic=&#8221;h1&#8243; text_font=&#8221;font-175345&#8243; text_size=&#8221;h1&#8243; text_weight=&#8221;600&#8243; text_uppercase=&#8221;&#8221;]<a id=\"biologiske\"><\/a>Biologiske l\u00e6gemidler[\/vc_custom_heading][vc_column_text text_lead=&#8221;yes&#8221; uncode_shortcode_id=&#8221;466457&#8243;]<span class=\"font-762333\"><strong>Hvem kan f\u00e5 behandling med biologiske l\u00e6gemidler mod IBD?<br \/>\n<\/strong><\/span><span class=\"font-762333\">Der er mulighed for at blive behandlet med biologiske l\u00e6gemidler, hvis dit barn:<\/span><\/p>\n<ul>\n<li><span class=\"font-762333\">gang p\u00e5 gang oplever sygdomsudbrud, selv om det bliver behandlet med immunmodulerende midler<\/span><\/li>\n<li><span class=\"font-762333\">bliver ramt af nye udbrud, s\u00e5 snart det stopper med kortikosteroider<\/span><\/li>\n<li><span class=\"font-762333\">har fistulerende Crohns sygdom<\/span><\/li>\n<li><span class=\"font-762333\">f\u00e5r akut sv\u00e6r colitis ulcerosa<\/span><\/li>\n<li><span class=\"font-762333\">ved sv\u00e6r v\u00e6ksth\u00e6mning<\/span><\/li>\n<\/ul>\n<p><span class=\"font-762333\">Man behandler ofte med b\u00e5de immund\u00e6mpende midler og biologisk behandling, fordi det kan have en ekstra god effekt p\u00e5 sygdommen.<\/span><\/p>\n<p><span class=\"font-762333\"><strong>Inden behandling med biologiske l\u00e6gemidler<br \/>\n<\/strong><\/span><span class=\"font-762333\">Da behandling med biologiske l\u00e6gemidler p\u00e5virker immunsystemet, skal man v\u00e6re s\u00e6rligt opm\u00e6rksom p\u00e5 tegn p\u00e5 alvorlige infektioner i kroppen, da de kan blusse op under behandlingen. Barnet bliver derfor unders\u00f8gt for infektioner forud for opstart af behandling.<br \/>\n<\/span><span class=\"font-762333\">L\u00e6gen vil ogs\u00e5 l\u00f8bende tage blodpr\u00f8ver og vurdere, hvor l\u00e6nge barnet skal forts\u00e6tte med behandlingen.<\/span><\/p>\n<p><span class=\"font-762333\"><strong>Hvordan virker biologiske l\u00e6gemidler mod IBD?<br \/>\n<\/strong><\/span><span class=\"font-762333\">Biologiske l\u00e6gemidler er en nyere type l\u00e6gemidler, der virker m\u00e5lrettet ved at h\u00e6mme forskellige processer i immunsystemet.<\/span><\/p>\n<p><span class=\"font-762333\"><strong>Hvilke typer biologiske l\u00e6gemidler findes der imod IBD?<br \/>\n<\/strong><\/span><span class=\"font-762333\">De biologiske l\u00e6gemidler, der bruges til behandling af Crohns sygdom og colitis ulcerosa er:<\/span><\/p>\n<ul>\n<li><span class=\"font-762333\">anti-TNF-alfa-h\u00e6mmer (via drop eller spr\u00f8jte ) virker p\u00e5 b\u00e5de Crohns sygdom og colitis ulcerosa ved at d\u00e6mpe bet\u00e6ndelsen i tarmen. Ved Crohns sygdom kan det ogs\u00e5 bruges til at behandle fistler.<\/span><\/li>\n<li><span class=\"font-762333\">anti-integrin-h\u00e6mmer (via drop) virker ved at d\u00e6mpe bet\u00e6ndelsen specifikt i tarmen. anti-integrin-h\u00e6mmere bruges b\u00e5de ved Crohns sygdom og Colitis Ulcerosa.<\/span><\/li>\n<li><span class=\"font-762333\">anti-interleukin-h\u00e6mmer (via spr\u00f8jte eller drop) virker ved at h\u00e6mme udviklingen af inflammationen i tarmen ved moderat til sv\u00e6r Crohns sygdom.<\/span><\/li>\n<\/ul>\n<blockquote><p><span class=\"font-762333\"><strong>Bivirkninger ved biologisk behandling af IBD<br \/>\n<\/strong><\/span><span class=\"font-762333\">Behandling med biologiske l\u00e6gemidler kan have en r\u00e6kke bivirkninger. Overordnet set er de mest almindelige:<\/span><\/p>\n<ul>\n<li><span class=\"font-762333\">tr\u00e6thed<\/span><\/li>\n<li><span class=\"font-762333\">kvalme<\/span><\/li>\n<li><span class=\"font-762333\">svimmelhed og hovedpine samt<\/span><\/li>\n<li><span class=\"font-762333\">r\u00f8dme, kl\u00f8e, h\u00e6velse eller eksem p\u00e5 det sted, man har f\u00e5et injiceret medicinen.<\/span><\/li>\n<\/ul>\n<p><span class=\"font-762333\">Der kan opst\u00e5 andre, alvorlige bivirkninger s\u00e5som:<\/span><\/p>\n<ul>\n<li><span class=\"font-762333\">allergiske reaktioner<\/span><\/li>\n<li><span class=\"font-762333\">infektioner med feber<\/span><\/li>\n<li><span class=\"font-762333\">ledsmerter<\/span><\/li>\n<li><span class=\"font-762333\">blodmangel<\/span><\/li>\n<li><span class=\"font-762333\">p\u00e5virkning af leveren<\/span><\/li>\n<li><span class=\"font-762333\">maves\u00e5r afh\u00e6ngigt af, hvilket l\u00e6gemiddel barnet f\u00e5r.<\/span><\/li>\n<\/ul>\n<p><span class=\"font-762333\">Derfor b\u00f8r du altid s\u00e6tte dig grundigt ind i den type medicin, dit barn f\u00e5r, s\u00e5 du kan reagere hurtigt og kontakte l\u00e6gen.<\/span><\/p><\/blockquote>\n[\/vc_column_text][\/vc_column][\/vc_row][vc_row unlock_row_content=&#8221;yes&#8221; row_height_percent=&#8221;50&#8243; override_padding=&#8221;yes&#8221; h_padding=&#8221;0&#8243; top_padding=&#8221;0&#8243; bottom_padding=&#8221;0&#8243; back_color=&#8221;color-202097&#8243; overlay_alpha=&#8221;50&#8243; equal_height=&#8221;yes&#8221; gutter_size=&#8221;0&#8243; column_width_percent=&#8221;100&#8243; shift_y=&#8221;0&#8243; z_index=&#8221;0&#8243; row_height_use_pixel=&#8221;&#8221;][vc_column column_width_percent=&#8221;70&#8243; position_vertical=&#8221;middle&#8221; gutter_size=&#8221;3&#8243; override_padding=&#8221;yes&#8221; column_padding=&#8221;5&#8243; overlay_alpha=&#8221;50&#8243; shift_x=&#8221;0&#8243; shift_y=&#8221;0&#8243; medium_width=&#8221;0&#8243; zoom_width=&#8221;0&#8243; zoom_height=&#8221;0&#8243; width=&#8221;1\/2&#8243;][vc_custom_heading text_font=&#8221;font-175345&#8243; text_size=&#8221;h1&#8243; text_weight=&#8221;600&#8243; text_height=&#8221;fontheight-357766&#8243; sub_lead=&#8221;yes&#8221; sub_reduced=&#8221;yes&#8221; text_uppercase=&#8221;&#8221; subheading=&#8221;\u2014 Mette Hald<br \/>\nCand.psych, Hvidovre Hospital&#8221;]&#8221;Viden er vigtig. Det hj\u00e6lper med b\u00e5de forst\u00e5else og overblik, og betyder, at du kan forklare dit barn, hvad det hele g\u00e5r ud p\u00e5&#8221;[\/vc_custom_heading][\/vc_column][vc_column column_width_percent=&#8221;100&#8243; gutter_size=&#8221;3&#8243; override_padding=&#8221;yes&#8221; column_padding=&#8221;0&#8243; back_color=&#8221;color-wayh&#8221; back_image=&#8221;90730&#8243; back_position=&#8221;center top&#8221; parallax=&#8221;yes&#8221; overlay_alpha=&#8221;0&#8243; shift_x=&#8221;0&#8243; shift_y=&#8221;0&#8243; shift_y_down=&#8221;0&#8243; z_index=&#8221;0&#8243; medium_width=&#8221;0&#8243; mobile_width=&#8221;0&#8243; zoom_width=&#8221;0&#8243; zoom_height=&#8221;0&#8243; width=&#8221;1\/2&#8243; uncode_shortcode_id=&#8221;155319&#8243; back_color_type=&#8221;uncode-palette&#8221;][\/vc_column][\/vc_row][vc_row row_height_percent=&#8221;0&#8243; overlay_alpha=&#8221;50&#8243; gutter_size=&#8221;3&#8243; column_width_percent=&#8221;100&#8243; shift_y=&#8221;0&#8243; z_index=&#8221;0&#8243;][vc_column width=&#8221;1\/6&#8243;][\/vc_column][vc_column column_width_percent=&#8221;100&#8243; align_horizontal=&#8221;align_center&#8221; gutter_size=&#8221;3&#8243; overlay_alpha=&#8221;50&#8243; shift_x=&#8221;0&#8243; shift_y=&#8221;0&#8243; shift_y_down=&#8221;0&#8243; z_index=&#8221;0&#8243; medium_width=&#8221;0&#8243; mobile_width=&#8221;0&#8243; width=&#8221;2\/3&#8243;][vc_button button_color=&#8221;color-149476&#8243; border_width=&#8221;0&#8243; link=&#8221;url:https%3A%2F%2Fbarnmedibd.dk%2Findex.php%2Fhomepages%2Fforside-foraeldre%2F|title:Leg%20og%20L%C3%A6r&#8221; button_color_type=&#8221;uncode-palette&#8221; uncode_shortcode_id=&#8221;644415&#8243;]For\u00e6ldre[\/vc_button][\/vc_column][vc_column width=&#8221;1\/6&#8243;][\/vc_column][\/vc_row]\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Behandlingen f\u00f8lger som regel en \u201cbehandlingstrappe\u201d. Det betyder at man starter med \u00e9n type medicin, som man l\u00f8bende udskifter til en anden, hvis det bliver n\u00f8dvendigt. Hvis dit barn har meget sv\u00e6r IBD<\/p>\n","protected":false},"author":2,"featured_media":90730,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"rs_blank_template":"","rs_page_bg_color":"","slide_template_v7":"","footnotes":""},"categories":[102],"tags":[29,30,31],"class_list":["post-87893","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-behandling","tag-sport","tag-music","tag-style"],"_links":{"self":[{"href":"https:\/\/barnmedibd.dk\/index.php\/wp-json\/wp\/v2\/posts\/87893","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/barnmedibd.dk\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/barnmedibd.dk\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/barnmedibd.dk\/index.php\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/barnmedibd.dk\/index.php\/wp-json\/wp\/v2\/comments?post=87893"}],"version-history":[{"count":202,"href":"https:\/\/barnmedibd.dk\/index.php\/wp-json\/wp\/v2\/posts\/87893\/revisions"}],"predecessor-version":[{"id":91400,"href":"https:\/\/barnmedibd.dk\/index.php\/wp-json\/wp\/v2\/posts\/87893\/revisions\/91400"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/barnmedibd.dk\/index.php\/wp-json\/wp\/v2\/media\/90730"}],"wp:attachment":[{"href":"https:\/\/barnmedibd.dk\/index.php\/wp-json\/wp\/v2\/media?parent=87893"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/barnmedibd.dk\/index.php\/wp-json\/wp\/v2\/categories?post=87893"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/barnmedibd.dk\/index.php\/wp-json\/wp\/v2\/tags?post=87893"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}